Dab tsi yog qhov qaij ntsuas, nws yog dab tsi thiab nws yuav ua li cas

Zoo Siab

• Dab tsi yog nws rau
• Kev npaj yuav ua li cas
• Tus yog li casqaij kuaj
• Saib xyuas tom qab kev kuaj mob
• Cov Yuav Tsum Tau Ua

O qaij kuaj, tseem hu ua kev ntsuas qaij lossis kev soj ntsuam tom qab kev ntxhov siab, yog qhov kev sim uas tsis muaj kev cuam tshuam thiab ua kom tiav txhawm rau tshuaj xyuas lub sijhawm ntawm syncope, uas tshwm sim thaum ib tus neeg tau tsaus muag thiab poob sai lossis hloov ntawm kev nco qab.

Feem ntau, qhov kev ntsuas no tau ua nyob rau hauv lub chaw ntsuas hluav taws xob hauv tsev kho mob lossis tsev kho mob thiab yuav tsum tau ua nrog rau kev sib xyaw nrog tus kws kho plawv thiab tus kws ntsuas mob lossis tus kws tu neeg mob thiab rau qhov uas yuav ua rau tus neeg yuav tsum yoo mov tsawg kawg 4 teev, kom tsis txhob malaise thiab xeev siab thaum lub xeem. Tom qab kuaj xyuas nws raug nquahu kom so thiab tsis txhob tsav tsheb yam tsawg 2 teev.

Dab tsi yog nws rau

O qaij kuaj yog qhov kev kuaj mob qhia los ntawm kws kho plawv tawm los ua kom tiav qee yam kabmob thiab cov mob xws li:

• Vasovagal lossis neuromediated syncope;
• Rov qab tshwm sim kiv taub hau;
• Cov tsos mob tom qab orthostatic tachycardia;
• Presyncope,
• Kev Tsis Txaus Siab.

Vasovagal syncope feem ntau yog qhov tseem ceeb uas ua rau tsaus muag hauv cov neeg tsis muaj teeb meem plawv thiab tuaj yeem raug cuam tshuam los ntawm kev hloov pauv ntawm lub cev, yog li ntawd qaij kuaj yog qhov kev ntsuam xyuas tseem ceeb los txheeb xyuas tus mob no. Nkag siab dab tsi vasovagal syncope thiab yuav kho nws li cas.

Tsis tas li, tus kws kho mob tuaj yeem hais kom ua lwm yam kev kuaj mob kom txiav txim rau lwm yam kabmob, xws li teeb meem nrog lub plawv dhia, piv txwv, thiab kuaj ntshav, electrocardiogram, echocardiography, 24-teev Holter lossis ABPM tej zaum yuav qhia tau.

Kev npaj yuav ua li cas

Ua qhov qaij kuaj nws yog ib qho tseem ceeb uas tus neeg yoo mov, nrog rau tsis haus dej, tsawg kawg 4 teev, vim hais tias raws li kev hloov pauv mus rau qhov chaw ntawm lub ncab, tus neeg yuav hnov ​​mob xeev siab thiab malaise yog hais tias lawv lub plab tag nrho. Nws kuj tseem pom zoo kom tus neeg mus rau chav dej ua ntej kev kuaj mob, kom nws tsis txhob cuam tshuam hauv ib nrab.

Ua ntej pib kev kuaj mob, tus kws kho mob yuav nug txog yam tshuaj uas tus neeg siv txhua hnub thiab tseem yuav nug txog qhov pib ntawm cov tsos mob thiab yog tias muaj xwm txheej uas cov tsos mob hnyav dua.

Tus yog li casqaij kuaj

Cov kev tshuaj xyuas ntawm qaij kuaj nws yog ua nyob rau hauv kev ntsuas tshuaj electrophysiology hauv tsev kho mob lossis tsev kho mob thiab yuav tsum tau ua nyob rau hauv kev saib xyuas ntawm kev kho plawv thiab tus kws saib xyuas neeg mob lossis tus kws saib xyuas neeg mob.

Lub sijhawm tag nrho ntawm qhov kev kuaj mob yog nyob ib ncig ntawm 45 feeb thiab nws ua tiav nyob rau hauv ob qib sib txawv, thawj zaug ntawm muaj cov lus dag ntawm lub ncab, txuas rau qee txoj siv sia, thiab tus nais maum hloov qhov chaw ntawm lub rooj, tilting nws mus rau saum. tib lub sijhawm xws li cov cuab yeej muab tso rau hauv lub hauv siab thiab sab caj npab ntsuas ntsuas ntshav siab thiab ntshav cov ntshav coj mus kuaj kev hloov pauv thaum kuaj.

Hauv ob ntu, tus nais maum muab tshuaj kom muab tso rau hauv qab tus nplaig, hu ua isosorbide dinitrate, hauv kev kho mob me me, yog li nws tuaj yeem pom nws lub cev ua li cas nrog cov tshuaj, yog tias ntshav siab thiab lub plawv hloov pauv ntau , hauv qib no tus nais maum kuj tseem hloov qhov chaw ntawm lub ncab mus.

Cov tshuaj no siv hauv qaij kuaj nws ua zoo li adrenaline thiab yog li ntawd tus neeg yuav hnov ​​mob me ntsis lossis hnov ​​zoo li qub thaum ua qee yam qoj ib ce. Yog tias ntshav siab dhau qis lossis tus neeg tsis zoo heev, tus kws kho mob tuaj yeem nres qhov kev ntsuas, yog li nws tseem ceeb kom sib txuas lus koj xav li cas.

Saib xyuas tom qab kev kuaj mob

Tom qab qaij kuaj tus neeg yuav mloog zoo li nkees thiab mob me ntsis, yog li nws yuav tsum pw li 30 feeb kom tus kws tu mob lossis tus neeg saib xyuas lub tsev kho mob pom.

Tom qab lub sijhawm no, tus neeg yuav tsum rov qab ua haujlwm li qub, txawm li cas los xij, nws raug nquahu kom tsis txhob tsav tsheb yam tsawg 2 teev. Yog hais tias tus neeg muaj malaise, ntshav qis heev los yog tau tawm hauv qhov kev kuaj mob, lawv yuav tsum siv sijhawm ntau nyob rau hauv kev saib xyuas ntawm tus kws kho mob thiab tus nais maum.

Cov txiaj ntsig sim feem ntau yuav siv sijhawm li 5 hnub thiab suav hais tias yog qhov tsis zoo yog tias tsis muaj ntau yam pauv ntshav siab thaum hloov pauv ntawm txoj hauj lwm ntawm lub ncab, txawm li cas los xij thaum kev tshwm sim zoo nws txhais tau hais tias ntshav siab hloov pauv ntau thaum lub sijhawm kuaj.

Cov Yuav Tsum Tau Ua

O qaij kuaj nws tsis yog qhia rau cov poj niam cev xeeb tub, cov neeg nrog txoj kev nqaim los yog ob lub cev ntawm carotid lossis aortic leeg lossis nrog orthopedic hloov uas tiv thaiv tus neeg sawv. Ib qho ntxiv, cov neeg uas muaj mob stroke yuav tsum tau muab tshwj xeeb thaum lub sijhawm kuaj mob.