Ambiri amalembedwa molakwika ngati akudwala
Ngati inu kapena wokondedwa wanu ndinu wachinyamata amene mwapezeka kuti muli ndi khunyu , muyenera kudziwa kuti nthawi zina matendawa ndi olakwika. Si zachilendo kwa achinyamata kuti apatsidwe matenda a khunyu (kapena matenda osokoneza bongo) pamene alibe matenda a khunyu. M'malo mwake, akhoza kukhala ndi vuto lotchedwa syncope .
Syncope ndi kuperewera kwadzidzidzi komwe kumachitika chifukwa cha kusokonezeka kwa magazi ku ubongo.
Anthu omwe ali ndi syncope kawirikawiri amatha kuwonetsa zochitika monga kugwidwa minofu, zomwe zingasokonezeke chifukwa cha khunyu.
Zotsatira za kusokoneza chidziwitso
Kutchulidwa kuti ndi khunyu kungasinthe kwambiri moyo wachinyamata, osati chifukwa cha kunyansidwa kosayenera kumene kumagwirizanitsa ndi matendawa. Chofunika kwambiri, kupangitsa kuti matenda odwala matenda a khunyu kawirikawiri athandizidwe nthawi zambiri amachititsa chithandizo chomwe sichitha, ndipo chimapangitsa anthu kukhala ndi mavuto aakulu. Chifukwa zigawozi zikhoza kupitilira, mankhwala osagwiritsidwa ntchito angagwiritsidwe ntchito.
Ndiponso, chifukwa matenda enieni - syncope - asochera, chifukwa chachikulu cha syncope sichidzafunidwa. Zina mwa zifukwa zomwe zimayambitsa matendawa, monga ziwalo za mtima , zimakhala ndi zoopsa kwambiri ngati sizipita. .
Mitundu Iwiri ya Syncope Kawirikawiri Amadziwika Ngati Matenda a Khunyu
Zikuwoneka kuti zifukwa ziwiri zomwe zimayambitsa syncope ndizosazindikiridwa ngati matenda a khunyu kwa ana ndi achinyamata: vasovagal syncope ndi matenda a QT aatali .
Vasovagal syncope (yomwe imatchedwanso kupopera kosavuta) imapezeka chifukwa cha matenda a ubongo omwe nthawi zambiri amayamba chifukwa cha ululu, mantha, kukhumudwa m'mimba, kapena zinthu zina zambiri.
Izi zimayambitsa mitsempha ya magazi miyendo kuti ikhale yowonjezera. Madzi mwazidzidzidzi m'maganizo, kuchepetsa magazi omwe amabwerera m'mtima ndikuchepetsa kuthamanga kwa magazi - kuchititsa kuti wodwalayo azindikire.
Akayamba kukhala supine (nthawi zambiri mwa kugwa), mphamvu yokoka imalola kuti magazi abwerere ku mtima, ndipo chidziwitso chimabwereranso.
Matenda a QT aatali ndi matenda obadwa nawo a magetsi a mtima (omwe amalamulira kugunda kwa mtima). Anthu omwe ali ndi matenda a QT aatali akhoza kukhala ndi zizindikiro zosayembekezereka, zosayembekezereka za mitundu yosiyanasiyana ya ventricular tachycardia (yomwe ingakhale yoopsa mofulumira mtima), yomwe imayambitsa msampha wa syncope, ndipo izi zingayambitse kumangidwa mwamsanga ndi imfa.
Anthu omwe ali ndi vasovagal syncope kapena matenda a QT afupipafupi amatha kuchiritsidwa bwino, kamodzi kokha kuti matendawa apangidwa molondola. Ndipo malamulo ambiri omwe angaperekedwe kwa anthu odwala matenda a khunyu, monga kuyendetsa galimoto, sakhala oyenera pambuyo poyambitsa matenda opatsirana, komanso kukhazikitsidwa mankhwala oyenera.
Kodi Izi Zimachitika Kangati?
Kusokonezeka kwa matenda a khunyu kumawoneka kuti kumachitika mobwerezabwereza.
Mu kafukufuku wina, mu 222 odwala ali ndi vasovagal syncope, 8% anali ndi ntchito yofanana ngati ataya chidziwitso panthawi yophunzira patebulo . Palibe mmodzi mwa odwalawa amene anali ndi umboni weniweni wa matenda otha kugwidwa ndi matendawa, atatha kufufuza kafukufuku wamagetsi, kuphatikizapo mayeso a EEG ( mayeso a electroencephalogram, omwe nthawi zambiri amasonyeza ubongo wosadziwika kwa anthu omwe ali ndi khunyu).
Ambiri mwa anthuwa adapatsidwa chidziwitso cholakwika cha matenda a khunyu asanayambe kuyesedwa, ndipo ambiri anali atalandira mankhwala osamalidwa ndi khunyu, kuphatikizapo zovuta zoyendetsa galimoto zotsutsana ndi vuto lodziwika bwino.
Mu kafukufuku wina, openda anafufuza kafukufuku wa matenda odwala matenda a mtima ku New Zealand, ndipo adapeza kuti mwa anthu 31 omwe adadziŵa omwe anali ndi matenda a QT aatali, 13 adakhalapo nthawi yayitali kuti alandire matenda oyenerera (kuchepa kwa zaka 2.4, koma mpaka 20.7 zaka). Zambiri mwa kuchedwa kumeneku zinali zokhudzana ndi matenda odwala matenda a khunyu.
Ndipo panthawi yocheperako, odwala onsewa anali pangozi yofa mwadzidzidzi. (Mwachidziŵikire, aliyense amene anafa mwadzidzidzi atatha kupeza chithandizo cholakwika sakanakhoza kulandira chithandizo choyenera, ndipo sakanati adzaphatikizidwe mu bukhuli.)
Mawu Ochokera
Ngati inu kapena wokondedwa wanu mwadzidzidzidwa kuti mukudwala matenda opatsirana kapena matenda a khunyu, ndipo mayeso a EEG ndi achilendo - makamaka ngati zizindikiro zokhudzana ndi kugwidwa zikupitirirabe ngakhale mukuchiritsidwa - muyenera kulimbitsa kuti muyambe kuyesa. Mwachindunji, muyenera kufunsa dokotala wanu kuti aganizire vasovagal syncope ndi matenda a QT ochuluka monga momwe angathere.
> Zotsatira:
> Krumholz A, Wiebe S, Gronseth GS, et al. Malangizo ozikidwa pazowona: Kutsogolera kwa Madzi Oyamba Osavomerezedwa Akuluakulu: Lipoti la Ndondomeko Yowunikira Komiti Yowunikira ya American Academy of Neurology ndi American Epilepsy Society. Neurology 2015; 84: 1705.
> MacCormick JM, McAlister H, Crawford J, et al. Kusokonezeka kwa matenda a Long-QT Syndrome monga Khunyu pa Pulezidenti Woyamba. Chaka; 54: 26-32.
> Passman R, Horvath G, Thomas J, et al. Zochitika zachipatala ndi kuchuluka kwa zochitika za m'mimba. Archives of Internal Medicine. 2003; 163: 1945-1948.