A châng chuan chhan awm lovin i thinlung chakna chu a pung thut tih i hre tawh mai thei. I tlanbo mai mai ang maiin. Hei hi mi thenkhat tan chuan thil hlauhawm deuh a ni thei. Chuvangin vawiin hian hetiang hun lai hian nangmah ngeiin i tih theih dan awlsam tak kan sawi dawn a, damdawi pawh ei lovin. Mahse hei hi tu pawhin tih theih a ni lo, engtik lai pawhin. Chipchiar takin han thlir ila.
Valsalva maneuver hi eng nge ni?
A awlsam zawngin sawi ila, hei hi thawk dan bik a ni. I hnar leh hmui khar a, thawk chhuah i tum laiin i taksaah pressure engemaw zat i siam a ni. A dik zawka sawi chuan, toilet i kal dawna bawlhhlawh paih chhuah i tum ang maia i tih tur a ni .
Hetiang method hi heart rhythm disorder ``Supraventricular Tachycardia (SVT)`` tih control nan hman a ni fo thin a, chutah chuan heart rate a sang nghal zung zung thin. A châng chuan, hei hi doctor-te’n damdawi an pek hmaa heart rate normalise an tum hmasak ber a ni.
Mahse hei hi mahni chauha tih tur a ni lo. Hei hi i doctor-in a hrilh che hnuah leh i heart rhythm disorder tan a remchang tih a nemnghet hnuah chauh tih tur a ni.
Eng dinhmunah nge he hmanrua hi hman a nih?
Hetiang hmanrua hian doctor-in natna a hriatchhuah theih nan leh a enkawl theih nan a pui thin. Valsalva maneuver hi a hnuaia mite tan hian hman a ni ber.
- Supraventricular Tachycardia (SVT) tih hi control la, heart rate a sang nghal vat a, heart rate chu a pangngaiah a kir leh ang.
- I thinlung murmur chi hrang hrang chu hre rawh.
- Heart failure i neih leh neih loh zawng rawh .
- Harsatna dang, venous disease emaw varicocele emaw te hriatchhuah .
- Kan hriat loh vanga kan thunun thin, kan thinlung thawk leh thawk dan ang chi autonomic nervous system-ah hian harsatna a awm em tih zawng rawh.
- Beng lai tak atanga thil tul lo awm zawng zawng chu paih vek tur a ni.
Hetiang hmanrua atan hian tute nge tling lo?
Hetiang hmanrua hi mi thenkhat tan chuan a tha lo mai thei a, a chhan chu mit leh pum chungah pressure a siam vang a ni. A hnuaia dinhmunte hi i neih chuan damdawi lam thurawn tel lo chuan he hman dan hi hmang lo la.
A pumpelh ngei ngei tur te:
- Mit retina-a thisen kalna kawng (retinopathy) lama harsatna nei te.
- Mit chhunga artificial lens dah tawh (intraocular lens implants), mitdel surgery hnua dah tawhte.
A bik takin fimkhur tur te
A hnuaia damdawi lam harsatna te hi i neih chuan he method hi i enchhin hmain i doctor nen inbiakna neih hmasak phawt tur a ni a, a enkawlna hnuaiah chauh tih tur a ni.
- Lung valve natna
- Coronary artery natna a ni
- Pianpui thinlung natna
Engtin chiah nge Valsalva maneuver hi an tih?
I doctor-in he procedure hi ti turin a fuih che a nih chuan, hetiang hian tih dan dik tak chu hetiang hi a ni.
| Step hrang hrang | Engtin nge kan tih ang |
|---|---|
| Step 1. A rilru a hah lutuk chuan a rilru a buai em em a | Chair-ah thu la, khumah mu rawh. |
| Step 2. A rilru a hah lutuk chuan a rilru a buai em em a | Thâwk la la. |
| Step 3-na a ni | I hmui leh hnar kha khar la, chak takin thawk chhuah tum la, i rilru a buai ang maiin. Hetiang dinhmun hi second 15 atanga 20 vel vawn reng tur a ni . |
| Step 4-na a ni | Tunah chuan i hnar leh hmui hawng la, normal takin thawk chhuak rawh. |
Hetiang method hi a danglamna dang a awm em?
Ni e, SVT enkawlna atana hmanraw tangkai zawk pahnih a awm bawk.
- Modified Valsalva maneuver: Hei hi step 3 (squeezing) i tih tawh loh veleh i doctor emaw, enkawltu emaw chuan i ke a chawi sang thinna hmun a ni. Zirna hrang hrangah chuan he maneuver hi standard maneuver aiin a hlawk zawk tih hmuhchhuah a ni. Hei hi a chhan chu i ke chawi sang hian thisen chu thinlungah a kal leh a tipung a ni.
- Reverse Valsalva maneuver: Hei hian thut a, hnar leh hmui khar a, second 10 chhung thawk luh tum a ni.
Hetiang method kan tih hian kan taksa chhungah eng nge thleng?
Hetianga kan tih hian kan taksa thisen sang leh heart rate hi stage engemaw zatah a inthlak thin. A awlsam zawngin hetiang hi a ni.
1. I strain lai: I strain hian i thisen sang chu rei lo te chhung a sang deuh thin.
2. I stress lai hian: Tichuan i thisen sang leh i thinlungin thisen a pump chhuah zat a tlahniam a. I thinlungah thisen a lut tlem avangin i thinlung chu a compensate turin a thawk chak zawk a ni.
3. Compression tihtawp hnuah: Compression tihtawp hnuah thisen sang chu tlem a tlahniam leh thin.
4. Final stage: A dawtah chuan thisen sang chu a hma aiin a sang zawk daih. Chumi chhanna atan chuan taksa chuan a heart rate a ti hniam a. A tawpah chuan thisen sang leh heart rate chu a pangngaiin a kir leh thin. He final stage-ah hian heart rate chak tak chu control a ni.
System a hlawhtlin chuan eng nge thleng ang a, a hlawhtlin loh chuan eng nge thleng ang?
Hetiang method hi a hlawhtling a nih chuan minute khat chhungin i heartbeat chak tak chu a normal leh ang. Mahse, hlawhtlinna rate hi 5% - 20% inkar a ni.
I SVT vawi thum i tih hnuah pawh a ṭhat loh chuan i doctor chuan enkawlna kawng dang a zawh ang. I symptoms, vital signs leh SVT chi hrang hrang a zirin hei hian damdawi emaw electrical cardioversion emaw a huam thei.
Hetiang hmanrua hi eng nge a thatna leh a hlauhawmna?
Hei hi a thatna lian ber chu damdawi engmah hmang lovin rang takin normal rhythm chu rapid heart rate (SVT)-ah siam leh a tum thei a ni.
Mi tam zawk chuan him takin he procedure hi harsatna awm lovin an ti thei a ni. Side effects hi a tlem hle. Mahse, a tlem hle a, mi thenkhat chuan:
- A rilru a na
- Thil hriatna hloh
- Lungphung pangngai lo dang
- Thai
Hengte hi thil thleng tlem hle mah se, hei hi hriat chian a pawimawh hle.
Take-Home Thuchah a ni
- Valsalva maneuver hi thawk dan bik a ni a, SVT ang chi heart rate chak tak condition control nan hman a ni.
- Doctor thurawn leh kaihhruaina tel lo chuan nangmah chauhin hetiang hi ti ngai suh.
- Damdawi lam harsatna thenkhat nei, mit natna leh heart valve natna nei te chuan hetiang hi an pumpelh tur a ni.
- Doctor-in a tih anga i tih a, a hlawhtlin loh chuan tum leh tawh suh la, i doctor ko nghal la, damdawi in Emergency Department (ETU)-ah kal nghal bawk ang che.
- Modified method, chu chu ke elevation nei method hian result hlawhtling zawk a siam fo thin.
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