Intliziyo yakho nemiphunga yakho iphilile kangakanani? Masifumanise ngovavanyo lwe-CPET! (Uvavanyo lokuzilolonga lweCardiopulmonary)

Ngaba ngamanye amaxesha ukufumanisa kunzima ukuphefumla nokuba ubaleka kancinci, okanye xa unyuka izinyuko? Okanye uzive udiniwe kakhulu? Ugqirha wakho usenokuba ukuxelele 'ngovavanyo loxinzelelo'. Lujonga indlela intliziyo yakho esebenza ngayo ngexesha lokuzilolonga. Kodwa namhlanje sithetha ngovavanyo olukhethekileyo olujonga ukusebenza kwentliziyo yakho kunye nemiphunga ngendlela enzulu ngakumbi. Oku kubizwa ngokuba yi-CPET, okanye uvavanyo lokuzivocavoca ngentliziyo.

Ngamafutshane, yintoni i-CPET?

I-CPET luvavanyo olulinganisa ukusebenza kwentliziyo yakho (intliziyo) kunye nemiphunga (ipulmonary) ngelixa uzilolonga. Ikwabizwa ngokuba 'luvavanyo loxinzelelo lomzimba'. Kulula kakhulu. Uza kucelwa ukuba uhambe nge-treadmill okanye ukhwele ibhayisekile engashukumiyo. Ngeli xesha, uza kufakelwa imaski yobuso ekhethekileyo okanye i-mouthpiece ekuvumela ukuba uphefumle ngomlomo wakho kuphela.

Oku kulinganisa indlela intliziyo yakho, imiphunga, kunye nemithambo yegazi ezisebenzisana ngayo ukuhambisa ioksijini kwimisipha yakho xa uzilolonga. Uvavanyo oluqhelekileyo loxinzelelo lwentliziyo lujonga intliziyo yakho kuphela. Kodwa uvavanyo lwe-CPET lubaluleke ngakumbi kuba lubonelela ngolwazi malunga nentliziyo yakho kunye nemiphunga ngaxeshanye .

Kutheni ugqirha angacebisa olu vavanyo?

Kukho izizathu ezahlukeneyo zokuba ugqirha wakho angacebisa olu vavanyo. Umzekelo, usenokuba nenye yezi ngxaki zilandelayo:

• Fumanisa ukuba kutheni uphelelwa ngumphefumlo okanye uzive udiniwe kakhulu xa uzilolonga: Abanye abantu bafumanisa ukuba bayadinwa kakhulu xa bezilolonga. Olu vavanyo lunokunceda ekufumaniseni ukuba unobangela yingxaki yentliziyo, ingxaki yemiphunga, okanye enye into.
• Jonga ukuba intliziyo yakho nemiphunga yakho ingakwazi ukwenza umthambo ongakanani: Oku kubalulekile ukuze wazi ukuba loluphi uhlobo lomthambo olukhuselekileyo ngaphambi kokuba uqale umthambo, ingakumbi kumntu onesifo sentliziyo.
• Ukuxilonga okanye ukujonga izifo zentliziyo okanye zemiphunga: Olu vavanyo lusetyenziselwa ukufumanisa ubukhali beemeko ezinje ngokusilela kwentliziyo, isifo sentliziyo sokuzalwa, uxinzelelo lwegazi oluphezulu lwemiphunga, okanye i-COPD.
• Yila isicwangciso sakho sonyango: Olu lwazi luluncedo ekumiseleni ukuba amayeza owasebenzisayo asebenza kakuhle na kwaye kukho na ukuphucuka kwimeko yakho emva konyango.
• Fumana umbono ngemeko yempilo yexesha elizayo (Isifo sokuxela kwangaphambili): Ungafumana umbono ngekamva lesifo, oko kukuthi, nokuba imeko iza kuba ngcono okanye ibe mandundu.
• Yenza isicwangciso sokuzilolonga esikhuselekileyo esikulungeleyo: Asinguye wonke umntu ofanelekileyo kuhlobo olufanayo lokuzilolonga. Oku kuya kukunceda ucwangcise ukuba zeziphi izithambo ezilungele umzimba wakho kwaye ixesha elingakanani.
• Hlola iingozi ngaphambi kotyando olukhulu: Umzekelo, ngaphambi kokuba unqunyulwe imiphunga okanye utyando lokufakelwa imiphunga, kubalulekile ukuvavanya ukuba umzimba wakho unako na ukulunyamezela olu tyando.
• Qinisekisa ukuba ungenza umsebenzi onzima emzimbeni ngokukhuselekileyo: Eminye imisebenzi (umz. abacimi-mlilo, abasebenzi bomkhosi) ifuna umgangatho ophezulu wokuqina komzimba. Olu vavanyo lukwasetyenziselwa ukumisela ukuba uyabafanelekela na.

Uyenza njani le vavanyo?

Uvavanyo lwe-CPET lwenziwa kwigumbi elikhethekileyo elibizwa ngokuba yi-'Stress Lab'. Izibhedlele zihlala zineyunithi ezinikeleyo kule njongo. Nangona olu vavanyo lwenziwa yingcali yelabhoratri eqeqeshiweyo, yonke into yenzeka phantsi kweliso likagqirha.

Kuya kufuneka ukhwele ibhayisekile engashukumiyo okanye uhambe nge-treadmill. Kuya kufuneka uzilolonge ixesha elide kangangoko unako . Yonke imizuzu okanye emibini, ingcali iya kwandisa kancinci ukumelana kwebhayisekile, okanye isantya kunye nokuthambeka kwe-treadmill. Emva koko, uya kuqala ukufumana kunzima ukuzilolonga. Uvavanyo luya kuma xa uziva ngathi awukwazi ukuqhubeka nokwenza njalo .

Ngalo lonke eli xesha, uphefumla ngemaski ekhankanyiweyo. Esi sixhobo silinganisa ubungakanani beoksijini emoyeni owuphefumlayo kunye nobungakanani bekharbon diokside emoyeni owukhuphayo. Sikwalinganisa ubungakanani bomoya onokuthi imiphunga yakho iwufumane ngaxeshanye. Lonke olu lwazi lurekhodwa kwikhompyutha.

Ulungiselela njani ngaphambi kovavanyo?

Ugqirha wakho uza kukuxelela ngokucacileyo indlela yokulungiselela olu vavanyo. Kubaluleke kakhulu ukulandela loo miyalelo ngqo. Nazi ezinye zezinto eziqhelekileyo ekufuneka uzilandele. Makhe sijonge itheyibhile ukuze kube lula ukukhumbula ezi zinto ngokucacileyo.

Kwenzeka ntoni ngexesha lovavanyo?

Uvavanyo lwenziwa ngamanqanaba ahlukeneyo. Lonke uvavanyo lungathatha malunga nemizuzu engama-75. Kodwa uza kube uzilolonga malunga nemizuzu engama-20.

Jonga amanyathelo angezantsi.

1. Ukulungiselela: Okokuqala, ingcali iza kubeka izitikha esifubeni sakho. Ezi zibizwa ngokuba zii-electrodes ze-EKG. Ezi ziza kujonga izinga lentliziyo yakho. Emva koko, kuya kufakwa i-blood pressure cuff engalweni yakho, kwaye kuya kufakwa i-pulse oximeter emnweni wakho. Ngamanye amaxesha, ityhubhu encinci kakhulu (i-catheter) inokufakwa kumthambo osesihlahleni sakho ukulinganisa igesi yegazi lakho.

2. Phumla: Okulandelayo, uza kucelwa ukuba ungenzi nto imizuzu emibini ukuya kwemithathu. Ngeli xesha, izinga lakho eliqhelekileyo lokubetha kwentliziyo, uxinzelelo lwegazi, kunye namanqanaba eoksijini aya kubhalwa phantsi njengemilinganiselo esisiseko.

3. Ukuzifudumeza:Emva koko uhamba nge-treadmill okanye ukhwele ibhayisekile imizuzu emibini ukuya kwemithathu ngesantya esiphantsi nesithambileyo. Oku kuvavanya indlela intliziyo yakho kunye nemiphunga yakho esabela ngayo kumthambo omncinci kakhulu.

4. Ukuzilolonga Okunyuswayo: Le yeyona nxalenye ibalulekileyo yovavanyo. Ihlala ithatha imizuzu esi-8 ukuya kweli-12. Uyaqhubeka nokuzilolonga njengoko ingcali inyusa ubunzima kancinci kancinci. Kuya kuba nzima kancinci kuwe. Kulapho kufuneka uzibhokoxe ngamandla akho onke.

5. Ukuzola: Xa ungasakwazi ukwenza okungakumbi, yeka inxalenye ephambili yovavanyo. Emva koko, malunga nemizuzu emithathu ukuya kwemihlanu, kancinci kwaye ngaphandle kobunzima, uphinde uzilolonge. Oku kuvumela umzimba ukuba ubuyele esiqhelweni kancinci kancinci.

Ingcali iza kujonga imeko yakho ngokusondeleyo ngeli xesha. Ungacelwa ukuba usebenzise imiqondiso yesandla ukubuza ukuba uziva njani. Umzekelo, kwisikali esiqala ku-1 ukuya kwi-10, banokukucela ukuba ulinganisele ukuba udiniwe kangakanani.

Uza kuziva njani xa ubhala uvavanyo?

Ukuze ufumane iziphumo ezichanekileyo neziluncedo, kufuneka uzilolonge ude udinwe ngokwenene . Ke ngoko, kuyinto eqhelekileyo ukuba isantya sentliziyo yakho, uxinzelelo lwegazi, kunye nesantya sokuphefumla sinyuke. Usenokubila kwaye imilenze yakho isenokuziva idinwe kakhulu. Kuqhelekile nokuba umlomo wakho wome kuba uphefumla ngemaski.

Nika ingqalelo ekhethekileyo kwiimpawu ezifana nezi:

• Intlungu, ukuqina, okanye ukungakhululeki esifubeni, engalweni, okanye emhlathini.
• Kunzima kakhulu ukuphefumla.
• Ukuba nesiyezi okanye ukuziva uphelelwe ngamandla.

Ezi zinokuba ziimpawu zengxamiseko, njengokuhlaselwa yintliziyo. Abasebenzi belabhoratri baza kube bejonga i-EKG yakho, kwaye ukuba babona naluphi na utshintsho oluyingozi, baza kuyimisa ngoko nangoko le vavanyo.

Ngaba kukho naziphi na iingozi ngolu vavanyo?

I-CPET yenziwa kwindawo ekhuselekileyo nelawulwayo. Ngoko ke akukho nto yokoyika. Nangona kunjalo, akuqinisekwanga ngokupheleleyo ukuba umzimba wakho uza kusabela njani kumthambo onzima. Kukho iingozi ezinqabileyo, ezifana nokulahlekelwa yingqondo okanye ukuhlaselwa yintliziyo. Nokuba kwenzeka imeko engxamisekileyo, abasebenzi belabhoratri baqeqeshwe ukukunyanga ngoko nangoko.

Ngaphambi kokuba unyathele elabhoratri, ugqirha wakho uya kuqinisekisa ukuba olu vavanyo lukhuselekile kuwe. Umzekelo, ukuba unenye yezi meko zilandelayo, ugqirha wakho unokugqiba kwelokuba olu vavanyo alukhuselekile kuwe:

• Usulelo olukhawulezileyo olufana nomkhuhlane, umkhuhlane, okanye i-COVID-19.
• Ukudumba kwentliziyo okukhawulezileyo.
• Ihlwili legazi emilenzeni (iDeep Vein Thrombosis - DVT).
• I-hypertrophic cardiomyopathy.
• Ukungasebenzi kakuhle kwezintso.
• I-stenosis yevalvu yentliziyo ephakathi okanye enzima.
• Ukukhulelwa emva kwexesha okanye ukukhulelwa okuneengxaki.
• Ukuba ukhe wahlaselwa yintliziyo kutshanje (kwiintsuku ezingama-30).
• Uxinzelelo lwegazi oluphezulu olungalawulekiyo (Uxinzelelo lwegazi oluphezulu) okanye uxinzelelo lwegazi oluphezulu emiphungeni (Uxinzelelo lwegazi oluphezulu lwePulmonary).
• Ukuphazamiseka kwentliziyo okungalawulekiyo (iiArrhythmia ezingalawulekiyo).

Kwenzeka ntoni emva kovavanyo?

Xa ixesha lakho lokuphola liphelile, ingcali iza kujonga kwakhona izinto zakho ezibalulekileyo zomzimba ize isuse naziphi na izixhobo onokuba uzincamathisele emzimbeni wakho. Emva koko, ungahlala phantsi, usele amanzi, uze uphumle okwethutyana. Xa beqinisekile ukuba uphilile, baza kukuvumela ukuba ugoduke.

Ugqirha oye wayalela olu vavanyo uza kumisela ixesha elahlukileyo lokuthetha nawe ngeziphumo .

Yintoni ekwingxelo oyifumanayo?

Uvavanyo lwe-CPET luqokelela amawaka eemilinganiselo. Ezi ziboniswe kwingxelo eneegrafu ezininzi ezintsonkothileyo ezibizwa ngokuba yi-'nine-panel plots'. Ezi zizinto zobugcisa kakhulu kwaye kunzima kumntu oqhelekileyo ukuziqonda.

Kodwa ungakhathazeki. Ugqirha wakho uza kuhlalutya zonke ezi tshathi aze akuchazele ngokulula ukuba zithetha ukuthini. Uza kukuxelela nento omawuyenze ngokulandelayo, nokuba kufuneka uvavanyo olongezelelekileyo, okanye ukuba kufuneka kuqalwe naluphi na unyango.

I-CPET scan ingakuxelela okuninzi malunga nendlela intliziyo yakho kunye nemiphunga esebenza ngayo. Kunokuba nzima kancinci ukunxiba zonke izixhobo ezahlukeneyo nokwenza umthambo. Kodwa khumbula, isixhobo ngasinye sinikezela ngolwazi olubalulekileyo olunokukunceda ucwangcise unyango olungcono kuwe.

Ukuba unemibuzo ngaphambi kovavanyo okanye ufuna ulwazi oluthe kratya malunga nendlela yokulungiselela, ungathandabuzi ukubuza ugqirha wakho.