Ngamanye amaxesha usenokuba uzive ngathi isantya sentliziyo yakho siyanyuka ngequbuliso ngaphandle kwesizathu. Njengokungathi usandul' ukubaleka. Oku kunokuba ngamava othusayo kwabanye abantu. Ngoko ke namhlanje sithetha ngendlela elula onokuyenza ngokwakho ngexesha elinje, ngaphandle kokusela naliphi na iyeza. Kodwa oku akuyonto umntu anokuyenza, nangaliphi na ixesha. Masiyijonge ngokweenkcukacha.
Yintoni iValsalva maneuver?
Ngamafutshane, le yindlela ekhethekileyo yokuphefumla. Ibandakanya ukuvala impumlo nomlomo wakho kwaye ubeke uxinzelelo emzimbeni wakho njengoko uzama ukukhupha umoya. Ngokuchanekileyo, kufuneka ukwenze oku uzive ngathi uzama ukukhupha indle xa usiya kwindlu yangasese .
Le ndlela idla ngokusetyenziswa ukulawula isifo sentliziyo esibizwa ngokuba yi-``Supraventricular Tachycardia (SVT)``, apho isantya sentliziyo sinyuka ngequbuliso. Ngamanye amaxesha, le yindlela yokuqala oogqirha abazama ngayo ukulungisa isantya sentliziyo ngaphambi kokuba banike amayeza.
Kodwa oku akuyonto omele uyenze wedwa. Ufanele ukwenze oku kuphela emva kokuba ugqirha wakho ekuxelele kwaye eqinisekisile ukuba kufanelekile kwisifo sakho sentliziyo.
Le ndlela isetyenziswa phantsi kweziphi iimeko?
Le ndlela inceda ugqirha ekuxilongeni nasekunyangeni izifo. I-Valsalva maneuver isetyenziswa kakhulu kwezi zinto zilandelayo:
- Lawula i-Supraventricular Tachycardia (SVT), imeko apho isantya sentliziyo sinyuka ngequbuliso, kwaye ubuyisele isantya sentliziyo kwisiqhelo.
- Chonga uhlobo lwentliziyo ekhalayo onayo.
- Fumana ukuba unesifo sentliziyo na .
- Chonga ezinye iingxaki ezifana nesifo semithambo yegazi okanye i-varicocele.
- Fumanisa ukuba kukho ingxaki na kwinkqubo yemithambo-luvo elawulayo, eyinkqubo esiyilawulayo ngokungazi, njengokubetha kwentliziyo nokuphefumla kwethu.
- Susa nayiphi na inkunkuma engafunekiyo kwindlebe ephakathi.
Ngubani ongafanelekiyo kule ndlela?
Le ndlela isenokungafaneleki kwabanye abantu kuba ibeka uxinzelelo emehlweni nasesiswini. Ukuba unenye yezi meko zilandelayo, musa ukuzama le ndlela ngaphandle kwengcebiso kagqirha.
Abo bafanele bakuphephe ngokuqinisekileyo:
- Abantu abaneengxaki zemithambo yegazi kwi-retina yeliso (i-retinopathy).
- Abantu abaye bafakelwa iilensi zokwenziwa ngaphakathi kweliso (ii-intraocular lens implants), njengasemva kotyando lwe-cataract.
Abo bafanele balumke kakhulu
Ukuba unenye yezi meko zilandelayo zempilo, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngaphambi kokuba uzame le ndlela kwaye uyenze kuphela phantsi kweliso lakhe.
- Isifo sevalvu yentliziyo
- Isifo semithambo yentliziyo
- Isifo sentliziyo esizalwa naso
Yenziwa njani kanye kanye le ndlela yokuqhuba iValsalva?
Ukuba ugqirha wakho ukucebise ukuba wenze le nkqubo, nantsi indlela yokuyenza.
| Amanyathelo | Indlela yokwenza oko |
|---|---|
| Inyathelo 1 | Hlala esitulweni okanye ulale ebhedini. |
| Inyathelo lesi-2 | Thatha umphefumlo onzulu. |
| Inyathelo lesi-3 | Vala umlomo nempumlo yakho uze uzame ukukhupha umoya ngamandla, ngokungathi ukhupha isisu. Bamba le ndawo malunga nemizuzwana eli-15 ukuya kwengama-20 . |
| Inyathelo lesi-4 | Ngoku vula impumlo nomlomo wakho uze ukhuphe umoya ngendlela eqhelekileyo. |
Ngaba kukho ezinye iindlela ezahlukeneyo zale ndlela?
Ewe, kukho ezinye iindlela ezimbini ezisebenzayo ngakumbi ekunyangeni i-SVT.
- Indlela yokuphakamisa iValsalva eguquliweyo: Kulapho, kwangoko nje ukuba uyeke ukwenza inyathelo lesi-3 (ukucinezela), ugqirha wakho okanye umntu okhathalelayo uphakamisa imilenze yakho. Izifundo zibonise ukuba le ndlela yokuphakamisa iyasebenza ngakumbi kunendlela eqhelekileyo. Oku kungenxa yokuba ukuphakamisa imilenze yakho kwandisa ukuhamba kwegazi ukuya entliziyweni.
- Ukuguqula indlela yeValsalva: Oku kuquka ukuhlala phantsi, ukuvala impumlo nomlomo, nokuzama ukuphefumla imizuzwana eli-10.
Kwenzeka ntoni ngaphakathi emizimbeni yethu xa senza le ndlela?
Xa senza le ndlela, uxinzelelo lwegazi lomzimba wethu kunye nesantya sentliziyo siyatshintsha ngamanqanaba aliqela. Ngamafutshane, kunje.
1. Xa uxinezeleka: Xa uxinezeleka, uxinzelelo lwakho lwegazi lunyuka kancinci okomzuzwana.
2. Xa uxinezelekile: Emva koko uxinzelelo lwakho lwegazi kunye nobungakanani begazi elimpontshwa yintliziyo yakho buyehla. Ekubeni igazi lincinci elingena entliziyweni yakho, intliziyo yakho ibetha ngokukhawuleza ukuze ibuyisele umva.
3. Emva kokuyeka ukucinezela: Emva kokuyeka ukucinezela, uxinzelelo lwegazi luyehla kancinci kwakhona.
4. Inqanaba lokugqibela: Okulandelayo, uxinzelelo lwegazi lunyuka kakhulu kunangaphambili. Ukuphendula, umzimba uyanciphisa izinga lokubetha kwentliziyo. Ekugqibeleni, uxinzelelo lwegazi kunye nezinga lokubetha kwentliziyo zibuyela kwisiqhelo. Kukweli nqanaba lokugqibela apho izinga lokubetha kwentliziyo elikhawulezayo lilawulwa khona.
Kuza kwenzeka ntoni ukuba inkqubo iphumelele kwaye kuza kwenzeka ntoni ukuba ayiphumeleli?
Ukuba le ndlela iphumelele, ukubetha kwentliziyo yakho ngokukhawuleza kuya kubuyela esiqhelweni kumzuzu omnye. Nangona kunjalo, izinga lempumelelo liphakathi kwe-5% - 20%.
Ukuba i-SVT yakho ayiphucuki emva kwemizamo emithathu, ugqirha wakho uya kuqhubeka nenyathelo elilandelayo lonyango. Ngokuxhomekeke kwiimpawu zakho, iimpawu ezibalulekileyo, kunye nohlobo lwe-SVT, oku kungabandakanya amayeza okanye i-electrical cardioversion.
Ziziphi iingenelo kunye neengozi zale ndlela?
Eyona nzuzo inkulu yoku kukuba inokuzama ngokukhawuleza ukubuyisela isigqi esiqhelekileyo kwisantya sentliziyo esikhawulezayo (SVT) ngaphandle kokusebenzisa naluphi na unyango.
Uninzi lwabantu lunokuyithatha le nkqubo ngokukhuselekileyo ngaphandle kweengxaki. Iziphumo ebezingalindelekanga azixhaphakanga. Nangona kunjalo, kunqabile kakhulu, abanye abantu banokufumana:
- Iintlungu zesifuba
- Ukulahlekelwa yingqondo
- Ezinye iintliziyo ezingaqhelekanga
- Istroke
Nangona ezi ziziganeko ezingaqhelekanga kakhulu, kubalulekile ukuzazi ezi zinto.
Umyalezo Wokuya Ekhaya
- I-Valsalva maneuver yindlela ekhethekileyo yokuphefumla esetyenziselwa ukulawula iimeko zentliziyo ezikhawulezayo ezifana ne-SVT.
- Ungaze uzame oku wedwa ngaphandle kwengcebiso nesikhokelo sikagqirha.
- Abantu abaneengxaki ezithile zempilo, ezifana nezifo zamehlo kunye nezifo zevalvu yentliziyo, kufuneka bakuphephe ukwenza oku.
- Ukuba wenza oku njengoko ugqirha wakho ekuyalele kwaye kungasebenzi, ungazami kwakhona kwaye utsalele ugqirha wakho umnxeba ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
- Indlela eguquliweyo, oko kukuthi, indlela yokuphakamisa imilenze, idla ngokuvelisa iziphumo eziphumelelayo ngakumbi.
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