Yimaphi amaVagal Maneuvers, futhi ingabe aphephile?

-Delile

• Zisebenza kanjani?
• Ungakwenza kanjani ukuhambisa kwe-vagal
• Ngabe zikhona izingozi ekwenzeni ukuhambisa kwesitho sangasese sowesifazane?
• Lapho uzobona udokotela wakho
• Ukudla okudlela endlini

Ukubuka konke

Ukuhamba kwesitho sangasese sowesifazane isenzo osithathayo lapho udinga ukumisa izinga lokushaya kwenhliziyo elisheshayo ngokungajwayelekile. Igama elithi "vagal" lisho umgudu we-vagus. Kuyinzwa ende egijima ebuchosheni yehle ize ifike esifubeni iye esiswini. Inzwa ye-vagus inemisebenzi eminingi, kufaka phakathi ukwehlisa izinga lokushaya kwenhliziyo.

Kunokuhamba okuningana kwe-vagal okulula ongakwenza ukuze uvuse imizwa ye-vagus ukunciphisa ijubane lokushaya kwenhliziyo. Lesi yisimo esaziwa nge-tachycardia.

Inhliziyo yakho iqukethe ama-pacemaker emvelo amabili abizwa ngokuthi i-atrioventricular (AV) node kanye ne-sinoatrial (SA) node. Ama-node ayizingcezu zezicubu zemisipha ezisiza ukulawula ukuhamba kwamandla kagesi enhliziyweni.

Izinkinga nge-AV node zingumsuka wesimo esibizwa nge-supraventricular tachycardia (SVT). I-SVT iphethini yokushaya kwenhliziyo okusheshayo okuqala emakamelweni aphezulu enhliziyo, abizwa nge-atria.

Lapho i-node yase-SA ivuselelwa ngokweqile, ungathola i-sinus tachycardia. Lesi yisimo esifana ne-SVT. Ukuhamba kwe-Vagal kungasiza kwi-sinus tachycardia, futhi.

Zisebenza kanjani?

Ukuhamba kwe-Vagal kusebenza ngokuthinta uhlelo lokuzimela lomzimba lomzimba. Le ngxenye yesistimu yakho yezinzwa ilawula imisebenzi okungafanele ucabange ngayo, njengokushaya kwenhliziyo, ukugaya, izinga lokuphefumula, nokunye.

Endabeni ye-tachycardia, ukuhambisa kwesitho sangasese sowesifazane kungadala ukuthi uhlelo oluzenzakalelayo lwezinzwa lwehlise ukuqhutshwa kukagesi nge-AV node.

Umgomo we-vagal maneuver ukuphazamisa ukuhamba kwamandla kagesi ngenhliziyo. Lokhu kuvumela ukushaya kwenhliziyo yakho ukuthi kubuyele kokujwayelekile. Kunezinhlobo eziningi ezahlukahlukene zokuhamba kwesitho sangasese sowesifazane. Ngayinye idinga ukuthi uhlelo lwakho lwezinzwa oluzimele luphendule, ngokuyinhloko luyithuse lubuyele ekusebenzeni kahle.

Ukuhamba kwe-Vagal akusebenzi ngaso sonke isikhathi. Kubantu abanezinkinga ezinkulu zokushaya kwenhliziyo, imithi noma izinqubo kungadingeka ukulungisa i-tachycardia.

Ungakwenza kanjani ukuhambisa kwe-vagal

Ungaba nempumelelo ethe xaxa ngohlobo olulodwa lokuhamba ngokuqhathanisa nolunye. Enye indlela ejwayelekile ukuqhutshwa kweValsalva. Kuthatha izinhlobo ezimbili.

Ngendlela eyodwa, mane ucindezele ikhala lakho uvale bese uvale umlomo wakho. Ngemuva kwalokho, zama ukukhipha ngamandla ngamandla cishe imizuzwana engama-20. Lokhu kwandisa umfutho wegazi ngaphakathi kwesifuba futhi kuphoqa igazi eliningi ukuthi liphume esifubeni bese kwehla izingalo.

Njengoba umfutho wegazi lakho wanda, imithambo yegazi nemithambo iyaqina. Igazi elincane lingabuyela enhliziyweni ngemithambo emincane. Lokho kusho ukuthi igazi elincane lingakhishwa ngemithambo emincane. Umfutho wegazi wakho uzoqala ukuwa.

Ukwehla komfutho wegazi kusho ukuthi igazi elincane lingabuyela enhliziyweni uze ukhululeke bese uqala ukuphefumula kahle. Uma wenza kanjalo, igazi lizoqala ukugcwalisa inhliziyo.

Kepha ngenxa yokuthi imithambo yakho yegazi isabambile, igazi elincane lingashiya inhliziyo, nomfutho wegazi wakho uzophakama futhi. Ukuphendula, izinga lokushaya kwenhliziyo yakho kufanele liqale ukwehla futhi libuyele kokujwayelekile.

Enye indlela ye-Valsalva maneuver ikhiqiza ukusabela okufanayo emzimbeni. Iqala futhi ngokubamba umoya wakho. Ngenkathi ubambe umoya, yehlisa njengokungathi ubunyakaziswa ngamathumbu. Zama ukubamba lesi sikhundla imizuzwana engama-20.

Okunye ukuhamba kwesitho sangasese kubandakanya ukukhwehlela noma ukudaka ubuso bakho esitsheni samanzi abandayo eqhwa.

Ngabe zikhona izingozi ekwenzeni ukuhambisa kwesitho sangasese sowesifazane?

Ukuhamba kwe-Vagal kufanele kwenziwe kuphela uma ungenazo ezinye izimpawu, ezinjengekhanda elikhanyayo, ubuhlungu besifuba, noma ukuphefumula okuncane. Lokhu kungaba yizimpawu zokuthi unesifo senhliziyo.

Ungaba nesifo sohlangothi uma isilinganiso esisheshayo senhliziyo sihambisana nalokhu:

• ikhanda elibuhlungu
• ukuba ndikindiki kolunye uhlangothi lomzimba
• ukulahlekelwa ibhalansi
• inkulumo engahambi kahle
• izinkinga zokubona

Izenzo ezidala ama-spikes angazelelwe ekucindezelweni kwegazi kungadala ingozi enkulu.

Kukhona nezingozi ezihambisana nohlobo lomshini wesitho sangasese sowesifazane owaziwa ngokuthi yi-carotid sinus massage. Kubandakanya ukubhucungwa kahle komthambo we-carotid. Umthambo we-carotid utholakala ezinhlangothini ezingakwesokudla nangakwesobunxele entanyeni. Ukusuka lapho, igatsha libe yimithambo yegazi emibili emincane.

Lokhu kuhamba kufanele kwenziwe kuphela ngudokotela owazi umlando wakho wezokwelapha. Uma une-clot yegazi emthanjeni wakho we-carotid, ukuyibhucunga kungakuthumela ebuchosheni, kubangele isifo sohlangothi.

Lapho uzobona udokotela wakho

Ukushaya kwenhliziyo okunempilo kuyakhuphuka lapho uzivocavoca bese ubuyela kokujwayelekile ngokushesha nje lapho ume. Uma unanoma yiluphi uhlobo lwe-tachycardia, ukuzivocavoca umzimba kungadala ukushaya kwenhliziyo okushesha ngokweqile okungeke kwehle lapho uyeka ukunyakaza. Ungase uzwe nenhliziyo yakho igijima noma ngabe uhleli ngokuthula.

Uma lezi zinhlobo zeziqephu zenzeka, linda isigamu sehora ngaphambi kokuthi ubone udokotela. Kodwa linda kuphela uma ungenazo ezinye izimpawu noma ungakatholanga ukuxilongwa kwesifo senhliziyo.

Kwesinye isikhathi isiqephu se-tachycardia sizophela sodwa. Kwesinye isikhathi i-vagal maneuver izowenza lo msebenzi.

Uma izinga lokushaya kwenhliziyo yakho lisezingeni eliphezulu ngemuva kwemizuzu engama-30, funa usizo lwezokwelapha. Uma izinga lokushaya kwenhliziyo yakho likhuphuka ngokushesha futhi unezinye izimpawu - ezifana nobuhlungu besifuba, isiyezi, noma ukuphefumula okuncane - shayela abezimo eziphuthumayo zasendaweni yakho.

Iziqephu ze-Tachycardia zingenzeka kanye kumuntu, noma zingaba njalo. Ukuphela kwendlela yokuxilonga kahle lesi simo ukuthi isilinganiso sakho senhliziyo siqoshwe ku-electrocardiogram (EKG). I-EKG yakho ingakusiza ukudalula uhlobo lwenkinga yesigqi senhliziyo yakho.

Ukudla okudlela endlini

Ezinye izimo ze-tachycardia azidingi ukungenelela okungathi sína kwezokwelapha. Kwabanye abantu abanenkinga yesigqi senhliziyo, umuthi kadokotela i-adenosine (i-Adenocard) uyasiza kanye nokuhamba kwesitho sangasese sowesifazane.

Uma une-SVT noma i-sinus tachycardia, qiniseka ukuthi uxoxa nodokotela wakho ukuthi izindlela ze-vagal ziphephile yini kuwe. Uma kunjalo, funda ukuthi ungazenza kanjani ngendlela efanele nokuthi yini okufanele uyenze uma izinga lokushaya kwenhliziyo yakho lingabuyeli emuva ngemuva kwalokho.