Kufenda

Kufenda kurasikirwa kwenguva pfupi kwekuziva nekuda kwekudonha kweropa kuyerera kuenda kuuropi. Iyo episode inowanzo gara isingasviki maminetsi mashoma uye iwe unowanzo kupora kubva pairi nekukurumidza. Zita rekurapa rekufenda isncopeope.

Paunofenda, haungorasikirwe nehana chete, zvakare unorasikirwa nemhasuru toni uye neruvara kumeso kwako. Usati wafenda, unogona kunzwa kushaya simba, kudikitira, kana kusvotwa. Unogona kuve nepfungwa yekuti chiratidzo chako chiri kudzimbikana (tunnel chiratidzo) kana ruzha ruri kupera kumashure.

Kufenda kunogona kuitika iwe kana shure kwako:

• Kosora chaizvo
• Ita ura, kunyanya kana uri kutambura
• Ndakamira panzvimbo imwechete kwenguva refu
• Weti

Kufenda kunogona zvakare kuve nehukama ne:

• Kushungurudzika mupfungwa
• Kutya
• Kurwadziwa kwakanyanya

Zvimwe zvikonzero zvekufenda, zvimwe zvacho zvingave zvakakomba, zvinosanganisira:

• Mimwe mishonga, kusanganisira iyo inoshandiswa mukushushikana, kushushikana, uye neBP. Iyi mishonga inogona kukonzera kudonha kweropa.
• Kushandisa zvinodhaka kana doro.
• Chirwere chemwoyo, senge chisina kujairika moyo mutinhimira kana chirwere chemwoyo uye sitiroko.
• Inokurumidza uye yakadzika kufema (hyperventilation).
• Shuga shoma yeropa.
• Kufenda.
• Kamwe kamwe kudonha kweropa, senge pakubuda ropa kana kuderedzwa zvakanyanya.
• Kusimuka zvakanyanya pakarepo kubva panzvimbo yekunyepa.

Kana iwe uine nhoroondo yekufenda, tevedza kuraira kwako kwehutano hwekuchengetedza maitiro ekudzivirira kupera simba. Semuenzaniso, kana iwe uchiziva mamiriro ezvinhu anoita kuti ufende, dzivisa kana kuzvichinja.

Simuka kubva pakunyepa kana kugara pasi zvishoma nezvishoma. Kana kutorwa ropa kuchikuita kuti ufende, udza mupi wako usati waongororwa ropa. Ita shuwa kuti iwe unorara pasi kana bvunzo dzaitwa.

Unogona kushandisa matanho ekurapa nekukurumidza kana mumwe munhu afenda:

• Tarisa mweya wemunhu uye kufema. Kana zvichidikanwa, fonera 911 kana iyo yemuno emergency emergency uye utange kununura kufema neCPR.
• Sunungura mbatya dzakakomberedza muhuro.
• Simudza tsoka dzemunhu pamusoro pechikamu chemoyo (anenge gumi nemaviri inches kana makumi matatu masendimita).
• Kana munhu akarutsa, mutendeudze divi ravo kudzivirira kudzipwa.
• Chengetedza munhu akarara pasi kwemaminitsi gumi kusvika gumi nemashanu, kunyanya munzvimbo inotonhorera uye yakanyarara. Kana izvi zvisingaite, gara munhu kumberi nemusoro pakati pemabvi.

Fonera 911 kana iyo yemuno emergency emergency kana munhu akafenda:

• Wira kubva pakakwirira, kunyanya kana wakakuvara kana kubuda ropa
• Hazvikurumidze kukasira (mukati memaminetsi mashoma)
• Ane pamuviri
• Anopfuura makore makumi mashanu
• Ane chirwere cheshuga (tarisa marondedzero ekurapwa)
• Anonzwa kurwadziwa kwepfupa, kumanikidzwa, kana kusagadzikana
• Ane kurovera kana kusagadzikana kwemoyo
• Ane kurasikirwa kwekutaura, matambudziko ekuona, kana asingakwanise kufambisa rimwe kana mamwe mawoko
• Ane kugwinha, kukuvara rurimi, kana kurasikirwa kwedundira kana ura

Kunyangwe isiri iyo emergency emergency, iwe unofanirwa kuonekwa nemupi kana usati wambofenda, kana ukapera simba kazhinji, kana uine zviratidzo zvitsva nekufenda. Shevedza musangano kuti uoneke nekukurumidza sezvazvinogona.

Wako mupi achabvunza mibvunzo kuti aone kana iwe wakangopera simba, kana kana chimwewo chinhu chakaitika (sekubatwa kana kukanganiswa kwemoyo mutinhimira), uye kuti uone chinokonzera chiitiko chinopera simba. Kana mumwe munhu akaona chikamu chinopera simba, tsananguro yavo yechiitiko inogona kubatsira.

Iko kuongorora kwepanyama kuchazotarisa pamwoyo wako, mapapu, uye huta hurongwa. Kuwedzera kweropa rako kunogona kuongororwa paunenge uri munzvimbo dzakasiyana, senge kurara pasi uye kumira. Vanhu vane fungidziro arrhythmia vangangoda kupinzwa muchipatara kuti vaongororwe.

Miedzo inogona kurairwa inosanganisira:

• Kuongororwa kweropa kweanemia kana kusaenzana kwemakemikari emuviri
• Cardiac mutinhimira yekutarisa
• Echocardiogram
• Electrocardiogram (ECG)
• Electroencephalogram (EEG)
• Holter yekutarisa
• X-ray yechipfuva

Kurapa kunoenderana nechikonzero chekufenda.

Kufenda; Lightheadedness - kufenda; Syncope; Vasovagal episode

Calkins H, Zipes DP. Hypotension uye syncope. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 43.

De Lorenzo RA. Syncope. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits.

Walsh K, Hoffmayer K, Hamdan MH. Syncope: kuongororwa uye manejimendi. Curr Kuva Kadhii. 2015; 40 (2): 51-86. PMID: 25686850 pubmed.ncbi.nlm.nih.gov/25686850/.