Ingabe nawe uzizwa ukhathele uma ukhathele? Ingabe ukushaya kwenhliziyo yakho kuyehla? Ake sifunde ngokungakwazi ukusebenza kahle kwe-Chronotropic!

Ingabe ngezinye izikhathi uzizwa sengathi ukhathele kakhulu ukwenza ngisho nento encane kakhulu, futhi uphelelwa umoya? Awukwazi ukugijima noma ukugxuma njengoba ubuvame ukwenza, futhi uzizwa unesizungu ngisho nalapho ukhuphuka izitebhisi? Mhlawumbe inhliziyo yakho ayishayi ngesivinini esifanele uma ukhathele. Namuhla sizokhuluma ngesimo esinjalo. Lokhu kubizwa ngokuthi (Chronotropic Incompetence) kwisayensi yezokwelapha. Nakuba leli gama liyinkimbinkimbi kancane, masiliqonde kalula.

Kuyini lokhu (Ukungakwazi Ukusebenza Kwesikhathi Esidlule)? Kalula nje...

Kalula nje, i-Chronotropic Incompetence yisimo lapho ungakwazi ukukhulisa izinga lokushaya kwenhliziyo yakho ngangokunokwenzeka ngesikhathi sokusebenza ngokomzimba, njengokuzivocavoca noma umsebenzi onzima. Manje bheka, lapho sizivocavoca noma sihamba, umzimba wethu udinga umoya-mpilo omningi kunalapho sihleli nje sithule. Lo moya-mpilo uthwalwa yigazi emzimbeni wonke. Ngakho-ke, inhliziyo yiyo epompa leli gazi.

(Ukungakwazi Ukusebenza Kwesikhathi Esidlule) Inhliziyo yomuntu onesidingo esikhulu se-oxygen ayikwazi ukubhekana kahle nesidingo somzimba se-oxygen. Okusho ukuthi, inhliziyo ayikwazi ukushaya ngokushesha ngangokunokwenzeka futhi ipompe inani legazi (igazi elinomoya-mpilo) umzimba olidingayo. Cabanga ngakho njengenjini yemoto. Njengoba nje sandisa ijubane lenjini uma sifuna ukuhamba ngokushesha, inhliziyo yethu nayo idinga ukushaya ngokushesha uma sikhathele. Uma singakwenzi lokho, kuvela izinkinga.

Lokhu kungabangela ukuthi ungakwazi ukubekezelela ukuzivocavoca umzimba ngendlela ephansi . Lokhu kusho ukuthi ungase ungakwazi ukwenza umsebenzi omningi njengontanga yakho. Ungase ukuthole kunzima ukuhamba amabanga owawukwazi ukuhamba ngawo ngaphambili ngaphandle kokuphelelwa umoya noma ukukhathala.

Yiziphi izimpawu zalesi simo (ukungasebenzi kahle kwe-Chronotropic)?

Kunezimpawu eziningana eziyinhloko ongase uzizwe kulesi simo:

• Ukukhathala : Ukuzizwa ukhathele kakhulu ngisho nangemva kokwenza into encane. Isibonelo, ungase uzizwe ukhathele kakhulu ngemva kokwenza imisebenzi yasekhaya, ukuthwala isikhwama, noma ngisho nokuhamba ibanga elifushane.
• Ukuphelelwa umoya ( ukuphelelwa umoya ) ngesikhathi somsebenzi womzimba: Ubunzima bokuphefumula uma usebenza ngokomzimba, uphefumula kanzima . Ungase uzizwe uphelelwa umoya kangangokuthi awukwazi ngisho nokubamba ingxoxo.

Lezi zimpawu zihlukile ekukhathaleni okuvamile. Uma uzizwa ukhathele noma ukhathele kangangokuthi awukwazi ngisho nokwenza imisebenzi yakho yansuku zonke, kufanele ukhathazeke.

Yiziphi izimbangela zokungakwazi ukusebenza kwe-Chronotropic?

Akukho sizathu esisodwa salesi simo, kodwa kunezici eziningana ezingaba nomthelela kuso. Ake sibone ukuthi ziyini:

• Ezinye izinhlobo zemithi:Imithi ethile, ikakhulukazi leyo yomfutho wegazi ophakeme kanye nesifo senhliziyo (ama-beta-blockers), inganciphisa izinga lokushaya kwenhliziyo .
• Ukungasebenzi kahle kwe-sinus node: Yilapho inhliziyo yethu iqala khona ukushaya. Isebenza njenge-pacemaker yemvelo yenhliziyo. Uma kunenkinga ngalokhu , izinga lokushaya kwenhliziyo ngeke lilawulwe kahle.
• Izinkinga zokuhambisa umoya: Ukuze inhliziyo ishaye, izimpawu zikagesi kudingeka zihambe kahle kuyo yonke inhliziyo. Uma kukhona ukuvaleka noma inkinga ezindleleni ezihamba ngazo lezi zimpawu , izinga lokushaya kwenhliziyo lingahluka noma lihambe kancane.
• Ukungasebenzi kahle kwe-ventricle yesobunxele: Inhliziyo yethu inezindawo ezine eziyinhloko. I-ventricle yesobunxele ingenye yalezi. Ipompa igazi emzimbeni wonke. Uma i-ventricle yesobunxele ingasebenzi kahle, ayikwazi ukupompa igazi elanele emzimbeni.
• Isifo senhliziyo esibangelwa yi-Ischemic: Ukuvaleka kwemithambo yegazi enikeza inhliziyo kuvimbela imisipha yenhliziyo ekutholeni umoya-mpilo nezakhamzimba ezidingayo. Lokhu kungaba yimbangela yalesi simo.
• Ukwehluleka kwenhliziyo : Izimo ezinjengokunqwabelana koketshezi kwenzeka lapho inhliziyo ingakwazi ukupompa igazi ukuze ihlangabezane nezidingo zomzimba.
• Isifo senhliziyo esizalwa naso: Abanye abantu bazalwa benezinkinga ezithile zenhliziyo. Lezi zimo zingaba nomthelela ekuthuthukisweni kwe- Chronotropic Incompetence kamuva ekuphileni.

Yiziphi izinto ezandisa ingozi yalesi simo?

Abanye abantu basengozini enkulu kancane yokuthola lesi simo. Nazi ezinye izinto ezingaba nomthelela kulokhu:

• Kubantu abanesifo senhliziyo .
• Kubantu abanokukhuluphala ngokweqile .
• (Isifo sikashukela) Noma kulabo abanesifo sikashukela.
• Kulabo abanezifo zamaphaphu ezingamahlalakhona njenge -COPD (isifo samaphaphu esingamahlalakhona) .
• Kulabo abanomfutho wegazi ophakeme .
• Kulabo abanesifo se -HIV .
• Abantu abangenwe yigciwane i-Epstein-Barr (leli gciwane elivame ukubangela umkhuhlane kanye nomphimbo obuhlungu).
• Kulabo abanezimo (ze-COVID ende) , okusho labo abanezimpawu isikhathi eside ngemuva kokuthola i-COVID-19.

Uma unalezi zinto eziyingozi, kungcono ukuthi uqaphele kancane.

Odokotela basithola kanjani lesi simo (Ukungasebenzi Kahle Kwe-Chronotropic)?

Udokotela uzoxilonga lesi simo uma izinga lokushaya kwenhliziyo yakho lingakwazi ukufinyelela ezingeni elithile. Ngokuvamile, odokotela basola lesi simo uma izinga lokushaya kwenhliziyo yakho lingakhuphuki libe phakathi kuka-70% no-85% weminyaka yakho - okubikezelwe izinga lokushaya kwenhliziyo eliphezulu (i-APMHR) ngesikhathi somsebenzi womzimba omkhulu.

Ifomula evamile esetshenziswa ukuthola izinga lokushaya kwenhliziyo lakho elifanele iminyaka (i-APMHR) ithi: 220 uma ususa iminyaka yakho . Kodwa-ke, lena akuyona yodwa indlela, odokotela basebenzisa nezinye izindlela namafomula. Isibonelo, uma izinga lokushaya kwenhliziyo yakho lingakwazi ukufinyelela ku-80% wesilinganiso sakho sokushaya kwenhliziyo , isetshenziselwa ukukuxilonga ukuthi une -Chronotropic Incompetence .

Akukho simiso esisodwa esamukeleka emhlabeni wonke salokhu. Ngakho-ke, udokotela uzofinyelela esiphethweni ngokusekelwe esimweni sakho.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Uma udokotela wakho esola lesi simo, angase acele ukuhlolwa okuningana:

• Isiqaphi senhliziyo esiqhubekayo: Lena idivayisi encane ongayigqoka. Ingaqapha ukuthi ukushaya kwenhliziyo yakho kushintsha kanjani phakathi nosuku njengoba uqhubeka nemisebenzi yakho evamile.
• Ukuhlolwa kokuzivocavoca (EKG - Electrocardiogram): Kulokhu kuhlolwa, izinga lokushaya kwenhliziyo yakho (EKG) liyaqashwa ngenkathi uhamba nge-treadmill noma ugibela ibhayisikili elingashukumi. Udokotela wakho uzohlola ukuthi izinga lokushaya kwenhliziyo yakho liyakhuphuka yini liye ezingeni udokotela wakho alilindele.
• Ukuhlolwa kokucindezeleka kokuzivocavoca umzimba (i-CVST): Lokhu futhi ukuhlolwa okwenziwa ku-treadmill noma ebhayisikilini. Kodwa-ke, futhi kulinganisa ukuthi umzimba wakho usebenzisa umoya-mpilo ongakanani ngenkathi uzivocavoca. Lokhu kunganikeza umbono omuhle hhayi nje ngenhliziyo yakho kodwa namaphaphu akho.

Yiziphi izindlela zokwelapha ukungasebenzi kahle kwe-Chronotropic?

Odokotela balandela izindlela eziningana zokwelapha lesi simo. Eziyinhloko yilezi:

• Umsebenzi womzimba: Ungamangali! Nakuba kungase kube nzima ukuzivocavoca, enye indlela yokwelapha lokhu ukuzibandakanya kancane kancane ekuzivocavoceni njengoba kuyalelwe udokotela. Lokhu kungathuthukisa kancane kancane ikhono lakho lokwenza umsebenzi womzimba.
• I-pacemaker: Abanye abantu badinga ukufakwa kwedivayisi encane kagesi ebizwa ngokuthi i-pacemaker ngaphansi kwesikhumba eduze kwenhliziyo. Lokhu kusiza inhliziyo ukuthi ishaye ngokushesha uma ucindezelekile.
• I-Biventricular pacemaker noma i-Cardiac Resynchronization Therapy (CRT):Lolu futhi uhlobo olukhethekile lwe-pacemaker. Lusebenza ngokubangela amakamelo amabili aphansi (amaseli) enhliziyo ukuthi ashaye ndawonye ngesigqi esisodwa. Lungaba usizo kubantu abanezinkinga ezithile zenhliziyo.

Udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okufanele wena. Lokhu kuzoncika ezintweni eziningi, okuhlanganisa isimo sakho, izimpawu, kanye nezinye izimo zezokwelapha.

Yini ongayilindela uma uphila nalesi simo?

Abantu abadala abangakwazi ukusebenza kahle ngesikhathi esisodwa bangase bakhathale kakhulu futhi baphelelwe umoya kunalokho obekulindelekile ngenkathi benza imisebenzi evamile yansuku zonke noma bevivinya umzimba. Isibonelo, bangase bazizwe bekhathele ngemva kokugeza izingubo bese beba nobunzima bokukhuphukela phezulu.

Ezimweni ezingavamile, ukuquleka kungenzeka uma ukushaya kwenhliziyo kunganele ukunikeza ubuchopho igazi elanele.

Izifundo zikhombisile ukuthi abantu abadala abakhuluphele futhi abangakwazi ukusebenza kahle kwe-chronotropic basengozini enkulu yokuhlaselwa yinhliziyo noma ukwehluleka kwenhliziyo. Olunye ucwaningo lusikisela ukuthi abantu abanalesi simo basengozini enkulu ye -atrial fibrillation (Afib) . Kuye kwaboniswa nokuthi ukuba nokungakwazi ukusebenza kahle kwe-chronotropic ngaphezu kokwehluleka kwenhliziyo akukuhle ekusindeni okuphelele. Ezinye izifundo zikhombisile nokuthi kukhona ukuxhumana phakathi kwalesi simo nokuncipha kwesikhathi sokuphila.

Lokhu akuhloselwe ukukwesabisa, kodwa ukukukhuthaza ukuthi uqaphele lesi simo futhi uthathe izinyathelo ezidingekayo.

Ingabe ukungakwazi ukusebenza kahle kwe-Chronotropic kungavinjelwa?

Ezinye zezinto ezibangela lesi simo, njengesifo senhliziyo esizalwa naso, zingaphezu kwamandla ethu. Kodwa-ke, kunezinto ezithile esingazenza ukuze sinciphise ingozi yethu:

• Uma unesifo senhliziyo noma samaphaphu, kubalulekile ukuthola ukwelashwa okufanele kwaso .
• Kubaluleke kakhulu ukugcina isisindo somzimba wakho sisezingeni elifanele . Ukukhuluphala ngokweqile kunomthelela ezifweni eziningi.
• Uma unezimo ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme, kubalulekile ukuzilawula kahle .

Ukunakekela lezi zinto kuzokusiza ukuthi uzivikele hhayi kuphela ekungakwazini ukusebenza kahle kwe-Chronotropic , kodwa nakwezinye izifo eziningi.

Ngizinakekela kanjani?

Ukuphila Nokungakwazi Ukusebenza Kwe-Chronotropic kusho ukuthi umzimba wakho ubeka imingcele ethile kulokho ongakwenza. Ukubekezela kubaluleke kakhulu ngalesi sikhathi. Ungesabi, zama ukuzivumelanisa nalesi simo kancane kancane.

• Khuluma nodokotela wakho mayelana nokuthi udinga ukushintsha eminye yemithi oyiphuzayo, noma ukuthi udinga i -pacemaker .
• Uma udokotela efake idivayisi esifubeni sakho (isb., i-pacemaker),Udinga ukuqonda kahle ukuthi isebenza kanjani.
• Qiniseka ukuthi ugcina ama-aphoyintimenti okulandelela nodokotela wakho ukuqinisekisa ukuthi idivayisi yakho isebenza kahle.
• Uma udokotela wakho ekunike uhlelo lokukhulisa kancane kancane umsebenzi wakho womzimba, landela leyo miyalelo ngqo . Ungazinikeli ngokuphelele.

Kuvamile ukuzizwa udabuke futhi ukhungathekile uma ungakwazi ukwenza izinto owawukwazi ukuzenza. Kungaba yinto ekhungathekisayo ngempela ukuzizwa ukhathele ngisho noma uphakamisa izingubo ezimbalwa nje. Kodwa akudingeki ubhekane nalesi simo wedwa. Ithimba lakho lezokwelapha lihlala likulungele ukukusiza.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uvakashela udokotela wakho, ungabuza imibuzo efana nale:

• Ungangitshela ukuthi yini ebangela lesi simo (ukungasebenzi kahle kwe-Chronotropic) ?
• Yini engingayenza ukuze ngiphile kahle ngangokunokwenzeka ngesimo sami?
• Yini engingayilindela kumshini wokusiza inhliziyo ongifakele wona? (Uma umshini wokusiza inhliziyo ufakwe)
• Ingabe zikhona izinhlelo noma izindlela ezingangisiza ukuba ngithole umsebenzi owengeziwe womzimba?

Ngaphezu kwale mibuzo, buza udokotela wakho nganoma yini onayo engqondweni noma ukungabaza ongase ube nakho.

Ekugcineni, khumbula!

(Chronotropic Incompetence) yisimo esidinga ukunakekelwa okuthile. Kodwa-ke, ngeseluleko sezokwelapha esifanele, ukwelashwa, kanye nokuzinikela kwakho , ungaphila impilo enhle ngisho noma unalesi simo. Ungesabi. Lalela lokho udokotela wakho akushoyo bese wenza ngokufanele. Ngikufisela ukululama okusheshayo!