Syncope - nā kumu, nā ʻano, nā diagnostics, ke kōkua mua, ka pale ʻana

Maikaʻi i hōʻoia ʻia

ʻO ka Syncope kahi nalowale pōkole o ka ʻike, ʻike, a me ka hiki ke neʻe ma muli o ka lawa ʻole o ka oxygenation o ka lolo e pili ana me ka ischemia. ʻO ka ʻeha, ka hopohopo, a i ʻole ka ʻike ʻana i ke koko ke kumu ʻē aʻe o ka maule. Hoʻopili pinepine ʻia me ka maka haʻalulu a me ka cyanosis o nā lehelehe.

He aha ka maule?

ʻO Syncope kahi maʻi i hōʻike ʻia e ka nalowale o ka ʻike pōkole ma muli o ka lawa ʻole o ka oxygen i hāʻawi ʻia i ka lolo. ʻO ka maule ʻana mai kekahi mau kekona a i kekahi mau minuke, wehewehe kekahi i ka manaʻo he "poʻeleʻele i mua o nā maka". ʻO ka maule ʻana ma mua o nā hōʻailona e like me:

1. maka haikea
2. sinica warg,
3. ka hou anu ma ka lae a me ka heiau.

I ka hapanui o nā hihia, ʻaʻole pono ka maule ʻana i mea hopohopo, ʻoiai inā ʻaʻohe maʻi olakino ʻē aʻe ma hope o ia. ʻO kahi hōʻailona no ke kipa ʻana i ka lāʻau lapaʻau he maule i ʻoi aku ma mua o hoʻokahi manawa i ka mahina. I loko o ia mau kanaka, pono e kāpae ʻia nā kumu naʻau e hoʻonui ai i ka make. Piʻi nui ka pilikia o ka maule ʻana i nā poʻe ma mua o 70 makahiki.

Nā kumu o ka maule

Aia kekahi mau manawa e maule ai no ke kumu ʻike ʻole. Eia nō naʻe, hiki ke kumu i nā kumu he nui, e like me:

1. nā ʻike manaʻo ikaika,
2. ka makaʻu,
3. ke koko haʻahaʻa,
4. ʻeha nui,
5. make wai,
6. kaohi koko haʻahaʻa
7. noho lōʻihi ma ke kūlana kū,
8. e ala koke,
9. e hoʻomaʻamaʻa i ka hana kino i ka wela kiʻekiʻe,
10. ka hoʻohana nui ʻana i ka waiʻona,
11. lawe lāʻau,
12. ka hoʻoikaika nui ʻana i ka wā e hele ana i ka pehu,
13. ʻū ikaika,
14. ka hopu
15. hanu wikiwiki a papau.

Ma waho aʻe o nā kumu i ʻōlelo ʻia ma luna, hiki i nā lāʻau lapaʻau āu e lawe nei ke hoʻonui i kou pilikia o ka maule. ʻO nā hoʻomākaukau i hoʻohana ʻia i ka mālama ʻana i ke koko kiʻekiʻe, a me nā antidepressants a me nā antiallergic he mea koʻikoʻi. I loko o ka hui o nā mea maʻi e pili ana i ka maule, aia nā mea maʻi me ka maʻi diabetes, arrhythmia, a me ka ʻeha ʻana i ka hopohopo a me ka puʻuwai puʻuwai.

Nā ʻano o ka syncope

Aia kekahi mau ʻano o ka syncope:

1. orthostatic syncope: ʻo ia nā ʻāpana e hāʻule ke koko i ka wā e kū ana. Hiki ke hana ʻia kēia ʻano syncope ma muli o nā pilikia kaʻa;
2. Reflex syncope: I kēia hihia, ʻaʻole hāʻawi ka naʻau i ke koko i lawa no ka manawa pōkole. ʻO ke kumu o ka hoʻokumu ʻia ʻana o ka hoʻouna ʻana i ka impulse kūpono ʻole e ka reflex arc, ʻo ia hoʻi he ʻāpana o ka ʻōnaehana nerve. Ma hope o ka maule, hiki i ke kanaka ke hana maʻamau, ʻike i ka mea i hana ʻia a pane pololei i nā nīnau i nīnau ʻia;
3. maule e pili ana me nā maʻi o nā moku cerebral,
4. maule ma muli o ka arrhythmias naʻau.

ʻO ka mea maʻamau ka reflex syncope, i kapa ʻia kekahi manawa neurogenic syncope. Hoʻokumu ʻia kēia ʻano syncope ma kahi hopena reflex e hoʻoulu ai i ka vasodilation a i ʻole bradycardia. He mea maʻamau ia i ka poʻe ʻōpio i pili ʻole i ka maʻi puʻuwai organik. Hiki i ka Reflex syncope ke loaʻa i ka poʻe ʻelemakule a i ʻole ka poʻe me nā maʻi puʻuwai kūlohelohe, e laʻa me ka stenosis aortic a i ʻole ma hope o ka hōʻeha puʻuwai. ʻO nā hōʻailona o kēia ʻano maule:

1. ʻaʻohe hōʻailona o ka maʻi puʻuwai organik;
2. maule ma muli o kahi hoʻoulu ʻole ʻia ma muli o ke kū lōʻihi ʻana,
3. maule i ka wā e noho ai i loko o kahi lumi wela piha,
4. maule i ka wā e huli ai kou poʻo a i ʻole ma muli o ke kaomi ʻana i ka wahi carotid sinus,
5. maule ana i ka wā a i ʻole ma hope o ka ʻai ʻana.

ʻIke ʻia kēia ʻano syncope ma muli o kahi moʻolelo olakino kikoʻī me ka mea maʻi, i ka manawa i hoʻoholo ʻia ai nā kūlana o ka syncope. Inā maʻamau ka hoʻokolohua kino a me ka hopena ECG, ʻaʻole pono nā hoʻokolohua diagnostic hou.

Syncope - hōʻailona

ʻO ka maule ʻana i hoʻokahi manawa i ka mea maʻi ma ke kūlana ākea maikaʻi ʻaʻole ia e koi i ka lāʻau lapaʻau. ʻO kahi hōʻailona no ka mākaʻikaʻi olakino he mau kūlana i ʻike ʻole ai ka mea maʻi i kēlā mau ʻano ma mua, akā nāwaliwali i nā manawa he nui. A laila pono e hoʻoholo i ke kumu o kēia maʻi. Pono e hoʻomaopopo i ke kauka i ke ʻano o ka maule ʻana (he aha ka mea i hana ʻia, he aha ke kūlana o ka mea maʻi). Eia kekahi, he mea nui ka ʻike e pili ana i nā maʻi i hala a me nā lāʻau lapaʻau āu e lawe nei, ʻo ka lāʻau lapaʻau a me ke kūʻai aku. E kauoha ke kauka i nā ho'āʻo hou ma muli o ka hopena o ka hoʻokolokolo kino (e laʻa me ka hoʻāʻo koko no ka anemia). Hana pinepine ʻia ka hoʻāʻo ʻana no ka maʻi puʻuwai, no ka laʻana:

1. Hōʻike EKG - hoʻopaʻa i ka hana uila o ka puʻuwai,
2. puʻuwai puʻuwai - hōʻike i ke kiʻi neʻe o ka puʻuwai,
3. Hōʻike EEG - ana i ka hana uila o ka lolo,
4. ʻO ka hoʻāʻo ʻo Holter - ka nānā ʻana i ka puʻuwai puʻuwai me ka hoʻohana ʻana i kahi mea lawe lima e hana ana i nā hola 24 i ka lā.

ʻO ke ʻano hana hou e hoʻomalu ai i ka hana o ka puʻuwai ILR arrhythmia recorderi hookomoia malalo o ka ili ma ka umauma. ʻOi aku ka liʻiliʻi ma mua o ka pahu match a ʻaʻohe uea e hoʻopili ai i ka puʻuwai. Pono ʻoe e ʻaʻahu i ka mea hoʻopaʻa leo a hiki i kou wā mua. Heluhelu ʻia ka moʻolelo ECG me ke poʻo kūikawā. ʻO kēia ka mea e hiki ai ke hoʻoholo i ke kumu o ka maule.

He aha hou aʻe e hoʻomaopopo ʻia ai ke kauka i ka wā o ka ninaninau?

1. e haʻi i kāu kauka e pili ana i nā hōʻailona ma mua o ka maule ʻana a me nā mea i ʻike ʻia ma hope o ka ʻike hou ʻana (e laʻa me ka noʻonoʻo, nausea, palpitations, hopohopo nui);
2. ʻike e pili ana i ka maʻi puʻuwai a i ʻole ka maʻi Parkinson;
3. e haʻi pū i nā hihia o ka make koke ʻana o ka ʻohana ma muli o ka maʻi puʻuwai;
4. E haʻi i kāu kauka inā ʻo kēia ka manawa mua āu e maule ai a i ʻole i loaʻa i nā ʻano like me kēia i ka wā ma mua.

Kokua mua ina maule

I nā hihia hea e pono ai ka mālama kino pilikia i ka wā maule?

- ʻaʻole hanu ka mea maʻi,

- ʻaʻole ʻike hou ka mea maʻi no kekahi mau minuke,

- hāpai ka mea maʻi,

- ua ʻeha ka mea maʻi i ka wā o ka hāʻule ʻana a ua kahe ke koko.

- loaʻa ka maʻi i ka maʻi diabetes,

Loaʻa ka ʻeha o ka umauma

- ʻaʻole i maʻamau ka puʻuwai o ka mea maʻi,

- ʻaʻole hiki i ka mea maʻi ke hoʻoneʻe i nā lālā,

- pilikia kou ʻōlelo a ʻike paha,

- ua ʻike ʻia nā convulsions,

– ʻaʻole hiki i ka mea maʻi ke hoʻomalu i ka hana o kona ʻōpū a me kona ʻōpū.

ʻO ka mālamaʻana i ka syncope e pili ana i ka hōʻailona i hanaʻia e ke kauka. Inā ʻaʻohe maʻi ʻē aʻe ke kumu o ka syncope, ʻaʻole pono ka mālama ʻana a maikaʻi ka prognosis lōʻihi.

ʻO ke kōkua mua

Inā hele ʻoe i waho, e kau i kou poʻo ma ke kua me ke poʻo e hili ʻia i hope, e kau ana i ka uluna a i ʻole ka ʻaʻahu i ʻōwili ʻia ma lalo o kou kua. Pono ʻoe e hāʻawi iā ia i ka ea hou, unbuttoning kaomi ʻana i nā ʻāpana o ka lole, e like me: kola, kaula, kāʻei. Hiki iā ʻoe ke kāpīpī i ka wai anuanu ma kou mau maka, e hamo me ka waiʻona a i ʻole e kau i kahi swab i hoʻomoʻu ʻia me ka amonia ma kahi ʻala maule. ʻO ke kahe o ke koko i ka lolo e maʻalahi ka hāpai ʻana i nā wāwae o ke kanaka maule i luna.

Inā maʻule ʻoe a maʻule paha, mai hāʻawi i kekahi mea inu e hiki ai iā ʻoe ke ʻeke. Ma hope o ka loaʻa ʻana o ka ʻike, pono ka mea maʻi e moe i lalo no kekahi manawa. Ma hope wale nō hiki ke hāʻawi ʻia iā ia i ke kofe a i ʻole ke kī.

IMPORTANT!

1. ʻAʻole pono e hāʻawi ʻia i ka meaʻai a inu ʻole ka mea maʻi maule;
2. ʻAʻole pono e hāʻawi ʻia ka mea maʻi i kāna mau lāʻau ponoʻī (me nā hāʻule o ka ihu);
3. mai ninini i ka wai anuanu ma luna o ke kanaka maule, no ka mea, e hoʻopūʻiwa paha; pono e holoi i kona mau maka a me kona ʻāʻī me ke kāwele i ʻū ʻia i ka wai anuanu.

Maule - pale

Ma waena o nā ʻano o ka pale ʻana i ka syncope ma muli o nā maʻi o ka hoʻoponopono ponoʻī ʻana i ke ʻano o nā kīʻaha koko, ua ʻōlelo ʻia kēia:

1. inu nui i ka wai,
2. hoʻonui i ka ʻike o nā electrolytes a me ka paʻakai i ka meaʻai,
3. ka hoʻokō ʻana i ka hana kino haʻahaʻa (e laʻa me ka ʻauʻau),
4. moe me ke poʻo ma luna o ke kino,
5. ka hana ʻana i ka hoʻomaʻamaʻa orthostatic, e pili ana i ke kū ʻana i ka paia (pono e hana ʻia kēlā ʻano hana 1-2 mau manawa i ka lā no ka liʻiliʻi o 20 mau minuke).

Mea nui! Inā nāwaliwali ʻoe a kokoke ʻoe e pōloli, e noho a moe paha i lalo (ʻo ke kiʻekiʻe o kou mau wāwae ma mua o kou poʻo). E noi i kekahi e noho pū me ʻoe no kekahi manawa.

Maule - heluhelu hou e pili ana