Yu dɔn ɛva fil se yu at de bit ɛn rɔsh we yu bin de lɔs? Sɔntɛnde, i kin mek pɔsin fred smɔl, nɔto so? Tide wi go tɔk bɔt wan rili simpul we fɔ pul dis kayn at rit, we dɛn kɔl Supraventricular Tachycardia (SVT) , we nɔ gɛt mɛrɛsin, ɛn bɔku tɛm na di fɔs step. Dɛn kɔl dis di ‘Valsalva manejmɛnt.’
Fɔ tɔk am simpul wan, wetin na di Valsalva Maneuver?
Dis kin tan lɛk se na strenj nem, bɔt fɔ tru, i rili simpul. Fɔ tɔk am simpul wan, di Valsalva manejmɛnt min fɔ tek dip briz, lɔk yu mɔt ɛn nos, ɛn fos di briz fɔ kɔmɔt. I kin tan lɛk se yu de strɛs fɔ defecate we yu go na tɔylɛt.
Imajin se yu at de bit wantɛm wantɛm. Dɔn we yu go to dɔktɔ, bifo i gi yu mɛrɛsin ɔ rifer yu to ɔda tritmɛnt, i kin tɛl yu fɔ tray dis we. Di rizin na dat na wan we we rili kwik ɛn simpul we nɔ de ambɔg pɔsin, we min se dɛn nɔ de put natin insay di bɔdi.
Bɔt wan tin we yu fɔ mɛmba na dat, dis nɔto sɔntin we yu go ebul fɔ du fɔ yusɛf. Yu fɔ du dis nɔmɔ if yu dɔktɔ dɔn chɛk yu sik ɛn advays yu se dis we fɔ du tin fayn fɔ yu. Bikɔs na dɔktɔ nɔmɔ go no fɔ tru if yu at ritm abnɔmal na wan we go ansa dis we.
Us kayn tin dɛn de yuz dis we fɔ du tin?
Dɔktɔ dɛn kin yuz di Valsalva manejmɛnt fɔ no ɛn trit sik dɛn. Lɛ wi luk sɔm pan di bɛnifit dɛn we i de gi. Di tebul we de dɔŋ ya go mek dis klia mɔ.
| Bɛnifit | Tɔk bɔt |
|---|---|
| Fɔ kɔntrol di at bit | As wi bin dɔn tɔk, dis kin ɛp fɔ kɔntrol di kɔndishɔn we di at bit kwik kwik wan (SVT) ɛn mek i kam bak to in nɔmal ritm. |
| Fɔ no aw at de grɔmbul | Dis we ya de ɛp dɔktɔ fɔ no uskayn sawnd dɛn we nɔrmal (at de grɔmbul) dɛn de yɛri we i de chɛk at wit stetɔskɔp. |
| Diagnosis fɔ di at we pɔsin kin gɛt | dis kin yuse insay di diagnostik prכsεs fכ no sכm hat kכndyushכn dεm. |
| Diagnosis fɔ ɔda sik dɛn | Dɛn kin yuse am bak fɔ no bɔt sik dɛn lɛk venous disease ɔ varicocele. |
| Ɔtonomik nervɔs sistɛm prɔblɛm dɛn | Dis kin ɛp bak fɔ no ɛni prɔblɛm wit di Autonomic Nervous System, we de kɔntrol tin dɛn lɛk aw wi at de bit ɛn aw wi de blo we wi nɔ no. |
Udat nɔ fɔ du di Valsalva Maneuver?
Pan ɔl we dis na simpul we, i nɔ fayn fɔ ɔlman. Bikɔs we wi de du dis we, di prɛshɔn we de insay wi yay ɛn bɛlɛ kin go ɔp wantɛm wantɛm. So, pipul dɛm wae gɛt sɔm kayn mɛrɛsin fɔ avɔyd fɔ du dis.
If yu gɛt ɛni wan pan dɛn tin ya, nɔ ɛva tray dis we yu nɔ go to dɔktɔ.
| Kɔndishɔn | Wetin mek yu fɔ tek tɛm? (Wetin mek yu fɔ tek tɛm?) |
|---|---|
| Sik dɛn we de na di retina | If yu gɛt wan sik lɛk retinopathy , we na prɔblɛm wit di blɔd vesel dɛm na di retina, dis prosidur kin mek yu gɛt damej bikɔs ɔf di prɛshɔn we de go ɔp insay di yay. |
| Ay lens implant dɛn | Dis nɔto fayn tin if yu gɛt intraokular lens we dɛn put afta yu dɔn ɔpreshɔn yu katarakt. Di prɛshɔn we de go ɔp kin afɛkt di lens. |
| Di sik we de mek pɔsin gɛt at valv | Pipul wae gɛt hat valv wik ɔr sik kin gɛt prɔblɛm fɔ telɛ di prɛshɔn chenj wae kin apin wit dis prɔsidyu. |
| Koronari at sik | If blɔk de na di vein dɛn we de gi blɔd to di at, dis we ya kin mek di at prɛs we nɔ nid. |
| Hat sik we dɛn bɔn wit | Dis we fɔ du tin nɔ kin fayn bak fɔ pipul dɛn we gɛt at sik we dɛn bɔn wit, so i impɔtant fɔ tɔk bɔt dis wit yu dɔktɔ. |
Aw ɛksaktɔli yu de du dis?
Okay, naw lɛ wi si aw fɔ du am ɛksaktɔli if dɔktɔ tɛl yu fɔ du dis. Yu nid fɔ fala dɛn step ya insay ɔda.
Imajin se yu de wach TV ɛn wantɛm wantɛm yu chɛst bigin fɔ bit. If yu dɔktɔ dɔn tich yu dis we, yu kin du dis we yu de ledɔm kwayɛt wan na bed ɔ sofa, ɔ sidɔm na chia.
1. Step 1: Fɔs , sidɔm ɔ ledɔm kwayɛt wan. Nɔ panik.
2. Step 2: Tek dip briz lɛk aw yu kin blo.
3. Step 3 (di pat we impɔtant pas ɔl): Naw, lɔk yu mɔt tayt wan. Dɔn bak, pinch yu nos wit tu finga dɛn. Dɔn, tayt yu bɛlɛ mɔsul dɛn ɛn strɛch dɛn lɛk se yu de tray fɔ push di briz kɔmɔt. Jɔs lɛk fɔ strɛs fɔ gɛt bɔdi muvmɛnt.
4. Step Fo: Hol dis posishon fo lek 15 to 20 sekond.
5. Step Fayv: Naw , opin yu nos and maut wan wan and stat fo blo nomal.
Dis we ya kin wok fayn if yu at rit bak insay lɛk wan minit so.
Tu spɛshal we dɛn fɔ du tin
Tu smɔl chenj dɛn de we dɔktɔ dɛn kin yuz fɔ mek dis go bifo smɔl.
- Modified Valsalva Maneuver: Insay dis we, we yu dɔn fɔ swɛt, yu dɔktɔ ɔ ɔda pɔsin go es yu leg. Dis go ɛp di blɔd we de na yu leg fɔ flɔ bak to yu at kwik kwik wan. Dis go ɛp yu at rit fɔ kam bak to nɔmal. Wan stכdi fכnshכn se di standad mεtכd gεt 46% sakses rεt, kכmpεr to 16% sakses rεt fכ di modifyed mεtכd.
- Rivas Valsalva Manyuv: Dis na smɔl rivas. Yu sidɔm, lɔk yu mɔt ɛn yu nos, ɛn blo fɔ lɛk 10 sɛkɔn so.
Wetin kin apin insay di bɔdi we yu du dis?
We yu swɛt am lɛk dis, wan chenj we kin apin insay yu bɔdi. I rili intrestin.
- Fɔs: We yu swɛt, yu blɔd prɛshɔn go go ɔp smɔl wantɛm wantɛm bikɔs di prɛshɔn we de insay yu chɛst de go ɔp.
- Neks: We yu ol am insay, di blɔd we de go na di at de go dɔŋ. Dis kin mek di blɔd prɛshɔn go dɔŋ. Fɔ ansa dis, di at kin bit fast fast.
- Afta yu dɔn stɔp fɔ swɛt: We yu lɛf fɔ blo wantɛm wantɛm, yu blɔd prɛshɔn kin go dɔŋ smɔl mɔ.
- Fɔ dɔn (ɛn di tin we impɔtant pas ɔl): Dɔn, di bɔdi kin ansa bay we i kin mek di blɔd prɛshɔn go ɔp wantɛm wantɛm pas aw i bin de bifo. dis dεn kכl am di ‘ribaund ifekt’. we dis prεshכn go bכku, di nεv sεstem de rεspכnd bay we i de sεnd signal to di at fכ slo. Dis las step na wetin wi nid. Di at rit kin slo ɛn i kin kam bak to nɔmal.
Rizult, bɛnifit ɛn risk dɛn
Aw di tin dɛn we kin apin kin bi?
di sakses rεt fכ di Valsalva manyuv de bitwin 5% εn 20%, we min se i nכ de wok כltεm.
If yu at nɔr de kam bak to nɔrmal afta lɛk tri tɛm we yu dɔn tray fɔ du am, yu dɔktɔ go go to di nɛks step fɔ tritmɛnt. Dis kin min fɔ masaj spɛshal vein na yu nɛk (carotid massage), gi yu mɛrɛsin, ɔ gi yu ilɛktrik shɔk (cardioversion) . Dis go dipen pan yu sayn dɛm ɛn aw yu sik bad.
Wetin na di bɛnifit dɛn we dis kin gɛt?
- Dis na wan we we rili kwik.
- Sɔntin we pɔsin kin du we dɛn nɔ tek mɛrɛsin .
- If yu wok fayn, yu kin avɔyd di bad tin dɛn we kin apin we yu tek mɛrɛsin ɔ ɔda tritmɛnt.
Ɛni risk ɔ sayd ɛfɛkt de?
Bɔrku pipul kin du dis sef wan wae nɔr kin gɛt ɛni prɔblɛm, bɔt sɔm tin dɛn de wae kin apun kwik kwik wan .
- Chɛst de pen
- Fainting (we yu nɔ de no natin) .
- Di at ritm we nɔmal
- Strok
Pan ɔl we dɛn tin ya nɔ kin apin so ɔltɛm, na dis mek wi se ɔltɛm na ɔnda dɔktɔ advays nɔmɔ dɛn fɔ du dis .
Ustɛm a fɔ go to di dɔktɔ?
If yu dɔktɔ dɔn tich yu dis we fɔ SVT ɛn tɛl yu fɔ du am na os, ɛn yu tray am bɔt yu at rit nɔ de kam bak to nɔmal, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm. I go tɛl yu wetin fɔ du nɛks. Dɛn kin aks yu fɔ go na di ɔspitul in imejensi dipatmɛnt (ETU) wantɛm wantɛm.
Di Valsalva manejmɛnt na fayn tin, bɔt i nɔ kin wok ɔltɛm, so i impɔtant fɔ tɔk to yu dɔktɔ bɔt wetin fɔ du nɛks.
Mɛsej we dɛn kin kɛr go na os
- di Valsalva Maneuver na spεshal tεknik we dεn kin yuz fכ trit sכm kכndyushכn dεm, lεk supraventricular tachycardia (SVT). I nɔ mek fɔ yuz am ɔlsay.
- Nɔ ɛva tray dis fɔ yusɛf ɔ afta yu dɔn luk am na di intanɛt. Na if yu dɔktɔ dɔn chɛk yu sik nɔmɔ, se i fayn fɔ yu, ɛn tɛl yu aw fɔ du am fayn fayn wan.
- If yu gɛt ay sik, at valv sik, ɔ ɔda at prɔblɛm, dis we fɔ du tin nɔ go fayn fɔ yu. Tɛl yu dɔktɔ yu kɔmplit mɛdikal istri.
- If yu dɔn tray dis lɛk aw yu dɔktɔ advays ɛn i nɔ wok, nɔ panik. Dis na nɔmal tin. Tɛl yu dɔktɔ wantɛm wantɛm. Dɛn go gayd yu pan di nɛks tritmɛnt step dɛm.
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