Ingabe uphelelwa umoya ngemva kwemisebenzi emincane? Ingabe kungaba ukungabekezeleli ukuvivinya umzimba? | Nirogi Lanka

Ingabe uzithola uphelelwa umoya uma uhamba amabanga amafushane noma ukhuphuka izitebhisi? Ingabe ukhathala ngokushesha kakhulu kunangaphambili? Ungase uzitshele ukuthi, "Ngisanda kukhula," noma "Angikaze ngizivocavoce ngokwanele muva nje." Nakuba lezo zici zidlala indima, ngezinye izikhathi lezi zimpawu zibonisa okuthile okubaluleke kakhulu. Namuhla, sifuna ukukhuluma nawe ngesimo esaziwa ngokuthi ukubekezelelana kokuzivocavoca .

Kuyini ngempela ukungabekezelelani kokuzivocavoca?

Kalula nje, ukungabekezeleli ukuzivocavoca umzimba yilapho umzimba wakho ungasakwazi ukusingatha umsebenzi womzimba kalula njengoba wawukwenza ngaphambili. Ngisho nokuzikhandla okuncane kukushiya uzizwa ukhathele noma ubhekene nobunzima bokuphefumula. Cabanga ngomzimba wakho njengomshini oyinkimbinkimbi odinga inhliziyo yakho, amaphaphu, kanye nemisipha ukuthi isebenze ngokuvumelana okuphelele noma nini lapho ushukumisa, ugijima, noma uphakamisa okuthile. Uma noma iyiphi ingxenye yalesi simiso ibhekene nobuthakathaka noma ukukhubazeka, "umshini" uyahluleka ukusebenza. Yilapho-ke uhlangabezana nokungabekezeleli ukuzivocavoca umzimba.

Ngokuvamile, lezi zimpawu zikuvimbela ekufinyeleleni izinga lokushaya kwenhliziyo elifanele iminyaka yakho. Ngesikhathi sokuzivocavoca, umzimba wakho ungase ukwazi ukusebenzisa kuphela u-60% kuya ku-70% womoya-mpilo umuntu ongenalo lesi simo angawumunca. Lokhu kuvame kakhulu uma inhliziyo yakho ingaphampi kahle, njengasezimweni zokwehluleka kwenhliziyo .

Khumbula, inhliziyo yakho iyinjini epompa igazi elinomoya-mpilo eliya ezicutshini nasemaseli emzimbeni wakho wonke. Uma inhliziyo ingakwazi ukupompa kahle, lokho kunikezwa komoya-mpilo obalulekile emisipheni yakho kuyaphazamiseka.

Ngaphezu kwalokho, uma unezinkinga zamaphaphu ezingaphansi, umzimba wakho ungase ube nenkinga yokuletha umoya-mpilo owanele ngesikhathi sokuphefumula okujulile okudingekayo ukuze usebenze ngokomzimba, njengoba imisipha yakho idinga umoya-mpilo omningi kakhulu uma usebenza uma kuqhathaniswa nalapho uphumule.

Ngisho noma uphefumula umoya-mpilo owanele futhi inhliziyo yakho iwuletha ngempumelelo, amangqamuzana akho kusadingeka awuguqule ube amandla. Uma imisipha yakho yamathambo ingasebenzi kahle, ayikwazi ukusebenzisa lowo moya-mpilo ngendlela efanele.

Uma noma yisiphi isinyathelo kulolu chungechunge —ukungenisa umoya-mpilo, ukusatshalaliswa, noma ukusetshenziswa kwamaseli —siphukile, uba nokungabekezelelani kokuzivocavoca. Lesi simo singakuvimbela ekujabuleleni imisebenzi oyithandayo nemisebenzi yansuku zonke, futhi kwezinye izimo, singase siholele nasekuhambeleni njalo esibhedlela.

Kuvamile kangakanani lokhu?

Ukungabekezeleli Ukuzivocavoca kuvame kakhulu kunalokho ongakucabanga futhi kuthinta izigidi zabantu emhlabeni jikelele. Izimbangela zinkulu futhi ziyahlukahluka. Isibonelo, e-United States, abantu abangaphezu kwezigidi eziyisithupha baphila ne -Heart Failure , futhi cishe u-50% wabo ubhekene nokungabekezeleli ukuzivocavoca. Sivame ukubona lesi simo ezigulini ezinezifo ezahlukahlukene zenhliziyo nezokuphefumula lapha eSri Lanka.

Yiziphi izimpawu zokungabekezeleli ukuvivinya umzimba?

Uma usola ukuthi kungenzeka ukuthi ubhekene nokungabekezelelani kokuzivocavoca, bheka lezi zimpawu ezivamile zokuxwayisa:

• Ukuphelelwa umoya (Dyspnea) : Lolu uphawu oluvame kakhulu. Ungase uzizwe sengathi awukwazi ukubamba umoya wakho noma udinga ukuphefumula ngokushesha ngisho nangemva komsebenzi olula, njengokukhwela izitebhisi, okufana nokuphefumula okufana ne-asthma .
• Ukukhathala ngokweqile noma okusheshayo (` Ukukhathala` ): Ungase uzizwe ukhathele kakhulu noma ubuthakathaka ngaphandle kwesizathu esibonakalayo, noma uzizwe ukhathele ngokushesha ngemva kokuvuka, okuqhubeka usuku lonke.
• Ukungakhululeki emilenzeni noma izitho ezisindayo: Ngesikhathi sokusebenza, ungase uzwe ubuhlungu, ukusinda, ukuqaqamba, noma ukuqaqamba emilenzeni yakho, ngezinye izikhathi okuchazwa njengobuhlungu obungatheni noma ukungakhululeki.
• Ukuphefumula okusheshayo(`Ukuphefumula Okuphezulu`): Ukuthola kunzima ukuphefumula ngokwemvelo, okuholela ekuphefumuleni okusheshayo nokungajulile, okungase kuhambisane nesiyezi noma ukushaya kwenhliziyo.

Yini ebangela ukungabekezelelani kokuzivocavoca?

Akukho imbangela eyodwa; izinkinga eziningi zezokwelapha zingaholela kulesi simo. Ake sibheke izimbangela eziyinhloko:

• Ukwehluleka Kwenhliziyo: Lapho imisipha yenhliziyo ibuthakathaka futhi ingakwazi ukupompa igazi ngempumelelo.
• Isifo senhliziyo esizalwa naso : Ukukhubazeka kwenhliziyo okukhona kusukela ekuzalweni.
• Izifo zamaphaphu: Izimo ezingamahlalakhona ezifana ne - 'COPD ' ( Isifo Esingamahlalakhona Sokuvimbela Amaphaphu ) zenza kube nzima ngamaphaphu akho ukushintshanisa umoya-mpilo kanye ne-carbon dioxide.
• I-Pulmonary Embolism: Ukugoba kwegazi emithanjeni yegazi yamaphaphu—lesi yisimo esiphuthumayo sezokwelapha esidinga usizo oluphuthumayo lwe-911/emergency.
• I-COVID Ende: Ukukhathala okuqhubekayo, ukuphelelwa umoya, kanye nobuhlungu besifuba obuqhubeka isikhathi eside ngemva kokutheleleka kokuqala.
• I-anemia: Ukuntuleka kwamaseli abomvu egazi anempilo kunciphisa inani lomoya-mpilo egazini lakho.
• Ukushaywa yikhanda: Ukulimala kobuchopho okubuhlungu okungashiya iziguli zizwela kakhulu ekuzikhandleni ngokomzimba isikhathi sokululama.
• Ukuguga: Ukwehla kwemvelo kwesisindo semisipha kanye nokusebenza kahle kwe-metabolic okuhlobene nokuguga.
• Ukukhuluphala ngokweqile: Isisindo esiningi sibeka isidingo esikhulu enhliziyweni, emaphashini nasemalungeni.
• Isifo Sikashukela: Ushukela wegazi ongalawulwa ungalimaza imizwa nemithambo yegazi ngokuhamba kwesikhathi.
• Isifo sezinso: Ukungasebenzi kahle kokuhlunga imfucuza kungaholela ekuqongeleleni ubuthi kanye nokukhathala okuvamile.
• Izinkinga zemisipha yamathambo: Izimo zofuzo ezifana nesifo sikaMcArdle , lapho imisipha intula khona ama-enzyme athile okukhiqiza amandla, okubangela ubuhlungu obukhulu ngesikhathi sokunyakaza.
• Izifo zokuvuvukala: Izimo ezifana ne-arthritis zingabangela ukungakhululeki ngokomzimba kanye nokunyakaza okulinganiselwe.

Okubaluleke kakhulu, iziguli eziningi zihlushwa yizimo ezingaphezu kwesisodwa ngesikhathi esisodwa. Isibonelo, isiguli singase sibe nokwehluleka kwenhliziyo, ukukhuluphala ngokweqile, nesifo sikashukela, okungenza ukungabekezelelani kokuzivocavoca kube kubi kakhulu.

Udokotela uzosithola kanjani lesi simo?

Uma ubhekene nezimpawu ezinjengalezi, isinyathelo esingcono kakhulu sokubonisana nodokotela ukuze athole imbangela eqondile. Udokotela wakho cishe uzobuyekeza izimpawu zakho, axoxe ngomlando wezokwelapha womndeni wakho, futhi enze ukuhlolwa ngokomzimba. Ngaphezu kwalokho, bangase batuse ukuhlolwa okuqondile kokuxilongwa ukuze kuqinisekiswe isimo sakho futhi kutholakale izici eziyisisekelo.

• Ukuhlolwa kokuhamba ngezinyawo kwemizuzu eyisithupha: Lokhu ukuhlolwa okulula lapho ucelwa khona ukuba uhambe ngesivinini esizinzile nesikhululekile endaweni eyisicaba imizuzu eyisithupha. Udokotela wakho uzolinganisa ibanga eliphelele olimbozayo, ngenkathi eqapha izinga lokushaya kwenhliziyo yakho kanye namazinga omoya-mpilo ngaphambi nangemva kokuhamba.
• Ukuhlolwa kokucindezeleka kokuzivocavoca: Phakathi nalolu vivinyo, uzohamba nge-treadmill noma ugibele ibhayisikili elingashintshi ngenkathi kubhekwa umfutho wegazi lakho, izinga lokushaya kwenhliziyo, kanye nesigqi senhliziyo (nge-ECG). Lokhu kusiza udokotela wakho aqonde ukuthi inhliziyo yakho isabela kanjani ezidingweni zomzimba zokuzivocavoca.
• Ukuhlolwa kokuvivinya umzimba kwe-cardiopulmonary (CPET): Lokhu kubhekwa "njengendinganiso yegolide"ukuze kutholakale ukuthi umuntu akakwazi yini ukubekezelela ukuzivocavoca. Inikeza idatha ephelele kakhulu. Njengoba uhamba ku-treadmill noma ngebhayisikili, udokotela wakho uzoqapha ngokucophelela izinga lokushaya kwenhliziyo yakho, umfutho wegazi, ukugcwala komoya-mpilo, kanye nokuphefumula. Uzogqoka imaski ekhethekile elinganisa ukujula kokuphefumula kwakho, izinga, kanye nokuthi uphuza umoya-mpilo ongakanani uma kuqhathaniswa nokuthi ukhipha umoya-mpilo ongakanani.

Yiziphi izindlela zokwelapha ukungabekezelelani kokuzivocavoca?

Kwabaningi, ukwelashwa okuyinhloko nokuphumelela kakhulu kokungabekezelelani nokuzivocavoca uhlelo oluhlelekile lomsebenzi womzimba, noma ukuqeqeshwa kokuzivocavoca okuqondiswa udokotela . Cabanga ngalokhu njengomuthi kadokotela; udokotela wakho uzohlela uhlelo oluqondene nezidingo zakho, ngokuvamile oluhlose imizuzu engama-30-60 yokuzivocavoca okunamandla okungenani izinsuku ezintathu ngesonto.

Kodwa-ke, lena akuyona indlela efanela wonke umuntu. Udokotela wakho uzoklama uhlelo lokuqeqesha umzimba oluhambisana nesimo sakho sempilo kanye nembangela eyisisekelo yokungabekezeleli kwakho.

• Isibonelo, uma une- "Long COVID," uhlelo lwakho lungase luqale ngemisebenzi ephansi kakhulu njengokugwedla noma ukugibela ibhayisikili kancane isikhathi esifushane, kancane kancane ukwandisa amandla nesikhathi njengoba uqhubeka.
• Uma unesifo sokuphefumula esifana ne -COPD , udokotela wakho angase akuncome ukuqeqeshwa ngezikhathi ezithile —ukushintshanisa ukunyakaza okufushane okunamandla aphezulu kanye nezikhathi zokuphumula.

Ngaphandle kokuzivocavoca, ezinye izindlela zokwelapha zifaka:

• Ukulawula isisindo: Uma ukukhuluphala kuyisici esibangela lokhu, ukuthola isisindo esinempilo kubalulekile.
• Ukudla okunempilo: Uma kutholakala ukuntuleka kokudla okunempilo, udokotela wakho angase asikisele ukushintsha ukudla, njengokwandisa ukudla okuneprotheni noma ukwengeza i-Vitamin D.
• Ukuphatha izimo eziyisisekelo: Ukwelapha isifo senhliziyo, isifo sikashukela, noma i-anemia ngemithi noma ngokuhlinzwa, njengoba kunconywa udokotela wakho.
• Ukwelashwa nge-oxygen: Uma amazinga akho e-oxygen egazini ephansi njalo, udokotela wakho angase akunikeze i-oxygen eyengeziwe ngesikhathi sokuzivocavoca noma usuku lonke.
• Ukuvuselelwa kwamaphaphu: Lolu uhlelo olukhethekile olwenzelwe abantu abanezifo zamaphaphu ezingamahlalakhona njenge-COPD. Luhlanganisa ukuqeqeshwa kokuzivocavoca, imfundo yezifo, kanye nokwelulekwa ngendlela yokuphila.

Yini ongayilindela uma une-Unstanding Exercise Intolerance?

Izinga lempilo yakho kanye nobude bezimpawu zakho kuncike cishe ngokuphelele embangela eyinhloko .

• Uma ukungabekezeleli kwakho kubangelwa ukuxhuzula okwenzeka ngesikhathi semidlalo, cishe uzobuyela ekusebenzeni okuvamile phakathi nenyanga noma ngaphezulu uma uphumule kahle futhi ululama.
• Ngakolunye uhlangothi, uma ukungabekezeleli kwakho ukuzivocavoca kubangelwa yisimo esingapheli njenge- Heart Failure , kungadingeka ukuthi uphathe lesi simo isikhathi eside. Lokhu kusho ukugxila ekuphathweni okuphumelelayo, ukunamathela esiqondisweni sikadokotela wakho, nokwenza izinguquko zendlela yokuphila ukuze uphile ngokuphepha nangokukhululekile.

Ingabe ukungabekezeleli ukuvivinya umzimba kungavinjelwa?

Nakuba kungezona zonke izimbangela ezingavinjelwa—njengezimo zenhliziyo zokuzalwa nazo—unganciphisa kakhulu ingozi yakho yokuthola ukungabekezelelani nokuzivocavoca ngokuphatha izinkinga zempilo ezivamile. Izimo ezifana nesifo sikashukela, umfutho wegazi ophakeme, ukukhuluphala ngokweqile, kanye ne-cholesterol ephezulu yizona zinto ezibalulekile ezibangela lokhu. Ngokugcina indlela yokuphila enempilo nokulandela iseluleko sezokwelapha ukuze ugcine lezi zingozi zilawulwa, ungavikela amandla akho omzimba ngendlela ephumelelayo. Indlela yokuphila enempilo iyisivikelo sakho esingcono kakhulu.

Ungazinakekela kanjani?

Ngenxa yokuthi ukungabekezeleli ukuvivinya umzimba kuvela ezimbangela ezahlukahlukene, indlela engcono kakhulu kuwe iwukuba ngumuntu siqu kakhulu.Ukunamathela ngokuqinile ohlelweni oluqondene nawe kanye neseluleko esinikezwe udokotela wakho kuyisinyathelo esibaluleke kakhulu ekunakekelweni kwakho.

• Landela isiqondiso sikadokotela wakho mayelana nokuvama kanye nokuqina kohlelo lwakho lokuzivocavoca.
• Qiniseka ukuthi ulandela noma yimiphi imiyalelo yokudla okunempilo noma eyengeziwe abayinikezayo.
• Hlala ukhuthele ekuphatheni noma yiziphi izimo zempilo eziyisisekelo (isib., ukuthatha imithi yakho yesifo sikashukela noma yenhliziyo ngesikhathi).

Ukuzibophezela kulezi zinyathelo kubalulekile empilweni yakho yesikhathi eside kanye nenhlalakahle.

Kufanele ubonane nini nodokotela?

Uma usuxilongiwe, ukuhlolwa njalo kubalulekile. Lokhu kuvakasha kuvumela udokotela wakho ukuthi alandelele intuthuko yakho, ahlole ukusebenza kahle kohlelo lwakho lokuzivocavoca, futhi enze izinguquko ezidingekayo ekwelashweni kwakho. Uma uhlangabezana nezimpawu ezintsha noma uma izimpawu zakho ezikhona ziba zimbi kakhulu, xhumana nodokotela wakho noma ufune ukunakekelwa ngokushesha. Uma uzwa ubuhlungu besifuba, ukuphelelwa umoya okukhulu, noma ukuquleka, shayela u-911 noma uvakashele umnyango wezimo eziphuthumayo oseduze nawe.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Ngaphambi kokuqokwa kwakho, bhala phansi noma yimiphi imibuzo onayo ukuqinisekisa ukuthi awukhohlwa lutho futhi ukusize uzizwe uqiniseka kakhudlwana. Nazi iziphakamiso ezimbalwa:

• "Iyini imbangela eyinhloko, noma inhlanganisela yezimbangela, zokungabekezeleli kwami ​​ukuzivocavoca?"
• "Yiziphi izinguquko ezithile noma izinyathelo zokuphepha okufanele ngizithathe ukuze ngithole impumuzo?"
• "Kufanele ngibuye kangaki ukuze ngithole ama-aphoyintimenti okulandelela ukuze ngiqaphe isimo sami?"
• "Ingabe kukhona izigigaba ezithile noma imigomo okufanele ngiyihlose, njengokwandisa ubude bokuhamba kwami?"
• "Yimiphi imithi edingekayo ekwelashweni kwami, futhi ingabe inemiphumela emibi engaba khona?"
• "Yiziphi izinguquko ezithile zokudla ezingaba usizo kakhulu ekululameni kwami?"

Okokugcina, khumbula la maphuzu:

Uma umzimba wakho ulwela ukungenisa nokuguqula umoya-mpilo ube amandla ngempumelelo, ungathola ukuthi ngisho nemisebenzi elula yansuku zonke iba yinselele. Kuyiqiniso, kodwa sicela ungazizwa udikibele noma ukhungathekile. Ngokulandela uhlelo lokwelashwa oluqondene nodokotela wakho—ikakhulukazi uhlelo lwakho lokuzivocavoca olunqunyiwe—ngokungaguquguquki kanye nokubekezela, kancane kancane uzophinde uthole ikhono lokusingatha imikhuba yakho yansuku zonke, njengokuhamba ngezinyawo uyothumela incwadi, ukukhuphuka izitebhisi ekhaya, noma ukuhamba ngezinyawo ngaphandle.

Khumbula, ukuthuthukisa ukungabekezelelani nokuzivocavoca kuthatha isikhathi; ukululama akwenzeki ngobusuku obubodwa. Isineke nokuzinikela kubalulekile. Uma uzizwa ungazimisele ukuzivocavoca noma ukuthola kunzima ukuhlala endleleni wedwa, mema ilungu lomndeni noma umngane omethembayo ukuthi ajoyine nawe. Ukuba nomuntu eceleni kwakho kungakunikeza ukwesekwa nesikhuthazo osidingayo. Okubaluleke kakhulu, khumbula njalo ukuthi awuwedwa kulolu hambo neNirogi Lanka!