Xa uziva udakumbile, ngaba intliziyo yakho iqale ukubetha ngokukhawuleza ngequbuliso... ngokukhawuleza kakhulu ngaphandle kwesizathu? Kuvakala ngathi usandul' ukubaleka, okanye uyoyika kakhulu, akunjalo? Kuqhelekile ukuziva usoyika kancinci ngamaxesha anje. Uninzi lwexesha, oku kubangelwa kukunyuka ngequbuliso kwesantya sentliziyo. Namhlanje, siza kuthetha ngeendlela ezilula, ezingezizo ezonyango ezisetyenziswa ngoogqirha ukunyanga oku.
Zithini kanye kanye iiVagal Maneuvers?
Ngamafutshane, iiVagal Maneuvers zizinto ezithile esizenzayo ngemizimba yethu. Ezi zivuselela umthambo olawula isantya sentliziyo yethu. Lo mthambo siwubiza ngokuba yiVagus nerve . Lo ngumthambo obaluleke kakhulu ohamba usuka engqondweni yethu uye esiswini sethu.
Cinga nje, imizimba yethu ineenkqubo ezimbini. Enye kukwenza sisebenze, ukusilungiselela imeko engxamisekileyo. Enye kukusithomalalisa, ukusigcina siphumle. Le nkqubo yesibini ibizwa ngokuba yiParasympathetic Nervous System . Inxalenye ephambili yale nkqubo yiVagus nerve. Ngoko ke xa sivuselela le mithambo kancinci, ithumela umyalezo entliziyweni othi, "Kulungile, yehlisa isantya kancinci ngoku." Emva koko i-pacemaker yendalo yentliziyo iyehla, kwaye ukubetha kwentliziyo okukhawulezayo kunokubuyela esiqhelweni.
Kodwa oku kubaluleke kakhulu: Nokuba uyayazi le ndlela, musa ukuyizama wedwa ngaphandle kokubonisana nogqirha. Kungcono kakhulu ukuthetha nogqirha wakho kuqala uze umcele icebiso elithile.
Ziziphi ezi ntlobo zeVagal Maneuvers?
Kukho iindlela ezahlukeneyo ezisetyenziswa ngoogqirha rhoqo. Usenokuba ukhe weva ngenye okanye ezimbini kwezi.
| Igama leManeuver | Indlela yokwenza ngokulula |
|---|---|
| Uhambo lweValsalva | Ukubamba umphefumlo wakho nokutyhala ngamandla, ngokungathi ubuya kwindlu yangasese. |
| Ukuntywila kwakhona | Ngequbuliso wafaka ubuso bakhe kwisitya samanzi abandayo. |
| Ukuphululwa kweSinus yeCarotid | Ugqirha uphulula kancinci indawo ethile ecaleni kwentamo. |
| Ukukhohlela | Ukurhawuzelela izihlandlo ezininzi zilandelelana. |
| Ukuzama ukuhlanza (iGag Reflex) | Ukuvuselela umva womqala ngobunono. |
| Uxinzelelo lwesisu olusetyenziswayo | Lala ngomqolo, goba amadolo akho uze uwasondeze esifubeni sakho. |
Kutheni kufuneka kusetyenziswe ezi ndlela?
Eyona nto ibangela yimeko ebizwa ngokuba yiSupraventricular Tachycardia (SVT) . Oku kwenzeka xa imiqondiso yombane evela kwiindawo eziphezulu zentliziyo ibangela ukuba isantya sentliziyo sinyuke ngequbuliso siye phezulu kakhulu kune-100 beats ngomzuzu. Kumntu onesi sifo, oogqirha baqala bazame iVagal Maneuvers.
Ngenxa yokuba,
- Umngcipheko ophantsi: Ezi zikhuselekile kakhulu kunokunika amayeza okanye ukunika umatshini wombane (intliziyo eguquguqukayo).
- Ixabiso eliphantsi: Oku akudingi zixhobo zikhethekileyo okanye amayeza.
- Ingenziwa ngokukhawuleza: Ingenziwa ngokukhawuleza esibhedlele okanye ekliniki.
Ezi ndlela zinezinga lempumelelo eliyi-20% ukuya kwi-40% ekubuyiseleni izinga lentliziyo eliqhelekileyo. Ngamanye amaxesha, ezi ndlela zinokunceda oogqirha ukuba bafumanise ukuba loluphi uhlobo lwesifo sentliziyo (arrhythmia) onaso.
Ngaba kukho abantu abangafanele bazenze ezi nkqubo?
Ewe, ngokuqinisekileyo. Ugqirha uza kusebenzisa ezi ndlela kuphela ukuba imeko yakho izinzile . Oko kukuthi, ukuba awukho ngxakini ingako. Kodwa ukuba imeko yakho ayizinzanga , oko kukuthi, ukuba uneempawu ezingezantsi, ezi ndlela azizukusetyenziswa. Ngelo xesha, baza kubhekisa ngokuthe ngqo kwezinye iindlela zonyango.
| Utyando lweVagal akufanele lwenziwe (iimeko zempilo ezingazinzanga) | |
|---|---|
| Uxinzelelo lwegazi oluphantsi | Kuba umzimba sele uqalisa ukothuka. |
| Iintlungu zesifuba | Oku kungaba luphawu lokuhlaselwa yintliziyo. |
| Ukuqhawukelwa ngumphefumlo | Uphawu lokuba umzimba awufumani umlinganiselo weoksijini owudingayo. |
| Ukunqongophala kokuhamba kwegazi kwamanye amalungu omzimba | Iimpawu ezinje ngokudideka kunye nokulahlekelwa zingqondo. |
Ukuba unezi mpawu kwaye intliziyo yakho ibetha ngamandla, eyona nto ilungileyo onokuyenza kukuya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
Masichaze ngokufutshane indlela ezenziwa ngayo iindlela eziphambili.
1. Indlela yokuqhuba iValsalva
Le yeyona ndlela isetyenziswa kakhulu. Indlela ugqirha akwenza ngayo oku kukulalisa ebhedini, uphefumle nzulu, uvale umlomo nempumlo yakho, uze uyibambe imizuzwana eli-10-30 ngokungathi uzama ukuphefumla. Kufanele kubonakale ngathi uzama ukuphefumlela kumbhobho ovalekileyo.
Kukho enye indlela ephumelelayo yokwenza oku. Ibizwa ngokuba yiModified Valsalva Maneuver . Kuyo, njengoko uhleli kwaye wenza oku kutyhala, ugqirha ngequbuliso wehlisa umzimba wakho ongaphezulu ebhedini. Kwangaxeshanye, uphakamisa imilenze yomibini aze ayibambe malunga nemizuzwana engama-45. Oku kwandisa izinga lempumelelo nangakumbi.
Ukuze benze oku kubantwana abancinci, oogqirha babaxelela ukuba bafake ubhontsi wabo emlonyeni baze bavuthele de kungaphumi moya.
2. I-Reflex yokuntywila
Oku kusenokuvakala kungaqhelekanga, akunjalo? Kodwa kukwayindlela esebenzayo kakhulu. Okwenzayo apha, uhlala phantsi, uphefumle nzulu, ubambe umphefumlo wakho, uze ngequbuliso untywilisele ubuso bakho bonke esityeni esigcwele amanzi abandayo. Ufuna ukugcina ubuso bakho emanzini ixesha elide kangangoko unako.
Endaweni yoko, ungabamba ingxowa yamanzi abandayo okanye itawuli emanzi ebandayo ebusweni bakho.
3. Ukuphululwa kweCarotid Sinus Massage
Le yinto emele yenziwe ngugqirha kuphela. Akuvumelekanga ukuba uyenze ngokwakho. Kuba kufuneka wazi kakuhle apho umele uyenze khona kwaye usebenzise uxinzelelo olufanelekileyo.
Apha, ugqirha uza kukwenza ulale phantsi, ajike intloko yakho iye kwelinye icala, aze ahlikihle kancinci i-carotid sinus ecaleni kwentamo yakho ngeminwe yakhe malunga nemizuzwana emi-5 ukuya kweli-10. Oku kungayinciphisa isantya sentliziyo yakho.
Kwenzeka ntoni emva kwezi ndlela?
Ithemba kukuba isantya sentliziyo siza kubuyela esiqhelweni. Ugqirha uza kwenza enye i-EKG (i-electrocardiogram) ukuze abone ukuba isingqisho sentliziyo sibuyele esiqhelweni na.
Ukuba ezi ndlela azisebenzi emva kokuzama kabini okanye kathathu, unokunikwa amayeza. Oku kuthetha ukuba unokunikwa amayeza ngemithambo ukuze ulawule izinga lentliziyo yakho. Kwezinye iimeko, unokuthunyelwa kwi- cardioversion, equka ukubetheka ngombane.
Nokuba uphumelele okanye akunjalo, ukuba le meko iyenzeka, ugqirha wakho unokukuthumela kwingcali yentliziyo.
Zithini iingozi kunye neenzuzo zoku?
Sele sithethe ngeenzuzo. Eyona nzuzo iphambili kukuba ungazama ukulawula isantya sentliziyo yakho ngaphandle kwamayeza, ngexabiso eliphantsi, kwaye ungenawo umngcipheko.
Ngokuphathelele iingozi, xa zenziwe ngokuchanekileyo ngugqirha ofanelekileyo, iingxaki azixhaphakanga. Nokuba ziyenzeka, zihlala zikho okwexeshana.
- Uxinzelelo lwegazi oluphantsi: Ukwehla koxinzelelo lwegazi okwethutyana.
- I-Bradycardia: Intliziyo ebetha kancinci kakhulu.
- Kunqabile kakhulu ukuba kubekho ezinye iingxaki zesingqisho sentliziyo ezifana ne -Atrial Fibrillation kunye ne-Ventricular Fibrillation .
Umngcipheko westroke ngeCarotid Sinus Massage uphantsi kakhulu, malunga ne-1 kwi-1,000. Ngenxa yesi sizathu, oogqirha abayisebenzisi le ndlela kubantu abanezi meko zilandelayo:
- Ukuba ukhe waba nestroke ngaphambili okanye i-TIA (uhlaselo lwe-ischemic oludlulayo) .
- Ukuba unesifo semithambo ye-carotid .
- Ukuba usandul' ukuba nesifo sentliziyo.
Umyalezo Wokuya Ekhaya
- Iindlela zokuthintela ukubetha kwentliziyo ezisetyenziswa kumqolo wokuqala, ezingenazo iziyobisi, zokunyanga izifo ezifana ne-SVT, nto leyo ebangela ukunyuka kwesantya sentliziyo.
- Ezi zisebenza ngokuvuselela imithambo-luvo yeVagus yomzimba wethu kunye nokunciphisa isantya sentliziyo yethu.
- Ungaze uzame ezi ndlela wedwa ngaphandle kwengcebiso kagqirha. Buza ugqirha wakho ukuba zikhuselekile na kuwe kwaye yeyiphi indlela echanekileyo.
- Ukuba uneempawu ezinzima ezifana neentlungu zesifuba kunye nokuphefumla okungapheliyo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
- Ukuba ezi ndlela azisebenzi, kunokufuneka ufune uncedo lwezonyango okanye olunye unyango. Kubalulekile ukulandela imiyalelo kagqirha wakho.
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