We yu de fil bad, yu at dɔn bigin fɔ bit fast fast wantɛm wantɛm... fast fast fɔ natin? I kin tan lɛk se yu jɔs dɔn rɔnawe, ɔ yu rili de fred, nɔto so? Na nɔmal tin fɔ fil fɔ fred smɔl tɛm lɛk dis. Bɔrku tɛm, dis kin kam bikɔs di at kin rit kwik kwik wan. Tide, wi go tɔk bɔt sɔm simpul, nɔr fɔ drɔg we dɔktɔ dɛn kin yuz fɔ trit dis.
Wetin rili na Vagal Maneuvers?
Fɔ tɔk am simpul wan, Vagal Maneuvers na sɔm tin dɛn we wi kin du wit wi bɔdi. Dɛn tin ya kin mek wan nerve we de kɔntrol wi at rit. Wi kin kɔl dis nɛv di Vagus nɛv . Dis na wan rili impɔtant nerve we de rɔn frɔm wi bren to wi bɛlɛ.
Tink bɔt am, wi bɔdi gɛt tu sistɛm dɛn. Wan na fɔ mek wi aktif, fɔ rɛdi wi fɔ ɛni imejensi. Di ɔda wan na fɔ mek wi at kol, fɔ mek wi kɔntinyu fɔ rilaks. Dɛn kɔl dis sɛkɔn sistɛm di Parasympathetic Nervous System . Di men pat pan da sistɛm de na di Vagus nerve. So we wi stimul dis nerve sכmtεm, i de sεnd signal to di at se, "Okay, slo dכn sכmtεm naw." Dɔn di natura l pesmɛka fɔ di at kin slo, ɛn di fast at bit kin kam bak to nɔmal.
Bɔt dis rili impɔtant: Ilɛksɛf yu no bɔt dɛn we ya, nɔ tray dɛn fɔ yusɛf we yu nɔ go to dɔktɔ. I bɛtɛ fɔ tɔk to yu dɔktɔ fɔs ɛn aks am fɔ patikyula advays.
Wetin na dɛn kayn Vagal Maneuvers ya?
Bɔku we dɛn de we dɔktɔ dɛn kin yuz. Sɔntɛm yu dɔn yɛri bɔt wan ɔ tu pan dɛn tin ya.
| Maneuv nem fɔ yu | Aw fɔ du am simpul wan |
|---|---|
| Valsalva Maneuv, we de mek yu ebul fɔ du am | Hol yu briz ɛn push tranga wan, lɛk se yu de dɔti na tɔylɛt. |
| Divin Riflɛks | Wantɛm wantɛm, yu put di fes insay wan bol we gɛt ays wata. |
| Masaj fɔ di sayn we de na di karotid | Dɔktɔ kin masaj wan spɛshal say na di sayd na di nɛk saful wan. |
| Fɔ kɔf | I de it bɔku tɛm insay wan row. |
| Tray fɔ vɔmit (Gag Reflex) . | Jɛntri fɔ mek di bak pat na di trot. |
| Prεshכn we dεn de aplay na di bכdi | Led pan yu bak, bɛn yu ni ɛn briŋ dɛn to yu chɛst. |
Wetin mek yu fɔ yuz dɛn we ya?
Di men tin we kin mek i apin na wan sik we dɛn kɔl Supraventricular Tachycardia (SVT) . dis na we ilektrikal signal dεm we de kכmכt na di כp pat dεm na di at de mek di at rεt fכ inkrεs wan wan tכm bכku pas 100 bit pan minit. Fɔ pɔsin we gɛt dis sik, dɔktɔ dɛn fɔs tray fɔ du Vagal Maneuvers.
Bikɔs,
- Lɔw risk: Dɛn tin ya kin sef pas fɔ gi mɛrɛsin ɔ gi ilɛktrik shɔk (cardioversion).
- Low cost: Dis nɔ nid spɛshal ikwipmɛnt ɔ mɛrɛsin.
- Dɛn kin du am kwik kwik wan: Dɛn kin du am kwik kwik wan na ɔspitul ɔ klinik.
dis mεtכd dεm gεt 20% to 40% sakses rεt fכ rεstכr nכmal at rεt. Sɔmtɛm, dɛn we ya kin ɛp dɔktɔ dɛn bak fɔ no uskayn kayn at ritm disɔda (ari ritmia) yu gɛt.
Pipul dɛn de we nɔ fɔ du dɛn tin ya?
Yɛs, na fɔ tru. Dɔktɔ go jɔs yuz dɛn we ya if yu sik nɔ chenj . Dat min se if yu nɔ gɛt siriɔs prɔblɛm. Bɔt if yu sik nɔ stebul , dat min se if yu gɛt di sayn dɛn we de dɔŋ ya, dɛn nɔ go yuz dɛn we ya. Da tɛm de, dɛn go tɔk bɔt ɔda tritmɛnt dɛn dairekt wan.
| Vagal Maneuvers nɔ fɔ du (dɛn nɔ stebul mɛdikal kɔndishɔn) . | |
|---|---|
| Lɔw blɔd prɛshɔn | Na bikɔs di bɔdi dɔn ɔlrɛdi de go insay shɔk. |
| Chɛst de pen | Dis kin bi sayn fɔ sho se yu gɛt at atɔk. |
| Shot we yu de blo | Wan sayn we de sho se di bɔdi nɔ de gɛt di ɔksijɛn we i nid. |
| Blɔd nɔ de flɔ to ɔda ɔgan dɛn | Di sayn dɛm lɛk fɔ kɔnfyus ɛn nɔr de mɛmba natin. |
If yu gɛt dɛn sik ya ɛn yu at de bit fast, di bɛst tin fɔ du na fɔ go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Lɛ wi ɛksplen smɔl bɔt aw dɛn kin du di men we dɛn.
1. Valsalva Manyuv
Dis na di we aw dɛn kin yuz mɔ. Di we aw dɔktɔ kin du dis na fɔ mek yu ledɔm na bed, tek dip briz, lɔk yu mɔt ɛn nos, ɛn ol am fɔ lɛk 10-30 sɛkɔn lɛk se yu de tray fɔ blo di briz. I fɔ fil lɛk se yu de tray fɔ blo insay paip we dɔn blok.
Wan ɔda we de we dɛn kin du dis wok fayn fayn wan. Dɛn kɔl am di Modified Valsalva Maneuver . Insay de, as yu sidɔm ɛn du dis push, di dɔktɔ kin put yu ɔp bɔdi dɔŋ wantɛm wantɛm na di bed. Na da sem tɛm de, i es in tu leg dɛn ɔp ɛn ol dɛn fɔ lɛk 45 sɛkɔn so. Dis kin mek di sakrifays rɛt go ɔp mɔ ɛn mɔ.
Fɔ du dis to smɔl pikin dɛn, dɔktɔ dɛn kin tɛl dɛn fɔ put dɛn big an na dɛn mɔt ɛn blo te no briz nɔ kɔmɔt.
2. Dayvin Riflɛks
Dis kin tan lɛk se i strenj smɔl, nɔto so? Bɔt na wan we bak we rili wok. Wetin yu de du ya na, yu sidɔm, tek dip briz, ol yu briz, ɛn wantɛm wantɛm yu put yu wan ol fes insay wan bɛsin we ful-ɔp wit ays wata. Yu want fɔ kip yu fes na di wata fɔ lɔng tɛm.
As ɔda we fɔ du dis, yu kin ol wan bag we gɛt ays wata ɔ wan wet tawɛl we rili kol pan yu fes.
3. Masaj we dɛn kin yuz fɔ masaj di sayn we dɛn kɔl karotid
Dis na sɔntin we na dɔktɔ nɔmɔ fɔ du. Yu nɔ alaw yu fɔ du am yusɛf atɔl. Na bikɔs yu nid fɔ no gud gud wan usay fɔ du am ɛn put di rayt prɛshɔn.
Na ya, di dɔktɔ go mek yu ledɔm, tɔn yu ed to wan say, ɛn masaj di karotid sayn we de na di sayd na yu nɛk jisnɔ wit in finga dɛn fɔ lɛk 5-10 sɛkɔn. Dis kin mek yu at rit slo.
Wetin kin apin afta dɛn we ya?
Di op na dat di at rit go kam bak to nɔmal. Di dɔktɔ go du ɔda EKG (ilɛktrokardiogram) fɔ si if di at ritm dɔn kam bak to nɔmal.
If dɛn we ya nɔ wok afta yu dɔn tray fɔ du am tu ɔ tri tɛm, dɛn kin gi yu mɛrɛsin. Dis min se dɛn kin gi yu mɛrɛsin insay yu bɛlɛ fɔ kɔntrol yu at rit. Sɔntɛnde, dɛn kin rifer yu fɔ mek yu go du yu at, we min se yu fɔ gi yu ilɛktrik shɔk.
Ilɛksɛf yu ebul ɔ yu nɔ ebul fɔ du am, if dis tin apin, yu dɔktɔ kin sɛn yu to dɔktɔ we de mɛn yu at.
Wetin na di prɔblɛm ɛn bɛnifit dɛn we dis kin gɛt?
Wi don tok abaut di advantej dem. Di men bɛnifit na dat yu kin tray fɔ kɔntrol yu at rit we yu nɔ tek mɛrɛsin, we nɔ go tek bɔku mɔni, ɛn we nɔ go gɛt bɔku prɔblɛm.
As fɔ di risk dɛm, we kwalifay dɔktɔ du am kɔrɛkt wan, kɔmplikeshɔn nɔ kin rili bɔku. Ivin if dɛn kin apin, bɔku tɛm dɛn kin apin fɔ shɔt tɛm nɔmɔ.
- Hypotension: Na di blɔd prɛshɔn we de go dɔŋ fɔ sɔm tɛm.
- Bradycardia: Di at rit we de slo pasmak.
- Na sכm tεm, כda at ritm prכblεm lεk Atrial Fibrillation εn Ventricular Fibrillation kin apin.
Di risk fɔ gɛt strok wit Carotid Sinus Massage rili smɔl, lɛk 1 pan ɛvri 1,000. Fɔ dis rizin, dɔktɔ dɛn nɔ kin yuz dis we fɔ pipul dɛn we gɛt dɛn sik ya:
- If yu bin dɔn gɛt strok ɔ TIA (transient ischemic attack) bifo dis tɛm .
- If yu gɛt di sik we dɛn kɔl carotid artery disease .
- If yu jɔs dɔn gɛt at atak.
Mɛsej we dɛn kin kɛr go na os
- Vagal Maneuvers na fɔs layn, we nɔ gɛt drɔgs fɔ trit kɔndishɔn lɛk SVT, we kin mek di at rit go ɔp.
- Dɛn tin ya de wok bay we dɛn de mek wi bɔdi in Vagus nerve wok ɛn mek wi at rit slo.
- Nɔ ɛva tray dɛn we ya fɔ yusɛf if yu nɔ gɛt dɔktɔ advays. Aks yu dɔktɔ if dɛn sef fɔ yu ɛn wetin na di kɔrɛkt we.
- If yu gɛt siriɔs sayn lɛk fɔ pen na yu chɛst ɛn fɔ blo bad bad wan, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If dɛn we ya nɔ go wok, yu go nid fɔ go to dɔktɔ ɔ ɔda tritmɛnt dɛn. I impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ du.
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