Wake wazizwa inhliziyo yakho ishaya ngamandla futhi ishaya ngamandla lapho udidekile? Ngezinye izikhathi kungaba yinto eyesabekayo, akunjalo? Namuhla sizokhuluma ngendlela elula kakhulu yokunciphisa lolu hlobo lokushaya kwenhliziyo, okwaziwa ngokwezokwelapha ngokuthi i-Supraventricular Tachycardia (SVT) , ngaphandle kwemithi, futhi ezimweni eziningi njengesinyathelo sokuqala. Lokhu kubizwa ngokuthi 'i-Valsalva maneuver.'
Kalula nje, iyini i-Valsalva Maneuver?
Lokhu kungase kuzwakale njengegama elingajwayelekile, kodwa empeleni kulula kakhulu. Kalula nje, indlela yeValsalva ihilela ukuthatha umoya ojulile, ukuvala umlomo nekhala lakho, nokuphoqa umoya ukuba uphume. Kuzwakala sengathi uzama ukuzikhulula uma uya endlini yangasese.
Cabanga ukuthi ukushaya kwenhliziyo yakho kukhula ngokuzumayo. Uma uya kudokotela, ngaphambi kokuba akunike imithi noma akuthumele kwenye indlela yokwelapha, angase akuphakamise ukuthi uzame le ndlela. Isizathu ukuthi iyindlela esheshayo nelula engahlaseli, okusho ukuthi akukho lutho olufakwa emzimbeni.
Kodwa into eyodwa okufanele uyikhumbule ukuthi lokhu akuyona into ongayenza wedwa. Kufanele ukwenze lokhu kuphela uma udokotela wakho ehlole isimo sakho futhi ekweluleke ukuthi le ndlela ikufanele. Ngoba udokotela kuphela ongazi ngokuqinisekile ukuthi ukungasebenzi kahle kwesigqi senhliziyo yakho yikona okuzosabela kule ndlela.
Lolu hlobo lwento lusetshenziselwani?
Odokotela basebenzisa indlela yeValsalva ukuxilonga nokwelapha izifo. Ake sibheke ezinye zezinzuzo zayo. Ithebula elingezansi lizokwenza lokhu kucace.
| Inzuzo | Incazelo |
|---|---|
| Ukulawula ukushaya kwenhliziyo | Njengoba kushiwo ngenhla, lokhu kusiza ukulawula isimo sokushaya kwenhliziyo okusheshayo okungazelelwe (i-SVT) futhi kubuyisele isigqi esijwayelekile. |
| Ukuhlonza ukububula kwenhliziyo | Le ndlela isiza udokotela ukuthi abone ukuthi hlobo luni lwemisindo engavamile (ukububula kwenhliziyo) oluzwakalayo lapho kuhlolwa inhliziyo nge-stethoscope. |
| Ukuxilongwa Kokwehluleka Kwenhliziyo | Lokhu kungasetshenziswa enkambisweni yokuxilonga ukuze kutholakale ezinye izifo zenhliziyo. |
| Ukuxilongwa kwezinye izifo | Iphinde isetshenziswe ekuxilongeni izimo ezifana nesifo semithambo yegazi noma i-varicocele. |
| Izinkinga zesimiso sezinzwa esizimele | Lokhu kusiza futhi ukuthola noma yiziphi izinkinga nge-Autonomic Nervous System, elawula izinto ezifana nokushaya kwenhliziyo nokuphefumula kwethu ngaphandle kokuqaphela. |
Ubani okungafanele enze i-Valsalva Maneuver?
Nakuba le ndlela ilula, ayifanele wonke umuntu. Ngoba lapho senza le ndlela, ingcindezi engaphakathi kwamehlo ethu kanye nesisu iyanda ngokushesha. Ngakho-ke, abantu abanezimo ezithile zezokwelapha kufanele bagweme ukwenza lokhu.
Uma unezinye zezimo ezilandelayo, ungalokothi uzame lokhu ngaphandle kokubonisana nodokotela.
| Isimo | Kungani kufanele uqaphele? (Kungani kufanele uqaphele?) |
|---|---|
| Izifo ze-retina | Uma unesifo esifana ne -retinopathy , okuyinkinga yemithambo yegazi ku-retina, le nqubo ingabangela umonakalo ngenxa yokucindezela okukhulu ngaphakathi kweso. |
| Ukufakelwa kwelensi yamehlo | Lokhu akuwona umqondo omuhle uma ufakwe ilensi yangaphakathi kweso ngemva kokuhlinzwa kwe-cataract. Ukucindezela okukhulu kungathinta ilensi. |
| Isifo se-valve yenhliziyo | Abantu abanesifo noma ababuthakathaka be-valve yenhliziyo bangase babe nobunzima bokubekezelela izinguquko zokucindezela ezenzeka ngale nqubo. |
| Isifo semithambo ye-coronary | Uma kukhona ukuvinjelwa emithanjeni ehambisa igazi enhliziyweni, le ndlela ingabangela ingcindezi engadingekile enhliziyweni. |
| Isifo senhliziyo esizalwa naso | Le ndlela ingase ingafaneleki nakubantu abanesifo senhliziyo abazalwa naso, ngakho-ke kubalulekile ukuxoxa ngalokhu nodokotela wakho. |
Ukwenza kanjani lokhu ngqo?
Kulungile, manje ake sibone ukuthi ungakwenza kanjani uma udokotela ekutshela ukuthi wenze lokhu. Udinga ukulandela lezi zinyathelo ngokulandelana.
Zicabange ubukele i-TV bese isifuba sakho siqala ukushaya ngamandla. Uma udokotela wakho ekufundisile le ndlela, ungakwenza lokhu ulele phansi ngokuthula embhedeni noma kusofa, noma uhleli esihlalweni.
1. Isinyathelo 1: Okokuqala , hlala phansi noma ulale phansi ngokuthula. Ungesabi.
2. Isinyathelo 2: Phefumula ngokujulile njengenjwayelo.
3. Isinyathelo 3 (ingxenye ebaluleke kakhulu): Manje vala umlomo wakho uqine. Futhi, vala impumulo yakho ngeminwe emibili. Bese uqinisa imisipha yesisu sakho bese uyicindezela njengokungathi uzama ukukhipha umoya. Kufana nje nokuzikhandla ukuze uthuthe.
4. Isinyathelo Sesine: Bamba lesi simo cishe imizuzwana eyi-15 kuya kwengama-20.
5. Isinyathelo Sesihlanu: Manje vula ikhala lakho nomlomo wakho ngokuzumayo bese uqala ukuphefumula ngendlela evamile.
Le ndlela iyaphumelela uma izinga lokushaya kwenhliziyo yakho libuyela esimweni esijwayelekile kungakapheli umzuzu.
Izindlela ezimbili ezikhethekile
Kunezinguquko ezimbili ezincane odokotela abazisebenzisayo ukuze lokhu kuphumelele kancane.
- Indlela Yokwelapha Eguquliwe yeValsalva: Kule ndlela, uma usuqedile ukucindezela, udokotela wakho noma omunye umuntu uzophakamisa imilenze yakho. Lokhu kuzosiza igazi elisemilenzeni yakho ukuthi libuyele enhliziyweni yakho ngokushesha. Lokhu kuzosiza ukushaya kwenhliziyo yakho kubuyele esimweni esijwayelekile. Ucwaningo olulodwa luthole ukuthi indlela ejwayelekile inezinga lempumelelo elingu-46%, uma kuqhathaniswa nezinga lempumelelo elingu-16% lendlela eguquliwe.
- Ukuguqula i-Valsalva Maneuver: Lokhu kuphambene kancane. Uhlala phansi, uvale umlomo nekhala lakho, bese uphefumula cishe imizuzwana eyi-10.
Kwenzekani emzimbeni uma wenza lokhu?
Uma uyicindezela kanje, kwenzeka uchungechunge lwezehlakalo emzimbeni wakho. Kuyathakazelisa kakhulu.
- Okokuqala: Uma ucindezela, umfutho wegazi lakho uzokhuphuka kancane ngokushesha ngoba umfutho ongaphakathi esifubeni sakho uyanda.
- Okulandelayo: Uma uyibamba, inani legazi eliya enhliziyweni liyancipha. Lokhu kubangela ukwehla komfutho wegazi. Ngenxa yalokho, inhliziyo ishaya ngokushesha.
- Ngemva kokuyeka ukucindezela: Uma ngokuzumayo udedela ukuphefumula kwakho, umfutho wegazi lakho wehla kancane.
- Okokugcina (futhi okubaluleke kakhulu): Bese umzimba usabela ngokukhuphula umfutho wegazi ngokuzumayo uye ezingeni eliphakeme kunangaphambili. Lokhu kubizwa ngokuthi 'umphumela wokugoba'. Lapho lo mfutho ukhuphuka, uhlelo lwezinzwa luphendula ngokuthumela isignali enhliziyweni ukuze yehlise ijubane. Lesi sinyathelo sokugcina yilokho esikudingayo. Isivinini senhliziyo siyehla futhi sibuyele esimweni esijwayelekile.
Imiphumela, izinzuzo kanye nezingozi
Injani imiphumela?
Izinga lempumelelo ye-Valsalva maneuver liphakathi kuka-5% no-20%, okusho ukuthi alisebenzi ngaso sonke isikhathi.
Uma izinga lokushaya kwenhliziyo yakho lingabuyeli esimweni esijwayelekile ngemva kwemizamo engaba mithathu, udokotela wakho uzodlulela esinyathelweni esilandelayo sokwelashwa. Lokhu kungafaka phakathi ukuhlikihla umthambo okhethekile entanyeni yakho (carotid massage), ukukunikeza imithi, noma ukukunika ugesi (cardioversion) . Lokhu kuzoncika ezimpawini zakho kanye nobunzima besimo sakho.
Yiziphi izinzuzo zalokhu?
- Lena indlela eshesha kakhulu.
- Into engenziwa ngaphandle kwemithi .
- Uma uphumelela, ungagwema imiphumela emibi engaba khona ngemithi noma ezinye izindlela zokwelapha.
Ingabe zikhona izingozi noma imiphumela emibi?
Iningi labantu lingakwenza lokhu ngokuphephile ngaphandle kwezinkinga, kodwa kunezinto ezimbalwa ezingenzeka kaningi .
- Ubuhlungu besifuba
- Ukuquleka (ukulahlekelwa ukwazi)
- Isigqi senhliziyo esingajwayelekile
- Isifo sohlangothi
Nakuba lezi ziyizenzakalo ezingavamile kakhulu, yingakho sithi lokhu kufanele kwenziwe njalo ngaphansi kweseluleko sezokwelapha .
Kufanele ngimbone nini udokotela?
Uma udokotela wakho ekufundisile le ndlela ye-SVT futhi ekuyalele ukuthi uyenze ekhaya, futhi uzama kodwa ukushaya kwenhliziyo yakho akubuyeli esimweni esijwayelekile, kufanele ushayele udokotela wakho ucingo ngokushesha. Uzokutshela ukuthi wenzeni ngokulandelayo. Ungase ucelwe ukuthi uye emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha.
I-Valsalva maneuver iyithuluzi eliwusizo, kodwa ayisebenzi ngaso sonke isikhathi, ngakho-ke kubalulekile ukukhuluma nodokotela wakho ngalokho okufanele ukwenze ngokulandelayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Valsalva Maneuver iyindlela ekhethekile esetshenziselwa ukwelapha izimo ezithile, njenge-supraventricular tachycardia (SVT). Ayihloselwe ukusetshenziswa okuvamile.
- Ungalokothi uzame lokhu wedwa noma ngemva kokukufuna ku-inthanethi. Kwenze kuphela uma udokotela wakho esekuhlolile isimo sakho, wathi kufanelekile kuwe, futhi wakufundisa ukuthi ungakwenza kanjani ngendlela efanele.
- Uma unesifo samehlo, isifo se-valve yenhliziyo, noma ezinye izimo zenhliziyo, le nqubo ingase ingakulungeli. Tshela udokotela wakho umlando wakho wezokwelapha ophelele.
- Uma uke wazama lokhu njengoba udokotela wakho ekwelulile kodwa kungasebenzi, ungesabi. Lokhu kujwayelekile. Tshela udokotela wakho ngokushesha. Bazokuqondisa ezinyathelweni ezilandelayo zokwelapha.
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