Kodi mumamvanso kutopa mukatopa? Kodi kugunda kwa mtima wanu kumachepa? Tiyeni tiphunzire za Chronotropic Incompetence!

Kodi nthawi zina mumamva ngati mwatopa kwambiri moti simungathe kuchita ngakhale chinthu chaching'ono, ndipo mumasowa mpweya wokwanira? Simungathe kuthamanga kapena kulumpha monga kale, ndipo mumamva chizungulire ngakhale mutakwera masitepe? Mwina mtima wanu sukugunda pa liwiro loyenera mukatopa. Lero tikambirana za vuto lotere. Izi zimatchedwa (Chronotropic Incompetence) mu sayansi ya zamankhwala. Ngakhale dzinali ndi lovuta pang'ono, tiyeni timvetse mosavuta.

Kodi ichi ndi chiyani (Chronotropic Incompetence)? Mwachidule…

Mwachidule, Chronotropic Incompetence ndi vuto lomwe simungathe kuwonjezera kugunda kwa mtima wanu momwe mukufunira panthawi yochita masewera olimbitsa thupi, monga kuchita masewera olimbitsa thupi kapena kugwira ntchito yolemetsa. Tsopano taonani, tikamachita masewera olimbitsa thupi kapena kuyenda, thupi lathu limafunikira mpweya wochuluka kuposa pamene timangokhala chete. Mpweya umenewu umanyamulidwa ndi magazi m'thupi lonse. Choncho, mtima ndi umene umapopa magazi awa.

(Chronotropic Incompetence) Mtima wa munthu amene amafunikira mpweya wambiri chonchi sungathe kuthana bwino ndi thupi lake lomwe limafunikira mpweya wambiri. Izi zikutanthauza kuti, mtima sungathe kugunda mofulumira momwe ungafunikire ndikupompa magazi ambiri (magazi okosijeni) omwe thupi limafunikira. Taganizirani izi ngati injini ya galimoto. Monga momwe timawonjezerera liwiro la injini tikafuna kuyenda mwachangu, mtima wathu uyeneranso kugunda mofulumira tikatopa. Ngati sititero, mavuto amabuka.

Izi zingapangitse kuti musamachite masewera olimbitsa thupi mopitirira muyeso . Izi zikutanthauza kuti simungathe kuchita masewera olimbitsa thupi mofanana ndi anthu ena a msinkhu wanu. Zingakuvuteni kuyenda mtunda umene munkayenda popanda kupuma movutikira kapena kutopa.

Kodi zizindikiro za vutoli (Chronotropic Incompetence) ndi ziti?

Pali zizindikiro zazikulu zingapo zomwe mungakumane nazo mu mkhalidwe uwu:

• Kutopa : Kumva kutopa kwambiri ngakhale mutachita chinthu chaching'ono. Mwachitsanzo, mungamve kutopa kwambiri mutagwira ntchito zapakhomo, kunyamula thumba, kapena kuyenda mtunda waufupi.
• Kupuma movutikira ( kupuma movutikira ) panthawi yochita masewera olimbitsa thupi: Kuvutika kupuma mukakhala ndi zochita zolimbitsa thupi, kupuma movutikira . Mutha kumva kupuma movutikira kwambiri moti simungathe ngakhale kukambirana.

Zizindikiro zimenezi n’zosiyana ndi kutopa kwachibadwa. Ngati mukumva kutopa kwambiri moti simungathe kuchita ntchito zanu za tsiku ndi tsiku, muyenera kuda nkhawa.

Kodi ndi zifukwa ziti zomwe zimayambitsa kusagwira ntchito kwa Chronotropic?

Palibe chifukwa chimodzi chokha chomwe chimayambitsa vutoli, koma pali zinthu zingapo zomwe zingayambitse vutoli. Tiyeni tiwone zomwe zili:

• Mitundu ina ya mankhwala:Mankhwala ena, makamaka omwe amachiza kuthamanga kwa magazi ndi matenda a mtima (beta-blockers), amatha kuchepetsa kugunda kwa mtima .
• Kusagwira bwino ntchito kwa nthiti ya sinus: Nthiti ya sinus ndi komwe mtima wathu umayamba kugunda. Imagwira ntchito ngati chida chachilengedwe chothandizira mtima. Ngati pali vuto ndi nthiti iyi, kugunda kwa mtima sikudzayendetsedwa bwino.
• Mavuto a kayendedwe ka mtima: Kuti mtima ugwire bwino, zizindikiro zamagetsi ziyenera kuyenda bwino mumtima wonse. Ngati pali vuto kapena kutsekeka m'njira zomwe zizindikirozi zimadutsamo , kugunda kwa mtima kumatha kukhala kosasinthasintha kapena pang'onopang'ono.
• Kusagwira bwino ntchito kwa mitsempha ya kumanzere: Mtima wathu uli ndi zipinda zinayi zazikulu. Mitsempha ya kumanzere ndi imodzi mwa izi. Imapopa magazi m'thupi lonse. Ngati mitsempha ya kumanzere sikugwira ntchito bwino, singathe kupopa magazi okwanira kupita ku thupi.
• Matenda a mtima otchedwa Ischemic : Izi zitha kukhalanso chifukwa cha vutoli, chifukwa mitsempha yamagazi yomwe imapereka magazi kumtima imatsekedwa, zomwe zimapangitsa kuti minofu ya mtima isalandire mpweya ndi michere yomwe imafunika.
• Kulephera kwa mtima : Matenda monga kudzikundikira kwa madzi m'thupi kumachitika pamene mtima sungathe kupopa magazi kuti ukwaniritse zosowa za thupi.
• Matenda a mtima obadwa nawo: Anthu ena amabadwa ndi zilema zina za mtima. Matendawa angathandizenso kukula kwa Chronotropic Incompetence akakula.

Ndi zinthu ziti zomwe zimawonjezera chiopsezo cha vutoli?

Anthu ena ali pachiwopsezo chachikulu chotenga matendawa. Nazi zinthu zina zomwe zingayambitse vutoli:

• Kwa anthu omwe ali ndi vuto la mtima .
• Kwa anthu onenepa kwambiri .
• (Diabetes Mellitus) Kapena kwa iwo omwe ali ndi matenda a shuga.
• Kwa iwo omwe ali ndi matenda osatha a m'mapapo monga COPD (matenda osatha a m'mapapo) .
• Kwa iwo omwe ali ndi kuthamanga kwa magazi .
• Kwa iwo omwe ali ndi kachilombo ka HIV .
• Anthu omwe ali ndi kachilombo ka Epstein-Barr (kameneka ndi kachilombo komwe nthawi zambiri kamayambitsa malungo ndi kupweteka pakhosi).
• Kwa iwo omwe ali ndi matenda a (COVID yayitali) , kutanthauza omwe ali ndi zizindikiro kwa nthawi yayitali atatenga COVID-19.

Ngati muli ndi zinthu zoopsa izi, ndi bwino kukhala maso pang'ono.

Kodi madokotala amazindikira bwanji vutoli (Chronotropic Incompetence)?

Dokotala adzazindikira vutoli ngati kugunda kwa mtima wanu sikungathe kufika pamlingo winawake. Kawirikawiri, madokotala amakayikira vutoli ngati kugunda kwa mtima wanu sikukwera kufika pakati pa 70% ndi 85% ya zaka zanu - zomwe zimanenedweratu kuti kugunda kwa mtima kwakukulu (APMHR) kumayembekezeredwa panthawi yochita masewera olimbitsa thupi kwambiri.

Njira yodziwika bwino yogwiritsira ntchito kupeza kuchuluka kwa mtima komwe kumayenerera zaka zanu (APMHR) ndi: 220 kupatula zaka zanu . Komabe, iyi si njira yokhayo, madokotala amagwiritsanso ntchito njira zina ndi njira zina. Mwachitsanzo, ngati kugunda kwa mtima wanu sikungafikire 80% ya kuchuluka kwa kugunda kwa mtima komwe mumasunga , imagwiritsidwa ntchito pozindikira kuti muli ndi vuto la Chronotropic Incompetence .

Palibe muyezo umodzi wovomerezeka padziko lonse pa izi. Chifukwa chake, dokotala adzafika pamlingo wolingana ndi momwe zinthu zilili.

Ndi mayeso ati omwe amachitidwa pa izi?

Ngati dokotala wanu akukayikira vutoli, akhoza kuyitanitsa mayeso angapo:

• Chowunikira mtima mosalekeza: Ichi ndi chipangizo chaching'ono chomwe mungagwiritse ntchito. Chingathe kuwona momwe kugunda kwa mtima wanu kumasinthira tsiku lonse pamene mukuchita zinthu zanu zachizolowezi.
• Kuyesa Kuchita Maseŵera Olimbitsa Thupi (EKG - Electrocardiogram): Mu mayesowa, kugunda kwa mtima wanu (EKG) kumayesedwa pamene mukuyenda pa treadmill kapena mukukwera njinga yosasuntha. Dokotala wanu adzafufuza ngati kugunda kwa mtima wanu kukukwera kufika pamlingo womwe dokotala wanu akuyembekezera.
• Mayeso oyeserera kagayidwe kachakudya (CVST): Awa ndi mayeso omwe amachitidwa pa treadmill kapena njinga. Komabe, amayesanso kuchuluka kwa mpweya womwe thupi lanu limagwiritsa ntchito mukamachita masewera olimbitsa thupi. Izi zingapereke lingaliro labwino osati mtima wanu wokha komanso mapapu anu.

Kodi mankhwala otani a Chronotropic Incompetence ndi ati?

Madokotala amatsatira njira zingapo zochizira vutoli. Njira zazikulu ndi izi:

• Kuchita masewera olimbitsa thupi: Musadabwe! Ngakhale kuti zingakhale zovuta kuchita masewera olimbitsa thupi, njira imodzi yothandizira izi ndikuchita masewera olimbitsa thupi pang'onopang'ono monga momwe dokotala wanu walangizira. Izi zingakuthandizeni pang'onopang'ono kuchita masewera olimbitsa thupi.
• Chothandizira pacemaker: Anthu ena amafunika kukhala ndi chipangizo chamagetsi chotchedwa pacemaker chomwe chimayikidwa pansi pa khungu pafupi ndi mtima. Izi zimathandiza mtima kugunda mofulumira mukakhala ndi nkhawa.
• Biventricular pacemaker kapena Cardiac Resynchronization Therapy (CRT):Ichi ndi mtundu wapadera wa pacemaker. Chimagwira ntchito popangitsa zipinda ziwiri zapansi (maselo) a mtima kugundana pamodzi mu rhythm imodzi. Chingakhale chothandiza kwa anthu omwe ali ndi matenda enaake a mtima.

Dokotala wanu adzasankha chithandizo choyenera kwa inu. Izi zidzadalira zinthu zambiri, kuphatikizapo vuto lanu, zizindikiro, ndi matenda ena.

Kodi mungayembekezere chiyani mukakhala ndi vutoli?

Akuluakulu omwe ali ndi vuto la chronotropic amatha kutopa kwambiri komanso kupuma movutikira kuposa momwe amayembekezera akamachita zinthu zatsiku ndi tsiku kapena kuchita masewera olimbitsa thupi. Mwachitsanzo, angamve kutopa akatsuka zovala kenako n’kuvutika kukwera m’chipinda chapamwamba.

Nthawi zina, munthu amatha kukomoka ngati kugunda kwa mtima sikukwanira kupatsa ubongo magazi okwanira.

Kafukufuku wasonyeza kuti akuluakulu omwe ali ndi kunenepa kwambiri komanso omwe ali ndi vuto la chronotropic ali pachiwopsezo chachikulu cha matenda a mtima kapena kulephera kwa mtima. Kafukufuku wina akusonyeza kuti anthu omwe ali ndi vutoli ali pachiwopsezo chachikulu cha matenda a mtima (Afib) . Zawonetsedwanso kuti kukhala ndi vuto la chronotropic kuwonjezera pa kulephera kwa mtima sikwabwino kuti munthu apulumuke. Kafukufuku wina wasonyezanso kuti pali mgwirizano pakati pa vutoli ndi kuchepa kwa moyo.

Izi sizikutanthauza kukuopsezani, koma kukulimbikitsani kuti mudziwe za vutoli ndikuchitapo kanthu kofunikira.

Kodi Kulephera kwa Chronotropic kungapewedwe?

Zina mwa zinthu zomwe zimayambitsa vutoli, monga matenda a mtima obadwa nawo, sitingathe kuzilamulira. Komabe, pali zinthu zina zomwe tingachite kuti tichepetse chiopsezo chathu:

• Ngati muli ndi matenda a mtima kapena mapapo, ndikofunikira kupeza chithandizo choyenera .
• Ndikofunikira kwambiri kusunga kulemera kwa thupi lanu pamlingo wabwino . Kunenepa kwambiri kumayambitsa matenda ambiri.
• Ngati muli ndi matenda monga matenda a shuga ndi kuthamanga kwa magazi, ndikofunikira kuwalamulira bwino .

Kusamalira zinthu izi kudzakuthandizani kudziteteza ku Chronotropic Impetence , komanso matenda ena ambiri.

Kodi ndimadzisamalira bwanji?

Kukhala ndi Chronotropic Incompetence kumatanthauza kuti thupi lanu limaika malire pa zomwe mungathe kuchita. Kuleza mtima n'kofunika kwambiri panthawiyi. Musachite mantha, yesani kuzolowera vutoli pang'onopang'ono.

• Lankhulani ndi dokotala wanu ngati mukufunika kusintha mankhwala ena omwe mumamwa, kapena ngati mukufunika pacemaker .
• Ngati dokotala waika chipangizo pachifuwa panu (monga pacemaker),Muyenera kumvetsetsa bwino momwe zimagwirira ntchito.
• Onetsetsani kuti mukutsatira nthawi yokumana ndi dokotala kuti muwonetsetse kuti chipangizo chanu chikugwira ntchito bwino.
• Ngati dokotala wanu wakupatsani dongosolo loti pang'onopang'ono muwonjezere zochita zanu zolimbitsa thupi, tsatirani malangizo amenewo ndendende . Musachite khama kwambiri.

Ndizachibadwa kumva chisoni komanso kukhumudwa mukalephera kuchita zinthu zomwe munkatha kuchita kale. Zingakhale zokhumudwitsa kwambiri kumva kutopa ngakhale mutanyamula zovala zochepa. Koma simuyenera kukumana ndi vutoli nokha. Gulu lanu lachipatala nthawi zonse limakhala lokonzeka kukuthandizani.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, mukhoza kufunsa mafunso monga awa:

• Kodi mungandiuze chomwe chinandipangitsa vutoli (Chronotropic Incompetence) ?
• Kodi ndingachite chiyani kuti ndikhale ndi moyo wabwino momwe ndingathere ndi vuto langa?
• Kodi ndingayembekezere chiyani kuchokera ku pacemaker yomwe mudandiikira? (Ngati pacemaker yaikidwa)
• Kodi pali mapulogalamu kapena njira zina zomwe zingandithandize kuchita masewera olimbitsa thupi?

Kuwonjezera pa mafunso awa, funsani dokotala wanu za chilichonse chomwe muli nacho m'maganizo mwanu kapena kukayikira kulikonse komwe mungakhale nako.

Pomaliza, kumbukirani!

(Chronotropic Incompetence) ndi vuto lomwe limafuna chisamaliro. Komabe, ndi upangiri woyenera wachipatala, chithandizo, komanso kudzipereka kwanu , mutha kukhala ndi moyo wabwino ngakhale muli ndi vutoli. Musachite mantha. Mverani zomwe dokotala wanu akunena ndikuchitapo kanthu moyenera. Ndikukufunirani kuti muchire mwachangu!