Khawuthelekelele uhleli kamnandi esitulweni uze ngequbuliso ume. Okanye ulele ebhedini uze ngequbuliso uzive unesiyezi, umbono wakho ufiphele, kwaye intliziyo yakho ibetha ngokukhawuleza. Ngamanye amaxesha sicinga ukuba oku kuyinto eqhelekileyo, into eyenzeka emzimbeni ngenxa yokuzilolonga, kodwa akusoloko kunjalo. Oku kungaba luphawu lwemeko ekhethekileyo ebizwa ngokuba yiPOTS (Postural Orthostatic Tachycardia Syndrome) . Ungakhathazeki, siza kuthetha ngale nto ngokulula, ukusuka ku-A ukuya ku-Z.
Ngamafutshane, yintoni i-POTS?
Musa ukoyikiswa leli gama lide. Masilihlalutye igama negama. Emva koko kuya kuba lula kakhulu ukuliqonda.
- Imo yomzimba: Oku kubhekisa kwinto enxulumene nendawo yomzimba wakho.
- I-Orthostatic: Oku kuthetha into enxulumene nokuma nkqo.
- I-Tachycardia: Mhlawumbi ukhe weva ngale nto. Oku kubhekisa kwisantya sentliziyo esikhawulezayo, oko kuthetha ukuba intliziyo ibetha ngaphezulu kwe-100 ngomzuzu.
- Isifo: Oku kubhekisa kwiqela leempawu ezenzeka kunye.
Ngoko ke, i-POTS yingqokelela yeempawu apho isantya sentliziyo yakho sinyuka ngokungaqhelekanga xa utshintsha indawo, ingakumbi xa usukuma ulele okanye uhleli.
Ngokwesiqhelo, imizimba yethu inenkqubo ezenzekelayo emangalisayo kakhulu. Ibizwa ngokuba yi-Autonomic Nervous System . Ifana nenkqubo yekhompyutha emizimbeni yethu. Nokuba simile, sihleli, okanye silele, ilungisa izinto ezifana nokuhamba kwegazi, isantya sentliziyo, kunye noxinzelelo lwegazi njengoko kufuneka. Akunyanzelekanga nokuba sicinge ngayo.
Kodwa kukho ingxaki encinci ngale nkqubo yekhompyutha kumntu one-POTS. Xa usukuma, le nkqubo ayikwazi ukupompa kakuhle igazi eliqokelelana emilenzeni yakho ngenxa yomxhuzulane obuyela entliziyweni nasengqondweni yakho. Njengokungathi ubuyisela, umzimba wenza intliziyo ibethe ngokukhawuleza. Yiyo loo nto uba nesiyezi, isifuba sakho sibuhlungu, kwaye uzive udiniwe.
Into ebalulekileyo kukuba, i-POTS ayisiyongxaki yentliziyo. Akukho nto imbi ngentliziyo yakho. Lutshintsho kwindlela esebenza ngayo inkqubo yemithambo-luvo elawula intliziyo.
Ngubani onokuthi abe nale meko?
Nangona i-POTS inokuchaphazela nabani na, uphando lufumanise ukuba ixhaphake kakhulu kubasetyhini abaphakathi kweminyaka eli-15 nengama-50 ubudala. Nangona kunjalo, amadoda nawo anokuba nale meko.
Le meko idla ngokuba nokwenzeka emva kwesiganeko esithile. Umzekelo:
- Emva kwesifo esinzima:Njengasemva kokuphola kwisifo esibi kakhulu sentsholongwane esifana ne-dengue okanye i-mononucleosis.
- Emva kokukhulelwa: Abanye oomama banokuba nale meko emva kokuba benomntwana.
- Emva kwengozi emzimbeni: Emva kwengozi, njengokwenzakala entloko.
- Emva kotyando olukhulu.
Ukongeza, abantu abaneengxaki zokuzikhusela komzimba , ezizizifo apho amajoni omzimba ahlasela khona umzimba wawo (umz., isifo sikaSjogren, ilupus, isifo seceliac), nabo basengozini enkulu yokuhlaselwa yi-POTS.
Ziziphi iimpawu eziphambili zePOTS?
Iimpawu zePOTS zingahluka kakhulu kumntu nomntu. Abanye abantu baneempawu ezimbalwa kuphela, ngelixa abanye benezininzi. Ezi mpawu zinokuvela ngequbuliso, okanye zinokwanda kancinci kancinci ngokuhamba kwexesha.
Ungafumana umbono olungileyo ngale nto ngokujonga le theyibhile ingezantsi.
| Uphawu | Ingcaciso elula |
|---|---|
| Isiyezi/amehlo aluhlaza okwesibhakabhaka | Uvakalelo oluvakalayo ngakumbi xa umi, ume endaweni enye ixesha elide (umz., emgceni), okanye uhamba imigama emide. |
| Ukuquleka (ukulahlekelwa zingqondo) | Abanye abantu banokulahlekelwa zingqondo baze bawe. Abanye bazive ngathi baza kuwa. |
| Ukubetha kwentliziyo | Kuvakala ngathi isifuba sakho siyabetha kwaye intliziyo yakho sele iza kuphuma. |
| Inkungu yobuchopho | Ukulibala izinto, ukuba nengxaki yokugxila kwinto enye, ukuziva ngathi ingqondo yakho ayicacanga. |
| Ndiziva ndidiniwe kakhulu | Ndiziva ndidiniwe imini yonke nangona ndilele kakuhle, ndiziva ndidiniwe kakhulu nangona ndisenza umsebenzi omncinci. |
| Ezinye iimpawu | Intlungu esifubeni, ubunzima bokuphefumla, intloko ebuhlungu, ukudumba, isicaphucaphu, ukubila kakhulu, ukungcangcazela komzimba, kunye nokuphazamiseka kokulala ngenxa yentlungu esifubeni ngexesha lokulala. |
Iimeko apho iimpawu zinokuba mandundu khona
- Xa ukwindawo eshushu: xa uhlamba emanzini ashushu, xa uselangeni.
- Xa ume kwindawo enye ixesha elide: xa ume ebhasini, xa ulinde emgceni.
- Xa usenza umthambo kakhulu.
- Xa ugula kakhulu: xa unesifo somkhuhlane okanye umkhuhlane.
- Ngeentsuku apho abafazi besiya exesheni.
Wazi njani ukuba une-POTS?
Ukuba unale mpawu, eyona nto ibalulekileyo ekufuneka uyenze kukubona ugqirha olungileyo. Musa ukucinga ukuba unesi sifo. Ezi mpawu zinokuvela nakwezinye iimeko zonyango.
Ugqirha wakho uza kukubuza ngeempawu zakho kunye nembali yakho yezonyango, aze emva koko akuhlole. Ukuba ukrokrela ukuba une-POTS, uvavanyo oluphambili lokuqinisekisa ukuba unayo luvavanyo lwetafile yokuthambeka .
Kule meko, wenziwa ukuba ulale ebhedini ekhethekileyo kwaye ubotshelelwe ngeentambo ukuze ungashukumi. Emva kwexesha elithile, ibhedi ijikwa kancinci kancinci ibe kwindawo yokuma. Ngeli xesha, izinga lentliziyo yakho kunye noxinzelelo lwegazi zilinganiswa rhoqo ngoomatshini. Kumntu one-POTS, xa ibhedi ilungisiwe, izinga lentliziyo linyuka kakhulu kunexabiso elithile.
Ukongeza, ugqirha unokugqiba ekubeni enze ezinye iimvavanyo ezininzi, ezifana novavanyo lwegazi nomchamo kunye novavanyo lwemithambo-luvo, ukuze kufunyanwe unobangela.
Ziziphi iindlela zonyango kunye neendlela zokulawula oku?
Akukho nyango lwe-POTS okwangoku. Kodwa zininzi iindlela zokulawula iimpawu nokuphila ubomi obungcono. Unyango luyahluka ukusuka kumntu ukuya komnye, njengoko kungengabo bonke abantu abaneempawu ezifanayo.
Eyona nto iphambili ijoliswe kuyo yile miba mithathu:
1. Ukutya kunye nesondlo
2. Ukuzilolonga kunye nomsebenzi womzimba
3. Amayeza kwezinye iimeko
1. Ukutya kunye nesondlo
Le yinxalenye ebaluleke kakhulu yolawulo lwePOTS.
- Ityuwa namanzi: Kwabo banegazi eliphantsi, ugqirha angacebisa ityuwa namanzi angakumbi.Kucetyiswa ukuba usele. Kubalulekile ukusela malunga neelitha ezi-2-2.5 zamanzi ngosuku. Ityuwa ayisiyo ityuwa oyibeka ekutyeni kuphela. Ungatya izinto ezinempilo ngetyuwa. (Umzekelo: ityuwa, ilime, iipickles, ii-olive, amantongomane anetyuwa, isosi yesoya). Kodwa le yinto ekufuneka uthethe nogqirha wakho ngayo kwaye uyenze ngokweengcebiso zakhe.
- Ukutya: Xa usitya isidlo esikhulu ngaxeshanye, igazi elininzi liya esiswini sakho ukuze lisitye. Oku kunokwenza iimpawu zePOTS zibe mandundu ngakumbi. Ngoko ke, kungcono ukutya izidlo ezincinci ezi-5 okanye ezi-6 ngosuku endaweni yokutya izidlo ezinkulu ezi-3.
- Ukutya okunesondlo: Ukutya ukutya okutyebileyo kwi-fiber kunye ne-carbohydrates ezintsonkothileyo kunokunceda ukulawula ukunyuka kweswekile egazini kunye nokunciphisa iimpawu.
2. Ukuzilolonga kunye nomsebenzi womzimba
Usenokuba ucinga, "Owu, ndingazilolonga njani ukuba ndinengxaki yokuvuka?" Kodwa ukuzilolonga lolunye lwezona ndlela zilungileyo zonyango lwe-POTS. Kodwa kufuneka kwenziwe ngendlela efanelekileyo.
Eyona nto ibalulekileyo kukungaqali ngokuzilolonga umile. Kufuneka uqale ngokuzilolonga onokukwenza ulale phantsi okanye uhlale phantsi.
- Ukuzilolonga okufana nokudada, ukusebenzisa umatshini wokurhola, kunye nokukhwela ibhayisekile eleleyo kulungile kuba awumi xa usenza ezi zinto.
- Uqheliso lwe-Isometric: Olu luqheliso olubandakanya ukuqinisa nokukhulula izihlunu ngaphandle kokuhambisa amalungu omzimba. Umzekelo, xa ulele ebhedini, ukuqinisa nokukhulula izihlunu zemilenze imizuzwana embalwa. Ukwenza oku ngaphambi kokuba uvuke ebhedini kusasa kunokunceda ekulungiseleleni umzimba.
- Tshintsha iindlela zokuma kancinci: Xa uphuma ebhedini, endaweni yokuvuka ngequbuliso, hlala ebhedini imizuzu embalwa kuqala. Emva koko vuka kancinci uhlale kwindawo enye okwethutyana ngaphambi kokuba uhambe. Oku kubaluleke kakhulu ukunika umzimba wakho ixesha lokuziqhelanisa nendawo entsha.
3. Amayeza (amayeza)
Akukho mayeza athile avunyiweyo kwi-POTS. Nangona kunjalo, oogqirha banokunika amayeza athile ukunceda ukulawula ezinye zeempawu. Umzekelo, amayeza anceda umzimba ukuba ugcine ityuwa namanzi, amayeza alawula isantya sentliziyo (ii-beta-blockers), kunye namayeza anceda ukuvimba imithambo yegazi.
Musa ukusebenzisa la mayeza wedwa. La mayeza kufuneka anikwe ngugqirha wakho kuphela emva kokuba ehlolisise imeko yakho ngononophelo.
Ezinye izinto ekufuneka uziqwalasele xa uhlala ne-POTS
- Ukulala kakuhle: Ukulala kubalulekile kuye wonke umntu. Kubaluleke ngakumbi kumntu one-POTS. Ukuphakamisa intloko yebhedi yakho malunga nee-intshi ezi-6 kunokunceda ukunciphisa iimpawu kusasa. Ukuze wenze oku, beka izitena ezibini phantsi kwemilenze yebhedi yakho ukuze yonke ibhedi ithambeke kancinci.
- Ulawulo lobushushu:Ubushushu obugqithisileyo bunokwenza iimpawu zibe mandundu. Ngoko ke, kuphephe ukuchitha ixesha elininzi ngaphandle ngeentsuku ezishushu kwaye kuphephe ukuhlamba ngamanzi ashushu. Kungcono ukuhlala kwindawo enomoya opholileyo ukuba kunokwenzeka.
- Iisokisi zokucinezela: Ezi ziisokisi ezikhethekileyo ezinxitywa emilenzeni. Zinceda ekucinezeleni imithambo yegazi emilenzeni nasekupompeni igazi phezulu. Ezi zingasetyenziswa njengoko ugqirha wakho ekuyalele.
- Impilo yengqondo: Ukuphila nesigulo esihlala ixesha elide kunokuba yingxaki. Thetha nosapho lwakho kunye nabahlobo ngale nto. Ukuba kuyimfuneko, ukufuna ingcebiso kunokuba luncedo kakhulu.
I-POTS ayisosisongelo kubomi. Oko kuthetha ukuba ayizukunciphisa ubomi bakho. Kodwa inokuba yingxaki enkulu kubomi bakho bemihla ngemihla. Kodwa ngolawulo olufanelekileyo kunye notshintsho kwindlela yokuphila, abantu abaninzi banokulawula iimpawu zabo baze baphile ngolonwabo.
Umyalezo Wokuya Ekhaya
- I-POTS yimeko apho isantya sentliziyo yakho sinyuka ngokungaqhelekanga xa usukuma, nto leyo ebangela iimpawu ezifana nesiyezi kunye nokudinwa. Ayisiyongxaki yentliziyo, kodwa lutshintsho kwinkqubo yemithambo-luvo olulawula intliziyo.
- Nangona le meko ingasongeli ubomi, inokuphazamisana nemisebenzi yemihla ngemihla.
- Iimpawu zinokulawulwa kakhulu ngokusela amanzi netyuwa eninzi, ukutya ukutya okuncinci, ukwenza umthambo ofanelekileyo, nokwenza utshintsho kwindlela yokuphila.
- Ukuba unale mpawu, qiniseka ukuba ubona ugqirha ukuze ufumane ukuxilongwa ngokuchanekileyo. Musa ukwenza izigqibo ngesifo sakho ngokwakho.
- Ngolawulo olufanelekileyo kunye neengcebiso zonyango, abantu abaninzi abane-POTS banokuphila ubomi obuhle nobunempumelelo.
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