Vagal kusapeza bwino, komwe kumatchedwanso "syncope", kumabweretsa kutaya chidziwitso kwa masekondi ochepa. Ndi chifukwa chakuchepa kwadzidzidzi kwa kuthamanga kwa magazi. Mawu oti "vagal" amachokera ku mitsempha ya vagus yomwe imadutsa thupi kuchokera kuubongo kupita m'mimba, imathandizira kuchepetsa ntchito zamtima ikathamanga. Poyenda pang'onopang'ono, mtima umabweretsa magazi ochepa m'mitsempha, ubongo umakhala ndi mpweya wocheperako, womwe umapangitsa kuti munthu akhale wopanda chidziwitso, koma nthawi zambiri amakhala wamfupi kwambiri.

Vagal kusapeza bwino ndi njira yodziwika kwambiri ya syncope kapena kutaya chidziwitso. Mwachipatala, njira ndi njira zamoyo zomwe zimakhudzidwa ndimtunduwu ndizodziwika, koma sizokwanira.

Kusasangalala ndi limodzi mwamavuto omwe anthu akukumana nawo masiku ano. akatswiri a mtima ndi akatswiri wamba. Zowonadi, pakakhala zochitika zapachaka (kuwonekera kwamatenda atsopano) pakati pa 1,3 ndi 2,7 pa anthu amodzi, kusakhazikika kwa vagal kuyenera kulingaliridwa mosamala.

Pali mitundu yosiyanasiyana yamavuto am'mimba:

• mawonekedwe ofatsa, omwe amachititsa mtundu wa syncope;
• mawonekedwe owopsa kwambiri, okhudza odwala omwe ali ndi zovuta zamatenda, monga zovuta za mtima, matenda amitsempha, ndi zina zambiri.

Syncope, chifukwa chake kusokonezeka kwa vagal, kumatanthauzidwa ngati kutaya chidziwitso mwadzidzidzi komanso kwakanthawi kochepa. Kubwerera ku "chikhalidwe chabwinobwino" kumangobwera mwachangu komanso mwachangu. Amadziwikanso ndi hypoperfusion yapadziko lonse lapansi. Kapenanso ndi kuchepa kwa mitsempha muubongo.

Nsawawa, chizungulire, nkhope yotuwa, kusawona bwino, thukuta, mkamwa wouma, kunyezimira kwamphamvu, kumva kulira, kufooka kwathunthu ... Munthu akamakhala ndi vuto la vagal, ndikofunikira kukweza miyendo yake kuti mpweya uwononge ubongo kuti ubwezeretse kukhazikika pamtima dongosolo.

• Ngati munthuyo wakomoka, akuyenera kuyikidwa mu Lateral Safety Position (PLS). Ntchito yoyamba iyi imagwiritsidwa ntchito kumasula mayendedwe amthupi.
• Ngati munthuyo sanazindikire msanga, ntchito zadzidzidzi ziyenera kudziwitsidwa nthawi yomweyo.

Mukawona kuti mukukumana ndi mavuto amtunduwu, yesani kugona pansi kapena kuswinyata, ngati mukukhala ndibwino kukhala pamenepo osadzuka.  

Kodi ndizizindikiro ziti zakusokonezeka kwa vagal?

Zina mwazinthu zitha kuthandizira kuzindikira kusokonezeka kwa vagal:

• kutentha;
• nseru;
• kutopa kwambiri;
• masomphenya omveka;
• thukuta;
• kuyamwa;
• kutsegula m'mimba;
• kukwapula motsatizana;
• mavuto akumva monga tinnitus.

Nthawi zambiri kusapeza bwino kumaliseche kumakhala kosavuta, komabe kugwa komwe kumayambitsa sikungakhale kwangozi.

Zomwe zimayambitsa ndizosiyanasiyana, zolumikizidwa ndi hypersensitivity kwamitsempha ya vagal kapena zinthu zina zakunja:

• nthawi yapanikizika kwambiri
• kugwira ntchito mopitirira muyeso
• kukhudzidwa, nkhawa
• kusokonezeka maganizo
• nyengo yotentha
• kumverera kwanyumba
• phobias (magazi, gulu, ndi zina)
• pambuyo mankhwala ochititsa dzanzi m'deralo 
• kumwa mankhwala ena, monga isoproterenol, nitroglycerol kapena ngakhale clomipramine. 

Nthawi zina, zomwe zimayambitsa kusokonezeka kwa vagal sizowopsa. Matenda a Neurobiological kapena mtima amatha kuchitika.

Mulimonsemo, munthu amene ali ndi vuto lakumaliseche kamodzi kapena angapo ayenera kufunsa akatswiri azaumoyo. Kuzindikira ndikuwunika kwamatenda azachipatala kudzathandiza kufotokoza zomwe zimayambitsa vutoli. Katswiri wa zaumoyo adzakhala ndi chidwi ndi mbiri ya wodwalayo, momwe amakhalira komanso momwe amakhalira (banja ndi akatswiri, ndi zina zambiri).

Njira zamoyo zomwe zimakhudzidwa ndi vuto la vagal sizikudziwika kwenikweni. Kuphatikiza apo, kwawonetsedwa kuti ubongo umakhudzidwa kwambiri.

Vagal kusapeza ndiye "reflex" kutsegula kwa ubongo wa kotekisi, komwe kumayambira mwachangu, kumapangitsa kuchepa kwa mtima komanso kuchepa kwa minofu.

Kutsegulira kwa njira zosinthazi kumayambitsanso

• bradycardia, kugunda kwa mtima pang'onopang'ono;
• vasodilation, kuwonjezeka kwa kukula kwa mitsempha ya magazi;
• kuthamanga kwa magazi, kutsika pang'ono magazi.

Anthu ambiri omwe ali ndi vuto la kumaliseche amafotokoza zizindikilo zazikulu: kudzimva kuti ndiwosayimirira akaimirira, chizungulire, kupweteka mutu, ndi "chizolowezi" pakatha mphindi zochepa.

Nthawi zina, kusapeza kungakhale kwakanthawi. Ndipo poterepa, kutayika kwa chidziwitso, komwe kumayambitsidwa ndi ubongo wa hypoperfusion, kumabweretsa mayendedwe okhumudwitsa kapena khunyu.

Zizindikiro zitha kuwoneka kusanachitike, monga kutopa kwambiri, kufooka kwa minofu, khungu lonyowa, kusokonezeka kwamaso kapena tinnitus.

Kuzindikira ndi chithandizo cha kusowa kwa vagal

Kuzindikira kusapeza bwino kwa vagal kumapangidwiratu ndikufunsa wodwalayo komanso kudzera pachipatala. Mafunso akuyeneranso kufunsidwa potengera gawo loyambirira la matendawa, makamaka ngati kutayika kwachidziwitso kuyenera kulumikizidwa ndi syncope, ngati wodwalayo ali ndi vuto la mtima kapena ngati pali zambiri zamankhwala pa munthuyo. akhoza kutsogolera matendawa.

Zipangizo za Vagal zosavomerezeka zimaloleza kuzizindikiritsa izi, mwachitsanzo kujambula makina kuti athe kuzindikira zomwe zingachitike. Pambuyo pa vuto loyamba, Electroencephalogram (ECG) imachitidwa.

Monga gawo la kasamalidwe ka vagal, kugona mchipatala kwakanthawi kochepa nthawi zina kumakhala kofunikira.

Mankhwala omwe amathandizidwa ndi chiopsezo cha vagal amakhala ndi kuchepa kwachisoni, ndikuchepetsa chiopsezo cha imfa. Zowonadi, syncope ikhoza kukhala zowonjezerapo zoopsa pangozi yakuntchito, potengera masewera olimbitsa thupi kapena / kapena masewera kapena ngozi zatsiku ndi tsiku.

La kusintha. ndi maphunziro oleza mtima ndi gawo la chithandizo choyambirira cha matendawa. M'malo mwake, pewani "zoyambitsa", monga malo ndi nthawi zomwe zingayambitse kupsinjika ndi chiopsezo. Komanso kuphunzira kwamanenedwe oyenera kuchitidwa poyimitsa gawo la syncopic.

Mankhwala samaperekedwa kwa odwala omwe apereka syncope imodzi kapena ziwiri zokha. Komabe, pakakhala zovuta zambiri, mankhwala amapezeka. Zina mwa izi ndi beta blockers, disopyramide, scopolamine, theophylline, ndi zina zotero.

Pomaliza, dotoloyo ali ndi udindo wopewa kuyendetsa pagalimoto potengera chiopsezo cha syncope. Zowonadi, chiopsezo cha syncopic chitha kukhala chowopsa kwa oyendetsa magalimoto, zomwe zitha kuyika wodwalayo, mwiniwake pachiwopsezo komanso kwa ena.

Pofuna kupewa kusokonezeka kwa vagal, ndibwino kudya chakudya chopatsa thanzi, kugona mokwanira, komanso kuchita masewera olimbitsa thupi pafupipafupi.

Okalamba komanso anthu omwe ali ndi zovuta zamatenda ali ndi nkhawa kwambiri ndi chiopsezo cha syncope. Zowonadi, aoopsa,  shuga kapena ukalamba umasokoneza kudziletsa kwa ubongo wa vascularization. Mwanjira imeneyi, chiopsezo cha syncope ndi chachikulu.

Kukula ndi kufalikira kwake ndikofunikira kwambiri ndi msinkhu (kuyambira zaka 70). Ku France, pafupifupi 1,2% ya zovuta zam'mimba zimabweretsa chisamaliro mwachangu. Odwala 58% omwe ali ndi vuto lotere ali kuchipatala.

Werengani komanso: 

• Kutaya chidziwitso