Unoshaya mweya here mushure memabasa madiki? Kungava kusashivirira maekisesaizi here? | Nirogi Lanka

Unonzwa uchishaya mweya here paunenge uchifamba daro diki kana kukwira masitepisi? Uneta nekukurumidza kupfuura zvawaimboita? Ungazviudza kuti, "Ndiri kukura," kana kuti "Handina kuita maekisesaizi nguva pfupi yadarika." Kunyange zvazvo zvinhu izvozvo zvichibatsira, dzimwe nguva zviratidzo izvi zvinoratidza chimwe chinhu chakakosha. Nhasi, tinoda kutaura newe nezvechirwere chinozivikanwa seKusashivirira Kurovedza Muviri .

Chii chaizvo chinonzi Kusashivirira Kurovedza Muviri?

Muchidimbu, Kusashivirira Kurovedza Muviri zvinoreva apo muviri wako hauchakwanisi kuita mabasa emuviri zviri nyore sezvawaiita kare. Kunyangwe kurovedza muviri kushoma kunokusiya uchinzwa kuneta kana kunetseka kufema. Funga nezvemuviri wako semuchina wakaoma unoda kuti moyo wako, mapapu, uye tsandanyama zvishande zvakanaka pese paunofamba, kumhanya, kana kusimudza chimwe chinhu. Kana chero chikamu chemuviri uyu chikasangana nekushaya simba kana kukanganisika, "muchina" unotadza kushanda. Ndipo paunosangana neKusashivirira Kurovedza Muviri.

Kazhinji, zviratidzo izvi zvinokudzivirira kusvika padanho remwoyo wako raunoda. Panguva yekurovedza muviri, muviri wako unogona kungoshandisa 60% kusvika 70% yeoxygen iyo munhu asina chirwere ichi angatora. Izvi zvinonyanya kuitika kana moyo wako usiri kupomba zvakanaka, senge muzviitiko zveHeart Failure .

Yeuka kuti moyo wako ndiwo injini inopomba ropa rine okisijeni yakawanda kuenda kumatishu nemasero mumuviri wako wese. Kana moyo usingakwanise kupomba zvinobudirira, okisijeni inokosha inopihwa kutsandanyama dzako inokanganiswa.

Uyezve, kana uine matambudziko emapapu, muviri wako unganetseka kuunza okisijeni yakakwana panguva yekufema zvakadzama zvinodiwa pakuita maekisesaizi, sezvo tsandanyama dzako dzichida okisijeni yakawanda kana uchishanda zvichienzaniswa nepaunenge wakazorora.

Kunyangwe ukafema okisijeni yakakwana uye mwoyo wako uchiiburitsa zvinobudirira, masero ako achiri kuda kuishandura kuita simba. Kana tsandanyama dzako dzemapfupa dzisiri kushanda nemazvo, hadzigone kushandisa okisijeni iyoyo nemazvo.

Kana chero danho riri muchikamu ichi —kutorwa kweokisijeni, kugoverwa, kana kushandiswa kwemasero —rikakanganiswa, unotanga kusashivirira kurovedza muviri. Dambudziko iri rinogona kukutadzisa kunakidzwa nemabasa ako aunofarira nemabasa ezuva nezuva, uye mune dzimwe nguva, rinogona kutoita kuti ugare uchishanyira zvipatara.

Izvi zvakajairika zvakadii?

Kusashivirirana mukurovedza muviri kwakajairika kupfuura zvaungafunga uye kunokanganisa mamiriyoni evanhu pasi rose. Zvikonzero zvacho zvakakura uye zvakasiyana-siyana. Semuenzaniso, muUnited States, vanhu vanopfuura mamiriyoni matanhatu vanorarama neHeart Failure , uye vanenge 50% vavo vanotambura nekusashivirirana mukurovedza muviri. Tinowanzoona chirwere ichi muvarwere vane zvirwere zvakasiyana-siyana zvemwoyo nekufema pano muSri Lanka.

Ndezvipi zviratidzo zvekusashivirira kurovedza muviri?

Kana uchifungidzira kuti ungangove uine Exercise Intolerance, tsvaga zviratidzo zvinozivikanwa zvekunyevera:

• Kushaya mweya (Dyspnea) : Ichi ndicho chiratidzo chinowanzoitika. Unganzwa sekuti haugone kufema kana kuti unoda kufema nekukurumidza kunyangwe mushure mekuita zvinhu zvishoma, zvakaita sekukwira masitepisi, zvakafanana nekufemera kwemweya kwakafanana neasthma .
• Kuneta kwakanyanya kana kuti nekukurumidza (` Kuneta` ): Unogona kunzwa kuneta kwakanyanya kana kushaya simba pasina chikonzero chakajeka, kana kunzwa kuneta mushure mekumuka, izvo zvinoramba zviripo zuva rese.
• Kusagadzikana kwemakumbo kana makumbo anorema: Panguva yekurovedza muviri, unganzwa kurwadziwa, kuremerwa, kukwenya, kana kurwadziwa mumakumbo ako, dzimwe nguva zvichitsanangurwa sekurwadziwa kusingafadzi kana kusanzwa simba.
• Kufema nekukurumidza(`Hyperventilation`): Kuomerwa nekufema nenzira yechisikigo, zvichikonzera kufema nekukurumidza, kushoma, izvo zvinogona dzimwe nguva kuperekedzwa nedzungu kana kurova kwemoyo.

Chii chinokonzera kusashivirirana kwekurovedza muviri?

Hapana chikonzero chimwe chete; matambudziko mazhinji ehutano anogona kukonzera chirwere ichi. Ngatitarisei zvikonzero zvikuru:

• Kukundikana kwemoyo: Kana tsandanyama dzemwoyo dzisina simba uye dzisingakwanise kupomba ropa zvinobudirira.
• Chirwere chemwoyo chekuzvarwa nacho : Zvikanganiso zvemoyo zvinovapo kubva pakuzvarwa.
• Zvirwere zvemapapu: Zvirwere zvisingaperi zvakaita se ' COPD ' ( Chronic Obstructive Pulmonary Disease ) zvinoita kuti zviomere mapapu ako kuchinjana okisijeni necarbon dioxide.
• Kuvharika kweropa mumapapu: Kugwamba kweropa mutsinga dzeropa dzemapapu—iyi idambudziko rekurapa rinoda rubatsiro rwekukurumidza rwe911/emergency.
• COVID Yakareba: Kuneta kwenguva refu, kushaya mweya, uye kurwadziwa pachipfuva kunoramba kuripo kwenguva refu mushure mehutachiona hwekutanga.
• Anemia: Kushaikwa kwemasero matsvuku eropa akasimba kunoderedza huwandu hweokisijeni inogona kutakurwa neropa rako.
• Kukanganisika kwepfungwa: Kukuvara kweuropi kunogona kuita kuti varwere vanzwe vakasununguka pakuita mabasa emuviri kwenguva yakareba.
• Kukwegura: Kuderera kwetsandanyama nekuda kwekukwegura uye kushanda zvakanaka kwemuviri.
• Kufuta: Kurema kwakanyanya kunoita kuti mwoyo, mapapu, uye majoini zvide zvakanyanya.
• Chirwere cheshuga: Shuga yeropa isingadzoreki inogona kukanganisa tsinga netsinga dzeropa nekufamba kwenguva.
• Chirwere cheitsvo: Kusachenesa tsvina zvakanaka kunogona kukonzera kuunganidzwa kwechepfu uye kuneta kwakanyanya.
• Matambudziko emhasuru dzemapfupa: Zvirwere zvemajini zvakaita sechirwere cheMcArdle , apo tsandanyama hadzina ma enzyme chaiwo ekugadzira simba, zvichikonzera kurwadziwa kwakanyanya panguva yekufamba.
• Matambudziko ekuzvimba: Matambudziko akadai searthritis anogona kukonzera kusagadzikana kwemuviri uye kusagadzikana kwekufamba.

Chinonyanya kukosha ndechekuti varwere vazhinji vanotambura nezvirwere izvi panguva imwe chete. Semuenzaniso, murwere anogona kunge aine chirwere chemwoyo, kufuta, uye chirwere cheshuga, izvo zvinogona kuita kuti kusashivirirana kwekurovedza muviri kuve kwakanyanya.

Chiremba achaongorora sei chirwere ichi?

Kana uine zviratidzo zvakaita seizvi, nzira yakanakisisa yekubata nayo ndeyekubvunza chiremba kuti anyatsoongorora chikonzero chaicho. Chiremba wako angangoongorora zviratidzo zvako, okurukura nhoroondo yezveutano hwemhuri yako, uye oita ongororo yemuviri. Pamusoro pezvo, vanogona kukurudzira bvunzo dzekuongorora kuti vasimbise mamiriro ako ezvinhu uye kuona zvikonzero zviri kukonzera chirwere ichi.

• Bvunzo yekufamba kwemaminitsi matanhatu: Iyi iongororo iri nyore apo unokumbirwa kufamba nekukurumidza kwakadzikama uye kwakasununguka panzvimbo yakati sandara kwemaminitsi matanhatu. Chiremba wako achayera daro rose raunofukidza, uku achitarisa kurova kwemoyo wako uye mwero weokisijeni usati wafamba uye wapedza kufamba.
• Kuongororwa kwekumanikidzwa kwekurovedza muviri: Munguva yekuongororwa uku, uchafamba netreadmill kana kutasva bhasikoro risingamire uku BP yako, kurova kwemoyo, uye kurova kwemoyo (kuburikidza neECG) zvichiongororwa. Izvi zvinobatsira chiremba wako kunzwisisa kuti mwoyo wako unopindura sei zvinodiwa nemuviri pakurovedza muviri.
• Kuongororwa kwekurovedza muviri kwemwoyo nemapapu (CPET): Izvi zvinoonekwa se "chiyero chegoridhe"kuti uongorore kusawirirana nekurovedza muviri. Inopa ruzivo rwakakwana. Paunenge uchifamba pa treadmill kana bhasikoro, chiremba wako anonyatsoongorora kurova kwemoyo wako, BP, oxygen saturation, uye kufema. Uchapfeka mask yakasarudzika inoyera kudzika kwekufema kwako, mwero, uye kuti unodya oxygen yakawanda sei zvichienzaniswa nekuti unoburitsa carbon dioxide yakawanda sei.

Ndeapi marapirwo ekusashivirirana kwekurovedza muviri?

Kune vazhinji, mushonga wekutanga uye unoshanda zvikuru wekurapa kusawirirana nekurovedza muviri chirongwa chekurovedza muviri chakarongeka, kana kudzidziswa kwekurovedza muviri kunotungamirwa nachiremba . Funga nezveizvi semushonga wechiremba; chiremba wako achagadzira chirongwa chakanangana nezvaunoda, kazhinji chinangwa chemaminitsi makumi matatu kusvika makumi matanhatu ekurovedza muviri zvine mwero kwemazuva matatu pasvondo.

Zvisinei, iyi haisi nzira imwe chete inokwana zvese. Chiremba wako achagadzira hurongwa hwekurovedza muviri hunoenderana nemamiriro ako ehutano uye chikonzero chikuru chekusashivirira kwako.

• Semuenzaniso, kana uine "COVID Yenguva refu," chirongwa chako chinogona kutanga nemabasa asina simba rakawanda sekutyaira ngarava kana kutasva bhasikoro zvinyoro-nyoro kwenguva pfupi, zvishoma nezvishoma uchiwedzera simba nenguva sezvaunofambira mberi.
• Kana uine chirwere chekufema chakadai seCOPD , chiremba wako anogona kukurudzira kurovedza muviri kwenguva pfupi - kuchinjana kufamba kwenguva pfupi uye kuzorora zvishoma.

Kunze kwekurovedza muviri, dzimwe nzira dzekurapa dzinosanganisira:

• Kudzora huremu: Kana kufuta kuri chinhu chinokonzera, kuwana huremu hwakanaka kwakakosha.
• Kudya kunovaka muviri: Kana zvikaonekwa kuti hazvina kunaka pakudya, chiremba wako anogona kukurudzira kuti uchinje kudya kwako, zvakaita sekuwedzera mapuroteni kana kuwedzera Vitamin D.
• Kugadzirisa zvirwere zviri pasi: Kurapa chirwere chemwoyo, chirwere cheshuga, kana kupererwa neropa kuburikidza nemishonga kana kuvhiyiwa, sezvakakurudzirwa nachiremba wako.
• Kurapa neokisijeni: Kana mwero weokisijeni muropa rako wakaderera nguva dzose, chiremba wako anogona kukupa okisijeni yekuwedzera panguva yekurovedza muviri kana mukati mezuva rose.
• Kugadziriswa kwemapapu: Iyi ipurogiramu yakasarudzika yakagadzirirwa vanhu vane zvirwere zvemapapu zvisingaperi zvakaita seCOPD. Inosanganisa kudzidziswa kwekurovedza muviri, dzidzo yezvirwere, uye mazano emararamiro.

Chii chaungatarisira kana uine kusashivirira kwekurovedza muviri?

Hunhu hwehupenyu hwako uye nguva yezviratidzo zvako zvinoenderana zvakanyanya nechikonzero chaicho .

• Kana kusashivirira kwako kuri mugumisiro wekurwadziwa kwepfungwa kwakaitika panguva yemitambo, ungangodzokera kumabasa ako enguva dzose mukati memwedzi kana kupfuura nekuzorora zvakakwana uye kupora.
• Kusiyana neizvi, kana kusakwanisa kwako kurovedza muviri kuchikonzerwa nechirwere chisingaperi chakadai seHeart Failure , ungangoda kugadzirisa chirwere ichi kwenguva refu. Izvi zvinoreva kutarisa pakurapa kwakanaka, kutevedzera nhungamiro yachiremba wako, uye kugadzirisa mararamiro ako kuti urarame zvakachengeteka uye zvakanaka.

Kusashivirirana kwekurovedza muviri kunogona kudzivirirwa here?

Kunyange zvazvo zvisiri zvikonzero zvese zvinogona kudzivirirwa—zvakadai sezvirwere zvemwoyo zvawakazvarwa nazvo—unogona kuderedza zvakanyanya njodzi yako yekusagona kurovedza muviri nekubata nematambudziko ehutano akajairika. Matambudziko akadai sechirwere cheshuga, BP, kufuta, uye cholesterol yakakwira ndizvo zvinonyanya kukonzera matambudziko aya. Nekuchengetedza mararamiro ane hutano uye kutevedzera mazano echiremba kuti uchengetedze njodzi idzi, unogona kuchengetedza simba rako remuviri. Mararamiro ane hutano ndiyo dziviriro yako yakanakisisa.

Ungazvitarisira sei?

Nekuti kusashivirira kurovedza muviri kunokonzerwa nezvikonzero zvakasiyana-siyana, nzira yakanakira iwe ndeyekuzvisarudzira iwe pachako.Kunyatsotevedzera hurongwa hwakagadzirirwa iwe pachako uye mazano anopiwa nachiremba wako ndiyo danho rakakosha pakutarisira kwako.

• Tevedzera nhungamiro yachiremba wako pamusoro pekuti kurovedza muviri kwako kunofanira kuitwa kakawanda sei uye kwakasimba sei.
• Iva nechokwadi chekuti watevedzera chero mirairo yezvekudya kana yekuwedzera yavanopa.
• Ramba uchingwarira nezvekugadzirisa chero matambudziko ehutano (semuenzaniso, kutora mishonga yako yeshuga kana yemwoyo nenguva).

Kuzvipira kuita matanho aya kwakakosha kuti uve neutano hwakanaka kwenguva refu.

Unofanira kuona chiremba rini?

Kana wangoonekwa kuti une chirwere ichi, kuongororwa nguva nenguva kwakakosha. Kushanya uku kunobvumira chiremba wako kuti aongorore kufambira mberi kwako, kuongorora kushanda kwechirongwa chako chekurovedza muviri, uye kugadzirisa zvinodiwa pakurapwa kwako. Kana ukaona zviratidzo zvitsva kana kana zviratidzo zvako zvatowedzera kuipa, taura nachiremba wako kana kutsvaga rubatsiro nekukasika. Kana ukanzwa kurwadziwa muchipfuva, kufema zvakanyanya, kana kupera simba, fonera 911 kana kushanyira dhipatimendi rekukurumidzira riri pedyo newe.

Mibvunzo ipi yaunofanira kubvunza chiremba wako?

Usati waronga kusangana nemunhu, nyora pasi mibvunzo yaunayo kuti uve nechokwadi chekuti hapana chaunokanganwa uye kuti unzwe uine chivimbo. Heano mamwe mazano:

• "Ndechipi chikonzero chikuru, kana kuti musanganiswa wezvikonzero, zvinoita kuti ndisakwanise kurovedza muviri?"
• "Ndedzipi shanduko dzemararamiro kana matanho andinofanira kutora kuti ndiwane zororo?"
• "Ndinofanira kudzoka kangani kuzoongororwa kuti ndione mamiriro angu ezvinhu?"
• "Pane here zvinhu zvakakosha kana zvinangwa zvandinofanira kuzadzisa, zvakaita sekuwedzera nguva yekufamba kwangu?"
• "Mishonga ipi inodiwa pakurapwa kwangu, uye ine migumisiro yakaipa here?"
• "Ndezvipi zvimwe zvinhu chaizvo zvinochinja-chinja zvekudya zvingabatsira zvikuru pakupora kwangu?"

Pakupedzisira, yeuka pfungwa idzi:

Kana muviri wako uchitadza kupinza mweya uye kushandura mweya kuita simba, unogona kuona kuti kunyange mabasa ari nyore ezuva nezuva anova akaoma. Ichokwadi, asi ndapota usaora mwoyo kana kuremerwa. Nekutevera chirongwa chekurapa chawakarongerwa nachiremba wako—kunyanya chirongwa chako chekurovedza muviri—nekugara kwenguva refu uye mwoyo murefu, zvishoma nezvishoma uchazokwanisazve kuita mabasa ako ezuva nezuva, akadai sekufamba uchienda kunotumira tsamba, kukwira masitepisi kumba, kana kufamba-famba panze.

Yeuka, kugadzirisa kusakwanisa kurovedza muviri kunotora nguva; kupora hakuitike kamwe kamwe. Mwoyo murefu nekuzvipira zvakakosha. Kana uchinzwa usina chido chekurovedza muviri kana kuti zvichikuomera kuramba uri wega, koka nhengo yemhuri kana shamwari yaunovimba nayo kuti iuye newe. Kuva nemumwe munhu padivi pako kunogona kukupa rutsigiro nekurudziro yaunoda. Chinonyanya kukosha, gara uchiyeuka kuti hausi wega parwendo urwu neNirogi Lanka!