Ukuvuselelwa kwentliziyo

Ukuvuselelwa kwentliziyo (rehab) yinkqubo ekunceda ukuba uphile ngcono nesifo sentliziyo. Ihlala imiselwe ukukunceda ukuba ubuye ekuhlaselweni sisifo sentliziyo, uqhaqho lwentliziyo, okanye ezinye iinkqubo, okanye ukuba usilele ngentliziyo.

Ezi nkqubo zihlala zibandakanya imfundo kunye nokuzilolonga. Injongo yokuvuselelwa kwentliziyo kuku:

• Ukuphucula ukusebenza kwentliziyo yakho
• Ukuphucula impilo yakho yonke kunye nomgangatho wobomi
• Ukunciphisa iimpawu
• Nciphisa umngcipheko weengxaki zentliziyo ezizayo

Ukuhlaziywa kwe-Cardiac kunokunceda nabani na oye wahlaselwa yintliziyo okanye enye ingxaki yentliziyo. Unokuqwalasela ukubuyiswa kwentliziyo xa unayo:

• Ukuhlaselwa yintliziyo
• Isifo sentliziyo (ICD)
• Ukumelwa yintliziyo
• UAngina (iintlungu zesifuba)
• Utyando lwentliziyo okanye lwevalvu yentliziyo
• Ukufakelwa kwentliziyo
• Iinkqubo ezinje nge-angioplasty kunye ne-stenting

Ngamanye amaxesha, umboneleli wakho wezempilo angakudlulisela kwimo yesiqhelo xa ubenesifo sentliziyo okanye uqhaqho lwentliziyo. Ukuba umboneleli wakho akathethi ngokubuyiselwa kwimeko yesiqhelo, ungabuza ukuba ingakunceda na.

Ukubuyiselwa kwentliziyo kunokukunceda:

• Ukuphucula umgangatho wobomi bakho
• Nciphisa umngcipheko wokuba nesifo sentliziyo okanye esinye isifo sentliziyo
• Yenza imisebenzi yakho yemihla ngemihla ngokulula
• Yandisa inqanaba lomsebenzi wakho kwaye uphucule ukomelela kwakho
• Funda ngendlela yokutya ukutya okusempilweni kwintliziyo
• Yehla emzimbeni
• Yeka ukutshaya
• Ukunciphisa uxinzelelo lwegazi kunye ne-cholesterol
• Ukuphucula ulawulo lweswekile yegazi
• Ukunciphisa uxinzelelo
• Nciphisa umngcipheko wokufa kwimeko yentliziyo
• Hlala uzimele

Uya kusebenza neqela lokuvuselela elinokubandakanya iintlobo ezininzi zeengcali zonyango kubandakanya:

• Oogqirha bentliziyo
• Abongikazi
• Iingcali zokutya
• Iingcali zonyango
• Ukuzivocavoca iingcali
• Iingcali zonyango
• Iingcali zempilo yengqondo

Iqela lakho lokuvuselela liya kuyila inkqubo ekhuselekileyo kuwe. Ngaphambi kokuba uqale, iqela liya kuvavanya impilo yakho iyonke. Umboneleli uya kwenza uvavanyo kwaye angakubuza imibuzo malunga nembali yakho yempilo kunye nonyango. Unokuba nakho kuvavanyo lokujonga intliziyo yakho.

Uninzi lweenkqubo zokubuyisela kwimeko yesiqhelo zihlala kwiinyanga ezintathu ukuya kwezi-6. Inkqubo yakho inokuba nde okanye ibe mfutshane ngokuxhomekeke kwimeko yakho.

Uninzi lweenkqubo zokubuyisela kwimeko yesiqhelo zibandakanya iindawo ezahlukeneyo:

• Zilolonge. Ukuzilolonga rhoqo kunceda ukomeleza intliziyo yakho kunye nokuphucula impilo yakho iyonke. Ngexesha leseshoni zakho, ungaqala malunga nemizuzu emi-5 yokuzifudumeza elandelwa yimizuzu engama-20 ye-aerobics. Injongo kukufika malunga neepesenti ezingama-70 ukuya kuma-80% yenqanaba eliphezulu lentliziyo yakho. Uya kuphola phantsi malunga nemizuzu emi-5 ukuya kwe-15. Unokwenza okunye ukuphakamisa ubunzima okanye ukusebenzisa oomatshini bokulinganisa njengenxalenye yesiqhelo sakho. Ekuqaleni, iqela lakho liya kubeka esweni intliziyo yakho ngelixa uzilolonga. Uya kuqala kancinci kwaye wandise imisebenzi yakho yomzimba ekuhambeni kwexesha. Iqela lakho lokuvuselela lingakucebisa ukuba wenze eminye imisebenzi, njengokuhamba okanye umsebenzi weyadi, ngeentsuku ongekhoyo kwinkqubo.
• Ukutya okunempilo. Iqela lakho liya kukunceda ufunde indlela yokwenza ukhetho lokutya okunempilo. Banokukunceda ekucwangciseni ukutya ukuze uncede ukulawula iingxaki zempilo, ezinje ngeswekile, ukutyeba kakhulu, uxinzelelo lwegazi oluphezulu, okanye icholesterol ephezulu.
• Imfundo. Iqela lakho lokuvuselela liya kukufundisa ezinye iindlela zokuhlala usempilweni, njengokuyeka ukutshaya. Ukuba unempilo, enjengesifo seswekile, i-CHD, okanye uxinzelelo lwegazi oluphezulu, iqela lakho lokubuyisela kwimeko yesiqhelo liya kukufundisa indlela yokulawula.
• Inkxaso. Iqela lakho lokuvuselela liya kunceda likuxhase ekwenzeni olu tshintsho kwindlela ophila ngayo. Banokukunceda ujongane noxinzelelo okanye uxinzelelo.

Ukuba usesibhedlele, inkqubo yakho yesiqhelo ingaqala ngelixa ulapho. Nje ukuba ugoduke, uya kwinqanaba lokubuyisela kwindawo ohlala kuyo. Isenokuba kwi:

• Isibhedlele
• Icandelo lezakhono zokonga
• Enye indawo

Umboneleli wakho unokukuthumela kwiziko lokubuyisela kwimeko yesiqhelo, okanye kungafuneka ukhethe ngokwakho. Xa ukhetha isikhungo sokubuyisela kwimeko yesiqhelo, gcina izinto ezimbalwa engqondweni:

• Ngaba iziko likufutshane nekhaya lakho?
• Ngaba le nkqubo ilungile ngexesha lakho?
• Ngaba ungafikelela kwiziko ngokulula?
• Ngaba le nkqubo inayo iinkonzo ozifunayo?
• Ngaba le nkqubo ihlawulwe yi-inshurensi yakho?

Ukuba awukwazi ukufikelela kwiziko lokubuyisela kwimeko yesiqhelo, unokuba nohlobo lokuvuselela okwenzayo ekhayeni lakho.

Ukubuyiselwa kwentliziyo; Isifo sentliziyo - intliziyo yesiqhelo; Isifo sentliziyo - isifo sentliziyo; Imithambo yegazi yeCoronary - ukuvuselelwa kwentliziyo; U-Angina - ukuvuselelwa kwentliziyo; Ukungaphumeleli kwentliziyo-ukubuyisela kwentliziyo

UAnderson L, uTaylor RS. Ukulungiswa kwentliziyo kubantu abanesifo sentliziyo: isishwankathelo sovavanyo lwenkqubo yeCochrane. Isiseko sedatha yeCochrane Rev. Ngo-2014; 2014 (12): CD011273. IINKCUKACHA: 25503364 pubmed.ncbi.nlm.nih.gov/25503364/.

UBalady GJ, uAds PA, uBittner VA, et al. Ukuthunyelwa, ukubhaliswa, kunye nokuhanjiswa kwenkqubo yokubuyisela kwimeko yesiqhelo / yothintelo lwesibini kumaziko onyango nangaphaya: ingcebiso ngomongameli ovela kwiAmerican Heart Association Ukujikeleza. Ngo-2011; 124 (25): 2951-2960. IINKCUKACHA: 22082676 pubmed.ncbi.nlm.nih.gov/22082676/.

UBalady GJ, uWilliam MA, uAds PA, et al. Izinto ezingundoqo ekuvuseleleni intliziyo / iinkqubo zothintelo lwesibini: Uhlaziyo luka-2007: Ingxelo yenzululwazi evela kwi-American Heart Association Exercise, Rehabilitation Cardiac, kunye neKomiti yothintelo, iBhunga leClinical Cardiology; amabhunga kwi-Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical activity, kunye neMetabolism; kunye noMbutho waseMelika weeCardiovascular and Pulmonary Rehabilitation. J Cardiopulm Rehabil yangaphambili. 2007; 27 (3): 121-129. IINKCUKACHA: I-17558191 pubmed.ncbi.nlm.nih.gov/17558191/.

UDalal HM, uDoherty P, uTaylor RS. Ukuvuselelwa kwentliziyo. BMJ. Ngo-2015; 351: h5000. IINKCUKACHA: 26419744 pubmed.ncbi.nlm.nih.gov/26419744/.

USmith SC Jr, uBenjamin EJ, uBonow RO, et al. Uthintelo lwesibini lwe-AHA / ACCF kunye nonyango lokunciphisa umngcipheko kwizigulana ezinesifo se-coronary kunye nezinye izifo ze-atherosclerotic vascular: uhlaziyo luka-2011: isikhokelo esivela kwi-American Heart Association kunye ne-American College of Cardiology Foundation. Ukujikeleza. Ngo-2011; 124 (22): 2458-2473. IINKCUKACHA: 22052934 pubmed.ncbi.nlm.nih.gov/22052934/.

UThomas RJ, uBeatty AL, u-Beckie TM, et al. Ukulungiswa kwentliziyo esekwe ekhaya: ingxelo yesayensi evela kuMbutho waseMelika weCardiovascular and Pulmonary Rehabilitation, iAmerican Heart Association, kunye neAmerican College of Cardiology. J NdinguColl Cardiol. Ngo-2019; 74 (1): 133-153. IINKCUKACHA: 31097258 pubmed.ncbi.nlm.nih.gov/31097258/.

I-Thompson PD, iAds PA. Ukuzilolonga okusekwe kwimithambo, ukubuyisela kwimo yesiqhelo intliziyo ebanzi. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 54.

• Ukuvuselelwa kwentliziyo