A na - eji nlezianya ọmụmụ ihe na - eme nnyocha iji hụ na ndị ọrịa nwere mmekọrịta (enweghị uche) nke a na - enyo enyo na ọ ga - akpata site na njedebe . Ọ bụ ọmụmụ ihe dị nnọọ mfe, na n'ọtụtụ ọnọdụ dị mma.
Otu esi eme ule ahụ
N'ime nyocha nke okpukpuchi, onye ọrịa ahụ na-adanye na tebụl, bụ nke a na-agbanye na ntinye aka na ọnọdụ ziri ezi.
Mgbe ị na-ahụ nhazi ahụ, mgbali elu ọbara, electrocardiogram , na saturation ọbara oxygen , onye ọrịa ahụ na-ahapụ "ọnọdụ na-eguzogide agbanwe" ruo minit 10 ruo 60.
N'ebe onye nwere vasovagal syncope, a na-amụkarị ihe ọmụmụ ihe na-emepụta ihe syncopal. Ọ bụrụ na nke a emee, a na-ewere ọmụmụ ihe ahụ dị mma, a chọpụtakwara nyocha nke vasovagal syncope.
Kedu otu Ule a na-arụ
N'oge ntanye ziri ezi - ma ọ bụ maka ihe ahụ mgbe ị na - eguzobe usoro obi nke mmadụ kwesịrị ịgbanwe onwe ya iji gbochie akụkụ dị oke nke ọbara site na mmiri na ụkwụ.
Mgbanwe ndị a na-agụnye mmụba dị nwayọọ n'obi obi na mgbagwoju nke arịa ọbara na ụkwụ. Mgbe a na-etinye onye nkịtị na ntinye ziri ezi, mgbanwe ndị a na-eme ngwa ngwa, ọ dịghịkwa adaba dị na mgbali elu.
Otú ọ dị, na ndị ọrịa nwere syncope abụọ dị - hypotension orthostatic na syncope vasovagal - mgbanwe nke obi na ntinye ziri ezi anaghị arụ ọrụ.
N'ikwu okwu nke a na-ahụkarị , ike mmadụ nwere ike ime ka ọ gbanwee n'ọnọdụ ya dị oke njọ. Mgbe ndị a na-eguzo (ma ọ bụ mgbe ha nwere nyocha ụlọ na ntinye), ụbụrụ ha na-amụba n'ụzọ dị ịrịba ama, ọbara mgbali elu ha na-agbadakwa elu. Ndị ọrịa a enweghị ike ịgbanwe n'ọnọdụ ziri ezi.
Otú ọ dị, ndị ọrịa nwere nkwenkwe na -achọkarị ịchọta ihe ọmụmụ nyocha maka nyocha, n'ihi na ndị dọkịta nwere ike ịme nyocha ahụ n'ọfịs ha n'ụzọ dị mfe site na ịmalite ọbara mgbali ahụ tupu onye ọrịa ahụ dina ala mgbe ahụ mgbe ọ na-eguzo.
Ihe nyocha nke okpukpuchi bu kwa ihe ojoo na ndi mmadu nwere vasovagal syncope ma na ozo di iche. N'ikpeazụ, ndị ọrịa a na-agbanwezi ya na-ejikarị eme ihe, ma n'ime nkeji iri abụọ na ise, ha nwere ike ịnweta ngwa ngwa na mgbagwoju anya na ihe ịrịba ama dị mkpa - ọbara mgbali elu ha na-adaba n'ụzọ dị ịrịba ama; akuku ha kwadokwa, ha gafee. Ha na-agbake n'ime obere oge mgbe e weghaara okpokoro ala, ma ha laghachiri n'ọnọdụ ụgha.
Ihe syncope vasovagal bụ ihe mgbagha nke na-ebute mberede mberede nke arịa ọbara dị n'ụkwụ, na ịmelata mkpụmkpụ obi, nke abụọ na-eme ka ụda mgbapụta dị egwu. Ọtụtụ ihe na-akpali akpali nwere ike ịmalite ihe a na-akpọ "vasomotor", nke gụnyere ihe ndị dị ka egwu, ihe mgbu, na ihe ndị na-akpata nsogbu (dị ka ịhụ ọbara). Ntụle nyocha nke tilt na-emepụta nchekasị na usoro obi nke na-eme dị ka onye na-akpalite. Nyocha nke okpukpuchi, mgbe ahụ, nyochaa ma onye nwere ọgwụ vasomotor reflex, ma nwee ike ịzụlite syncope vasovagal.
Ihe Kwesiri Ekwesiri Iji Nyocha Tilt Test
Ọ bụ ezie na enwere ike iji nlezianya nyochaa tebụl iji chọpụta nkwupụta ụbụrụ orthostatic, ule a ekwesịghị ịbụ ihe dị mkpa maka ndị ọrịa na ọnọdụ a, nke a na-ahụkarị na ọfịs ọ bụla dibịa. Ihe bara uru nke nyocha nke okpukpuchi bụ iji kwenye na nchoputa nke a na-enyo enyo vasovagal syncope. Ịhụ otu ihe omume na-emekarị n'oge a na-eme ihe ziri ezi nwere ike ịmepụta nchoputa nke a na-amaghị n'oge gara aga, na nke a, nyocha akwụkwọ nchịkọta nwere ike ịba uru n'oge ụfọdụ.
Ihe nyocha nke okpokoro nwere ike ịba uru na igbochi ihe na-adịghị njọ nke ọrịa epilepsy nke bụ, na ịmata ọdịiche nke epilepsy site na syncope vasovagal na-esonyere mmegharị ahụ.
Otú ọ dị, a ghaghị iji nlezianya jiri nlele ahụ mee ihe. A na-enyocha syncope vasovagal ngwa ngwa n'ọtụtụ ọnọdụ site na ịkọ akụkọ ihe mere eme ma na-eme nchọpụta nkịtị.
Ọzọkwa, ọbụlagodi na ndị nwere ihe doro anya vasovagal syncope, nilt study table reproduces ha mgbaàmà naanị banyere 70-75% nke oge. N'ikwu ya n'ụzọ ọzọ, mmadụ 25-30% n'ime ndị ọrịa a nwere "ihe ọjọọ" ọmụmụ. Ya mere, a ghaghi iwere ihe omumu a, dika "ihe edozi" na nchoputa nke syncope vasovagal. "Ụkpụrụ ọlaedo" ka bụ akụkọ nlekọta ahụ ike na nlezianya nke dọkịta.
A na-eji nlezianya nyocha okpokoro mee ihe n'ụzọ kachasị mma na ndị ọrịa bụ ndị akụkọ ihe mere eme na-adọrọ adọrọ na njedebe, ma ebe enwere ụfọdụ obi abụọ. N'ime ndị ọrịa a, nyocha nke ọma nwere ike ịga ogologo oge n'ịgba nyocha nke syncope vasovagal .
Isi mmalite:
Task Force for Diagnosis and Management of Syncope, European Union of Cardiology (ESC), European Heart Rhythm Association (EHRA), et al. Ntuziaka maka nyocha na njikwa nke syncope (mbipute 2009). Eur Obi J 2009; 30: 2631.
Leonelli FM, Wang K, Evans JM, et al. Ụgha na-adaba adaba: hemodynamic na profaịlụ neurohumoral. J Am Coll Cardiol 2000; 35: 188.