Unonzwawo kuneta here kana wakaneta? Kurova kwemoyo wako kunoderera here? Ngatidzidzei nezve Chronotropic Incompetence!

Dzimwe nguva unonzwa sekunge waneta zvekusagona kuita chero chinhu chidiki, uye wapererwa nemhepo here? Haugone kumhanya kana kusvetuka sezvawaiita kare, uye unonzwa dzungu kunyangwe uchikwira masitepisi? Pamwe moyo wako hausi kurova nekukurumidza kana waneta. Nhasi tichataura nezvechirwere chakadaro. Izvi zvinonzi (Chronotropic Incompetence) musainzi yekurapa. Kunyangwe zita racho rakaoma zvishoma, ngatirinzwisise zviri nyore.

Chii ichi (Chronotropic Incompetence)? Zvichitaurwa zviri nyore…

Zvichitaurwa zviri nyore, Chronotropic Incompetence chirwere chekuti haugone kuwedzera kurova kwemoyo wako sezvaunoda panguva yekurovedza muviri, senge kurovedza muviri kana kushanda nesimba. Zvino tarisa, patinenge tichirovedza muviri kana kufamba, muviri wedu unoda oxygen yakawanda kupfuura patinenge takangogara pasi. Okisijeni iyi inotakurwa neropa mumuviri wese. Saka, moyo ndiwo unopomba ropa iri.

(Chronotropic Incompetence) Mwoyo wemunhu ane kuda kwakawanda kweokisijeni haugone kubata zvakanaka kuda kwakawanda kweokisijeni kwemuviri. Kureva kuti, moyo haugone kurova nekukurumidza sezvinodikanwa uye kupomba huwandu hweropa (ropa rine oxygen) rinodiwa nemuviri. Funga nezvazvo seinjini yemotokari. Sezvatinowedzera kumhanya kweinjini patinoda kumhanya, moyo wedu unofanirwawo kurova nekukurumidza kana taneta. Kana tikasadaro, matambudziko anomuka.

Izvi zvinogona kukonzera kuti usanyanya kushivirira maekisesaizi . Izvi zvinoreva kuti ungasakwanisa kuita maekisesaizi akawanda sevamwe vanhu vezera rako. Ungaomerwa nekufamba daro rawaimbokwanisa kufamba usina kufema kana kuneta.

Ndezvipi zviratidzo zvechirwere ichi (Chronotropic Incompetence)?

Pane zviratidzo zvikuru zvakawanda zvaunogona kuona mumamiriro ezvinhu aya:

• Kuneta : Kunzwa kuneta zvakanyanya kunyangwe mushure mekuita chimwe chinhu chidiki. Semuenzaniso, unogona kunzwa kuneta zvakanyanya mushure mekuita mamwe mabasa epamba, kutakura bhegi, kana kutofamba chinhambwe chipfupi.
• Kushaya mweya ( kushaya mweya ) panguva yekurovedza muviri: Kutadza kufema kana uri kuita zvemuviri, kufemera . Unganzwa kushaya mweya zvekuti haugone kana kutaura nemunhu.

Zviratidzo izvi zvakasiyana nekuneta kwakajairika. Kana uchinzwa kuneta zvakanyanya kana kuti kuneta zvekuti haugone kuita mabasa ako ezuva nezuva, unofanira kunetseka.

Ndezvipi zvikonzero zveChronotropic Incompetence?

Hapana chikonzero chimwe chete cheizvi, asi zvinhu zvakawanda zvinogona kukonzera izvi. Ngationei kuti ndezvipi:

• Mamwe marudzi emishonga:Mimwe mishonga, kunyanya iya yeBP yakakwira uye chirwere chemwoyo (beta-blockers), inogona kuderedza kurova kwemoyo .
• Kusashanda zvakanaka kweSinus node: Sinus node ndipo panotanga kurova mwoyo wedu. Inoshanda semuchina wekugadzirisa mwoyo. Kana paine dambudziko neiyi sinus node, kurova kwemoyo hakuzodzorwi nemazvo.
• Matambudziko ekufambisa mweya: Kuti mwoyo urove, masaini emagetsi anofanira kufamba zvakanaka mumoyo wese. Kana paine dambudziko kana kuvharika kwenzira dzinofamba masaini aya , kurova kwemoyo kunogona kusarongeka kana kunonoka.
• Kusashanda zvakanaka kwetsinga dzemusana kuruboshwe: Mwoyo wedu une makamuri makuru mana.tsinga yemusana kuruboshwe ndeimwe yeaya. Inopomba ropa mumuviri wese. Kanatsinga yemusana kuruboshwe isina kushanda zvakanaka, haigone kupomba ropa rakakwana mumuviri.
• Chirwere chemwoyo chinonzi Ischemic : Izvi zvinogonawo kukonzera chirwere ichi, sezvo tsinga dzeropa dzinopa mwoyo dzakavharika, zvichiita kuti tsandanyama dzemwoyo dzisawane okisijeni nezvinovaka muviri zvainoda.
• Kukundikana kwemoyo : Zvirwere zvakaita sekuungana kwemvura mumuviri zvinoitika kana moyo usingakwanise kupomba ropa kuti rigutse zvinodiwa nemuviri.
• Chirwere chemwoyo chekuzvarwa nacho: Vamwe vanhu vanozvarwa vaine zvimwe zvirwere zvemwoyo. Zvirwere izvi zvinogonawo kubatsira pakukura kweChronotropic Incompetence mumakore ekuyaruka.

Ndezvipi zvinhu zvinowedzera njodzi yechirwere ichi?

Vamwe vanhu vari panjodzi yakakura zvishoma yekubata chirwere ichi. Heano mamwe maitiro anogona kukonzera izvi:

• Kune vanhu vane chirwere chemwoyo .
• Kune vanhu vane kufuta zvakanyanya .
• (Diabetes Mellitus) Kana kune avo vane chirwere cheshuga.
• Kune avo vane zvirwere zvemapapu zvisingaperi zvakaita seCOPD (Chronic obstructive pulmonary disease) .
• Kune avo vane BP yakakwira .
• Kune avo vane hutachiona hweHIV .
• Vanhu vane hutachiona hweEpstein-Barr (ihwohwu hutachiona hunowanzo kukonzera fivha nekurwadziwa pahuro).
• Kune avo vane chirwere che (COVID kwenguva refu) , kureva avo vane zviratidzo kwenguva yakareba mushure mekubatwa neCOVID-19.

Kana uine zvinhu izvi zvinogona kukonzera njodzi, zvakanaka kuti ungwarire zvishoma.

Vanachiremba vanoongorora sei chirwere ichi (Chronotropic Incompetence)?

Chiremba achaongorora chirwere ichi kana kurova kwemoyo wako kukasasvika padanho rakati. Kazhinji, vanachiremba vanofungidzira chirwere ichi kana kurova kwemoyo wako kukasawedzera kusvika pakati pe70% ne85% yezera rako - izvo zvinofungidzirwa kuti kurova kwemoyo kwakanyanya (APMHR) panguva yekurovedza muviri kwakanyanya.

Nzira yakajairika inoshandiswa kuona mwero wemwoyo wako unoenderana nezera rako (APMHR) ndeiyi: 220 kubvisa zera rako . Zvisinei, iyi haisiyo yega nzira, vanachiremba vanoshandisawo dzimwe nzira nemafomula. Semuenzaniso, kana mwero wemwoyo wako usingakwanise kusvika 80% yehuwandu hwemwoyo wako hwakachengetwa , inoshandiswa kuongororwa kuti une Chronotropic Incompetence .

Hapana mwero mumwe chete unogamuchirwa nevanhu vose panyaya iyi. Saka, chiremba achasvika pamhedziso zvichienderana nemamiriro ako ezvinhu.

Ndedzipi bvunzo dzinoitwa pakuita izvi?

Kana chiremba wako achifungidzira kuti une chirwere ichi, anogona kuraira bvunzo dzinoverengeka:

• Chinoongorora kurova kwemoyo nguva dzose: Ichi chishandiso chidiki chaunogona kupfeka. Chinogona kuona kurova kwemoyo wako kuchichinja sei mukati mezuva rese paunenge uchiita mabasa ako emazuva ese.
• Kuedzwa kwekurovedza muviri (EKG - Electrocardiogram): Muedzo uyu, kurova kwemoyo wako (EKG) kunotariswa paunenge uchifamba patreadmill kana kutasva bhasikoro risina kumira. Chiremba wako achaongorora kana kurova kwemoyo wako kuchikwira kusvika padanho raunotarisirwa nachiremba wako.
• Kuyedzwa kwekumanikidzwa kwemuviri (metabolic exercise stress test (CVST): Uku kuyedzwa kunoitwawo pa treadmill kana bhasikoro. Zvisinei, kunoyerawo kuti muviri wako unoshandisa okisijeni yakawanda sei paunenge uchirovedza muviri. Izvi zvinogona kupa pfungwa yakanaka kwete yemoyo wako chete asiwo mapapu ako.

Ndezvipi zvirongwa zvekurapa Chronotropic Incompetence?

Vanachiremba vanotevera nzira dzakasiyana-siyana dzekurapa chirwere ichi. Dzinonyanya kukosha ndedzinotevera:

• Kurovedza muviri: Usashamisika! Kunyangwe zvingave zvakaoma kurovedza muviri, imwe nzira yekurapa izvi ndeyekuita maekisesaizi zvishoma nezvishoma sezvakarairwa nachiremba wako. Izvi zvinogona kuwedzera kugona kwako kuita maekisesaizi zvishoma nezvishoma.
• Chinogadzirisa mwoyo: Vamwe vanhu vanoda kuiswa mudziyo wemagetsi unonzi pacemaker pasi peganda pedyo nemoyo. Izvi zvinobatsira kuti moyo urove nekukurumidza kana wava kushushikana.
• Biventricular pacemaker kana Cardiac Resynchronization Therapy (CRT):Iyi imhando yakasarudzika ye pacemaker. Inoshanda nekuita kuti makamuri maviri epasi (masero) emwoyo arove pamwe chete murhythm imwe chete. Inogona kubatsira vanhu vane mamwe matambudziko emwoyo.

Chiremba wako ndiye achasarudza kuti ndeipi nzira yekurapa yakakunakira. Izvi zvinoenderana nezvinhu zvakawanda, kusanganisira mamiriro ako ezvinhu, zviratidzo, nezvimwe zvirwere.

Chii chaungatarisira kana uchirarama nechirwere ichi?

Vakuru vane chronotropic insomnity vanogona kunzwa kuneta uye kushaya mweya zvakanyanya kupfuura zvavaitarisira pavanenge vachiita mabasa ezuva nezuva kana kurovedza muviri. Semuenzaniso, vanogona kunzwa kuneta mushure mekuwacha mbatya vozoomerwa nekukwira mudenga.

Muzviitiko zvisingawanzoitiki, kufenda kunogona kuitika kana kurova kwemoyo kusina kukwana kupa ropa rakakwana kuuropi.

Ongororo dzakaratidza kuti vanhu vakuru vakafuta uye vasina kugona kuita zvinhu panguva imwe chete vari panjodzi yakakura yekurwara nemoyo kana kutadza kuita zvinhu panguva imwe chete. Imwe ongororo inoratidza kuti vanhu vane chirwere ichi vari panjodzi yakakura yekubatwa nechirwere chemwoyo (Afib) . Zvakaratidzwawo kuti kuva nekutadza kuita zvinhu panguva imwe chete pamwe chete nekukundikana kuita zvinhu panguva imwe chete hazvina kunaka pakurarama kwese. Dzimwe ongororo dzakaratidzawo kuti pane hukama huripo pakati pechirwere ichi nekudzikira kwehupenyu hwemunhu.

Izvi hazvisi zvekukutyisidzirai, asi kukukurudzirai kuti muzive nezvemamiriro ezvinhu aya uye mutore matanho anodiwa.

Kusagona Kushanda Nenguva Dzose (Chronotropic Incompetence) Kunogona Kudzivirirwa Here?

Zvimwe zvezvinhu zvinokonzera chirwere ichi, zvakaita sechirwere chemwoyo chatakazvarwa nacho, hazvigoneki kwatiri. Zvisinei, pane zvimwe zvatinogona kuita kuderedza njodzi yedu:

• Kana uine chirwere chemwoyo kana mapapu, zvakakosha kuti uwane kurapwa kwakakodzera .
• Zvakakosha kuchengetedza huremu hwemuviri wako huri padanho rakanaka . Kufutisa kunokonzera zvirwere zvakawanda.
• Kana uine zvirwere zvakaita sechirwere cheshuga neBP, zvakakosha kuti uzvidzore zvakanaka .

Kuchengeta zvinhu izvi kuchakubatsira kuzvidzivirira kubva kuChronotropic Incompetence , kwete chete kubva kuzvirwere zvakawanda.

Ndinozvitarisira sei?

Kurarama neChronotropic Incompetence zvinoreva kuti muviri wako unoisa mimwe miganhu pane zvaunogona kuita. Mwoyo murefu wakakosha panguva ino. Usavhunduke, edza kuchinjika nemamiriro ezvinhu aya zvishoma nezvishoma.

• Taura nachiremba wako kana uchida kuchinja mimwe yemishonga yaunotora, kana kuti unoda pacemaker .
• Kana chiremba akaisa mudziyo muchipfuva chako (semuenzaniso, pacemaker),Unofanira kunzwisisa zvakanaka mashandiro azvo.
• Iva nechokwadi chekuti unoronga nguva yekutevera nguva yekuonana nachiremba wako kuti uve nechokwadi chekuti mudziyo wako uri kushanda nemazvo.
• Kana chiremba wako akakupa hurongwa hwekuwedzera zvishoma nezvishoma maekisesaizi ako emuviri, tevera mirairo iyoyo nemazvo . Usazvidya mwoyo.

Zvakajairika kunzwa kusuruvara uye kusuruvara kana usingakwanise kuita zvawaimboita kare. Zvinogona kuodza mwoyo kunzwa kuneta kunyangwe uchingosimudza mbatya shoma. Asi haufanirwe kutarisana nemamiriro ezvinhu aya uri wega. Chikwata chako chekurapa chinogara chakagadzirira kukubatsira.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Paunoshanyira chiremba wako, unogona kubvunza mibvunzo yakaita seiyi:

• Mungandiudze here kuti chii chinokonzera chirwere ichi (Chronotropic Incompetence) ?
• Ndingaitei kuti ndirarame zvakanaka sezvinobvira nedambudziko rangu?
• Chii chandingatarisira kubva ku pacemaker yamakandiisira? (Kana pacemaker ikaisirwa)
• Pane mapurogiramu kana nzira dzinogona kundibatsira kuti ndiite maekisesaizi akawanda here?

Pamusoro pemibvunzo iyi, bvunza chiremba wako nezvechero chauri kufunga nezvacho kana chero kusava nechokwadi kwaungave nako.

Pakupedzisira, rangarira!

(Chronotropic Incompetence) chirwere chinoda kutarisirwa. Zvisinei, kana ukapihwa mazano ekurapa akakodzera, kurapwa, uye kuzvipira kwako , unogona kurarama hupenyu hwakanaka kunyangwe uine chirwere ichi. Usatya. Teerera zvinotaurwa nachiremba wako woita zvinoenderana nazvo. Ndinokushuvira kuti upore nekukurumidza!