Uma uzizwa udangele, ingabe inhliziyo yakho iqale ukushaya ngokushesha... ngokushesha kakhulu ngaphandle kwesizathu? Kuzwakala sengathi usanda kubaleka, noma wesaba ngempela, akunjalo? Kuvamile ukuzizwa wesaba kancane ngezikhathi ezinjengalezi. Esikhathini esiningi, lokhu kubangelwa ukwanda okungazelelwe kwesilinganiso senhliziyo. Namuhla, sizokhuluma ngezindlela ezilula, ezingezona izidakamizwa ezisetshenziswa odokotela ukwelapha lokhu.
Ayini ngempela ama-Vagal Maneuvers?
Kalula nje, ama-Vagal Maneuvers yimisebenzi ethile esiyenzayo ngemizimba yethu. Lokhu kuvuselela inzwa elawula ukushaya kwenhliziyo yethu. Sibiza le nzwa ngokuthi i-Vagus nerve . Lena inzwa ebaluleke kakhulu egijima isuka ebuchosheni bethu iye esiswini sethu.
Cabanga ngakho, imizimba yethu inezinhlelo ezimbili. Enye iwukusenza sisebenze, ukusilungiselela isimo esiphuthumayo. Enye iwukusithulisa, ukusigcina siphumule. Lolu hlelo lwesibili lubizwa ngokuthi i-Parasympathetic Nervous System . Ingxenye eyinhloko yalolo hlelo yi-Vagus nerve. Ngakho-ke uma sivuselela lo mzimba kancane, uthumela isignali enhliziyweni ethi, "Kulungile, yehlisa ijubane kancane manje." Ngemuva kwalokho i-pacemaker yemvelo yenhliziyo iyehlisa ijubane, futhi ukushaya kwenhliziyo okusheshayo kungabuyela esimweni esijwayelekile.
Kodwa lokhu kubaluleke kakhulu: Ngisho noma wazi ngalezi zindlela, ungazizami wedwa ngaphandle kokubonisana nodokotela. Kungcono kakhulu ukukhuluma nodokotela wakho kuqala bese ucela iseluleko esiqondile kuye.
Yiziphi lezi zinhlobo ze-Vagal Maneuvers?
Kunezindlela eziningana odokotela abavame ukuzisebenzisa. Kungenzeka ukuthi uke wezwa ngenye noma ezimbili zalezi.
| Igama le-Maneuver | Indlela yokukwenza kalula |
|---|---|
| I-Valsalva Maneuver | Ukubamba umoya wakho nokusunduza kanzima, njengokungathi ukhipha indle endlini yangasese. |
| I-Reflex Yokuntywila | Ngokungazelelwe wacwilisa ubuso esitsheni samanzi eqhwa. |
| Ukubhucungwa Kwesino Se-Carotid | Udokotela uhlikihla kancane indawo ethile ohlangothini lwentamo. |
| Ukukhwehlela | Ukuluma izikhathi eziningana zilandelana. |
| Ukuzama ukuhlanza (i-Gag Reflex) | Ukuvuselela kancane ingemuva lomphimbo. |
| Ukucindezela kwesisu okusetshenzisiwe | Lala ngomhlane wakho, goba amadolo akho bese uwaletha esifubeni sakho. |
Kungani kusetshenziswa lezi zindlela?
Imbangela eyinhloko yisimo esibizwa ngokuthi i-Supraventricular Tachycardia (SVT) . Lokhu kwenzeka lapho izimpawu zikagesi ezivela ezingxenyeni ezingaphezulu zenhliziyo zibangela ukuba izinga lokushaya kwenhliziyo likhuphuke ngokuzumayo lifinyelele phezulu kakhulu kune-100 beats ngomzuzu. Kumuntu onalesi simo, odokotela baqala ngokuzama i-Vagal Maneuvers.
Ngoba,
- Ingozi ephansi: Lokhu kuphephile kakhulu kunokunikeza imithi noma ukunikeza ukushaqeka ngogesi (inhliziyo eguquguqukayo).
- Izindleko eziphansi: Lokhu akudingi imishini ekhethekile noma imithi.
- Kungenziwa ngokushesha: Kungenziwa ngokushesha esibhedlela noma emtholampilo.
Lezi zindlela zinezinga lempumelelo elingu-20% kuya ku-40% ekubuyiseleni izinga lenhliziyo elijwayelekile. Ngezinye izikhathi, lezi zindlela zingasiza odokotela ukuthi banqume ukuthi hlobo luni lwesifo senhliziyo (i-arrhythmia) onaso.
Ingabe bakhona abantu okungafanele benze lezi zinqubo?
Yebo, impela. Udokotela uzosebenzisa lezi zindlela kuphela uma isimo sakho sizinzile . Okusho ukuthi, uma ungekho enkingeni enkulu. Kodwa uma isimo sakho singazinzile , okungukuthi, uma unezimpawu ezingezansi, lezi zindlela ngeke zisetshenziswe. Ngaleso sikhathi, bazobhekisela ngqo kwezinye izindlela zokwelapha.
| Ukuhlinzwa kwe-Vagal akufanele kwenziwe (izimo zezokwelapha ezingazinzile) | |
|---|---|
| Umfutho wegazi ophansi | Ngoba umzimba usuvele ushaqekile. |
| Ubuhlungu besifuba | Lokhu kungaba uphawu lokuhlaselwa yinhliziyo. |
| Ukuphelelwa umoya | Uphawu lokuthi umzimba awutholi inani lomoya-mpilo olidingayo. |
| Ukuntuleka kokugeleza kwegazi kwezinye izitho zomzimba | Izimpawu ezifana nokudideka nokulahlekelwa ukwazi. |
Uma unalezi zimpawu futhi inhliziyo yakho ishaya ngokushesha, into engcono kakhulu ongayenza ukuya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
Ake sichaze kafushane ukuthi izindlela eziyinhloko zenziwa kanjani.
1. I-Valsalva Maneuver
Lena yindlela evame ukusetshenziswa kakhulu. Indlela udokotela akwenza ngayo lokhu iwukulala embhedeni, uphefumule ngokujulile, uvale umlomo nekhala lakho, bese ulibamba cishe imizuzwana eyi-10-30 njengokungathi uzama ukukhipha umoya. Kufanele kuzwakale sengathi uzama ukufutha ipayipi elivalekile.
Kukhona enye indlela ephumelelayo yalokhu. Ibizwa ngokuthi i-Modified Valsalva Maneuver . Kuyo, njengoba uhleli futhi wenza lokhu kusunduza, udokotela ngokuzumayo wehlisa umzimba wakho ongaphezulu embhedeni. Ngesikhathi esifanayo, uphakamisa imilenze yomibili ayibambe cishe imizuzwana engama-45. Lokhu kwandisa izinga lempumelelo nakakhulu.
Ukuze benze lokhu ezinganeni ezincane, odokotela bazitshela ukuthi zifake isithupha sazo emlonyeni wazo bese ziphefumula kuze kube yilapho kungaphumi moya.
2. I-Reflex Yokuntywila
Lokhu kungase kuzwakale kungavamile, akunjalo? Kodwa futhi kuyindlela ephumelela kakhulu. Okwenzayo lapha ukuthi, uhlale phansi, uphefumule ngokujulile, ubambe umoya wakho, bese ucwilisa ubuso bakho bonke esitsheni esigcwele amanzi eqhwa. Ufuna ukugcina ubuso bakho emanzini isikhathi eside ngangokunokwenzeka.
Esikhundleni salokhu, ungabamba isikhwama samanzi eqhwa noma ithawula elimanzi elibandayo ebusweni bakho.
3. Ukuhlikihla Ama-Sinus e-Carotid
Lokhu kuyinto okufanele yenziwe udokotela kuphela. Awuvunyelwe nhlobo ukuyenza wena ngokwakho. Ngoba udinga ukwazi kahle ukuthi ukwenze kuphi futhi usebenzise inani elifanele lokucindezela.
Lapha, udokotela uzokulala phansi, aphendule ikhanda lakho alibhekise ohlangothini olulodwa, bese ehlikihla ngobumnene i-carotid sinus ohlangothini lwentamo yakho ngeminwe yakhe cishe imizuzwana emi-5-10. Lokhu kunganciphisa ukushaya kwenhliziyo yakho.
Kwenzekani ngemva kwalezi zindlela?
Ithemba liwukuthi ukushaya kwenhliziyo kuzobuyela esimweni esijwayelekile. Udokotela uzokwenza enye i-EKG (i-electrocardiogram) ukuze abone ukuthi isigqi senhliziyo sibuyele esimweni esijwayelekile yini.
Uma lezi zindlela zingasebenzi ngemva kokuzama kabili noma kathathu, unganikwa imithi. Lokhu kusho ukuthi imithi inganikezwa ngemithambo ukuze ulawule izinga lokushaya kwenhliziyo yakho. Kwezinye izimo, ungathunyelwa ngenxa ye -cardioversion, okuhlanganisa ukushaqeka ngogesi.
Kungakhathaliseki ukuthi kuphumelele noma cha, uma lesi simo sivela, udokotela wakho angakudlulisela kudokotela wenhliziyo.
Yiziphi izingozi nezinzuzo zalokhu?
Sesikhulume kakade ngezinzuzo zalokhu. Inzuzo enkulu ukuthi ungazama ukulawula ukushaya kwenhliziyo yakho ngaphandle kwemithi, ngentengo ephansi, futhi ngengozi ephansi.
Ngokuphathelene nezingozi, uma zenziwe kahle ngudokotela oqeqeshiwe, izinkinga azivamile. Ngisho noma zenzeka, ngokuvamile ziba zesikhashana.
- Ukwehla komfutho wegazi: Ukwehla kwesikhashana komfutho wegazi.
- I-Bradycardia: Inhliziyo eshaya kancane kakhulu.
- Akuvamile kakhulu ukuthi kube nezinye izinkinga zesigqi senhliziyo ezifana ne -Atrial Fibrillation kanye ne-Ventricular Fibrillation .
Ingozi yokushaywa yisifo sohlangothi nge-Carotid Sinus Massage iphansi kakhulu, cishe ingu-1 kwabayi-1,000. Ngenxa yalesi sizathu, odokotela abasebenzisi le ndlela kubantu abanezimo ezilandelayo:
- Uma uke waba nesifo sohlangothi noma i-TIA (ukuhlaselwa kwe-ischemic okudlulayo) .
- Uma unesifo semithambo ye-carotid .
- Uma usanda kuba nokuhlaselwa yinhliziyo.
Umlayezo Wokuya Nawe Ekhaya
- Izindlela zokwelapha izifo ezifana ne-SVT ziyindlela yokuqala, engenamithi yokwelapha izifo ezifana ne-SVT, okubangela ukwanda kwesilinganiso senhliziyo.
- Lokhu kusebenza ngokuvuselela i-Vagus nerve yomzimba wethu nokunciphisa ukushaya kwenhliziyo yethu.
- Ungalokothi uzame lezi zindlela wedwa ngaphandle kweseluleko sezokwelapha. Buza udokotela wakho ukuthi ziphephile yini kuwe nokuthi iyiphi indlela efanele.
- Uma unezimpawu ezinzima njengobuhlungu besifuba kanye nokuphelelwa umoya okukhulu, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Uma lezi zindlela zingasebenzi, kungadingeka ufune usizo lwezokwelapha noma ezinye izindlela zokwelapha. Kubalulekile ukulandela imiyalelo kadokotela wakho.
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