Tsaus muag

Tsaus muag yog qhov tsis nco qab vim yog txoj kev ntshav khiav mus rau lub hlwb. Cov ntu feem ntau kav tsawg dua ob peb feeb thiab koj feem ntau rov qab los ntawm nws sai sai. Lub npe tshuaj rau tsaus muag yog syncope.

Thaum koj tsaus muag, koj tsis tsuas yog tsis nco qab xwb, koj kuj poob cov leeg nqaij thiab cov xim hauv koj lub ntsej muag. Ua ntej tsaus muag, koj yuav xav tias tsis muaj zog, tawm hws lossis xeev siab. Koj yuav muaj qhov kev txiav txim siab tias koj lub zeem muag yog constricting (tunnel vision) lossis lub suab nrov tau fading mus rau tom qab.

Tsaus muag yuav tshwm sim thaum lossis tom qab koj:

• Hnoos heev
• Tso plob tsis so tswj, tshwj xeeb yog tias koj muaj leeg xaim
• Tau sawv hauv ib qho chaw ntev dhau lawm
• Zis

Kev tsaus muag kuj tseem muaj feem cuam tshuam nrog:

• Kev ntxhov siab
• Ntshai
• Kev mob hnyav

Lwm yam ua rau tsaus muag, qee qhov yuav ua rau hnyav dua, suav nrog:

• Qee cov tshuaj, suav nrog cov siv rau kev ntxhov siab, kev ntxhov siab, thiab ntshav siab. Cov tshuaj no yuav ua rau ntshav nce siab.
• Siv tshuaj yeeb los yog dej caw.
• Kab mob hauv lub plawv, xws li lub plawv tsis txaus lossis plawv nres thiab mob hlab ntsha tawg.
• Kev ua pa nrawm thiab nqus tau (hyperventilation).
• Cov piam thaj hauv ntshav tsawg.
• Qaug dab peg.
• Tam sim ntawd cov ntshav siab poob qis, xws li los ntawm los ntshav los yog lub cev qhuav dej tsis txaus.
• Sawv ntsug dheev los ntawm ib txoj hauj lwm dag.

Yog koj muaj keeb kwm tsaus muag, ua raws koj tus kws kho mob cov lus qhia txog kev tiv thaiv kev tsaus muag. Piv txwv, yog koj paub txog cov xwm txheej uas ua rau koj tsaus muag, zam lossis hloov lawv.

Sawv los ntawm kev dag lossis zaum qhov chaw qeeb. Yog tias kev kos ntshav ua rau koj tsaus muag, qhia koj tus kws kho mob ua ntej kuaj ntshav. Nco ntsoov tias koj tau pw thaum lub sijhawm ntsuas tas.

Koj tuaj yeem siv cov kauj ruam kev kho mob no thaum ib tug neeg tau tsaus muag:

• Xyuas tus neeg txoj pa thiab ua pa. Yog tsim nyog, hu rau 911 lossis tus npawb xov tooj xwm ceev hauv zos thiab pib cawm siav thiab CPR.
• Ua kom cov khaub ncaws nruj nyob ib ncig ntawm caj dab.
• Tsa tus neeg ko taw siab dua theem siab ntawm lub siab (txog 12 ntiv taw lossis 30 centimeters).
• Yog tias tus neeg ntawd ntuav, muab lawv sab los thaiv kom daig.
• Tso tus neeg pw kom ntev li 10 mus rau 15 feeb, nyiam dua nyob rau qhov chaw txias thiab ntsiag to. Yog tias qhov no ua tsis tau, zaum tus neeg tom ntej nrog lawv lub taub hau ntawm lawv lub hauv caug.

Hu rau 911 lossis tus npawb xov tooj thaum muaj xwm ceev yog tias tus neeg uas tsaus muag:

• Poob los ntawm qhov siab, tshwj xeeb tshaj yog tias raug mob lossis ntshav ntshav
• Tsis sai sai sai (hauv ob peb feeb)
• Yog cev xeeb tub
• Yog hnub nyoog siab dua 50 xyoos
• Muaj ntshav qab zib (kuaj xyuas cov kab mob kev sib koom tes)
• Yim mob hauv siab, siab, lossis tsis xis nyob
• Lub plawv dhia lossis lub plawv dhia tsis xwm yeem
• Muaj qhov hais lus tsis meej, teeb meem tsis pom kev, lossis tsis tuaj yeem txav ib lossis ntau ceg
• Muaj qhov duav, mob tus nplaig, lossis ua kom lub zais zis los yog xoos tiv thaiv

Txawm hais tias nws tsis yog qhov xwm txheej ceev, koj yuav tsum tau mus ntsib cov kws kho mob yog tias koj tsis tau tsaus muag ua ntej, yog tias koj tsaus muag ntau zaus, lossis yog tias koj muaj cov tsos mob tshiab uas tsaus muag. Hu rau qhov teem caij mus ntsib kom sai li sai tau.

Koj tus kws kho mob yuav nug cov lus nug los txiav txim siab seb koj tsuas tsaus muag, lossis yog tias muaj lwm yam tshwm sim (xws li qaug dab peg lossis lub siab lub ntsws tsis sib xws), thiab xyuas seb yog vim li cas thiaj tsaus muag. Yog tias ib tug neeg pom tsaus muag, lawv cov lus piav qhia ntawm qhov kev tshwm sim tuaj yeem pab tau.

Kev kuaj lub cev yuav tsom rau koj lub siab, lub ntsws, thiab lub paj hlwb. Luag yuav kuaj koj cov ntshav siab thaum koj nyob rau ntau qhov chaw, xws li pw thiab sawv ntsug. Cov neeg uas xav tias tsam tsis meej yuav tau mus hauv tsev kho mob mus soj ntsuam.

Kev ntsuam xyuas uas yuav raug txiav txim suav nrog:

• Kev kuaj ntshav rau lub cev tsis txaus lossis lub cev tshuaj tsis txaus
• Kev sojntsuam mob raum
• Echocardiogram
• Electrocardiogram (ECG)
• Electroencephalogram (EEG)
• Holter saib
• Xoo hluav taws xob ntawm lub hauv siab

Kev kho yog nyob ntawm qhov ua rau tsaus muag.

Kis tawm; Lightheadedness - tsaus muag; Syncope; Vasovagal rov

Kab C, H, Z DP DP. Kev tsis ua haujlwm thiab syncope. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawv. 11th ed. Philadelphia, PA: Elsevier; 2019: chaaj 43.

De Lorenzo RA. Syncope. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 12.

Walsh K, Hoffmayer K, Hamdan MH. Syncope: kev kuaj mob thiab kev tswj hwm. Kev Tuav Pov Tseg Probl CardiolCov. Xyoo 2015; 40 (2): 51-86. PMID: 25686850 pubmed.ncbi.nlm.nih.gov/25686850/.