Inhliziyo namaphaphu akho aphilile kangakanani? Ake sithole ukuthi kwenzekani ngokuhlolwa kwe-CPET! (Ukuhlolwa Kokuzivocavoca Kwenhliziyo)

Ingabe ngezinye izikhathi ukuthola kunzima ukuphefumula ngisho nalapho ugijima kancane, noma uma ukhuphuka izitebhisi? Noma uzizwa ukhathele kakhulu? Udokotela wakho kungenzeka ukuthi ukutshelile 'ngokuhlolwa kokucindezeleka'. Kuhlola ukuthi inhliziyo yakho isebenza kanjani ngesikhathi sokuzivocavoca. Kodwa namuhla sikhuluma ngokuhlolwa okukhethekile okubheka ukusebenza kwenhliziyo yakho namaphaphu ngendlela ejulile. Lokhu kubizwa ngokuthi i-CPET, noma i-Cardiopulmonary Exercise Test.

Kalula nje, iyini i-CPET?

I-CPET ukuhlolwa okukala ukusebenza kwenhliziyo yakho (inhliziyo) kanye namaphaphu (amaphaphu) ngenkathi uzivocavoca. Kubizwa nangokuthi 'ukuhlolwa kokucindezeleka kokuzivocavoca umzimba'. Kulula kakhulu. Uzocelwa ukuthi uhambe nge-treadmill noma ugibele ibhayisikili elingashukumi. Phakathi nalesi sikhathi, uzofakelwa i-facemask ekhethekile noma i-mouthpiece ekuvumela ukuthi uphefumule ngomlomo wakho kuphela.

Lokhu kulinganisa ukuthi inhliziyo yakho, amaphaphu, kanye nemithambo yegazi yakho isebenza kahle kangakanani ukuletha umoya-mpilo emisipheni yakho uma uzivocavoca. Ukuhlolwa okuvamile kokucindezeleka kwenhliziyo kubheka inhliziyo yakho kuphela. Kodwa ukuhlolwa kwe-CPET kubaluleke kakhulu ngoba kunikeza ulwazi mayelana nenhliziyo yakho namaphaphu ngesikhathi esisodwa .

Kungani udokotela angancoma lolu vivinyo?

Kunezizathu eziningana zokuthi kungani udokotela wakho engase ancome lokhu kuhlolwa. Isibonelo, ungase ube nenye yalezi zinkinga ezilandelayo:

• Thola ukuthi kungani uphelelwa umoya noma uzizwa ukhathele kakhulu uma uzivocavoca: Abanye abantu bathola ukuthi bakhathala kakhulu uma bekhathele kancane. Lokhu kuhlolwa kungasiza ekunqumeni ukuthi imbangela iyinkinga yenhliziyo, inkinga yamaphaphu, noma okunye.
• Bona ukuthi inhliziyo namaphaphu akho angawusebenzisa kangakanani umsebenzi wokuzivocavoca: Lokhu kubalulekile ukwazi ukuthi yiliphi izinga lokuzivocavoca eliphephile ngaphambi kokuqala umsebenzi wokuzivocavoca, ikakhulukazi kumuntu onesifo senhliziyo.
• Ukuxilonga noma ukuqapha izifo zenhliziyo noma zamaphaphu: Lokhu kuhlolwa kusetshenziselwa ukuthola ubucayi bezimo ezifana nokwehluleka kwenhliziyo, isifo senhliziyo esizalwa naso, umfutho wegazi ophezulu wamaphaphu, noma i-COPD.
• Yakha uhlelo lwakho lokwelashwa: Lolu lwazi luwusizo ekunqumeni ukuthi imithi oyiphuzayo isebenza kahle yini nokuthi ngabe kukhona yini ukuthuthuka esimweni sakho ngemva kokwelashwa.
• Thola umbono ngesimo sempilo yesikhathi esizayo (Isibikezelo): Ungathola umbono ngekusasa lesifo, okungukuthi, ukuthi isimo sizoba ngcono noma sibi kakhulu.
• Dala uhlelo lokuzivocavoca oluphephile olukusebenzelayo: Akuwona wonke umuntu ofanele uhlobo olufanayo lokuzivocavoca. Lokhu kuzokusiza ukuhlela ukuthi yikuphi ukuzivocavoca okungcono kakhulu emzimbeni wakho nokuthi kuzothatha isikhathi esingakanani.
• Hlola izingozi ngaphambi kokuhlinzwa okukhulu: Isibonelo, ngaphambi kokuhlinzwa kabusha kwamaphaphu noma ukufakelwa amaphaphu, kubalulekile ukuhlola ukuthi umzimba wakho ungakubekezelela yini ukuhlinzwa.
• Qiniseka ukuthi ungakwazi ukwenza umsebenzi onzima ngokomzimba ngokuphephile: Eminye imisebenzi (isib. abacishi bomlilo, abasebenzi bezempi) idinga izinga eliphezulu lokufaneleka ngokomzimba. Lokhu kuhlolwa kusetshenziselwa nokunquma ukuthi uyabafanele yini.

Ulwenza kanjani lolu vivinyo?

Ukuhlolwa kwe-CPET kwenziwa ekamelweni elikhethekile elibizwa ngokuthi 'i-Stress Lab'. Izibhedlela zivame ukuba neyunithi enikezelwe kule njongo. Nakuba lokhu kuhlolwa kwenziwa uchwepheshe webhubhu oqeqeshiwe, konke kwenzeka ngaphansi kokuqondisa kukadokotela.

Kuzodingeka ugibele ibhayisikili elingashukumi noma uhambe nge-treadmill. Kuzodingeka uvivinye umzimba isikhathi eside ngangokunokwenzeka . Njalo ngemizuzu emibili, uchwepheshe uzokwandisa kancane kancane ukumelana kwebhayisikili, noma ijubane kanye nokuthambekela kwe-treadmill. Ngemuva kwalokho, uzoqala ukuthola kunzima ukuzivocavoca. Ukuhlolwa kuzoma uma uzizwa sengathi awusakwazi ukukwenza .

Phakathi nalesi sikhathi sonke, uphefumula ngemaski okukhulunywe ngayo ngenhla. Le divayisi ilinganisa inani lomoya-mpilo emoyeni owuphefumulayo kanye nenani le-carbon dioxide emoyeni owuphefumulayo. Iphinde ilinganise inani lomoya amaphaphu akho angawuthatha ngesikhathi esisodwa. Lonke lolu lwazi luqoshwa kukhompyutha.

Uzilungiselela kanjani ngaphambi kokuhlolwa?

Udokotela wakho uzokutshela ngokucacile ukuthi ungalungiselela kanjani lolu vivinyo. Kubaluleke kakhulu ukulandela leyo miyalelo ngqo. Ngezansi kunezinto ezijwayelekile okufanele uzilandele. Ake sibheke ithebula ukuze kube lula ukukhumbula lezi zinto ngokucacile.

Kwenzekani ngesikhathi sokuhlolwa?

Ukuhlolwa kwenziwa ngezigaba eziningana. Ukuhlolwa konke kungathatha cishe imizuzu engama-75. Kodwa empeleni uzobe uzivocavoca cishe imizuzu engama-20.

Bheka izinyathelo ezingezansi.

1. Ukulungiselela: Okokuqala, uchwepheshe uzobeka izitika esifubeni sakho. Lezi zibizwa ngokuthi ama-electrode e-EKG. Lezi zizoqapha ukushaya kwenhliziyo yakho. Ngemuva kwalokho, kuzobekwa i-cuff yomfutho wegazi engalweni yakho, bese kufakwa i-pulse oximeter emunweni wakho. Ngezinye izikhathi, ipayipi elincane kakhulu (i-catheter) lingafakwa emthanjeni osesihlakaleni sakho ukuze kulinganiswe igesi yegazi lakho elisemithanjeni.

2. Ukuphumula: Okulandelayo, uzocelwa ukuba ungenzi lutho imizuzu emibili kuya kwemithathu. Phakathi nalesi sikhathi, izinga lokushaya kwenhliziyo yakho elijwayelekile, umfutho wegazi, kanye namazinga omoya-mpilo kuzoqoshwa njengezindinganiso eziyisisekelo.

3. Ukuzifudumeza:Bese uhamba nge-treadmill noma ugibele ibhayisikili imizuzu emibili kuya kwemithathu ngejubane elincane kakhulu. Lokhu kuhlola ukuthi inhliziyo namaphaphu akho asabela kanjani ekuzivocavoceni okuncane kakhulu.

4. Ukuzivocavoca Okwengeziwe: Lena yingxenye ebaluleke kakhulu yokuhlolwa. Ngokuvamile kuthatha imizuzu engu-8 kuya kwengu-12. Uyaqhubeka nokuzivocavoca njengoba uchwepheshe ekhulisa isisindo kancane kancane. Kuzoba nzima kancane kancane kuwe. Yilapho-ke udinga ukuzikhandla ngangokunokwenzeka.

5. Ukuzipholisa: Uma ungasakwazi ukwenza okunye, yeka ingxenye eyinhloko yokuhlolwa. Bese, cishe imizuzu emithathu kuya kwemihlanu, kancane futhi ngaphandle kwesisindo, uzivocavoca futhi. Lokhu kuvumela umzimba ukuthi ululame kancane kancane.

Uchwepheshe uzoqapha isimo sakho eduze phakathi nalesi sikhathi. Ungase futhi ucelwe ukuthi usebenzise izimpawu zesandla ukubuza ukuthi uzizwa kanjani. Isibonelo, esikalini esingu-1 kuya ku-10, bangase bakucele ukuthi ukale ukuthi ukhathele kangakanani.

Uzozizwa kanjani uma ubhala isivivinyo?

Ukuze uthole imiphumela enembile nezuzisayo, udinga ukuzivocavoca uze ukhathale ngempela . Ngakho-ke, kuyinto evamile ukuthi izinga lokushaya kwenhliziyo yakho, umfutho wegazi, kanye nezinga lokuphefumula kwakho kukhuphuke. Ungase ujuluke futhi imilenze yakho ingase izwakale ikhathele kakhulu. Kuvamile futhi ukuthi umlomo wakho wome ngoba uphefumula ngemaski.

Naka kakhulu izimpawu ezinjengalezi:

• Ubuhlungu, ukuqina, noma ukungakhululeki esifubeni, engalweni, noma emhlathini.
• Kunzima kakhulu ukuphefumula.
• Ukuzizwa unesizungu noma uphelelwa amandla.

Lokhu kungaba izimpawu zesimo esiphuthumayo, njengokuhlaselwa yinhliziyo. Abasebenzi belebhu bazobe beqaphe i-EKG yakho, futhi uma bebona noma yiziphi izinguquko eziyingozi, bazoyeka ukuhlolwa ngokushesha.

Ingabe zikhona izingozi ngalolu vivinyo?

I-CPET yenziwa endaweni ephephile kakhulu nelawulwayo. Ngakho-ke akukho okufanele ukwesabe. Kodwa-ke, akuqiniseki ngokuphelele ukuthi umzimba wakho uzosabela kanjani ekuzivocavoceni okunamandla. Kunezingozi ezingavamile kakhulu, njengokulahlekelwa ukwazi noma ukuhlaselwa yinhliziyo. Ngisho noma kwenzeka isimo esiphuthumayo, abasebenzi belebhu baqeqeshwe ukukwelapha khona manjalo.

Ngaphambi kokuthi unyathele ngisho nase-lab, udokotela wakho uzoqinisekisa ukuthi lokhu kuhlolwa kuphephile kuwe. Isibonelo, uma unezinye zezimo ezilandelayo, udokotela wakho angase anqume ukuthi lokhu kuhlolwa akuphephile kuwe:

• Ukutheleleka okukhulu njengomkhuhlane, umkhuhlane, noma i-COVID-19.
• Ukuvuvukala kwenhliziyo okubukhali.
• Ukuqhekeka kwegazi emilenzeni (i-Deep Vein Thrombosis - DVT).
• I-hypertrophic cardiomyopathy.
• Ukwehluleka Kwezinso.
• Ukuqina kwe-valve yenhliziyo okulinganiselwe noma okukhulu.
• Ukukhulelwa sekwephuzile noma ukukhulelwa okunezinkinga.
• Uma uke waba nokuhlaselwa yinhliziyo muva nje (zingakapheli izinsuku ezingu-30).
• Umfutho wegazi ophezulu ongalawuleki (Umfutho wegazi ophezulu) noma umfutho wegazi ophezulu emaphashini (Umfutho wegazi ophezulu wamaphaphu).
• Ukuphazamiseka kwesigqi senhliziyo okungalawulwa (i-Unolawd Arrhythmias).

Kwenzekani ngemva kokuhlolwa?

Uma isigaba sakho sokuphola sesiphelile, uchwepheshe uzohlola futhi izinto zakho ezibalulekile bese esusa noma yimiphi imishini okungenzeka ukuthi uyinamathisele emzimbeni wakho. Ngemva kwalokho, ungahlala phansi, uphuze amanzi, bese uphumula isikhashana. Uma sebeqiniseka ukuthi uphilile, bazokuvumela ukuthi uye ekhaya.

Udokotela oye wayala lokhu kuhlolwa uzobeka isikhathi esihlukile sokukhuluma nawe ngemiphumela .

Yini ekhona embikweni owutholayo?

Ukuhlolwa kwe-CPET kuqoqa izinkulungwane zezilinganiso. Lokhu kwethulwa embikweni onamagrafu amaningi ayinkimbinkimbi abizwa ngokuthi 'izizalo zamaphaneli ayisishiyagalolunye'. Lokhu kuyinkimbinkimbi kakhulu futhi kunzima kumuntu ojwayelekile ukukuqonda.

Kodwa ungakhathazeki. Udokotela wakho uzohlaziya wonke la mashadi futhi akuchazele ngamagama alula ukuthi asho ukuthini. Uzokutshela nokuthi yini okufanele uyenze ngokulandelayo, ukuthi kudingeka yini ukuhlolwa okwengeziwe, noma ukuthi kufanele kuqalwe ukwelashwa.

Ukuskena kwe-CPET kungakutshela okuningi ngendlela inhliziyo namaphaphu akho asebenza ngayo. Kungaba nzima ukugqoka wonke amadivayisi ahlukene nokwenza izivivinyo. Kodwa khumbula, idivayisi ngayinye inikeza ulwazi olubalulekile olungakusiza ukuthi uhlele ukwelashwa okungcono kakhulu kuwe.

Uma unemibuzo ngaphambi kokuhlolwa noma ufuna ulwazi olwengeziwe mayelana nendlela yokulungiselela, ungangabazi ukubuza udokotela wakho.