Veloergometriya

Velosiped chi guna monandihoro ba yodi shumo meorad? Tobiston dar dacha budanro – gufta, javob medihad shahrvandi miyonahol (miyonastatistiki). Tur de Frans – gufta, labkhand mezanad havasmandi varzish, veloergometriya gufta, ohi sarde mekashand, jufti kardiolog va shakhsi dilkasal.

Agar dukhtur shumoro baroi tob dodani pedalho ravona karda boshad – ba haros naafted. Tamoman hatmi nest, ki guyo shumo ba tavri avtomatiki ba guruhi bemoroni vaznin meafted. Aniqtarash in manoi onro dorad, ki shumoro kardiologi hushmandu bosavod tabobat karda istodaast.

Mohiyati veloergometriya – tahqiqi aksulamali (reaksiyai)  dil ba kori jismoni meboshad, to malum karda shavad, ki oyo hangome ki dil khele faolona kor mekunad, baroi on khun va kislorod kifoyat mekunand yo ne. Dar vaqti kor kardan bo veloergometriya hamesha elektrokardiogramma, nishondihandai fishori arteriali va surati nabz navishta meshavand va in guna tashkhis metavonad oidi chizhoi bisyore naql kunad.

BA KUJO SAVORI SHUDA RAVONA HASTEM?

Agar odam muddati daroz az stenokardiya aziyat kashida istoda boshad, veloergometriya in voqearo (faktro) sabt menamoyad va az rui kardiogrammai ba dast omada guftan mumkin meshavad, ki kadom arteriyahoi dil illatnok shudaand, va az in mebaroyad, ki taktikai tabobati oyanda niz tarhrezi va sokhta meshavad.  In guna tashkhis dar aksar vaqt yori medihad, ki bemorii bo nom bedardi ishemiyai miokarda, malum karda shavad, yane holo dar on vaqte ki on dilro hej tashvishe namedihad, vale mushkili faqat dar kardiogramma ba nazar namoyon ast.

Veloergometriyai sari vaqt guzaronidashuda va tabobati adekvati ba tavri nazarras khavfi (riski) inkishofyobii stenokardiya va  infarktro kam mekunand.

Varianti seyum niz vujud dorad – hamon vaqte ki dil kame kasal ast, ammo hangomi tahqiqkuni hatto hangomi  kori vaznini jismoni niz hej guna tagyirote dar kardiogramma ba nazar namerasad. On goh sukhan dar borai kardialgiya meravad va tabobat kardani dil ne, balki tabobati osteokhondrozi sutunmuhra, nevralgiyai bayni qaburgaho yo yagon bemorii digare zarur meoyad,

CHI MESHAVAD AGAR PIYODAGARDI KUNEM?

Baroi on ki az sanjishi jismoni guzared, tob dodani pedalho hatmi nest. Baroi onhoe, ki az farbehi yo bemorihoi bugumho aziyat mekashand, tabibon alternativaero bo nomi — tredmil kor karda barovardaand. Az rui mohiyat, in rohravi muqarrari baroi davidan meboshad. Tempi rohgardi va muqovimati tasmai on tadrijan ziyod  karda meshavand va in

imkon medihad, ki hamon guna kori jismonie ki dar velotrenajyor ijro meshud, ba dast ovarda shavad. Dar omadi gap, tredmil az on sabab dar IMA ommaviyati (pahnshavii) beshtare paydo namud, ki velotranejyorho amrikoihoi vazninro bardosht karda nametavonistand, ba gayr az in beshtari onho hej vaqt dar velosiped savori nakardaand.

Ba gayr az odamoni solhoi daroz giriftori bemorii dil buda, ki baroi onho in tahqiqot muqarrari ast, sanjish bo sarbori (kori jismoni) ba shakhsoni zerini digar niz tavsiya doda meshavad:

— odamone, ki davra ba davra (vaqt-vaqt) dar mavzei dilashon dard his mekunand, ammo hamzamon dar kardiogrammai onho hej guna nomuvofiqati az meyor dida nameshavad;

— onhoe, ki baraks dardi dil nadorand, ammo elektrokardiogramma norasoiii khuntaminkunii mushakhoi dilro nishon medihad;

— odamone, ki dar khunashon darajai balandi kholesterin dorand;

— onhoe, ki az sababi kori purshiddat dar onho khavfi inkishofyobii bemorii ishemii dil , khele baland ast (ronandaho, pilotho, gavvoson va gayra);

— pas az 40 solagi – hamai onhoe ki irsiyati nokhubi bemorii dilu ragho dorand (padar yo modarashon giriftori bemorii ishemii dil budaand, infarktro az sar guzaronidaand).

SAVOLHO OIDI VELOERGOMETRIYA

CHi tavr baroi veloergometriya tayyor shudan lozim ast?

YAk shabonaruz peshtar istemoli baze doruhoro qat kardan zarur ast (beta-blokatorho, nitratho — oidi qatkunii doruho boyad dukhturi tabobati mufassaltar naql kunad). To se soat peshtar az veloergometriya naboyad chize khured yo nushed. Naboyad pas az korhoi vaznini jismoni va tashvishhoi ehsossoti veloergometriya ijro karda shavad. Bo khudaton kostyumi varzishii qullay va krossovki biyored. Baroi mardhoe, ki dar rui sinaashon qabati sermuy dorand, zarur meoyad, ki on muyhoro taroshand, vagarna tamosi (kontakti) elektrodho bo pust kosta meshavad.

Tahqiq bo veloergometriya chi tavr guzaronida meshavad?

SHumo pedalhoro tob medihed yo dar rui rohravi davidan (tredmil) qadamzani mekuned, tajhizot betanaffus nishondihandahoi asosiro sabt mekunad (nabz, fishori arteriali, elektrokardiogramma, serii khun az kislorod). Pas az yakchand daqiqa dukhtur darajai kori jismoniro ziyodtar mekunad (muqovimati pedalho yo tasmai rohravi davidan ziyodtar karda meshavad) va holati umumiiro zeri nazorat megirad: hangomi paydo shudani dard dar mavzei dil, nafastangi, balandshavii fishori khun shoyad veloergometriya bozdoshta shavad.

Natijaho chi tavr sabt (hujjat) karda meshavand?

Az rui natijahoi veloergometriya khulosa doda meshavad, ammo na tashkhis va na tavsiya. Aknun rohi shumo boyad ba sui dukhturi tabobatkunanda boshad. Fahmidani on muhim ast, ki ba akhborotnokii balandi veloergometriya nigoh nakarda, faqat kardiolog metavonad natijahoi onro durust manidod kunad va taktikai oyandaro niz muayyan namoyad.

Oyo baroi odamoni solim niz sanjish bo sarbori (kori jismoni) zarur ast?

Bale, mearzad ki hamai odamoni az sini 30 sola bolo, ki ba mashguliyathoi fitnes ogoz namudaand, az veloergometriya guzarand. Aqqalan baroi on ki kori optimalii jismoniro baroi khudashon muayyan kunand va albatta baroi sari vaqt daryoft kardani patologiyai takhminii noayoni dil niz.

 CHi behtar ast  — veloergometr yo tredmil?

Ham inash va ham vayash- faqat olote hastand baroi ba amal ovardani kori jismoni. Daqiqii natijai onho niz yak khela ast. YAne ki hangomi intikhob ba khussusiyathoi infirodi va vazi salomatii khudashon etibor medihand. Malum ast, ki baroi on nafare ki jarohati poy dorad, dar velotrenajyor kor kardan mushkil ast va baroi vay tredmil beshtar muvofiq ast. Ammo masalan baroi dar chi olot tahqiq kardani velopoygachii kasbi az aftash joyi bahs nest.