Ke hoʻomaka koke nei kou puʻuwai e paʻi wikiwiki? E aʻo e pili ana i kēia ʻano hana maʻalahi (Valsalva maneuver).

I kekahi manawa ua manaʻo paha ʻoe ua piʻi koke ka nui o kou puʻuwai me ke kumu ʻole. Me he mea lā ua holo wale aku ʻoe. Hiki i kēia ke lilo i mea weliweli iki no kekahi poʻe. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻano hana maʻalahi hiki iā ʻoe ke hana iā ʻoe iho i kahi manawa e like me kēia, me ka ʻole o ka lawe ʻana i kekahi lāʻau lapaʻau. Akā, ʻaʻole kēia he mea hiki i kekahi ke hana, i kēlā me kēia manawa. E nānā pono kākou iā ia.

He aha ka hana ʻo Valsalva?

I ka ʻōlelo maʻalahi, he ʻano hanu kūikawā kēia. Pili ia i ka pani ʻana i kou ihu a me kou waha a me ke kaomi ʻana i kou kino i kou hoʻāʻo ʻana e hanu i waho. I ka pololei, pono ʻoe e hana i kēia me ka manaʻo e like me ʻoe e hoʻoikaika ana e kiola i ka lua ke hele ʻoe i ka lua .

Hoʻohana pinepine ʻia kēia ʻano hana e kāohi i kahi maʻi puʻuwai i kapa ʻia ʻo "Supraventricular Tachycardia (SVT)", kahi e piʻi koke ai ka helu o ka puʻuwai. I kekahi manawa, ʻo kēia ke ʻano hana mua a nā kauka e hoʻāʻo ai e hoʻomaʻamaʻa i ka helu o ka puʻuwai ma mua o ka hāʻawi ʻana i ka lāʻau.

I nā kūlana hea e hoʻohana ʻia ai kēia ʻano hana?

Kōkua kēia ʻano hana i ke kauka e ʻike a mālama i nā maʻi. Hoʻohana nui ʻia ka hana Valsalva no kēia mau mea:

• E kāohi i ka Supraventricular Tachycardia (SVT), kahi kūlana e piʻi koke ai ka helu o ka puʻuwai, a hoʻihoʻi i ka helu o ka puʻuwai i ka maʻamau.
• E ʻike i ke ʻano o ka murmur puʻuwai āu e loaʻa nei.
• E ʻike inā loaʻa iā ʻoe ka hāʻule ʻana o ka puʻuwai .
• E ʻike i nā pilikia ʻē aʻe e like me ka maʻi venous a i ʻole varicocele.
• E ʻike inā he pilikia me ka ʻōnaehana nerve autonomic, ʻo ia ka ʻōnaehana a mākou e hoʻomalu ai me ka ʻike ʻole, e like me ko mākou puʻuwai a me ka hanu ʻana.
• E wehe i nā ʻōpala pono ʻole mai ka pepeiao waena.

ʻO wai ka mea kūpono ʻole no kēia ʻano hana?

ʻAʻole paha kūpono kēia ʻano hana no kekahi poʻe no ka mea e kau ana i ke kaomi ma nā maka a me ka ʻōpū. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, mai hoʻāʻo i kēia ʻano hana me ka ʻole o ke aʻo ʻana mai ke kauka.

ʻO ka poʻe e pono e pale aku:

• ʻO nā kānaka me nā pilikia me nā kīʻaha koko i loko o ka retina o ka maka (retinopathy).
• ʻO ka poʻe i hoʻokomo ʻia nā aniani hana i loko o ka maka (intraocular lens implants), e like me ka ʻoki ʻana o ke cataract.

ʻO ka poʻe e makaʻala loa

Inā loaʻa iā ʻoe kekahi o kēia mau maʻi olakino, pono ʻoe e kamaʻilio me kāu kauka ma mua o ka hoʻāʻo ʻana i kēia ʻano hana a hana wale ia ma lalo o kāna mākaʻikaʻi ʻana.

• Maʻi valve puʻuwai
• Maʻi ʻaʻa coronary
• Maʻi puʻuwai hānau

Pehea e hana ʻia ai ka hana ʻana o ka Valsalva maneuver?

Inā ua aʻo aku kāu kauka iā ʻoe e hana i kēia kaʻina hana, eia ke ʻano pololei e hana ai.

Aia kekahi mau ʻano like ʻole o kēia ʻano hana?

ʻAe, aia ʻelua mau ʻano hana ʻē aʻe i ʻoi aku ka maikaʻi i ka mālama ʻana iā SVT.

• ʻO ka hana Valsalva i hoʻololi ʻia: ʻO kēia kahi, ke pau ʻoe i ka hana ʻana i ka hana 3 (ʻomi ʻana), hāpai kāu kauka a mea mālama paha i kou mau wāwae. Ua hōʻike ʻia nā noiʻi he ʻoi aku ka maikaʻi o kēia hana ma mua o ka hana maʻamau. ʻO kēia no ka mea ʻo ka hāpai ʻana i kou mau wāwae e hoʻonui i ke kahe koko i ka puʻuwai.

• Hoʻohuli i ka hana Valsalva: Pili kēia i ka noho ʻana i lalo, ka pani ʻana i kou ihu a me kou waha, a me ka hoʻāʻo ʻana e hanu no 10 kekona.

He aha ka mea e hana ana i loko o ko kākou kino ke hana kākou i kēia ʻano hana?

I ka hana ʻana i kēia ʻano hana, loli ke koko o ko mākou kino a me ka helu o ka puʻuwai ma kekahi mau pae. I ka ʻōlelo maʻalahi, penei ia.

1. Ke hoʻoikaika ʻoe: Ke hoʻoikaika ʻoe, piʻi iki kou koko no kekahi manawa.

2. Ke kaumaha ʻoe: A laila e emi ana kou koko a me ka nui o ke koko i hoʻopuka ʻia e kou puʻuwai. No ka mea, ʻaʻole nui ke koko e komo mai ana i loko o kou puʻuwai, e kuʻi wikiwiki ana kou puʻuwai e hoʻoponopono ai.

3. Ma hope o ka hoʻōki ʻana i ke kaomi ʻana: Ma hope o ka hoʻōki ʻana i ke kaomi ʻana, hāʻule iki hou ke koko.

4. Kahua hope loa: A laila, piʻi aʻe ke koko ma mua o ka wā ma mua. I ka pane ʻana, hoʻolohi ke kino i ka wikiwiki o kona puʻuwai. I ka hopena, hoʻi ke koko a me ka wikiwiki o ka puʻuwai i ka maʻamau. Ma kēia kahua hope loa e kaohi ʻia ai ka wikiwiki o ka puʻuwai.

He aha ka mea e hana inā holomua ka ʻōnaehana a he aha ka mea e hana inā ʻaʻole?

Inā holomua kēia ʻano hana, e hoʻi hou kou puʻuwai wikiwiki i ka maʻamau i loko o hoʻokahi minuke. Eia nō naʻe, ʻo ka helu holomua ma waena o 5% - 20%.

Inā ʻaʻole e hoʻomaikaʻi kāu SVT ma hope o ʻekolu mau hoʻāʻo ʻana, e neʻe kāu kauka i ka hana aʻe i ka mālama ʻana. Ma muli o kāu mau hōʻailona, ​​​​nā hōʻailona koʻikoʻi, a me ke ʻano o SVT, hiki ke komo pū me ka lāʻau lapaʻau a i ʻole ka cardioversion uila.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻano hana?

Hiki i ka hapa nui o ka poʻe ke hana palekana i kēia kaʻina hana me ka ʻole o nā pilikia. He mea kākaʻikahi loa nā hopena ʻaoʻao. Eia naʻe, he mea kākaʻikahi loa, hiki i kekahi poʻe ke ʻike i:

• ʻEha umauma
• Nalowale o ka ʻike
• Nā puʻuwai puʻuwai ʻē aʻe
• Hahau

ʻOiai he mau hanana kakaikahi loa kēia, he mea nui e makaʻala i kēia.