Mauleʻa

ʻO ka maʻule ka nalowale ʻana o ka ʻike ma muli o ke kulu o ke kahe o ke koko i ka lolo. ʻOi ka lōʻihi o ka hopena ma mua o nā minuke ʻelua a ola pinepine ʻoe mai ia manawa mai. ʻO ka inoa olakino no ka poniuniu ʻo synope.

Ke maule ʻoe, ʻaʻole ʻoe e ʻike wale, lilo pū ʻoe i ke kani a me ke kala i kou alo. Ma mua o ka maule ʻana, ʻike paha ʻoe i ka nāwaliwali, sweaty, a nauseated paha. Loaʻa paha iā ʻoe ke ʻano o kou hihiʻo e constricting (tunnel vision) a i ʻole nā ​​leo e mae i hope.

Hiki paha i ka palaka ʻoiai ma hope ou:

• Paukū paʻakikī loa
• E hoʻoneʻe i kahi ʻōpū, ʻoiai inā ʻoe e luhi nei
• Ua kū lōʻihi ma kahi hoʻokahi
• Mimi

Hiki ke pili pū kekahi me ka:

• Kaumaha kaumaha
• Makau
• ʻEha nui

Nā kumu ʻē aʻe o ka maʻule, kekahi o ia mau mea ʻoi aku paha ke koʻikoʻi, e hoʻopili pū me:

• ʻO kekahi mau lāʻau, e laʻa me nā mea i hoʻohana ʻia no ka hopohopo, kaumaha, a me ke koko kiʻekiʻe. Hiki i kēia mau lāʻau ke kulu i ke kahe o ke koko.
• Hoʻohana lāʻau lāʻau a lāʻau inu paha.
• ʻO nā maʻi puʻuwai, e like me ka puʻuwai puʻuwai abnormal a i ʻole ka hōʻeha puʻuwai a me ka hahau.
• Hanu wikiwiki a hohonu (hyperventilation).
• Koko kōpaʻa haʻahaʻa.
• Ka hopu ʻana i nā maʻi.
• Ka hāʻule koke o ke kahe o ke koko, e like me ke kahe ʻana o ke kahe a i ʻole maloʻo loa.
• Ke kū koke nei mai kahi kūlana wahaheʻe.

Inā loaʻa iā ʻoe kahi mōʻaukala o ka maʻule, e hāhai i nā ʻōlelo aʻoaʻo a kāu lawelawe mālama ola no ka mea pehea e pale ai i ka poni ʻana. ʻO kahi laʻana, inā ʻike ʻoe i nā hanana e maule ai ʻoe, pale a hoʻololi paha iā lākou.

E ala mālie mai kahi kūlana moe a noho paha. Inā hemo ke koko e maʻule ʻoe, e haʻi i kāu mea hāʻawi ma mua o ka hōʻoia ʻana o ke koko. E hōʻoia i kou moe ʻana i ka wā e pau ai ka hoʻāʻo.

Hiki iā ʻoe ke hoʻohana i kēia mau hana lapaʻau koke i ka maule ʻana o kekahi:

• E hōʻoia i ke ala ea o ke kanaka a me ka hanu ʻana. Inā pono, e kāhea iā 911 a i ʻole ka helu kūloko kūloko a hoʻomaka i ka hoʻopakele ʻana i ka hanu a me ka CPR.
• E hoʻokuʻu i nā lole paʻa ma ka ʻāʻī.
• E hāpai i nā wāwae o ke kanaka ma luna o ka pae o ka puʻuwai (ma kahi o 12 ʻīniha a i ʻole 30 kenimika).
• Inā ua luaʻi ke kanaka, e hoʻohuli iā lākou i ko lākou ʻaoʻao e pale ai i ke kolo ʻana.
• E mālama i ke kanaka e moe ana ma kahi o 10 a 15 mau minuke, ʻoi aku ka maikaʻi i kahi anuanu a mālie hoʻi. Inā hiki ʻole kēia, e noho i mua i ke kanaka me ko lākou poʻo ma waena o ko lākou mau kuli.

Kāhea iā 911 a i ʻole ka helu kūloko kūloko inā ka poʻe i maʻule.

• Fell mai kahi kiʻekiʻe, keu hoʻi inā ʻeha a hoʻokahe koko paha
• ʻAʻole wikiwiki e makaʻala (i loko o ʻelua mau minuke)
• Hapai
• Aia ma luna o 50 mau makahiki
• Loaʻa i ka maʻi diabetes (e nānā i nā kūpeʻe ʻike ʻike lapaʻau)
• ʻIke i ka ʻeha o ka umauma, kaomi, a i ʻole ka hōʻoluʻolu ʻole
• Loaʻa iā ia kahi puʻuwai kuʻi a i ʻole kuʻi
• Loaʻa ka nalowale o ka ʻōlelo, nā pilikia ʻike, a i ʻole hiki ʻole ke neʻe i hoʻokahi a ʻoi paha nā lālā
• Loaʻa ka haʻalulu, ʻeha kahi alelo, a i ʻole ka nalowale o ka maʻi ʻaʻa a me ka ʻōpū

ʻOiai ʻaʻole ia he kūlana pilikia, pono ʻoe e ʻike ʻia e kahi mea hāʻawi inā ʻaʻole ʻoe i maʻule ma mua, inā maule pinepine ʻoe, a inā he hōʻailona hou kou me ka maʻule. Kāhea i kahi manawa e ʻike ʻia ai e like me ka hiki.

E nīnau aku kāu mea hāʻawi i nā nīnau e hoʻoholo ai inā ʻoe maule wale, a i ʻole inā ua loaʻa kekahi mea ʻē aʻe (e like me ka hopu ʻana a i ʻole ka haunaele o ka puʻuwai), a ʻike i ke kumu o ka hopena maʻule. Inā ʻike kekahi i ka ʻāwaliwali, kōkua paha kā lākou wehewehe ʻana o ka hanana.

E nānā ka hoʻokolohua kino i kou puʻuwai, kou mau māmā, a me kou ʻōnaehana. Hiki ke nānā ʻia kou kaomi koko ʻoiai ʻoe ma nā kūlana like ʻole, e like me ka moe ʻana i lalo a me ke kū ʻana. Pono e hoʻokomo i ka poʻe me kahi arrhythmia i manaʻo ʻia i ka haukapila no ka hoʻāʻo ʻana.

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Nā ho'āʻo koko no ka anemia a i ʻole ke kino ʻole o ke kino
• Ka nānā ʻana i ka ritmo Cardiac
• ʻEchocardiogram
• Electrocardiogram (ECG)
• Electroencephalogram (EEG)
• Luna nānā Holter
• X-ray o ka umauma

Kaukaʻi pili i ke kumu o ka maule.

Ua hala i waho; Lightheadedness - maʻule; Syncope; Episode Vasovagal

ʻO Calkins H, ʻo Zipe DP. Hypotension a me ka synopeope. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: kahi puke o ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 43.

De Lorenzo RA. Syncope. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 12.

Walsh K, Hoffmayer K, Hamdan MH. Syncope: ʻike a me ka hoʻokele. ʻO Curr Probl Cardiol. 2015; 40 (2): 51-86. PMID: 25686850 pubmed.ncbi.nlm.nih.gov/25686850/.