Yu kin fil taya bak ivin afta yu dɔn du smɔl ɛksesaiz? Yu tink se dat na fɔ mek pɔsin nɔ ebul fɔ du ɛksɛsayz?

Yu kin si am bak se i nɔ kin izi fɔ yu fɔ blo we yu de waka fɔ shɔt tɛm ɔ we yu de klaym stej? Ɔ yu kin fil taya kwik kwik wan? Sɔntɛm yu de tink , "O, a de ol naw" ɔ "A nɔ de du ɛksɛsayz inof." Bɔt sɔntɛnde dis kin dip smɔl pas dat. Na dat wi go tɔk bɔt na dis atikul tide.

Wetin na Ɛksesaiz Intolɛreshɔn?

Fɔ tɔk am simpul wan, we yu nɔ ebul fɔ du ɛksɛsayz na we yu nɔ ebul fɔ du bɔdi wok izi wan lɛk aw yu bin de du trade, ɔ yu ebul fɔ bia wit dɛn de go dɔŋ. Dat min se yu kin rili taya ivin afta yu dɔn du smɔl wok, ɛn i nɔ kin izi fɔ yu fɔ blo. Tink bɔt am, we wi de waka, rɔn, ɔ es wet, bɔku tin dɛn na wi bɔdi fɔ wok togɛda. I tan lɛk big mashin. Wi at, wi lɔng, ɛn wi mɔsul dɛn ɔl de insay. If smɔl prɔblɛm ɔ wikɛd tin de na wan pan dɛn sistɛm dɛn ya, i kin tan lɛk se da mashin de nɔ de wok fayn. Na da tɛm de dis kɔndishɔn we dɛn kɔl ɛksɛsayz intolɛreshɔn kin apin. Bɔrku tɛm, yu nɔr kin ebul fɔ rich yu maksimal hat rit fɔ yu ej bikɔs ɔf dɛn sik ya. We yu de du ɛksɛsayz, yu bɔdi kin jɔs tek 60% to 70% pan di ɔksijɛn we i nid we yu kɔmpia am wit pɔsin we nɔ gɛt dis kɔndishɔn. Dis kin bi tru mɔ if yu at nɔ de wok fayn. Fɔ ɛgzampul, dis kin apin to pipul dɛn we gɛt at prɔblɛm . Yu no, na wi at na di wan we de pɔmp blɔd we de kɛr ɔksijɛn go na di tisu ɛn sɛl dɛn ɔlsay na di bɔdi. So if di at nɔ ebul fɔ pɔmp blɔd fayn ɛn fayn, di we aw ɔksijɛn de sheb ɔlsay na di bɔdi kin pwɛl bak. Semweso, pipul dɛn we gɛt sɔm prɔblɛm dɛn na dɛn lɔng kin gɛt prɔblɛm fɔ blo ɛn gɛt inof ɔksijɛn insay dɛn mɔsul dɛn. Bikɔs we wi de wok tranga wan, wi mɔsul dɛn nid mɔ ɔksijɛn pas we wi jɔs de rɛst. Naw imajin, yu de blo ɔksijɛn, ɛn yu at de kɛr am go na ɔl di pat dɛn na di bɔdi tru di blɔd. Dɔn wi sɛl dɛn nid fɔ yuz da ɔksijɛn de fɔ mek dɛn gɛt pawa. Bɔt if yu skel mɔsul dɛn nɔ de wok fayn, dɛn nɔ go ebul fɔ yuz da ɔksijɛn de fayn fayn wan. So if prכblεm de wit eni wan pan dεn imכtant stεp dεm ya – di prכsεs fכ tek in, sheb, כ yuz כksijεn na di sεl lεvεl – den na de εksεsayz Intolerans de apin. Dis sik kin mek i nɔ izi fɔ yu fɔ du di tin dɛn we yu lɛk, ivin di wok dɛn we yu de du ɛvride. Sɔntɛnde, i kin mek pɔsin de na ɔspitul ɔltɛm.

Aw kɔmɔn tin dis?

Fɔ tru, fɔ lɛ pɔsin nɔ ebul fɔ du ɛksɛsayz, na tin we kɔmɔn pas aw wi kin tink. Bɔku pipul dɛn ɔlsay na di wɔl kin sɔfa wit dis sik. Nɔto wan rizin nɔmɔ de fɔ dis, bɔku. Fɔ ɛgzampul, i pas 6 milyɔn pipul dɛn na Amɛrika we gɛt at prɔblɛm.De na. arawnd 50% pan dεm, dat na lεk af, gεt dis difikulti fכ εksεsayz, כ Exercise Intolerance. Dis sik kin kɔmɔn na Sri Lanka pan pipul dɛm wae gɛt dis kayn hat ɛn respiratory sik.

Wetin na di sayn dɛm wae de sho se yu nɔr de du ɛksɛsayz?

Okay, naw lɛ wi si wetin na di men simptom dɛm fɔ luk fɔ if yu sɔspɛkt se yu gɛt Exercise Intolerance. Si if yu gɛt wan ɔ mɔ pan dɛn tin ya.

• Shortness of breath : Dis na de sik wae kin kam pan pɔrsin ɛn wae kin kam pan pɔrsin. Yu kin fil lɛk se yu nɔ de blo fayn, ɔ yu kin gɛt fɔ blo tranga wan, ivin afta yu dɔn du smɔl wok ɔ yu dɔn waka fɔ shɔt tɛm. I tan lɛk di filin we yu kin gɛt we yu klaym il ɔ klaym stej.
• Taya : Fɔ fil taya ɛn taya fɔ no rizin, ivin afta yu dɔn du smɔl wok. Yu kin fil taya na mɔnin ɛn slip ɔl di de.
• Yu leg nɔ kin fil fayn ɔ taya: Yu kin fil pen, pen, ebi, ɔ yu leg kin swɛ, ilɛksɛf yu de du ɛksɛsayz ɔ jɔs de waka fɔ shɔt tɛm. Sɔntɛnde, i kin ivin fil lɛk se yu mɔsul dɛn de rɔl.
• Hyperventilation : Yu kin bigin fɔ blo kwik kwik wan, lɛk se yu de blo fɔ blo. Yu kin fil bak se yu de tɔn yu ed ɛn yu chɛst kin de bit.

Wetin na di tin dɛn we kin mek pɔsin nɔ ebul fɔ du ɛksɛsayz?

Bɔrku rizin kin de fɔ dis sik, nɔr to jɔs wan ɔr tu rizin. Sɔm pan dɛn gɛt fɔ du wit di at ɛn di lɔng we wi bin dɔn tɔk bɔt. Lɛ wi luk di men tin dɛn we kin mek wi gɛt dis sik:

• Hat Failure: Dis kכndyushכn kin apin we di at wik εn nכ kin pכmp blכd fayn fayn wan.
• Conngenital hat disease : Sɔm pipul dɛn kin bɔn wit sɔm prɔblɛm dɛn na dɛn at. Dis na tin bak we kin mek i apin.
• Lכng sik dεm: fכ egzampl, di lכng sik dεm we kin de fכ lכng tεm lεk COPD ( Chronic Obstructive Pulmonary Disease ) kin mek i at fכ di lכng fכ tek כksijεn εn kכl kabon dayכksayd.
• Pulmonary embolism: Na bכdi we de kכlכt we de lod insay wan bכdi we de go na di lכng. Dis na mɛdikal imejensi.
• `Lɔng COVID`: Simptom dɛm lɛk taya, shɔt briz, ɛn chɛst pen we sɔm pipul dɛn kin gɛt ivin afta dɛn dɔn wɛl frɔm COVID-19.
• Anemia: We di blɔd volyum go dɔŋ na di bɔdi, di nɔmba fɔ di rɛd blɔd sɛl dɛn we de kɛr ɔksijɛn de go dɔŋ. Dɔn, ivin we yu de du smɔl wok, yu kin fil taya.
• Kɔnkyushɔn: Na injury na di bren fɔ sɔm tɛm we pɔsin blo tranga wan na di ed. Dis kin mek i nɔ izi fɔ ɛksesaiz fɔ sɔm tɛm afta di injury.
• We wi de ol: As wi de ol, di we aw wi bɔdi de wok ɛn di trɛnk we wi mɔsul dɛn gɛt kin go dɔŋ bay insɛf.
• Fat: If yu bɔdi wet pasmak, dat kin mek yu at, yu lɔng, ɛn yu jɔyn dɛn gɛt mɔ strɛs, ɛn dis kin mek i nɔ izi fɔ du ɛksɛsayz.
• Dayabitis: Dayabitis we yu nɔ kɔntrol kin pwɛl di nerv ɛn blɔd vesel as tɛm de go. Dis na tin bak we kin mek pɔsin nɔ ebul fɔ du ɛksɛsayz.
• Kidni sik: We di kidni nɔ de wok fayn, pɔyzin kin gɛda na di bɔdi, ɛn dis kin mek pɔsin taya ɛn ɔda tin dɛn kin mek i nɔ fil fayn.
• Sik dεm we de afekt di skel mכsul dεm: Fכ egzampl, di jεnεtik kכndyushכn dεm lεk McArdle disease . dis dεm kin mek yu fil bad bad wan εn yu nכ kin fil fayn we yu de du εksεsayz biכs fכ di lכk fכ wan εnzym we di mכsul dεm nid fכ prodyuz εnεji.
• Inflammatory disorders: Dɛn kayn diskɔmfɔt ya kin apin bak bikɔs ɔf inflammatory conditions na di bɔdi, lɛk difrɛn kayn at at sik.

De impɔtant tin na dat, sɔmtɛm pɔrsin kin gɛt pas wan pan dɛn tin ya di sem tɛm. Fɔ ɛgzampul, pɔsin kin gɛt ɔl di tri sik dɛn: at sik, fat, ɛn dayabitis. Dɔn di kɔndishɔn fɔ Ɛksesaiz Intolɛreshɔn kin wɔs pasmak.

Aw dɔktɔ kin no bɔt dis sik?

If yu gɛt dɛn kayn sik ya, i go fayn fɔ mek yu go to dɔktɔ fɔ no di rayt tin we nɔ fayn. Yu dɔktɔ go aks yu bɔt yu sik, yu famili histri, ɛn du yu bɔdi ɛgzam. Dɛn kin du sɔm tɛst dɛn bak fɔ no di sik ɛn fɔ no di tin we mek i gɛt am.

• Siks minit waka tɛst: Dis na tɛst we rili simpul. I min se yu fɔ waka fɔ siks minit di we aw yu de waka na say we flat ɛn mɛzhɔ aw fa yu go ebul fɔ waka. I kin mɛzhɔ tin dɛm bak lɛk yu at rit ɛn ɔksijɛn lɛvɛl bifo ɛn afta yu waka.
• Ɛksesaiz strɛs tɛst: Dis kin min fɔ mek dɛn de wach yu blɔd prɛshɔn, yu at rit ɛn patɛn (we yu de yuz ECG), ɛn ɔksijɛn lɛvɛl we yu de waka pan tredmil ɔ rayd bayk we nɔ de muv. Dis kin ɛp fɔ si aw yu at kin biev we yu de du ɛksɛsayz.
• Cardiopulmonary exercise testing (CPET): Dis na di "gold standad" test fכ no dis kכndyushכn. I de gi di infɔmeshɔn we kɔrɛkt ɛn we pɔsin kin abop pan. Insay dis tɛst, dɔktɔ kin tek tɛm wach yu at rit, blɔd prɛshɔn, ɔksijɛn lɛvɛl na yu blɔd, ɛn aw yu de blo we yu de waka pan tredmil ɔ rayd baysikul. Yu kin wɛr spɛshal mask we de sho aw yu de blo dip ɛn di spid we yu de blo, ɛn aw bɔku ɔksijɛn yu de tek ɛn ɔmɔs kabon dayɔgzayd yu de pul.

Wetin na di tritmɛnt dɛm fɔ mek pɔsin nɔ ebul fɔ du ɛksɛsayz?

Fɔ bɔrku pipul dɛm, di bɛst ɛn impɔtant tritmɛnt fɔ ɛksesaiz we nɔr de biev na wan strɔkchɔ fyzikal aktiviti program, ɔ ``ɛksɛsayz trenin,'' we dɛn kin du ɔnda mɛdikal sɔpɔtishɔn . Dis tan lɛk aw dɔktɔ de gi yu mɛrɛsin, bɔt i de gi yu ɛksesaiz bak. Dis kin involv fɔ du ɛksɛsayz wit mɔdaret intensiti fɔ 30-60 minit insay di de, at le tri dez insay di wik. Bɔt, dis nɔto di sem tin fɔ ɔlman. Dɔktɔ go mek wan ``kɔstɔm ɛksɛsayz trenin plan'' we rayt fɔ yu, bay aw yu bɔdi de ɛn di tin we mek yu nɔ ebul fɔ du ɛksɛsayz.

• Fɔ ɛgzampul, if yu gɛt dis diskɔmfɔt bikɔs ɔf `Lɔng COVID` , yu fɔ bigin wit lɔw-intensiti ɛksɛsayz lɛk `row` ɔ `saykl`, ivin fɔ rili shɔt tɛm. Smɔl smɔl, i de mek di tɛm ɛn di trɛnk go ɔp.
• If yu gɛt wan sik we yu de blo lɛk COPD , yu kin bɛnifit frɔm intaval trenin . Dis min se yu fɔ du shɔt tɛm fɔ du ɛksɛsayz we gɛt bɔku bɔku pawa, rɛst fɔ sɔm tɛm, dɔn yu fɔ du am bak.

Apat frɔm ɛksesaiz, ɔda tritmɛnt dɛn de we yu kin du:

• Fɔ lɔs yu wet: If na fɔ fat pasmak, i rili impɔtant fɔ lɛ yu lɔs yu wet di rayt we.
• Fɔ fala di it we fayn: Sɔntɛnde, if yu nɔ gɛt bɛtɛ tin fɔ it, yu dɔktɔ kin advays yu fɔ kɔrɛkt am, fɔ ɛgzampul, bay we yu ad mɔ it dɛn we gɛt bɔku prɔtin ɔ vaytamɛn D to yu it.
• Fɔ trit di sik dɛn we de ɔnda di mɛrɛsin: Fɔ trit di sik dɛn lɛk at sik, dayabitis, ɛn blɔd we de mek pɔsin nɔ ebul fɔ du ɛksɛsayz wit di rayt mɛrɛsin ɔ if nid de, ɔpreshɔn.
• Ɔksijɛn tɛrapi: Sɔm pipul dɛn nid ɔksijɛn we dɛn de du ɛksɛsayz ɔ ɔl di de if dɛn blɔd ɔksijɛn nɔ bɔku.
• Pulmonari rihabiliteshɔn:Dis na spɛshal trenin program. I de gi ɛksesaiz fɔ blo, tich bɔt di sik, ɛn advays bɔt aw fɔ liv, mɔ fɔ di wan dɛn we gɛt sik dɛn we nɔ de mɛn na dɛn lɔng lɛk COPD.

Us kayn ɛkspiriɛns pɔsin we nɔ ebul fɔ du ɛksɛsayz kin gɛt?

Aw yu de liv wit ɛksɛsayz intolɛreshɔn ɛn aw lɔng yu go gɛt dɛn prɔblɛm ya go dipen ɔl pan di ɔndalayn kɔz .

• Imajin, if yu bin gɛt kɔnkyushɔn we yu bin yɔŋ ɛn nak yu ed we yu de ple spɔt, i go mɔs bi se yu go kam bak to yu nɔmal insay shɔt tɛm, lɛk wan mɔnt, if yu rɛst ɛn tritmɛnt fayn.
• Bɔt if yu nɔ ebul fɔ du ɛksɛsayz na bikɔs yu gɛt wan sik we yu nɔ go ebul fɔ mɛn lɛk at pwɛl , yu go gɛt fɔ dil wit di sik, dat na dis we yu nɔ de du ɛksɛsayz, fɔ di res ɔf yu layf. Dat min se yu go gɛt fɔ manej am fayn ɛn fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.

Yu tink se dɛn kin mek pɔsin nɔ ebul fɔ du ɛksɛsayz?

Sɔntɛnde, wi kin ebul fɔ kɔntrol am, bɔt nɔto ɔl di tin dɛn we kin mek wi ebul fɔ kɔntrol am. Fɔ ɛgzampul, wi nɔ go ebul fɔ stɔp sɔntin lɛk at sik we wi bɔn wit. Bɔt bɔku ɔda tin dɛn we kin mek pɔsin nɔ ebul fɔ du ɛksɛsayz (e.g., dayabitis, ay blɔd prɛshɔn, fat, ɛn tin dɛn we kin mek pɔsin gɛt at sik) dɛn kin kɔntrol am bay we dɛn chenj dɛn layf ɛn di rayt mɛrɛsin, we kin mek pɔsin nɔ ebul fɔ du ɛksɛsayz. Fɔ liv fayn layf na di men tin.

Aw a kin kia fɔ misɛf?

Bikɔs bɔku tin dɛn de we kin mek yu nɔ ebul fɔ du ɛksɛsayz, wetin go fayn fɔ yu kin difrɛn smɔl frɔm wetin go wok fɔ ɔda pɔsin. So, i impɔtant fɔ fala di advays ɛn tritmɛnt plan we yu dɔktɔ gi yu spɛshal wan.

• I go tɛl yu ɔmɔs ɛksesaiz yu nid fɔ du ɛn aw yu nid fɔ du ɛksɛsayz. Du am di rayt we.
• Sɔntɛm dɛn go tɛl yu fɔ it mɔ prɔtin, ɔ tek wan patikyula vaytamɛn.
• I impɔtant fɔ manej di ɔndalayn mɛdikal kɔndishɔn fayn fayn wan (e.g., dayabitis, at sik) we de mek yu nɔ ebul fɔ du ɛksɛsayz. Tek dɛn mɛrɛsin dɛn de di rayt tɛm.

So, fɔ du dɛn tin dɛn de kɔrɛkt wan rili impɔtant fɔ yu wɛlbɔdi.

Ustɛm a fɔ go to dɔktɔ?

We dɛn dɔn no se yu gɛt dis sik, i impɔtant fɔ mek yu kɔntinyu fɔ tɔk to yu dɔktɔ, we min se yu fɔ go to am fɔ mek dɛn chɛk yu ɔltɛm . Dis we ya, i kin si aw yu de du, if yu sik dɔn bɛtɛ, aw yu dɔn gɛt sakrifays wit di ɛksɛsayz plan we i dɔn mek, ɛn if ɛni chenj na yu tritmɛnt nid fɔ mek. If yu gɛt nyu sik ɔ if yu sik de wɔs, tɛl yu dɔktɔ wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

We yu go to dɔktɔ, rayt ɛni kwɛstyɔn we yu gɛt bɔt dis sik bifo tɛm. Dis go ɛp yu nɔ fɔ mɛmba natin ɛn mek yu maynd fil fayn. Na sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• "Dɔkta, wetin na di men rizin ɔ rizin dɛn we mek a gɛt dis kɔndishɔn we a nɔ ebul fɔ du ɛksɛsayz?"
• "If a wan get rilif from dis situeshɔn, wetin bi di ekzak tins we a nid to du and wich advais a shud folo?"
• "Aw kwik a fɔ si di dɔktɔ bak? Aw a fɔ monitar mi kɔndishɔn?"
• "Eni spesifik gol de we a wan achiv? (e.g. hau fa a wan fit waka in wan go, hau long a wan ebul fo eksasaiz we a no stop)?"
• "Us mɛrɛsin a fɔ tek fɔ dis? Dɛn gɛt sayd ɛfɛkt?"
• "Us chenj a nid fɔ mek to mi it?"

Fɔ dɔn, mɛmba dis.

We yu bɔdi nɔ ebul fɔ tek ɔksijɛn fayn fayn wan ɛn chenj am to ɛnaji, ivin tin dɛn we bin izi fɔ yu fɔ du trade kin at naw. Na tru dat. Bɔt nɔ wɔri ɔ fil bad bɔt am. If yu fala yu dɔktɔ in tritmɛnt plan, mɔ di ɛksɛsayz program, tek tɛm ɛn peshɛnt, smɔl smɔl yu go ebul fɔ du yu ɛvride wok bak, lɛk fɔ go na do fɔ sɛn lɛta, fɔ klaym di stej fɔ go ɔp yu os, ɔ fɔ waka fɔ shɔt tɛm.

Mɛmba se i kin tek tɛm fɔ mek yu bɛtɛ wit di we aw yu nɔ de du ɛksɛsayz. I at fɔ ɛkspɛkt fɔ gɛt fridɔm fɔ wan nɛt. Peshɛnt ɛn dedikeshɔn na di men tin. If yu de fil les fɔ du ɛksɛsayz ɔ yu de fil se i nɔ izi fɔ du am yu wan, tink bɔt fɔ aks yu fambul ɔ yu tayt padi fɔ ɛp yu. Na big tin fɔ gɛt trɛnk ɛn ɛnkɔrejmɛnt we pɔsin de de. Di tin we impɔtant pas ɔl na dat, mɛmba se nɔto yu wan de pan dis waka!

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