Yeyiphi i-Valsalva maneuver, yeyantoni kwaye ungayenza njani

Umxholo

• Yenzelwe ntoni
• Kufuneka kwenziwe njani
• Izigaba zendlela yeValsalva
• Ziziphi iingozi

I-Valsalva maneuver yindlela ogcina ngayo umoya, ubambe impumlo ngeminwe yakho, kwaye ke kuyafuneka ukuba unyanzele umoya uphume, usebenzisa uxinzelelo. Lo mkhwa unokwenziwa ngokulula, kodwa abantu abanoxinzelelo emehlweni kunye neengxaki kwi-retina akufuneki benze olu hlobo lovavanyo. Ngamanye amaxesha, le nkqubo inokucelwa ngexesha lokuvavanywa kwentliziyo, ukuze kuvavanywe ukusilela kwentliziyo okanye ubukho bokumbombozela kwentliziyo.

Lo mkhwa usetyenziswa kakhulu kwiimeko apho indlebe ixhunyiwe khona, njengoko inceda ukuphuma komoya ngeendlebe, ukukhulula imvakalelo yokuvaleka kwaye kunokusetyenziswa ukunceda ukubuyisela umva iingxaki zentliziyo, ezinje nge-tachycardia yentliziyo, umzekelo, njenge iyanceda ekuphumleni entliziyweni inceda ukulawula ukubetha kwentliziyo. Funda ngakumbi malunga ne-tachycardia ye-ventricular kunye nendlela yokuyinyanga.

Yenzelwe ntoni

Uhambo lweValsalva luvavanyo olwenziwa kusetyenziswa uxinzelelo olubangelwa kukubamba umoya kunye nokunyanzela umoya ukuba uphume kwaye unokusetyenziswa kwiimeko ezininzi, ezinje:

• Vavanya ukwenzeka kokungaphumeleli kwentliziyo;
• Ukuchonga ukukrokra kwentliziyo;
• Ukuguqula i-arrhythmias yentliziyo;
• Fumana amanqaku okopha emva kotyando lwe-thyroid;
• Nceda ukufumanisa isifo se-varicocele kunye ne-hernias.

Inkqubo esetyenzisiweyo kulo mkhwa inokunceda ukungavali indlebe kwimeko apho kukho imvakalelo yokuvalelwa, ngexesha lokubhabha, ngakumbi ngexesha lokusuka okanye lokufika emhlabeni. Ukuchonga iingxaki zempilo, lo mkhwa kufuneka wenziwe elebhu kuphela, xa kusenziwa uviwo kwaye phantsi kweliso likagqirha.

Kufuneka kwenziwe njani

Ukwenza i-Valsalva maneuver, umntu kufuneka aqale ahlale phantsi okanye alale phantsi, aphefumle ngokunzulu kwaye ke kuyafuneka ukuba uvale umlomo wakho, cofa impumlo ngeminwe yakho kwaye unyanzelise umoya uphume, ungawuvumeli uphume. Ekupheleni kovavanyo, kuyafuneka ukugcina uxinzelelo kwimizuzwana eli-10 ukuya kweli-15.

Inkqubo esetyenzisiweyo ukwenza lo mkhwa iyafana neemeko zemihla ngemihla, njengokunyanzela ukubaleka okanye ukudlala isixhobo somoya, esifana nesaxophone.

Izigaba zendlela yeValsalva

I-Valsalva maneuver inceda ukuguqula iingxaki zentliziyo, ezinje nge-arrhythmias, kwaye ezinye izikhalazo zentliziyo zinokuviwa ngcono, kuba ngexesha lobuchule, utshintsho olwenzekayo emzimbeni ohlukaniswe ngezigaba ezine:

• Isigaba I: ukuqala koxinzelelo olubangelwa sisenzo sokubamba umphefumlo kubangela ukwanda okwethutyana koxinzelelo lwegazi, kuba ngalo mzuzu kukho ukuphuma kwegazi kwimithambo emikhulu, kunciphisa ukujikeleza kwegazi emiphungeni;
• Isigaba II: uxinzelelo ngaphakathi kwesifuba lubangela ukuba igazi libuyele entliziyweni liyehla, ligcine uxinzelelo lwegazi luyehla, kodwa ngokunyuka kwentliziyo;
• Isigaba III: Ngumzuzu xa kugqitywa ukuqhubekeka, ngokuphumla kwezihlunu zesifuba kunye noxinzelelo lwegazi luyehla kancinci;
• Isigaba IV: Okwangoku igazi eliqhelekileyo libuyela entliziyweni, lilawula ukuhamba kwegazi kunye noxinzelelo lwegazi lonyuka kancinci.

Ezi zigaba zenzeka ngokukhawuleza kwaye azibonwa ngokulula xa usenza iqhinga, kodwa unokuziva iziphumo zovavanyo, ngakumbi ukuba umntu unomdla wokuba ne-hypotension, eziphantsi koxinzelelo oluphezulu. Bona ukuba wenzeni xa uxinzelelo luphantsi.

Ziziphi iingozi

I-Valsalva maneuver ayiboniswanga kubantu abaneengxaki kwi-retina, eyingqimba ebeka iliso, okanye kubantu abanezinto ezifakelwe iilensi zamehlo, uxinzelelo oluphezulu lwe-intraocular okanye isifo sentliziyo, ukuqhuba kungawenza mbi ngakumbi imeko yezi meko.

Ukongeza, ukwenza i-Valsalva maneuver kunokubangela iintlungu zesifuba, ukungalingani kwentliziyo kunye nokubangela iziqendu ze-vasovagal syncope, ebonakaliswa kukuphulukana ngesiquphe kunye nokufa isiqaqa. Jonga ngakumbi ukuba yintoni i-vasovagal syncope kwaye inyangwa njani.