Ayyukan Valsalva abu ne da ke da amfani don ƙara yawan sautin naman ƙwayar naman , kuma don ƙara yawan matsa lamba a cikin kuturu, sinuses, da kunnuwan ciki. Ayyukan Valsalva yana da amfani mai amfani a magani, da kuma rayuwar yau da kullum.
Alal misali, masu ilimin cututtukan zuciya suna bayar da shawarar da maganin Valsalva ga marasa lafiya wanda ke da alamun tachycardia supraventricular (SVT) , a matsayin hanyar dakatar da arrhythmia lokacin da yake faruwa.
Ayyukan Valsavla ma mahimman amfani ne ga magunguna, wadanda suke da hiccups - da sauransu.
Ta yaya An Yi Vane Cigaba Valsalva?
Aikin Valsalva (wanda ake kira bayan AM Valsalva, wanda ya fara bayyana shi shekaru 300 da suka wuce a matsayin wata hanya ta fitar da tuɗa daga kunne ta tsakiyar), an yi ta ƙoƙarin fitar da karfi a kan hanyar jirgin sama. Za a iya yin wannan ta hanyar rufe bakinka da kuma ƙwaƙwalwar hanci, yayin ƙoƙarin fitar da karfi. Wannan aikin nan yana kara yawan matsa lamba a cikin sinadarin da kunnuwan ciki. Don samun karuwa a cikin murya, dole ne a yi ƙoƙari a yi ƙoƙarin ƙoƙarin ƙoƙarin fitar da shi don 10 - 15 seconds.
Mene ne Yarin Valsalva yake Yi?
Hanyoyin Valsalva yana ƙaruwa sosai a cikin ƙananan hanyoyi, kuma musamman ma a cikin kwakwalwa. A cikin sauƙi, ƙwanƙwasa ƙarfin kumburi yana motsa ƙwayar naman kuma yana ƙara ƙarar murya. Duk da haka, aikin na Valsalva yana haifar da jerin abubuwa masu ilimin lissafi wadanda likitoci sun yi aiki a cikin shekaru don dalilai da dama.
Daga tasirin ilimin lissafi, aikin motsa jiki na Valsalva na 15 yana da siffofi guda hudu :
- A lokaci na 1 , daɗaɗɗen iska a kan jirgin sama mai rufewa yana ƙara matsa lamba a cikin kwakwalwar kwakwalwa, wadda ta motsa jini daga kwakwalwan jini a cikin hagu na zuciya. Sabili da haka, don dan lokaci kaɗan adadin jini da ake motsawa ta zuciya yana ƙaruwa. ( Karanta game da ɗakunan zuciya da kuma shafuka. )
- A lokaci na 2 , yawan jinin da ake motsawa ta zuciya yana bushewa ba zato ba tsammani. Wannan fitarwa a cikin ƙwaƙwalwar zuciya tana faruwa ne saboda saboda ƙarar karuwa a cikin ɓoyayyen kwakwalwa ya hana jinin da ya dawo daga kirji daga jikin jiki, sabili da haka ya dawo cikin zuciya. Don ramawa saboda wannan saukewa a cikin ƙwayar zuciya, jikin jini na jiki ya hana ƙin, kuma karfin jini ya tashi. Wannan hawan jini ya karu don ci gaba da aikin Valsavla.
- Mataki na 3 yana faruwa a nan da nan a kan sake dawo da numfashi na al'ada. Matsayin da ke cikin kirji yana saukad da shi, kuma kwakwalwan ƙwayoyin jiki ya sake fadada kuma ya cika da jini. Duk da haka, a lokacin sake raguwa na kirji (wanda ya kasance na 5 zuwa 10 seconds), aikin na zuciya zai iya sauke kara.
- A ƙarshe, a cikin Phase 4 jinin ya kwarara zuwa zuciya da huhu suna komawa zuwa al'ada, kamar yadda yake fitowa daga cikin zuciya da kuma karfin jini.
Mene ne Maneuver Valsalva Used For?
Doctors sami Valsalva maneuver da amfani a rarrabe tsakanin daban-daban iri na valvular cututtukan zuciya . Yawancin gunaguni na zuciya zai ragu a lokacin lokaci na 2 na aikin Valsalva, tun da yake zuciyar bata bugun jini da yawa a wannan lokaci. Amma gunaguni da ke haɗuwa da ƙananan bawul din ci gaba da cigaba da karuwar cardiomyopathy zai karu da yawa yayin lokacin 2 na Valsalva maneuver.
Da yake jawabi mafi mahimmanci, magungunan kiwon lafiya na Valsalva shine zubar da hanzari (wanda yake faruwa a lokacin lokaci 2). Ƙara ƙarar murya mai ɓarna yana rage jinkirin motsawar wutar lantarki ta hanyar kodin AV , kuma wannan motsi na jinkiri yana da amfani wajen ƙaddamar da wasu nau'i na SVT (musamman, tachycardia reentrant tachycardia na AV-nodal da tachycardia na reentrant atrioventricular ). ( Karanta game da tsarin wutar lantarki. )
Wannan yana nufin cewa mutanen da suke da nau'o'in wadannan nau'o'in SVT (waxannan nau'ikan iri biyu ne na kowa) sukan iya dakatar da arrhythmia da sauri da kuma amfani da shi ta hanyar yin amfani da aikin Valsalva.
Ana amfani dashi da sauye-sauye na Valsalva a lokacin rani, don daidaita matakan da ke cikin kunnen tsakiya tare da matsanancin matsalolin da ke ƙarƙashin ruwa.
Ayyukan Valsalva zai iya taimaka wa likitoci don gano rauni ga ƙwallon ƙwalji. Wannan gyaran yana ci gaba da ƙarfafa matsalolin - don haka idan akwai ciwon jijiya (alal misali, sakamakon lalacewar intervertebral lalacewa), duk wani ciwo da ake samu ta hanyar rauni zai iya ƙaruwa kaɗan.
Masu ilimin lissafi zasu iya amfani da aikin Valsavla don taimakawa su gano asalin damuwa, tun da matsanancin haɗakar da wannan ƙwayar zai haifar da rushewar urinary.
Kuma mutane da yawa sun gano cewa zasu iya kawar da wani ɓangaren abubuwan hiccups ta hanyar aikatawa ta Valsalva. Zai yiwu cewa wannan shi ne mafi yawan aikace-aikacen da yafi dacewa da aikin Valsalva.
Kalma Daga
Hanyar Valsalva ita ce hanya ta karuwa sosai a cikin sinus da kunnuwan tsakiya, da kuma kara karar murya. Yana da aikace-aikace masu amfani a aikin likita, da kuma rayuwar yau da kullum.
> Sources:
> Rubin Rehobowam, Ra'ubainu A, Mann C, et al. Tsarin Gida na Gida na Dals Valsalva don Tattaunawa na gaggawa na Tachycardias (REVERT): Ƙarƙashin Controlled Control. Lancet 2015; 386: 1747.
> Page RL, Joglar JA, Caldwell MA, et al. 2015 ACC / AHA / HRS Sharuɗɗa don Gudanarwa na tsofaffi na tsofaffi tare da Tachycardia na Supraventricular: Rahoton Cibiyar Kasuwanci na Kasa na Amurka da Ƙungiyar Ƙungiyar Harkokin Kasuwancin Amirka ta Harkokin Kasuwanci da Ƙungiyar Rhythm. Yanayin 2016; 133: e506.