Vasovagal syncope yog dab tsi thiab yuav kho li cas

Zoo Siab

• Cov tsos mob tseem ceeb
• Yuav qhia li cas
• Dab tsi ua
• Yuav kho tus mob li cas

Vasovagal syncope, tseem hu ua vasovagal syndrome, reflex syncope lossis neuromedical syncope, yog ib qho kev poob sai sai thiab tsis nco qab, tshwm sim los ntawm kev txo qis ntshav ntws mus rau lub hlwb.

Qhov no yog qhov muaj feem ntau ntawm syncope, tseem hu ua tsaus muag, thiab nws tshwm sim thaum muaj ntshav siab thiab lub plawv dhia vim muaj qhov tsis tsim nyog rau qhov chaw mos ntawm lub paum, lub paj uas txuas tawm ntawm lub hlwb mus rau lub plab, thiab yog qho tseem ceeb heev rau kev tswj ntau lub luag haujlwm tseem ceeb. Nkag siab txog lub luag haujlwm thiab lub cev ntawm lub paj hlwb.

Txawm hais tias vasovagal syncope yog benign thiab tsis ua rau muaj mob txaus ntshai, nws tuaj yeem tsis tshua muaj txiaj ntsig thiab ua rau muaj kev txhawj xeeb xws li ua rau ntog thiab pob txha lov. Tsis muaj kev kho mob tshwj xeeb rau tus mob, tab sis nws muaj peev xwm lees txais kev ntsuas los tiv thaiv syncope, xws li txo kev ntxhov siab, nyob twj ywm hydrated thiab ua kev tawm dag zog lub cev.

Cov laj thawj uas ua rau muaj qhov pib ntawm vasovagal syndrome yeej tseem paub tsis meej, tab sis qhov kev hloov no muaj ntau rau cov neeg hluas hnub nyoog 20 txog 30, thiab hauv cov neeg laus dua 70 xyoo.

Cov tsos mob tseem ceeb

Hauv vasovagal syncope muaj qhov luv luv ntawm kev nco qab, uas kav los ntawm ob peb feeb mus rau feeb. Txawm hais tias nws feem ntau tshwm sim dheev, qee cov cim thiab cov tsos mob yuav tshwm sim ua ntej syncope, xws li:

• Qaug zog thiab tsis muaj zog;
• Hws tawm;
• Xeev siab;
• Pom kev hloov;
• Kiv taub hau;
• Pallor;
• Mob taub hau;
• Dysarthria, hais tias qhov nyuaj rau tshaj tawm cov lus. Saib ntxiv txog nws yog dab tsi thiab ua rau dysarthria;
• Qov caj dab los sis loog thoob plaws lub cev.

Rov zoo dua tom qab tsaus muag feem ntau yog ib qho sai thiab qee tus neeg, tshwj xeeb tshaj yog cov neeg laus, tej zaum yuav muaj cov tsos mob tom qab paub txog, xws li tsis meej pem, mob hlwb tsis meej pem, mob taub hau, xeev siab thiab kiv taub hau.

Yuav qhia li cas

Txhawm rau kuaj vasovagal syndrome, thiab cais nws txawv ntawm lwm hom kev kiv taub hau, tus kws kho mob yuav tsum ua tib zoo ntsuas kev soj ntsuam, txheeb xyuas cov tsos mob, kev tshuaj xyuas lub cev, kev soj ntsuam cov tshuaj uas siv thiab xaj kuaj, xws li electrocardiogram, holter thiab kuaj tsom.

O qaij kuaj nws yog qhov kev ntsuam xyuas uas tuaj yeem ua kom paub tseeb, thaum muaj kev ua xyem xyav txog qhov ua rau syncope. Nws yog kev tshuaj ntsuam xyuas los ntawm kev paub txog kev kho plawv, raws li nws sim simulate ib yam kev mob uas feem ntau yuav ua rau tsis nco qab, tshwj xeeb tshaj yog thaum nws tshwm sim vim kev hloov pauv ntawm lub cev. Yog li, thaum lub sijhawm kuaj, tus neeg mob pw ntawm lub ncab, uas yuav tau qaij rau hauv txoj haujlwm uas yuav ua rau hloov ntshav siab, thiab kuj yuav muaj stimuli los ntawm cov tshuaj.

Tseem kuaj xyuas lwm yam ntawv ntsuam xyuas lub plawv mob.

Dab tsi ua

Vasovagal syncope yog tshwm sim los ntawm kev poob hauv cov ntshav siab thiab lub plawv dhia vim qee qhov stimuli mus rau qhov chaw mos ntawm lub chaw mos. Qhov tseeb yog qhov uas ua rau kev txhim kho cov tshuaj tiv thaiv no los ntawm lub cev tseem tsis tau paub meej, txawm li cas los xij, qee qhov xwm txheej tseem ceeb uas ua rau muaj kev hloov pauv no yog:

• Ntxhov Siab;
• Kev ntxhov siab loj heev;
• Ntshai;
• Ache;
• Hloov pauv chaw sov;
• Sawv rau ntev;
• Kev tawm dag zog lub cev.

Tsis tas li ntawd, nws yog ib qho tseem ceeb kom soj ntsuam seb tus neeg mob siv cov tshuaj uas yuav ua rau lub zog pib ntawm qaug dab peg, xws li diuretics lossis beta-block antihypertensives, piv txwv.

Ntxiv rau, tus kws kho mob yuav tsum tshawb xyuas lwm qhov ua rau tsaus muag uas tuaj yeem tsis meej pem nrog vasovagal syndrome, xws li arrhythmias lossis epilepsy, piv txwv. Txheeb xyuas cov ntsiab lus tseem ceeb ntawm tsaus muag thiab yuav ua licas thiaj zam dhau.

Yuav kho tus mob li cas

Cov qauv tseem ceeb ntawm kev kho tus mob vasovagal syndrome yog nrog qhov kev saws me nyuam ntawm kev ntsuas kom tsis txhob muaj cov kev ua kom dhau los thiab tiv thaiv qhov teeb meem tshiab, xws li tsis sawv ntev, sawv mus sai, nyob hauv qhov chaw sov heev lossis muaj kev ntxhov siab heev.

Tsis tas li ntawd, tswj koj tus kheej kom zoo hydrated, haus 1.5 2 litres dej hauv ib hnub, thiab tshem tawm cov tshuaj antihypertensive uas yuav ua rau koj tus mob tsis zoo, yog qhov kev ntsuas tseem ceeb heev. Yog tias cov tsos mob tshwm sim qhia tias muaj kev nyuaj siab, koj tuaj yeem txais cov haujlwm uas ua rau txo tus mob, xws li dag nrog koj ob txhais ceg tsa kom siab, ua cov leeg tawm mus thiab ua tsis taus pa.

Kev siv tshuaj kho mob tej zaum yuav qhia los ntawm tus kws kho mob rau qee qhov tsis txhim kho nrog kev kho mob thaum pib, xws li Fludrocortisone, uas yog mineralocorticoid uas ua rau kom muaj kev tuav cia dej thiab sodium hauv cov hlab ntshav, lossis Myodrine, uas yog cov tshuaj uas nce ntxiv lub plawv cov hlab ntshav thiab lub plawv, pab ua kom ntshav siab nyob ruaj khov.