Ukuvuselelwa kwenhliziyo

Ukuvuselelwa kwenhliziyo (rehab) wuhlelo olusiza ukuthi uphile kangcono nesifo senhliziyo. Kuvame ukunikezwa ukukusiza ukuthi ululame ekuhlaselweni yinhliziyo, ukuhlinzwa kwenhliziyo, noma ezinye izinqubo, noma uma unokwehluleka kwenhliziyo.

Lezi zinhlelo zivame ukufaka kokubili imfundo nokuzivocavoca umzimba. Umgomo wokuvuselelwa kwenhliziyo uku:

• Thuthukisa umsebenzi wakho wenhliziyo
• Thuthukisa impilo yakho yonke nekhwalithi yempilo
• Nciphisa izimpawu
• Nciphisa ubungozi bezinkinga zenhliziyo zesikhathi esizayo

Ukuvuselelwa kwenhliziyo kungasiza noma ngubani oke wahlaselwa yisifo senhliziyo noma enye inkinga yenhliziyo. Ungase ucabangele ukuvuselelwa kwenhliziyo uma ngabe:

• Isifo senhliziyo
• Isifo senhliziyo seCoronary (CHD)
• Ukwehluleka kwenhliziyo
• U-Angina (ubuhlungu besifuba)
• Ukuhlinzwa kwenhliziyo noma kwenhliziyo
• Ukufakelwa kwenhliziyo
• Izinqubo ezifana ne-angioplasty ne-stenting

Kwezinye izimo, umhlinzeki wakho wezokunakekelwa kwempilo angakudlulisela ekuvuseleleni uma uke wahlaselwa yinhliziyo noma wahlinzwa inhliziyo. Uma umhlinzeki wakho engasho lutho ngokuvuselelwa, ungabuza ukuthi kungakusiza yini.

Ukuvuselelwa kwenhliziyo kungakusiza:

• Thuthukisa ikhwalithi yempilo yakho
• Yehlisa ingozi yokuba nesifo senhliziyo noma esinye isifo senhliziyo
• Yenza imisebenzi yakho yansuku zonke kalula
• Khulisa izinga lomsebenzi wakho futhi uthuthukise ukuqina kwakho
• Funda ukuthi ungakudla kanjani ukudla okunempilo kwenhliziyo
• Ukuncipha emsimbeni
• Yeka ukubhema
• Umfutho wegazi ophansi kanye ne-cholesterol
• Thuthukisa ukulawula ushukela egazini
• Nciphisa ukucindezeleka
• Yehlisa ingozi yokufa ngesimo senhliziyo
• Hlala uzimele

Uzosebenza nethimba le-rehab elingafaka izinhlobo eziningi zochwepheshe bezokwelapha kubandakanya:

• Odokotela benhliziyo
• Abahlengikazi
• Ochwepheshe bezokudla
• Abelaphi bomzimba
• Ochwepheshe bokuzivocavoca umzimba
• Abelaphi basemsebenzini
• Ochwepheshe bezempilo yengqondo

Ithimba lakho lokuvuselela lizokwakha uhlelo oluphephile kuwe. Ngaphambi kokuthi uqale, iqembu lizohlola impilo yakho yonke. Umhlinzeki uzokwenza isivivinyo futhi angakubuza imibuzo mayelana nomlando wakho wezempilo nowezokwelapha. Ungase futhi ube nokuhlolwa okuthile ukuhlola inhliziyo yakho.

Iningi lezinhlelo zokuvuselela lisuka ezinyangeni ezi-3 kuye kwezi-6. Uhlelo lwakho lungaba lude noma lube mfushane ngokuya ngesimo sakho.

Iningi lezinhlelo zokuvuselela zihlanganisa izindawo ezahlukahlukene:

• Ukuzivocavoca umzimba. Ukuzivocavoca njalo kusiza ukuqinisa inhliziyo yakho futhi kuthuthukise impilo yakho yonke. Ngesikhathi sakho, ungaqala ngemfudumalo yemizuzu emi-5 elandelwa cishe imizuzu engama-20 ye-aerobics. Umgomo ukufinyelela cishe ku-70% kuya ku-80% wesilinganiso senhliziyo yakho esiphezulu. Ngemuva kwalokho uzophola imizuzu engaba mihlanu kuye kwengu-15. Ungenza futhi ukuphakamisa izinsimbi ezilula noma usebenzise imishini yesisindo njengengxenye yenqubo yakho. Ekuqaleni, iqembu lakho lizoqapha inhliziyo yakho ngenkathi uzivocavoca. Uzoqala kancane futhi wandise umsebenzi wakho womzimba ngokuhamba kwesikhathi. Ithimba lakho lokuvuselela lingase liphakamise ukuthi wenze eminye imisebenzi, njengokuhamba ngezinyawo noma umsebenzi wegceke, ngezinsuku ongekho kuhlelo.
• Ukudla okunempilo. Ithimba lakho lizokusiza ufunde ukuthi ungakhetha kanjani ukudla okunempilo. Bangakusiza ukuhlela ukudla ukuze usize ukuphatha izinkinga zempilo, njengesifo sikashukela, ukukhuluphala ngokweqile, umfutho wegazi ophakeme, noma i-cholesterol ephezulu.
• Ezemfundo. Ithimba lakho lokuvuselela lizokufundisa ezinye izindlela zokuhlala uphilile, njengokuyeka ukubhema. Uma unesimo sempilo, njengesifo sikashukela, i-CHD, noma umfutho wegazi ophakeme, iqembu lakho le-rehab lizokufundisa ukuthi ulilawule kanjani.
• Ukusekela. Ithimba lakho lokuvuselela lizokusiza ekusekeleni ekwenzeni lezi zinguquko zendlela yokuphila. Futhi zingakusiza ukuthi ubhekane nokukhathazeka noma ukucindezeleka.

Uma usesibhedlela, uhlelo lwakho lokuvuselela lungase luqale ngenkathi ulapho. Lapho usubuyela ekhaya, cishe uzoya esikhungweni se-rehab endaweni yangakini. Kungaba ku:

• Isibhedlela
• Ikhono lobuhlengikazi elinamakhono
• Enye indawo

Umhlinzeki wakho angakudlulisela esikhungweni se-rehab, noma kungadingeka ukuthi ukhethe esisodwa. Lapho ukhetha isikhungo sokuvuselela, gcina izinto ezimbalwa engqondweni:

• Ingabe isikhungo siseduze nekhaya lakho?
• Ngabe lolu hlelo ngesikhathi olulungele wena?
• Ngabe ungafika esikhungweni kalula?
• Ingabe uhlelo lunezinsizakalo ozidingayo?
• Ngabe lolu hlelo lumbozwe ngumshuwalense wakho?

Uma ungeke ufike esikhungweni se-rehab, ungahle ube nohlobo lokuvuselelwa okwenzayo ekhaya lakho.

Ukuvuselelwa kwenhliziyo; Isifo senhliziyo - ukuvuselelwa kwenhliziyo; Isifo senhliziyo - ukuvuselelwa kwenhliziyo; Coronary artery disease - ukuvuselelwa kwenhliziyo; U-Angina - ukuvuselelwa kwenhliziyo; Ukwehluleka kwenhliziyo - ukuvuselelwa kwenhliziyo

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UBalady GJ, Williams MA, Ades PA, et al. Izingxenye eziyinhloko zokuvuselelwa kwenhliziyo / izinhlelo zokuvikela ezesibili: Ukuvuselelwa kuka-2007: Isitatimende sesayensi esivela kwi-American Heart Association Exercise, Rehabilitation Cardiac, kanye neKomidi Lokuvimbela, uMkhandlu Wezokwelapha Ngezitho Zomzimba; imikhandlu kwi-Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical activity, and Metabolism; kanye ne-American Association of Cardiovascular and Pulmonary Rehabilitation. J Cardiopulm Rehabil Okudlule. 2007; 27 (3): 121-129. I-PMID: 17558191 pubmed.ncbi.nlm.nih.gov/17558191/.

UDalal HM, uDoherty P, uTaylor RS. Ukuvuselelwa kwenhliziyo. BMJ. 2015; 351: h5000. I-PMID: 26419744 pubmed.ncbi.nlm.nih.gov/26419744/.

USmith SC Jr, uBenjamin EJ, uBonow RO, et al. Ukwelashwa kwesibili kokuvikela nokunciphisa ubungozi kwe-AHA / ACCF kweziguli ezine-coronary nezinye izifo ze-atherosclerotic vascular: isibuyekezo se-2011: umhlahlandlela ovela ku-American Heart Association nase-American College of Cardiology Foundation. Ukujikeleza. 2011; 124 (22): 2458-2473. I-PMID: 22052934 pubmed.ncbi.nlm.nih.gov/22052934/.

UThomas RJ, uBeatty AL, u-Beckie TM, et al. Ukuvuselelwa kwenhliziyo esekwe ekhaya: isitatimende sesayensi esivela ku-American Association of Cardiovascular and Pulmonary Rehabilitation, i-American Heart Association, ne-American College of Cardiology. UJ Am Coll Cardiol. 2019; 74 (1): 133-153. I-PMID: 31097258 pubmed.ncbi.nlm.nih.gov/31097258/.

I-Thompson PD, i-Ades PA. Ukuzivocavoca umzimba okusekelwe ekuzivocavoca umzimba. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 54.

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