Dzimwe nguva unonzwa kuneta zvakanyanya kunyangwe mushure mekuita chimwe chinhu chidiki, kana kunzwa sekunge zvakaoma kufema here? Unoona here kuti haugone kumhanya kana kusvetuka sezvawaiita kare, uye unoshaya mweya kunyangwe uchikwira masitepisi? Pamwe moyo wako hausi kurova nekukurumidza kwakakodzera kurovedza muviri kwako. Nhasi, tichataura nezvechirwere chakadaro. Mukurapa, izvi zvinonzi (Chronotropic Incompetence) . Kunyangwe zita racho richinzwika serakaoma zvishoma, ngatirinzwisise zviri nyore.
Chii chinonzi (Chronotropic Incompetence)? Zvichitaurwa zviri nyore...
Zvichitaurwa zviri nyore, (Chronotropic Incompetence) chirwere apo kurova kwemoyo wako hakugone kuwedzera zvakakwana kana uchiita maekisesaizi, akadai sekurovedza muviri kana kushanda nesimba. Funga nezvazvo: patinenge tichishingaira kana kufamba, miviri yedu inoda okisijeni yakawanda kupfuura patinenge takazorora. Okisijeni iyi inotakurwa mumuviri wese neropa, uye moyo ndiwo une basa rekupomba ropa iri.
Mumunhu ane (Chronotropic Incompetence) , mwoyo haugone kubata zvakanaka kudiwa kweokisijeni uku. Izvi zvinoreva kuti moyo unotadza kurova nekukurumidza zvakakwana kuti upombe ropa rinodiwa (rine okisijeni) mumuviri. Funga nezvazvo seinjini yemotokari; sezvatinowedzera kumhanya kweinjini patinoda kumhanya nekukurumidza, mwoyo yedu inofanira kurova nekukurumidza patinoshanda nesimba. Matambudziko anomuka kana izvi zvikasaitika.
Nekuda kweizvi, unogona kunge usina simba rekuita maekisesaizi . Izvi zvinoreva kuti ungasakwanisa kuita mabasa emuviri ayo vamwe vezera rako vanogona kuita. Unganzwa kuti hauchakwanisi kufamba daro rawaimbofamba naro zviri nyore usingafeme kana kuneta.
Ndezvipi zviratidzo zve (Chronotropic Incompetence)?
Pane zviratidzo zvikuru zvakawanda zvaunogona kuona nechirwere ichi:
- Kuneta zvakanyanya panguva yekuita maekisesaizi: Kunzwa kuneta zvakanyanya kunyangwe mushure mekuita chimwe chinhu chidiki. Semuenzaniso, unganzwa kuneta zvakanyanya paunenge uchiita mabasa epamba, kutakura bhegi rekutenga, kana kufamba chinhambwe chipfupi.
- Kushaya mweya (dyspnea) panguva yekuita maekisesaizi: Kutadza kufema kana kunzwa kushaya mweya paunenge uchishanda nesimba. Ungatonzwa kushaya mweya zvekuti haugone kutaura nemunhu.
Zviratidzo izvi zvakasiyana nekuneta kwakajairika. Kana uchinzwa kuneta kana kufema zvakanyanya zvekuti haugone kuita mabasa ako ezuva nezuva, unofanira kuzviteerera.
Ndezvipi zvinokonzera (Chronotropic Incompetence)?
Dambudziko iri rinogona kukonzerwa nezvinhu zvakawanda, kwete chimwe chete. Ngationei kuti chii:
- Mimwe mishonga: Kunyanya mimwe mishonga yakaita se (beta-blockers) inopiwa yeBP yakakwira kana chirwere chemwoyo inogona kuderedza kurova kwemoyo .
- Kusashanda zvakanaka kweSinus node: (Sinus node) ndipo panotangira kurova kwemoyo wedu; inoshanda semuchina wepacemaker wemwoyo. Kana paine dambudziko neizvi, kurova kwemoyo kunogona kusadzorwa nemazvo.
- Matambudziko ekufambisa mweya: Kuti mwoyo urove, masaini emagetsi anofanira kufamba nemazvo mumoyo wese. Kana paine dambudziko kana kuvharika munzira dzinofamba masaini aya, kurova kwemoyo kunogona kusarongeka kana kuti kumhanya kwemoyo kunogona kudzikira.
- Kusashanda zvakanaka kwetsinga dzemusana kuruboshwe: Mwoyo wedu une makamuri makuru mana.tsinga yemusana kuruboshwe ndeimwe yadzo, uye ine basa rekupomba ropa mumuviri wese. Kana basa retsinga iyi yemusana kuruboshwe risina simba, haigone kupomba ropa rakakwana mumuviri.
- Kuderera kweropa rinosvika mutsandanyama yemwoyo (Ischemic heart disease): Kuvharika kwetsinga dzeropa dzinouya kumoyo kunodzivirira tsandanyama yemoyo kuti isawane okisijeni nezvinovaka muviri zvinodiwa. Izvi zvinogonawo kuva chikonzero.
- Kukundikana kwemoyo : Nekuti moyo haugone kupomba ropa zvinoenderana nezvinodiwa nemuviri, mamiriro akadai sekuchengetwa kwemvura mumuviri anogona kuitika.
- Chirwere chemwoyo chekuzvarwa nacho: Vamwe vanhu vanozvarwa vaine zvimwe zvirwere zvemwoyo. Zvirwere zvakadaro zvinogonawo kukonzera kukura kwe (Chronotropic Incompetence) muhupenyu hwavo hwese.
Ndezvipi zvinhu zvinokonzera njodzi yechirwere ichi?
Vamwe vanhu vari panjodzi huru yekubata chirwere ichi. Heano mamwe ematambudziko anokonzera izvi:
- Vanhu vane chirwere chemwoyo .
- Vanhu vane kufuta kwakanyanya .
- Vanhu vane chirwere cheshuga (Diabetes Mellitus) .
- Vanhu vane zvirwere zvemapapu zvisingaperi zvakaita se (COPD - Chronic obstructive pulmonary disease) .
- Vanhu vane BP yakakwira .
- Vanhu vane hutachiona hweHIV .
- Vanhu vakabatwa nehutachiona hwe (Epstein-Barr virus) (hutachiona hunowanzo kukonzera fivha nekurwadziwa pahuro).
- Vanhu vanotambura ne (Long COVID) , zvichireva avo vanoramba vaine zviratidzo kwenguva yakareba mushure mekubatwa neCOVID-19.
Kana uine zvinhu izvi zvine njodzi, zvakanaka kuti urambe wakangwarira.
Vanachiremba vanoongorora sei chirwere (Chronotropic Incompetence)?
Chiremba anoongorora chirwere ichi kana kurova kwemoyo wako kukatadza kusvika padanho rakati. Kazhinji, vanachiremba vanofungidzira chirwere ichi kana kurova kwemoyo wako kukasawedzera kusvika pa70% kusvika 85% ye (APMHR - kurova kwemoyo kwakafanotaurwa nezera) panguva yekurovedza muviri kwakanyanya.
Nzira yakajairika inoshandiswa kuwana mwero wemwoyo wako wakafanotaurwa zera (APMHR) ndeiyi: kubvisa makore ako kubva pa220 . Zvisinei, iyi haisiyo yega nzira; vanachiremba vanoshandisa dzimwe nzira nemafomula zvakare. Semuenzaniso, kana mwero wemwoyo wako usingakwanise kusvika 80% ye (muyero wemoyo wako wakachengetwa) , iyo inoshandiswawo kuona (Chronotropic Incompetence) .
Hapana mwero mumwe chete unogamuchirwa pasi rose weizvi parizvino, saka chiremba achasvika pamhedziso zvichienderana nemamiriro ako chaiwo.
Ndeipi miedzo yeizvi?
Kana chiremba wako achifungidzira kuti une chirwere ichi, anogona kuraira bvunzo dzinoverengeka:
- Chinoongorora kurova kwemoyo nguva dzose: Ichi chishandiso chidiki chaunogona kupfeka. Chinobvumira chiremba kuona kuti kurova kwemoyo wako kunochinja sei paunenge uchiita mabasa ako ezuva nezuva mukati mezuva.
- Kuedzwa kwekurovedza muviri (EKG - Electrocardiogram):
Mubvunzo uyu, kurova kwemoyo wako kunoongororwa kuburikidza neEKG paunenge uchifamba patreadmill kana kutasva bhasikoro risina kutenderera. Chiremba anoongorora kana kurova kwemoyo wako kwakawedzera kusvika padanho rinotarisirwa panguva yekurovedza muviri.
Ndezvipi zvirongwa zvekurapa Chronotropic Incompetence?
Vanachiremba vanotevera nzira dzakasiyana-siyana pakurapa chirwere ichi. Dzinonyanya kukosha dzinosanganisira:
- Kurovedza muviri: Usashamisika! Kunyangwe kurovedza muviri kungaita sekunge kwakaoma, imwe nzira yekurapa ndeyekuita maekisesaizi akarongeka uchitungamirirwa nachiremba. Izvi zvinogona kukubatsira kuti uvandudze kushanda kwemuviri wako zvishoma nezvishoma.
- Chinofambisa mwoyo: Vamwe vanhu vangada mudziyo wemagetsi unonzi pacemaker wakaiswa pasi peganda pedyo nemoyo. Mudziyo uyu unobatsira moyo kuwedzera kumhanya kwawo kusvika pamwero unodiwa kana ukashanda nesimba.
- Biventricular pacemaker (Cardiac Resynchronization Therapy - CRT): Iyi imhando ye pacemaker yakasarudzika. Inoita kuti makamuri maviri epasi emwoyo (ventricles) arove pamwe chete muchimiro che "synchronized rhythm". Izvi zvinobatsira vanhu vane mamwe matambudziko emwoyo.
Chiremba wako ndiye achasarudza kuti ndeipi mishonga yakakodzera iwe zvichienderana nemamiriro ako ezvinhu, zviratidzo, nezvimwe zvinetso zvehutano.
Chii chaungatarisira paunenge uchirarama nechirwere ichi?
Vakuru vane Chronotropic Incompetence vanogona kunzwa kuneta uye kushaya mweya zvakanyanya kupfuura zvaitarisirwa panguva yemabasa ezuva nezuva kana maekisesaizi. Semuenzaniso, unganzwa kufemereka mushure mekubuda mumba mekuwacha kana kukwira masitepisi.
Muzviitiko zvisingawanzoitiki, kana kurova kwemoyo kusina kukwana kupa ropa rakakwana kuuropi, zvinogona kukonzera kufenda .
Ongororo dzakaratidza kuti vanhu vakuru vane kufuta zvakanyanya uye Chronotropic Incompetence vane mukana wakawanda wekurwara nemoyo kana kushaya simba kwemoyo. Imwe ongororo inoratidza kuti avo vane chirwere ichi vane mukana wakakura wekuva nemoyo usingashande zvakanaka unozivikanwa seAtrial fibrillation (Afib) . Kana munhu ane moyo usingakwanisi kuita zvakanaka aine Chronotropic Incompetence , izvi zvine chekuita nekufanotaura kwakashata. Dzimwe ongororo dzakaratidzawo hukama huripo pakati pechirwere ichi nekudzikira kwehupenyu hwemunhu.
Tinokupai ruzivo urwu kwete kuti tikutyisei, asi kuti tive nechokwadi chekuti munoziva nezvechirwere ichi uye kuti munokurudzirwa kutora matanho anodiwa.
Kusagona Kushanda Nenguva Dzose (Chronotropic Incompetence) Kunogona Kudzivirirwa Here?
Zvimwe zvinokonzera chirwere ichi, zvakaita sekutadza kwemoyo kwawakazvarwa nakwo, hazvigone kudzorwa. Zvisinei, pane zvinhu zvakati wandei zvaunogona kuita kuderedza njodzi yako:
- Kana uine chirwere chemwoyo kana mapapu, zvakakosha kuti uwane kurapwa kwakakodzera .
- Kuchengetedza huremu hwakanaka hwemuviri kwakakosha zvikuru. Kufuta kunogona kukonzera matambudziko akawanda ehutano.
- Kana uine zvirwere zvakaita seDiabetes Mellitus kana BP, zvakakosha kuti uzvichengetedze zvakanaka .
Nekuteerera zvinhu izvi, unogona kuzvidzivirira kwete chete kubva kuChronotropic Incompetence asiwo kubva kune zvimwe zvinetso zvehutano zvakawanda.
Ndingazvitarisira sei?
Kurarama neChronotropic Incompetence zvinoreva kuti muviri wako unogona kuisa mimwe miganhu pane zvaunogona kuita. Mwoyo murefu wakakosha zvikuru panguva ino. Edza kuchinjika nemamiriro ezvinhu aya zvishoma nezvishoma usingamhanye.
- Taura nachiremba wako kana uchida kuchinja mimwe yemishonga yako kana kuti uchida pacemaker .
- Kana chiremba wako akaisa mudziyo (semuenzaniso, pacemaker) muchipfuva chako, unofanira kunzwisisa mashandiro awo .
- Gara uchienda kumisangano yako yekutevera kuti uve nechokwadi chekuti mudziyo wako uri kushanda nemazvo.
- Kana chiremba wako akakupa hurongwa hwekuwedzera zvishoma nezvishoma maekisesaizi ako emuviri, tevera mirairo iyoyo nemazvo . Usaedze kuzvishandisa zvakanyanya kamwe kamwe.
Zvakajairika kunzwa kusuruvara kana kushungurudzika kana usingachakwanisi kuita zvawaimboita. Kunzwa kuneta kunyangwe wakatakura mbatya dzakawanda kunogona kunetsa zvechokwadi. Zvisinei, haufanirwe kutarisana nedambudziko iri wega. Chikwata chako chekurapa chinogara chakagadzirira kukutsigira.
Mibvunzo ipi yandinofanira kubvunza chiremba wangu?
Paunoshanyira chiremba wako, unogona kubvunza mibvunzo yakaita seiyi:
- Unogona kutsanangura chikonzero chekusagona kwangu Chronotropic here?
- Ndingaitei kuti ndirarame zvakanaka sezvinobvira nechirwere ichi?
- Chii chandingatarisira kubva ku pacemaker yamakaisa? (Kana zvichibvira)
- Pane mapurogiramu kana nzira dzinogona kundibatsira kuwedzera kurovedza muviri kwangu zvakachengeteka here?
Pamusoro peizvi, inzwa wakasununguka kubvunza chiremba wako nezvechimwe chinhu chiri mupfungwa dzako kana chero kusava nechokwadi kwaungave nako.
Mukupedzisa, rangarira!
Kusagona Kushanda Nenguva Dzose (Chronotropic Incompetence) chirwere chinoda kungwarira. Zvisinei, kana ukapihwa mazano ekurapa, kurapwa, uye kuzvipira kwako , unogona kurarama hupenyu hwakanaka. Usatya. Teerera zano rachiremba wako woritevedzera zvinoenderana naro. Tinokushuvira kuti upore nekukurumidza kubva kuNirogi Lanka!
