Ukuquleka Ngokuqhathanisa Nokuthunjwa: Qonda Umehluko

Uke wabona umuntu ewa ngokuzumayo noma evevezela ukuzamazama okungalawuleki? Lezi zimpawu ezishaqisayo zingaba izimpawu zokuquleka (ukuquleka) noma ukuquleka, izehlakalo ezimbili ezihlukene zezokwelapha ezivame ukudala ukudideka. Ukuqonda umehluko phakathi kokuquleka kanye ukuhlukunyezwa kubalulekile ekunikezeni usizo olufanele kanye nokubona lapho kudingekile ukunakekelwa kwezokwelapha. Lolu lwazi lungathinta kakhulu indlela umuntu athola ngayo ukunakekelwa ngokushesha nangempumelelo ngalezi zikhathi ezesabekayo.

Lesi sihloko sihlola umehluko oyinhloko phakathi kokudlula uma kuqhathaniswa nokudlikiza, sikhanyisela izici zakho ezihlukile nezimbangela. Sizocubungula izimpawu ezithile ezehlukanisa ukudlula ekubanjweni, sikusize ubone izimpawu zesimo ngasinye. Ukwengeza, sizoxoxa ngezinqubo eziwumsuka eziholela kulezi zenzakalo, izinto ezingaba yizimbangela zazo, kanye nezimpendulo ezifanele zesimo ngasinye.
 

Ukuquleka nokuquleka: kuyini lokho?

Ukuquleka kanye nokuquleka yizenzakalo ezimbili ezihlukene zezokwelapha ezingabangela ukulahlekelwa ukwazi. Naphezu kwalesi sici esihlanganyelwe, banezimbangela nezimpawu ezihlukene. Ukuqonda umehluko phakathi kokuquleka nokuquleka kubalulekile ekunikezeni ukunakekelwa okufanele kanye nokubona lapho kudingeka ukunakekelwa kwezokwelapha.

Ukuquleka (Syncope)

Ukuquleka, noma i-syncope, kuchazwa njengokulahlekelwa ukwazi kungazelelwe. Kungenxa yokuncipha kwesikhashana kokugeleza kwegazi ukuya ebuchosheni. Lokhu kuncipha kokugeleza kwegazi kungabangelwa izici ezihlukahlukene, ezihlanganisa:

• Ukuphelelwa amanzi emzimbeni
• Umfutho wegazi ophansi
• ukukhathazeka
• Esukuma ngokushesha
• Izinkinga zenhliziyo

Ngokungafani nokuquleka, ukuquleka akuhambisani nomsebenzi kagesi ebuchosheni. Nokho, ngezinye izikhathi kungase kwenziwe iphutha njengokuquleka, ikakhulukazi uma umuntu enyakaza noma enyakaza njengoba elahlekelwa ukwazi.
Izimpawu ezivame kakhulu ze-syncope zihlanganisa:

• Ukunyamalala
• Ukuzizwa unekhanda elilula
• Ukuwa ngaphandle kwesizathu esibonakalayo
• Ukuzizwa unesiyezi noma ukozela
• Ukuquleka, okuvame kakhulu ngemva kokudla noma ukuzivocavoca
• Ukuzizwa ubuthakathaka noma ukungazinzi lapho umile
• Ukubona izinguquko, isb ukubona amabala noma ukubona emhubheni
• Ukuphathwa yikhanda

ukuquleka

Ukuphazanyiswa kukagesi okungazelelwe, okungalawuleki ebuchosheni. Lokhu kuphazamiseka kukagesi kubangela ushintsho lwesikhashana emsebenzini wobuchopho, okuholela ezimpawini ezihlukahlukene, ezihlanganisa:

• Ukulahlekelwa kokwazi
• Ukudlikizela noma umnyakazo onyakazayo
• Ukulahlekelwa ukulawulwa kwesinye noma amathumbu
• Ukuluma ulimi
• Ukudideka
• Ubunzima bokukhuluma
• Iziphazamiso zezinzwa, njengezibani ezikhanyayo noma iphunga elingajwayelekile

Uhlobo nobukhulu bezimpawu kuzohluka futhi kuncike ohlotsheni oluthile lokuquleka kanye nendawo yobuchopho ethintekile.

Ukuquleka vs. Ukuquleka: umehluko omkhulu

Nakuba kokubili ukuquleka kanye nokuquleka kungabangela ukulahlekelwa ukwazi, kuyizenzakalo zezokwelapha ezihlukile ezinezimbangela nezimpawu ezihlukene. Ukuqonda lo mehluko kubalulekile ekunikezeni ukunakekelwa okufanele kanye nokubona lapho kudingeka ukunakekelwa kwezokwelapha.

Ukuquleka (i-syncope) nokuquleka kuvame ukudideka ngenxa yesici sabo esihlanganyelwe sokulahlekelwa ukwazi kungazelelwe, kodwa kuyizehlakalo zezokwelapha ezihluke kakhulu. Ukuquleka kwenzeka ngenxa yokuncipha kwesikhashana kokugeleza kwegazi eliya ebuchosheni, ngokuvamile okubangelwa ukuphelelwa amanzi emzimbeni noma ukusukuma ngokushesha, futhi ngokuvamile kuphumela ekulahlekelweni ukwazi isikhashana nokululama ngokushesha. Ngokuphambene, ukuquleka kubangelwa umsebenzi kagesi ongavamile ebuchosheni futhi kungabandakanya ukudlikizeka, ukuphazamiseka kwezinzwa, nokudideka, kanye nesikhathi eside sokululama. Ukuquleka, ikakhulukazi esithuthwaneni, kungase kuphinde kwenzeke ngaphandle kokwelashwa okufanele. Ukuqonda lo mehluko oyinhloko kusiza ukuqinisekisa ukungenelela kwezokwelapha okufika ngesikhathi kanye nokunakekelwa okufanele. I-convulsive syncope, ehlanganisa ukugxuma kwemisipha ngesikhathi sokuquleka, kwesinye isikhathi ingafana nokuquleka, kodwa ihlukile futhi ayibandakanyi ukuphazamiseka kagesi ebuchosheni njengokuquleka. Kubalulekile ukubonana nodokotela uma othile ehlangabezana nokuthola izinkinga zempilo ezingaba khona, njengezinkinga zenhliziyo noma izimo zemizwa.

Izimbangela Eziyisisekelo

Ukuquleka kubangelwa ukuphuma kungazelelwe komsebenzi kagesi ebuchosheni. Lokhu kuphazamiseka kukagesi kubangela ushintsho lwesikhashana emsebenzini wobuchopho, okuholela ezimpawu ezihlukahlukene. Ngakolunye uhlangothi, ukuquleka (syncope) kwenzeka lapho igazi lingafiki ngokwanele ebuchosheni, ngokuvamile ngenxa yokulahlekelwa ukushaya kwegazi.

Izimpawu Eziyinhloko

Ukudlikiza kungabonakala ngezindlela eziningi kodwa kuvame ukuhlanganisa ukudlikizeka, ukunyakaza okuphindaphindayo, ukugedla, nokunyakaza. Abantu abanesifo sokuwa bangase bamemeze. Ngokuphambene, uphawu oluchazayo lokuquleka ukulahlekelwa ukwazi. Nokho, ukuquleka ngezinye izikhathi kungase kwenziwe iphutha njengokuquleka, ikakhulukazi uma umuntu enyakaza noma enyakaza njengoba equleka.

Izivivinyo zokuxilonga

Ukuhlolwa kwe-electroencephalogram (EEG) kungasiza ukuhlukanisa phakathi kokuquleka nokuquleka. Esimeni sokuquleka, i-EEG ingase ibonise umsebenzi wobuchopho 'we-epileptiform'. Ngokuquleka, i-EEG ngokuvamile ibonisa umsebenzi ovamile wobuchopho.

Ubude Nokubuyisela

Ukudlikiza ngokuvamile kuthatha imizuzu embalwa, futhi umuntu angase adideke noma aphazamiseke ngemva kwalokho. Iziqephu zokuquleka ngokuvamile ziba mfishane, zithatha imizuzwana embalwa, futhi umuntu ngokuvamile ululama ngokushesha futhi uzizwe kahle ngemva kwalokho.

Ukuphindaphinda kanye Nokwelashwa

Ukuquleka kungase kwenzeke ngokuphindaphindiwe, ikakhulukazi uma kuwuphawu lwesithuthwane. Uma isithuthwane kutholakala, ukwelashwa ngokuvamile kuyadingeka iminyaka eminingi. Ukuquleka mancane amathuba okuthi kuphinde kwenzeke ngaphandle uma imbangela eyinhloko ingalungiswa. Ukwelashwa kokuquleka kuncike kumbangela. Ezimweni eziningi, izinguquko ezincane zokuphila zanele, kodwa ukuquleka kungase futhi kuphakamise isimo senhliziyo esidinga ukwelashwa.

Ukucutshungulwa okwengeziwe

Kubalulekile ukuqaphela ukuthi i-convulsive syncope ayilona uhlobo lokuquleka. Kunalokho, kulapho izicubu zothile zinyakaza isikhashana noma zinyakaza ngenkathi equlekile, okungenzeka lapho kunokuncipha kokugeleza kwegazi ukuya ebuchosheni. Lokhu kuhlukile ekubanjweni okudalwa yi-syncope, okubuye kwaziwe ngele-"anoxic-epileptic" seizure.
Sifingqa umehluko:

Isiphetho

Ukubona umehluko phakathi kokuquleka nokuquleka kungaba nomthelela omkhulu endleleni umuntu athola ngayo ukunakekelwa ngokushesha nangempumelelo phakathi nalezi zimo ezishaqisayo. Zombili lezi zimo zingabangela ukulahlekelwa ukwazi kodwa zibe nezimbangela ezihlukene, izimpawu kanye nokwelashwa. Ukuqonda lo mehluko oyinhloko kwenza abantu bakwazi ukuphendula ngokuzethemba ezimeni eziphuthumayo futhi banikeze usizo olufanele.

Nakuba ukuquleka kubangelwa ukuncipha kwesikhashana kokugeleza kwegazi eliya ebuchosheni, ukuquleka kubangelwa ukuphazamiseka kukagesi kungazelelwe ebuchosheni. Lo mehluko unomthelela ubude besikhathi, ukululama, kanye namathuba okuphindeka kwesimo ngasinye. Noma ubani ohlangabezana nokuquleka noma isiqephu sokuquleka kufanele abonane nodokotela ukuze athole imbangela eyinhloko futhi athole ukunakekelwa okufanele. Lolu lwazi lungenza umehluko wangempela ekuqinisekiseni umphumela omuhle kakhulu kumuntu othintekile.