I ētahi wā, kua rongo pea koe i te pikinga ohorere o te tere o tō manawa, kāore he take. Me te mea kua oma noa atu koe. He wheako whakamataku pea tēnei mō ētahi tāngata. Nō reira, i tēnei rā kei te kōrero tātou mō tētahi tikanga māmā ka taea e koe te mahi i a koe anō i tētahi wā pēnei, me te kore e tango rongoā. Engari ehara tēnei i te mea ka taea e te tangata te mahi, i tētahi wā. Me titiro tātou ki tēnei āhuatanga.
He aha te mahi a Valsalva?
He tikanga manawa motuhake tēnei. Me kati tō ihu me tō waha, me te pēhi i tō tinana i a koe e ngana ana ki te tuku manawa. Hei whakamārama, me mahi koe i tēnei me te whakaaro kei te tohe koe ki te tūtae ina haere koe ki te wharepaku .
He maha ngā wā ka whakamahia tēnei tikanga hei whakahaere i tētahi mate manawataki o te ngākau e kiia nei ko te "Supraventricular Tachycardia (SVT)", arā, ka piki ohorere te tere o te manawa. I ētahi wā, koinei te tikanga tuatahi e ngana ana ngā tākuta ki te whakataurite i te tere o te manawa i mua i te hoatu rongoā.
Engari ehara tēnei i te mea māu anake e mahi. Me mahi noa tēnei i muri i te kōrero a tō tākuta ki a koe mō tēnei mea, me te whakaū he tika mō tō mate manawataki o te ngākau.
I roto i ēhea āhuatanga ka whakamahia ai tēnei tikanga?
Mā tēnei tikanga ka āwhina te tākuta ki te tātaritanga me te rongoā i ngā mate. Ko te tikanga matua o te mahi a te Valsalva maneuver ko ēnei e whai ake nei:
- Whakahaerehia te Supraventricular Tachycardia (SVT), he āhuatanga e piki ohorere ai te tere o te ngakau, ka whakahokia te tere o te ngakau ki te noa.
- Tāutuhia te momo ngunguru o te ngākau kei a koe.
- Kimihia mēnā he ngoikore tō ngākau .
- Tāutuhia ētahi atu raruraru pēnei i te mate uaua, te varicocele rānei.
- Kimihia mēnā he raruraru kei te pūnaha io motuhake, arā, te pūnaha e whakahaeretia ana e tātou mā te kore mōhio, pērā i te manawa me te ngākau o te tangata.
- Tangohia ngā paru kore e hiahiatia ana mai i te taringa waenga.
Ko wai kāore e tika ana mō tēnei tikanga?
Kāore pea tēnei tikanga e pai mō ētahi tāngata nā te mea ka pēhi i ngā kanohi me te puku. Mena kei a koe tētahi o ngā mate e whai ake nei, kaua e whakamātau i tēnei tikanga me te kore he tohutohu hauora.
Ko te hunga me karo rawa:
- Ngā tāngata he raruraru ō rātou ki ngā oko toto i roto i te retina o te kanohi (retinopathy).
- Ko te hunga kua whakauruhia he karāhe horihori ki roto i te kanohi (ngā karāhe kanohi), pēnei i muri i te pokanga katarata.
Ko te hunga e tika ana kia tino tupato
Mena kei a koe tētahi o ngā mate hauora e whai ake nei, me kōrero koe ki tō tākuta i mua i te whakamātau i tēnei tikanga, ā, me mahi anake i raro i tana tirotiro.
- Mate takirere ngakau
- Te mate uaua koronari
- Mate ngakau whānau
Me pēhea te mahi tika o te mahi a te Valsalva maneuver?
Mena kua tohutohu mai tō tākuta kia mahia tēnei tikanga, anei te huarahi tika hei mahi.
| Ngā Hipanga | Me pēhea te mahi |
|---|---|
| Hipanga 1 | Noho ki runga i te tūru, takoto rānei ki runga i te moenga. |
| Hipanga 2 | Mānu hōhonu. |
| Hipanga 3 | Katia tō waha me tō ihu, ka ngana ki te tuku manawa kia kaha, me te mea kei te neke koe i te puku. Puritia tēnei tūranga mō te 15 ki te 20 hēkona . |
| Hipanga 4 | Whakatuwheratia tō ihu me tō waha, ka manawa mārire. |
He rerekētanga anō kei tēnei tikanga?
Āe, e rua atu anō ngā tikanga he nui ake te whai huatanga mō te rongoā i te SVT.
- Te nekehanga Valsalva kua whakarerekētia: Koinei te wāhi, ina mutu tō mahi i te taahiraa 3 (te pēhi), ka hiki ake ō waewae e tō tākuta, e tō kaitiaki rānei. Kua whakaatuhia e ngā rangahau he pai ake tēnei nekehanga i te nekehanga paerewa. Nā te mea ka piki ake ō waewae ka hoki te toto ki te ngākau.
- Te nekehanga whakamuri o Valsalva: Kei roto i tēnei ko te noho ki raro, te katia tō ihu me tō waha, me te ngana ki te manawa mō te 10 hēkona.
He aha ngā mea ka puta i roto i ō tātou tinana ina whakamahia tēnei tikanga?
Ina whakamahia tēnei tikanga, ka rerekē te toto toto me te tere o te manawa o te tinana i roto i ētahi wāhanga. He rite tonu ki tēnei.
1. Ina pēhia koe: Ina pēhia koe, ka piki ake tō toto toto mō tētahi wā poto.
2. Ina pāngia koe e te ahotea: Kātahi ka heke tō toto toto me te nui o te toto e pupuhihia ana e tō ngākau. Nā te mea he iti ake te toto e tomo ana ki tō ngākau, ka tere ake te pao o tō ngākau hei whakaea.
3. I muri i te whakamutu i te pēhanga: I muri i te whakamutu i te pēhanga, ka paku heke anō te toto.
4. Wāhanga whakamutunga: Muri iho, ka piki ake te toto toto i tōna tere ake i mua. Hei whakautu, ka whakaroa te tinana i te tere o te manawa. Ā tōna wā, ka hoki te toto toto me te tere o te manawa ki te āhua noa. I tēnei wāhanga whakamutunga ka whakahaeretia te tere o te manawa.
Ka aha mēnā ka angitu te pūnaha, ā, ka aha mēnā kāore?
Ki te angitu tēnei tikanga, ka hoki anō tō tere o te manawa ki te āhua noa i roto i te meneti kotahi. Heoi, ko te ōrau angitu kei waenganui i te 5% - 20%.
Ki te kore tō SVT e pai ake i muri i ngā nganatanga e toru, ka neke atu tō tākuta ki te taahiraa e whai ake nei o te maimoatanga. I runga i ō tohumate, ō tohu ora, me te momo SVT, ka uru pea ki tēnei he rongoā, he cardioversion hiko rānei.
He aha ngā painga me ngā mōrearea o tēnei tikanga?
Ko te painga nui o tēnei ko tōna kaha ki te whakahoki wawe i te manawataki noa ki te tere o te manawa (SVT) me te kore e whakamahi i tētahi rongoā.
Ka taea e te nuinga o te tangata te whakahaere haumaru i tēnei tikanga, kāore he raruraru. He tino onge ngā pānga taha. Heoi, he tino onge, ka pāngia ētahi tāngata e:
- Mamae o te uma
- Ngaronga o te māramatanga
- Ētahi atu ngā manawa pāwera rerekē
- Whiu
Ahakoa he tino onge ēnei huihuinga, he mea nui kia mōhio ki tēnei.
Karere Tangohia ki te Kāinga
- Ko te nekehanga Valsalva he tikanga manawa motuhake e whakamahia ana hei whakahaere i ngā āhuatanga tere o te ngakau pēnei i te SVT.
- Kaua rawa e whakamātau i tēnei me te kore he tohutohu, he aratohu rānei a te tākuta.
- Me karo i tēnei mahi e te hunga whai mate hauora pēnei i ngā mate kanohi me ngā mate takirere ngākau.
- Ki te mahi koe i tēnei i runga i ngā tohutohu a tō tākuta, ā, kāore e mahi, kaua e ngana anō, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera.
- Ko te tikanga kua whakarerekētia, arā, te tikanga me te whakaara waewae, he maha ngā wā ka puta he hua angitu ake.
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