UK, Essex, Harlow, maonero akakwirira emukadzi ari kurovedza muviri panze mubindu rake
Kudzoreredza mhasuru uye simba, kutsungirira kwemuviri, kugona kufema, kujeka kwepfungwa, kugara zvakanaka kwepfungwa uye mazinga esimba ezuva nezuva akakosha kune vaimbove varwere vechipatara uye COVID-refu-hauler zvakafanana. Pazasi, nyanzvi dzinoyera pane izvo COVID-19 kupora kunosanganisira.
Comprehensive Recovery Plan
Kupora kwemunhu kunodiwa kunosiyana zvichienderana nemurwere uye yavo COVID-19 kosi. Nzvimbo huru dzehutano dzinowanzo batwa uye dzinofanirwa kugadziriswa dzinosanganisira:
- Simba uye kufamba. Kuchipatara uye kutapukirwa nehutachiona pachayo kunogona kukanganisa simba remhasuru uye kuwanda. Kusafamba kubva pamubhedha muchipatara kana kumba kunogona kuchinjwa zvishoma nezvishoma.
- Kutsungirira. Kuneta idambudziko rakakura neCOVID refu, inoda kungwarira kuita pacing.
- Kufema. Mhedzisiro yemapapu kubva kuCOVID pneumonia inogona kuramba ichienderera. Kurapa pamwe nekurapa kwekufema kunogona kuvandudza kufema.
- Kushanda kugwinya. Kana zviitiko zvehupenyu hwezuva nezuva sekusimudza zvinhu zvemumba zvisisaitwe nyore, basa rinogona kudzoreredzwa.
- Kujeka kwepfungwa/kuenzana kwemanzwiro. Inonzi mhute yeuropi inoita kuti zviome kushanda kana kuisa pfungwa pachinhu chimwe, uye mhedzisiro yacho ndeyechokwadi, kwete yekufungidzira. Kuenda nechirwere chakakomba, kugara muchipatara kwenguva refu uye zvinetso zvehutano zvinoramba zvichigumbura. Kutsigira kubva mukurapa kunobatsira.
- General utano. Denda iri rinowanzo fukidza zvinonetsa senge kuchengetwa kwegomarara, kuongororwa mazino kana kuongororwa, asi hutano hwese hunodawo kutarisirwa.
Simba uye Mobility
Kana iyo musculoskeletal system ikatora kurova kubva kuCOVID-19, inotenderera nemuviri wese. "tsandanyama inoita basa rakakosha," anodaro Suzette Pereira, muongorori wehutano hwetsandanyama naAbbott, kambani yepasi rose yehutano. "Inotora chikamu che40% chehuremu hwemuviri wedu uye inhengo yemetabolism inoshanda dzimwe nhengo nematishu ari mumuviri. Inopa zvinovaka muviri kumitezo yakaoma panguva yekurwara, uye kurasikirwa zvakanyanya kunogona kuisa hutano hwako panjodzi. "
Nehurombo, pasina chinangwa chekufunga nezvehutano hwemhasuru, simba remhasuru uye basa zvinogona kudzikira muvarwere veCOVID-19. “Inobata-22,” anodaro Brianne Mooney, murapi womuviri paHospital for Special Surgery muNew York City. Anotsanangura kuti kushayikwa kwekufamba kunowedzera kurasikirwa kwemasuru, asi kufamba kunogona kunzwa kusingabviri nechirwere chekushaya simba. Kuita kuti zvinhu zvinyanye kuipa, tsandanyama atrophy inowedzera kuneta, zvichiita kuti kufamba kuve kushoma.
Varwere vanogona kurasikirwa kusvika ku30% yemamhasuru mashoma mumazuva ekutanga e10 ekugamuchirwa kweyuniti yekuchengetedza, tsvagiridzo inoratidza. Varwere vari muchipatara nekuda kweCCIDID-19 vanowanzogara muchipatara kweanenge mavhiki maviri, nepo avo vanopinda muICU vanopedza mwedzi nehafu variko, anodaro Dr. Sol M. Abreu-Sosa, chiremba wepanyama uye nyanzvi yekudzoreredza. anoshanda nevarwere veCCIDID-19 paRush University Medical Center muChicago.
Kuchengeta Simba Retsandanyama
Kunyangwe mumamiriro ezvinhu akanaka, kune avo vane zviratidzo zvakasimba zveCCIDID-19, zvingangoita kuti kumwe kurasikirwa kwemhasuru kuchaitika. Nekudaro, varwere vanogona kupesvedzera zvakanyanya dhigirii rekurasikirwa kwemhasuru uye, mune zvinyoro, vanogona kuchengetedza hutano hwemhasuru, anodaro Mooney, nhengo yechikwata chakagadzira Chipatara cheSpecial Surgery's COVID-19 nhungamiro yehutano uye yekuvandudza muviri.
Aya mazano anogona kubatsira kuchengetedza tsandanyama, simba uye hutano hwese panguva yekupora:
- Famba sezvaunokwanisa.
- Wedzera kuramba.
- Itai kudya kwekutanga.
Famba Sezvaunokwanisa
"Ukakurumidza kufamba, zviri nani," Abreu-Sosa anodaro, achitsanangura kuti, muchipatara, varwere veCCIDID-19 vaanoshanda navo vane maawa matatu ekurapwa kwemazuva mashanu pasvondo. “Muno muchipatara, tiri kutanga kuita maekisesaizi kunyangwe musi wekupinzwa kana ma vitals akagadzikana. Kunyangwe muvarwere vane intubated, isu tinoshanda pane yakasarudzika yekufamba, kusimudza maoko avo nemakumbo uye nekumisa tsandanyama. "
Pane imwe nguva pamba, Mooney anokurudzira vanhu kusimuka uye kufamba maminitsi makumi mana nemashanu kana zvakadaro. Kufamba, kuita zviito zvehupenyu hwezuva nezuva sekugeza uye kupfeka pamwe nekuita maekisesaizi akarongwa akadai sekuchovha bhasikoro uye squats zvinobatsira.
"Chero basa remuviri rinofanirwa kuenderana nezviratidzo uye nhanho dzemazuva ano dzebasa," anodaro, achitsanangura kuti chinangwa ndechekubatanidza misumbu yemuviri pasina kuwedzera chero zviratidzo. Kuneta, kupfupika kwekufema uye dzungu zvese zvinokonzeresa kurega kuita maekisesaizi.
Wedzera Resistance
Kana uchibatanidza kufamba mumuitiro wako wekupora, koshesa kupikisa-based exercises zvinopikisa mapoka makuru emuviri wako, Mooney anokurudzira. Anoti kupedza matatu emaminitsi gumi nemashanu ekushanda pasvondo inzvimbo yakanaka yekutanga, uye varwere vanogona kuwedzera kuwanda uye nguva sezvo kupora kunowedzera.
Chengetedza zvakanyanya kutarisa muhudyu nezvidya pamwe nemusana nemapfudzi, sezvo mapoka emhasuru aya anowanzo rasikirwa nesimba rakawanda muvarwere veCCIDID-19 uye aine mhedzisiro inosvika pakukwanisa kumira, kufamba uye kuita mabasa emazuva ese, Abreu-Sosa anodaro.
Kuti usimbise muviri wezasi, edza maekisesaizi akadai squats, glute mabhiriji uye mativi matanho. Kumuviri wepamusoro, sanganisira mutsara uye mapendekete-kudzvanya mutsauko. Huremu hwemuviri wako, dumbbells akareruka uye mabhendi ekupikisa zvese zvinogadzira giya rekudzivirira kumba, Mooney anodaro.
Rongedza Zvokudya Zvokudya
"Mapuroteni anodiwa pakuvaka, kugadzirisa uye kuchengetedza tsandanyama, asiwo kutsigira kugadzirwa kwemasoja ekudzivirira uye immune system masero," anodaro Pereira. Nehurombo, kudya kweprotein kunowanzo kuderera pane zvazvinofanira kunge zviri muvarwere veCOVID-19. "Varira magiramu makumi maviri neshanu kusvika ku30 eprotein pakudya kwega kwega kana zvichibvira, nekudya nyama, mazai nebhinzi kana kushandisa chikafu chinovaka muviri," anokurudzira.
Vitamin A, C, D uye E uye zinc yakakosha kusimba rekudzivirira muviri, asi ivo vanoitawo basa muhutano hwemhasuru nesimba, Pereira anodaro. Anokurudzira kuisa mukaka, hove dzine mafuta, michero nemiriwo nemimwe zvirimwa zvakaita senzungu, mhodzi nebhinzi mukudya kwako kwekupora. Kana uchinetseka kuzvibikira iwe kumba, funga nezve kuyedza-ane hutano-yekutumira masevhisi kuti ikubatsire kuwana huwandu hwakasiyana hwekudya.
Kutsungirira
Kusundira kuburikidza nekuneta uye kushaya simba kunogona kukanganisa kana uine COVID refu. Kuremekedza post-COVID kuneta chikamu chenzira yekupora.
Kunyanya Kuneta
Kuneta kuri pakati pezviratidzo zvepamusoro zvinounza varwere vari kutsvaga kurapwa muviri kuJohns Hopkins Post-Acute COVID-19 Team, anodaro Jennifer Zanni, chiremba wemoyo nemapapu kuJohns Hopkins Rehabilitation kuTimonium, kuMaryland. “Hakusi kuneta chaiko kwaungangoona kune mumwe munhu achangopera simba kana kuti asisina simba rakawanda retsandanyama,” anodaro. "Zvingori zviratidzo zvinodzikisira kugona kwavo kuita zvemazuva ese - yavo yechikoro kana yebasa."
Pacing Yourself
Chiitiko chidiki chakawandisa chinogona kuunza kuneta kusingaenzaniswi kune vanhu vane post-COVID malaise. "Kurapa kwedu kunofanirwa kuve kwakanangana nemurwere, semuenzaniso, kana murwere akapa uye aine yatinoti 'post-exertional malaise," anodaro Zanni. Anotsanangura kudaro, ndipo apo mumwe munhu anoita basa rekuita senge kurovedza muviri kana kungoita basa repfungwa sekuverenga kana kuve pakombiyuta, uye zvinokonzeresa kuneta kana zvimwe zviratidzo kuwedzera zvakanyanya mumaawa anotevera 24 kana 48.
"Kana murwere aine marudzi iwayo ezviratidzo, isu tinofanirwa kungwarira nezve manyorerwo atinoita maekisesaizi, nekuti unogona kuita kuti mumwe munhu awedzere," anodaro Zanni. "Saka tinogona kunge tichingoshanda pakufamba uye kuita shuwa kuti vapedza zviitiko zvezuva nezuva, sekupaza zvinhu kuita mabasa madiki."
Izvo zvaiita senge ipfupi, nyore jaunt pamberi peCCIDID-19 inogona kuve yakanyanya kunetsa, varwere vangadaro. "Chinogona kunge chiri chinhu chidiki, sekufamba kwemaira uye vasingakwanise kumuka pamubhedha kwemazuva maviri anotevera - saka, kunze kwekuenderana nechiitiko," anodaro Zanni. "Asi zvakangoita sekuti simba ravo riripo rishoma uye kana vakapfuura izvo zvinotora nguva yakareba kuti apore."
Sezvaunoita nemari, shandisa simba rako rinokosha nokuchenjera. Nokudzidza kuzvimhanyisa, unogona kudzivirira kupera simba zvachose.
Kufema
Matambudziko ekufema semabayo anogona kuva nemhedzisiro yekufema kwenguva refu. Uye zvakare, Abreu-Sosa anocherekedza kuti mukurapwa kweCCIDID-19, vanachiremba dzimwe nguva vanoshandisa steroid nevarwere, pamwe neanoshanda mitezo uye tsinga dzinovharira mune izvo zvinoda maventilator, ese anogona kukurumidza kuparara kwemhasuru uye kupera simba. Muvarwere veCCIDID-19, kudzikira uku kunosanganisira mhasuru dzekufema dzinodzora kufema nekufemesa.
Maekisesaizi ekufema ndiwo chikamu chekupora. Kabhuku kemurwere kakagadzirwa naZanni nevamwe vaaishanda navo kutanga kwedenda rinotsanangura mafambiro ekudzoreredza. “Femera zvakadzika” ndiro shoko maererano nekufema. Kufema kwakadzika kunodzosera basa remapapu nekushandisa diaphragm, kabhuku kanoti, uye kunokurudzira kudzoreredza uye kuzorora muhurongwa hwetsinga.
- Chikamu chekutanga. Dzidzira kufema zvakadzika pamusana wako uye padumbu rako. Kupuruzira kana kuimba kunosanganisira kufema kwakadzama, zvakare.
- Kuvaka chikamu. Paunenge wakagara uye wakamira, nyatsoshandisa kufema kwakadzama uchiisa maoko ako padivi pedumbu rako.
- Kuva chikamu. Kufema kwakadzika wakamira uye mumabasa ese.
Kudzidzira kweAerobic, semasesheni pane treadmill kana bhasikoro rekurovedza muviri, chikamu chenzira yakazara yekuvaka kugona kufema, kusimba kwese uye kutsungirira.
Sezvo denda richienderera mberi, zvakava pachena kuti matambudziko emapapu anoramba achienderera mberi anogona kukanganisa zvirongwa zvekupora kwenguva refu. "Ndine vamwe varwere vane matambudziko emapapu anoramba achienderera mberi, nekuda kwekuti kuva neCOVID kwakonzera kumwe kukuvara mumapapu avo," anodaro Zanni. "Izvo zvinogona kunonoka kugadzirisa kana mune dzimwe nguva zvachose. Vamwe varwere vanoda oxygen kwenguva yakati. Zvinongoenderana nekuti hurwere hwavo hwakanga hwakakura sei uye kuti vakapora sei. ”
Rehab yemurwere ane mapapu akakanganiswa inotora nzira dzakasiyana-siyana. "Tiri kushanda nevarapi kubva mune zvekurapa kuti vagone kuita mapapu avo," anodaro Zanni. Semuenzaniso, anoti, izvo zvinogona kureva kuti varwere vari kushandisa inhaler mishonga kuvabvumira kurovedza muviri. “Tinorovedzerawo muviri nenzira dzavanogona kushivirira. Saka kana mumwe munhu ari kutadza kufema zvakanyanya, tinogona kutanga maekisesaizi akawanda nekudzidzira nguva shoma, zvichireva nguva pfupi yekurovedza muviri pasina kuzorora zvishoma.
Functional Fitness
Kuita mabasa emazuva ese awaimbotora seasingakoshi, sekufamba pasi kana kusimudza zvinhu zvemumba, chikamu chekusimba kwekushanda. Ndizvo zvakaitawo kuva nesimba uye kugona kuita basa rako.
Kune vashandi vazhinji, tarisiro yechinyakare yekushanda nesimba kwemaawa pakupera hazvichaitike sezvavanoramba vachipora kubva kuCOVID-19.
Mushure mekutanga bout neCCIDID-19, kudzokera kubasa kunogona kunetsa zvinoshamisa. “Kuvanhu vakawanda, basa rakaoma,” anodaro Zanni. "Kunyangwe kugara pakombuta kungave kusiri kubhadharisa mutero, asi kunogona kuve nekuziva mutero, izvo zvinogona (kukonzera) kungoneta zvakanyanya dzimwe nguva."
Kudzidzira kushanda kunoita kuti vanhu vadzokere kumabasa ane chinangwa muupenyu hwavo, kwete chete nokuvaka simba asiwo nokushandisa miviri yavo zvakanaka. Kudzidza mafambiro akakodzera ekufamba uye kusimbisa mapoka makuru emhasuru anogona kubatsira kudzoreredza kuenzanisa uye kugona, kurongeka, chimiro uye simba rekutora chikamu mukuungana kwemhuri, zviitiko zvekunze sekufamba-famba kana maitiro ekushanda akadai sekugara nekushanda pakombiyuta.
Nekudaro, zvingave zvisingaite kuti vamwe vashandi vatangezve mabasa enguva dzose semazuva ese. “Vamwe vanhu havatombokwanisi kushanda nekuda kwezviratidzo zvavo,” anodaro. “Vamwe vanhu vari kufanira kugadzirisa zvirongwa zvavo zvebasa kana kushanda vari kumba. Vamwe vanhu havana simba rekusashanda - vari kushanda asi zuva rega rega vari kushandisa simba ravo riripo, inova mamiriro akaoma. Izvi zvinogona kuomera vanhu vazhinji vasina humbozha hwekusashanda kana kumbozorora pavanenge vachida, anodaro.
Vamwe vanochengeta varwere kwenguva refu-COVID vanogona kubatsira kudzidzisa vashandirwi vevarwere, semuenzaniso kutumira matsamba ekuvazivisa nezveCOVID refu, kuti vanzwisise zviri nani zvingangoitika pahutano uye kuve nekugara zvakanyanya pazvinenge zvichidikanwa.
Mental/Emotional Equilibrium
Chikwata chakakomberedzwa chevatapi vehutano chichaita kuti hurongwa hwako hwekudzoreredza huve hwega, hwakakwana uye hwakakwana, hunobatanidza hutano hwemuviri nepfungwa. Sechikamu cheizvozvo, Zanni anoti varwere vazhinji vanoonekwa kukiriniki yeHopkins PACT vanovhenekwa nyaya dzepfungwa nedzepfungwa.
Bhonasi ine rehab ndeyekuti varwere vane mukana wekuona kuti havasi vega. Zvikasadaro, zvinogona kuodza mwoyo kana vashandirwi, shamwari kana nhengo dzemhuri vachibvunza kana iwe uchiri kushaya simba, wakaneta kana mupfungwa kana kunetseka mupfungwa kana uchiziva kuti ndizvo zvazviri. Chikamu chenguva refu COVID rehab iri kugamuchira rutsigiro uye kutenda.
"Varwere vangu vazhinji vangati kungoita kuti mumwe munhu asimbise zvavanenge vachisangana nazvo chingave chinhu chikuru," anodaro Zanni. "Nekuti zviratidzo zvakawanda ndizvo zvauri kuudzwa nevanhu kwete izvo zviri kuratidza bvunzo."
Zanni nevamwe vaanoshanda navo vanoona varwere sevanorwara vari kunze kukiriniki kana kuburikidza nenharembozha, izvo zvinoita kuti kuwanikwa kuve nyore. Kuwedzera, nzvimbo dzekurapa dziri kupa post-COVID zvirongwa kune avo vane nyaya dziri kunetsa. Mutariri wako wekutanga anogona kukurudzira chirongwa munharaunda yako, kana iwe unogona kutarisa kune veko vekurapa nzvimbo.
General Health
Zvakakosha kuyeuka kuti dambudziko idzva rehutano kana chiratidzo chinogona kukonzerwa nechimwe chinhu chisiri COVID-19. Multidisciplinary kutaurirana kwakakosha kana varwere vachiongororwa kwenguva refu-COVID rehab, Zanni anodaro.
Nekuchinja kwemuviri kana kwekuziva, nyaya dzekushanda kana zviratidzo zvekuneta, varapi vanofanirwa kubvisa zvisiri zveCOVID zvingangoitika. Senguva dzose, moyo, endocrine, oncology kana mamwe mamiriro emapapu anogona kukonzera kuwanda kwezviratidzo zvinopindirana. Zvese izvi zvinoreva kuwana mukana wakanaka wekurapwa, anodaro Zanni, uye kudiwa kwekunyatso ongorora kwete kungoti: Iyi yese ndeye COVID refu.
Nguva yekutumira: Jun-30-2022