Nammude Arogyam Sept 2019 | Page 81

s\ XpSÀ¶m-sW¶pw
IW-¡p-IÄ ImWn-¡p-¶p.
hr²-k-Z-\-§-fn Syncope
sâ tXmXv s]mXp kaq-l
-¯n-te-Xn-t\-¡mÄ hfsc
IqSp-X-em-Wv.
{][m-\-ambpw aq¶p
Imc-W-§-fmWv £-WnI
t_m[-£-b-¯n\p
Imc-Ww.
1. \-mÔo kw_-Ôw
( Neurally Mediated)
2. lr-Zb kw_-Ôw
( Cardiac Syncope)
3. A[n-I-ka-bw
\nÂ-¡p¶-Xv aqew
( Orthostatic Hypo Tension)
ta¸-dª aq¶p
hyh-Ø-Ifpw X½nÂ
At`-Zy-amb _Ô-§-fp-Å
-Xn-\m GsX-¦nepw Hcp
hyhØ XI-cm-dn-em-bmÂ
atä hyh-Ø-Isf {]tNm-Zn
-¸n-¡p¶Xpaqew AkpJw
]e aS-§mbn A\p-`-h-s¸-
Sm\pw CS-bp-ïv.
\mVo-kw-_-Ô-amb
]e Imc-W-§Ä sImïv
t_m[w \in-¡mw. ITn-\
-th-Z-\, `bw, Aan-Xm-Ëm-Zw
F¶nh aqehpw iàn
-bmb Npa aqehpw t_m[
-£bw Dïm-hm-dp-ïv.
aq{X-sam-gn-¨-Xn-\p-ti-jhpw
(Micturition Reflex) ae-tim-[-\
bv¡p tijhpw (Evacuation
Reflex) Nne-t¸mÄ Xm¡m
-enI t_m[-£bw Dïm
-hmw.
]e ImcWw aqew
lrZ-b-¯n \n¶pÅ
]¼n§v Ipd-bp-¶p. lrZ-b
-¯nsâ Xmfw sXäÂ
(Arrhyhmias) {]mb-ambhcnÂ
Gsd-bm-Wv. cà-¡p-g-ep-I
-fpsS Npcp-¡-§fpw
(Stenosis) lrZ-bm-Lm-Xhpw
]¼n§v Ipd-bv¡p-¶p.
A]qÀÆ-ambn izmk-tImi
tcmK-§fpw cà-Nw-{I-aW
Ipd-hn\p tlXp-hm-Ip-¶p.
\nhÀ¶p \n¡p-t¼m
-gpÅ t_m[-£bw Nne
-t¸mÄ Xe-Np-ä-ensâ
AI-¼-Sn-tbm-sS-bm-Imw
(Ortho Static Hypo Tension).
aq¶p an\n-än-\p-ÅnÂ
Xmgv¶ {]jÀ {Iao-I-cn-¡
-s¸-Sp-¶n-sÃ-¦n ho-gvN
-bv¡pÅ km²yXtbdp-¶p.
{]ta-lw, cà-¡p-d-hv,
\nÀÖ-eo-I-cWw F¶n
Ah-Ø-I-fn \n¡p
-t¼mgpÅ cà-k-½À±
-¯mgvN hf-sc-b-[n-I-ambn
ImW-s¸-Sp-¶p.
sNhn-bpsS AkpJw
aqe-apÅ Xe-¨p-äepw
(Vertigo) A]-kvam-chpw
(Epilepsy) cà-¯nse
]©-kmc A[n-I-ambn
Xmgv¶p-t]m-Ip¶ AhØ
(Hypoglycemia) bnepÅ
£oWhpw Syncope  \n¶v
thÀXn-cn-s¨-Sp-¡m³ tcmKn
-bpsS ]qÀÆ-Ime tcmK-§
-fpw, Ign-¡p¶ acp-¶p-I
-fpsS Adn-hpw, _m[-£bw
t\cn-«p-Iï hyàn-bnÂ
\n¶pÅ hnh-c-§fpw
A\nhm-cy-am-Wv.
tcmK-\nÀ®-b-¯n-\m-bn,
C.-kn.Pn, 24 aWn-¡qÀ
\oïp \n¡p¶
tlmÄ«À tamWn-«-dn§v
(Holter Monitoring) Echo cardio
graphy, ambulatory blood pressure
monitoring F¶n-hbpw
hni-Z-amb tZl-]-cn-tim-[-
\bpw Bh-iy-am-Wv.
\½p-sS B-tcm-Kyw | sk]vv-äw_À 2018 81