Dzimwe nguva unonzwa moyo wako uchirova nekukurumidza pasina chikonzero chakajeka here? Unonzwa seshiri iri kurova mapapiro ayo muchipfuva chako here? Ichi chiitiko chinotyisa zvikuru. Kuwedzera kwekurova kwemoyo uku kunonzi Supraventricular Tachycardia (SVT). Munguva dzakadai, usati washandisa mishonga, pane nzira iri nyore asi inobatsira zvikuru inogona kukubatsira kugadzirisa kurova kwemoyo wako. Nhasi tiri kutaura nezve 'Vagal Maneuvers'.
Zvichitaurwa zviri nyore, chii chinonzi 'Vagal Maneuvers'?
Fungidzira kuti muviri wako une 'brake' yechisikigo inodzora kumhanya kwemoyo wako. Brake iyoyo inonzi 'Vagus Nerve'. Iyi tsinga refu inomhanya kubva muuropi hwedu ichienda mudumbu redu. Tsinga iyi inobatsira kudzora zvinhu zvakawanda, kusanganisira kumhanya kwekurova kwemoyo wedu nekufema.
'Vegal maneuvers' mamwe mabasa emuviri atinoita nemaune. Anosimudzira 'vagas nerve', iyo inotumira chiratidzo kune chinogadzira mwoyo, izvo zvinoderedza kurova kwemoyo. Zvichitaurwa zviri nyore, idzi dzimwe nzira dzekushandisa 'brake' yemuviri wedu kudzikamisa moyo unomhanya nekukurumidza. Ichi chinhu chinoitwa pasi pekutarisirwa kwachiremba. Usazviedze wega usina kutaura nachiremba wako.
Sei nzira idzi dzichikosha kudaro?
Pakurapa munhu ane kurova kwemoyo nekukurumidza (SVT), vanachiremba vanowanzoshandisa nzira idzi dzekurapa kushaya hope (vegal maneuvers) sesarudzo yavo yekutanga . Pane zvikonzero zvakati wandei zveizvi:
- Njodzi shoma: Nzira idzi hadzina njodzi yakawanda pane kupa mushonga kana kupa chirwere chemagetsi (cardioversion).
- Mutengo wakaderera: Izvi hazvidi michina yakakosha kana mishonga, saka hazvidhuri.
- Mhedzisiro inokurumidza: Kana ikabudirira, kurova kwemoyo kunodzoka pakare mukati memaminitsi mashoma. Kubudirira kunowanzova pakati pe20% ne40%.
- Rubatsiro rwekuongorora chirwere: Dzimwe nguva, nekutarisa kuti mwoyo wako unopindura sei kune nzira idzi, chiremba wako anogona kuona kuti une chirwere chemwoyo chinonzi arrhythmia.
Mhando huru dze'vegal maneuvers' dzinoshandiswa navanachiremba
Kune nzira dzakawanda idzi. Tafura iri pazasi inoratidza dzimwe dzenzira dzinonyanya kushandiswa navanachiremba.
| Zita reNzira | Zvakatsanangurwa zviri nyore |
|---|---|
| Kufamba kweValsalva | Kubata mweya wako uye kuomesa musoro sekunge uri kuita tsvina. |
| Kudziya muDiving Reflex | Kamwe kamwe akanyudza chiso chake mundiro yemvura yechando. |
| Kusaidzwa kweSinus yeCarotid | (Nachiremba chete) Kukwiza zvinyoro nyoro nzvimbo chaiyo parutivi rwemutsipa. |
| Kunzwa kusingadzoreki | Kukurutsa pahuro kuti pave nekurutsa. |
| Kukosora | Kukosora zvine ruzha uye zvine simba. |
Unoita sei nzira idzi?
Heino nzira nhatu dzinonyanya kushandiswa. Yeuka kuti idzi dzinoitwa pasi pekutarisirwa kwachiremba.
- Kufamba kweValsalva: Uchakumbirwa kurara pamubhedha, kufema zvakadzika, kuvhara mhino nemuromo, woburitsa mweya kwemasekonzi gumi kusvika makumi matatu, sekunge uri kuedza kufemera mupombi yakavharika. Dzimwe nguva, chiremba anogonawo kutsausa musoro wemubhedha wosimudza makumbo ako paunenge uchiburitsa mweya.
- Kunyudza mumvura: Paunenge wakagara, bata mweya wako wonyika chiso chako chose mudhishi remvura yechando. Chengeta chiso chako mumvura kwenguva yakareba sezvinobvira. Neimwe nzira, unogona kutakura jira rechando kana tauro rinotonhora rakanyorova pamusoro pechiso chako.
- Kurarisa Sinus yeCarotid: Ichi chinhu chinogona kuitwa nachiremba chete. Ucharara pamubhedha, musoro wako wakatendeudzirwa kurutivi rumwe, uye chiremba achadzvanya zvinyoro nyoro nzvimbo inonzi 'Carotid Sinus' iri padivi pemutsipa wako neminwe yake kwemasekondi mashanu kusvika gumi.
Nzira iyi haina kukodzera ani? (Zvinhu zvine njodzi)
Nzira idzi hadzina kukodzera munhu wese. Vanachiremba havashandisi nzira idzi kana mamiriro emurwere 'asina kugadzikana', zvichireva kuti kana aine zviratidzo zvinotevera:
- Kuderera kweropa zvakanyanya(Kuderera kweropa)
- Kurwadziwa kwechipfuva
- Kushaya mweya
- Kusawana oxygen yakakwana mumuviri
- Chirwere chekuti nhengo dzemuviri hadzigamuchire ropa rakakwana
Kumunhu asina kugadzikana akadaro, chirwere chemwoyo, chinodzora kurova kwemoyo nemishonga kana kuvhunduka kwemagetsi, chinoshandiswa pachinzvimbo che'vagal maneuvers'.
Zvakakosha: Kana ukaona zviratidzo zvakaita sekurwadziwa pachipfuva, kushaya mweya, kana kurova kwemoyo nekukurumidza, idambudziko rekukurumidza. Enda kuchipatara kuEmergency Department (ETU) nekukasika.
Pane njodzi here nenzira idzi?
Kazhinji, matambudziko haawanzoitiki kana chiremba akaita izvi pamunhu akakodzera. Kana zvikaitika, mazhinji acho ndeenguva pfupi.
- Kuderera kweropa (Hypotension)
- Kurova kwemoyo kunonoka zvakanyanya (Bradycardia)
- Zvimwe zvirwere zvemoyo zvinogona kuitika kashoma zvinosanganisira Atrial Fibrillation, Ventricular Fibrillation, uye Ventricular Tachycardia.
Zvikuru sei, nzira inonzi 'Carotid Sinus Massage' haigone kuitwa nemunhu wese. Haifanirwe kuitwa nevanhu vane nhoroondo inotevera:
- Kune avo vakambova nestroke kana TIA (transient ischemic attack)
- Kune avo vane chirwere chetsinga dzemutsinga dzemutsinga dzemutsinga dzemutsinga dzemutsinga
- Kune avo vachangobva kurwara nemoyo
- Kune vana vari pasi pemakore gumi
Ndosaka tichidzokorora kuti, usamboedza nzira idzi, kunyanya nzira yekukwiza mutsipa, wega usina kurairwa nachiremba.
Mharidzo Yekuenda Nayo Kumba
- 'Vegal maneuvers' maekisesaizi ari nyore emuviri anoshandiswa kudzora atrial fibrillation (SVT).
- Vanachiremba vanoshandisa izvi senzira yekutanga yekurapa nekuti hazvina njodzi yakawanda.
- Usazviedza kumba kunze kwekunge warayirwa nachiremba wako. Carotid Sinus Massage inonyanya kufanirwa kuitwa nachiremba chete.
- Kana uchirwadziwa pachipfuva, uchinzwa dzungu, kana kuti uchinetseka kufema uku moyo wako uchirova nekukurumidza, enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Kana nzira idzi dzisingadzore kurova kwemoyo wako, usazvidya mwoyo. Chiremba wako anogona kunge aine mishonga kana mamwe marapirwo (semuenzaniso, kubvisa catheter). Gara uchitevedzera mirairo yake.
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