Also denominated lipotimia or faint,
brief loss of the knowledge due to
anoxia, that is to say, that does not arrive sufficient oxygen at all the brain due to
transitory diminution from the sanguineous contribution from the same one.
One calculates that half of the population
suffered some episode throughout its life.
Normally, the recovery is fast and completes.
5% of the cases it must to
, in 95% of them is not
cause that justifies
Nevertheless, leading factors of this loss of conscience exist:
or the heat.
usually happens, except in rare occasions (by
) when the subject is standing seated or, being very rare if it is fallen down, although yes can happen abruptly when getting up
He is frequent in the people with
artrosis, although in these cases usually one accompanies by other signs and symptoms of lack of
irrigation (postural instability,
He is more frequent in young women with the
naturally it lowers, and it is related to the denominated "ortostática hypotension", picture in which
bad adaptation of the circulation in relation to the
causes that "the blood does not follow the body" when rising or to straighten
Signs and symptoms.
In general, the subject note previously I am annoying, gastric malaise, perspiration, blurred vision, pallor.
If the subject eases up or if it were stopped and it begins to move, the
if it remains of foot falls unconscious, thus remaining during seconds or minutes.
, it takes place of abrupt form or after some effort.
Lipotimias which they take place by different situations (heat, pain,
) that usually go preceded of the sensation of I am annoying, do not need medical treatment.
When the patient is On guard horizontal, or because it
fallen or because
eased up, the
flow is recovered and the conscience level recovers quickly.
Factors of risk.
Asthenic constitution (thin)
High environmental temperature.
To see general measures.
Diagnosis and ratamiento.
In spite of the little frequency of underlying
, they will have to discard: for it usually it is enough with
simple x - ray of
The ortostática hypotension can be diagnosed by means of complex tests, that normally they are not necessary.
Sometimes it is necessary to distinguish
, for which the
or specialist will make the opportune tests.
Before one lipotimia, helps the subject to tend and levántele the legs over the level of the heart.
If there is site no to tend to him, ayúdele to ahead incline towards and colóquele the head between the knees, the
or the waist.
If one is in
closed site, opens the window.
If it is outdoors, retírelo of the sun.
Avoid that people to his crowd themselves around.
In the faints, the
stimulation with cold is useful.
During the faint, póngale the head of side to avoid that the
falls and can
the aerial route, or in case vomits.
If the patient rises quickly, another new episode can be precipitated; for that reason, it tries that it is gotten up little by little.
It is important to emphasize that nothing by mouth is due to give him until it recovers the knowledge completely.
we have said that one recovers generally without sequels and that they do not need treatment, yes must study the cases of síncopes that they appear in greater people, in case that they are very repeated or they appear after
effort, since they can be consequence of
that must be valued by its
with the purpose of administering the corresponding treatment to him.
The most frequent complication is to injure
by the fall, that can arrive, in the greater people, to the
The prevention of the faint depends on the mechanism that causes it; we will have because to try as far as possible to prevent this circumstance avoiding the excessive heat, not making abrupt incorporations
seating in the bed and remaining seated seconds before rising.