Mabhenefiti ePhysiotherapy muKutarisirwa kweVana Mushure mekuvhiyiwa kweMwoyo
Kuvhiyiwa kwemoyo—kwakadai se coronary artery bypass grafting (CABG), kugadziriswa kana kutsiva mavharuvhu, uye kuiswa kwezvimwe zvishandiso—kazhinji inhanho inokosha mukuponesa hupenyu nekuvandudza hupenyu. Zvisinei, kubudirira kwekuvhiyiwa hakungoonekwi chete nemaitiro ari mukamuri rekuvhiyiwa asiwo nehunhu hwekutarisira mushure mekuvhiyiwa. Chimwe chinhu chinoita kuti murwere adzoke nekukurumidza kumabasa ake enguva dzose iphysiotherapy. Physiotherapy mushure mekuvhiyiwa kwemoyo inoita basa rekubatsira kudzorera mashandiro emuviri, kuwedzera kugona kwemuviri, uye kudzivirira matambudziko anogona kumuka panguva yekurara muchipatara uye mushure mekudzokera kumba.
1. Inokurumidza Kupora Kwebasa Rekufema
Mushure mekuvhiyiwa kwemoyo, varwere vanowanzo kushaya simba kwemapapu. Izvi zvinogona kukanganiswa nekushandiswa kwemishonga inonyaradza marwadzo, kurwadziwa pachipfuva, kurara kwenguva refu, uye kuvapo kwemachubhu kana zvishandiso zvekurapa. Matambudziko aya anogona kukonzera varwere kufema zvisina kudzika uye kusada kukosora nekuda kwekutya kurwadziwa, zvichikonzera kuungana kwematehwe uye njodzi yehutachiona yakawedzera.
Kurapa nemuviri kunobatsira kudzorera maitiro ekufema anoshanda kuburikidza nekurovedza muviri kwe diaphragmatic kufema, kurovedza muviri kwekuwedzera mapapu, uye nzira dzinoshanda dzekukosora. Vanachiremba vanogona zvakare kudzidzisa kushandiswa kwezvishandiso zvekubatsira zvakaita se spirometers yekukurudzira kuwedzera mapapu zvishoma nezvishoma. Mabhenefiti ekupedzisira anosanganisira kuvandudzwa kweoxygen, kudzikira kwekufema, uye kudzikira kwenjodzi yematambudziko emapapu - akadai se atelectasis (chikamu chemapapu kudonha) kana pneumonia.
2. Kuderedza Njodzi Yematambudziko Anokonzerwa Nekuzorora Pamubhedha
Mushure mekuvhiyiwa , varwere vanowanzoda kuzorora pamubhedha, kunyanya mumazuva ekutanga. Kurara pamubhedha kwenguva refu kunogona kuwedzera njodzi yekugwamba kweropa (deep vein thrombosis), kuderedza simba retsandanyama, kuomarara kwemajoini, uye kutoderedza kutsungirira. Uyezve, kufamba kweropa kunogona kunonoka, zvichiita kuti varwere vanzwe kuneta nekukurumidza pavanotangazve kufamba.
Kurapa nemuviri kunoita basa guru kuburikidza nekurovedza muviri nekukurumidza, kubva pakurovedza muviri padivi pemubhedha, kugara padivi pemubhedha, kumira, uye kufambira mberi zvishoma nezvishoma kusvika pakufamba, zvichienderana nemamiriro emurwere. Kufambisa muviri nekukurumidza kwakaratidzwa kuti kunobatsira kuchengetedza kushanda kwetsandanyama, kunatsiridza kuyerera kweropa , uye kuderedza njodzi yematambudziko. Chirongwa ichi chinoitwa nekutarisa zvakanyanya BP, kurova kwemoyo, oxygen saturation, uye mhinduro yemuviri kuchiitiko.
3. Inodzorera Simba Romuviri uye Kutsungirira
Varwere vazhinji vanowana kudzikira kweutano mushure mekuvhiyiwa nekuda kwekushushikana kwemuviri, kurambidzwa kwekushanda, uye shanduko mukushanda kwemuviri panguva yekupora. Kushaya simba kwetsandanyama kunogona kuitika kunyangwe kune varwere vaimboshanda, sezvo muviri uchida nguva yekupora kubva pakuvhiyiwa kukuru.
Kurapa muviri kunobatsira kuvandudza simba remhasuru uye kutsungirira kuburikidza nekurovedza muviri zvishoma nezvishoma. Tanga nekurovedza muviri kwakaderera senge kufamba-famba muchipatara, kurovedza muviri maoko nemakumbo, wobva waenderera mberi nekurovedza muviri zvine mwero. Maitiro aya akakosha kudzivirira kushanda zvakanyanya kwemoyo uku uchiramba uchipa kukurudzira kwakakodzera kwekupora uye kugadzirisa.
4. Wedzera kuchengetedzeka kwemabasa ezuva nezuva
Mushure mekuvhiyiwa kwemoyo, varwere vazhinji vanozeza kufamba. Zvinonetsa zvakaita sekuti "mastichi achasunuruka here?" kana kuti "moyo wangu uchasimba here?" zvinowanzomuka, zvichiita kuti munhu ararame hupenyu husina kugadzikana. Zvisinei, kuita zvinhu zvakakodzera kunogona kukurumidzisa kupora.
Vanachiremba vemuviri vanobatsira varwere kudzidza kuita mabasa ezuva nezuva zvakachengeteka, kusanganisira masimukiro ekumuka kubva panzvimbo yakarara, kugara, uye kumira pasina kumanikidza zvakanyanya panzvimbo yekuvhiyiwa, uye makwiriro ekukwira masitepisi zvishoma nezvishoma. Kune varwere vari kuvhiyiwa kunosanganisira kuvhura sternum (sternum), vanachiremba vemuviri vanodzidzisawo misimboti ye "zvidziviriro zvekunze," kana gwara rekuchengetedza kuchengetedza nzvimbo yechipfuva panguva yekufamba, senge kudzivirira kusundidzira zvinorema nemaoko ese kana kusimudza zvinhu zvinorema panguva yekutanga.
5. Inoderedza Marwadzo eTsuru uye Kushushikana
Marwadzo mushure mekuvhiyiwa akajairika, asi kana akasabatwa nemazvo, anogona kukanganisa kupora. Marwadzo anogona kudzikamisa kufema kwakadzika, kuderedza kufamba, uye kukonzera kushushikana kwetsandanyama mumapfudzi, mutsipa, nemusana. Nekuda kweizvozvo, varwere vanogona kunzwa kukotama kana kufamba zvishoma pamafudzi.
Kurapa muviri kunogona kubatsira kuderedza marwadzo kuburikidza nekurovedza muviri kwakarongwa, kudzidzisa muviri kuti umire zvakanaka, uye nzira dzekuzorora . Nekufamba kwakakodzera uye kwakachengeteka, varwere vanogona kuderedza kuomarara uye kuvandudza nyaradzo. Ehe, kudzora marwadzo kunogara kuchiitwa pamwe chete nechikwata chekurapa, kusanganisira vanachiremba nevanamukoti, kuona kuti varwere vanowana kurapwa kwakazara.
6. Inobatsira kudzora mashandiro uye maitiro esimba
Varwere vanovhiyiwa mwoyo vanowanzosangana nekuneta kusingawanzoitiki. Kuneta uku kunogona kuita kuti zviomere varwere kuziva nguva yekushanda nesimba uye nguva yekuzorora. Kana basa rakaoma, varwere vanogona kufema zvishoma, dzungu, kana BP yakaderera. Kusiyana neizvi, kana basa risingawanzoitiki, zvinogona kuoma kuti vadzoke pakuva vakasimba.
Vanachiremba vemuviri vanobatsira kugadzira chirongwa chemitambo chinoyerwa chakagadzirirwa kugona kwavo. Varwere vanodzidziswa kuziva zviratidzo zvemuviri, kushandisa zviyero zvekunzwisisa kuneta (semuenzaniso, Borg Scale), uye kudzidzira "kufamba," kana kugovera simba, kuve nechokwadi chekuti mabasa ezuva nezuva haavapedze simba ravo. Nekuda kweizvozvo, varwere vanowana chivimbo chakawanda uye vanofambira mberi kusvika pakupora kwakasimba.
7. Inotsigira Kugadziriswa Kwemwoyo Kwenguva Refu
Kurapa nemuviri kazhinji ndicho chikamu chekutanga chechirongwa chekurapa mwoyo. Kurapa mwoyo hakungotarisiri chete kurovedza muviri asiwo kunosanganisira dzidzo yemararamiro, kudzora kushushikana, uye kudzora zvinhu zvine njodzi zvakaita seBP, cholesterol, chirwere cheshuga, uye kusvuta.
Kuburikidza nekuramba vachirapwa, varwere vanogona kuvandudza kugona kwavo kufema kwemwoyo, kuderedza njodzi yezviitiko zvemwoyo zvinodzokorora, uye kuvandudza hupenyu hwavo . Zvirongwa izvi zvinowanzova chikamu chemuchipatara, chikamu chakarongwa chekurapa kunze, uye chikamu chekuzvitarisira kumba—zvose zvinogona kusanganisira nyanzvi yekurovedza muviri semubatsiri wekurovedza muviri uye mutarisiri wekufambira mberi.
8. Kuvandudza Mativi Epfungwa Nehunhu Hwehupenyu
Kupora mushure mekuvhiyiwa kwemoyo hakusi kwemuviri chete. Varwere vazhinji vanonzwa kuzvidya mwoyo, kutya kuita chimwe chinhu, kana kutoratidza zviratidzo zvekuora mwoyo nekuda kwekuchinja kukuru muhutano hwavo. Kana muviri uchinzwa usina simba uye mabasa asina kukwana, kuzvivimba kunogona kuderera.
Kurapa muviri kunobatsira varwere kuona kufambira mberi kunooneka zuva nezuva—semuenzaniso, kubva pakukwanisa kugara, kumira, uye kufamba zvakanyanya. Kuvandudzwa kudiki kunoenderera mberi kunogona kuwedzera kukurudzira uye chivimbo mukukwanisa kwemuviri kupora. Rutsigiro rwedzidzo uye kutaurirana kwakanaka pakati penyanzvi yekurovedza muviri nemurwere zvinoitawo basa mukuderedza kuzvidya mwoyo.
Mhedziso
Kurapa nemuviri (physiotherapy) kunopa mabhenefiti makuru mukurapa mushure mekuvhiyiwa kwemwoyo. Kunovandudza mashandiro ekufema , kunodzivirira matambudziko anokonzerwa nekuzorora pamubhedha, kunowedzera simba nekutsungirira, uye kunobatsira varwere kudzokera kumabasa avo ezuva nezuva zvakachengeteka. Uyezve, physiotherapy inoshanda sezambuko rekugadzirisa mwoyo kwenguva refu, izvo zvinogona kuderedza njodzi yekudzoka kwematambudziko emwoyo uye kuvandudza hupenyu.
Kune varwere vakavhiyiwa mwoyo mushure mekuvhiyiwa, kutora chikamu muchirongwa che physiotherapy sezvakataurwa nechikwata chekurapa hakusi kungowedzerwa sarudzo, asi chikamu chakakosha chekupora. Nenzira yakayerwa, yakachengeteka, uye zvishoma nezvishoma, physiotherapy inobatsira varwere kudzokera kuhupenyu hunoshanda, hwakazvimiririra, uye hune hutano.
