Mukati
Zvinoenderana nebasa rayo, Iyo Edhiyo Bhodhi yeMedTvoiLokony inoedza neparinogona napo kupa yakavimbika zvekurapa zvemukati zvinotsigirwa neruzivo rwazvino rwesainzi. Mureza wekuwedzera "Zvakatariswa Zvemukati" zvinoratidza kuti chinyorwa chakaongororwa kana kunyorwa zvakananga nachiremba. Iyi nhanho-mbiri yekusimbisa: mutori wenhau wezvekurapa uye chiremba anotitendera kuti tipe zvemhando yepamusoro zvemukati zvinoenderana neruzivo rwekurapa rwazvino.
Kuzvipira kwedu munharaunda iyi kwakaongwa, pakati pevamwe, neSangano reVatori venhau vehutano, iro rakapa iyo Editorial Board yeMedTvoiLokony ine zita rekuremekedza reMudzidzisi Mukuru.
Syncope kurasikirwa kwenguva pfupi kwekuziva, kunzwa, uye kugona kufamba nekuda kwekusakwana kweokisijeni yehuropi inosanganiswa ne ischemia. Marwadzo, kufunganya, kana kuona ropa kunogonawo kuva chimwe chisakiso chokufenda. Kazhinji inoperekedzwa nechiso chakachenuruka uye cyanosis yemiromo.
Kufenda chii?
Syncope chirwere chinoratidzwa nekurasikirwa kwenguva pfupi kwekuziva nekuda kwekushaikwa kweokisijeni inounzwa kuuropi. Kufenda kunowanzotora kubva pamasekonzi mashoma kusvika kumaminetsi akati wandei, vamwe vanotsanangura kunzwa se“rima pamberi pemeso”. Kufenda kunowanzotangirwa nezviratidzo zvakadai se:
- chiso chakachenuruka
- sinica warg,
- ziya rinotonhora pahuma uye temberi.
Muzviitiko zvakawanda, kufenda hakufanire kuve kunetseka, kunyanya kana pasina mamwe mamiriro ekurapa shure kwayo. Chiratidzo chekushanya kwechiremba kufenda kwakaitika kanopfuura kamwe pamwedzi. Muvanhu vakadaro, zvikonzero zvemwoyo zvinowedzera njodzi yekufa zvinofanira kubviswa. Ngozi yekufenda inowedzera zvakanyanya muvanhu vanopfuura makore makumi manomwe.
Zvikonzero zvekufenda
Panogona kuva nenguva apo kupera kunoitika pasina chikonzero chakajeka. Zvisinei, inogona kukonzerwa nezvinhu zvakawanda, kusanganisira:
- zviitiko zvakasimba zvemoyo,
- kutya,
- low blood pressure,
- kurwadziwa kwakanyanya,
- kupera mvura mumuviri,
- shuga yakadzika yeropa
- kugara kwenguva refu munzvimbo yakamira,
- simuka nekukurumidza,
- kudzidzira kuita zvemuviri pane tembiricha,
- kunwa doro zvakanyanya,
- kutora zvinodhaka,
- kunyanya kushanda paunenge uchipfuura zvigaro,
- chikosoro chakasimba,
- seizures
- kufema nokukurumidza uye kusina kudzika.
Mukuwedzera kune zvikonzero zvataurwa pamusoro apa, mishonga yauri kutora inogonawo kuwedzera njodzi yako yekufenda. Kugadzirira kunoshandiswa mukurapa kwepamusoro kweropa, pamwe chete nemishonga inodzvinyirira uye antiallergics inonyanya kukosha. Muboka revarwere kunyanya vari panjodzi yekufenda, mune varwere vane chirwere cheshuga, arrhythmia, uye vanotambura nekushungurudzika uye kuvharika kwemoyo.
Mhando dze syncope
Kune marudzi akawanda e syncope:
- orthostatic syncope: izvi zvikamu zvinodzokororwa umo BP inodonha wakamira. Mhando iyi ye syncope inogona kukonzerwa nematambudziko ekutenderera;
- Reflex syncope: Muchiitiko ichi, mwoyo haupi uropi neropa rakakwana kwenguva pfupi. Chikonzero chekuumbwa kwakashata kusina kunaka kwekufambisa nereflex arc, iyo inozoita chidimbu chenheyo system. Mushure mekufenda kwakadaro, munhu anokwanisa kushanda zvakanaka, anoziva zvakaitika uye anopindura zvine musoro mibvunzo yakabvunzwa;
- kupera simba kunobatanidza nezvirwere zvecerebral midziyo,
- kupera simba nekuda kwe cardiac arrhythmias.
Iyo inonyanya kuzivikanwa ndeye reflex syncope, dzimwe nguva inonzi neurogenic syncope. Mhando iyi ye syncope inobva pane reflex reaction inokonzera vasodilation kana bradycardia. Izvo zvinowanzoitika kune vechidiki vasina kubatanidzwa nehupenyu hwemoyo chirwere. Reflex syncope inogonawo kuitika muvanhu vakwegura kana vanhu vane organic heart hosha, semuenzaniso aortic stenosis kana mushure mekurwadziwa kwemoyo. Zviratidzo zvemhando iyi yekufenda zvinosanganisira:
- hapana zviratidzo zve organic heart disease;
- kupera simba nekuda kwekukurudzira kusingatarisirwi nekuda kwekumira kwenguva refu,
- kufenda kana uchigara mukamuri rinopisa rakazara vanhu,
- kupera simba kana iwe uchitenderedza musoro wako kana semhedzisiro yekumanikidza pane carotid sinus nzvimbo,
- kupera simba kunoitika panguva kana mushure mekudya.
Rudzi urwu rwe syncope runoonekwa zvichibva pane yakadzama nhoroondo yekurapa nemurwere, panguva iyo mamiriro esyncope anotemerwa. Kana kuongororwa kwemuviri uye mhedzisiro yeECG zvakajairika, hapana kumwe kuongororwa kwekuongorora kunodiwa.
Syncope - kuongororwa
Kupera kwekamwe-nguva mumurwere mumamiriro ezvinhu akanaka haadi kupindira kwechiremba. Chiratidzo chekushanya kwechiremba mamiriro ezvinhu umo murwere asati amboona zviitiko zvakadaro, asi anopera simba kakawanda. Zvadaro zvichave zvakakodzera kuziva chikonzero chechirwere ichi. Chiremba anofanira kuziviswa nezvemamiriro ezvinhu apo kupera kwakaitika (chii chakaitwa, chii chakanga chiri mamiriro emurwere). Mukuwedzera, ruzivo pamusoro pezvirwere zvekare uye chero mishonga yauri kutora, zvose zvinyorwa uye kupfuura-the-counter, inokosha. Chiremba acharaira kumwe kuongororwa zvichienderana nemhedzisiro yekuongororwa kwechiremba (semuenzaniso kuongororwa kweropa reanemia). Kuongororwa kwechirwere chemoyo kunowanzoitwa, semuenzaniso:
- EKG bvunzo - kurekodha chiitiko chemagetsi chemoyo,
- moyo echo - kuratidza mufananidzo unofamba wemoyo,
- EEG bvunzo - kuyera basa remagetsi rehuropi,
- Holter bvunzo - kutarisa rhythm yemoyo uchishandisa chinotakurika chinoshanda maawa makumi maviri nemana pazuva.
Nzira yemazuva ano inoshandiswa kudzora basa remwoyo ndeiyi ILR arrhythmia rekodhiiyo inoiswa pasi peganda pachipfuva. Idiki pane bhokisi remachisi uye haina waya dzekuibatanidza nemoyo. Unofanira kupfeka rekodha yakadaro kusvikira watanga kupera simba. ECG rekodhi inoverengwa sequentially uchishandisa musoro unokosha. Izvi zvinoita kuti zvikwanise kuziva chakonzera kuti afende.
Chii chimwe chinofanira kuziviswa nachiremba panguva yekubvunzurudzwa?
- taurira chiremba wako nezvezviratidzo zvakatangira kufenda uye izvo zvakaonekwa mushure mekuziva zvakare (semuenzaniso dzungu, kuda kurutsa, kurova, kunetseka kwakanyanya);
- zivisa nezvechirwere chemoyo chiripo kana chirwere cheParkinson;
- taurawo zviitiko zvekufa kwemhuri kamwe kamwe nekuda kwechirwere chemoyo;
- Udza chiremba wako kana aka kari kekutanga kufenda kana kuve nezviitiko zvakaita seizvi munguva yakapfuura.
First aid kana wafenda
Muzviitiko zvipi zvinoda kurapwa kwekukurumidzira panguva yekufenda?
- murwere haasi kufema,
- murwere haadzoke kuziva kwemaminitsi akati wandei;
- murwere ane pamuviri,
- munhu anorwara akakuvara panguva yekudonha uye kubuda ropa;
- murwere ane chirwere cheshuga,
Iva nekurwadziwa pachipfuva
- mwoyo wemurwere unorova zvisingaite;
- murwere haakwanisi kufambisa maoko nemakumbo,
-une dambudziko rekutaura kana kuona,
- kugwinha kwakaonekwa,
- murwere haakwanisi kudzora basa redundira uye ura.
Kurapa kwe syncope kunoenderana nekuongororwa kwakaitwa nachiremba. Kana pasina imwe mamiriro ari kukonzera syncope, kurapwa kazhinji hakudiwi uye kufungidzira kwenguva refu kwakanaka.
Rubatsiro rwekutanga
Kana ukapera, isa musoro wako kumusana wakarerekera shure, woisa piro kana gumbeze rakamonerwa pasi pemusana wako. Iwe unofanirwa kumupa mweya mutsva, unbuttoning kudzvanya zvikamu zvembatya, senge: collar, tie, bhandi. Iwe unogona kumwaya mvura inotonhora pachiso chako, kuikwiza nedoro kana kuisa swab yakanyoroveswa neammonia pakunhuhwirira kwakafenda. Kumhanya kweropa kuuropi kunoita kuti zvive nyore kusimudza makumbo emunhu afenda mudenga.
Kana ukadzivirirwa kana kufa, usapa chero chinhu chipi zvacho chinonwa sezvo ungadzipwa. Mushure mokuziva zvakare, murwere anofanira kuramba akarara kwekanguva. Pave paya chete anogona kupihwa kofi kana tii.
CHINOKOSHA!
- murwere anofenda haafaniri kupiwa zvokudya kana zvokunwa;
- murwere haafaniri kupiwa mishonga yavo pachavo (kusanganisira madonhwe emhino);
- usadira mvura inotonhora pamunhu anenge apera simba, sezvo izvi zvingakonzera kuvhunduka; zvakakodzera kupukuta chiso chake nemutsipa netauro rakanyikwa mumvura inotonhora.
Kufenda – kudzivirira
Pakati penzira dzekudzivirira syncope nekuda kwekusagadzikana kwekuzvitonga kwekunetsekana kwemidziyo yeropa, zvinotevera zvakataurwa:
- kunwa mvura zhinji,
- kuwedzera zvirimo zve electrolytes uye munyu mukudya,
- kuita basa rine mwero muviri (semuenzaniso kushambira),
- kurara nemusoro pamusoro pemuviri,
- kuita orthostatic training, iyo inosanganisira kumira pamadziro (exercises yakadaro inofanira kuitwa 1-2 kanomwe pazuva kwemaminitsi makumi maviri).
Zvinokosha! Kana iwe uchinzwa kupera simba uye wava kuda kupera, gara kana kurara pasi (makumbo ako anofanira kunge akakwirira kupfuura musoro wako). Kumbira mumwe munhu kuti agare newe kwechinguva.
Kufenda - verenga zvakawanda nezvazvo