Ukuphelelwa amandla

Ukuquleka ukulahlekelwa ukwazi kungazelelwe. Ngokuvamile, kwenzeka ngenxa yokwehla okungazelelwe kokugeleza kwegazi ebuchosheni. Kungaba okuhlangenwe nakho okushaqisayo, kodwa akusona isimo esibucayi izikhathi eziningi. Ezimweni eziningi, abantu balulama ngokushesha kakhulu ngaphandle kwemiphumela ehlala njalo. Nokho, uma kwenzeka nezinye izimpawu, ngokushesha uthintane nodokotela wakho. Ukuqonda izimbangela zokuquleka, izimpawu, namasu okuvimbela kubalulekile ukuze kuqinisekiswe ukuphathwa ngendlela efanele nokugwema izinkinga ezingase zibe khona.

Izimbangela Zokuquleka

Kunezici ezihlukahlukene ezingaholela ekuqulekeni, okuhlanganisa:

• I-Vasovagal Syncope iphakathi kwezizathu ezivame kakhulu zokuquleka. Kwenzeka lapho umzimba usabela ngokweqile ezintweni ezithile ezibangela ukucindezeleka, njengokucindezeleka ngokomzwelo (ukuphelelwa amandla ngenxa yokucindezeleka), ukwesaba, ubuhlungu, noma ukuma isikhathi eside. Lokhu kusabela kuholela ekucwilisweni kungazelelwe kumfutho wegazi, okunciphisa ukutholakala kwegazi ebuchosheni.
• I-Cardiac Syncope: Izimo ezithile zenhliziyo, njenge yingakhob (ukushaya kwenhliziyo okungajwayelekile), ukuphazamiseka kwamavalvu enhliziyo, noma isifo semisipha yenhliziyo, kungaphazamisa ukugeleza kwegazi okuvamile ukuya ebuchosheni futhi kubangele ukuquleka.
• I-Carotid Sinus Syncope: I-Syncope ingenzeka uma okuthile kuncinza noma kuvimbezela umthambo we-carotid entanyeni, njengokugqoka ikhola eqinile, ukwelula noma ukuguqula intamo yakho kakhulu, noma ukuba nethambo elicindezela umthambo wakho.
• Ushukela Wegazi Ophansi (Hypoglycaemia): Abantu abanesifo sikashukela noma labo asebehambe isikhathi eside bengadlile bangase baquleke ngenxa yokwehla kwezinga likashukela egazini.
• Ukuphelelwa amanzi emzimbeni: Ukungena kwamanzi anganele noma ukulahlekelwa uketshezi okweqile kungase kwehle ukushaya kwegazi, okubangela ukuquleka.
• Imithi: Imithi ethile, kuhlanganise nezidakamizwa zomfutho wegazi, imishanguzo yokucindezeleka, nama-diuretics, ingaba nomthelela ekuqulekeni ngokwehlisa umfutho wegazi noma ukubangela ukuphelelwa amanzi emzimbeni.
• I-anemia: Ukuncipha kwamangqamuzana egazi abomvu noma i-hemoglobin kunganciphisa umoya-mpilo oyiswa ebuchosheni, okungase kuholele ekuqulekeni.
• I-Neurological Disorders: Izimo ezifana nokuquleka, migraines, noma ukuphazamiseka kwezinzwa ezithinta ukulawulwa kokugeleza kwegazi kobuchopho kungandisa ingozi yokuquleka.
• Ezinye Izinto: Ukweqa ukudla okuningi, ukuhlala ngaphandle ekushiseni isikhathi eside (ukuquleka ngenxa yokushisa), utshwala, ukuma ngokushesha kakhulu, noma ukusebenzisa izidakamizwa ezingekho emthethweni kungase kwandise ingozi yokuquleka.

Izimpawu Zokuquleka

Ngaphambi kokuquleka, abantu bangase babe nezimpawu ezithile eziyisixwayiso, ezihlanganisa:

• isiyezi noma ubucwebe
• I-nausea
• Ukuphoqa
• Umbono ophundlekile
• Ukukhala ezindlebeni
• Isikhumba esiphaphathekile noma esicwebezelayo
• Ukushaya kwenhliziyo okusheshayo noma okubuthakathaka

Kubalulekile ukuqaphela lezi zimpawu futhi uthathe izinyathelo ezisheshayo zokuvimbela ukuquleka, njengokuhlala noma ukulala nokugcina izinga lekhanda ngenhliziyo noma ngaphansi kancane.

Sifo

Ukuze kutholakale imbangela eyisisekelo yokuquleka, odokotela bangase benze ukuhlola okuhlukahlukene, okuhlanganisa:

• Umlando Wezokwelapha: Udokotela angase abuze mayelana neziqephu zokuquleka, okuhlanganisa ukuvama, ubude besikhathi, nezimo ezizungeze iziqephu.
• Ukuhlolwa Komzimba: Udokotela angase ahlole okubalulekile (i-BP nesilinganiso senhliziyo) kanye nezimpawu zezinzwa, inhliziyo, noma ezinye izinkinga zesistimu.
• Ukuhlolwa kwegazi: Ukuhlaziywa kwegazi kungasiza ekutholeni i-anemia, amazinga kashukela egazini, ukungalingani kwe-electrolyte, nezinye izimo ze-metabolic.
• I-Electrocardiogram (ECG): Udokotela angase enze i-ECG ukuze abone ukusebenza kwenhliziyo futhi abone noma yikuphi ukungahambi kahle okungabangela ukuquleka, njenge-arrhythmias.
• I-Tilt Table Test: Udokotela angenza lokhu kuhlolwa ukuze ahlole izinguquko ekucindezelweni kwegazi, izinga lokushaya kwenhliziyo, nezimpawu ekuphenduleni izinguquko esikhundleni.
• Ukuhlolwa Kwezithombe: Ama-CT scan noma ama-MRIs angakhipha izimo zemizwa.

Ukwelashwa

Ukwelashwa kokuquleka kuncike kumbangela. Ukushintsha indlela yokuphila elula kungase kwanele kwezinye izimo, kuyilapho imithi noma ukuhlinzwa kungase kudingeke kwezinye. Okulandelayo ezinye izindlela zokwelapha zokuquleka ezivamile:

• Ukwandisa uketshezi nosawoti odlayo
• Ukulungisa imithi
• Ukwelapha izimo ezingaphansi (isb, ukuphazamiseka kwenhliziyo, i-anemia)
• Imithi yokulawula izinga lokushaya kwenhliziyo noma umfutho wegazi
• Ukufakwa kwePacemaker ngezimo ezithile zenhliziyo
• Ukugqoka amasokisi okucindezela ukuze uthuthukise ukugeleza kwegazi emilenzeni yakho engezansi

Izinkinga

Nakuba ukuquleka ngokuvamile akusona isimo esibucayi, kungase kubangele izinkinga uma kungalawulwa kahle. Izinkinga ezingaba khona zihlanganisa:

• Ukulimala kokuwa ngesikhathi sokuquleka
• Ukuquleka noma ezinye izinkinga zemizwa (ezimweni ezingavamile)
• Iziqephu zokuquleka eziphindelelayo, ezingaba nomthelela kwikhwalithi yempilo

Prevention

Ukuze unciphise ingozi yokuquleka, cabangela izinyathelo zokuvimbela ezilandelayo:

• Hlala uhlanzekile ngokwanele, ikakhulukazi ezindaweni ezishisayo noma ezinomswakama.
• Gwema ukuhlala noma ukuma isikhathi eside endaweni eyodwa, ikakhulukazi ezindaweni eziminyene noma ezishisayo.
• Khetha izindlela zokuphumula noma ukwelulekwa ukuze ulawule ingcindezi nokukhathazeka.
• Yidla ukudla okuvamile okunconywe ochwepheshe bezokudla nokudla okulula ukuze ugcine amazinga kashukela egazini ezinzile.
• Gwema ukuphuza uphuzo oludakayo ngokweqile, ngoba kungaholela ekuphelelweni kwamanzi emzimbeni kanye ne-BP ephansi.
• Ukuzivocavoca njalo ukuthuthukisa ukujikeleza kanye nempilo yonke yenhliziyo nemithambo yegazi.

Uzoyibona Nini Udokotela

Nakuba ukuquleka kungesona isizathu sokukhathazeka ngaso sonke isikhathi, kuyatuseka ukuthi ukhulume nodokotela wakho ezimweni ezithile, njenge:

• Iziqephu zokuquleka eziphindaphindiwe noma ezivamile
• Ukuquleka okuhambisana nobunzima bekhanda, ubuhlungu besifuba, noma ukuphefumula kanzima
• Ukuquleka ngesikhathi ukukhulelwa
• Abanye abantu bangase baquleke ngaphandle kwesizathu noma izimpawu eziyisixwayiso
• Ukuquleka lokho kubangela ukulimala

Isiphetho

Ukulahlekelwa ukwazi kungazelelwe kungaba yinto esabisayo, kodwa ukuqonda izimbangela, izimpawu, namasu okuvimbela kungasiza abantu balawule futhi banciphise ingozi yeziqephu zokuquleka. Ngokufuna usizo lwezokwelapha lapho kudingekile futhi basebenzise izindlela zokuvimbela, abantu bangagcina inhlalakahle yabo futhi bagweme izinkinga ezingase zibe khona ezihlobene nokuquleka.

Imibuzo Evame Ukubuzwa

1. Yiziphi izimbangela zokuquleka kungazelelwe?

Ukuquleka kungabangelwa izici ezihlukahlukene, kuhlanganise ne-vasovagal syncope (ukwehla kungazelelwe kwe-BP), ushukela wegazi ophansi, kwamanzi emzimbeni, izinkinga zenhliziyo, imithi ethile, i-anemia, nokuphazamiseka kwezinzwa. Ukukhomba imbangela ewumsuka nokuyelapha ngendlela efanele kubalulekile ukuze kuvinjwe iziqephu zokuquleka eziphindelelayo.

2. Yini okufanele uyenze uma uzizwa uphelelwa amandla? 

Uma uqala ukuzizwa uphelelwa amandla, kubalulekile ukuthatha isinyathelo esisheshayo ukuvimbela ukuquleka kanye nokulimala okungenzeka. Hlala noma ulale phansi ngokushesha, ugcine ikhanda lakho lisezingeni noma ngaphansi kwenhliziyo yakho. Khulula izingubo zakho bese uphefumula kakhulu. Uma umuzwa wokuquleka uqhubeka, funa usizo lwezokwelapha.

3. Yini okufanele uyenze lapho othile equleka?

Uma othile equleka eduze kwakho, landela lezi zinyathelo:

• Hlola ukusabela futhi ushayele inombolo yosizo lwezokwelapha eziphuthumayo uma kunesidingo.
• Lalisa umuntu ohlangothini olulodwa ukuze uqinisekise ukuthi ulimi alubuyeli emuva futhi lwehlise ikhanda, uphakamise imilenze yakhe kancane ukuze kuthuthukiswe ukugeleza kwegazi ukuya ebuchosheni.
• Khulula noma yiziphi izingubo ezimpintshayo futhi uqinisekise ukuthi zinokugeleza komoya okwanele.
• Ungawaniki amanzi ngoba angase aminyanise
• Hlala nomuntu aze aphaphame, noma kufike usizo lwezempilo.
• Uma umuntu ehlala equlekile isikhathi esingaphezu kwemizuzu embalwa, qala i-CPR uma uqeqeshiwe futhi kudingeka.

CARE Medical Team

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