Vagal kusagadzikana, inozivikanwawo se "syncope", inoguma nekurasika kwekuziva kwemasekondi mashoma. Izvo zvinokonzerwa nekudonha kwakamwe kamwe muropa. Izwi rekuti "vagal" rinouya kubva kune vagus nerve iyo inoyambuka muviri kubva kuuropi ichienda mudumbu, ndiyo inokonzeresa kudzora chiitiko chemoyo kana ichikurumidza. Mukufamba zvishoma, moyo unounza ropa shoma kune tsinga, huropi hunobva hwave nemhepo shoma, izvo zvinokonzeresa kurasikirwa kwekuziva, asi kazhinji kupfupika.

Vagal kusagadzikana ndiyo yakajairika fomu ye syncope kana kurasikirwa kwekuziva. Kiriniki, maitiro nemaitiro ehupenyu anobatanidzwa mumhando iyi yekusagadzikana anozivikanwa, asi haana kukwana.

Kusagadzikana ndeimwe yematambudziko akajairika ari kusangana nevanhu nhasi. cardiologists uye vese varapi. Chokwadi, ine chiitiko chegore rega (kutaridzika kwematambudziko matsva ehurwere) ari pakati pe1,3 na2,7 pavanhu vamwe chete, kusagadzikana kwemukadzi kunofanirwa kuzotarisirwa.

Mhando dzakasiyana dzekusagadzikana kwemukadzi dziripo:

• fomu nyoro, zvichikonzera fomu re syncope;
• chimiro chakakomba, chinokanganisa varwere vane hosha dzepasi, dzakadai sekukanganiswa kwemoyo, chirwere chetsinga, nezvimwe.

Syncope, uye nekudaro vagal kusagadzikana, inotsanangurwa sekukurumidza uye kazhinji kushoma-kwenguva pfupi kurasikirwa kwekuziva. Kudzoka ku "zvakajairika mamiriro" kunoitika uye nekukurumidza. Iyo inoratidzwawo neepasi rose cerebral hypoperfusion. Kana nekuderera kwevascularization muuropi.

Kusvotwa, dzungu, kucheneruka kumeso, kuona kwakadzima, kudikitira, kuoma muromo, kupisa, kunzwa kurira, kupera simba zvakanyanya… Kana munhu achinge asisina kugadzikana mukati memurume, zvakakosha kusimudza makumbo kuitira kuti oxygenize uropi kuti hudzosere kuenzana kumoyo system.

• Kana munhu wacho asingazivi, anofanirwa kuiswa muLateral Safety Position (PLS). Ichi chiito chekutanga cherubatsiro chinoshandiswa kusunungura nzira dzekufema dzemuviri.
• Kana munhu wacho asina kukurumidza kupengenuka, vezvehutano vanofanirwa kuziviswa nekukasika.

Kana iwe uchinzwa kuti urikugara nerudzi urwu, edza kurara pasi kana kutsamwa, kana iwe ugere zviri nani kugara ipapo uye kwete kumuka.  

Ndezvipi zviratidzo zvekunetseka mukati memadzimai?

Zvimwe zvinongedzo zvinogona kubatsira kuziva vagal kusagadzikana:

• kupisa kunopisa;
• kusvotwa;
• kuneta kwakanyanya;
• chiratidzo chisina kunaka;
• ziya;
• pallor;
• manyoka;
• yawns akateedzana;
• kunzwa matambudziko senge tinnitus.

Muzviitiko zvakawanda kusagadzikana kwemukati mekubereka hakusi kwakakomba, zvisinei kudonha kwainokonzera hakuna njodzi.

Izvo zvikonzero zvakasiyana, zvakabatana ne hypersensitivity yeiyo vagal nerve kana kune zvimwe zvekunze zvinhu:

• nguva yekushushikana kwakanyanya
• kushanda zvakanyanya
• kunzwisisika, kushushikana
• kuvhunduka mupfungwa
• kuchipisa
• kunzwa kwekushomeka
• phobias (ropa, boka revanhu, nezvimwewo)
• mushure memunharaunda anesthesia 
• kutora mimwe mishonga, senge isoproterenol, nitroglycerol kana kunyange clomipramine. 

Mune zvimwe zviitiko, izvo zvinokonzeresa kusagadzikana kwemadzimai hazvisi zvakakomba. Matambudziko eNeurobiological kana emoyo anogona kuitika.

Chero zvazvingaitika, munhu akatarisana nekumwe kana kupfuura vagal kusagadzikana anofanira kubvunza chiremba wezvehutano. Kuongororwa uye kuongororwa kweye kiriniki kesi kuchaita kuti zvikwanise kutsanangura chinokonzera kusagadzikana. Nyanzvi yehutano anonyanya kufarira nhoroondo yemurwere, mararamiro ake nemagariro ake (mhuri uye mamiriro ehunyanzvi, nezvimwewo).

Maitiro ehupenyu anobatanidzwa mukushushikana kwemukadzi achiri kuzivikanwa zvishoma. Mukuwedzera, zvakaratidzwa kuti uropi hwakanyatsobatanidzwa.

Vagal kusagadzikana ipapo "reflex" activation yeiyo cerebral cortex, kutanga kwayo kuri kukurumidza, kunokonzeresa kudzikira kweiyo kurova kwemoyo uye kuderedzwa kwemhasuru toni.

Iko kumisikidza kweaya maratidziro maitiro anobva atsamwisa

• bradycardia, inononoka kurova kwemoyo;
• vasodilation, kuwedzera kwehukuru hwemitsipa yeropa;
• hypotension, isina kujairika yakaderera BP.

Vanhu vazhinji vane vagal kusagadzikana vanotaura zvakakosha zviratidzo: kunzwa kwekusaenzana pakamira, dzungu, kutemwa nemusoro, uye "kujairika" mushure memaminetsi mashoma.

Mune zvimwe zviitiko, kusagadzikana kunogona kugara kwenguva refu. Uye mune ino mamiriro, kurasikirwa kwekuziva, kunokonzerwa necebral hypoperfusion, kunotungamira mukufamba kusingafadzi kana kunyangwe pfari.

Zviratidzo zvinogona kuoneka kusagadzikana kusati kwaitika, senge kuneta kwakanyanya, kushomeka kwemhasuru, ganda rakanyorova, kusagadzikana kwekuona kana kunyangwe tinnitus.

Kuongororwa uye kurapwa kweiyo vagal kusagadzikana

Kuongororwa kwekusagadzikana kwemukadzi kunoitwa zvisati zvaitika nekubvunza murwere uye nemuyedzo yekurapa. Mibvunzo inofanirwawo kubvunzwa mune ino nhanho yechikamu chekutanga chekuongororwa, kunyanya kana kurasikirwa kwekuziva kuchinyatso kuve kwakabatana neiyo syncope, kana murwere aine chirwere chepfungwa chepfungwa kana kana paine ruzivo rwekiriniki pane iye munhu. inogona kutungamira kuongororwa.

Vagal kusagadzikana maturusi ekuongorora anotendera kutanga kuzivikanwa kweizvi, semuenzaniso kurekodha masystem kuti aone zvinogona kuitika arrhythmias. Mushure mekusagadzikana kwekutanga, Electroencephalogram (ECG) inozoitwa.

Sechikamu chevane manejimendi yekusagadzikana kwemadzimai, kugara muchipatara kwenguva pfupi dzimwe nguva kunokosha.

Mishonga inobatanidzwa nenjodzi yemukati memadzimai inosanganisira kudzikisira kudzikama, nekudaro ichideredza njodzi yekufa. Chokwadi, syncope inogona kunge iri yekuwedzera njodzi njodzi tsaona pabasa, mune zvinoitika zvemuviri uye / kana zvemitambo tsika kana tsaona dzezuva nezuva.

La shanduko. uye dzidzo yemurwere chikamu chekutanga kurapwa kwechirwere. Muchokwadi, dzivisa "kukonzera" zvinhu, senzvimbo uye nguva zvingangomutsa mamiriro ekushushikana uye njodzi yekusagadzikana. Asi zvakare kudzidza kwemaitiro ekuitwa mukumiswa kweiyo syncopic episode.

Kurapa kwezvinodhaka hakurevi hazvo kunyorerwa varwere vakapa chete kana maviri syncope. Nekudaro, mune mamiriro ehuwandu hwekuwanda kwekusagadzikana, kurapwa kunowanikwa. Pakati peizvi pane beta blockers, disopyramide, scopolamine, theophylline, nezvimwe zvakadaro.

Chekupedzisira, chiremba anoitwa mutoro wekudzivirira kutyaira mumamiriro ezvinhu enjodzi ye syncope. Chokwadi, iyo syncopic njodzi inogona kuratidza kuve ine ngozi kune vatyairi vemotokari, izvo zvinogona kuisa murwere, iye amene, munjodzi asiwo nevamwe.

Kuchengetedza vagal kusagadzikana, zviri nani kudya zvine hutano, zvine mwero kudya, kurara zvakakwana, uye kurovedza muviri nguva dzose.

Vakwegura pamwe nevanhu vane hutachiona hwepasi vane hanya nenjodzi ye syncope. Chokwadi, iyohypertension,  chirwere cheshuga kana kukwegura kunokanganisa kuzvidzora-kwega kweiyo cerebral vascularization. Mupfungwa iyi, njodzi ye syncope yakakura.

Chiitiko uye kuwanda ndizvo zvakanyanya kukosha nezera (kubva pamakore makumi manomwe). MuFrance, ingangoita 70% yezviitiko zvekusaziva kwemadzimai zvinoguma nekuchengetedzwa kwekukurumidza. 1,2% yevarwere vane rudzi urwu rwekusagadzikana vari muchipatara.

Verenga zvakare: 

• Kurasikirwa kwekuziva