Kodi munayamba mwafooka kapena pafupi kutaya nthawi yanu? Ndikudabwa ngati zimenezo ndi zachilendo?
Chowonadi ndi chakuti kusintha komwekukuchitika m'thupi mwathu pamene mukupita kumwezi kungakuchititseni kuti mukhale ndi nkhawa kwambiri pa nthawi yanu.
Chifukwa Chimene Inu Mukusowa
Kutaya kapena kutuluka, komwe kumatchedwanso syncope, ndiko njira yanu ya ubongo yolankhulirana thupi lanu kuti sikutenga kuchuluka kwa mpweya umene ukusowa.
Ubongo wanu umakhala wovuta kwambiri ku ma oksijeni ndipo thupi lanu liri ndi makonzedwe ambiri kapena zowonongeka kuti zitsimikizire kuti ubongo wanu ukupeza zomwe ukufunikira. Nthawi zina kusintha kwa thupi lanu kumawongolera malingalirowa ndi zotsatira zake, mumadutsa. Izi ndi zomwe zimachitika mumtundu wotchuka wotchedwa neurocardiogenic kapena vasovagal syncope .
Vasovagal syncope amayamba chifukwa cha kusintha kwa machitidwe ena ndi gawo la dongosolo lanu la mitsempha lomwe limangodziletsa ntchito zambiri zofunika za thupi. Sitidziwa ndendende momwe zimakhalira koma zovuta zimayambitsa kupanga kusintha kwa mtima wanu ndi kuthamanga kwa magazi zomwe zimapangitsa kuchepa kwa magazi ku ubongo wanu. Pamene kusintha kumeneku kukuchitika zimayambitsa zizindikiro zomwe zimadziwika kuti zizindikiro za presyncopal monga:
- kunyoza
- thukuta
- kumutu
- masomphenya olakwika
- kupweteka kwa mtima kapena kupweteka kwa mtima
- paresthesia kapena kumva kufooka
- zosalala kapena zooneka zotumbululuka
Mwanjira ina, zizindikirozi ndi chizindikiro chochenjeza kuti muyesetse kusintha zomwe mukuchita. Kawirikawiri kachilombo ka syncopal kangapewe pamene mukusintha zomwe mukuchita chifukwa simukumva bwino. Koma nthawi zina, zizindikirozi zimafika mofulumira kwambiri ndipo simungadzilepheretse kutaya.
Chifukwa Chake Nyengo Yanu Imayambitsa Kutaya
Kusintha kwa thupi lanu komwe kumayambitsa matenda a neurocardiogenic kapena vasovagal syncope akukulitsidwa panthawi yanu. Mwa kuyankhula kwina, zina mwazosintha zomwe zimachitika m'thupi lanu mwezi uliwonse m'nthaŵi yanu zingathe kuwonjezera mwayi wanu wofooka kapena pafupi kutaya.
Nthawi Zowawa
Ululu, kawirikawiri, ndiwodziwika bwino wa vasovagal syncope. Mofanana ndi mitundu ina ya ululu, yankho lanu kukumva ululu lingapangitse kusintha kwa thupi lanu kumangokufooketsani. Koma pangakhale china china chokhudza kupweteka kwa nthawi yomwe kumapangitsa kuti mutha kuyamwa.
Matenda akuluakulu kapena nthawi yopweteka popanda chifukwa china chokhudzana ndi prostaglandin . Prostaglandins amapangidwa mu endometrium kapena mu chiberekero cha chiberekero chanu kumapeto kwa gawo lache kapena gawo lachiwiri la ulendo wanu pomwepo komanso nthawi yanu ikuyamba. Ngati muli ndi nthawi yowawa kwambiri, mukuganiza kuti prostaglandin yanu ingapangidwe. Prostaglandins imakhudzidwa ndi ntchito zazikulu zambiri m'thupi lanu zokhuza matenda ndi kuvulala. Imodzi mwa ntchitoyi ikuchititsa kuti mitsempha yanu iwononge ndondomeko yotchedwa vasodilation.
Chabwino, izo zimangochitika kuti chimodzi cha kusintha kwa thupi lanu komwe kungawathandize vasovagal syncope ndi vasodilation.
Zimaganiziridwa kuti mwinamwake kuwonjezeka kwa prostaglandin kumabweretsa kuwonjezereka kwakukulu komwe kumachepetsa kuthamanga kwa magazi. Izi zikukhazikitsa maziko a mayankho owonjezera kwambiri komanso mwayi wochulukirapo chifukwa cha kupweteka kumene kumabwera chifukwa cha kusamba.
Kutenga mankhwala otchedwa antisteroidal anti-inflammatory drug kapena NSAID monga ibuprofen kuti achepetsere prostaglandin yanu yopanga mankhwala mwinamwake mungachite bwino mankhwala. Izi sizidzakuthandizani kuchepetsa kupweteka kwanu mwa kuchepetsa kupanga prostaglandin zomwe zingalepheretse vasodilatory zotsatira za prostaglandin zochulukira mu dongosolo lanu.
Nthawi Zazikulu
Kawirikawiri, kuchepa kwa msambo wolemetsa kumagwirizanitsidwa ndi kumangika kwa chiberekero cha chiberekero cha mimba yako pa nthawi ya kusamba. Monga tanenera pamwambapa, minofu yambiri yotchedwa endometrial ndiyo yaikulu kwambiri yopanga prostaglandin. Prostaglandins amaganiziridwa kuti ayambe kusintha komwe kungachititse vasovagal syncope.
Kuphatikiza pa prostaglandins, nthawi zolemetsa zingayambitse kuwonongeka kwa magazi kosaneneka komwe kumayambitsa matenda ochepetsa magazi m'thupi . Pamene muli ndi nthenda yotaya magazi, ndiye kuti mumachepetsa kuchuluka kwa mpweya umene magazi anu angathe kunyamula kuzungulira thupi lanu. Pamene ubongo wanu umamva ngakhale pang'ono kuchepa kwa oxygen kumayambitsa kusintha kosasinthika komwe kungachititse vasovagal syncope.
Kudya zakudya zowonjezera kapena zowonjezera zitsulo kuti zithandize kuwonjezera mpweya wokwanira wa maselo anu ofiira amagazi kungakuthandizeni kupeŵa chifukwa ichi chofooka panthawi yanu.
Kusintha kwa Hormone
Kusintha kwa mahomoni ndizo chifukwa cha kusamba kwanu. Ngati mukukhala ndi nthawi yambiri yopitirira mazira, mchere wa estrogen ndi progesterone mu thupi lanu zimasiyana pakati pa theka lanu lozungulira, pakatikati, ndi pakati theka lanu.
Poyambira nthawi yanu, onse a estrogen ndi progesterone m'thupi lanu ali pamunsi mwawo. Kwa amayi ena, kusintha kwa ma hormone kungachititse kusintha kwa insulin kumva mphamvu zomwe zingayambitse magawo a shuga otsika kwambiri a magazi otchedwa hypoglycemia. Matendawa a hypoglycemia akhoza kuchitika ngakhale kuti mulibe shuga. Hypoglycemia ndi kusintha kwina m'thupi lanu komwe kungayambitse kusintha komwe kumayambitsa vasovagal syncope.
Kukumbukira kudya chakudya cham'mawa, kudya zakudya zazing'ono tsiku ndi tsiku, ndi kuchepetsa zakudya zamtundu wosavuta kumathandiza kuchepetsa matenda a hypoglycemia.
Amaganiziranso kuti mahomoni otsika pamsana pa nthawi ya kusamba angayambitse kutentha kwa thupi kwa amayi ena pamene madzi amagazi amalowa m'magazi a thupi. Izi zimabweretsa edema kapena kutupa makamaka miyendo ndi mavokosi ndi madzi ochepa m'mitsempha ya magazi. Thupi lanu limayimirira kwa izi mofanana ndi momwe limakhalira ndi kuchepa kwa madzi. Chifukwa kuchuluka kwa madzi m'magazi anu sikutanthauza kuti thupi lanu silingasinthe kusintha kwapadera komanso kuthamanga kwa magazi. Izi zimatchedwa hypotension orthostatic hypotension ndipo izi zimachepetsa kupsyinjika kwa magazi zomwe zingayambitse kusintha komwe kungakufooketseni.
Kusintha kwa madzi amadzimadzi oterewa kungachititsenso kuti atsikana aang'ono atchedwa Postural Orthostatic Tachycardia Syndrome . POTS ndi vuto limene limasokoneza gawo la dongosolo lanu la mitsempha lomwe limangodziletsa ntchito zambiri zofunika monga thupi lanu ndi kuthamanga kwa magazi. Azimayi okhala ndi POTS amamva kutopa, chizungulire, komanso kutaya nthawi zambiri komwe kumawonjezeka nthawi ya kusamba.
Kuonetsetsa kuti mumasungunuka bwino ndi kumwa madzi ambiri, pewani kutaya kwambiri ndi kupeŵa kuima kwa nthawi yaitali kudzakuthandizani kuchepetsa mwayi wanu wofooka panthawi yanu.
Mawu Ochokera
Thupi lanu limasintha kwambiri pa nthawi yachibadwa. Nthawi zina kusintha kumeneku kungawonjezere mayankho m'thupi lanu komwe kumawonjezera chiopsezo chanu chofooka panthawi yanu. Ngati mutha kufooka panthawi yanu, kupanga kusintha kochepa pazochitika zanu kungathandize kuchepetsa chiopsezo. Koma, nkofunika kuti mukambirane kudandaula panthawi yanu ndi wothandizira zaumoyo wanu monga zizindikiro za vuto lalikulu.
> Zotsatira:
> Chen-Scarabelliv, C., Scarabelli, T. Neurocardiogenic Syncope. BMJ, 2004; 329 (7) 336-41.
> Muppa, P., Sheldon, RS, McRae, M., Keller, NR, Ritchie, D., Krahn, AD, ... Raj, SR, ED, Matenda a Mthupi komanso Amuna omwe ali ndi Vasovagal Syncope. Research Clinic Autonomic Research: Official Journal of the Clinical Autonomic Research Society , 2013; 23 (3), 117-122. http://doi.org/10.1007/s10286-013-0190-1
> Nwazue, VC, Raj, SR Confounders ya Vasovagal Syncope: Postural Tachycardia Syndrome. Zipatala Zamagalimoto , 2013; 31 (1), 101-109. http://doi.org/10.1016/j.cci2012.09.004