Ngaba ngamanye amaxesha ukhe uzive intliziyo yakho ibetha ngokukhawuleza nangakumbi ngaphandle kwesizathu esicacileyo? Ngaba uziva ngathi intaka ibetha amaphiko ayo esifubeni sakho? Eli liva eloyikekayo ngokwenene. Oku kunyuka kwesantya sentliziyo ngequbuliso kubizwa ngokuba yiSupraventricular Tachycardia (SVT). Ngamaxesha anje, ngaphambi kokuba usebenzise amayeza, kukho indlela elula kodwa eluncedo kakhulu enokukunceda wenze ukuba izinga lentliziyo yakho libe lihle. Namhlanje sithetha 'ngeVagal Maneuvers'.
Ngamafutshane, zithini 'iiVagal Maneuvers'?
Khawuthelekelele ukuba umzimba wakho 'une-brake' yendalo elawula isantya sentliziyo yakho. Elo brake libizwa ngokuba yi-'Vagus Nerve'. Le yi-nerve ende ebaleka isuka engqondweni yethu iye esiswini sethu. Le nerve inceda ukulawula izinto ezininzi, kubandakanya isantya sokubetha kwentliziyo yethu kunye nokuphefumla.
'Iindlela zokuzilolonga zeVegal' zizinto ezithile zomzimba esizenzayo ngabom. Zivuselela 'i-vagas nerve', ethumela isilumkiso kwi-pacemaker yendalo yentliziyo, enciphisa isantya sentliziyo. Ngamafutshane, ezi zezinye zeendlela zokusebenzisa 'i-brake' yendalo yomzimba wethu ukuzola intliziyo ebetha ngokukhawuleza. Le yinto eyenziwa phantsi kweliso likagqirha. Musa ukuzama ezi zinto wedwa ngaphandle kokuthetha nogqirha wakho.
Kutheni le nto ezi ndlela zibaluleke kangaka?
Xa benyanga umntu onesifo sentliziyo esikhawulezayo (SVT), oogqirha badla ngokusebenzisa ezi 'ndlela zokunyanga ze-vegal' njengokhetho lwabo lokuqala . Kukho izizathu ezahlukeneyo zoku:
- Umngcipheko ophantsi: Ezi ndlela azinabungozi kangako njengokunika amayeza okanye ukunika umbane (intliziyo eguquguqukayo).
- Ixabiso eliphantsi: Oku akudingi zixhobo okanye amayeza akhethekileyo, ngoko ke akubizi kakhulu.
- Iziphumo ezikhawulezayo: Ukuba iphumelele, isantya sentliziyo sibuyela kwisiqhelo kwimizuzu embalwa. Isantya sempumelelo sidla ngokuba phakathi kwama-20% nama-40%.
- Uncedo lokuxilonga: Ngamanye amaxesha, ngokujonga indlela intliziyo yakho esabela ngayo kwezi ndlela, ugqirha wakho unokufumanisa ukuba loluphi uhlobo lwesifo sentliziyo (i-arrhythmia) onaso.
Iintlobo eziphambili 'zeendlela zokunyanga imifuno' ezisetyenziswa ngoogqirha
Kukho iindlela ezininzi kwezi. Itheyibhile engasezantsi ibonisa ezinye zeendlela ezisetyenziswa kakhulu ngoogqirha.
| Igama leNdlela | Icacisiwe ngokulula |
|---|---|
| Uhambo lweValsalva | Ukubamba umphefumlo wakho nokutsala nzima ngokungathi uyakhupha indle. |
| Ukuntywila kwakhona | Ngequbuliso wafaka ubuso bakhe kwisitya samanzi abandayo. |
| Ukuphululwa kweSinus yeCarotid | (Ngugqirha kuphela) Ukuphulula ngobunono indawo ethile ecaleni kwentamo. |
| I-Gag reflex | Ukuvuselela umqala ukuze kubangele ukuhlanza. |
| Ukukhohlela | Ukuba nokukhohlela okukhulu nokuqatha. |
Uzenza njani ezi ndlela?
Nantsi indlela yokwenza ezintathu zezona ndlela zixhaphakileyo. Khumbula, ezi zenziwa phantsi kweliso likagqirha.
- Indlela Yokwenza Umoya eValsalva: Uza kucelwa ukuba ulale ebhedini, uphefumle nzulu, uvale impumlo nomlomo wakho, uze ukhuphe umoya imizuzwana eli-10-30, ngokungathi uzama ukuvuthela umbhobho ovalekileyo. Ngamanye amaxesha, ugqirha usenokuyithoba intloko yebhedi aze aphakamise imilenze yakho njengoko ukhupha umoya.
- Ukuntywila: Xa uhleli, bamba umphefumlo wakho uze untywilisele ubuso bakho bonke kwisitya samanzi abandayo. Gcina ubuso bakho emanzini ixesha elide kangangoko unako. Okanye, ungabamba ipakethe yomkhenkce okanye itawuli ebandayo emanzi phezu kobuso bakho.
- Ukuphululwa kweCarotid Sinus: Le yinto enokwenziwa ngugqirha kuphela. Uza kulaliswa ebhedini, intloko yakho ijikelwe kwelinye icala, aze ugqirha ayicinezele kancinci indawo ebizwa ngokuba yi-'Carotid Sinus' ecaleni kwentamo yakho ngeminwe yakhe imizuzwana emi-5 ukuya kweli-10.
Ngubani le ndlela engafanelekanga kuye? (Iimeko ezinobungozi)
Ezi ndlela azifanelekanga kuye wonke umntu. Oogqirha abazisebenzisi ezi ndlela ukuba imeko yesigulana 'ayizinzile', oko kuthetha ukuba baneempawu ezilandelayo:
- Uxinzelelo lwegazi oluphantsi kakhulu(Uxinzelelo lwegazi oluphantsi)
- Iintlungu zesifuba
- Ukuqhawukelwa ngumphefumlo
- Ukungafumani ioksijini eyaneleyo emzimbeni
- Imeko apho amalungu omzimba angafumani gazi laneleyo
Kumntu ongazinzanga ngolo hlobo, kusetyenziswa i-cardioversion, elawula ukubetha kwentliziyo ngamayeza okanye nge-electric shock, endaweni ye-'vagal maneuvers'.
Kubalulekile: Ukuba ufumana iimpawu ezifana neentlungu zesifuba, ukuphefumla okufutshane, okanye ukubetha kwentliziyo ngokukhawuleza, yingxamiseko leyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
Ngaba kukho naziphi na iingozi ngezi ndlela?
Ngokwesiqhelo, iingxaki azixhaphakanga xa ugqirha esenza olu hlobo lomntu ofanelekileyo. Ukuba ziyenzeka, uninzi lwazo luba lolwexeshana.
- Uxinzelelo lwegazi oluphantsi (iHypotension)
- Intliziyo ecothayo kakhulu (iBradycardia)
- Ezinye iingxaki zesingqisho sentliziyo ezinokwenzeka rhoqo ziquka i-Atrial Fibrillation, i-Ventricular Fibrillation, kunye ne-Ventricular Tachycardia.
Ngokukodwa, indlela ebizwa ngokuba yi-'Carotid Sinus Massage' ayinakwenziwa ngumntu wonke. Akufanele yenziwe ngabo banembali elandelayo:
- Kwabo bakha baba nestroke ngaphambili okanye i-TIA (uhlaselo lwe-ischemic oludlulayo)
- Kwabo banesifo semithambo ye-carotid
- Kwabo basandula ukuba nesifo sentliziyo
- Kubantwana abangaphantsi kweminyaka eli-10 ubudala
Yiyo loo nto siphinda sithi, ungaze uzame ezi ndlela, ingakumbi indlela yokuhlikihla intamo, wedwa ngaphandle kwengcebiso kagqirha.
Umyalezo Wokuya Ekhaya
- 'Iindlela zokuzilolonga zeVegal' zizinto ezilula zokuzilolonga ezisetyenziselwa ukulawula i-atrial fibrillation (SVT).
- Oogqirha basebenzisa ezi njengonyango lokuqala kuba azinabungozi kangako.
- Musa ukuzama ezi zinto ekhaya ngaphandle kokuba uyalelwe ngugqirha wakho. I-Carotid Sinus Massage ngokukodwa kufuneka yenziwe ngugqirha kuphela.
- Ukuba uneentlungu esifubeni, isiyezi, okanye ubunzima bokuphefumla ngelixa intliziyo yakho ibetha ngamandla, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
- Ukuba ezi ndlela azilawuli izinga lokubetha kwentliziyo yakho, ungakhathazeki. Ugqirha wakho usenokuba unamayeza okanye ezinye iindlela zonyango (umz., ukususwa kwe-catheter). Landela imiyalelo yakhe rhoqo.
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