Indima Yokwelashwa Kwemvelo E-Acute Cardiac Rehab
Uma ngabe unesifo senhliziyo njengesifo senhliziyo noma ukuhlinzwa kwenhliziyo evulekile, cishe uzodinga ukwelashwa okubanzi ukukusiza ukuthi ubuyele ezingeni lakho langaphambilini lomsebenzi. Udokotela wakho angase futhi ancoma ukuthi uhlanganyele ohlelweni lokuvuselela inhliziyo.
Kunezigaba ezine zesimiso sokuvuselela inhliziyo : isigaba sokuqala senzeka esibhedlela ngokushesha ngemuva komcimbi wakho wezinhliziyo, kanti izigaba ezimbili nantathu zenzeka uma ushiya esibhedlela (lezi zingase zenzeke ngokubamba iqhaza esibhedlela esisezingeni eliphansi nesicindezelekile Uhlelo lwe-rehab cardiac esikhungweni sokuphulukisa inhliziyo enesifo sangaphandle).
Isigaba sokugcina sokuvuselelwa kwenhliziyo yisondlo sakho somuntu siqu uhlelo olufanele lokuzivocavoca kanye nendlela yokuphila enempilo.
Ukuvuselelwa kwenhliziyo eyodwa kwesigaba kwenzeka ngesikhathi usesibhedlela ngemuva komcimbi wakho wezinhliziyo. Ungase uqale ukuvuselelwa kwakho ekliniki yokunakekelwa okujulile (i-ICU) noma enyunithi yokuhlukumeza inhliziyo. Abaningi bezokwelapha bazosebenza nawe ukuqinisekisa ukuthi uyakwazi ukubuyela ngokushesha futhi ngokuphepha ezingeni lakho langaphambilini lomsebenzi.
Kungase kubonakale kungenakwenzeka ukuhambahamba ngenkathi ku-unit yokunakekelwa okujulile, njengamathebhu amaningi nezintambo zingase zikuzungeze, zivimbele ikhono lakho lokuhambisa. Kodwa ungakhathazeki - udokotela wakho womzimba uyazi ukuthi ungayisingatha kanjani lezi zinto futhi angakwazi ukwenza ukuhlolwa okudingekayo kanye nokwelashwa ku-ICU.
I-Therapy Therapy Evaluation
Uma usesibhedlela futhi uzinzile ngemuva komcimbi wakho wezinhliziyo, udokotela wakho cishe uzohlelela izinsizakalo zokwelapha ngokomzimba ukuze akusize uhambe futhi.
Ukunakekelwa okunzima kwengqondo yomzimba okukhethekile ngokuvuselelwa kwenhliziyo kuzokwenza ukuhlolwa kokuqala eceleni kombhede wakho esibhedlela.
Phakathi nokuhlolwa kwakho kwelashwa ngokomzimba, uchwepheshe wakho wenyama uzokuxoxa nawe futhi uzothatha izivivinyo nezinyathelo ezihlukahlukene ukusiza ukunquma ukwelashwa okungcono kuwe.
Lezi zivivinyo zifaka phakathi, kodwa azikhawulelwe ku:
- Isilinganiso senhliziyo
- Ukushaya kwegazi
- Ukufakelwa kwe-oksijeni
- Umsebenzi ophezulu kakhulu, kufaka amandla namandla okuhamba (ROM)
- Amandla esiphezulu esiphansi ne-ROM
- Ukuhamba ngokusebenza njengemisebenzi yokuhamba nokuzinakekela
Isifo sakho somzimba singabuye sihlole i-EKG yakho futhi sibuke ukuthi sishintsha kanjani ekuphumuleni nasemisebenzini ehlukahlukene yokusebenza. Isazi sakho somzimba singase sithole izinyathelo ezithile zomphumela ezifana nokuhlolwa okuphelelwe yisikhathi (Up Tim and Up (TUG) noma ukuhlolwa kokuhamba okuyisithupha ukuze uthole isisekelo sesimo sakho sokusebenza.
Ngemuva kokuhlolwa kwakho kwemithi yokwelashwa, umuthi wakho wezokwelapha uzosebenza nawe nomndeni wakho ukuqinisekisa ukuthi uqonda izinzuzo zomuntu siqu ukuthi ukwelashwa ngokomzimba kunganikeza ohlelweni lokuvuselela inhliziyo.
Imfundo Ebekezelayo Ekuvuseleleni I-Cardiac
Imfundo yesineke iyinto ebalulekile yimuphi uhlelo lokuvuselela inhliziyo. Isazi sakho somzimba sizokufundisa imihlahlandlela eminingi ebalulekile esibhedlela esibhekene nesimo sakho esithile. Ezinye iziqondiso ukuthi umhlinzeki wakho angakupha zifaka:
- Izixwayiso zangaphandle (uma uhlinzekelwe inhliziyo)
- Izimo zengozi yezimo zenhliziyo
- Ukuguqulwa komsebenzi
- Ukuzivocavoca kombhede ukwenza esibhedlela
- Izindlela zokuziqapha zezinga lenhliziyo nezinga lokuzikhandla
Qinisekisa ukuthi ulalele ngokucophelela isazi sakho somzimba, bese ubuza noma yikuphi imibuzo ongayithola. Umhlinzeki wakho womzimba kufanele abhale phansi nanoma yiziphi iziqondiso ezithile ozozilandela.
Ukwelashwa Kwemithi Yokwenyama Esigabeni Sokuqala I-Rehab Cardiac
Enye yezinhloso eziyinhloko zokwelashwa ngokomzimba kwisigaba sokuqala sokuvuselelwa kwenhliziyo ukukhulisa kancane kancane futhi ngokuphepha izinga lomsebenzi wakho. Isazi sakho somzimba sizoqapha isilinganiso senhliziyo yakho, ukucindezelwa kwegazi, namazinga e-oxygen njengoba ukwandisa ukubekezela kwakho nokuhamba komsebenzi. Angase futhi aqaphe izinguquko ku-electrocardiogram yakho (EKG) ngenkathi wenza imisebenzi ethize ukuqinisekisa ukuthi isimiso sakho senhliziyo sisabela ngokujwayelekile emsebenzini okwandisiwe.
Umhlinzeki wakho womzimba uzosebenza nawe ukuqinisekisa ukuthi uyakwazi ukwenza ukuhamba okuyisisekelo kokusebenza njengokuhamba embhedeni, ukuhamba ukusuka embhedeni wakho kuya esihlalweni, nokuhamba. Njengoba uqhubekela phambili kwisigaba esisodwa se-rehab, inhliziyo yakho ingasebenza nawe emisebenzini eyithuthukisiwe, njenge-climbing stair. Ungase futhi ahlangane nodokotela bakho kanye namanye amalungu eqembu le-heart rehab ukuqinisekisa ukuthi ukuqhubeka kwakho kulungile, nokuthi uhlelo lwakho lokukhishwa lukhona. Ngaphezu kwalokho, uchwepheshe wakho wezokwelapha uzohlangana nawe nomndeni wakho ukuqinisekisa ukuthi uyakwazi ukuhamba ngokuphepha endlini yakho uma usuka esibhedlela. I-PT yakho izokusiza ukuthi uthole amasu okugcina izinyathelo zakho zangasese lapho uhamba khona.
Uma usuka esibhedlela, udokotela wakho cishe uzokutshela ekuqaliseni ukuvuselelwa kwenhliziyo emibili ukuqhubeka nenqubekela phambili oyenzile esibhedlela. Qinisekisa ukuthi ulandela imiyalo kadokotela wakho lapho ushiya esibhedlela, bese ubuza noma yikuphi imibuzo ongase ube nayo.
Ngenkathi esesibhedlela ngemuva komcimbi wezinhliziyo ezifana nesifo senhliziyo noma ukuhlinzwa kwenhliziyo, ungase uzizwe sengathi awukwazi ukwenza imisebenzi eyisisekelo kakhulu. Ngokusebenza kanzima nomhlengikazi wakho wenyama ekuvuselelweni kwenhliziyo eyodwa, ungandisa amathuba akho ngokuphepha futhi ubuyele ngokushesha ezingeni lakho langaphambili lomsebenzi nomsebenzi.
Umthombo: Hillegas, E., & Sadowski, HS (1994). Izinto ezibalulekile zokwelapha ngokomzimba we-cardiopulmonary. (I-1 ed.). I-Philadelphis: WB Saunders.