Kukonzanso kwamtima

Kukonzanso kwa mtima (rehab) ndi pulogalamu yomwe imakuthandizani kukhala bwino ndi matenda amtima. Nthawi zambiri amapatsidwa kuti akuthandizireni kuchira kwa mtima, opaleshoni yamtima, kapena njira zina, kapena ngati muli ndi vuto la mtima.

Mapulogalamuwa nthawi zambiri amaphatikizapo maphunziro ndi masewera olimbitsa thupi. Cholinga cha kukonzanso mtima ndi:

• Limbikitsani mtima wanu wamtima
• Sinthani thanzi lanu komanso moyo wanu wonse
• Kuchepetsa zizindikiro
• Chepetsani chiopsezo chamtsogolo chamtsogolo

Kukonzanso kwa mtima kumatha kuthandiza aliyense amene wagwidwa ndi vuto la mtima kapena vuto lina la mtima. Mutha kulingalira zokonzanso mtima ngati mwakhalapo:

• Matenda amtima
• Matenda amtima (CHD)
• Mtima kulephera
• Angina (kupweteka pachifuwa)
• Opaleshoni ya valve yamtima kapena yamtima
• Kuika mtima
• Njira monga angioplasty ndi stenting

Nthawi zina, wothandizira zaumoyo wanu amatha kukutumizirani kuchipatala ngati mwadwala matenda a mtima kapena opaleshoni ya mtima. Ngati wothandizira wanu sanatchule za kukonzanso, mutha kufunsa ngati zingakuthandizeni.

Kukonzanso kwamtima kumatha kukuthandizani:

• Sinthani moyo wanu
• Chepetsani chiopsezo chanu chodwala matenda a mtima kapena vuto lina la mtima
• Chitani ntchito zanu za tsiku ndi tsiku mosavuta
• Onjezani gawo lanu lazomwe mukuchita ndikukhala olimba
• Phunzirani momwe mungadye chakudya chopatsa thanzi
• Kuchepetsa thupi
• Siyani kusuta
• Kuchepetsa kuthamanga kwa magazi ndi cholesterol
• Sinthani kuwongolera kwa magazi
• Kuchepetsa nkhawa
• Chepetsani chiopsezo chanu chofa ndi matenda amtima
• Khalani osadalira

Mudzagwira ntchito ndi gulu lokonzanso lomwe lingaphatikizepo mitundu yambiri ya akatswiri azachipatala kuphatikiza:

• Madokotala a mtima
• Anamwino
• Akatswiri azakudya
• Othandizira athupi
• Akatswiri ochita masewera olimbitsa thupi
• Othandizira pantchito
• Akatswiri azaumoyo

Gulu lanu lokonzanso lidzapanga pulogalamu yomwe ingakhale yotetezeka kwa inu. Musanayambe, gululi liziwunika thanzi lanu lonse. Wothandizira adzayesa ndipo akhoza kukufunsani mafunso okhudza thanzi lanu komanso mbiri ya zamankhwala. Muthanso kuyesedwa kuti muwone mtima wanu.

Mapulogalamu ambiri okonzanso amatha miyezi itatu mpaka 6. Pulogalamu yanu itha kukhala yayitali kapena yayifupi kutengera momwe mulili.

Mapulogalamu ambiri okonzanso zinthu amakhala ndi magawo osiyanasiyana:

• Chitani masewera olimbitsa thupi. Kuchita masewera olimbitsa thupi pafupipafupi kumathandiza kulimbitsa mtima wanu ndikusintha thanzi lanu. Mukamachita magawo anu, mutha kuyamba ndi kutentha kwa mphindi 5 ndikutsatira pafupifupi mphindi 20 za aerobics. Cholinga ndikuti mufike pafupifupi 70% mpaka 80% yazomwe mukukula pamtima. Mukatero muzizizira kwa mphindi 5 mpaka 15. Muthanso kupepuka pang'ono kapena kugwiritsa ntchito makina olemera monga gawo lanu. Poyamba, gulu lanu liziwunika mtima wanu mukamachita masewera olimbitsa thupi. Muyamba pang'onopang'ono ndikuwonjezera kulimbitsa thupi kwanu pakapita nthawi. Gulu lanu lokonzanso lingakulimbikitseni kuti muzichita zina, monga kuyenda kapena kugwira ntchito pabwalo, masiku omwe simuli pamwambowu.
• Kudya moyenera. Gulu lanu lidzakuthandizani kuphunzira momwe mungasankhire zakudya zabwino. Amatha kukuthandizani kukonzekera zakudya zokuthandizani kuthana ndi mavuto azaumoyo, monga matenda ashuga, kunenepa kwambiri, kuthamanga kwa magazi, kapena cholesterol.
• Maphunziro. Gulu lanu lokonzanso lidzakuphunzitsani njira zina zokhalira athanzi, monga kusiya kusuta. Ngati muli ndi thanzi labwino, monga matenda ashuga, CHD, kapena kuthamanga kwa magazi, gulu lanu lokonzanso lingakuphunzitseni momwe mungachitire.
• Thandizo. Gulu lanu lokonzanso lingakuthandizireni pakusintha khalidweli. Angakuthandizeninso kuthana ndi nkhawa kapena kukhumudwa.

Ngati muli mchipatala, pulogalamu yanu yokonzanso ikhoza kuyamba pomwe muli komweko. Mukabwerera kunyumba, mwina mukapita ku malo osinthira m'dera lanu. Itha kukhala mu:

• Chipatala
• Luso la unamwino waluso
• Malo ena

Wothandizira anu akhoza kukutumizirani ku malo okonzanso, kapena mungafunike kusankha nokha. Posankha malo obwezeretsa zinthu, kumbukirani zinthu zingapo:

• Kodi malowa ali pafupi ndi kwanu?
• Kodi pulogalamuyi ndi nthawi yomwe ili yabwino kwa inu?
• Kodi mungathe kufika pakatikati mosavuta?
• Kodi pulogalamuyi ili ndi ntchito zomwe mukufuna?
• Kodi pulogalamuyi imayang'aniridwa ndi inshuwaransi yanu?

Ngati simungathe kupita kumalo osinthira anthu, mutha kukhala ndi mawonekedwe omwe mumachita kunyumba kwanu.

Kukonzanso kwamtima; Matenda a mtima - kukonzanso mtima; Mitima matenda - mtima kukonzanso; Mitima matenda - mtima kukonzanso; Angina - kukonzanso mtima; Kulephera kwa mtima - kukonzanso mtima

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Thomas RJ, Beatty AL, Beckie TM, ndi al. Kukonzanso kwamtima kwapakhomo: mawu asayansi ochokera ku American Association of Cardiovascular and Pulmonary Rehabilitation, American Heart Association, ndi American College of Cardiology. J Ndine Coll Cardiol. 2019; 74 (1): 133-153. (Adasankhidwa) PMID: 31097258 pubed.ncbi.nlm.nih.gov/31097258/.

Thompson PD, Ades PA. Kuchita masewera olimbitsa thupi, kukonzanso mtima kwathunthu. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 54.

• Kukonzanso Kwa Mtima