Kodi mayeso a Metabolic Exercise Stress Test ndi chiyani? Tiyeni tikambirane za izi!

Kodi munamvapo za 'Mayeso Olimbitsa Thupi'? Mwina munachita mantha pang'ono kapena kuda nkhawa pamene dokotala wanu anakuuzani kuti muchite izi. Kapena mwina munali ndi chidwi chofuna kudziwa za izi. Chifukwa chake, lero tikambirana za mayesowa mosavuta, mwanjira yomwe mungamvetse.

Kodi pali kusiyana kotani pakati pa mayeso oyesera kupsinjika kwa thupi ndi mayeso okhazikika a kupsinjika?

Mwachidule, iyi ndi mayeso omwe amayesa thanzi lanu pamene mukuchita masewera olimbitsa thupi. Amachitidwa pamene mukukwera njinga kapena mukuyenda pa treadmill. Dokotala kapena katswiri wophunzitsidwa amakuyang'anirani mosamala. Chapadera cha izi ndi chakuti amawona momwe mtima ndi mapapo anu onse amagwirira ntchito, komanso momwe minofu yanu imapezera mpweya wabwino mukamachita masewera olimbitsa thupi (`Cardiorespiratory Fitness` - CRF). Nthawi zina madokotala amatchanso izi kuti `Cardiopulmonary Exercise Test`` (`CPET`). Chifukwa `cardio'' amatanthauza mtima, ndipo `pulmonary'' amatanthauza mapapo. Chifukwa chake ntchito ya zonsezi imawunikidwa nthawi imodzi.

Tsopano mwina mukuganiza kuti, 'Ndiye kusiyana kotani pakati pa mayeso okhazikika a kupsinjika ndi awa?' Funso labwino limenelo! Mayeso okhazikika a kupsinjika kwenikweni amangoyang'ana mtima wanu. Mumachita masewera olimbitsa thupi ndikupeza deta kuchokera ku zinthu monga EKG. Koma mu mayeso okhazikika a kupsinjika kwa kagayidwe kachakudya, mumapuma kudzera mu chigoba chapadera cha nkhope kapena pakamwa. Chipangizochi chimayesa kuchuluka kwa mpweya ndi carbon dioxide mu mpweya wanu wotuluka. Chimayesanso kuchuluka kwa mpweya womwe mapapu anu angatenge. Ndipotu, ndi mtundu wapamwamba wa mayeso okhazikika a kupsinjika ndi mabelu ndi malikhweru onse. Chifukwa chake, kuchuluka kwa deta komwe kumapezeka kuchokera ku izi nakonso ndi kwakukulu, ndipo n'zotheka kumvetsetsa momwe mtima ndi mapapo zimayankhira kuchita masewera olimbitsa thupi.

Kodi tingaphunzire chiyani kuchokera ku mayeso awa?

Ndiye, kodi mayesowa angakupezereni chiyani kwenikweni? Tangoganizirani kuti mukumva kutopa ngakhale mutayesetsa pang'ono, kapena mukumva kutopa nthawi zonse. Mayesowa angakuthandizeni kudziwa chomwe chikuyambitsa izi. Angakuuzeni ngati kulephera kwanu kuchita masewera olimbitsa thupi kumayamba chifukwa cha matenda a mtima, matenda a m'mapapo, kapena kuphatikiza zonse ziwiri.

Zinthu zazikulu zomwe zikuyembekezeredwa kuchokera ku mayesowa ndi izi:

• Dziwani chifukwa chake mumamva kupuma movutikira komanso kutopa kwambiri mukamachita masewera olimbitsa thupi.
• Dziwani kuchuluka kwa masewera olimbitsa thupi omwe mtima ndi mapapo anu angachite .
• Dziwani matenda a mtima ndi mapapo.
• Unikani kuopsa kwa matenda anu ndikupeza lingaliro la zomwe zidzachitike mtsogolo (kuneneratu za matenda).
• Yang'anani zoopsa zomwe zingachitike musanachite opaleshoni yayikulu.
• Konzani dongosolo lanu la chithandizo .
• Onani momwe thupi lanu likuyankhira ndi mankhwala omwe akuchitika panopa .
• Unikani kupita patsogolo kwa mapulogalamu olimbitsa thupi monga kuchiritsa matenda a mtima.
• Kukuthandizani kupanga pulogalamu yomwe imakulolani kuchita masewera olimbitsa thupi mosamala komanso moyenera .

Mukuona, kodi mayesowa ndi ofunikira bwanji? Makamaka ngati muli ndi vuto monga ``Heart Failure``, mayeso a ``CPET`` awa amatha kudziwa momwe vuto lanu lilili lalikulu komanso mtundu wa chithandizo chomwe mukufuna.

Chofunika Kwambiri: Ngati muli ndi pacemaker kapena defibrillator, muyenera kukayezetsa ndi dokotala musanayese mayesowa . Chifukwa chake, lankhulani ndi dokotala wanu za izi musanakonzekere mayeso.

Ndani akufunikira mayeso a kupsinjika kwa kagayidwe kachakudya?

Ndiye ndani amene ayenera kuyesedwa kupsinjika kwa kagayidwe kachakudya? Ndipotu, dokotala wanu ndiye amene adzasankhe ngati mukufunikira kapena ayi. Nthawi zambiri, ana opitirira zaka 10 ndi akuluakulu a msinkhu uliwonse akhoza kuyesedwa. Madokotala amalimbikitsa mayesowa, makamaka kuti adziwe ndikuthana ndi mavuto awa:

• `Phumu`
• Matenda Osatha a M'mapapo Oletsa Kutsekeka (COPD)
• Matenda a Fibrosis
• `Kulephera kwa Mtima`
• Matenda a M'mapapo a Pakati pa M'mapapo
• Khansa ya M'mapapo
• `Primary Ciliary Dyskinesia`
• Kuthamanga kwa Magazi kwa Mitsempha ya M'mapapo (PAH)
• Sarcoidosis

Komanso, mayesowa amachitika opaleshoni isanayambe. Mwachitsanzo:

• Opaleshoni Yochotsa Mapapu
• Opaleshoni Yoika M'mapapo ndi Kuika Mtima ndi Mapapo
• Opaleshoni Yochepetsa Kuchuluka kwa Mapapu (LVRS)
• Maopaleshoni ena akuluakulu a pachifuwa

Kodi pali anthu omwe sayenera kuchita mayeso awa?

Komabe, si aliyense amene angachite mayesowa. Pali zifukwa zina zomwe sizingakhale bwino kuti muchite mayesowa. Madokotala amati izi ndi 'zotsutsana'. Mayesowa sangakhale oyenera kwa inu ngati muli ndi vuto lililonse mwa izi:

• Matenda oopsa (monga malungo kapena chimfine)
• Matenda a mtima otchedwa Acute Myocarditis kapena Pericarditis (kutupa kwa minofu ya mtima kapena nembanemba yozungulira mtima)
• "Nthenda ya mtima" yomwe idachitika mkati mwa mwezi umodzi
• Kutsekeka kwa Mitsempha Yakuya (DVT) m'miyendo
• Endocarditis (matenda a mkati mwa mtima)
• Hypertrophic Cardiomyopathy (kukhuthala kosazolowereka kwa minofu ya mtima)
• `Kulephera kwa Impso`
• `Heart Valve Stenosis` yapakati kapena yoopsa
• Mimba yokhala ndi mavuto kapena pafupi kubereka
• Kuthamanga kwa magazi kwakukulu
• Kuthamanga Kwambiri kwa Mtsempha wa M'mapapo (PAH)
• Kusalamulirika kwa Arrhythmias
• Kulephera kwa Mtima Kosalamulirika
• Angina yosakhazikika (ululu wa mtima)

Kodi mungakonzekere bwanji mayeso?

Chabwino, tsopano tiyeni tiwone momwe mungakonzekerere mayesowa. Muyenera kutsatira malangizo omwe dokotala wanu wakupatsani. Nazi malangizo ena:

• Musamwe chilichonse chokhala ndi caffeine kwa maola 24 musanamwe mankhwala. Caffeine ingakhudze zotsatira za mayeso. Khofi, tiyi, zakumwa zina zoziziritsa kukhosi, ndi chokoleti zili ndi caffeine. Sitroberi ndi zinthu zolembedwa kuti ``decaffeinated`` kapena ``zopanda caffeine`` zingakhalenso ndi zochepa, choncho ndi bwino kuzipewanso.
• Musadye kapena kumwa chilichonse kupatula madzi kwa maola anayi musanayesedwe.
• Siyani kusuta fodya kapena kusuta fodya maola asanu ndi atatu musanayambe mayeso (ndi bwino kusiya kwa maola 24 ngati n'kotheka). Nikotini ingakhudzenso zotsatira zake.

Kodi ndimatani ndi mankhwala omwe ndimamwa nthawi zambiri?

Muyenera kufunsa dokotala wanu za izi. Mankhwala ena angafunike kumwedwa mosiyana patsiku loyesa. Nthawi zambiri, mankhwala ochepetsa ululu omwe ali ndi caffeine (monga mapiritsi ena ochepetsa thupi, monga NoDoz®, Excedrin®, ndi Anacin®) salimbikitsidwa kwa maola 24 mayeso asanachitike.

Malangizo apadera kwa anthu omwe ali ndi matenda ashuga:

Ngati mukumwa insulin kuti muchepetse shuga m'magazi mwanu, funsani dokotala wanu kuchuluka kwa shuga komwe muyenera kumwa patsiku loyesa. Anthu ambiri amakuuzani kuti mumwe theka la mlingo wanu wamba m'mawa ndikudya chakudya chopepuka maola anayi mayeso asanachitike.

Ngati mukumwa mapiritsi ochepetsa shuga m'magazi mwanu, mungapemphedwe kuti musamwe mpaka mutamaliza kuyeza.

Zovala zotani pa tsiku la mayeso?

Valani zovala zomwe mungathe kuyendayenda nazo ndikuchita masewera olimbitsa thupi . Popeza mungatuluke thukuta pang'ono, ndi bwino kusankha zovala zopangidwa ndi thonje zomwe zimapuma mpweya (monga T-sheti yopanda manja). Mutha kuvala zovala izi kunyumba, kapena mutha kusintha kumeneko. Komanso, bweretsani nsapato zabwino (monga nsapato za kansalu kapena nsapato zamasewera). Padzakhala loko yosungiramo katundu wanu. Komabe, ndi bwino kusiya zinthu zamtengo wapatali kunyumba.

Kodi mayeso oyeserera kagayidwe kachakudya amenewa amachitidwa bwanji?

Chabwino, tsopano pakubwera gawo lofunika. Kodi mayesowa amachitidwa bwanji? Amachitikira mu `labu yochepetsera nkhawa`, chipinda chapadera komwe mayeso a nkhawa amachitikira. Katswiri wodziwa bwino ntchito amachita mayesowa, moyang'aniridwa ndi dokotala. Mutha 'kukwera njinga yosasuntha' kapena 'kuyenda pa treadmill'. Kukwera njinga ndiye kofala kwambiri. Dokotala wanu adzasankha njira yoyenera kwa inu kutengera zaka zanu, thanzi lanu, komanso thanzi lanu.

Mukamachita masewera olimbitsa thupi, mudzalumikizidwa ku chipangizo chomwe chimayesa kupuma kwanu ndi kupuma kwanu. Izi zitha kuchitika pogwiritsa ntchito ``chigoba cha nkhope`` kapena ``chophimba pakamwa``. Mutha kusankha chomwe chili chabwino kwa inu.

Umu ndi momwe masitepe oyesera amagwirira ntchito:

• Kulumikiza `EKG`: Katswiri adzayika ma `electrode` ang'onoang'ono, osalala ngati ma `electrode` pazigawo zosiyanasiyana za chifuwa chanu. Izi zimalumikizidwa ku chowunikira chomwe chidzayang'anira momwe mtima wanu umagwirira ntchito nthawi yonse yoyeserera.
• Gawo lopumula: Izi nthawi zambiri zimatenga mphindi zitatu. Katswiri adzakuthandizani kuzolowera chigoba cha nkhope kapena chopukutira pakamwa ndipo adzakupemphani kuti muyambe kupuma nacho. Kuthamanga kwa magazi ndi kuchuluka kwa mpweya m'magazi (zizindikiro zofunika kwambiri) zidzayezedwa. Chowunikira cha ECG chidzagwiritsidwanso ntchito kuwona kugunda kwa mtima wanu. Kuti muwone kuchuluka kwa mpweya ndi carbon dioxide m'magazi anu (kuyeza mpweya m'magazi), katswiriyo adzaika chubu chaching'ono (catheter ya m'magazi) mu mtsempha wamagazi womwe uli m'dzanja lanu (mtsempha wamagazi wozungulira). Izi zidzatenga zitsanzo za magazi nthawi ndi nthawi panthawi yoyezetsa.
• Gawo losatsegula (kutentha): Izi zimatenga mphindi ziwiri kapena zitatu. 'Kusatsegula' kumatanthauza kuti mukukwera njinga kapena kuyenda popanda kulemera kwina kulikonse. Panthawiyi, katswiriyo amasonkhanitsa 'chidziwitso choyambira'. Umu ndi momwe mtima ndi mapapo anu amayankhira pamlingo wotsika kwambiri wochita masewera olimbitsa thupi.
• Gawo lowonjezera la masewera olimbitsa thupi: Ili ndiye gawo lofunika kwambiri la mayeso. Limatenga pakati pa mphindi 8 ndi 12. Mumakwera njinga kapena kuyenda mosalekeza. Katswiri pang'onopang'ono amawonjezera mphamvu ya makina. Pang'onopang'ono mumayamba kumva kutopa. Panthawiyi, katswiriyo adzakufunsani momwe mukumvera. Chofunika kwambiri ndikuchita masewera olimbitsa thupi nthawi yayitali momwe mungathere.
• Gawo lochira (kuzizira): Izi zimatenga mphindi zitatu kapena zisanu. Mupitiliza kukwera njinga kapena kuyenda monga mwachizolowezi, popanda kulemera kulikonse. Katswiri adzayang'ana zizindikiro zanu zofunika ndikuyeza kuchira kwa kugunda kwa mtima wanu. Mukangobwerera mwakale kugunda kwa mtima wanu ndi kuthamanga kwa magazi, mwakonzeka kupita.

Kodi sikelo ya `RPE` ndi chiyani?

Pali njira yomwe imagwiritsidwa ntchito pofotokoza momwe mumamvera mutatopa panthawi yoyeserera. Imatchedwa sikelo ya `Rating of Perceived Exertion` (RPE). Pali sikelo zingapo za `RPE`. Yodziwika kwambiri yomwe imagwiritsidwa ntchito pa `CPET` ndikugwiritsa ntchito zala zanu kusonyeza momwe zimavutira kupuma komanso momwe miyendo yanu yatopa pa sikelo kuyambira 0 mpaka 10. Chiwerengero chikakhala chachikulu, mumamva kutopa kwambiri.

Ngakhale kuti zipangizo zonsezi zimasonkhanitsa zambiri zokhudza zomwe zikuchitika m'thupi lanu, inu nokha ndi amene mungadziwe momwe mukumvera. Choncho, ngati muli ndi mafunso okhudza sikeloyi musanayambe mayeso, funsani katswiri.

Kodi ndidzamva bwanji ndikalemba mayeso?

Kodi mayesowa amamveka bwanji? Kuti mupeze zotsatira zolondola komanso zothandiza, muyenera kuchita masewera olimbitsa thupi mpaka mutatopa kwambiri. Ndizachilendo kuti kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi kupuma kwanu kukwere. Mudzatuluka thukuta, ndipo miyendo yanu idzamva kutopa pang'ono. Muthanso kumva pakamwa pouma chifukwa chopuma kudzera pakamwa.

Uwu ndi mayeso, kotero umamveka ngati mayeso. Komabe, ngati mukukumana ndi zizindikiro zachilendo panthawi yoyesedwa, muyenera kusiya kuchita masewera olimbitsa thupi nthawi yomweyo ndikudziwitsa katswiri. Zizindikirozi zikuphatikizapo:

• Ululu, kusapeza bwino, kulimba pachifuwa, mkono, nsagwada
• Kupuma movutikira kwambiri
• Chizungulire, kumva ngati wakomoka

Zizindikiro zimenezi zitha kukhala chizindikiro cha vuto lachipatala, monga "matenda a mtima." Popeza akatswiri akuyang'ana chowunikira cha E.C.G., adzayimitsa mayeso nthawi yomweyo ngati awona kusintha kulikonse koopsa.

Kodi mayesowa amatenga nthawi yayitali bwanji?

Msonkhano wanu wonse utenga mphindi pafupifupi 75, koma kwenikweni mudzachita masewera olimbitsa thupi kwa mphindi pafupifupi 20, kuphatikizapo kutenthetsa thupi ndi kuziziritsa thupi.

Kodi ndingapeze bwanji zotsatira za mayeso?

Dokotala wanu adzakuuzani nthawi ndi momwe mungawonere zotsatira zake. Mwina mudzatha kuwona zotsatira zake mu mbiri yanu ya zamankhwala yamagetsi. Mudzakhalanso ndi mwayi wokumana ndi dokotala wanu kuti mukambirane izi.

Mayesowa amalemba miyeso yambirimbiri, yomwe imawonetsedwa mu mtundu wa graph yovuta yotchedwa ``nine-panel plot``. Awa ndi ma graph ovuta, aukadaulo omwe amapereka chithunzi chokwanira cha momwe mtima ndi mapapo anu akugwirira ntchito. Dokotala wanu adzasanthula zotsatira izi ndikukufotokozerani m'njira yomwe mungamvetse.

Ndizachibadwa kumva mantha pang'ono komanso mantha mukauzidwa kuti muyesa kupsinjika kwa thupi. Zimenezi n'zomveka. Koma musaganize mopitirira muyeso.Iyi ndi njira yodziwika bwino yoyezera matenda yomwe ingakupatseni inu ndi dokotala wanu chidziwitso chabwino cha zomwe zikuchitika mumtima ndi m'mapapo mwanu.

Inde, zingakhale zachilendo kuchita masewera olimbitsa thupi mutavala ma electrode ndi zida zina. Koma kumbukirani, chipangizo chilichonse chimasonkhanitsa mfundo zofunika zomwe zingakuthandizeni kukonza chithandizo chanu. Ngati muli ndi mafunso okhudza momwe mungakonzekerere mayeso kapena zomwe mungayembekezere mukafika ku labu, musaope kufunsa dokotala wanu.

Ndiye, ndi zinthu ziti zofunika kwambiri zomwe tikufuna kutenga kuchokera m'nkhaniyi?

Mwachidule, `Mayeso Olimbitsa Thupi` (`CPET`) ndi mayeso apadera omwe amayesa momwe mtima ndi mapapo anu amayankhira kuchita masewera olimbitsa thupi. Angakuthandizeni kupeza chomwe chimayambitsa kupuma kwanu movutikira komanso kutopa, kuzindikira matenda, kukonzekera chithandizo, ndikuwunika zoopsa musanachite opaleshoni.

Ndikofunikira kwambiri kutsatira malangizo a dokotala (okhudza caffeine, kusuta fodya, chakudya, ndi mankhwala) musanayesedwe.

Ndizachibadwa kumva kutopa pang'ono panthawi yoyezetsa. Komabe, ngati mukukumana ndi zizindikiro zachilendo, uzani katswiri nthawi yomweyo. Kumbukirani, iyi ndi mayeso omwe angapereke chidziwitso chofunikira chokhudza thanzi lanu ndikukuthandizani kupeza chithandizo chabwino kwambiri. Chifukwa chake, musaope kulankhula ndi dokotala wanu kuti mudziwe zambiri za izi.

Mayeso a Kupsinjika kwa Maseŵera Olimbitsa Thupi , CPET, Mayeso a Mtima, Mayeso a M'mapapo, Mayeso a Maseŵera Olimbitsa Thupi, Zomwe Zimayambitsa Kutopa, Thanzi la Mtima, Thanzi la Kupuma