Sɔntɛnde, yu go dɔn fil se yu at kin rit wantɛm wantɛm fɔ natin. I tan lɛk se yu jɔs rɔnawe. Dis kin mek sɔm pipul dɛn fred smɔl. So tide wi de tɔk bɔt wan simpul we we yu kin du yusɛf na tɛm lɛk dis, we yu nɔ ivin tek ɛni mɛrɛsin. Bɔt dis nɔto sɔntin we ɛnibɔdi kin du, ɛnitɛm. Lɛ wi tek wan luk pan am ditayli.
Wetin na di Valsalva manejmɛnt?
Fɔ tɔk am simpul wan, dis na spɛshal we fɔ blo. I min se yu fɔ lɔk yu nos ɛn yu mɔt ɛn put sɔm prɛshɔn pan yu bɔdi we yu de tray fɔ blo. Fɔ tɔk di kɔrɛkt tin, yu fɔ du dis wit filin lɛk se yu de tray tranga wan fɔ pul dɔti we yu de go tɔylɛt .
dis mεtכd dεn kin yus fכ kכntrכl wan at ritm dizכrd we dεn kכl ``Supraventricular Tachycardia (SVT)``, we di hat rεt de inkrεs wan wan. Sɔntɛnde, dis na di fɔs we aw dɔktɔ dɛn kin tray fɔ mek di at rit nɔmal bifo dɛn gi am mɛrɛsin.
Bɔt dis nɔto sɔntin we yu fɔ du fɔ yusɛf. Yu fɔ jɔs du dis afta yu dɔktɔ dɔn tɛl yu bɔt am ɛn kɔnfyus se i fayn fɔ yu at ritm disɔda.
Us sityueshɔn dɛn dɛn kin yuz dis we fɔ du tin?
Dis we ya de ɛp dɔktɔ fɔ no ɛn trit sik dɛn. Di Valsalva manejmɛnt na in dɛn kin yuz mɔ fɔ dɛn tin ya:
- Kɔntrol Supraventricular Tachycardia (SVT), we na wan sik we di at rit kin go ɔp wantɛm wantɛm, ɛn mek di at rit kam bak to nɔmal.
- No di kayn at we yu de grɔmbul .
- Fɛn ɔut if yu gɛt at prɔblɛm .
- Fɔ no ɔda prɔblɛm dɛn lɛk venous disease ɔ varicocele.
- Fכ no if prכblεm de wit di כtonom nεv sεstem, we na di sistεm we wi de kכntro we wi nכ no, lεk wi at bit εn brith.
- Rimov ɛni dɔti we nɔ nid fɔ de na di midul yes.
Udat nɔ fit fɔ dis we?
Dis we ya nɔ kin fayn fɔ sɔm pipul dɛn bikɔs i kin put prɛshɔn pan di yay ɛn bɛlɛ. If yu gɛt ɛni wan pan dɛn tin ya, nɔ tray dis we yu nɔ gɛt dɔktɔ advays.
Di wan dɛn we fɔ rili avɔyd:
- Pipul wae gɛt prɔblɛm wit di blɔd vesel dɛm na di retina na di yay (retinopathy).
- Pipul dɛn we dɛn dɔn put atifishal lens insay di yay (intraocular lens implants), lɛk afta dɛn dɔn ɔpreshɔn dɛn wit katarakt.
Di wan dɛn we fɔ tek tɛm mɔ
If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ rili tɔk to yu dɔktɔ bifo yu tray dis we ɛn na ɔnda in sɔpɔt nɔmɔ yu fɔ du am.
- Di sik we de mek pɔsin gɛt at valv
- Koronari at sik
- Hat sik we dɛn bɔn wit
Aw ɛksaktɔli dɛn kin du di Valsalva manejmɛnt?
If yu dɔktɔ dɔn advays yu fɔ du dis, na dis na di rayt we fɔ du am.
| Step dɛn we yu fɔ du | Aw fɔ du am |
|---|---|
| Step 1. Di tin we mek | Sidɔm na chia ɔ ledɔm na bed. |
| Step 2. Di tin we mek | Tek dip briz. |
| Step 3. Di tin we mek | Klos yu mɔt ɛn nos ɛn tray fɔ pul di briz wit pawa, lɛk se yu de muv yu bɔdi. Hol dis pozishɔn fɔ lɛk 15 to 20 sɛkɔn . |
| Step 4. Di tin we mek | Naw opin yu nos ɛn yu mɔt ɛn pul briz nɔmal wan. |
Yu tink se ɔda we dɛn de we dɛn kin yuz dis we fɔ du tin?
Yes, tu ɔda we dɛn de we kin wok fayn fɔ trit SVT.
- Modified Valsalva maneuver: Dis na usay, as yu stɔp fɔ du step 3 (swɛt), yu dɔktɔ ɔ pɔsin we de kia fɔ yu kin es yu leg ɔp. Stɔdi dɛn dɔn sho se dis manejmɛnt kin wok fayn pas di standad manejmɛnt. Dis na bikɔs we yu es yu leg ɔp, i de mek di blɔd go bak na di at.
- Rivas Valsalva manejmɛnt: Dis kin min fɔ sidɔm, lɔk yu nos ɛn yu mɔt, ɛn tray fɔ blo insay fɔ 10 sɛkɔn.
Wetin kin apin insay wi bɔdi we wi du dis we?
We wi de du dis we, wi bɔdi in blɔd prɛshɔn ɛn at rit kin chenj insay difrɛn stej dɛn. Fɔ tɔk am simpul wan, i tan lɛk dis.
1. We yu de strɛs: We yu de strɛs, yu blɔd prɛshɔn de go ɔp smɔl fɔ smɔl tɛm.
2. We yu strɛs: Dɔn yu blɔd prɛshɔn ɛn di blɔd we yu at de pɔmp kin go dɔŋ. Bikɔs blɔd nɔ de kam na yu at, yu at kin bit kwik kwik wan fɔ kɔmpɛns.
3. Afta yu dɔn stɔp di kɔmpreshɔn: Afta yu dɔn stɔp di kɔmpreshɔn, di blɔd prɛshɔn kin go dɔŋ smɔl bak.
4. Faynal stej: Neks, blɔd prɛshɔn kin go ɔp ivin pas aw i bin de bifo. Fɔ ansa dis, di bɔdi kin slo in at rit. Afta sɔm tɛm, blɔd prɛshɔn ɛn at rit kin kam bak lɛk aw i bin de. na dis las stej dεn kin kכntro di at rεt we de rεt kwik kwik wan.
Wetin kin apin if di sistɛm wok fayn ɛn wetin kin apin if i nɔ wok fayn?
If dis we ya wok fayn, yu at go bit kwik kwik wan insay wan minit. כltu, di sakses rεt de bitwin 5% - 20%.
If yu SVT nɔr bɛtɛ afta yu dɔn tray fɔ trit yu tri tɛm, yu dɔktɔ go go to di nɛks step fɔ tritmɛnt. Dipen pan yu simptom dɛm, yu impɔtant sayn dɛm, ɛn di kayn SVT, dis kin inklud mɛrɛsin ɔr ilɛktrik kadiɔvashɔn.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis we fɔ du tin gɛt?
Di big bɛnifit fɔ dis na dat i kin tray kwik kwik wan fɔ mek di nɔmal ritm kam bak to wan rapid at rit (SVT) we i nɔ yuz ɛni mɛrɛsin.
Bɔrku pipul kin du dis prosidur sef wan wae nɔr gɛt ɛni kɔmplikɛshɔn. Di sayd ɛfɛkt dɛn nɔ kin apin so ɔltɛm. Bɔt, na smɔl tɛm nɔmɔ, sɔm pipul dɛn kin gɛt:
- Chɛst de pen
- Lɔs fɔ no bɔt sɔntin
- Ɔda at bit dɛn we nɔ kin bi
- Strok
Pan ɔl we dɛn tin ya nɔ kin apin so ɔltɛm, i impɔtant fɔ no bɔt dis.
Mɛsej we dɛn kin kɛr go na os
- di Valsalva manyuv na spεshal brith tεknik we dεn kin yuz fכ kכntrכl di rεpid at rεt kכndishכn dεm lεk SVT.
- Nɔ ɛva tray dis fɔ yusɛf if yu nɔ gɛt dɔktɔ advays ɛn gayd yu.
- Pipul wae gɛt sɔm kayn mɛrɛsin, lɛk yay sik ɛn at valv sik, fɔ avɔyd fɔ du dis.
- If yu du dis lɛk aw yu dɔktɔ tɛl yu ɛn i nɔ wok, nɔ tray igen ɛn kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU).
- di modifyed mεtכd, dat na di mεtכd wit leg εleveshכn, bכku tεm de prodyuz mכr saksesful risכlt.
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