Ngezinye izikhathi kungenzeka ukuthi uke waba nomuzwa wokuthi ukushaya kwenhliziyo yakho kukhuphuka ngokuzumayo ngaphandle kwesizathu. Njengokungathi usanda kubaleka. Lokhu kungaba yinto eyesabekayo kwabanye abantu. Ngakho-ke namuhla sikhuluma ngendlela elula ongayenza wena ngesikhathi esinjengalesi, ngaphandle kokuthatha noma yimuphi umuthi. Kodwa lokhu akuyona into umuntu angayenza, nganoma yisiphi isikhathi. Ake sibheke ngokuningiliziwe.
Iyini i-Valsalva manuever?
Kalula nje, lokhu kuyindlela ekhethekile yokuphefumula. Kuhilela ukuvala ikhala lakho nomlomo bese ucindezela umzimba wakho njengoba uzama ukukhipha umoya. Ukuze kube sobala, kufanele ukwenze lokhu unomuzwa wokuthi uzama ukukhipha indle uma uya endlini yangasese .
Le ndlela ivame ukusetshenziswa ukulawula ukuphazamiseka kwesigqi senhliziyo okubizwa ngokuthi ``Supraventricular Tachycardia (SVT)``, lapho izinga lokushaya kwenhliziyo likhuphuka khona ngokuzumayo. Ngezinye izikhathi, lena yindlela yokuqala odokotela abazama ngayo ukwenza izinga lokushaya kwenhliziyo lijwayelekile ngaphambi kokunikeza imithi.
Kodwa lokhu akuyona into okufanele uyenze wedwa. Kufanele ukwenze lokhu kuphela ngemva kokuba udokotela wakho ekutshelile ngakho futhi eqinisekisile ukuthi kufanelekile enkingeni yakho yenhliziyo.
Kuziphi izimo lapho le ndlela isetshenziswa khona?
Le ndlela isiza udokotela ukuxilonga nokwelapha izifo. I-Valsalva maneuver isetshenziswa kakhulu kulezi zinto ezilandelayo:
- Lawula i-Supraventricular Tachycardia (SVT), isimo lapho izinga lokushaya kwenhliziyo likhuphuka khona ngokuzumayo, bese ubuyisela izinga lokushaya kwenhliziyo esimweni esijwayelekile.
- Thola uhlobo lokukhala kwenhliziyo onakho.
- Thola ukuthi unesifo senhliziyo yini.
- Thola ezinye izinkinga ezifana nesifo semithambo yegazi noma i-varicocele.
- Thola ukuthi ngabe kukhona yini inkinga ngesistimu yezinzwa ezizimele, okuyisistimu esiyilawula ngokungazi, njengokushaya kwenhliziyo nokuphefumula kwethu.
- Susa noma yikuphi ukungcola okungadingekile endlebeni ephakathi.
Ubani ongafaneleki kule ndlela?
Le ndlela ingase ingafaneleki kwabanye abantu ngoba ibeka ingcindezi emehlweni nasesiswini. Uma unezinye zezimo ezilandelayo, ungazami le ndlela ngaphandle kweseluleko sikadokotela.
Labo okufanele nakanjani bagweme:
- Abantu abanezinkinga ngemithambo yegazi ku-retina yeso (i-retinopathy).
- Abantu abafakelwe amalensi okwenziwa ngaphakathi kweso (amalensi angaphakathi kweso), njengangemva kokuhlinzwa kwe-cataract.
Labo okufanele baqaphele kakhulu
Uma unezinye zezimo zezokwelapha ezilandelayo, kufanele nakanjani ukhulume nodokotela wakho ngaphambi kokuzama le ndlela futhi ukwenze kuphela ngaphansi kokuqondisa kwakhe.
- Isifo se-valve yenhliziyo
- Isifo semithambo ye-coronary
- Isifo senhliziyo esizalwa naso
I-Valsalva maneuver yenziwa kanjani ngempela?
Uma udokotela wakho ekucebisile ukuthi wenze le nqubo, nansi indlela yokukwenza.
| Izinyathelo | Indlela yokukwenza |
|---|---|
| Isinyathelo 1 | Hlala esihlalweni noma ulale embhedeni. |
| Isinyathelo sesi-2 | Phefumula kakhulu. |
| Isinyathelo 3 | Vala umlomo nekhala lakho bese uzama ukukhipha umoya ngamandla, njengokungathi ukhipha isisu. Bamba lesi simo cishe imizuzwana eyi-15 kuya kwengama-20 . |
| Isinyathelo 4 | Vula ikhala lakho nomlomo wakho bese ukhipha umoya ngendlela evamile. |
Ingabe kukhona ezinye izinhlobo zale ndlela?
Yebo, kunezinye izindlela ezimbili ezisebenza kangcono ekwelapheni i-SVT.
- I-Valsalva Manufacturing: Yilapho, ngokushesha nje lapho uyeka ukwenza isinyathelo sesi-3 (ukucindezela), udokotela wakho noma umnakekeli wakho uphakamisa imilenze yakho. Izifundo zikhombisile ukuthi le ndlela isebenza kangcono kunendlela ejwayelekile. Lokhu kungenxa yokuthi ukuphakamisa imilenze yakho kwandisa ukugeleza kwegazi emuva enhliziyweni.
- Ukuqondisa kwe-Valsalva okuphambene: Lokhu kuhilela ukuhlala phansi, ukuvala ikhala lakho nomlomo, bese uzama ukuphefumula imizuzwana eyi-10.
Kwenzekani emizimbeni yethu uma senza le ndlela?
Uma senza le ndlela, umfutho wegazi kanye nokushaya kwenhliziyo komzimba wethu kuyashintsha ngezigaba eziningana. Kalula nje, kunje.
1. Uma ucindezela: Uma ucindezela, umfutho wegazi lakho ukhuphuka kancane okwesikhashana.
2. Uma ucindezelekile: Khona-ke umfutho wegazi lakho kanye nenani legazi eliphampa inhliziyo yakho kuyehla. Njengoba igazi lincane elingena enhliziyweni yakho, inhliziyo yakho ishaya ngokushesha ukuze ibuyisele lokho okubangela.
3. Ngemva kokuyeka ukucindezela: Ngemva kokuyeka ukucindezela, umfutho wegazi wehla kancane futhi.
4. Isigaba sokugcina: Okulandelayo, umfutho wegazi ukhuphuka kakhulu kunangaphambili. Ngenxa yalokho, umzimba wehlisa izinga lokushaya kwenhliziyo. Ekugcineni, umfutho wegazi kanye nezinga lokushaya kwenhliziyo kubuyela esimweni esijwayelekile. Kukulesi sigaba sokugcina lapho izinga lokushaya kwenhliziyo elisheshayo lilawulwa khona.
Kwenzekani uma uhlelo luphumelela futhi kwenzekani uma lungaphumeleli?
Uma le ndlela iphumelela, ukushaya kwenhliziyo yakho okusheshayo kuzobuyela esimweni esijwayelekile phakathi nomzuzu. Kodwa-ke, izinga lempumelelo liphakathi kuka-5% - 20%.
Uma i-SVT yakho ingathuthuki ngemva kwemizamo emithathu, udokotela wakho uzoqhubekela esinyathelweni esilandelayo sokwelashwa. Kuye ngezimpawu zakho, izimpawu ezibalulekile, kanye nohlobo lwe-SVT, lokhu kungafaka phakathi imithi noma i-electrical cardioversion.
Yiziphi izinzuzo nezingozi zale ndlela?
Inzuzo enkulu yalokhu ukuthi ingazama ngokushesha ukubuyisela isigqi esijwayelekile esilinganisweni senhliziyo esisheshayo (SVT) ngaphandle kokusebenzisa noma yimuphi umuthi.
Iningi labantu lingenza le nqubo ngokuphepha ngaphandle kwezinkinga. Imiphumela emibi ayivamile kakhulu. Kodwa-ke, akuvamile kakhulu, abanye abantu bangase babe nalokhu:
- Ubuhlungu besifuba
- Ukulahlekelwa ingqondo
- Ezinye izinhliziyo ezingavamile
- Isifo sohlangothi
Nakuba lezi ziyizenzakalo ezingavamile kakhulu, kubalulekile ukuqaphela lokhu.
Umlayezo Wokuya Nawe Ekhaya
- I-Valsalva maneuver iyindlela ekhethekile yokuphefumula esetshenziswa ukulawula izimo zokushaya kwenhliziyo okusheshayo njenge-SVT.
- Ungalokothi uzame lokhu wedwa ngaphandle kweseluleko nesiqondiso sikadokotela.
- Abantu abanezimo ezithile zezokwelapha, njengezifo zamehlo kanye nezifo ze-valve yenhliziyo, kufanele bagweme ukwenza lokhu.
- Uma wenza lokhu njengoba uqondiswe udokotela wakho futhi kungasebenzi, ungazami futhi ushayele udokotela wakho ucingo ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Indlela eguquliwe, okungukuthi, indlela yokuphakamisa imilenze, ivame ukukhiqiza imiphumela ephumelelayo kakhulu.
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