Ukuqonda Ukuquleka: Izimbangela, Izimpawu, Ukwelashwa, nokunye

Isingeniso

Ukuquleka, okubuye kwaziwe ngokuthi i-syncope, kuwukulahlekelwa ukwazi okungazelelwe, isikhashana, ngokuvamile okubangelwa ukwehla kokugeleza kwegazi ukuya ebuchosheni. Ngokuvamile kuholela ekutheni umuntu awe futhi alahlekelwe ukwazi isikhathi esifushane. Nakuba ukuquleka kungase kungabi nangozi, kungase kubonise isimo sezempilo esicashile esidinga ukunakwa. Kulesi sihloko, sihlola izimbangela, izimpawu ezihambisanayo, nezinketho zokwelapha zokuquleka, kanye nokuthi kubalulekile nini ukufuna usizo lwezokwelapha.

Yini Ebangela Ukuquleka?

Ukuquleka ngokuvamile kubangelwa ukwehla kungazelelwe kokugeleza kwegazi ukuya ebuchosheni, okungaba umphumela wezinto ezihlukahlukene:

1. Izimbangela Zenhliziyo

• Umfutho Wegazi Ophansi: Ukwehla kungazelelwe komfutho wegazi (hypotension) kungaholela ekuqulekeni, ikakhulukazi uma usukuma ngokushesha usuka lapho uhlezi noma ulele khona.
• I-Arrhythmias: Izigqi zenhliziyo ezingavamile, njenge-bradycardia (inhliziyo eshaya kancane) noma i-tachycardia (inhliziyo esheshayo), ingaphazamisa ukujikeleza kwegazi okuvamile, okuholela ekuqulekeni.
• Izinkinga zevalvu yenhliziyo: Izimo ezifana ne-aortic stenosis zinganciphisa ukugeleza kwegazi ukuya ebuchosheni, kubangele iziqephu zokuquleka.

2. Izimbangela Zezinzwa

• I-Vasovagal Syncope: Isizathu esivamile sokuquleka, i-vasovagal syncope ibangelwa ukucindezeleka, ubuhlungu, noma ukuma isikhathi eside, okubangela ukwehla okungazelelwe kwesilinganiso senhliziyo nomfutho wegazi.
• Ukuquleka: Ukuquleka ngezinye izikhathi kungase kudidaniswe nokuquleka, kodwa ukuquleka ngokuvamile kuhlotshaniswa nomsebenzi kagesi ongajwayelekile ebuchosheni.

3. Ukuphelelwa amanzi emzimbeni kanye nokungalingani kwe-Electrolyte

• Ukuphelelwa amanzi emzimbeni: Ukuphuza uketshezi olunganele kungaholela emthamo wegazi eliphansi, kubangele isiyezi nokuquleka.
• Ukungalingani kwe-Electrolyte: Amazinga aphansi ama-electrolyte abalulekile njengesodium noma i-potassium angaphazamisa ibhalansi yoketshezi emzimbeni, okwandisa ingozi yokuquleka.

4. Amazinga kashukela egazini

• I-Hypoglycemia: Ukwehla kukashukela egazini kungabangela isiyezi, ubuthakathaka, nokuquleka, ikakhulukazi kubantu abanesifo sikashukela noma labo abangadli.

5. Izici Zengqondo

• Ingcindezi noma Ukukhathazeka: Ukusabela okujulile kwemizwa, okuhlanganisa ukushaywa uvalo noma ukwesaba okukhulu, kungaholela ezikhathini zokuquleka kwabanye abantu.

Izimpawu Ezihambisanayo

Ukuquleka kuvame ukuhambisana nezinye izimpawu eziningana, kuye ngembangela yakho eyinhloko. Lokhu kungase kuhlanganise:

• Isiyezi noma ikhanda elikhanyayo
• Ukushaya kwenhliziyo okusheshayo noma ukushaya kwenhliziyo
• Ukubona okufiphele noma ukubona komhubhe
• Isikhumba esibandayo, esicwebezelayo
• Ukudabuka noma ukuhlanza

Kufanele Ufune Nini Ukunakekelwa Kwezokwelapha

Nakuba ukuquleka kungase kube buhlungu ngezinye izikhathi, kubalulekile ukufuna usizo lwezokwelapha uma:

• Isiqephu sokuquleka asichazwa noma senzeka kaningi
• Kunezimpawu ezihambisanayo ezifana nobuhlungu besifuba, ukuphelelwa umoya, noma ukudideka
• Umuntu ulimele ngesikhathi equleka
• Umuntu unomlando wesifo senhliziyo noma izimo zemizwa

Ukuxilongwa Kokuquleka

Ukuze kutholakale imbangela yokuquleka, umhlinzeki wezokunakekelwa kwempilo uzohlola ngokucophelela, okuhlanganisa:

• Umlando Wezokwelapha: Udokotela uzobuza ngeziqephu zokuquleka zangaphambilini, izici zendlela yokuphila, kanye nanoma yiziphi izimo zezempilo ezicashile.
• Ukuhlolwa Komzimba: Udokotela uzohlola izinga lokushaya kwenhliziyo, umfutho wegazi, nokusebenza kwezinzwa ukuze ahlole ukuthi kukhona yini okungavamile.
• I-Electrocardiogram (ECG): Lokhu kuhlola kuqopha ukusebenza kukagesi kwenhliziyo futhi kungathola isigqi senhliziyo esingajwayelekile esingase sibangele ukuquleka.
• Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kungabheka izimo ezifana ne-anemia, ukuphelelwa amanzi emzimbeni, noma ukungalingani kwe-electrolyte.
• I-Holter Monitor: Idivayisi ephathekayo egqokwa isiguli yokuqapha ukusebenza kwenhliziyo emahoreni angama-24-48 ukuthola ukuguquguquka kwenhliziyo.

Izinketho Zokwelashwa Zokuquleka

Ukwelashwa kokuquleka kuncike kumbangela yakho. Izindlela ezijwayelekile zifaka:

1. Izinguquko Zendlela Yokuphila

• Ukuhambisa amanzi: Ukuphuza uketshezi oluningi kungasiza ekuvimbeleni ukuphelelwa amanzi emzimbeni futhi kunciphise nengozi yeziqephu zokuquleka.
• Ukulungiswa Kwezokudla: Ukudla ukudla okuvamile, ikakhulukazi lokho okucebile ngemisoco, kungasiza ukugcina amazinga kashukela egazini ezinzile.

2. Imithi

• I-Beta-blockers: Uma ukuquleka kungenxa ye-arrhythmias noma umfutho wegazi ophansi, imithi efana ne-beta-blockers ingase imiselwe ukulawula izinga lokushaya kwenhliziyo nomfutho wegazi.
• I-Fludrocortisone: Lo muthi ungasiza ukukhulisa umthamo wegazi kubantu abanomfutho wegazi ophansi noma i-orthostatic hypotension.

3. Imishini Yezokwelapha

• Ama-Pacemaker: Kubantu abanezinga lenhliziyo eliphansi noma i-arrhythmias, i-pacemaker ingase itshalwe ukuze ilawule isigqi senhliziyo futhi ivimbele ukuquleka.

4. Ukuhlinzwa

• Ukuhlinzwa Kwenhliziyo: Ezimweni zezinkinga ezinzima zevalvu yenhliziyo noma ukuvaleka, ukuhlinzwa kungase kudingeke ukuze kulungiswe inkinga ewumsuka futhi kuvinjwe ukuquleka.

Izinganekwane Namaqiniso Ngokuquleka

Inganekwane yokuqala: "Ukuquleka kuhlale kubangelwa izinkinga zenhliziyo."

Iqiniso: Nakuba ukuquleka kungase kuhlotshaniswe nezinkinga zenhliziyo, kungase kubangelwe nezinye izici ezinjengokuphelelwa amanzi emzimbeni, ukucindezeleka, noma ushukela ophansi egazini.

Inganekwane yesi-2: "Ukuquleka kuhlale kuyingozi futhi kudinga ukunakwa ngokushesha."

Iqiniso: Nakuba ukuquleka ngezinye izikhathi kungase kungabi nangozi, kubalulekile ukufuna ukuhlolwa kwezokwelapha uma iziqephu zivamile, zingachazwa, noma zihlotshaniswa nezinye izimpawu ezibucayi.

Izinkinga Zokuziba Ukuquleka

Uma ukuquleka kunganakwa futhi kungalashwa, kungaholela ezinkingeni, ezifana nalezi:

• Ukulimala kokuwa ngesikhathi sokuquleka
• Ingozi eyengeziwe yezinkinga ezihlobene nenhliziyo uma imbangela kuyi-arrhythmia noma isifo senhliziyo
• Ukukhathala okungapheli noma ukukhathazeka ngenxa yeziqephu zokuquleka njalo

Imibuzo evame ukubuzwa (FAQs)

1. Ingabe ukuquleka kuhlale kubangelwa umfutho wegazi ophansi?

Cha, ukuquleka kungase kwenzeke ngenxa yezici ezihlukahlukene, kuhlanganise nezinkinga zenhliziyo, izimo zemizwa, ukuphelelwa amanzi emzimbeni, noma ukucindezeleka.

2. Ingabe ukuquleka kungavinjelwa?

Ezimweni eziningi, ukuquleka kungavinjelwa ngokubhekana nezimbangela eziyisisekelo, njengokuhlala u-hydrated, ukulawula ukucindezeleka, nokwelapha izimo zezokwelapha ezifana nesifo senhliziyo.

3. Ingabe kufanele ngiye kudokotela ngemva kokuquleka?

Kutuswa ukuthi ufune usizo lwezokwelapha ngemva kokuquleka, ikakhulukazi uma kuwuphawu olusha, kwenzeka njalo, noma kuhlotshaniswa nezinye izimpawu eziphathelene nobuhlungu besifuba noma ukuphefumula kanzima.

4. Ingabe ukuquleka kungaba nemiphumela yesikhathi eside?

Ezimweni eziningi, ukuquleka akubangeli imiphumela yesikhathi eside, kodwa iziqephu zokuquleka ngokuvamile zingaholela ekulimaleni noma zibonise isimo sezokwelapha esicashile esidinga ukunakwa.

5. Kuthatha isikhathi esingakanani ukululama ekuqulekeni?

Ukululama ekuqulekeni kuvamise ukushesha, abantu abaningi babuye baphaphame phakathi kwamasekhondi ambalwa ukuya kumzuzu. Nokho, kubalulekile ukucacisa imbangela yokuvimbela iziqephu ezizayo.

Isiphetho

Ukuquleka kuwuphawu oluvamile olungavela ngenxa yezizathu ezihlukahlukene, kusukela kokuncane kuye kokunzima. Ukuhlonza imbangela ewumsuka nokufuna ukwelashwa okufanele kungasiza ekuvimbeleni ezinye iziqephu futhi kuthuthukise impilo yonke. Uma wena noma othile omaziyo equleka, kubalulekile ukuthintana nomhlinzeki wezokunakekelwa kwempilo ukuze uthole ukuhlolwa okuphelele nohlelo lokwelashwa.