Ɛtɔ mmere bi a, ebia woate nka sɛ wo koma bɔ kɔ soro mpofirim a ntease biara nnim. Te sɛ nea woaguan nkyɛe. Eyi betumi ayɛ osuahu a ɛyɛ hu kakra ama nnipa binom. Enti ɛnnɛ yɛreka ɔkwan tiawa bi a w’ankasa wubetumi ayɛ wɔ bere te sɛ eyi mu, a worennom aduru biara mpo ho asɛm. Nanso eyi nyɛ biribi a obiara betumi ayɛ, bere biara. Momma yɛnhwɛ mu nkɔ akyiri.
Dɛn ne Valsalva maneuver no?
Sɛ yɛbɛka no tiawa a, eyi yɛ ɔkwan titiriw a wɔfa so home. Nea ɛka ho ne sɛ wobɛto wo hwene ne w’ano na wode nhyɛso bi aba wo nipadua so bere a worebɔ mmɔden sɛ wobɛhome no. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛsɛ sɛ woyɛ eyi a wote nka sɛ worebɔ mmɔden sɛ wobɛtow wo ho agu bere a worekɔ tiafi no .
Wɔtaa de saa kwan yi di dwuma de siw koma mu yare bi a wɔfrɛ no ``Supraventricular Tachycardia (SVT)``, a koma no bɔ kɔ soro mpofirim no so. Ɛtɔ mmere bi a, eyi ne ɔkwan a edi kan a nnuruyɛfo bɔ mmɔden sɛ wɔbɛma koma no abɔ sɛnea ɛsɛ ansa na wɔama nnuru.
Nanso eyi nyɛ biribi a ɛsɛ sɛ w’ankasa woyɛ. Ɛsɛ sɛ woyɛ eyi bere a wo duruyɛfo aka ho asɛm akyerɛ wo na wasi so dua sɛ ɛfata ma wo koma a ɛyɛ den no akyi nkutoo.
Tebea bɛn mu na wɔde saa kwan yi di dwuma?
Saa kwan yi boa oduruyɛfo ma ohu nyarewa na ɔsa. Wɔde Valsalva maneuver no di dwuma titiriw ma nea edidi so yi:
- Siw Supraventricular Tachycardia (SVT), tebea a ɛma koma no bɔ kɔ soro mpofirim no so, na ɛsan de koma no bɔ sɛnea ɛsɛ.
- Hu koma mu nwiinwii ko a wowɔ.
- Hwehwɛ sɛ ebia wowɔ komayare anaa .
- Kyerɛ ɔhaw afoforo te sɛ ntini mu yare anaa varicocele.
- Hwehwɛ sɛ ebia ɔhaw bi wɔ autonomic nervous system a ɛyɛ nhyehyɛe a yedi so a yennim te sɛ yɛn koma bɔ ne yɛn home no mu anaa.
- Yi nneɛma biara a ɛho nhia fi mfinimfini aso no mu.
Hena na ɔmfata mma saa kwan yi?
Ebia saa kwan yi mfata nnipa binom efisɛ ɛde nhyɛso ba aniwa ne yafunu so. Sɛ wowɔ tebea horow a edidi so yi mu biara a, nsɔ ɔkwan yi nhwɛ a wunni aduruyɛfo afotu.
Wɔn a akyinnye biara nni ho sɛ ɛsɛ sɛ wɔkwati:
- Nnipa a wɔwɔ mogya ntini a ɛwɔ aniwa no retina no ho haw (retinopathy).
- Nnipa a wɔde ahwehwɛ a wɔde nsa ayɛ ahyɛ aniwa no mu (intraocular lens implants), te sɛ bere a wɔayɛ wɔn aniwa a ɛyɛ mmerɛw oprehyɛn akyi.
Wɔn a ɛsɛ sɛ wɔhwɛ yiye titiriw
Sɛ wowɔ ayaresa tebea horow a edidi so yi mu biara a, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo kasa ansa na woasɔ ɔkwan yi ahwɛ na woyɛ no wɔ ne hwɛ ase nkutoo.
- Koma mu ntini mu yare
- Coronary ntini mu yare
- Koma mu yare a wɔde awo obi
Ɔkwan bɛn so ankasa na wɔyɛ Valsalva maneuver no?
Sɛ wo duruyɛfo no atu wo fo sɛ yɛ saa adeyɛ yi a, sɛnea wobɛyɛ no pɛpɛɛpɛ ni.
| Anamɔn a wɔfa so yɛ | Sɛnea wɔyɛ no |
|---|---|
| Anamɔn 1 | Tena nkongua so anaa da mpa so. |
| Anamɔn 2 | Fa ahome denneennen. |
| Anamɔn 3 | To w’ano ne wo hwene mu na bɔ mmɔden sɛ wobɛhome denneennen, te sɛ nea woreyɛ wo dwensɔtwaa. Kura saa gyinabea yi mu bɛyɛ sikɔne 15 kosi 20 . |
| Anamɔn 4 | Afei bue wo hwene ne w’ano na yi mframa sɛnea ɛsɛ. |
So nsakrae afoforo wɔ ɔkwan yi mu?
Yiw, akwan foforo abien wɔ hɔ a etu mpɔn kɛse wɔ SVT ayaresa mu.
- Modified Valsalva maneuver: Eyi ne baabi a, sɛ wugyae anammɔn 3 (a wobɛpiapia) ara pɛ a, wo duruyɛfo anaa obi a ɔhwɛ wo no ma wo nan so. Nhwehwɛmu ahorow ada no adi sɛ saa kwan yi tu mpɔn sen ɔkwan a wɔfa so yɛ ade a wɔtaa yɛ no. Nea enti a ɛte saa ne sɛ, sɛ woma wo nan so a, ɛma mogya no san kɔ koma no mu.
- Reverse Valsalva maneuver: Eyi hwehwɛ sɛ wotra ase, to wo hwene ne w’ano, na wobɔ mmɔden sɛ wobɛhome simma 10.
Sɛ yɛyɛ saa kwan yi a, dɛn na ɛba yɛn nipadua mu?
Sɛ yɛreyɛ saa kwan yi a, yɛn nipadua no mogya mmoroso ne yɛn koma bɔ sesa wɔ akwan horow pii so. Sɛ yɛbɛka no tiawa a, ɛte sɛ eyi.
1. Sɛ woyɛ den: Sɛ wohyɛ wo ho den a, wo mogya mmoroso kɔ soro kakra bere tiaa bi.
2. Sɛ wo ho yeraw wo a: Afei wo mogya mmoroso ne mogya dodow a wo koma de fa wo so no so tew. Esiane sɛ mogya kakraa bi na ɛba wo koma mu nti, wo koma bɔ ntɛmntɛm de tua ka.
3. Bere a woagyae nhyɛso no akyi: Sɛ wogyae nhyɛso no wie a, mogya no so tew kakra bio.
4. Ade a etwa to: Nea edi hɔ no, mogya mmoroso kɔ soro kɛse mpo sen kan no. Nea ɛbɛyɛ na nipadua no ayɛ ho biribi no, ɛma ne koma bɔ brɛoo. Awiei koraa no, mogya mmoroso ne koma bɔ san ba sɛnea na ɛte kan no. Ɛyɛ saa fã a etwa to yi mu na wɔhwɛ koma a ɛbɔ ntɛmntɛm no so.
Sɛ nhyehyɛe no di yiye a, dɛn na ɛba na sɛ ɛnyɛ yiye a, dɛn na ɛba?
Sɛ saa kwan yi di yiye a, wo koma bɔ ntɛmntɛm no bɛsan ayɛ sɛnea na ɛte kan no wɔ simma biako mu. Nanso, nkonimdie dodoɔ no wɔ 5% - 20% ntam.
Sɛ wo SVT no ankɔ yiye wɔ mmɔden mprɛnsa akyi a, wo duruyɛfo no bɛkɔ anammɔn a edi hɔ wɔ ayaresa mu no so. Ɛdenam wo sɛnkyerɛnne ahorow, nsɛnkyerɛnne a ɛho hia, ne SVT ko a wowɔ so no, eyi betumi ayɛ nnuru anaa anyinam ahoɔden a wɔde ma koma no.
Mfaso ne asiane bɛn na ɛwɔ saa kwan yi so?
Mfaso kɛse a ɛwɔ eyi so ne sɛ ebetumi abɔ mmɔden ntɛm ara sɛ ɛbɛma koma a ɛbɔ ntɛmntɛm (SVT) no asan ayɛ nea ɛfata a ɛremfa nnuru biara nni dwuma.
Nnipa dodow no ara betumi ayɛ saa oprehyɛn yi dwoodwoo a ɔhaw biara nni ho. Nneɛma bɔne a efi mu ba no ho yɛ na koraa. Nanso, ɛntaa mma koraa sɛ nnipa binom behyia:
- Koko mu yaw
- Nhumu a wɔhwere
- Koma a ɛbɔ afoforo a ɛnyɛ ne kwan so
- Nnwodwoɔ
Ɛwom sɛ eyinom yɛ nsɛm a ɛntaa nsi koraa de, nanso ɛho hia sɛ yehu eyi.
Nkrasɛm a Wɔde Kɔ Fie
- Valsalva maneuver yɛ ɔhome kwan titiriw a wɔde di dwuma de hwɛ koma a ɛbɔ ntɛmntɛm te sɛ SVT so.
- Mma w’ankasa nsɔ eyi nhwɛ da a wunni oduruyɛfo afotu ne akwankyerɛ.
- Ɛsɛ sɛ nnipa a wɔwɔ ayaresa tebea horow bi te sɛ aniwa mu nyarewa ne koma mu ntini mu yare no kwati sɛ wɔbɛyɛ eyi.
- Sɛ woyɛ eyi sɛnea wo duruyɛfo kyerɛ wo na ɛnyɛ adwuma a, mmɔ mmɔden bio na frɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea no Dwumadibea a Ɛhwɛ Nneɛma a Ɛho Hia Ntɛmntɛm (ETU).
- Ɔkwan a wɔayɛ mu nsakrae, kyerɛ sɛ, ɔkwan a wɔfa so ma nan kɔ soro no taa ma nea efi mu ba no di yiye kɛse.
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