Ngaba wakha waziva intliziyo yakho ibetha ngamandla kwaye ibetha ngamandla xa udidekile? Ngamanye amaxesha kunokuba yinto eyoyikisayo, akunjalo? Namhlanje siza kuthetha ngendlela elula kakhulu yokunciphisa olu hlobo lwesantya sentliziyo, eyaziwa ngokwezonyango njengeSupraventricular Tachycardia (SVT) , ngaphandle kwamayeza, kwaye kwiimeko ezininzi njengenyathelo lokuqala. Oku kubizwa ngokuba yi-'Valsalva maneuver.'
Kalula nje, yintoni iValsalva Maneuver?
Oku kusenokuvakala ngathi ligama elingaqhelekanga, kodwa eneneni kulula kakhulu. Kalula nje, indlela yeValsalva ibandakanya ukuphefumla nzulu, ukuvala umlomo nempumlo yakho, kunye nokunyanzela umoya ukuba uphume. Kuvakala ngathi uzama ukukhupha indle xa usiya kwindlu yangasese.
Khawuthelekelele ukuba isantya sentliziyo yakho siyanda ngequbuliso. Emva koko xa usiya kugqirha, ngaphambi kokuba akunike amayeza okanye akuthumele kwenye indlela yonyango, angacebisa ukuba uzame le ndlela. Isizathu kukuba yindlela ekhawulezayo nelula kakhulu engangenisi ntsholongwane, oko kuthetha ukuba akukho nto ifakwayo emzimbeni.
Kodwa into enye ekufuneka uyikhumbule kukuba le ayisiyonto onokuyenza wedwa. Kufuneka uyenze kuphela xa ugqirha wakho ehlolisise imeko yakho waza wakucebisa ukuba le ndlela ikufanele. Kuba ngugqirha kuphela onokwazi ngokuqinisekileyo ukuba ukungasebenzi kakuhle kwentliziyo yakho kuxhomekeke kule ndlela.
Zeziphi izinto ezisetyenziselwa le ndlela?
Oogqirha basebenzisa indlela yeValsalva ukuxilonga nokunyanga izifo. Makhe sijonge ezinye zeengenelo zayo. Itheyibhile engasezantsi iya kukwenza kucace oku.
| Inzuzo | Inkcazo |
|---|---|
| Ukulawula ukubetha kwentliziyo | Njengoko kukhankanyiwe apha ngasentla, oku kunceda ukulawula imeko yentliziyo ekhawulezayo ngesiquphe (SVT) kwaye kuyibuyisele kwisigqi esiqhelekileyo. |
| Ukuchonga ukumbombozela kwentliziyo | Le ndlela inceda ugqirha ukuba afumanise ukuba loluphi uhlobo lwezandi ezingaqhelekanga (ukugquma kwentliziyo) eziviwayo xa kuhlolwa intliziyo nge-stethoscope. |
| Ukuxilongwa Kokusilela Kwentliziyo | Oku kungasetyenziswa kwinkqubo yokuxilonga ukuchonga ezinye zeengxaki zentliziyo. |
| Ukuxilongwa kwezinye izifo | Ikwasetyenziselwa ukuxilonga iimeko ezifana nesifo semithambo yegazi okanye i-varicocele. |
| Iingxaki zenkqubo ye-nervous ezizimeleyo | Oku kukwanceda ekufumaneni naziphi na iingxaki nge-Autonomic Nervous System, elawula izinto ezifana nokubetha kwentliziyo kunye nokuphefumla kwethu ngaphandle kokuba siqaphele. |
Ngubani ongafanele enze iValsalva Maneuver?
Nangona le yindlela elula, ayifanelekanga kuye wonke umntu. Kuba xa senza le ndlela, uxinzelelo ngaphakathi kwamehlo ethu nasesiswini luyanda ngoko nangoko. Ke ngoko, abantu abaneengxaki ezithile zempilo kufuneka bakuphephe ukwenza oku.
Ukuba unayo nayiphi na kwezi meko zilandelayo, ungaze uzame oku ngaphandle kokubonisana nogqirha.
| Imeko | Kutheni ulumkile? (Kutheni ulumkile?) |
|---|---|
| Izifo ze-retina | Ukuba unesifo esifana ne -retinopathy , esinengxaki yemithambo yegazi kwi-retina, le nkqubo inokubangela umonakalo ngenxa yoxinzelelo oluphezulu ngaphakathi kweliso. |
| Izinto ezifakelweyo kwilensi yamehlo | Ayilunganga le nto ukuba ufake ilensi yangaphakathi kweso emva kotyando lwe-cataract. Uxinzelelo oluphezulu lunokuchaphazela ilensi. |
| Isifo sevalvu yentliziyo | Abantu abanesifo okanye ababuthathaka kwivalvu yentliziyo banokuba nobunzima bokunyamezela utshintsho loxinzelelo oluvela kule nkqubo. |
| Isifo semithambo yentliziyo | Ukuba kukho imiqobo kwimithambo yegazi ehambisa igazi entliziyweni, le ndlela inokubangela uxinzelelo olungeyomfuneko entliziyweni. |
| Isifo sentliziyo esizalwa naso | Le ndlela isenokungafaneleki nakubantu abanesifo sentliziyo abazalwa naso, ngoko ke kubalulekile ukuxoxa ngale nto nogqirha wakho. |
Uyenza njani kanye kanye le nto?
Kulungile, ngoku makhe sibone ukuba ungakwenza njani kanye kanye oku xa ugqirha ekuxelela ukuba wenze oku. Kufuneka ulandele la manyathelo ngokulandelelana kwawo.
Khawuthelekelele ubukele iTV uze ngequbuliso isifuba sakho siqale ukuqaqamba. Ukuba ugqirha wakho ukufundisile le ndlela, ungakwenza oku ulele phantsi ngokuzolileyo ebhedini okanye esofeni, okanye uhleli esitulweni.
1. Inyathelo 1: Okokuqala , hlala phantsi okanye ulale phantsi ngokuzolileyo. Musa ukoyika.
2. Inyathelo lesi-2: Phefumla nzulu njengesiqhelo.
3. Inyathelo lesi-3 (eyona nxalenye ibalulekileyo): Ngoku vala umlomo wakho ngokuqinileyo. Kwakhona, cima impumlo yakho ngeminwe emibini. Emva koko, qinisa izihlunu zakho zesisu uze uzicinezele ngokungathi uzama ukutyhala umphefumlo ngaphandle. Kufana nje nokuzibhokoxa ukuze ukhuphe isisu.
4. Inyathelo Lesine: Bamba le ndawo imizuzwana eli-15 ukuya kwengama-20.
5. Inyathelo lesihlanu: Ngoku vula impumlo nomlomo wakho ngequbuliso uze uqale ukuphefumla ngendlela eqhelekileyo.
Le ndlela iyaphumelela ukuba isantya sentliziyo yakho sibuyela kwisiqhelo kumzuzu omnye.
Iindlela ezimbini ezikhethekileyo
Kukho utshintsho oluncinci olubini olusetyenziswa ngoogqirha ukuze oku kube yimpumelelo ngakumbi.
- Indlela Yokunyanga Eguquliweyo yeValsalva: Kule ndlela, wakugqiba ukucinezela, ugqirha wakho okanye omnye umntu uza kuphakamisa imilenze yakho. Oku kuya kunceda igazi elisemilenzeni yakho libuyele entliziyweni yakho ngokukhawuleza. Oku kuya kunceda izinga lentliziyo yakho libuyele kwisiqhelo. Olunye uphando lufumanise ukuba indlela eqhelekileyo inezinga lempumelelo elingama-46%, xa kuthelekiswa nezinga lempumelelo elingama-16% kwindlela eguquliweyo.
- Ukuguqula iValsalva: Oku kukwenza uzive uphambene kancinci. Uhlala phantsi, uvale umlomo nempumlo yakho, uze uphefumle imizuzwana eli-10.
Kwenzeka ntoni emzimbeni xa usenza oku?
Xa uyicinezela ngolu hlobo, kwenzeka uthotho lweziganeko emzimbeni wakho. Inomdla kakhulu.
- Okokuqala: Xa ucinezela, uxinzelelo lwegazi lwakho luya kunyuka kancinci ngoko nangoko kuba uxinzelelo olungaphakathi esifubeni sakho luyanda.
- Okulandelayo: Xa ubamba umphefumlo wakho, inani legazi eliya entliziyweni yakho liyancipha. Oku kubangela ukuba uxinzelelo lwegazi lwakho lwehle. Ngenxa yoko, izinga lentliziyo yakho liyanyuka.
- Emva kokuba uyeke ukucinezela: Xa ngequbuliso ukhulula umoya wakho, uxinzelelo lwakho lwegazi luyehla kancinci.
- Okokugqibela (kwaye okona kubaluleke kakhulu): Emva koko, umzimba uphendula ngokunyusa uxinzelelo lwegazi ngequbuliso ukuya kwinqanaba eliphezulu kunangaphambili. Oku kubizwa ngokuba yi-'rebound effect'. Xa olu xinzelelo lusanda, inkqubo yemithambo-luvo iphendula ngokuthumela umqondiso entliziyweni ukuba yehlise isantya. Eli nyathelo lokugqibela yile nto siyidingayo. Isantya sentliziyo siyehla size sibuyele kwisiqhelo.
Iziphumo, iingenelo kunye neengozi
Zinjani iziphumo?
Izinga lempumelelo yeValsalva maneuver liphakathi kwe-5% kunye ne-20%, oko kuthetha ukuba ayisebenzi rhoqo.
Ukuba isantya sentliziyo yakho asibuyeli kwisiqhelo emva kwemizamo emithathu, ugqirha wakho uza kuqhubeka nenyathelo elilandelayo lonyango. Oku kungabandakanya ukuphulula umthambo okhethekileyo entanyeni yakho (carotid massage), ukukunika amayeza, okanye ukukunika umbane (cardioversion) . Oku kuya kuxhomekeka kwiimpawu zakho kunye nobunzima bemeko yakho.
Zithini iingenelo zoku?
- Le yindlela ekhawulezayo kakhulu.
- Into enokwenziwa ngaphandle kwamayeza .
- Ukuba uphumelele, ungaziphepha iziphumo ebezingalindelekanga ezinokubakho ngamayeza okanye ezinye iindlela zonyango.
Ngaba kukho naziphi na iingozi okanye iziphumo ebezingalindelekanga?
Uninzi lwabantu lungakwenza oku ngokukhuselekileyo ngaphandle kweengxaki, kodwa kukho izinto ezimbalwa ezinokwenzeka rhoqo .
- Iintlungu zesifuba
- Ukuquleka (ukulahlekelwa zingqondo)
- Isingqisho sentliziyo esingaqhelekanga
- Istroke
Nangona ezi ziziganeko ezingaqhelekanga, yiyo loo nto sithi oku kufanele kusoloko kwenziwa phantsi kwengcebiso kagqirha .
Ndifanele ndimbone nini ugqirha?
Ukuba ugqirha wakho ukufundisile le ndlela ye-SVT waza wakuyalela ukuba uyenze ekhaya, kwaye uzama kodwa isantya sentliziyo yakho asibuyeli kwisiqhelo, kufuneka ufowunele ugqirha wakho ngoko nangoko. Uza kukuxelela into omawuyenze ngokulandelayo. Ungacelwa ukuba uye kwicandelo likaxakeka lesibhedlele (ETU) ngoko nangoko.
I-Valsalva maneuver sisixhobo esiluncedo, kodwa ayisebenzi rhoqo, ngoko ke kubalulekile ukuthetha nogqirha wakho malunga nento omawuyenze ngokulandelayo.
Umyalezo Wokuya Ekhaya
- I-Valsalva Maneuver yindlela ekhethekileyo esetyenziselwa ukunyanga iimeko ezithile, ezifana ne-supraventricular tachycardia (SVT). Ayijoliswanga ekusetyenzisweni ngokubanzi.
- Ungaze uzame oku wedwa okanye emva kokukukhangela kwi-intanethi. Yenza kuphela ukuba ugqirha wakho uhlolisise imeko yakho, wathi ifanelekile kuwe, kwaye ukuxelele indlela yokukwenza ngokufanelekileyo.
- Ukuba unesifo samehlo, isifo sevalvu yentliziyo, okanye ezinye iingxaki zentliziyo, le nkqubo isenokungakulungeli. Xelela ugqirha wakho imbali yakho epheleleyo yezonyango.
- Ukuba ukhe wazama oku njengoko ugqirha wakho ecebisile kwaye akusebenzanga, ungoyiki. Oku kuqhelekile. Xelela ugqirha wakho ngoko nangoko. Baza kukubonisa amanyathelo alandelayo onyango.
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