Ingabe nawe uzizwa ukhathele ngisho nangemva kokuzivocavoca okuncane? Ingabe lokho akukubekezeleli ukuvivinya umzimba?

Ingabe ukuthola kunzima nokuphefumula uma uhamba ibanga elifushane noma ukhuphuka izitebhisi? Noma uzizwa ukhathele ngokushesha? Mhlawumbe ucabanga ukuthi , "O, sengiyaguga manje" noma "Angizivocavoci ngokwanele." Kodwa ngezinye izikhathi lokhu kungaba okujulile kunalokho. Yilokho esizokhuluma ngakho kulesi sihloko namuhla.

Kuyini Ukungabekezeleli Ukuzivocavoca?

Kalula nje, ukungabekezeleli ukuzivocavoca yilapho ungakwazi ukwenza imisebenzi yomzimba kalula njengoba wawuvame ukwenza, noma ikhono lakho lokuyibekezelela liyancipha. Lokho kusho ukuthi uzizwa ukhathele kakhulu ngisho nangemva kokwenza umsebenzi omncane, futhi uba nobunzima bokuphefumula. Cabanga ngakho, lapho sihamba, sigijima, noma siphakamisa izinsimbi, izinhlelo eziningi emzimbeni wethu kufanele zisebenze ndawonye. Kufana nomshini omkhulu. Inhliziyo yethu, amaphaphu, nemisipha konke kuyahileleka. Uma kunenkinga encane noma ubuthakathaka kwenye yalezi zinhlelo, kuba sengathi lowo mshini awusebenzi kahle. Yilapho lesi simo esibizwa ngokuthi ukungabekezeleli ukuzivocavoca senzeka khona. Ngokuvamile, awukwazi ukufinyelela izinga lokushaya kwenhliziyo lakho eliphezulu ngokweminyaka yakho ngenxa yalezi zimpawu. Uma uzivocavoca, umzimba wakho ungamukela kuphela u-60% kuya ku-70% womoya-mpilo owudingayo uma kuqhathaniswa nomuntu ongenalo lesi simo. Lokhu kungaba yiqiniso ikakhulukazi uma inhliziyo yakho ingasebenzi kahle. Isibonelo, lokhu kuvamile kubantu abanokwehluleka kwenhliziyo . Uyazi, inhliziyo yethu yiyo epompa igazi elithwala umoya-mpilo liye ezicutshini nasemaseli emzimbeni wonke. Ngakho-ke uma inhliziyo ingakwazi ukupompa igazi ngendlela efanele nangendlela efanele, ukusatshalaliswa komoya-mpilo emzimbeni wonke nakho kuyaphazamiseka. Ngokufanayo, abantu abanezinkinga ezithile zamaphaphu banenkinga yokuphefumula nokuthola umoya-mpilo owanele emisipheni yabo. Ngoba uma sisebenza kanzima, imisipha yethu idinga umoya-mpilo omningi kunalapho siphumula nje. Manje cabanga, uphefumula umoya-mpilo, bese inhliziyo yakho iwuyisa kuzo zonke izingxenye zomzimba ngegazi. Khona-ke amangqamuzana ethu adinga ukusebenzisa lowo moya-mpilo ukukhiqiza amandla. Kodwa uma imisipha yakho yamathambo ingasebenzi kahle, ayikwazi ukusebenzisa lowo moya-mpilo ngendlela efanele. Ngakho-ke uma kunenkinga nganoma yisiphi salezi zinyathelo ezibalulekile - inqubo yokufaka, ukusabalalisa, noma ukusebenzisa umoya-mpilo ezingeni lamaseli - yilapho-ke kwenzeka khona ukungabekezeleli ukuzivocavoca . Lesi simo singenza kube nzima ngawe ukwenza izinto ozithandayo, ngisho nemisebenzi yakho yansuku zonke. Ngezinye izikhathi kungaholela ekulalisweni njalo esibhedlela.

Kuvamile kangakanani lokhu?

Ukungabekezeleli ukuvivinya umzimba empeleni kuvame kakhulu kunalokho esikucabangayo. Abantu abaningi emhlabeni wonke bahlushwa yilesi simo. Akukhona nje isizathu esisodwa salokhu, baningi. Isibonelo, abantu abangaphezu kwezigidi eziyisithupha e-United States banesifo senhliziyo.Kukhona. Cishe ama-50% abo, okungukuthi, cishe ingxenye, banalobu bunzima bokuzivocavoca, noma ukungabekezeleli ukuzivocavoca. Lesi simo sivamile eSri Lanka kubantu abanezifo ezinjalo zenhliziyo nezokuphefumula.

Yiziphi izimpawu zokungabekezeleli ukuvivinya umzimba?

Kulungile, manje ake sibone ukuthi yiziphi izimpawu eziyinhloko okufanele uzibheke uma usola ukuthi une-Exercise Intolerance. Bheka ukuthi unayo yini eyodwa noma ngaphezulu kwalezi.

• Ukuphelelwa umoya : Lolu uphawu oluvame kakhulu noluvame kakhulu. Ungase uzizwe uphelelwa umoya, noma kudingeke uphefumule kakhulu, ngisho nangemva kokusebenza kancane noma ukuhamba ibanga elifushane. Kufana nomuzwa owutholayo lapho ukhuphuka igquma noma ukhuphuka izitebhisi.
• Ukukhathala : Ukuzizwa ukhathele futhi ukhathele ngaphandle kwesizathu esibonakalayo, ngisho nangemva kokwenza umsebenzi omncane. Ungase uzizwe ukhathele ekuseni futhi ulele usuku lonke.
• Ukungakhululeki noma ukukhathala emilenzeni: Ungase uzwe ubuhlungu, ubuhlungu, ukusinda, noma ukungabi namizwa emilenzeni yakho, kungaba ngesikhathi sokuzivocavoca noma uhamba ibanga elifushane. Ngezinye izikhathi, kungase kuzwakale sengathi imisipha yakho iyagobhoza.
• Ukuphefumula Okuphezulu : Uqala ukuphefumula ngokushesha, njengokungathi uphefumula kanzima. Ungase uzizwe unesiyezi futhi isifuba sakho singase sishaye ngamandla.

Yiziphi izimbangela zokungabekezeleli ukuvivinya umzimba?

Kungaba nezizathu eziningi, hhayi eyodwa noma ezimbili, zalesi simo. Ezinye zazo zihlobene nenhliziyo namaphaphu esixoxe ngawo ekuqaleni. Ake sibheke izimbangela eziyinhloko:

• Ukwehluleka Kwenhliziyo: Lesi simo senzeka lapho inhliziyo iba buthakathaka futhi ingakwazi ukupompa igazi ngendlela efanele.
• Isifo senhliziyo esizalwa naso: Abanye abantu bangazalwa benezinkinga ezithile enhliziyweni yabo. Lokhu nakho kuyimbangela.
• Izifo zamaphaphu: Isibonelo, izifo zamaphaphu zesikhathi eside njenge -COPD ( Isifo Esingapheli Sokuvimbela Amaphaphu ) zenza kube nzima ngamaphaphu ukungenisa umoya-mpilo nokukhipha i-carbon dioxide.
• I-Pulmonary embolism: Ihlule legazi elihlala emthanjeni wegazi oholela emaphashini. Lesi yisimo esiphuthumayo sezokwelapha.
• `I-COVID Ende`: Izimpawu ezifana nokukhathala, ukuphelelwa umoya, kanye nobuhlungu besifuba abanye abantu ababhekana nabo ngisho nangemva kokululama ku-COVID-19.
• I-anemia: Uma kunokwehla komthamo wegazi emzimbeni, inani lamaseli abomvu egazi athwala umoya-mpilo liyancipha. Bese kuthi, ngisho noma wenza umsebenzi omncane, uzizwe ukhathele.
• Ukushaywa yikhanda: Ukulimala kwesikhashana ebuchosheni okubangelwa ukushaywa kanzima ekhanda. Lokhu kungenza kube nzima ukuzivocavoca isikhashana ngemva kokulimala.
• Ukuguga: Njengoba sikhula, ukusebenza kwemizimba yethu kanye namandla emisipha kwehla ngokwemvelo.
• Ukukhuluphala ngokweqile: Isisindo somzimba esiningi sibangela ukucindezeleka okukhulu enhliziyweni, emaphashini nasemalungeni, okwenza kube nzima ukuzivocavoca.
• Isifo Sikashukela: Isifo sikashukela esingalawulwa singalimaza imizwa nemithambo yegazi ngokuhamba kwesikhathi. Lokhu futhi kuyimbangela yokungabekezeleli ukuvivinya umzimba.
• Isifo sezinso: Uma izinso zingasebenzi kahle, ubuthi bungaqongelela emzimbeni, okubangela ukukhathala nokunye ukungakhululeki.
• Izifo ezithinta imisipha yamathambo: Isibonelo, izimo zofuzo ezifana nesifo sikaMcArdle . Lokhu kubangela ubuhlungu obukhulu kanye nokungakhululeki ngesikhathi sokuzivocavoca ngenxa yokuntuleka kwe-enzyme edingekayo ukuze imisipha ikhiqize amandla.
• Izifo zokuvuvukala: Lezi zinhlobo zokungakhululeki zingavela futhi ngenxa yezimo zokuvuvukala emzimbeni, njengezinhlobo ezahlukene ze-arthritis.

Into ebalulekile ukuthi ngezinye izikhathi umuntu angaba nezimbangela ezingaphezu kweyodwa ngesikhathi esisodwa. Isibonelo, umuntu angaba nazo zonke lezi zifo ezintathu: isifo senhliziyo, ukukhuluphala ngokweqile, nesifo sikashukela. Khona-ke isimo sokungabekezeleli ukuzivocavoca singaba sibi nakakhulu.

Udokotela usithola kanjani lesi simo?

Uma unalezi zimpawu, kungcono ukubona udokotela ukuze uthole ukuthi yini ngempela engalungile. Udokotela wakho uzokubuza ngezimpawu zakho, umlando womndeni wakho, bese enza ukuhlolwa ngokomzimba. Bangase futhi benze ezinye izivivinyo ukuqinisekisa isimo nokuthola imbangela.

• Ukuhlolwa kokuhamba ngezinyawo kwemizuzu eyisithupha: Lokhu ukuhlolwa okulula kakhulu. Kuhilela ukuhamba imizuzu eyisithupha ngesivinini esijwayelekile endaweni eyisicaba nokukala ukuthi ungahamba ibanga elingakanani. Kuphinde kulinganise izinto ezifana nokushaya kwenhliziyo yakho kanye namazinga omoya-mpilo ngaphambi nangemva kokuhamba.
• Ukuhlolwa kokucindezeleka kokuzivocavoca: Lokhu kuhilela ukubhekwa komfutho wegazi lakho, izinga lokushaya kwenhliziyo kanye nephethini (nge-ECG), kanye namazinga omoya-mpilo ngenkathi uhamba nge-treadmill noma ugibela ibhayisikili elingashintshi. Lokhu kungasiza ekuboneni ukuthi inhliziyo yakho isabela kanjani ekuzivocavoceni.
• Ukuhlolwa kokuvivinya umzimba kwe-Cardiopulmonary (CPET): Lolu vivinyo "olujwayelekile" lokuxilonga lesi simo. Lunikeza ulwazi olunembile noluthembekile kakhulu. Kulesi sivivinyo, udokotela uqapha ngokucophelela izinga lokushaya kwenhliziyo yakho, umfutho wegazi, amazinga omoya-mpilo wegazi, kanye nokuphefumula ngenkathi uhamba nge-treadmill noma ugibela ibhayisikili. Ugqoka imaski ekhethekile elinganisa ukujula nesivinini sokuphefumula kwakho, kanye nokuthi uthatha umoya-mpilo ongakanani kanye nokuthi ukhipha i-carbon dioxide engakanani.

Yiziphi izindlela zokwelapha ukungabekezelelani ukuvivinya umzimba?

Kubantu abaningi, ukwelashwa okungcono kakhulu nokubaluleke kakhulu kokungabekezeleli ukuvivinya umzimba uhlelo oluhlelekile lomsebenzi womzimba, noma "ukuqeqeshwa kokuvivinya umzimba," okwenziwa ngaphansi kokuqondisa kwezokwelapha . Lokhu kufana nodokotela onikeza umuthi, kodwa futhi onikeza ukuzivocavoca. Lokhu kuvame ukuhilela ukuzivocavoca ngamandla aphakathi imizuzu engama-30-60 ngosuku, okungenani izinsuku ezintathu ngesonto. Kodwa-ke, lokhu akufani kuwo wonke umuntu. Udokotela uzokwakha "uhlelo lokuqeqesha ukuvivinya umzimba ngokwezifiso" olufanele wena, ngokusekelwe esimweni sakho somzimba kanye nembangela yokungabekezeleli kwakho ukuvivinya umzimba.

• Isibonelo, uma unalokhu kungakhululeki ngenxa ye -'Long COVID' , kufanele uqale ngokuzivocavoca okunamandla aphansi njengokugwedla noma ukugibela ibhayisikili, ngisho noma isikhathi esifushane kakhulu. Khulisa kancane kancane isikhathi namandla.
• Uma unesifo sokuphefumula esifana ne -COPD , ungase uzuze ekuqeqeshweni ngezikhathi ezithile . Lokhu kusho ukwenza ukuzivocavoca okufushane okunamandla, uphumule isikhashana, bese ukwenza futhi.

Ngaphezu kokuzivocavoca umzimba, kunezinye izindlela zokwelapha:

• Ukwehlisa isisindo: Uma ukukhuluphala kuyimbangela, kubaluleke kakhulu ukunciphisa isisindo ngendlela enempilo.
• Ukulandela ukudla okunempilo: Ngezinye izikhathi, uma kukhona ukuntuleka kokudla okunempilo, udokotela wakho angase akucebise ukuthi ukulungise, isibonelo, ngokufaka ukudla okucebile ngamaprotheni noma i-vitamin D ekudleni kwakho.
• Ukwelapha izimo zezokwelapha eziyisisekelo: Ukwelapha izimo zezokwelapha ezifana nesifo senhliziyo, isifo sikashukela, kanye ne-anemia ezibangela ukungabekezelelani nokuzivocavoca ngemithi efanele noma, uma kudingeka, ukuhlinzwa.
• Ukwelashwa nge-oxygen: Abanye abantu badinga i-oxygen ngesikhathi sokuzivocavoca noma phakathi nosuku uma amazinga abo e-oxygen egazini ephansi.
• Ukuvuselelwa kwamaphaphu:Lolu uhlelo lokuqeqesha olukhethekile. Lunikeza izivivinyo zokuphefumula, imfundo ngalesi sifo, kanye nokwelulekwa ngendlela yokuphila, ikakhulukazi kulabo abanezifo zamaphaphu ezingamahlalakhona njenge-COPD.

Hlobo luni lwesipiliyoni umuntu ongabekezeleli ukuvivinya umzimba analo?

Indlela ophila ngayo ngokungabekezeleli ukuvivinya umzimba nokuthi uzoba nalezi zinkinga isikhathi esingakanani kuzoncika ngokuphelele embangeni eyisisekelo .

• Cabanga nje, uma uke waba ne-concussion usemncane futhi washaya ikhanda lakho ngenkathi udlala imidlalo, cishe ubuzobuyela esimweni esijwayelekile esikhathini esifushane, njengenyanga, ngokuphumula okufanele nokwelashwa.
• Kodwa-ke, uma ukungabekezeleli kwakho ukuzivocavoca kubangelwa yisimo sesikhathi eside, esingelapheki njengokwehluleka kwenhliziyo , kuzodingeka ubhekane nalesi simo, okungukuthi, lokhu kungabekezeleli ukuzivocavoca, impilo yakho yonke. Lokho kusho ukuthi kuzodingeka ukuphathe kahle futhi ulandele imiyalelo kadokotela wakho ngqo.

Ingabe Ukungabekezeleli Ukuzivocavoca Kungavinjelwa?

Kwezinye izimo, singakwazi, kodwa akuzona zonke izimbangela ezingalawulwa. Isibonelo, asikwazi ukuvimbela into efana nesifo senhliziyo esizalwa naso. Kodwa-ke, ezinye izimo eziningi ezingabangela ukungabekezeleli ukuvivinya umzimba (isib. isifo sikashukela, umfutho wegazi ophakeme, ukukhuluphala, kanye nezici eziyingozi zesifo senhliziyo) zingalawulwa ngokushintsha indlela yokuphila kanye nokwelashwa okufanele, okunciphisa ingozi yokungabekezeleli ukuvivinya umzimba. Ukuphila ngendlela enempilo kuyisihluthulelo.

Ngizinakekela kanjani?

Ngenxa yokuthi kunezici eziningi ezingabangela ukungabekezeleli ukuvivinya umzimba, okusebenza kahle kuwe kungase kuhluke kancane kulokho okusebenza komunye umuntu. Ngakho-ke, kubalulekile ukulandela iseluleko kanye nohlelo lokwelashwa udokotela wakho akunikeza lona ngqo.

• Uzokutshela ukuthi udinga ukuzivocavoca okungakanani nokuthi kufanele ukwenze ngamandla angakanani. Kwenze kahle.
• Mhlawumbe uzotshelwa ukuthi udle amaprotheni amaningi, noma uthathe ivithamini ethile.
• Kubalulekile ukuphatha kahle isimo sezempilo esiyisisekelo (isib. isifo sikashukela, isifo senhliziyo) esibangela ukungakubekezeleli kwakho ukuzivocavoca. Thatha leyo mithi ngesikhathi.

Ngakho-ke, ukwenza lezo zinto ngendlela efanele kubaluleke kakhulu enhlalakahleni yakho.

Kufanele ngimbone nini udokotela?

Uma usuthole ukuthi unalesi simo, kubalulekile ukuxhumana nodokotela wakho, okusho ukuya kuye njalo ukuze ayohlolwa. Ngale ndlela, angabona ukuthi unjani, ukuthi isimo sakho sesithuthukile yini, ukuthi uphumelele kangakanani ohlelweni lokuzivocavoca aludalile, nokuthi ngabe kukhona yini izinguquko ekwelashweni kwakho okudingeka zenziwe. Uma uba nezimpawu ezintsha noma uma izimpawu zakho ziba zimbi kakhulu, tshela udokotela wakho ngokushesha .

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma uya kudokotela, bhala phansi noma yimiphi imibuzo onayo ngalesi simo kusengaphambili. Lokhu kuzokusiza ukuthi ungakhumbuli lutho futhi kukwenze uzizwe ukhululekile. Nansi eminye imibuzo ongayibuza udokotela wakho:

• "Dokotela, yisiphi isizathu noma izizathu eziyinhloko ezingiholele ekubeni ngibe nalesi simo sokungabekezeleli ukuvivinya umzimba?"
• "Uma ngifuna ukuthola impumuzo kulesi simo, yiziphi izinto eziqondile okudingeka ngizenze futhi yisiphi iseluleko okufanele ngisilandele?"
• "Kufanele ngiphinde ngibone udokotela futhi nini? Kufanele ngiqaphe kanjani isimo sami?"
• "Ingabe kukhona imigomo ethile engifuna ukuyifinyelela? (isib. ukuthi ngifuna ukuhamba ibanga elingakanani ngesikhathi esisodwa, ukuthi ngifuna ukukwazi ukuzivocavoca isikhathi esingakanani ngaphandle kokuma)?"
• "Yimiphi imithi okufanele ngiyithathe ngalokhu? Ingabe inemiphumela emibi?"
• "Yiziphi izinguquko okudingeka ngizenze ekudleni kwami?"

Ekugcineni, khumbula lokhu.

Uma umzimba wakho ungakwazi ukungenisa umoya-mpilo ngendlela efanele bese uwuguqula ube amandla, ngisho nezinto ezazilula ngawe ukuzenza manje sezingaba nzima. Kuyiqiniso lokho. Kodwa ungakhathazeki noma uzizwe kabi ngakho. Uma ulandela uhlelo lokwelashwa lukadokotela wakho, ikakhulukazi uhlelo lokuzivocavoca, ngokucophelela nangesineke, kancane kancane uzokwazi ukwenza imisebenzi yakho yansuku zonke futhi, njengokuphuma uyothumela incwadi, ukukhuphuka izitebhisi uye phezulu endlini yakho, noma ukuhamba ibanga elifushane.

Khumbula, kuthatha isikhathi ukuba ngcono ngokungakwazi ukubekezelela ukuzivocavoca. Kunzima ukulindela impumuzo ebusuku. Ukubekezela nokuzinikela kubalulekile. Uma uzizwa uvilapha ukuzivocavoca noma ukuthola kunzima ukukwenza wedwa, cabanga ngokucela usizo lwelungu lomndeni noma umngane oseduze. Kungumthombo omkhulu wamandla nesikhuthazo uma kukhona othile. Okubaluleke kakhulu, khumbula ukuthi awuwedwa kulolu hambo!

---