Mena kua whai take koe i te tukanga o te syncope (he mate te kore o te mahara e kiia ana he ngoikore), he mea nui ki a koe me to taakuta kia mohio he aha te take i puta mai ai te kaupapa. He maha nga take o te tukutahi, a, ki te kore e tae atu taau taakuta ki te taatai i roto i te huarahi rautaki, ka raruraru nga mea. Ko tenei tuhinga e matapaki ana i te huarahi whaitake me te ahumahi ki te waahanga o te syncope.
Nga Mea Tuatahi Tuatahi
I te aromatawai i te take o te tukutahi, he urupare tonu to taiota ki te whakautu: E whakaatu ana te tukutahi i roto i to keehi he mate nui ake o te mate ohorere? Ko te koa, ko te taenga mai ki tetahi whakautu ki tenei patai he tino tika tonu, me te pai, i roto i te nuinga o nga take ko te whakautu ki tenei patai he "Nama" Heoi, he mea nui kia whakautu i tenei patai i te wa poto. Mai i te mea ko te tukutaha i te ora e tata ana ki te hinengaro i nga wa katoa, ko te tikanga o to taakuta kia whakatau mehemea kei a koe, he ahua mate hinengaro nui ranei. Mena kua whakatauhia e to taakuta ko te tukunga o to tukutahi he mea mate ki te mate pukupuku, he mea tika te aromatawai tonu - a he mea tika kia whakamohiohia koe kia mutu ra ano te take e ora ai te ora, kei te pai ranei koe.
Mena (he nui ake te take) kaore i kitea e te taakuta tetahi tohu o te ahua o te oranga mo te ora, ka taea e ia te whakahaere i tetahi aromatawai iti kia hohoro te kimi i te take o to tukutahi, a, kaore e hiahiatia ana e te whare hauora.
He Tikanga Tuarua-Phased ki te Arotake i te Syncope
Wāhanga Tuatahi - Te Tuhituhi Me te Tohu Whanui
Koinei, te tawhiti me te tawhiti, ko te mahi tino nui i te tirotiro i te take o te syncope. Ko te hītori me te whakamātautau ā-tinana e whakaatu ana i ngā tohu nui i roto i te tautuhi i te nuinga o nga take o te tukutahi. Heoi, i te mea ka whakaakona nga taakuta katoa tenei, he maha, kaore, kaore pea i te ako.
Koinei te take me mohio koe ki tenei korero: I roto i te nuinga o nga take, me whai whakaaro pai te taakuta mo te take o te syncope i muri i tana korero ki a koe me te tirotiro ia koe. Na, mehemea kaore i tohia e to taakuta he hitori tino rongoa (e whakaatuhia ana i raro nei), a ka mahia he whakamatautau tinana poto, kaore i te mohio ki te aha i puta ai to tukutahi, me whakaaro koe kia kite i tetahi atu taote.
Ko te tango i tetahi hitori ahuru maiora me whakauru i nga korero mo tetahi hitori o te hinengaro ka taea e koe, tae atu ki: a) nga korero katoa e pa ana ki tetahi hitori o mua o te mate pukupuku; b) mehemea kaore koe i te hitori o te mate pukupuku, ka aromatawai i nga mea e raru ana mo te mate o te ngakau ; me te c) te uiui ki a koe mo tetahi hitori o te whanau ka taea e koe te mate pukupuku o te ngakau, ina koa nga korero a te whanau o te mate tata. I tua atu, me ui atu te taakuta ki a koe mo nga taipitopito o ia me nga waahanga o te tuhinga syncopal - i te wa katoa ka hoki mai ki te taiohi, mehemea e tika ana - tae atu ki nga korero e pa ana ki te wa i mahia ai e ia, i aha koe i te wa, ahakoa he raupapa whakatupato, he roa te roa o te waahanga, mehemea kua hoki koe ki te mohio i te wa i hinga ai koe, a kua kitea e koe he huarahi ki te whakauru i nga waahanga ki te kite koe i tetahi e haere mai ana.
Ko te whakamātautau ā-tinana me whakauru i ngā whakamātautau neurology me te whakamātautau hinengaro. Me tango tō tākuta i te pēhanga toto i roto i ia ringa, me te ine i to pēhanga toto me te pupuhi i a koe e takoto ana, me te wa ano ka tu koe.
I te mutunga o te hītori me te tinana, me whai whakaaro tō tākuta ki te aha e puta ai tō tukutahi. Engari, i te tino iti rawa o taau taakuta e mohio me pehea pea he raru mate pukupuku i puta ai te syncope - i roto i taua keehi, ko te mate tupapaku he raruraru. Mena kaore i whakaarohia te mate pukupuku o te mate pukupuku, na te tikanga ka hiahia a to taakuta ki te tono kia kaua e neke atu i te kotahi, e rua ranei nga whakamatau mo te whakamatau i ona whakaaro.
Me taea e ia te korero ki a koe he aha tana whakaaro ko te raruraru, a me waiho ano e koe he whakaaro ki te aha e whai hua ai te maimoatanga.
I tetahi atu, ki te whakamutuhia e to taakuta ki a koe, ka tu ki reira, ka ruru i tona mahunga, ka whakahau i te potae katoa o nga whakamatautau me nga tukanga, te pereki-rite, e aro ana ki nga raupapa kaari maha, na kei a koe mo te tino pakeke wa. Koinei te wa ki te whakaaro ki te rapu tuarua .
Wāhanga Tuarua - Te Whakaaturanga Whakatika
I muri i te hītori me te whakamātautau tinana:
- Mena kei te whakapaehia e to taakuta he take mate pukupuku mo to tukutahi , me mahi tonu te mahi a te hinengaro pukupuku. I roto i te nuinga o nga wa, ka uru mai tenei mahi- rorohiko ki te rechocardiogram , a, i etahi wa, he whakamatau i te whakamatautau . Mena ka kitea etahi ahua o te mate pukupuku mate (penei i te urutaru o te mate ), ka whakamaheretia te maimoatanga ki te whakaora i te raru kia wawe tonu. Mena ko tenei aromatawai tuatahi e tohu ana ki te arrhythmia ngakau pukupuku hei take o to tukutahi, ka hiahia pea koe ki te whakamatautau i te electrophysiologic . I tenei take, me tino hiahia koe ki te noho ki te aroturuki hauora kia tae ra ano ki a koe kia whiwhi koe i te rongoā. Pānuihia nga take hinengaro o te syncope.
- Mena kei te whakapae a taau tākuta he take koiora, ka tuhia pea e ia he scan CT o te roro, te electroencephalogram (EEG) ranei, i etahi atu mea, angiography (ko te tango i te ako ki te rorohiko ki te roro) ki te whakautu i te materanga. Ko te tukutahi e tika ana mo nga raruraru neuroto, ahakoa, he tino rereke.
- Mena kua taatatia e to taakuta, he tino kaha ranei ki te whakahua i te syncope vasomotor (ko te tikanga, ko te whakapae hihiri , ko te POTS ranei, ko te syncope ), kaore he waa atu e hiahiatia. I etahi wa, ka whai hua te ako o te taangata ki te whakauru i te waahanga. Engari i te nuinga o te wa, ka tautuhia tenei ahuatanga o te syncope, ka taea e to taakuta te neke tonu ki te whakatinana mahi. Ko te nuinga o nga tāngata kua mahi tahi ki te whakaputa i te mahi tukutahi .
- Mena ko to taakuta - ahakoa te whakamahi i te hïtori hauora me te mahi i te whakamatautau tinana-kaore ano he whakamohiotanga pai mo to tukutahi, he mea pai ki te mahi i te whakamatautau mate pukupuku ki te whakahaere i nga mate pukupuku o te mate pukupuku. Ko tenei whakamatautau ka whai i tetahi echocardiogram, i te nuinga o nga wa e aroturukihia ana e te hinengaro (kei hea koe e aroturuki ana i te aroturuki rorohiko i te kainga mo etahi ra, wiki ranei), me te whakamatautau i te whakamatautau . Ka whai hua ano hoki te ako i te ripanga papa . Mena ka noho tonu te syncope i muri i enei rangahau, ka taea te whakaaro i nga whakamatautau electrophysiologic.
Whakarāpopoto
Ma te whakamahi i tenei huarahi-rua-a-waa, ka taea pea e to taakuta te tautuhi i te take o to tukutahi tere me te tika, a ka taea e koe te whakauru i te whakamahinga tika i roto i te raupapa poto.
Kaupapa:
Strickberger SA, Benson DW, Biaggioni I, et al. AHA / ACCF Te Tohu Huataiao mo te aromatawai i te syncope: mai i te American Heart Association Councils i runga i te Cardiology Clinical, Natura Cardiovascular, Cardiovascular Disease i roto i te Young, me te Pakiaka, me te Kounga o te tiaki, me te putanga Hua Research Interdisciplinary; me te Kounga o te Kaunihera Cardiology American: i runga i te mahi tahi me te Heart Rhythm Society: i whakawhirinakihia e te American Autonomic Society. Waehau 2006; 113: 316.