Zintoni iiVagal Maneuvers, kwaye zikhuselekile?

Umxholo

• Zisebenza njani?
• Uyenza njani indlela yokuhamba yelungu lobufazi
• Ngaba bukhona ubungozi bokwenza i-vagal maneuvers?
• Uza kubona nini ugqirha wakho
• Yise kude

Ushwankathelo

I-vagal maneuver yintshukumo oyithathayo xa ufuna ukuyeka ukubetha kwentliziyo ngendlela engaqhelekanga. Igama elithi "ubufazi" libhekisa kwi-vagus nerve.Yimithambo-luvo emide ebaleka ukusuka ebuchotsheni ukuhla ukuya esifubeni ukuya esiswini. I-vagus nerve inemisebenzi eliqela, kubandakanya ukunciphisa isantya sentliziyo.

Zininzi iindlela ezilula zokwenza ubufazi onokuzenza ukubangela ukuba i-vagus nerve icothise isantya sentliziyo esikhawulezayo. Le yimeko eyaziwa ngokuba yi-tachycardia.

Intliziyo yakho iqulethe ii-pacemaker ezimbini zendalo ezibizwa ngokuba yi-atrioventricular (AV) node kunye ne-sinoatrial (SA) node. Iindibano ziziqwenga ezincinci zezihlunu zemisipha ezinceda ukulawula ukuhamba kwamandla ombane ngentliziyo.

Iingxaki ngendawo ye-AV zisengcambu kwimeko ebizwa ngokuba yi-supraventricular tachycardia (SVT). I-SVT yipateni yokubetha kwentliziyo okukhawulezayo okuqala kumagumbi aphezulu entliziyo, abizwa ngokuba yi-atria.

Xa i-node yase-SA ivuseleleka kakhulu, unokufumana i-sinus tachycardia. Le yimeko efanayo ne-SVT. Ukuhamba kweVagal kunokuba luncedo kwi-sinus tachycardia, nayo.

Zisebenza njani?

Umsebenzi weVagal uqhuba ngokuchaphazela inkqubo ye-autonomic nervous system. Eli candelo lenkqubo yakho yemithambo-luvo lilawula imisebenzi ekungafuneki ukuba ucinge ngayo, enjengokubetha kwentliziyo, ukugaya ukutya, izinga lokuphefumla, kunye nezinye.

Kwimeko ye-tachycardia, indlela esebenza ngobufazi inokubangela ukuba inkqubo ye-autonomic luvo icothise ukuqhuba kombane nge-AV node.

Injongo ye-vagal maneuver kukuphazamisa ukuhamba kwamandla ombane ngentliziyo. Oku kuvumela ukubetha kwentliziyo yakho ukuba kubuyele esiqhelweni. Zininzi iindlela ezahlukeneyo zokuhamba kwelungu lobufazi. Ngamnye ufuna ukuba inkqubo yakho ye-nervous autonomic iphendule, ngokuyintloko uyothuse ukuba iphinde isebenze ngokufanelekileyo.

Iindlela zeVagal azihlali zisebenza. Kubantu abaneengxaki zenqanaba lentliziyo, amayeza okanye iinkqubo zinokufuneka ukulungisa i-tachycardia.

Uyenza njani indlela yokuhamba yelungu lobufazi

Unokuba nempumelelo engakumbi ngolunye uhlobo lokuhamba ngokuchaseneyo nolunye. Enye indlela eqhelekileyo yindlela yokuqhuba iValsalva. Ithatha iifom ezimbini.

Kwindlela enye, cofa impumlo yakho ivale kwaye uvale umlomo. Emva koko, zama ukuphuma ngamandla ngenkani kangangemizuzwana engama-20. Oku kwandisa uxinzelelo lwegazi ngaphakathi kwesifuba kwaye kunyanzela igazi elininzi ukuba liphume esifubeni kunye nasezantsi kwiingalo.

Njengoko uxinzelelo lwegazi lwakho lonyuka, imithambo kunye nemithambo iyaqina. Igazi elincinci linokubuyela entliziyweni ngemithambo emxinwa. Oko kuthetha ukuba igazi elincinci linokukhutshwa ngemithambo ecutheneyo. Uxinzelelo lwegazi luya kuqala ukuwa.

Ukwehla koxinzelelo lwegazi kuthetha ukuba igazi elincinci linokubuyela entliziyweni ude uphumle kwaye uqale ukuphefumla ngesiqhelo. Xa usenza njalo, igazi liza kuqala ukuzalisa intliziyo.

Kodwa ngenxa yokuba imithambo yakho isabambene, igazi elincinci linokushiya intliziyo, kwaye uxinzelelo lwegazi luya kuphakama kwakhona. Ukuphendula, inqanaba lentliziyo yakho kufuneka liqale ukucotha kwaye libuyele esiqhelweni.

Olunye uhlobo lweValsalva maneuver luvelisa impendulo efanayo emzimbeni. Ikwaqala ngokubamba umphefumlo wakho. Ngelixa ubambe umphefumlo wakho, yehlisa ngokungathi unentshukumo yamathumbu. Zama ukubamba esi sikhundla imizuzwana engama-20.

Olunye uhlahlo lobufazi lubandakanya ukukhohlela okanye ukudaya ubuso bakho kwisitya samanzi abandayo ngumkhenkce.

Ngaba bukhona ubungozi bokwenza i-vagal maneuvers?

Ukuhamba kweVagal kufuneka kwenziwe kuphela ukuba awunazo ezinye iimpawu, ezinje ngokuba nobunzima bentloko, iintlungu esifubeni, okanye ukuphefumla kancinci. Oku kunokuba yimiqondiso yokuba unesifo sentliziyo.

Unokuba nesifo esibuhlungu xa izinga lentliziyo elikhawulezayo lihamba kunye:

• intloko ebuhlungu ngequbuliso
• Ukuba ndindisholo kwelinye icala lomzimba
• ukulahleka kwemali eseleyo
• intetho engacacanga
• iingxaki zombono

Izenzo ezibangela ukungxama ngesiquphe kuxinzelelo lwegazi kunokubangela ingozi.

Kukwakho nemingcipheko enxulunyaniswa nohlobo lwendlela yokuhamba yelungu lobufazi eyaziwa ngokuba yi-carotid sinus massage. Kubandakanya ukuphululwa ngobunono kwemithambo ye-carotid. Umthambo we-carotid ubekwe kwicala lasekunene nasekhohlo entanyeni. Ukusuka apho, iba ngamasebe kwimithambo yegazi emibini emincinci.

Le ntshukumo kufuneka yenziwe kuphela ngugqirha oyaziyo imbali yakho yezonyango. Ukuba une-clot yegazi kwimithambo yakho ye-carotid, ukuyiphulula kungayithumela kwingqondo, kubangele ukubetha.

Uza kubona nini ugqirha wakho

Isantya sentliziyo esisempilweni siyenyuka xa usenza umthambo size sibuyele esiqhelweni kungekudala emva kokuba uyekile. Ukuba unayo nayiphi na uhlobo lwe-tachycardia, isenzo somzimba sinokubangela isantya sentliziyo esingaqhelekanga esingazukucothisa xa uyeka ukuhamba. Unokuziva ukuba intliziyo yakho iyangxama nokuba ubukade uhleli uthe cwaka.

Ukuba ezi ntlobo zeziqendu zenzeka, linda isiqingatha seyure ngaphambi kokuba ubone ugqirha. Kodwa linda kuphela xa ungenazo ezinye iimpawu okanye ungakhange ufumanise isifo sesifo sentliziyo.

Ngamanye amaxesha isiqendu se-tachycardia siya kuphela sodwa. Ngamanye amaxesha umkhwa we-vagal uya kuwenza umsebenzi.

Ukuba izinga lokubetha kwentliziyo yakho lisephezulu emva kwemizuzu engama-30, khangela unyango. Ukuba izinga lokubetha kwentliziyo yakho liyonyuka ngokukhawuleza kwaye unezinye iimpawu-ezinje ngesifuba, ukuba nesiyezi, okanye ukuphefumla kancinci-fowunela iinkonzo zongxamiseko zasekuhlaleni.

Iziqendu zeTachycardia zinokwenzeka kube kanye emntwini, okanye zinokuba rhoqo. Olona hlobo kuphela lokuchonga imeko ngokufanelekileyo kukuba izinga lokubetha kwentliziyo yakho libhalwe kwi-electrocardiogram (EKG). I-EKG yakho inokukunceda ukuveza ubunjani bengxaki yesingqisho sentliziyo yakho.

Yise kude

Ezinye iimeko ze-tachycardia azifuni naluphi na ungenelelo lonyango olunzulu. Kwabanye abantu abanesingqisho sentliziyo, amayeza amiselweyo adenosine (Adenocard) aluncedo kunye neendlela zangasese.

Ukuba unayo i-SVT okanye i-sinus tachycardia, qiniseka ukuba uxoxa nogqirha wakho ukuba ngaba indlela yokuhamba yelungu lobufazi ikhuselekile kuwe. Ukuba kunjalo, funda ukuba ungazenza njani ngokuchanekileyo kwaye wenze ntoni ukuba izinga lokubetha kwentliziyo yakho alibuyanga emva koko.