Ana amfani da binciken da aka yi amfani da shi don yin la'akari da marasa lafiya waɗanda suka yi aiki tare (asarar sani) wanda ake zaton za a lalacewa ta hanyar abubuwan da suka faru . Yana da nazari mai sauƙi, kuma a mafi yawan lokuta akwai lafiya.
Ta yaya aka gwada gwajin
A cikin binciken da aka yi a taswirar, mai haƙuri yana ɓoye zuwa teburin, wanda aka ƙera ta hanyar inji zuwa matsayi na tsaye.
Yayinda yake lura da cutar, yaduwar jini, electrocardiogram , da kuma jinin oxygen saturation , mai haƙuri ya bar a "matsayi na tsaye" don minti 10 zuwa 60.
A cikin mutumin da ke da synccopy, wani binciken da aka yi amfani da shi a cikin tuni zai haifar da wani aikin syncopal. Idan wannan ya faru, ana nazarin binciken mai kyau, kuma an tabbatar da ganewar asalin syncope vasovagal.
Ta yaya aikin gwajin
Yayin da ake karkatar da kai tsaye - ko don wannan al'amari yayin da yake tsaye - tsarin mutum na zuciya ya kamata ya daidaita kanta don hana ƙananan ɓangaren jinin jini daga rikewa a kafafu.
Wadannan gyare-tsaren sun hada da ƙara karuwa a cikin zuciya da kuma rikicewar jini a kafafu. Lokacin da aka sanya wani mutum na al'ada a cikin karkatacciyar karkatacciyar karkata, waɗannan gyaran zuciya na zuciya suna faruwa sosai, kuma babu wata matsala mai yawa a cikin karfin jini.
Duk da haka, a cikin marasa lafiya tare da nau'in syncope guda biyu - hypotension kothostatic da syncope vasovagal - ƙwaƙwalwar jijiyoyin jini a karkatar da kai tsaye ba sa aiki kullum.
A cikin tsinkaye na al'ada , ƙarfin jiki na daidaitawa zuwa matsayi na tsaye yana da mummunan abu. Lokacin da wadannan mutane suka tsaya (ko kuma idan suna da binciken karatun tarin), bugun su ya karu da alama, kuma karfin jini ya saukowa. Wadannan marasa lafiya basu iya daidaitawa a matsayin matsayi.
Duk da haka, marasa lafiya da hypotension kothostatic yana buƙatar samun nazarin ilimin tarin binciken don ganewar asali, saboda likitoci zasu iya tabbatar da ganewar asali a ofishinsu kawai ta hanyar daukar jini gaba daya yayin da mai haƙuri ke kwance sannan kuma yayin da yake tsaye.
Har ila yau, nazarin karatun tayi yana da mawuyaci a cikin mutanen da ke tare da syncope vasevagal amma a cikin hanya mafi ma'ana. Gaba ɗaya, waɗannan marasa lafiya sun fara daidaitawa a al'ada daidai, amma a cikin minti 20-30 zasu iya samun kwatsam da alama na canji a cikin alamu masu muhimmanci - jinin jini yana saukewa sosai; Har ila yau, bugun jini ya saukad da su, sai suka wuce. Suna warke a cikin sannu kaɗan bayan an dawo da teburin, kuma an mayar da su zuwa matsayin kwanciya.
Sncope na vasovagal ne saboda kyawawan abin da ke haifar da dulluwa na jini a kafafu, da kuma rage jinkirin zuciya, duka biyu suna taimakawa wajen raguwa a cikin karfin jini. Abubuwa masu yawa da suka haifar zasu iya fara wannan abin da ake kira "vasomotor", wanda ya hada da abubuwa kamar tsoro, ciwo, da damuwa (kamar jini). Wani gwaji da aka yi amfani da shi a tasiri ya haifar da damuwa a kan tsarin na zuciya da jijiyoyin da ke aiki kamar yadda ya haifar. Nazarin binciken da aka yi amfani da shi, sannan yayi gwaji idan mutum yana da halayen kwastomotor refu, da kuma haɓakawa don haɓaka syncope vasovagal.
Yin Amfani da Tsarin Jigilar Tilt
Yayin da za a iya amfani da nazarin mahimmanci don gano asalin hypotension kothostatic, wannan jarrabawar ba zata zama dole ga marasa lafiya da wannan yanayin ba, wanda za'a iya ganowa a kowane ofishin likita. Babban mai amfani da binciken karatun tayi yana tabbatar da ganewar asali na synchronous syncope. Yin la'akari da wani matsala na al'ada a yayin da ake karkatar da kai tsaye zai iya ƙarfafa ganewar asali wanda ba a taɓa tabbatar ba, kuma saboda wannan dalili, nazarin karatun tayi na iya zama da amfani sosai a wasu lokatai.
Kwafin gwaji na iya zama mahimmanci wajen kare mummunan ɓangaren wariyar launin fata wanda shine, a rarrabe epilepsy daga syncope vasovagal tare da ƙungiyoyi masu rikici.
Duk da haka, ana amfani da jarrabawar da kyau. Za a iya gano yadda za'a iya bincikar juna tare da sauƙi a mafi yawancin lokuta ta wurin shan tarihin likita da kuma yin nazari na jiki.
Bugu da ƙari kuma, ko da a cikin mutanen da ke da alaƙa da juna, binciken da aka tsara a cikin layi ya sake haifar da bayyanar cututtuka kawai game da 70-75% na lokaci. A wasu kalmomi, 25-30% na waɗannan marasa lafiya suna da "nazarin ƙarya". Saboda haka, ba a yarda da binciken binciken ba, ya kamata a yi la'akari da "ma'auni na zinari" a cikin ganewar asali na syncope vasovagal. "Daidaran zinariya" har yanzu likitan likitan likita ne.
An yi amfani da gwaji mafi kyau a cikin gwaji a cikin marasa lafiya waɗanda tarihin su na nuna damuwa game da abubuwan da suka faru, amma inda akwai wasu shakka. A cikin wa] annan marasa lafiya, nazarin tasiri mai zurfi zai iya zuwa wata hanya mai zurfi a cikin lalata da ganowar asirin syncope .
Sources:
Ƙungiyar Ayyuka don Bincike da Gudanarwa na Syncope, Ƙungiyar Harkokin Kasuwancin Turai (ESC), Ƙungiyar Ƙwararrun Zuciya ta Turai (EHRA), et al. Sharuɗɗa don ganewar asali da gudanarwa na syncope (version 2009). Eur Heart J 2009; 30: 2631.
Leonelli FM, Wang K, Evans JM, et al. Girman kai-tsaye mai zurfi: hemodynamic da kuma neurohumoral profile. J Am Coll Cardiol 2000; 35: 188.