Kukomoka: Zifukwa ndi thandizo

которого будут рассмотрены далее, не является болезнью. Kukomoka, zimayambitsa zomwe akambirana nthawi ina, si matenda. Izo zili yochepa imfa ya chikumbumtima. Ndi chifukwa boma la kuchepa lakuthwa kupezeka oziziritsa, limodzi ndi kuphwanya ntchito mtima. The sayansi dzina izo - syncope. Tiganizire moposera, chifukwa kumachitika kukomoka. синкопе также будут описаны в статье. Zizindikiro za syncope amatchedwanso nkhaniyi.

Gawo

Woyamba ndi kunena kuti ku chikhalidwe chikomokere chiribe, ngakhale munthu wathanzi, kotero musawafulumizitse kuchitira monga chizindikiro cha kudwala kwambiri. Komabe, mwambo syncope adziwona katswiri. Zochita kusiyana ndi amene adapangidwa pakati pa boma lino la syncope ndi chokhala izo. Zoyambazo monga:

1. Neurocardiogenic mawonekedwe.
2. Orthostatic hypotension. обусловливается замедлением кровотока мозга при резком перемещении тела в вертикальное положение из горизонтального. Ichi ndi chifukwa faintness liwiro oziziritsa magazi pa lakuthwa avundulidwe thupi mu malo ofukula ku yopingasa.
3. Arrhythmogenic syncope. Amaona zoopsa kwambiri. Pankhaniyi, prerequisites ndi kusintha morphological m'zotengera magazi ndi mtima.
4. Kuchepa kwa chikumbumtima chifukwa cha matenda cerebrovascular. Zikuphatikizapo kusintha mu zotengera oziziritsa magazi, magazi matenda.

Ena limati amatchedwa syncope, koma iwo saona monga syncope, ngakhale kuti kuyang'ana kwambiri ngati iye. Njirazi ndi monga:

1. Kuchepa kwa chikumbumtima chifukwa cha matenda kagayidwe kachakudya. Mwachitsanzo, magazi shuga - kutsitsa misinkhu shuga, hyperventilation ndi kuchepetsa carbon dioxide, mpweya njala.
2. Khunyu kudwala.
3. Chosakhalitsa ischemic kuukira vertebral chikhalidwe.

njira zina

Ena zinthu amafanana kukomoka, koma osati limodzi ndi kufa kutsitsimuka. Pakati pawo:

1. Cataplexy - yochepa minofu zosangalatsa. Munthu mu nkhani iyi, simungathe kukhalabe ndi mathithi.
2. Syncope chiyambi psychogenic.
3. Mwadzidzidzi zikuchitika chakhungu kugwirizana kayendedwe - ataxia mu mawonekedwe pachimake.
4. kuukira chosakhalitsa amagwirizana ndi matenda a magazi aziyenda bwino mu mitsempha carotid (carotid).

mawonekedwe neurocardiogenic

Akukhulupirira kuti ndi kukomoka ambiri. его возникновения не связаны, как правило, с изменениями в сердце и сосудах. zimayambitsa sali, monga ulamuliro, kusintha ziwiya mtima ndi magazi. Likutchedwa kuti zinthu ambiri m'banja. возникает в транспорте, душном помещении, вследствие стресса. Mwachitsanzo, kukomoka amapezeka zoyendera yatsekera chipinda, chifukwa maganizo. Komanso syncope kumachitika pamene inu mumachita njira zosiyanasiyana mankhwala. Akuti kuthamanga kwa magazi, omwe kugwa pansi swoon, mu boma yachibadwa ali kambiri. Kuchokera pamenepa, ndizoonekeratu kuti onse "udindo" misampha iri ndi maonekedwe a mantha dongosolo autonomic, makamaka wake wachifundo ndi parasympathetic magawano. Mothandizidwa ndi zinthu zina n'kusiya ntchito konsati iyamba chizungulire, kufooka. такого рода у подростков и детей заставляет родителей испытывать тревогу. Faintness a mtundu wake achinyamata ndi ana amachititsa makolo nkhawa. Pa mau omwewo kuti syncope si chifukwa cha pathologies aakulu, akulu sindikufuna zambiri zingachepetse. Akuti zinthu zambiri nkhawa makolo wolungama. сопровождается падением, что, в свою очередь, может привести к серьезным травмам. Kukomoka limodzi ndi kugwa, womwe zingachititse kuvulala kwambiri.

prerequisites Ofunika

Kukomoka akhoza amachepa chifukwa cha zifukwa. Iwo akhoza kukhala kwambiri ndipo ambiri, ndi ponseponse. Pakati pa malo zofunika tisaiwale:

1. Kutentha. Mawu akuti "mkulu kutentha" kutanthauziridwa ndi anthu osiyanasiyana m'njira zosiyanasiyana. Ena amaganiza zabwinobwino pa madigiri 40, koma kwa wina ndi 25-28 - kale mosaneneka otentha, makamaka m'nyumba. Monga ulamuliro, kukomoka zimenezi zikuchitika mu zoyendera m'chilimwe. Zinthu zovuta ndi zinthu monga khamu lalikulu la anthu, fungo osiyana.
2. Yaitali kusowa kwa madzi ndi chakudya. The kukomoka pafupipafupi kugwa anthu ofuna kuonda msanga kapena amakakamizidwa kwambiri kuchepetsa kudya chakudya.
3. M'mimba, kusanza, imfa ya yambiri madzimadzi.
4. Nkhawa pamodzi ndi kupuma mofulumira.
5. Mimba. Iwo limodzi ndi zosiyanasiyana matenda. Pakati pawo - kuchepetsa vuto la kuthamanga, pafupipafupi pokodza, nseru. при беременности – явление достаточно частое. Kukomoka pakati - chodabwitsa kwambiri kawirikawiri. Komanso, nthawi zambiri zimasonyeza syncope izo.
6. Chakudya poizoni. Mantha, ululu nthawi zambiri limodzi ndi chizungulire. Kukomoka bwino zimayamba ndi mantha mantha.
7. Rapid magazi otayika. Nthawi zambiri othandizira ndalama pa zoperekazo magazi kutaya kutsitsimuka. Izi zimachitika osati chifukwa chakuti anasiya kuchuluka kwa madzi kuchokera chotengeracho, ndi chifukwa chakuti thupi sangathe nthawi zingathandize limagwirira chitetezo.
8. Pamaso pa magazi kapena zilonda. Akuti mu milandu nthawi zambiri kutaya chikumbumtima amuna.
9. Zotsatira zoyipa za ena mankhwala.

zinthu pathological

Njirazi ndi monga:

1. Hypovolemia. Pamene mofulumira amachepetsa magazi buku chifukwa phwando vasodilators ndi okodzetsa, munthu watha kutsitsimuka.
2. Yafupika shuga okhutira (hypoglycemia).
3. Magazi m'thupi (magazi).
4. Infarction, subarachnoid kukha magazi.
5. zingapo pathologies endocrine.
6. Space-agwilitse zotupa mu ubongo, impeding magazi.

Nthawi zambiri kuyambitsa kusintha kukomoka mu ntchito kwa dongosolo mtima kugwirizana ndi kuchepa mu chipsyinjo. Zikatero, thupi alibe nthawi yochepa kuti athe chitetezo, azolowere zinthu. zoipazi yafupika mtima alibe nthawi kuonjezera linanena bungwe, magazi, motero, Sindizakubweretsanso zofunika kuchuluka kwa mpweya ubongo.

Zizindikiro za syncope

Mu malo oyamba munthu kuyamba kudwala. Monga ulamuliro, odwala yochepa chonchi zimaonetsa chikhalidwe. Komanso amachita thukuta ozizira. Kenako akuyamba nseru, miyendo akugwedezeka. Kunja, pali pallor a khungu. makutu anga akayamba alire akuona - n'kuti ntchentche. Chizungulire akuyamba asanakhale kutsitsimuka. наступает достаточно быстро. Kukomoka amapezeka mofulumira zokwanira. munthu watha kutsitsimuka. Pa nthawi yomweyo nkhope yake ali azioneka grayish. kukakamiza yafupika, adzionere yekha ndi ofooka ndi zambiri mofulumira. Komabe, kodi si lilibe ndi bradycardia (pang'onopang'ono mungoli). Ana dilated mtima, koma anachita kuwala alipo, ngakhale belatedly. Childs, pambuyo masekondi angapo munthu n'kudzuka. Ngati kumuukira limapitirira (mphindi zisanu kapena kuposa), pangakhale khunyu, musanaganizire pokodza. anthu osadziwa mungaone kuti kulanda anayamba.

Kodi kuchita?

Nthawi zambiri kudza kuukitsidwa popanda thandizo kuchipatala (ngati palibe kuvulala ndi syncope sunakhalitse). Komabe, tiyenera atsogolere pambuyo-kukomoka. Ngati munthu ali chikomokere, chitani zotsatirazi:

1. Kuwaza madzi pa nkhope (ozizira).
2. Kumasulira wovulalayo mu malo yopingasa. Pankhaniyi, pansi miyendo kuika pilo kapena khushoni, kotero kuti mutu anali poyerekeza msinkhu wawo.
3. Kumasula tayi, lotseguka kolala, kupereka mwayi mpweya.

mboni ambiri ayamba kumvetsa mwakamodzi ammonia. Koma kumbukirani kuti muyenera kusamalira mosamala kwambiri. Makamaka, ife sitingakhoze kubweretsa thonje ubweya ankawaviika ndi kununkhiza salt, pafupi kwambiri ngati inhalation zakuthwa nthunzi zingachititse reflex kupuma kumangidwa. Pankhani mwadzidzidzi, izo zokhudzana ndi kupereka kusonyeza kwambiri ndi kuwonongedwa kwa zimayambitsa syncope kapena zotsatira zake (mutu zoopsa, mabala, mikwingwirima, etc.). Pakali pano, musati muziyang'anira kupeza maziko yaitali syncope popanda maphunziro oyenera. Lakuthwa kukomoka likhoza kulumikizidwa ndi pathologies lalikulu mtima. Pambali imeneyi, yankho lanzeru ndi kuitana ambulansi.

diagnostics

Kuphunzira woyamba ikuchitika a wovulalayo. Pa izo amasonyeza mbali ya thupi, kuwayeza zimachitika kuthamanga (pa manja awiri), ndi kuyang'aniridwa mtima zikumveka. Komanso, anazindikira ubongo pathological bongo, kuphunzira ntchito za mantha dongosolo autonomic. Laboratory matenda kumaphatikizapo kutenga chikhalidwe kusanthula ambiri a mkodzo ndi magazi, otsiriza - ndipo ngakhale shuga. Anachita ena mayesero amuzolengedwa, malingana ndi matenda zotheka. Pa siteji koyamba matenda mtima wopanga electrocardiogram. Ngati ndi kotheka, ntchito njira radiographic.

zinthu zazikulu

Ngati mukuganiza kuti chikhalidwe cha syncope arrhythmogenic tikunena mtima. Makamaka zimapezeka:

1. Veloergometry.
2. US.
3. X-ray wa opacification mtima wa kholingo.
4. Holter.

Pansi azilandira boma zinthu akhoza kugwiritsa ntchito njira yapadera kufufuza za pathologies mtima. Ngati amaganiza kuti syncope amayamba ndi zotupa organic kwa ubongo kapena chifukwa pakuwonekera kwake limapezeka mdima zakuwala- kochepa, akonzedwa a njira yodziwira likukula kwambiri. Mwa zinthu tatchulazi akhoza kuwonjezeredwa:

1. X-ray a Chigaza, ndi khomo lachiberekero msana, sella.
2. Kudzifufuza ndi maso ndi.
3. Electroencephalogram, ndi polojekiti kuphatikizapo, ngati pali kukayikirana pa chiyambi cha khunyu khunyu.
4. Echoencephalography.
5. Doppler ultrasound (mu kudwala mtima).
6. Kujambula, CT, pamaso pa hydrocephalus, zotupa danga-agwilitse.

mankhwala

Kuchiza ndi kupewa syncope kudzadalira zimayambitsa awo. Pankhaniyi, dokotala si nthawi zonse analimbikitsa mankhwala. Mwachitsanzo, pamene madera a vasovagal ndi orthostatic makamaka ntchito amapita ku zamaganizo a. Katswiri limaphunzitsa mtima kupewa zinthu zimene zingachititse syncope. Komanso, tikulimbikitsidwa kuphunzitsa kamvekedwe mtima, tempering. Tiyenera kuyesa kukhala zochepa chatsekedwa ndipo yatsekera zipinda, kupewa kusintha mofulumira malo thupi. Amuna zina, akulangizidwa kuti uzichita kukodza mosapumira. Syncope chifukwa kuchepetsa kuthamanga, nthawi ankachitira ndi mankhwala kuwonjezera magazi. Komanso amaganizira chifukwa cha chikhalidwe. Nthawi zambiri chifukwa cha dystonia neuro. Choncho, mu zinthu zimenezi, mankhwala mankhwala okhudza mantha dongosolo autonomic. chidwi linaperekedwa kukomoka mobwerezabwereza. Iwo akhoza kukhala arrhythmogenic chikhalidwe. Kumbukirani kuti iwo azitaya atamwalira mwadzidzidzi.

Pomaliza

Sangathe kulankhula za ngozi kapena ngozi syncope. Pasanakhale adzapezeka chifukwa cha syncope ndi khunyu munthu nkhawa nthawi, kuneneratu kuti chinachake chovuta. Kodi mkulu ndi chiopsezo zitha anatsimikiza maphunziro mwatsatanetsatane.