Unonzwa kubatwa kana kurwadziwa muchipfuva chako here paunoedza nesimba, kukwira masitepisi, kana kufamba nekukurumidza? Kana kuti unonetseka here kufema? Pawakaudza chiremba wako nezveizvi, akakuudza here kuti uite "Exercise Stress Test"? Ungave wakatya uye wakatya pawakanzwa zita iroro. Patinonzwa izwi rekuti "stress," tinofunga nezvechimwe chinhu chakaoma. Asi ichi hachisi chinhu chekutya. Iyi bvunzo yakajairika inotipa ruzivo rwakawanda runokosha nezvehutano hwemoyo wako, uye inoitwa kakawanda. Saka ngatitaurei nezvazvo zvakajeka uye zviri nyore nhasi.
Zvichitaurwa zviri nyore, chii chinonzi Exercise Stress Test?
Funga nezveinjini yemota yako. Kana yangomiswa, ingaita sekuti iri kushanda zvakanaka. Asi kana uri kukwira gomo kana kuti uchimhanya ndipo paunonyatsoziva kana paine chakaipa neinjini. Ndizvo zvakaita mwoyo yedu.
Patinenge takagara pasi tichizorora, mwoyo hauna mutoro wakawanda. Asi patinorovedza muviri, kumhanya, kana kusvetuka, dzimwe nhengo dzemuviri wedu dzinoda okisijeni yakawanda neropa. Ipapo mwoyo unofanirwa kushanda nekukurumidza uye nesimba kupfuura zvakajairika.
Kuongororwa kwekushushikana kwemuviri kunosanganisira kupa moyo wako "kurovedza muviri" kana "kushushikana" munzvimbo yakachengeteka uye yakarongeka wobva watarisa kuti unopindura sei. Izvi zvinogona kubatsira chiremba wako kudzidza zvimwe zvinhu zvakakosha.
- Mwoyo wako unopomba ropa zvakanaka sei? - Unogona kuona kana kugona kwemoyo wako kupomba kushoma kana kuwedzera paunorovedza muviri.
- Tsandanyama dzemwoyo dziri kuwana ropa rakakwana here? - Kana tsinga dzinopa ropa kumoyo (tsinga dzemoyo) dzikavharika kana kuti dzakavharika, moyo ungasawana ropa rakakwana panguva yekurovedza muviri. Kuongororwa uku kunogona kuona izvi.
- Zviratidzo zvako zvine chekuita nemoyo here? - Unogona kutarisa kana kurwadziwa muchipfuva, kupererwa nemweya, kana dzungu zvichiitika panguva yekurovedza muviri. Kana zvakadaro, zvinogona kunge zviri dambudziko remwoyo.
- Kushanda kwemagetsi kwemoyo kuri sei? - Unogona kutarisa kana kurova kwemoyo kwava kusina kurongeka kana kuti kwete paunenge uchirovedza muviri.
Zvichitaurwa zviri nyore, izvi zvakafanana ne "bvunzo yekusimbisa muviri" yemoyo wako.
Ndiani anoda kunyora bvunzo iyi?
Pane zvikonzero zvakawanda zvinoita kuti chiremba akukurudzire bvunzo iyi. Ngationei kuti ndedzipi.
| Chikonzero | Tsananguro |
|---|---|
| Kuva nezviratidzo zvemoyo | Kana uchinzwa kurwadziwa pachipfuva kana kuoma (kunonziwo angina ) paunenge uchirovedza muviri, uchinetseka kufema, kurova kwemoyo nekukurumidza kana kusina kurongeka ( arrhythmia ), kana dzungu, bvunzo iyi inogona kubatsira kuwana chikonzero chezviratidzo izvozvo. |
| Kuva panjodzi yechirwere chemwoyo | Kana uine chirwere cheshuga, BP yakakwira, cholesterol yakakwira, unosvuta, kana kana mumwe munhu mumhuri mako akambova nechirwere chemwoyo achiri mudiki, uri panjodzi yekubatwa nechirwere chemwoyo. Izvi zvinogona kubatsira kuona dambudziko zviratidzo zvisati zvaonekwa. |
| Kuyera kubudirira kwekurapwa | Kana uri kutogamuchira kurapwa kwezvirwere zvemwoyo (senge mishonga, kuiswa stent, kuvhiyiwa kwe bypass), bvunzo iyi inoitirwa kuona kuti kurapwa kwacho kunoshanda sei uye kana mashandiro emoyo wako achinja. |
| Usati watanga chirongwa chekurovedza muviri | Kunyanya kana munhu ane chirwere chemwoyo achitanga kurovedza muviri kekutanga, ruzivo rwakawanikwa kubva mubvunzo iyi rwakakosha pakuona kuti rudzii rwekurovedza muviri rwakamukodzera uye kuti angazviita kwenguva yakareba sei. |
| Kuongorora kusimba kwemoyo usati wavhiyiwa | Bvunzo iyi inoshandiswawo kuona kana moyo wako wakasimba zvakakwana kuti utsungirire kushushikana kwekuvhiyiwa kusiri kwemoyo usati wavhiyiwa zvakanyanya. |
Kune mhando dzakasiyana-siyana dzemiedzo yekushushikana.
Havasi vese vanoongororwa nenzira imwe chete. Rudzi rwebvunzo rwaunowana runogona kusiyana zvichienderana nemamiriro ako ezvinhu, zviratidzo, uye ruzivo rwaunoda kuziva nachiremba wako.
1. Bvunzo Yekushushikana Kwekurovedza muviri
Iyi ndiyo mhando inonyanya kushandiswa uye iri nyore kushandisa. Chinoitika pano ndechekuti zvidhindo zvidiki (maelectrode) zvakabatanidzwa pachipfuva nemaoko ako, uye zvakabatana nemuchina we `EKG` (Electrocardiogram). Wobva wakumbirwa kufamba patreadmill kana kutasva bhasikoro risingamire. Kumhanya nekudzika kwetreadmill (sekukwira gomo) zvinowedzerwa zvishoma nezvishoma. Munguva iyi, muchina we `EKG` unoramba uchinyora mashandiro emagetsi emwoyo wako. Unoyerawo BP yako nguva nenguva.
2. Kushushikana Kwekurovedza muviri Echocardiogram
Iyi bvunzo yakadzama zvishoma kupfuura yapfuura. Inosanganisira kuita `Echocardiogram` (ultrasound scan yemoyo) yemoyo wako usati waita maekisesaizi uye mushure mekurovedza muviri zvakanyanya.
Zvichitaurwa zviri nyore, 'echo' inogona kuona nemaziso kuti tsandanyama dzemwoyo dzinoita sei, mashandiro anoita mavharuvhu, uye maitiro ekufamba kweropa. Kana chikamu chemwoyo chikashaikwa ropa panguva yekurovedza muviri, kusimba kwetsandanyama muchikamu ichocho kunoshaya simba. Izvi zvinogona kuonekwa zvakajeka nekuongorora uku.
Bvunzo iyi inobatsira zvikuru kana mhedzisiro yeEKG yenguva dzose isiri pachena.
3. Kuedzwa kweNyukireya
Zita racho ringanzwika serinotyisa zvishoma, asi rinoshandisa chinhu chakachengeteka uye chine mwaranzi shoma. Chinhu ichi chinopinzwa mutsinga yako. Zvadaro, kamera yakakosha (SPECT kana PET scan) inotora mifananidzo yeropa richiyerera mumoyo mako paunenge wakazorora.
Zvadaro, unorovedza muviri uri patreadmill. Kana wapedza kurovedza muviri, kamera inotora mifananidzo zvakare. Iye zvino chiremba anogona kuenzanisa mifananidzo yakatorwa panguva yekuzorora nemifananidzo yakatorwa mushure mekurovedza muviri. Kana tsinga yeropa yakavharwa, ropa rinoenda kuchikamu chetsandanyama yemwoyo chinopihwa netsinga iyoyo rinoderera panguva yekurovedza muviri. Izvi zvinogona kuonekwa zvakajeka mumifananidzo. Izvi zvinogona kupa ongororo chaiyo yehukuru hwekuvharika kwetsinga dzemwoyo.
Unofanira kugadzirira sei bvunzo isati yaitwa?
Kuti uwane mhedzisiro chaiyo, zvakakosha kuti ugadzirire zvakanaka usati waenda kunoongororwa.
- Zvekudya Nekunwa: Usadye kana kunwa chero chinhu kwemaawa mashoma bvunzo isati yaitwa. Hazvina kuipa kunwa mvura shoma. Kunyanya kana uri kuita `Nuclear Stress Test`, unogona kukumbirwa kutsanya kusvika bvunzo yapera.
- Dzivisa caffeine:Usanwe chero chinhu chine caffeine, senge kofi, tii, chokoreti, kana zvimwe zvinwiwa zvinopa simba, kwemaawa makumi maviri nemana bvunzo isati yaitwa. Caffeine inogona kuchinja kurova kwemoyo wako uye inogona kukanganisa mhedzisiro.
- Dzivisa kusvuta: Usasvuta pazuva rebvunzo.
- Bvunza chiremba wako nezvemishonga: Chiremba wako anogona kukukumbira kuti urege kutora mimwe mishonga yaunowanzo tora (semuenzaniso, mishonga yemwoyo yakaita se beta-blockers, mimwe mishonga yekufema yeasthma) pazuva rekuongororwa. Usamborega kutora mishonga wega. Gara uchitaura nachiremba wako uye tevera mirairo yake nemazvo.
- Kune vanhu vane chirwere cheshuga: Kana uri kutora mishonga yechirwere cheshuga, kutsanya kungave dambudziko. Saka, taura nachiremba wako wechirwere cheshuga usati waongororwa kuti uwane mazano ekuti ungatora sei mishonga yako nechikafu zuva iroro. Kana uine glucometer, uya nayo.
- Zvipfeko: Pfeka mbatya dzakareruka, dzakanaka uye shangu dzekufamba nadzo dzakanaka (dzakadai seshangu dzecanvas kana shangu dzemitambo).
- Gara wakadzikama: Zvakajairika kunzwa kutya zvishoma paunenge wava kuda kuedzwa. Asi kana uchitya zvakanyanya, zvinhu zvakaita sekurova kwemoyo wako neBP zvinogona kuchinja uye kukanganisa mhedzisiro. Saka edza kugara wakadzikama sezvinobvira.
Chii chinoitika panguva yebvunzo?
Paunoenda ku lab, mukoti kana nyanzvi yezvehutano vanotanga vayera BP yako nekurova kwemoyo wako. Vanobva vabatanidza ma electrodes pachipfuva chako nemaoko ayo achabatana ne EKG.
Tevere, uchakumbirwa kuti upinde mutreadmill. Zvinotanga zvinyoro nyoro, sekufamba panzvimbo yakati sandara. Maminetsi mashoma ega ega, mukuru wechikoro anowedzera kumhanya nekutsvedza kwetreadmill zvishoma nezvishoma. Nguva imwe neimwe, vachakubvunza kuti, "Uri kunzwa sei?" "Uri kunetseka here?" Kana uchinzwa kusagadzikana, kurwadziwa pachipfuva, kana dzungu, unofanira kuvaudza nekukurumidza.
Kana wasvika padanho rekurova kwemoyo rinotariswa zvichienderana nezera rako uye hutano hwako, ucharamba uri padanho iroro kwemaminitsi mashoma wobva warega bvunzo. Chikamu chekurovedza muviri chinowanzogara kwemaminitsi angangoita gumi kusvika gumi nemashanu. Zvisinei, kana ukava nezviratidzo zvakakomba nguva iyoyo isati yasvika kana kuti ukati hauchakwanisi kuzviita, bvunzo yacho inomiswa nekukurumidza.
Unoita sei bvunzo iyi kune munhu asingakwanise kurovedza muviri?
Fungidzira kuti mumwe munhu haakwanise kufamba patreadmill nekuda kwekukuvara kwemajoini kana chimwe chikonzero. Kunyangwe vanhu vakadaro vanogona kuita bvunzo iyi. Panguva iyoyo, unoradzikwa pamubhedha uye mushonga unopinzwa mutsinga. Mushonga uyu unoita kuti moyo wako urove nekukurumidza, sepaya paunorovedza muviri. Kuburikidza neizvi, moyo unopiwa "simba" (stress) raunoda.
Kana bvunzo yapera, vachakutarisa kwemaminitsi angangoita gumi nemashanu kusvika kurova kwemoyo wako neBP zvadzokera pazvakajairika. Kana zvese zvangonaka, unogona kudzokera kumba.
Zvakabuda muongororo zvinoti chii?
Kana wangogamuchira mushumo webvunzo, chiremba wako achauongorora uye achakutsanangurira. Mhedzisiro yacho inogona kukamurwa kuita zvikamu zvikuru zviviri.
Kana mhedzisiro yacho iri yakajairika...
Izvi zvinoreva kuti mwoyo wako uri kupindura zvakanaka pakurovedza muviri, kuti mwoyo wako uri kuwana ropa raunoda, uye kuti zviratidzo zvako hazvikonzerwi nedambudziko guru remwoyo.
- Kana bvunzo yacho ikaitwa kuti pave nechikonzero chezviratidzo zvako: Marwadzo echipfuva chako anogona kukonzerwa nechimwe chinhu, senge kushushikana kana gastritis. Chiremba wako acharaira mimwe miedzo kuti azive.
- Kana ukaita usati waita maekisesaizi kana kuvhiyiwa: Izvi zvinoreva kuti moyo wako wakasimba zvakakwana kuti utange chirongwa cheekisesaizi kana kuvhiyiwa.
Kana mhedzisiro yacho isina kujairika...
Mhedzisiro isina kujairika zvinoreva kuti mwoyo wako wave nedambudziko panguva yekurovedza muviri, izvo zvinogona kuva chiratidzo chechirwere chemwoyo.
- Kuchinja kweEKG: Kana ropa risingafambi zvakanaka kuenda kumoyo (ischemia), EKG inoratidza shanduko.
- Kurwadziwa pachipfuva: Kana ukanzwa kurwadziwa pachipfuva paunenge uchirovedza muviri, zvinogona kuva chiratidzo chekuti tsinga yemwoyo yakavharika.
- Kusashanda zvakanaka kweropa: Kusakwira kana kudonha zvakanaka kweropa panguva yekurovedza muviri kunogonawo kuva dambudziko.
Chinhu chinonyanya kukosha ndechekuti, usavhunduke nemhedzisiro isingawanzoitika. Hazvirevi kuti uchava nechirwere chemwoyo. Zvinongoreva kuti pane dambudziko pamoyo wako ratinofanira kutarisisa totora matanho anodiwa.
Kana mhedzisiro isina kujairika ikawanikwa, chiremba ndiye achasarudza zvekuita zvinotevera.
- Shanduko diki dzinosanganisira: shanduko dzemararamiro (kurega kusvuta, kudzora kudya, kurovedza muviri) uye mishonga yekudzora cholesterol neBP.
- Shanduko dzakakomba ndeidzi:Mimwe miedzo inogona kurairwa kuti isimbise dambudziko uye kuti ione kuti rakavharika ripi chaizvo. Semuenzaniso, unogona kutumirwa kune chimwe chinhu chakadai se `CT Coronary Angiography` (CT scan) kana `Cardiac Catheterization` (angiogram test).
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kwekusimbisa muviri hakufaniri kutya. Kuongororwa kwakachengeteka uye kwakajairika kwekutarisa hutano hwemwoyo wako.
- Izvi zvinobatsira zvikuru pakuona kana chirwere chemwoyo chiri icho chinokonzera kurwadziwa muchipfuva uye kushaya mweya unodiwa paunorovedza muviri.
- Zvakakosha kutevedzera mirairo yachiremba (kutsanya, kurega mimwe mishonga) bvunzo isati yaitwa kuti uwane mhinduro dzakarurama.
- Kana ukanzwa kusagadzikana panguva yebvunzo, zivisa vakuru vari kutungamira nekukasika.
- Kunyangwe mhedzisiro yacho iri yakanaka kana kuti isina kujairika, usavhunduka, taura nachiremba wako uye uwane kunzwisisa kwakajeka kwematanho anotevera ekutora.
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