Ke luhi nei hoʻi ʻoe i kou luhi? Ke lohi nei anei kou puʻuwai? E aʻo kākou e pili ana i ka Chronotropic Incompetence!

Ke manaʻo nei ʻoe i kekahi manawa ua luhi loa ʻoe e hana i kahi mea liʻiliʻi loa, a ua pōkole kou hanu? ʻAʻole hiki iā ʻoe ke holo a lele paha e like me ka wā ma mua, a ke manaʻo nei ʻoe ua poniuniu ʻoe i kou piʻi ʻana i nā alapiʻi? Malia paha ʻaʻole e paʻi ana kou puʻuwai i ka wikiwiki kūpono ke luhi ʻoe. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano maʻi. Ua kapa ʻia kēia ʻo (Chronotropic Incompetence) i ka ʻepekema lapaʻau. ʻOiai he paʻakikī iki ka inoa, e hoʻomaopopo maʻalahi kākou.

He aha kēia (Chronotropic Incompetence)? I ka ʻōlelo maʻalahi loa…

I ka ʻōlelo maʻalahi, ʻo ka Chronotropic Incompetence kahi kūlana kahi hiki ʻole iā ʻoe ke hoʻonui i kou puʻuwai e like me kou makemake i ka wā o ka hana kino, e like me ka hoʻoikaika kino a i ʻole ka hana nui. E nānā, i ka wā e hoʻoikaika kino ai mākou a hele wāwae paha, pono i ko mākou kino ka oxygen ma mua o ka wā e noho mālie ana mākou. Lawe ʻia kēia oxygen ma ke kino holoʻokoʻa e ke koko. No laila, ʻo ka puʻuwai ka mea e pamu i kēia koko.

(Chronotropic Incompetence) ʻAʻole hiki i ka puʻuwai o ke kanaka me kēia pono hoʻonui no ka oxygen ke hana pono i ka pono o ke kino no ka oxygen. ʻO ia hoʻi, ʻaʻole hiki i ka puʻuwai ke kuʻi wikiwiki e like me ka mea e pono ai a pamu i ka nui o ke koko (koko oxygenated) e pono ai ke kino. E noʻonoʻo e like me ka ʻenekini o ke kaʻa. E like me kā mākou hoʻonui ʻana i ka wikiwiki o ka ʻenekini ke makemake mākou e holo wikiwiki, pono nō hoʻi ko mākou puʻuwai e kuʻi wikiwiki ke luhi mākou. Inā ʻaʻole, kū mai nā pilikia.

Hiki i kēia ke hoʻemi i kou hoʻomanawanui hoʻoikaika kino . ʻO ke ʻano kēia, ʻaʻole paha ʻoe e hiki ke hana i ka nui o ka hana kino e like me nā poʻe ʻē aʻe o kou mau makahiki. E paʻakikī paha iā ʻoe ke hele i nā mamao āu i hiki ai ke hele me ka ʻole o ka pau ʻana o ka hanu a i ʻole ka luhi.

He aha nā hōʻailona o kēia maʻi (Chronotropic Incompetence)?

Aia kekahi mau hōʻailona nui āu e ʻike ai ma kēia kūlana:

• Luhi : Manaʻo nui ka luhi ma hope o ka hana ʻana i kahi mea liʻiliʻi. Eia kekahi laʻana, hiki iā ʻoe ke luhi loa ma hope o ka hana ʻana i kekahi mau hana o ka hale, ka hāpai ʻana i kahi ʻeke, a i ʻole ka hele wāwae ʻana i kahi mamao pōkole.
• ʻO Dyspnea ( pōkole o ka hanu ) i ka wā o ka hana kino: Paʻakikī ka hanu ʻana i ka wā e hana kino ana ʻoe, wheezing . Manaʻo paha ʻoe he pōkole loa ka hanu a hiki ʻole iā ʻoe ke kamaʻilio.

He ʻokoʻa kēia mau hōʻailona mai ka luhi maʻamau. Inā ʻoe e luhi loa a luhi paha a hiki ʻole iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā, pono ʻoe e hopohopo.

He aha nā kumu o ka Chronotropic Incompetence?

ʻAʻohe kumu hoʻokahi no kēia kūlana, akā hiki i kekahi mau kumu ke kōkua i ia mea. E nānā kākou i ke ʻano o lākou:

• ʻO kekahi mau ʻano lāʻau lapaʻau:ʻO kekahi mau lāʻau lapaʻau, ʻoiai nā lāʻau lapaʻau no ke koko kiʻekiʻe a me nā maʻi puʻuwai (beta-blockers), hiki ke hoʻolohi i ka helu o ka puʻuwai .
• Ka hana pono ʻole o ka node sinus: ʻO ka node sinus kahi e hoʻomaka ai ko kākou puʻuwai e kuʻi. Hana ia e like me ka pacemaker maoli o ka puʻuwai. Inā he pilikia me kēia node, ʻaʻole e hoʻomalu pono ʻia ka helu o ka puʻuwai.
• Nā pilikia alakaʻi: I mea e paʻi ai ka puʻuwai, pono nā hōʻailona uila e hele pono ma loko o ka puʻuwai. Inā he ālai a pilikia paha i nā ala e hele ai kēia mau hōʻailona , ​​hiki i ka helu o ka puʻuwai ke lilo i mea kūpono ʻole a lohi paha.
• ʻO ka hana pono ʻole o ka ventricle hema: ʻEhā mau keʻena nui o ko kākou puʻuwai. ʻO ka ventricle hema kekahi o kēia. Hoʻopuka ia i ke koko ma ke kino holoʻokoʻa. Inā hewa ka ventricle hema, ʻaʻole hiki iā ia ke hoʻopuka i ke koko lawa i ke kino.
• Maʻi puʻuwai ischemic : Hiki i kēia ke kumu o kēia ʻano, ʻoiai ua ālai ʻia nā kīʻaha koko e hoʻolako ana i ka puʻuwai, e pale ana i ka ʻiʻo o ka puʻuwai mai ka loaʻa ʻana o ka oxygen a me nā meaʻai e pono ai.
• Ka hāʻule ʻana o ka puʻuwai : ʻO nā kūlana e like me ka hōʻiliʻili ʻana o ka wai e kū mai ana i ka wā hiki ʻole i ka puʻuwai ke pamu i ke koko e hoʻokō i nā pono o ke kino.
• Maʻi puʻuwai hānau: Hānau ʻia kekahi poʻe me kekahi mau kīnā puʻuwai. Hiki i kēia mau kūlana ke kōkua i ka ulu ʻana o ka Chronotropic Incompetence ma hope o ke ola.

He aha nā kumu e hoʻonui ai i ka pilikia o kēia maʻi?

Aia kekahi poʻe i kahi pilikia kiʻekiʻe iki o ka loaʻa ʻana o kēia maʻi. Eia kekahi mau kumu e hiki ke kōkua i kēia:

• No nā poʻe me ka hāʻule ʻana o ka puʻuwai .
• No nā kānaka me ka momona .
• (Diabetes Mellitus) A i ʻole no ka poʻe me ka maʻi diabetes.
• No nā poʻe me nā maʻi māmā mau e like me COPD (Chronic obstructive pulmonary disease) .
• No ka poʻe me ke koko kiʻekiʻe .
• No ka poʻe i loaʻa i ka maʻi HIV .
• ʻO ka poʻe i loaʻa i ka maʻi Epstein-Barr (he maʻi kēia e hoʻoulu pinepine ai i ke kuni a me ka ʻeha o ka puʻu).
• No ka poʻe me nā maʻi (Long COVID) , ʻo ia hoʻi ka poʻe i loaʻa nā hōʻailona no ka manawa lōʻihi ma hope o ka loaʻa ʻana o COVID-19.

Inā loaʻa iā ʻoe kēia mau mea pilikia, ʻoi aku ka maikaʻi o ka makaʻala iki.

Pehea e ʻike ai nā kauka i kēia maʻi (Chronotropic Incompetence)?

E nānā ke kauka i kēia kūlana inā ʻaʻole hiki i kou helu puʻuwai ke piʻi i kahi pae. ʻO ka maʻamau, kānalua nā kauka i kēia kūlana inā ʻaʻole e piʻi kou helu puʻuwai i waena o 70% a me 85% o kou mau makahiki - ka helu puʻuwai kiʻekiʻe i wānana ʻia (APMHR) i ka wā o ka hana kino nui loa.

ʻO kahi haʻilula maʻamau i hoʻohana ʻia e ʻike ai i kou helu puʻuwai kiʻekiʻe loa kūpono i ka makahiki (APMHR) ʻo ia: 220 me ka emi ʻana o kou makahiki . Eia naʻe, ʻaʻole kēia wale nō ke ʻano hana, hoʻohana pū nā kauka i nā ʻano hana a me nā haʻilula ʻē aʻe. No ka laʻana, inā ʻaʻole hiki i kou helu puʻuwai ke hiki i ka 80% o kāu waihona helu puʻuwai , hoʻohana ʻia ia e ʻike iā ʻoe me ka Chronotropic Incompetence .

ʻAʻohe pae hoʻohālikelike maʻamau a ʻae ʻia no kēia. No laila, e hoʻoholo ke kauka ma muli o kou kūlana.

He aha nā hoʻokolohua i hana ʻia no kēia?

Inā kānalua kāu kauka i kēia kūlana, hiki iā lākou ke kauoha i kekahi mau hoʻokolohua:

• Nānā i ke ʻano o ka puʻuwai hoʻomau: He mea liʻiliʻi kēia hiki iā ʻoe ke komo. Hiki iā ia ke nānā i ke ʻano o ka loli ʻana o kou helu puʻuwai i ka lā a pau i kou hele ʻana i kāu mau hana maʻamau.
• Hoʻāʻo Hoʻoikaika Kino (EKG - Electrocardiogram): Ma kēia hoʻāʻo, nānā ʻia kou helu puʻuwai (EKG) i kou hele ʻana ma luna o ka treadmill a holo paha i kahi paikikala paʻa. E nānā kāu kauka e ʻike inā piʻi ka helu o kou puʻuwai i ka pae a kāu kauka e manaʻo ai.
• Hoʻāʻo koʻikoʻi hoʻoikaika kino metabolic (CVST): He hoʻāʻo nō hoʻi kēia i hana ʻia ma luna o ka treadmill a i ʻole ka paikikala. Eia nō naʻe, ana pū ia i ka nui o ka oxygen e hoʻohana ai kou kino i kou wā e hoʻoikaika kino ai. Hiki i kēia ke hāʻawi i kahi manaʻo maikaʻi ʻaʻole wale no kou puʻuwai akā no kou mau māmā hoʻi.

He aha nā lāʻau lapaʻau no ka Chronotropic Incompetence?

Ma muli o kekahi mau ʻano hana e mālama ai i kēia maʻi, hahai nā kauka. ʻO nā mea nui:

• Hana kino: Mai kahaha! ʻOiai he mea paʻakikī paha ka hoʻoikaika kino, ʻo kekahi lāʻau lapaʻau no kēia, ʻo ia ke komo mālie i ka hoʻoikaika kino e like me ke kuhikuhi a kāu kauka. Hiki i kēia ke hoʻomaikaʻi mālie i kou hiki ke hana i ka hana kino.
• He pacemaker: Pono kekahi poʻe e loaʻa kahi mea uila liʻiliʻi i kapa ʻia he pacemaker i hoʻokomo ʻia ma lalo o ka ʻili kokoke i ka puʻuwai. Kōkua kēia i ka puʻuwai e kuʻi wikiwiki i ka wā e kaumaha ai ʻoe.
• ʻO ka pacemaker biventricular a i ʻole ka Cardiac Resynchronization Therapy (CRT):He ʻano pacemaker kūikawā nō hoʻi kēia. Hana ia ma ke kumu ʻana i nā keʻena haʻahaʻa ʻelua (nā cell) o ka puʻuwai e kuʻi pū i hoʻokahi mele. Hiki ke lilo i mea pono no ka poʻe me kekahi mau maʻi puʻuwai.

Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono iā ʻoe. E hilinaʻi kēia i nā kumu he nui, me kou kūlana, nā hōʻailona, ​​a me nā kūlana olakino ʻē aʻe.

He aha kāu e manaʻo ai i ka wā e noho ai me kēia maʻi?

ʻO nā pākeke me ka chronotropic incompetence e ʻike paha i ka luhi a me ka pōkole o ka hanu ma mua o ka mea i manaʻo ʻia i ka wā e hana ana i nā hana maʻamau o kēlā me kēia lā a i ʻole e hoʻoikaika kino ana. No ka laʻana, hiki iā lākou ke luhi ma hope o ka holoi ʻana i kekahi mau lole a laila paʻakikī ke piʻi i luna.

I nā hihia kakaikahi, hiki ke hiki mai ka nāwaliwali inā ʻaʻole lawa ka helu o ka puʻuwai e hoʻolako i ka lolo me ke koko lawa.

Ua hōʻike ʻia nā haʻawina he nui ka pilikia o ka hōʻeha puʻuwai a me ka chronotropic incompetence i ka poʻe me kēia maʻi. Manaʻo kekahi haʻawina ʻē aʻe he nui ka pilikia o ka atrial fibrillation (Afib) i ka poʻe me kēia maʻi. Ua hōʻike ʻia hoʻi ʻaʻole maikaʻi ka loaʻa ʻana o ka chronotropic incompetence ma waho aʻe o ka puʻuwai. Ua hōʻike pū kekahi mau haʻawina aia kahi pilina ma waena o kēia maʻi a me ka emi ʻana o ke ola.

ʻAʻole kēia e hoʻomakaʻu iā ʻoe, akā e paipai iā ʻoe e makaʻala i kēia kūlana a hana i nā hana e pono ai.

Hiki ke pale ʻia ka Chronotropic Incompetence?

ʻO kekahi o nā kumu e hoʻoulu ai i kēia maʻi, e like me ka maʻi puʻuwai hānau, ʻaʻole ia ma o kā mākou mana. Eia nō naʻe, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ko mākou pilikia:

• Inā loaʻa iā ʻoe kekahi maʻi puʻuwai a maʻi akemāmā paha, he mea nui e loaʻa ka lāʻau kūpono no ia .
• He mea nui loa ia e mālama i ke kaumaha o kou kino ma kahi pae olakino . ʻO ka momona ke kumu o nā maʻi he nui.
• Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes mellitus a me ke koko kiʻekiʻe, he mea nui e kaohi pono iā lākou .

ʻO ka mālama ʻana i kēia mau mea e kōkua iā ʻoe e pale iā ʻoe iho mai ka Chronotropic Incompetence wale nō, akā, mai nā maʻi ʻē aʻe he nui.

Pehea wau e mālama ai iaʻu iho?

ʻO ke ola ʻana me ka Chronotropic Incompetence ʻo ia hoʻi ke kau nei kou kino i kekahi mau palena i kāu mea hiki ke hana. He mea nui loa ke ahonui i kēia manawa. Mai hopohopo, e hoʻāʻo e hoʻololi mālie i kēia kūlana.

• E kamaʻilio me kāu kauka e pili ana i ka pono e hoʻololi i kekahi o nā lāʻau lapaʻau āu e lawe ai, a i ʻole inā pono ʻoe i kahi pacemaker .
• Inā ua hoʻokomo ke kauka i kahi hāmeʻa i loko o kou umauma (e.g., pacemaker),Pono ʻoe e loaʻa kahi ʻike maikaʻi o ke ʻano o ka hana.
• E mālama pono i nā manawa hoʻopaʻa me kāu kauka e hōʻoia i ka hana pono ʻana o kāu hāmeʻa.
• Inā ua hāʻawi kāu kauka iā ʻoe i kahi hoʻolālā e hoʻonui mālie i kāu hana kino, e hahai pololei i kēlā mau kuhikuhi . Mai hana i nā mea āpau.

He mea maʻamau ke kaumaha a me ka hoʻonāukiuki ke hiki ʻole iā ʻoe ke hana i nā mea āu i hiki ai ke hana. Hiki ke hoʻonāukiuki maoli ke luhi ʻoiai ʻoe e hāpai wale ana i kekahi mau lole. Akā, ʻaʻole pono ʻoe e kū hoʻokahi i kēia kūlana. Ua mākaukau mau kāu hui lapaʻau e kōkua iā ʻoe.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke kipa aku ʻoe i kāu kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• Hiki iā ʻoe ke haʻi mai iaʻu i ke kumu o kēia maʻi (Chronotropic Incompetence) ?
• He aha kaʻu e hana ai e ola maikaʻi ai me koʻu maʻi?
• He aha kaʻu e manaʻo ai mai ka pacemaker āu i hoʻokomo ai i loko oʻu? (Inā ua hoʻokomo ʻia kahi pacemaker)
• Aia kekahi mau polokalamu a i ʻole nā ​​​​ʻano hana e hiki ke kōkua iaʻu e hoʻonui i ka hana kino?

Ma waho aʻe o kēia mau nīnau, e nīnau i kāu kauka e pili ana i kekahi mea āu e noʻonoʻo nei a i ʻole kekahi kānalua āu e loaʻa ai.

ʻO ka hope, e hoʻomanaʻo!

ʻO ka (Chronotropic Incompetence) he kūlana e pono ai ke mālama. Eia nō naʻe, me ke aʻo lapaʻau kūpono, ka lāʻau lapaʻau, a me kou hoʻolaʻa ʻana , hiki iā ʻoe ke ola i kahi ola maikaʻi me kēia kūlana. Mai makaʻu. E hoʻolohe i ka ʻōlelo a kāu kauka a hana e like me ia. Ke makemake nei iā ʻoe e ho'ōla koke!