I heart rate a sang nghal em? He hmanraw awlsam tak hi i zir dawn teh ang? (Valsalva Maneuver) tih a ni.

I hloh lai khan i thinlung a na a, a tlan chak hle tih i hre ngai em? A chang chuan a hlauhawm deuh thei a ni lawm ni? Vawiin hian he heart rate chi hrang hrang, damdawi lama Supraventricular Tachycardia (SVT) tia hriat, damdawi tel lo, leh a tam zawkah chuan a hmasa ber atana tihziaawm dan awlsam tak kan sawi dawn a ni. Hei hi ‘Valsalva maneuver’ an ti a.

A awlsam zawngin Valsalva Maneuver hi eng nge ni?

Hei hi hming mak tak angin a lang thei a, mahse a takah chuan a awlsam khawp mai. A awlsam zawngin, Valsalva maneuver-ah hian thawk la, i hmui leh hnar khar a, boruak chu nawr chhuah tir a ni. Toilet i kal hian bawlhhlawh paih chhuah tumin i inhnukdawk ang maiin a lang.

I heart rate chu a lo sang thut mai ang tih han ngaihtuah teh. Tichuan, doctor hnena i kal hunah, damdawi a pek hma emaw, enkawlna dang a refer hma emaw chuan, he hmanraw hi enchhin turin a rawt mai thei che a ni. A chhan chu hmanraw rang tak leh awlsam tak, noninvasive a nih vang a ni a, chu chu taksaah engmah dah luh a ni lo tihna a ni.

He method hi eng thil atan nge hman a nih?

Doctor-te chuan Valsalva maneuver hmangin natna hriatchhuah leh enkawl nan an hmang thin. A thatna thenkhat han thlir ila. A hnuaia table hian hei hi a tichiang zawk ang.

Valsalva Maneuver hi tute nge ti lo tur?

Hei hi hmanraw awlsam tak ni mah se, mi zawng zawng tan a tha lo. A chhan chu hetianga kan tih hian kan mit leh kan pum chhunga pressure a sang nghal vek a ni. Chuvangin damdawi lam harsatna thenkhat nei te chuan hetiang hi an pumpelh tur a ni.

A hnuaia thil awmte hi i neih chuan doctor rawn hmasa lovin hetiang hi ti ngai suh.

Engtin chiah nge hetiang hi i tih?

Okay, tunah chuan doctor in hetiang ti turin a hrilh che a nih chuan engtin chiah nge tih tur tih kan en ang. Heng step te hi a hnuaia mi ang hian i zawm a ngai a ni.

TV i en a, rang takin i rilru a rawn ri tan ang tih han ngaihtuah teh. I doctor-in he tih dan hi a zirtir che a nih chuan khumah emaw, sofa-ah emaw muangchangin i muhil thei a, chair-ah pawh i thu thei bawk.

1. Step 1: A hmasa berin , thu la, muangchangin mu rawh. Hlauthawng suh.

2. Step 2: A hma ang bawkin thawk la la.

3. Step 3 (a pawimawh ber): Tunah chuan i hmui kha khar nghet takin khar rawh. Tin, kut zungtang pahnih hmangin i hnar kha pinch bawk ang che. Tichuan, i pum ruhte kha khauh la, thawk chhuah tir tum ang maiin tikhauh rawh. Bowel movement neih theihna tura straining ang bawkin.

4. Step Lina: Hetiang dinhmun hi second 15 atanga 20 vel vawng reng ang che.

5. Step 5: Tunah chuan rang takin i hnar leh hmui hawng la, thawk pangngaiin thawk tan rawh.

Hetiang method hi minute khat vel chhunga i heart rate a normal leh chuan a hlawhtling thin.

Thil tih dan bik pahnih

Hei hi tlem a hlawhtling zawka tih theih nan doctor-te’n an hman thin inthlak danglamna tenau pahnih a awm.

• Modified Valsalva Maneuver: Hetiang method hmang hian i squeeze zawh chuan i doctor emaw midang emaw chuan i ke a chawi sang ang. Hei hian i kea thisen chu i thinlungah a luang kir leh thuai ang. Hei hian i heart rate chu a normal leh tur angin a pui ang. Zirna pakhatah chuan standard method hian hlawhtlinna rate 46% a nei a, modified method hian hlawhtlinna rate 16% a nei thung.
• Reverse Valsalva Maneuver: Hei hi a reverse deuh a ni. I thu a, i hmui leh hnar i khar a, second 10 vel i thawk a.

Hetianga i tih hian taksa chhungah eng thil nge thleng?

Hetianga i hrual hian i taksa chhungah thil thleng hrang hrang a thleng thin. A ngaihnawm khawp mai.

• Pakhatna: I hrual chuan i thisen sang chu a sang nghal ang a, a chhan chu i rilru chhunga pressure a san vang a ni.
• A dawt leh: I thaw i vawn tlat chuan i thinlunga thisen kal chu a tlahniam a. Hei hian i thisen sang a ti tlahniam thin. Chumi chhanna atan chuan i heart rate a sang chho ta a ni.
• I hrual tawh loh hnuah: I thawk i thlah nghal chuan i thisen sang chu tlem a tlahniam lehzual a ni.
• A tawp berah (leh a pawimawh ber): Tichuan, taksa chuan thisen sang chu a hma aia sang zawkah a tisang nghal a, a chhang let leh thin. Hei hi ‘rebound effect’ an ti a. He pressure hi a san chuan nervous system chuan a chhang let a, thinlungah signal a thawn a, a slow down a ni. He step hnuhnung ber hi kan mamawh chu a ni. Heart rate a hniam a, a pangngaiin a kir leh ta a ni.

A rah chhuah, hlawkna leh hlauhawmna

Engtin nge a rah chhuah?

Valsalva maneuver hlawhtlinna rate hi 5% leh 20% inkar a ni a, a hlawhtling ngai lo tihna a ni.

Hei hian eng nge a thatna?

• Hei hi hmanraw rang tak a ni.
• Damdawi tel lova tih theih thil .
• Hlawhtling a nih chuan damdawi emaw, enkawlna dang emaw avanga side effect lo awm thei te chu i pumpelh thei a ni.

Risk emaw side effect emaw a awm em?

Mi tam zawk chuan harsatna awm lovin him takin an ti thei a, mahse thil engemaw zat chu a thleng tlem hle .

• A rilru a na
• Fainting (hriatthiam lohna) .
• Thinlung rhythm pangngai lo
• Thai

Hengte hi thil thleng tlemte ni mah se, hei vang hian hei hi damdawi lam thurawn hnuaiah chauh tih tur a ni kan ti a ni .

Engtikah nge Doctor ka hmuh ang?

I doctor-in SVT atan he method hi a zirtir che a, in lama tih turin a hrilh che a, i lo enchhin tawh a, mahse i heart rate chu a pangngaiin a lo kir leh lo a nih chuan i doctor i ko nghal tur a ni. A hnua i tih tur chu a hrilh ang che. Hospital-a emergency department (ETU)-ah kal nghal turin an ti mai thei che a ni.

Valsalva maneuver hi hmanraw tangkai tak a ni a, mahse a thawk thei reng reng lo a, chuvangin i doctor nen inbiakna neih a pawimawh hle.