Yu at de bit kwik kwik wan? Mek wi tok abaut ‘Vagal Maneuvers’!

Sɔntɛnde, yu kin fil se yu at de bit kwik kwik wan fɔ no rizin? Yu fil lɛk se bɔd de flap in wing insay yu chɛst? Dis na ɛkspiriɛns we rili de mek pɔsin fred. dis we aw di at rit we de go ɔp wantɛm wantɛm, dɛn kɔl am Supraventricular Tachycardia (SVT). Insay dɛn kayn tɛm ya, bifo yu tek mɛrɛsin, wan simpul bɔt rili yusful we de we go ɛp yu fɔ mek yu at rit nɔmal. Tide wi de tok abaut 'Vagal Maneuvers'.

Fɔ tɔk am simpul wan, wetin na ‘Vagal Maneuvers’?

Imajin se yu bɔdi gɛt natura ‘brɛk’ we de kɔntrol di spid we yu at de spid. Dɛn kɔl da brek de ‘Vagus Nerve’. Dis na wan lɔng nɛv we de kɔmɔt na wi bren to wi bɛlɛ. Dis nerve de ɛp fɔ kɔntrol bɔku tin, lɛk aw wi at de bit ɛn brith kwik kwik wan.

‘Vegal maneuvers’ na sɔm fyzikal aktiviti dɛm we wi kin du bay wilful. dεn de mek di ‘vagas nεv’ we de sεnd signal to di at in nεchכral pesmaker, we de slo di at rεt. Fɔ tɔk am simpul wan, dis na sɔm we dɛn fɔ yuz wi bɔdi in natura ‘brɛk’ fɔ mek at we de bit fast fast, kol. Dis na sɔntin we dɛn kin du ɔnda dɔktɔ in sɔpɔtishɔn. Nɔ tray dɛn tin ya fɔ yusɛf we yu nɔ tɔk to yu dɔktɔ.

Wetin mek dɛn we ya impɔtant?

We dɛn de trit pɔsin we gɛt at rit kwik kwik wan (SVT), bɔku tɛm dɔktɔ dɛn kin yuz dɛn ‘vegal maneuvers’ ya as dɛn fɔs tin we dɛn kin pik . Bɔku rizin dɛn de fɔ dis:

• Lɔw risk: Dɛn we ya nɔ kin gɛt bɔku prɔblɛm pas fɔ gi mɛrɛsin ɔ fɔ gi ilɛktrik shɔk (cardioversion).
• Low cost: Dis nɔ nid ɛni spɛshal ikwipmɛnt ɔ mɛrɛsin, so i nɔ dia.
• Kwik rizulyt: If i wok fayn, di at rit kin kam bak to nɔmal insay sɔm minit. di sakses rεt kin de bitwin 20% εn 40%.
• Ɛp fɔ no if yu gɛt di sik: Sɔntɛnde, bay we yu de luk aw yu at de du dɛn tin ya, yu dɔktɔ kin no ustɛm yu gɛt us kayn at ritm disɔda (arrhythmia).

Di men kayn ‘vegal maneuvers’ we dɔktɔ dɛn kin yuz

Bɔku pan dɛn we ya de. Di tebul we de dɔŋ ya de sho sɔm pan di we dɛn we dɔktɔ dɛn kin yuz mɔ.

Aw yu kin du dɛn we ya?

Na dis na aw fɔ du tri pan di we dɛn we dɛn kin yuz mɔ. Mɛmba se dɛn kin du dɛn tin ya ɔnda dɔktɔ in sɔpɔtishɔn.

• Valsalva Maneuver: Dɛn go aks yu fɔ ledɔm na bed, tek dip briz, lɔk yu nos ɛn yu mɔt, ɛn pul yu briz fɔ 10-30 sɛkɔn, lɛk se yu de tray fɔ blo insay paip we dɔn blok. Sɔntɛnde, di dɔktɔ kin tilt di ed fɔ di bed bak ɛn es yu leg ɔp we yu de blo.
• Dayvin Riflɛks: We yu sidɔm, ol yu briz ɛn put yu wan ol fes insay wan bɛsin we gɛt ays wata. Kip yu fes insay di wata fɔ lɔng tɛm as yu ebul. Ɔda we de fɔ mek yu ol ays pak ɔ kol wet tawɛl oba yu fes.
• Carotid Sinus Massage: Dis na sɔntin we na dɔktɔ nɔmɔ kin du. Yu go ledɔm na di bed, yu ed tɔn to wan say, ɛn di dɔktɔ go jɔs prɛs di say we dɛn kɔl ‘Carotid Sinus’ na di sayd na yu nɛk wit in finga dɛn fɔ 5-10 sɛkɔn.

Udat dis we ya nɔ fayn fɔ? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Dɛn we ya nɔ fayn fɔ ɔlman. Dɔktɔ dɛn nɔ kin yuz dɛn we ya if pɔsin in kɔndishɔn ‘nɔ stebul’, we min if dɛn gɛt dɛn sik ya:

• Blɔd prɛshɔn we rili smɔl(Lɔw blɔd prɛshɔn) .
• Chɛst de pen
• Shot we yu de blo
• Nɔr de gɛt inof ɔksijɛn to di bɔdi
• Wan kɔndishɔn we di ɔgan dɛn nɔ de gɛt inof blɔd

fכ dis kayn pכsin we nכ stebul, dεn de yuz di kכdiכvεshכn, we de kכntro di at bit wit mεdikeshכn כ ilektrik shכk, insted fכ ‘vagal maneuvers’.

Ɛni risk de wit dɛn we ya?

Jɛnɛral wan, kɔmplikeshɔn nɔ kin apin so ɔltɛm we dɔktɔ du dis prɔsidyu pan pɔsin we fit. If dɛn kin apin, bɔku pan dɛn na fɔ shɔt tɛm nɔmɔ.

• Lɔw blɔd prɛshɔn (Hypotension) .
• At bit we de bit pasmak (Bradycardia) .
• Ɔda at ritm dizayd dɛm we kin apin rili smɔl na Atrial Fibrillation, Ventricular Fibrillation, ɛn Ventricular Tachycardia.

sכmtεm, di mεtכd we dεn kכl ‘Carotid Sinus Massage’ nכ kin du am fכ כlman. Nɔto pipul dɛn we gɛt dɛn istri ya fɔ du am:

• Fɔ di wan dɛn we dɔn gɛt strok ɔ TIA (transient ischemic attack) bifo dis tɛm .
• Fɔ di wan dɛn we gɛt di sik we dɛn kɔl carotid artery
• Fɔ di wan dɛn we jɔs gɛt at atak
• Fɔ pikin dɛn we nɔ rich 10 ia yet

Dis na di rizin we mek wi de ripit, nɔ ɛva tray dɛn we ya, mɔ di we aw dɛn de masaj yu nɛk, fɔ yusɛf we yu nɔ gɛt dɔktɔ in advays.