Kodi mtima wanu ukugunda mofulumira mwadzidzidzi? Tiyeni tikambirane za 'Vagal Maneuvers'!

Kodi nthawi zina mumamva mtima wanu ukugunda mofulumira komanso mwachangu popanda chifukwa chomveka? Kodi mumamva ngati mbalame ikugwedeza mapiko ake pachifuwa panu? Izi ndi zoopsa kwambiri. Kuwonjezeka kwadzidzidzi kwa kugunda kwa mtima kumeneku kumatchedwa Supraventricular Tachycardia (SVT). Nthawi ngati izi, musanagwiritse ntchito mankhwala, pali njira yosavuta koma yothandiza kwambiri yomwe ingakuthandizeni kusintha kugunda kwa mtima wanu. Lero tikulankhula za 'Vagal Maneuvers'.

Mwachidule, kodi 'Vagal Maneuvers' ndi chiyani?

Tangoganizani kuti thupi lanu lili ndi 'brake' yachilengedwe yomwe imalamulira liwiro la mtima wanu. Brake imeneyo imatchedwa 'Vagus Nerve'. Iyi ndi mitsempha yayitali yomwe imayenda kuchokera muubongo wathu kupita m'mimba mwathu. Mitsempha iyi imathandiza kulamulira zinthu zambiri, kuphatikizapo liwiro la kugunda kwa mtima wathu ndi kupuma.

'Kuchita masewera olimbitsa thupi a vegal' ndi zinthu zina zolimbitsa thupi zomwe timachita mwadala. Zimathandizira 'vagas nerve', yomwe imatumiza chizindikiro kwa chida chachilengedwe chothandizira mtima, chomwe chimachepetsa kugunda kwa mtima. Mwachidule, izi ndi njira zina zogwiritsira ntchito 'brake' yachilengedwe ya thupi lathu kuti tichepetse mtima womwe ukugunda mofulumira. Ichi ndi chinthu chomwe chimachitika motsogozedwa ndi dokotala. Musayese izi nokha popanda kulankhula ndi dokotala wanu.

N’chifukwa chiyani njira zimenezi zili zofunika kwambiri?

Pochiza munthu amene ali ndi kugunda kwa mtima mofulumira (SVT), madokotala nthawi zambiri amagwiritsa ntchito 'njira za vegal' izi ngati chisankho chawo choyamba . Pali zifukwa zingapo zomwe zimapangitsa izi:

• Chiwopsezo chochepa: Njira izi sizowopsa kwambiri poyerekeza ndi kupereka mankhwala kapena kugwedeza mtima ndi magetsi (cardioversion).
• Mtengo wotsika: Izi sizifuna zida zapadera kapena mankhwala, kotero ndizotsika mtengo.
• Zotsatira zachangu: Ngati zachitika bwino, kugunda kwa mtima kumabwerera mwakale mkati mwa mphindi zochepa. Nthawi zambiri kugunda kwa mtima kumakhala pakati pa 20% ndi 40%.
• Chithandizo chodziwira matenda: Nthawi zina, poyang'ana momwe mtima wanu umayankhira njirazi, dokotala wanu amatha kudziwa mtundu weniweni wa vuto la mtima lomwe muli nalo (arrhythmia).

Mitundu yayikulu ya 'ma vegal mouvers' omwe madokotala amagwiritsa ntchito

Pali njira zingapo izi. Gome ili m'munsimu likuwonetsa njira zina zomwe madokotala amagwiritsa ntchito kwambiri.

Kodi mumachita bwanji njira izi?

Umu ndi momwe mungachitire njira zitatu zomwe zimagwiritsidwa ntchito kwambiri. Kumbukirani, izi zimachitika moyang'aniridwa ndi dokotala.

• Kuyenda kwa Valsalva: Mudzapemphedwa kugona pabedi, kupuma mpweya wozama, kutseka mphuno ndi pakamwa panu, ndikutulutsa mpweya kwa masekondi 10-30, ngati kuti mukuyesera kupumira mu chitoliro chotsekedwa. Nthawi zina, dokotala angagwedezenso mutu wa bedi ndikukweza miyendo yanu pamene mukupuma mpweya.
• Kudumphira m'madzi: Mukakhala pansi, gwirani mpweya wanu ndikuviika nkhope yanu yonse m'beseni la madzi oundana. Sungani nkhope yanu m'madzi kwa nthawi yayitali momwe mungathere. Kapena, mutha kunyamula paketi ya ayezi kapena thaulo lonyowa lozizira pankhope panu.
• Kupaka Mapazi a Carotid Sinus: Ichi ndi chinthu chomwe dokotala yekha ndi amene angachite. Mudzagona pabedi, mutu wanu utatembenuzidwa mbali imodzi, ndipo dokotalayo adzakanikiza pang'onopang'ono malo otchedwa 'Carotid Sinus' kumbali ya khosi lanu ndi zala zake kwa masekondi 5-10.

Kodi njira iyi si yoyenera kwa ndani? (Zinthu zoopsa)

Njira izi sizoyenera aliyense. Madokotala sagwiritsa ntchito njira izi ngati vuto la wodwala 'silikukhazikika', kutanthauza ngati ali ndi zizindikiro zotsatirazi:

• Kuthamanga kwa magazi kotsika kwambiri(Kuthamanga kwa magazi kotsika)
• Kupweteka pachifuwa
• Kupuma movutikira
• Kusalandira mpweya wokwanira m'thupi
• Vuto limene ziwalo sizilandira magazi okwanira

Kwa munthu wosakhazikika chonchi, matenda a mtima, omwe amalamulira kugunda kwa mtima ndi mankhwala kapena kugwedezeka ndi magetsi, amagwiritsidwa ntchito m'malo mwa 'vagal maneuvers'.

Kodi pali zoopsa zilizonse ndi njira izi?

Kawirikawiri, mavuto sachitika kawirikawiri pamene dokotala akuchita opaleshoniyi pa munthu woyenera. Ngati achitika, ambiri mwa iwo amakhala akanthawi kochepa.

• Kuthamanga kwa magazi pang'ono (Hypotension)
• Kugunda mtima pang'onopang'ono kwambiri (Bradycardia)
• Matenda ena a mtima omwe samachitika kawirikawiri ndi monga Atrial Fibrillation, Ventricular Fibrillation, ndi Ventricular Tachycardia.

Makamaka, njira yotchedwa 'Carotid Sinus Massage' siingachitike ndi aliyense. Siyenera kuchitidwa ndi anthu omwe ali ndi mbiri iyi:

• Kwa iwo omwe adadwalapo sitiroko kapena TIA (transient ischemic attack)
• Kwa iwo omwe ali ndi matenda a carotid artery,
• Kwa iwo omwe adadwala matenda a mtima posachedwapa
• Kwa ana osakwana zaka 10

Ichi ndichifukwa chake tikubwerezanso kuti, musayese njira izi, makamaka njira yotikita khosi, nokha popanda upangiri wa dokotala.