Ubufakazi bamuva bukhomba ukuthi ukuvivinya umzimba okuvamile kungasiza ekuguquleni "ukuqina" komzimba osuswe yi- diastolic ukungasebenzi . Ukukhubazeka kwe-Diastolic ngokuvamile kuveza ukunciphisa okukhulu komthamo wokuzivocavoca futhi kungaholela ekuhlulekeni kwenhliziyo eyaziwa ngokuthi i-diastolic inhliziyo yokuhluleka kwenhliziyo.
Uhlelo lokuzivocavoca kwe-aerobic lungathuthukisa izimpawu ze-diastolic ukungasebenzi nokuthuthukisa ikhwalithi yokuphila.
Sibutsetelo
Ukushaya kwenhliziyo kuhlukaniswe ngezigaba ezimbili-isigaba sokushaya (uma imisipha yenhliziyo ivumelana futhi ichitha igazi emithanjeni), nesigaba sokuphumula (lapho inhliziyo igcwala igazi ukulungiselela ukushaya kwenhliziyo elandelayo). Isigaba sokushaya sibizwa ngokuthi i- systole , futhi isigaba sokuphumula sibhekwa ngokuthi i- diastole .
Ekusebenziseni kwe-diastolic, ukuqina komzimba we-muscle kuthinta isigaba se-diastolic senhliziyo, okwenza kube nzima kakhulu ukuba isisu senhliziyo esiphumuzayo sigcwale ngokuphelele igazi.
Ukuzivocavoca kanye ne-Diastolic Dysfunction
Ngesikhathi sokuzivocavoca, inhliziyo ngokuvamile iyakwazi ukwandisa kakhulu inani legazi eliphampa nge-beat ngayinye. Ingxenye yalokhu kwanda, yiqiniso, ukukhwabanisa okunamandla ngesikhathi se-syole, ukuze kukhishwe igazi ngokushesha. Kodwa okubaluleke kakhulu ukukwazi ukugcwalisa inhliziyo ngokushesha ngegazi ngesikhathi se-diastole. Ukukhubazeka kwe-Diastolic-inhlitiyo yemisipha eqinile-kuvimbela lokhu kugcwaliseka okusheshayo.
Ngenxa yalokho, inani legazi inhliziyo ingakwazi ukupompa ngenhliziyo ngayinye inqunyelwe. Iziguli ezinokukhubazeka kwe-diastolic ngokuvamile zinomthamo wokuzivocavoca okulinganiselwe, futhi zivame ukukhononda nge- dyspnea ngokuzikhandla okuncane.
Indlela Ukuqeqesha Ukuzivocavoca kwama-Aerobic kusiza ngayo
Kuye kwaziwa isikhathi eside ukuthi ukuqeqeshwa okuvamile kwe-aerobic kungathuthukisa kakhulu ikhono lokuzivocavoca kanye nekhwalithi yokuphila ezigulini ezinezinkinga ezivamile zenhliziyo-okungukuthi, ukuhluleka kwenhliziyo okuhlobene nesisindo senhliziyo esibuthakathaka (esaziwa nangokuthi i-cardiomyopathy dilated ).
Muva nje, kuboniswe ukuthi izinhlobo ezifanayo zomphumela zingatholakala ngokuqeqeshwa kwe-aerobic kuziguli ezine-diastolic ukungasebenzi. Ngokuyinhloko, ukuzivocavoca okuvamile kunganciphisa ukuqina kwenhliziyo yakho futhi kuthuthukiswe ukugcwaliswa kwenhliziyo ngesikhathi se-diastole.
Ukuhlolwa okungahleliwe kweziguli ezine-diastolic yehluleka kwenhliziyo kuye kwabonisa ukuthi ukuqeqeshwa okuvamile kwe-aerobic izinyanga ezintathu kuya kwezine kungathuthukisa kakhulu umthamo wokuzivocavoca, izimpawu zokuphefumula nokuzikhandla, kanye nezinga lempilo yokulinganisa.
Kubalulekile ukugcizelela ukuthi nge-diastolic ukukhubazeka kuyisenzo se-aerobic hhayi ukuphakamisa isisindo noma ukuqeqeshwa kwamandla okuthuthukisa ukuqina komzimba. Eqinisweni, kukhona ubufakazi bokuthi kulabo bantu ukuqeqesha amandla kungase kube nzima ngokwengeziwe ngale nkinga ngokubangela imisipha yenhliziyo ibe yi-hypertrophy (ukwehla) ngendlela ekhulisa ukuqina komzwelo.
Ukuzivocavoca kwe-aerobic-ngokuvamile, ukuhamba, ukuhamba ngebhayisikili, noma ukugijima-kuyindlela eqhubekayo yokuqinisa umzimba, lapho amandla okufuna imisipha ehlangana nokudla i-oxygen.
Uma Unesifo Se-Diastolic
Uma une-dysfunction i-diastolic, izingqinamba ziphezulu ukuthi uzozuza kuloluhlelo lokuvivinya umzimba.
Akukhona nje kuphela ukuthi ungase uzizwe ungcono ngemva kwezinyanga ezimbalwa, kodwa futhi ungase uqale ukuguqula ukuqina kwenhliziyo yakho, futhi (okubaluleke kakhulu) ukuvimbela ukuqala kwe-diastolic yehluleka inhliziyo. Kufanele ukhulume nodokotela wakho ngokuqala ukuvivinya umzimba, noma ngisho nangokuhlanganyela ohlelweni oluhlelekile lokuvuselela inhliziyo , ukuze uqale ngendlela efanele.
Imithombo:
I-Zile MR, i-Baicu CF, i-Gaasch WH. Ukuhluleka kwenhliziyo ye-Diastolic - ukungavamile kokuphumula okusebenzayo nokuqina kanzima kwe-ventricle kwesokunxele. N Engl J Med . 2004; 350: 1953.
I-Kitzman DW, i-Brubaker PH, i-Morgan TM, ne-al. Ukuqeqeshwa kokuzivocavoca kweziguli ezindala ezinokuhluleka kwenhliziyo kanye nengxenyana ye-ejection egcinwe: ukuhlolwa okungahleliwe, okulawulwayo, okuyimpumputhe. I-Circ Heart Fail . 2010; 3: 659.
U-Edelmann F, uGelbrich G, uDüngen HD, et al. Ukuqeqeshwa kokuzivocavoca kuthuthukisa umthamo wokuzivocavoca kanye nomsebenzi we-diastolic ezigulini ezinehluleka kwenhliziyo nge-fraction ejection egcinwe: imiphumela ye-Ex-DHF (Ukuqeqeshwa kokuzivocavoca e-Diastolic Heart Failure). J Am Coll Cardiol . 2011; 58: 1780.