Kodi mtima ndi mapapo anu ali bwino bwanji? Tiyeni tidziwe ndi mayeso a CPET! (Mayeso Olimbitsa Thupi a Mtima)

Kodi nthawi zina mumavutika kupuma ngakhale mutathamanga pang'ono, kapena mukakwera masitepe? Kapena mumamva kutopa kwambiri? Dokotala wanu mwina anakuuzani za 'mayeso opsinjika maganizo'. Amawunika momwe mtima wanu umagwirira ntchito panthawi yochita masewera olimbitsa thupi. Koma lero tikulankhula za mayeso apadera omwe amayang'ana momwe mtima wanu ndi mapapo anu amagwirira ntchito mozama. Izi zimatchedwa CPET, kapena Cardiopulmonary Exercise Test.

Mwachidule, kodi CPET ndi chiyani?

CPET ndi mayeso omwe amayesa momwe mtima wanu (mtima) ndi mapapo (mapapo) umagwirira ntchito mukamachita masewera olimbitsa thupi. Amatchedwanso 'mayeso olimbitsa thupi'. Ndi osavuta kwambiri. Mudzapemphedwa kuyenda pa treadmill kapena kukwera njinga yosasuntha. Panthawiyi, mudzavekedwa chophimba nkhope kapena chopukutira pakamwa chomwe chimakupatsani mwayi wopuma kudzera pakamwa panu pokha.

Izi zimayesa momwe mtima wanu, mapapo, ndi mitsempha yamagazi imagwirira ntchito limodzi kuti ipereke mpweya ku minofu yanu mukamachita masewera olimbitsa thupi. Mayeso a mtima wamba amangoyang'ana mtima wanu. Koma mayeso a CPET ndi ofunika kwambiri chifukwa amapereka chidziwitso chokhudza mtima wanu ndi mapapo nthawi imodzi .

N’chifukwa chiyani dokotala angalimbikitse mayeso amenewa?

Pali zifukwa zingapo zomwe dokotala wanu angakulimbikitseni mayesowa. Mwachitsanzo, mungakhale ndi vuto limodzi mwa awa:

• Dziwani chifukwa chake mumapuma movutikira kapena mumamva kutopa kwambiri mukamachita masewera olimbitsa thupi: Anthu ena amapeza kuti amatopa kwambiri akatopa pang'ono. Kuyesaku kungathandize kudziwa ngati chifukwa chake ndi vuto la mtima, vuto la mapapo, kapena china chake.
• Onani kuchuluka kwa masewera olimbitsa thupi omwe mtima ndi mapapo anu angathe kuchita: Izi ndizofunikira kudziwa kuchuluka kwa masewera olimbitsa thupi komwe kuli kotetezeka musanayambe masewera olimbitsa thupi, makamaka kwa munthu amene ali ndi matenda a mtima.
• Kuzindikira kapena kuyang'anira matenda a mtima kapena mapapo: Kuyesaku kumagwiritsidwa ntchito kudziwa kuopsa kwa matenda monga kulephera kwa mtima, matenda a mtima obadwa nawo, kuthamanga kwa magazi m'mapapo, kapena COPD.
• Pangani dongosolo lanu la chithandizo: Deta iyi ndi yothandiza podziwa ngati mankhwala omwe mukumwa akugwira ntchito bwino komanso ngati pali kusintha kulikonse mu thanzi lanu mutalandira chithandizo.
• Dziwani momwe thanzi lanu lidzakhalire mtsogolo (Zomwe zidzachitike mtsogolo): Mungathe kudziwa momwe matenda adzakhalire mtsogolo, kutanthauza ngati matendawa adzachira kapena ayi.
• Pangani dongosolo lotetezeka la masewera olimbitsa thupi lomwe lingagwire ntchito kwa inu: Si aliyense amene ali woyenera kuchita masewera olimbitsa thupi ofanana. Izi zikuthandizani kukonzekera masewera olimbitsa thupi omwe ndi abwino kwa thupi lanu komanso nthawi yomwe muyenera kuchita.
• Unikani zoopsa musanachite opaleshoni yayikulu: Mwachitsanzo, musanachite opaleshoni ya mapapo kapena kuyika mapapo, ndikofunikira kuwona ngati thupi lanu lingapirire opaleshoniyo.
• Onetsetsani kuti mwagwira ntchito yovuta kwambiri: Ntchito zina (monga ozimitsa moto, asilikali) zimafuna luso lapamwamba la thupi. Mayesowa amagwiritsidwanso ntchito kudziwa ngati ndinu oyenera iwo.

Kodi mumayesa bwanji mayeso awa?

Mayeso a CPET amachitikira m'chipinda chapadera chotchedwa 'Stress Lab'. Zipatala nthawi zambiri zimakhala ndi chipinda chodzipangira izi. Ngakhale kuti mayesowa amachitidwa ndi katswiri wodziwa bwino ntchito ya labu, chilichonse chimachitika moyang'aniridwa ndi dokotala.

Mudzafunika kukwera njinga yosasuntha kapena kuyenda pa treadmill. Mudzafunika kuchita masewera olimbitsa thupi nthawi yayitali momwe mungathere . Mphindi iliyonse kapena ziwiri, katswiri adzawonjezera pang'onopang'ono kukana kwa njingayo, kapena liwiro ndi kupendekera kwa treadmill. Kenako, mudzayamba kuvutika kuchita masewera olimbitsa thupi. Mayesowo adzasiya mukadzamva kuti simungathenso kuchita .

Munthawi yonseyi, mumapuma kudzera mu chigoba chomwe chatchulidwa pamwambapa. Chipangizochi chimayesa kuchuluka kwa mpweya womwe uli mumlengalenga womwe mumapuma komanso kuchuluka kwa mpweya womwe uli mumlengalenga womwe mumapuma. Chimayesanso kuchuluka kwa mpweya womwe mapapu anu amatha kutenga nthawi imodzi. Deta yonseyi imalembedwa pa kompyuta.

Kodi mumakonzekera bwanji mayeso asanayambe?

Dokotala wanu adzakuuzani momveka bwino momwe mungakonzekerere mayesowa. Ndikofunikira kwambiri kutsatira malangizo amenewo molondola. Pansipa pali zinthu zina zofunika kutsatira. Tiyeni tiwone tebulo kuti zikhale zosavuta kukumbukira zinthuzi bwino.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Mayesowa amachitika m'magawo angapo. Mayeso onsewa angatenge pafupifupi mphindi 75. Koma mudzakhala mukuchita masewera olimbitsa thupi kwa mphindi pafupifupi 20.

Onani njira zomwe zili pansipa.

1. Kukonzekera: Choyamba, katswiri adzaika zomatira pachifuwa panu. Izi zimatchedwa ma electrode a EKG. Izi zidzayang'anira kugunda kwa mtima wanu. Kenako, chotsukira magazi chidzayikidwa pa mkono wanu, ndipo choyezera kuthamanga kwa magazi chidzayikidwa pa chala chanu. Nthawi zina, chubu chopyapyala kwambiri (catheter) chingaikidwe mu mtsempha wamagazi womwe uli m'dzanja lanu kuti muyese mpweya wamagazi anu.

2. Kupuma: Kenako, mudzapemphedwa kuti musachite chilichonse kwa mphindi ziwiri kapena zitatu. Panthawiyi, kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi kuchuluka kwa mpweya wabwinobwino kudzalembedwa ngati miyeso yoyambira.

3. Kutenthetsa:Kenako mumayenda pa treadmill kapena kukwera njinga kwa mphindi ziwiri kapena zitatu pa liwiro lofewa komanso lopepuka. Izi zimayesa momwe mtima ndi mapapo anu amayankhira ngati simukuchita masewera olimbitsa thupi ambiri.

4. Kuchita Maseŵera Owonjezera: Iyi ndi gawo lofunika kwambiri la mayeso. Nthawi zambiri limatenga pakati pa mphindi 8 ndi 12. Mumapitiriza kuchita maseŵero olimbitsa thupi pamene katswiri akuwonjezera kulemera pang'onopang'ono. Pang'onopang'ono zidzakhala zovuta kwa inu. Apa ndi pamene muyenera kudzikakamiza kwambiri momwe mungathere.

5. Dziziritsani: Mukalephera kuchita zina, siyani gawo lalikulu la mayesowo. Kenako, kwa mphindi zitatu kapena zisanu, pang'onopang'ono komanso popanda kulemera kulikonse, mumachitanso masewera olimbitsa thupi. Izi zimathandiza kuti thupi lizichira pang'onopang'ono.

Katswiri wa zamaganizo adzayang'anira thanzi lanu mosamala panthawi yonseyi. Mungapemphedwenso kuti mugwiritse ntchito zizindikiro za manja kuti mufunse momwe mukumvera. Mwachitsanzo, pa sikelo ya 1 mpaka 10, angakufunseni kuti muyesere momwe mwatopera.

Kodi mudzamva bwanji mukalemba mayeso?

Kuti mupeze zotsatira zolondola komanso zothandiza, muyenera kuchita masewera olimbitsa thupi mpaka mutatopa kwambiri . Chifukwa chake, ndikwachibadwa kuti kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi kupuma kwanu kukwere. Mutha kutuluka thukuta ndipo miyendo yanu imatha kumva kutopa kwambiri. Ndikwachibadwanso kuti pakamwa panu paume chifukwa mukupuma pogwiritsa ntchito chigoba.

Samalani kwambiri zizindikiro monga izi:

• Kupweteka, kupsinjika, kapena kusasangalala pachifuwa, mkono, kapena nsagwada.
• N'kovuta kwambiri kupuma.
• Chizungulire kapena kumva ngati wakomoka.

Izi zitha kukhala zizindikiro za ngozi, monga matenda a mtima. Ogwira ntchito ku labotale adzakhala akuyang'anira EKG yanu, ndipo ngati awona kusintha kulikonse koopsa, adzayimitsa mayeso nthawi yomweyo.

Kodi pali zoopsa zilizonse ndi mayesowa?

CPET imachitika pamalo otetezeka komanso olamulidwa bwino. Choncho palibe choopa. Komabe, sizikutsimikizika 100% momwe thupi lanu lidzayankhira mukachita masewera olimbitsa thupi kwambiri. Pali zoopsa zochepa kwambiri, monga kutaya chidziwitso kapena matenda a mtima. Ngakhale pakagwa ngozi, ogwira ntchito ku labu amaphunzitsidwa kukuthandizani nthawi yomweyo.

Musanayambe ngakhale kulowa mu labu, dokotala wanu adzaonetsetsa kuti mayesowa ndi otetezeka kwa inu. Mwachitsanzo, ngati muli ndi vuto lililonse mwa zotsatirazi, dokotala wanu angasankhe kuti mayesowa ndi otetezeka kwa inu:

• Matenda oopsa monga malungo, chimfine, kapena COVID-19.
• Kutupa kwa mtima kwambiri.
• Kuundana kwa magazi m'miyendo (Deep Vein Thrombosis - DVT).
• Hypertrophic cardiomyopathy.
• Kulephera kwa Impso.
• Kutsekeka kwa mtima pang'ono kapena koopsa.
• Mimba yochedwa kapena mimba yokhala ndi mavuto.
• Ngati mwakhala ndi vuto la mtima posachedwapa (mkati mwa masiku 30).
• Kuthamanga kwa magazi kosalamulirika (Kuthamanga kwa magazi kwakukulu) kapena kuthamanga kwa magazi m'mapapo (Kuthamanga kwa magazi m'mapapo).
• Matenda a mtima osalamulirika (Uncontrolled Arrhythmias).

Kodi chimachitika ndi chiyani pambuyo pa mayeso?

Mukamaliza nthawi yanu yoziziritsa thupi, katswiri adzayang'ananso thupi lanu ndikuchotsa zida zilizonse zomwe mwalumikiza m'thupi lanu. Pambuyo pake, mutha kukhala pansi, kumwa madzi, ndikupumula kwakanthawi. Akatsimikiza kuti muli bwino, adzakulolani kuti mupite kunyumba.

Dokotala amene adalamula mayesowa adzakonza nthawi yapadera yokambirana nanu za zotsatira zake .

Kodi mu lipoti lomwe mwalandira muli chiyani?

Mayeso a CPET amasonkhanitsa miyeso yambirimbiri. Izi zaperekedwa mu lipoti lomwe lili ndi ma graph ambiri ovuta otchedwa 'nine-panel plots'. Izi ndi zaukadaulo kwambiri ndipo zimakhala zovuta kwa munthu wamba kuzimvetsa.

Koma musadandaule. Dokotala wanu adzasanthula machati onsewa ndikukufotokozerani mwachidule tanthauzo lake. Adzakuuzaninso zomwe mungachite kenako, ngati pakufunika mayeso ena, kapena ngati chithandizo chilichonse chiyenera kuyambika.

Kujambula kwa CPET kungakuuzeni zambiri za momwe mtima ndi mapapo anu akugwirira ntchito. Zingakhale zovuta pang'ono kuvala zida zosiyanasiyana ndikuchita masewera olimbitsa thupi. Koma kumbukirani, chipangizo chilichonse chimapereka chidziwitso chofunikira chomwe chingakuthandizeni kukonzekera chithandizo chabwino kwambiri kwa inu.

Ngati muli ndi mafunso musanayese mayeso kapena mukufuna kudziwa zambiri za momwe mungakonzekere, musazengereze kufunsa dokotala wanu.