Vasovagal syncope: ikulongosola za vutoli, zizindikiro ndi mbali chithandizo

anthu ambiri pa zifukwa zosiyanasiyana kuchitika kwa kukomoka, umene ndi imfa zosakhalitsa kutsitsimuka. Kuchititsa boma la kusokonezeka zosakhalitsa kotunga magazi ku ubongo. Kungasonyeze matenda aakulu. Mu mankhwala, pali chinthu monga syncope vasovagal, omwe limodzi ndi kuchepa lakuthwa mu kugunda kwa mtima ndi kuthamanga kwa magazi dontho.

Iye si moyo pachiswe, koma ngati kawirikawiri, mkhalidwe wa moyo kwambiri yafupika. Pali chizindikiro cha mwana, ndipo chikhalidwe cha kuukira mu moyo sasintha. Timayesa kuganizira zimene syncope vasovagal, zizindikiro, zimene zimayambitsa awo.

Features matenda

Chikhalidwe chotere pathological yodziwika ndi imfa zosakhalitsa chikumbumtima, ambiri, pamene munthu ali kuimirira. Zikuoneka motere: chifukwa wotsika venous kubwerera wayamba kuonjezera wachifundo kamvekedwe. Anthu matenda okomoka pafupipafupi wa mtundu uwu, kuwonjezeka kotereku aakulu, zomwe zimayambitsa chodziwa kugunda. Ubongo ku zikhumbo mitsempha kubwera tima, imbaenda kuchuluka kuchepetsa parasympathetic ndi wachifundo kamvekedwe. Izi zimachititsa bradycardia, kutsitsa magazi, chifukwa cha zomwe zikuchitika ndi kukomoka.

zifukwa

Vasovagal syncope zambiri ukapezeka chifukwa yankho lolakwika thupi kukondoweza kwa maselo enieni mantha dongosolo autonomic.

The zimakonda matenda awa:

• lokoma, monga mantha;
• kutenga magazi kuchokera chala kapena mtsempha, ndi kupweteka;
• Ndinakumana ndi kuimirira;
• zolimbitsa thupi kuletsa mwadzidzidzi;
• atavala taye zothina kapena kolala;
• kuopa kuyendera mano.

Choncho, ngati panali syncope vasovagal, chifukwa izi zikhoza kukhala zosiyana. Mulimonsemo, izo limodzi ndi kuwonjezeka lakuthwa Mitsempha, kuchepetsa mlingo mtima mpaka kumangidwa mtima, komanso liwiro kupuma. Ubongo amagwanso zokha masekondi angapo.

Anthu akuvutika ndi matenda cardio-mtima, zambiri contraindicated nthawi yaitali kukhala mu kutentha mu kuimirira, monga Mwina pakutchulidwa wa syncope.

zizindikiro

Vasovagal syncope limodzi ndi zizindikiro zotsatirazi:

• nthawi yomweyo isanachitike imfa ya chikumbumtima amapezeka thukuta, nseru, kunachita mdima wa maso, kulira m'khutu;
• khungu amakhala wotumbululuka hue;
• kwambiri yafupika kugunda kwa mtima ndi kuthamanga kwa magazi;
• kukomoka nthawi zonse kumachitika pamene munthu ali ndi udindo woongoka, ngati poyambira kumuukira kuchiyika icho horizontally, ndiye matenda Zikakatero.

diagnostics

Kwa dokotala lankhulani mwamsanga pamene panali woyamba kuukira. Kawirikawiri zifukwa musawope wofooka, koma nthawi zina mwina zimasonyeza matenda aakulu kwa thupi. Mwachitsanzo, chotupa ndi matenda a mtima zimene zingachititse kuti imfa.

Choyamba, dokotala wapeza wodwalayo iwo mtundu womwewo umene unachitika imfa ya chikumbumtima ndipo zimene otaya mtima anayamba kukomoka, akhoza kumumanga asayembekezere. Kenako, dokotala mafunso awa ayamba kuti:

• wodwalayo ntchito ndi kaya amagwirizana ndi chiopsezo kuti moyo (dalaivala, woyendetsa, diver, roofer);
• ngati achibale a mavuto wodwalayo matenda a mtima amene amapezeka ngati anakomoka monga syncope vasovagal akhoza kukwaniritsa cholowa.

Ndiye Adokotala wodwala, anati khungu lake, maonekedwe a misomali, tsitsi, kupuma mlingo, pamaso pa musadandaule mtima, ndipo wheezing. Asankha ambiri ndi amuzolengedwa magazi.

Komanso, matenda chikuphatikizapo njira zotsatirazi:

• Electrocardiography (ECG), amene amasankha ntchito za mtima.
• Daily kuwunika ECG Holter (HMEKG). Patangopita maola 24-72 nsanamira zolimbitsa ECG, ndipo ngati n'zotheka kukonza syncope, ndiye chimasonyeza kusintha zina. Beyond kufika kukomoka milingo yachibadwa.
• Echocardiography (echocardiography). Calibration ali akuchita pofuna kupewa mtima ndi mtima matenda.
• Orthostatic mayeso. Mothandizidwa ndi njira amapezeka ndi "vasovagal syncope". Akamanena za njirayi ndi kuti wodwalayo amagona pa bedi lapadera pa makona a madigiri 60 Mphindi 30. Panthawi imeneyi, kuchotsa magawo ECG, basi kapena pamanja kuyeza magazi. Pa wofooka, kufinya dontho lakuthwa ndi kusokonezeka kwa mtima.

Vasovagal syncope akhoza zokhazi. Sikuti awo ochititsa matenda aliwonse, nthawi zambiri imfa ya chikumbumtima zimachitika mwangwiro wathanzi anthu.

thandizo kwa kukomoka

Ngati wodwala amakhala lightheadedness , kapena iye anakomoka, izo adzaikidwe pa pamwamba yopingasa, unbutton kapena avule zovala zake - izo chikundikakamiza kupuma wake - ndi miyendo yake ndi kuika pa phiri, kuonetsetsa otaya magazi kumutu. Nthawi zambiri, thandizo amenewa kumathandiza munthu mofulumira achire.

Koma palinso ngati kuti apitiriza kukhala mu wakomoka. Pankhaniyi, dziko lakunja kugonjera ubongo mbendera kuti anachita ndipo anayamba lonse "dongosolo". Izi zimafuna mwina irritant amphamvu. Mwachitsanzo, mukhoza kumupatsa sniff la ammonia, kuwaza nkhope yanu ndi madzi ozizira kapena Pat pang'ono pa tsaya.

Musapereke wodwala yomweyo kudzuka pambuyo vasovagal syncope zinachitika, monga kusowa magazi zisanathe anachira. M'pofunika naye ku mphamvu pang'onopang'ono, mmene tingathere, ndi kulamulira chikhalidwe chake. Ngati njira zimenezi sititenga, muyenera yomweyo itanani ambulansi, monga yaitali ubongo hypoxia angachititse masinthidwe sizingasinthe, kapena imfa.

mankhwala

Ngati matenda vasovagal syncope chithandizo kumatengera zovuta matenda. Nthawi zina, imfa ya chikumbumtima nthawi zambiri kwambiri, koma zimachitika nthawi zina kukomoka zao zawo. Chithandizo nthawi Kwalamulidwa kwa iwo ndi chikhalidwe pathological limapezeka kaŵirikaŵiri kuti munthu amakhala sangathenso.

mankhwala zikuphatikizapo ntchito beta-blockers monga "Atenol" ndi "Metoprolol". Njira izi zopangidwa ndi kuchepetsedwa m'mnyewa wamtima chidule ndi mtima kupewedwa kutsegula kwambiri a mechanoreceptors.

Bradycardia ankachitira M-holinoblokatorami. Awa makamaka yamawangamawanga, wopangidwa mwa scopolamine. Mankhwalawa ayenera kugwiritsidwa ntchito kamodzi mu masiku atatu. Kuchepetsa zosayembekezereka wa syncope dokotala n'kukulemberani "Dizopiramid" lomwe lili M-anticholinergic ndi zoipa zotsatira inotropic. Zambiri zokayikitsa ntchito "theophylline".

Ngati pa nthawi ya matenda anafotokozedwa kuswa mitima, kuperewera micronutrient kapena chotupa mankhwala dokotala Uike, malinga ndi matenda amenewa.

chithandizo opaleshoni

njira imeneyi, munthu unsembe wa pacemaker a. Izi zimafunika osakaniza zinthu zotsatirazi:

• zaka mtima wamkulu kuposa zaka 40;
• pafupipafupi kukomoka;
• palibe harbingers cha imfa ya chikumbumtima (midima, chizungulire, kulira m'khutu);
• yogwira mtima kumangidwa.

Syncope pambuyo zofuna kukhetsa thukuta

Pali zinthu zimene zimachitika vasovagal syncope pambuyo thupi. Pankhaniyi, zinthu Ochititsa ndi: kolala zolimba, kukhota lakuthwa mutu, wamphamvu pachifuwa psinjika, kuthamanga mu carotid nkusani dera la nkusani pa.

Vasovagal syncope amapezeka othamanga motere:

• reflex limapezeka kuwonjezeka mwadzidzidzi Mitsempha zotumphukira, chifukwa mu kwambiri yafupika linanena bungwe mtima ndipo anayamba oziziritsa hypoxia ;
• Iwo anapanga yimitsira mwadzidzidzi wa vagus mitsempha reflex mtima ntchito ku mtima kumangidwa zonse.

Mbali yoyamba, pali swoon wamba, ndipo chachiwiri - mwadzidzidzi mabasi magazi, chimene chimafuna chithandizo mwamsanga.

zodzitetezera

Ngati sanali anapezeka ndi matenda alionse aakulu, muyenera kwambiri kuganizira za kukhazikitsa njira zodzitetezera, amene ali motere:

• Tiyenera kupewa zinthu zimene zingachititse imfa ya chikumbumtima;
• Inu simungakhoze kukhala yaitali kutentha, njala, kusuta, kumwa mowa peretruzhdaetsya;
• Tiyenera kuchepetsa zolimbitsa wovuta miyezi itatu;
• Tiyenera kukhala ndi thanzi - kuchita zina kuthamanga kuwala m'mawa, kusambira, othamangitsa madzi;
• wokondwa zabwino Mitsempha wotsukira ndi oipa;
• kotero kuti magazi anali nthawi zonse bwinobwino, m'pofunika kusunga boma la tsiku, mwachitsanzo, kupeza bwino pakati ntchito kusangalala, zimene zingakuthandizeni kusamalira mphamvu ..;
• sikutheka maondo zikuchepa ndi kudzuka pamalo sachedwa, ngati kungakhale orthostatic kugwa ;
• bwino normalizes magazi kumwa mankhwala tiyi ya chamomile ndi peppermint, St. John wa liziwawa ndi mandimu mankhwala.

Kukomoka pakati

Nthawi zina vasovagal syncope zimachitika pa mimba. Chikhalidwe cha akazi vuto ndi chidwi, nthawi zambiri limodzi ndi malaise onse ndi kufooka kuchuluka, ndipo ichi ndi chifukwa katundu chinawonjezeka pa chamoyo. Zikamera wa kukomoka amachititsa nkhawa iye kwambiri. Yak milandu zotsatirazi:

• kusintha lakuthwa kupezeka ndi;
• otsika shuga;
• kayendedwe mwadzidzidzi;
• kutentha;
• yaitali pafupipafupi atagona pa nsana wake;
• toxicosis.

Pafupipafupi kukomoka oopsa kugwa kwake, kotero onetsetsani kuti kudziwitsa dokotala-gynecologist.

Pomaliza

Choncho, vasovagal syncope kungakhale matenda mokwanira, choncho onetsetsani kuti dokotala kuti matenda ndi mankhwala. Mu anthu athanzi, iwo nthawi zina zimachitika. Ndiyamika zodzitetezera akhoza kupewa matenda.