Ese wigeze wumva umutima wawe utera cyane kandi ugatera cyane iyo wari mu gihirahiro? Hari igihe bishobora gutera ubwoba gato, sibyo? Uyu munsi tugiye kuvuga ku buryo bworoshye cyane bwo kugabanya ubu bwoko bw'umuvuduko w'umutima, buzwi mu buvuzi nka Supraventricular Tachycardia (SVT) , nta miti, kandi mu bihe byinshi nk'intambwe ya mbere. Ibi byitwa 'Valsalva manuel'.
Mu magambo make, Valsalva Maneuver ni iki?
Ibi bishobora kumvikana nk'izina ridasanzwe, ariko mu by'ukuri biroroshye cyane. Muri make, uburyo bwa Valsalva bukubiyemo guhumeka cyane, gufunga umunwa n'amazuru, no gusohora umwuka. Bisa nkaho uri kwihatira kwituma iyo ugiye mu bwiherero.
Tekereza ko umutima wawe utera cyane mu buryo butunguranye. Hanyuma iyo ugiye kwa muganga, mbere yuko akwandikira imiti cyangwa akakohereza ubundi buryo bwo kuvura, ashobora kukugira inama yo kugerageza ubu buryo. Impamvu ni uko ari uburyo bwihuse kandi bworoshye, bivuze ko nta kintu na kimwe cyinjizwa mu mubiri.
Ariko ikintu kimwe ugomba kuzirikana ni uko iki atari ikintu ushobora gukora wenyine. Ugomba kubikora gusa ari uko muganga wawe yasuzumye indwara yawe akakubwira ko ubu buryo bukubereye. Kuko umuganga wenyine ni we ushobora kumenya neza niba ikibazo cy'umutima wawe ari cyo kizagufasha.
Ni ubuhe buryo bukoreshwa?
Abaganga bakoresha uburyo bwa Valsalva mu gusuzuma no kuvura indwara. Reka turebe zimwe mu nyungu zabwo. Imbonerahamwe iri hepfo izabisobanura neza.
| Inyungu | Ibisobanuro |
|---|---|
| Kugenzura uko umutima utera | Nkuko byavuzwe haruguru, ibi bifasha kugenzura imiterere y'umutima utera vuba (SVT) no kuwusubiza ku murongo usanzwe. |
| Kumenya imiborogo y'umutima | Ubu buryo bufasha umuganga kumenya neza ubwoko bw'amajwi adasanzwe (imivurungano y'umutima) yumvikana mu gihe cyo gusuzuma umutima hakoreshejwe stethoscope. |
| Gusuzuma indwara y'umutima | Ibi bishobora gukoreshwa mu gusuzuma indwara z'umutima kugira ngo hamenyekane indwara zimwe na zimwe z'umutima. |
| Gusuzuma izindi ndwara | Ikoreshwa kandi mu gusuzuma indwara nk'indwara z'imitsi cyangwa varicocele. |
| Ibibazo by'imikorere y'ubwonko | Ibi kandi bifasha mu kumenya ibibazo byose biri kuri sisitemu y'imitsi y'ubwonko yigenga, igenzura ibintu nk'umutima wacu n'ubuhumekero bwacu tutabizi. |
Ni nde utagomba gukora Valsalva Maneuver?
Nubwo ubu buryo bworoshye, ntabwo bukwiriye buri wese. Kuko iyo ukoresheje ubu buryo, umuvuduko mu maso no mu nda wiyongera ako kanya. Kubwibyo, abantu bafite indwara zimwe na zimwe bagomba kwirinda kubikora.
Niba ufite kimwe muri ibi bikurikira, ntukigere ugerageza ibi utabanje kugisha inama muganga.
| Imiterere | Kuki ugomba kwitonda? (Kuki ugomba kwitonda?) |
|---|---|
| Indwara z'impyiko | Niba ufite ikibazo nka retinopathy , kikaba ari ikibazo ku mitsi y'amaraso iri muri retina, ubu buryo bushobora kwangiza bitewe n'umuvuduko wiyongereye mu jisho. |
| Implants z'amaso | Ibi si byiza niba washyizwemo indorerwamo mu maso nyuma yo kubagwa cataract. Ubwiyongere bw'umuvuduko w'amaraso bushobora kugira ingaruka kuri iyo ndorerwamo. |
| Indwara y'imitsi y'umutima | Abantu bafite intege nke cyangwa indwara z’umutima bashobora kugorwa no kwihanganira impinduka z’umuvuduko zibaho muri ubu buryo. |
| Indwara y'imitsi itera umutima | Iyo hari imitsi ifunganye itanga amaraso mu mutima, ubu buryo bushobora gutera umutima umuvuduko utari ngombwa. |
| Indwara y'umutima yavukanye | Ubu buryo bushobora kandi kuba budakwiye ku bantu bavukanye indwara z'umutima, bityo ni ngombwa kubiganiraho na muganga wawe. |
Ubikora ute neza neza?
Noneho reka turebe uburyo bwo kubikora neza niba muganga agutegetse kubikora. Ugomba gukurikiza izi ntambwe uko zikurikirana.
Tekereza urimo kureba televiziyo hanyuma igituza cyawe kigatangira gutera. Niba muganga wawe yarakwigishije ubu buryo, ushobora kubikora uryamye utuje ku buriri cyangwa kuri sofa, cyangwa wicaye ku ntebe.
1. Intambwe ya 1: Ubwa mbere , icara cyangwa uryame utuje. Ntugatinye.
2. Intambwe ya 2: Fata umwuka mwinshi nk'uko bisanzwe.
3. Intambwe ya 3 (igice cy'ingenzi cyane): Noneho funga umunwa wawe neza. Nanone, funga izuru ryawe ukoresheje intoki ebyiri. Hanyuma, komeza imitsi yo mu nda yawe uyihage nk'aho ugerageza gusunika umwuka. Kimwe no kwihata kugira ngo ugire icyo ukora mu mara.
4. Intambwe ya Kane: Fata uyu mwanya mu gihe cy'amasegonda agera kuri 15 kugeza kuri 20.
5. Intambwe ya Gatanu: Noneho fungura izuru n'umunwa wawe mu buryo butunguranye hanyuma utangire guhumeka neza.
Ubu buryo buragenda neza iyo umutima wawe usubiye ku murongo mu gihe cy'umunota umwe.
Uburyo bubiri bwihariye
Hari impinduka ebyiri nto abaganga bakoresha kugira ngo ibi birusheho kugira icyo bigeraho.
- Uburyo bwa Valsalva bwahinduwe: Muri ubu buryo, numara kurangiza gukanda, muganga wawe cyangwa undi muntu azamura amaguru yawe. Ibi bizafasha amaraso yo mu maguru yawe gusubira mu mutima wawe vuba. Ibi bizafasha umutima wawe gutera neza. Ubushakashatsi bumwe bwagaragaje ko uburyo busanzwe bufite igipimo cya 46% cy'intsinzi, ugereranyije na 16% by'intsinzi ku buryo bwahinduwe.
- Uburyo bwo guhindura Valsalva: Ubu buryo ni nk'aho buteye inyuma gato. Wicara, ugafunga umunwa n'amazuru, hanyuma ugahumeka amasegonda agera ku 10.
Ni iki kiba imbere mu mubiri iyo ubikoze?
Iyo ubikandagiye gutya, mu mubiri wawe habera urukurikirane rw'ibintu. Birashishikaje cyane.
- Ubwa mbere: Iyo ukandagiye, umuvuduko w'amaraso yawe uhita wiyongera gato kuko umuvuduko uri mu gituza cyawe wiyongera.
- Ibikurikira: Iyo ufashe umwuka wawe, ingano y'amaraso ajya mu mutima iragabanuka. Ibi bituma umuvuduko w'amaraso yawe ugabanuka. Kubera iyo mpamvu, umuvuduko w'umutima wawe uriyongera.
- Umaze guhagarika guhumeka: Iyo ugiye guhumeka mu buryo butunguranye, umuvuduko w'amaraso urushaho kugabanuka.
- Amaherezo (kandi icy'ingenzi cyane): Hanyuma, umubiri usubiza wongera umuvuduko w'amaraso mu buryo butunguranye ukagera ku rwego rwo hejuru kurusha mbere. Ibi byitwa 'ingaruka zo gusubira inyuma'. Iyo uyu muvuduko wiyongereye, sisitemu y'imitsi isubiza yohereza ikimenyetso ku mutima cyo kugabanya umuvuduko. Iyi ntambwe ya nyuma niyo dukeneye. Umuvuduko w'umutima uragabanuka kandi ugasubira ku murongo.
Ibisubizo, inyungu n'ingaruka
Ibisubizo bimeze bite?
Igipimo cy'intsinzi y'ubwato bwa Valsalva kiri hagati ya 5% na 20%, bivuze ko idakora buri gihe.
Niba umutima wawe udasubiye ku murongo nyuma yo kugerageza inshuro eshatu, muganga wawe azakomeza intambwe ikurikira yo kuvura. Ibi bishobora kuba birimo gukanda imitsi yihariye mu ijosi ryawe (carotid massage), kuguha imiti, cyangwa kugutera stroke y'amashanyarazi (cardioversion) . Ibi bizaterwa n'ibimenyetso byawe n'uburemere bw'indwara yawe.
Ni izihe nyungu z'ibi?
- Ubu buryo ni bwihuse cyane.
- Ikintu gishobora gukorwa nta miti .
- Iyo bigenze neza, ushobora kwirinda ingaruka mbi zishobora guterwa n'imiti cyangwa ubundi buryo bwo kuvura.
Ese hari ingaruka cyangwa ingaruka mbi?
Abantu benshi bashobora kubikora mu mutekano nta ngorane, ariko hari ibintu bike bishobora kubaho gake cyane .
- Kubabara mu gatuza
- Gutakaza ubwenge (gutakaza ubwenge)
- Imivuduko y'umutima idasanzwe
- Igisebe cy'imitsi
Nubwo ibi ari ibintu bidakunze kubaho kenshi, niyo mpamvu tuvuga ko ibi bigomba gukorwa buri gihe ku bujyanama bwa muganga gusa .
Ni ryari ngomba kubonana na muganga?
Niba muganga wawe yakwigishije ubu buryo bwo kuvura indwara ya SVT akagutegeka kubikora uri mu rugo, ukagerageza ariko umutima wawe ntusubire gutera neza, ugomba guhita uhamagara muganga wawe. Azakubwira icyo ugomba gukora nyuma yaho. Ushobora gusabwa kujya mu ishami ryita ku barwayi b’ibitaro (ETU) ako kanya.
Uburyo bwo gupima Valsalva ni ingirakamaro, ariko ntabwo buri gihe bukora, bityo ni ngombwa kuvugana na muganga wawe ku cyo wakora nyuma yaho.
Ubutumwa bwo kujyana mu rugo
- Uburyo bwa Valsalva Maneuver ni uburyo bwihariye bukoreshwa mu kuvura indwara zimwe na zimwe, nka tachycardia yo mu mutwe (SVT). Ntabwo bugenewe gukoreshwa muri rusange.
- Ntukigere ugerageza ibi wenyine cyangwa nyuma yo kubishakisha kuri interineti. Bikore gusa ari uko muganga wawe yasuzumye indwara yawe, akakubwira ko ikubereye, kandi akakubwira uko wabikora neza.
- Niba ufite indwara y'amaso, indwara y'umutima, cyangwa izindi ndwara z'umutima, ubu buryo bushobora kutagukwiriye. Bwira muganga wawe amateka yawe yose y'ubuzima.
- Niba warabigerageje nk'uko muganga wawe yabigutegetse ariko ntibikore, ntugatinye. Ibi ni ibisanzwe. Bibwire muganga wawe ako kanya. Azagufasha mu ntambwe zikurikira zo kuvurwa.
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