Ngaba nawe uziva udiniwe xa udiniwe? Ngaba isantya sentliziyo yakho siyehla? Masifunde ngokungakwazi ukusebenza kakuhle kweChronotropic!

Ngaba ngamanye amaxesha uziva ngathi udiniwe kakhulu ukuba ungenza neyona nto incinci, kwaye uphelelwa ngumphefumlo? Awukwazi ukubaleka okanye ukutsiba njengoko ubusenza ngaphambili, kwaye uzive unesizungu nangona unyuka izinyuko? Mhlawumbi intliziyo yakho ayibethi ngesantya esifanelekileyo xa udiniwe. Namhlanje siza kuthetha ngemeko enjalo. Oku kubizwa ngokuba yi- (Chronotropic Incompetence) kwisayensi yezonyango. Nangona eli gama liyinkimbinkimbi kancinci, masiliqonde ngokulula.

Yintoni le (Ukungakwazi Kwexesha Eliqhelekileyo)? Ngamafutshane nje...

Ngamafutshane, iChronotropic Incompetence yimeko apho ungakwazi ukunyusa izinga lentliziyo yakho kangangoko ufuna ngexesha lomsebenzi womzimba, njengokuzilolonga okanye umsebenzi onzima. Ngoku khangela, xa sizilolonga okanye sihamba, imizimba yethu ifuna ioksijini engaphezulu kunaxa sihleli nje. Le oksijini ithwalwa yigazi emzimbeni wonke. Ngoko ke, intliziyo yiyo epompa eli gazi.

(Ukungakwazi ukusebenza kwe-Chronotropic) Intliziyo yomntu onesidingo esongezelelekileyo se-oksijini ayikwazi ukujongana ngokuchanekileyo nesidingo somzimba se-oksijini esongezelelekileyo. Oko kukuthi, intliziyo ayikwazi ukubetha ngokukhawuleza kangangoko kuyimfuneko kwaye ipompe inani legazi (igazi eline-oksijini) elifunekayo emzimbeni. Cinga ngayo njengenjini yemoto. Kanye njengokuba sonyusa isantya senjini xa sifuna ukuhamba ngokukhawuleza, intliziyo yethu nayo kufuneka ibethe ngokukhawuleza xa sidiniwe. Ukuba asenzi njalo, kuvela iingxaki.

Oku kunokubangela ukuba ungasakwazi ukuzilolonga . Oku kuthetha ukuba usenokungakwazi ukwenza umthambo omninzi njengabanye abantu abalingana nawe. Usenokukufumanisa kunzima ukuhamba imigama obukade uhamba kuyo ngaphandle kokuphelelwa ngumphefumlo okanye ukudinwa.

Zithini iimpawu zale meko (Chronotropic Incompetence)?

Kukho iimpawu eziphambili ezininzi onokuzibona kule meko:

• Ukudinwa : Ukuziva udiniwe kakhulu nasemva kokwenza into encinci. Umzekelo, ungaziva udiniwe kakhulu emva kokwenza imisebenzi yasekhaya, ukuthwala ibhegi, okanye nokuhamba umgama omfutshane.
• Ukuphelelwa ngamandla ( ukuphelelwa ngamandla ) ngexesha lomsebenzi womzimba: Ubunzima bokuphefumla xa usebenza ngokomzimba, uphefumla kancinci . Usenokuziva uphelelwa ngamandla kangangokuba awukwazi nokubamba incoko.

Ezi mpawu zahlukile ekudinweni okuqhelekileyo. Ukuba uzive udiniwe okanye udiniwe kangangokuba awukwazi nokwenza imisebenzi yakho yemihla ngemihla, kufuneka ukhathazeke.

Zithini izizathu zokungakwazi ukusebenza kakuhle kweChronotropic?

Akukho sizathu sinye sale meko, kodwa zininzi izinto ezinokubangela oku. Makhe sibone ukuba zeziphi:

• Ezinye iintlobo zamayeza:Amayeza athile, ingakumbi lawo oxinzelelo lwegazi oluphezulu kunye nesifo sentliziyo (ii-beta-blockers), anokunciphisa isantya sentliziyo .
• Ukungasebenzi kakuhle kwe-Sinus node: I- sinus node yindawo apho intliziyo yethu iqala ukubetha khona. Isebenza njenge-pacemaker yendalo yentliziyo. Ukuba kukho ingxaki ngale node, isantya sentliziyo asiyi kulawulwa ngokufanelekileyo.
• Iingxaki zokuhambisa umoya: Ukuze intliziyo ibethe, iimpawu zombane kufuneka zihambe kakuhle kuyo yonke intliziyo. Ukuba kukho ukuvaleka okanye ingxaki kwiindlela ezihamba ngazo ezi zimpawu , izinga lentliziyo linokuba lingaqhelekanga okanye licothe.
• Ukungasebenzi kakuhle kwemithambo yegazi ekhohlo: Intliziyo yethu ineegumbi ezine eziphambili. I-ventricle ekhohlo yenye yezi. Ipompa igazi emzimbeni wonke. Ukuba i-ventricle ekhohlo ayisebenzi kakuhle, ayinakupompa igazi elaneleyo emzimbeni.
• Isifo sentliziyo esibizwa ngokuba yi-Ischemic : Oku kungaba ngunobangela wale meko, njengoko imithambo yegazi enika intliziyo ivaliwe, nto leyo ethintela izihlunu zentliziyo ekufumaneni ioksijini kunye nezondlo ezifunekayo.
• Ukusilela kwentliziyo : Iimeko ezifana nokuqokelelwa kolwelo kwenzeka xa intliziyo ingakwazi ukupompa igazi ukuhlangabezana neemfuno zomzimba.
• Isifo sentliziyo esizalwa naso: Abanye abantu bazalwa beneziphene ezithile zentliziyo. Ezi meko zinokuba negalelo ekuphuhlisweni kweChronotropic Incompetence kamva ebomini.

Zeziphi izinto ezibangela umngcipheko wale meko?

Abanye abantu basengozini enkulu yokuba nale meko. Nazi ezinye izinto ezinokubangela oku:

• Kubantu abanesifo sentliziyo .
• Kwabo batyebe kakhulu .
• (Isifo seswekile) Okanye kwabo banesifo seswekile.
• Kwabo banezifo zemiphunga ezingapheliyo ezifana neCOPD (isifo semiphunga esingapheliyo) .
• Kwabo bane- high blood pressure .
• Kwabo banentsholongwane kaGawulayo .
• Abantu abosulelwe yi -Epstein-Barr virus (le yintsholongwane edla ngokubangela umkhuhlane kunye nomphimbo obuhlungu).
• Kwabo baneemeko (ze-COVID ende) , oko kuthetha abo baneempawu ixesha elide emva kokuba benesifo se-COVID-19.

Ukuba unazo ezi zinto zinobungozi, kungcono ukuba uqaphele kancinci.

Oogqirha bayixilonga njani le meko (Chronotropic Incompetence)?

Ugqirha uza kuyixilonga le meko ukuba izinga lentliziyo yakho alikwazi ukufikelela kwinqanaba elithile. Ngokwesiqhelo, oogqirha bayayicinga le meko ukuba izinga lentliziyo yakho alinyuki liye phakathi kwama-70% nama-85% eminyaka yakho - oku kuqikelelwa ukuba izinga lentliziyo eliphezulu (APMHR) liphezulu ngexesha lomsebenzi womzimba.

Ifomula eqhelekileyo esetyenziswayo ukufumana izinga eliphezulu lentliziyo yakho (i-APMHR) elifanelekileyo kwiminyaka yakho yile: 220 xa ususa iminyaka yakho . Nangona kunjalo, le ayisiyondlela yodwa, oogqirha basebenzisa nezinye iindlela kunye neefomyula. Umzekelo, ukuba izinga lentliziyo yakho alikwazi ukufikelela kwi-80% yesantya sakho esigciniweyo , isetyenziselwa ukuxilonga ukuba une -Chronotropic Incompetence .

Akukho mgangatho mnye, owamkelekileyo kwihlabathi liphela woku. Ngoko ke, ugqirha uza kufikelela kwisigqibo ngokusekelwe kwimeko yakho.

Zeziphi iimvavanyo ezenziwayo koku?

Ukuba ugqirha wakho ukrokrela le meko, unokuyalela iimvavanyo ezininzi:

• Isixhobo sokujonga isingqisho sentliziyo esiqhubekayo: Esi sisixhobo esincinci onokusinxiba. Sinokujonga indlela isantya sentliziyo yakho esitshintsha ngayo imini yonke njengoko uqhubeka nemisebenzi yakho yesiqhelo.
• Uvavanyo lokuzilolonga (EKG – Electrocardiogram): Kolu vavanyo, izinga lentliziyo yakho (EKG) lijongwa ngelixa uhamba kwi-treadmill okanye uqhuba ibhayisekile engashukumiyo. Ugqirha wakho uza kujonga ukuba izinga lentliziyo yakho liyanyuka na ukuya kwinqanaba elilindelwe ngugqirha wakho.
• Uvavanyo loxinzelelo lomzimba (i-CVST): Olu luvavanyo olwenziwa kwi-treadmill okanye ibhayisekile. Nangona kunjalo, lukwalinganisa ukuba umzimba wakho usebenzisa ioksijini engakanani ngelixa uzilolonga. Oku kunokunika umbono olungileyo kungekuphela nje wentliziyo yakho kodwa nemiphunga yakho.

Ziziphi iindlela zonyango zokungakwazi ukusebenza kakuhle kweChronotropic?

Oogqirha balandela iindlela ezahlukeneyo zokunyanga le meko. Ezona ziphambili zezi:

• Umsebenzi womzimba: Musa ukumangaliswa! Nangona kunokuba nzima ukwenza umthambo, olunye unyango loku kukuzibandakanya kancinci kancinci kumthambo njengoko ugqirha wakho eyalele. Oku kunokuphucula kancinci kancinci amandla akho okwenza umthambo.
• I-pacemaker: Abanye abantu kufuneka bafake isixhobo esincinci se-elektroniki esibizwa ngokuba yi-pacemaker phantsi kolusu kufutshane nentliziyo. Oku kunceda intliziyo ibethe ngokukhawuleza xa uxinezelekile.
• I-Biventricular pacemaker okanye iCardiac Resynchronization Therapy (CRT):Olu luhlobo olukhethekileyo lwe-pacemaker. Lusebenza ngokubangela ukuba amagumbi amabini asezantsi (iiseli) zentliziyo abethe kunye ngesingqi esinye. Lunokuba luncedo kubantu abaneengxaki ezithile zentliziyo.

Ugqirha wakho uya kugqiba ukuba loluphi unyango olukufaneleyo. Oku kuya kuxhomekeka kwizinto ezininzi, kuquka imeko yakho, iimpawu, kunye nezinye iimeko zempilo.

Yintoni onokuyilindela xa uphila nale meko?

Abantu abadala abangakwaziyo ukusebenza ixesha elide banokufumana ukudinwa okungakumbi kunye nokuphefumla kancinci kunokuba bekulindelwe ngelixa besenza imisebenzi yemihla ngemihla okanye besenza umthambo. Umzekelo, banokuziva bediniwe emva kokuhlamba impahla baze babe nobunzima bokunyuka baye phezulu.

Kwiimeko ezingaqhelekanga, ukuquleka kunokwenzeka ukuba isantya sentliziyo asanelanga ukunika ingqondo igazi elaneleyo.

Izifundo zibonise ukuba abantu abadala abatyebe kakhulu nabangakwaziyo ukusebenza ixesha elide basengozini enkulu yokuhlaselwa yintliziyo okanye ukungaphumeleli kwentliziyo. Olunye uphando lubonisa ukuba abantu abanale meko basengozini enkulu yokuhlaselwa yintliziyo okanye ukungaphumeleli kwentliziyo. Kukwaboniswe ukuba ukuba nokukwazi ukusebenza ixesha elide ixesha elide ukongeza ekungakwazini kwentliziyo akulunganga ekusindeni ngokupheleleyo. Ezinye izifundo zibonise ukuba kukho unxibelelwano phakathi kwale meko kunye nokuncipha kwexesha lokuphila.

Oku akwenzelwanga ukukoyikisa, kodwa kukukhuthaza ukuba uqaphele le meko kwaye uthathe amanyathelo afunekayo.

Ngaba ukungakwazi ukusebenza kakuhle kweChronotropic kungathintelwa?

Ezinye zezinto ezibangela le meko, ezifana nesifo sentliziyo esizalwa naso, zingaphaya kwamandla ethu. Nangona kunjalo, kukho izinto esinokuzenza ukunciphisa umngcipheko wethu:

• Ukuba unesifo sentliziyo okanye semiphunga, kubalulekile ukufumana unyango olufanelekileyo lwaso .
• Kubaluleke kakhulu ukugcina ubunzima bomzimba wakho bukwinqanaba elifanelekileyo . Ukutyeba kakhulu kunegalelo kwizifo ezininzi.
• Ukuba unezifo ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu, kubalulekile ukuzilawula kakuhle .

Ukunyamekela ezi zinto kuya kukunceda ukhusele kungekuphela nje kwiChronotropic Incompetence , kodwa nakwezinye izifo ezininzi.

Ndingazinyamekela njani?

Ukuphila neChronotropic Incompetence kuthetha ukuba umzimba wakho ubeka imida ethile kwinto onokuyenza. Umonde ubaluleke kakhulu ngeli xesha. Musa ukoyika, zama ukuziqhelanisa nale meko kancinci kancinci.

• Thetha nogqirha wakho malunga nokuba kufuneka utshintshe amanye amayeza owasebenzisayo na, okanye ukuba ufuna i -pacemaker .
• Ukuba ugqirha ufake isixhobo esifubeni sakho (umz., i-pacemaker),Kufuneka ube nokuqonda kakuhle indlela esebenza ngayo.
• Qiniseka ukuba ugcina amadinga okulandelana nogqirha wakho ukuqinisekisa ukuba isixhobo sakho sisebenza kakuhle.
• Ukuba ugqirha wakho ukunike icebo lokunyusa kancinci kancinci umsebenzi wakho womzimba, landela loo miyalelo ngqo . Musa ukuzibhokoxa ngokupheleleyo.

Kuqhelekile ukuziva ulusizi kwaye udanile xa ungakwazi ukwenza izinto obukade ukwazi ukuzenza. Kunokuba yinto ecaphukisayo kakhulu ukuziva udiniwe nokuba uphakamisa nje iimpahla ezimbalwa. Kodwa akufuneki ujongane nale meko wedwa. Iqela lakho lezonyango lihlala likulungele ukukunceda.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa undwendwela ugqirha wakho, ungabuza imibuzo efana nale:

• Ungandixelela ukuba yintoni ebangela le meko (Chronotropic Incompetence) ?
• Ndingenza ntoni ukuze ndiphile kakuhle kangangoko ndinako ngemeko yam?
• Yintoni endinokuyilindela kwi -pacemaker oyifakileyo kum? (Ukuba i-pacemaker ifakile)
• Ngaba kukho iinkqubo okanye iindlela ezinokundinceda ukuba ndenze umthambo ongakumbi?

Ukongeza kule mibuzo, buza ugqirha wakho ngayo nayiphi na into ocinga ngayo okanye nayiphi na intandabuzo onokuba nayo.

Okokugqibela, khumbula!

(Chronotropic Incompetence) yimeko efuna unonophelo oluthile. Nangona kunjalo, ngeengcebiso zonyango ezifanelekileyo, unyango, kunye nokuzinikela kwakho , ungaphila ubomi obuhle nangona unesi sifo. Musa ukoyika. Mamela oko ugqirha wakho akuthethayo kwaye wenze ngokufanelekileyo. Ndikunqwenelela ukuchacha ngokukhawuleza!