Udindo wa Mankhwala Opatsirana mu Rehab Yambiri Yamakono
Ngati mwakhala ndi masewero a mtima monga matenda a mtima kapena opaleshoni ya mtima, mutha kufuna chithandizo chokwanira kukuthandizani kubwerera kuntchito yanu yapitayi. Dokotala wanu angalimbikitsenso kuti mutenge nawo pulogalamu ya kukonzanso mtima.
Pali magawo anayi a pulogalamu ya kukonzanso mtima : gawo loyamba likuchitika kuchipatala mwamsanga mutangotha chochitika chanu cha mtima, pamene magawo awiri ndi atatu amachoka mukachokerapo kuchipatala (izi zikhoza kuchitika mwa kutenga nawo mbali pafupipafupi komanso odwala kwambiri mapulogalamu a rehab cardiac ku chipatala chokhalitsa mtima).
Gawo lomaliza la kukonzanso mtima ndikumasamalira nokha njira yowonetsera thupi komanso moyo wathanzi.
Kukhazikitsa mtima kwa mtima umodzi kumachitika mukakhala kuchipatala mutatha mwambo wanu wamtima. Mungayambe kukonzanso kuchipatala chokwanira (ICU) kapena muchigawo choyendetsa mtima. Ophunzira ambiri azachipatala adzagwira ntchito ndi iwe kuti atsimikizire kuti mutha kubwerera mwamsanga kuntchito yanu yapitayi.
Zikuwoneka kuti n'zosatheka kusuntha mukakhala mu chipatala chachikulu, ma tubes ndi mawaya ambiri akhoza kukuzungulira, ndikulepheretsani kusuntha. Koma musadandaule - wodwala wanu wathanzi amadziwa momwe angagwiritsire ntchito zinthuzi ndipo angathe kuchita zofunikira ndi chithandizo pa ICU.
The Physical Therapy Assessment
Mukakhala m'chipatala ndikukhazikika pamapeto pa chochitika chanu cha mtima, dokotala wanu angakonze zopereka zakuthupi kuti akuthandizenso kusuntha.
Kusamalira mwachidwi opaleshoni yapamwamba yomwe imagwirizana ndi kukonzanso mtima kumapangidwe koyambirira pambali pa bedi lanu kuchipatala.
Pa mankhwala anu opaleshoni, wodwala wanu akufunsani inu ndipo atenga mayesero ndi mayesero osiyanasiyana kuti athandizireni mankhwala abwino kwambiri.
Mayesero awa ndi awa, koma sali ochepa kwa:
- Kuthamanga kwa mtima
- Kuthamanga kwa magazi
- Kutsekemera kwa okosijeni
- Ntchito yam'mwamba, kuphatikizapo mphamvu ndi kayendetsedwe ka kayendetsedwe ka kayendedwe kake (ROM)
- Lower edge mphamvu ndi ROM
- Kuyenda mogwira ntchito monga kuyenda ndi kudzipangira ntchito
Wodwala wanu wathanzi angakambiranenso EKG yanu ndikuwone momwe ikusinthira pa nthawi ndi ntchito zosiyanasiyana. Wodwala wanu wathanzi angathenso kupeza zotsatira zenizeni monga mayesero a Timed Up and Go (TUG) kapena Mayendedwe a Six Minute Test kuti mupeze maziko a momwe mukuyendera.
Pambuyo poyeza mankhwala, thupi lanu lidzagwira ntchito limodzi ndi inu ndi banja lanu kuti mutsimikizire kuti mumamvetsa ubwino umene mankhwala omwe angapereke angapereke pulogalamu ya kukonzanso mtima.
Maphunziro Oleza Mtima pa Kukonzekera kwa Mtima
Maphunziro oleza mtima ndizofunikira pa pulogalamu iliyonse yowonetsera mtima. Wodwala wanu wamakono adzakuphunzitsani zambiri zofunika mu chipatala chokhudzana ndi chikhalidwe chanu. Malangizo ena omwe odwala anu angakupatseni ndi awa:
- Zitetezero zapansi (ngati inu mwachitidwa opaleshoni ya mtima)
- Zowopsa za mikhalidwe ya mtima
- Kusintha kwa ntchito
- Kuchita masewera olimbitsa thupi kuchipatala
- Njira zodziyendetsa zokhala ndi mtima wamtima ndi msinkhu wopitirira
Onetsetsani kumvetsera mwatcheru kwa wodwala wanu, ndikufunseni mafunso omwe mungakhale nawo. Wodwala wanu wathanzi ayenera kulemba malangizo omwe mukuyenera kutsatira.
Kuchiza Mankhwala Opatsirana mu Gawo Loyamba la Cardiac Rehab
Chimodzi mwa zolinga zazikulu zothandizira thupi mu njira imodzi yokonzanso mtima ndi kupititsa patsogolo pang'onopang'ono ntchito yanu. Wodwala wanu wa thupi adzayang'ana kuchuluka kwa mtima wanu, kuthamanga kwa magazi, ndi maimidwe a oxygen pamene mukuwonjezera kupirira kwanu ndi ntchito. Angathenso kuyang'ana kusintha kwa electrocardiogram (EKG) pamene mukuchita ntchito zowonetsetsa kuti mtima wanu wamaganizo ukuyankha mwachizoloŵezi kuwonjezeka kwa ntchito.
Wodwala wanu akugwira ntchito ndi inu kuti awonetsetse kuti mumatha kugwira ntchito zoyendetsera ntchito monga kuyenda pamama, kusunthira kuchoka pa bedi lanu kupita ku mpando, ndi kuyenda. Pamene mukupita mu gawo limodzi la moyo wamtima, wodwala wanu angagwire ntchito ndi inu pazochitika zam'tsogolo, monga kukwera masitepe. Angakumanenso ndi madokotala anu ndi anthu ena a gulu la mtima wa rehab kuti atsimikizire kuti mukuyenda bwino, komanso kuti ndondomeko yanu ikutha. Kuonjezera apo, wodwala wanu wathanzi adzakumana ndi inu ndi banja lanu kuti mutsimikizire kuti mungathe kufika panyumba panu mosamala mukamachoka kuchipatala. Phukusi lanu lidzakuthandizani kupeza njira zopezera zodzitetezera zakunja pamene mukuyendayenda.
Mukamachoka kuchipatala, dokotala wanu adzakulozerani kuti mutha kukonzanso mtima wanu kuti mupitirize kupita patsogolo kuchipatala. Onetsetsani kutsatira malangizo a dokotala wanu pochoka kuchipatala ndikufunsa mafunso omwe mungakhale nawo.
Ali m'chipatala mutatha kuchitika chiwonongeko monga matenda a mtima kapena opaleshoni ya mtima, mungamve ngati simungathe kuchita ntchito zofunikira kwambiri. Pogwira ntchito mwakhama ndi wodwala wodwalayo mu chigawo chimodzi cha kukonzanso mtima, mungathe kupititsa patsogolo mwayi wanu wotetezeka komanso mwamsanga kubwerera kuntchito yanu yam'mbuyomu ndi ntchito.
Chitsime: Hillegas, E., & Sadowski, HS (1994). Zofunikira za mankhwala opatsirana thupi. (1 mphindi). Philadelphis: WB Saunders.