Mashi 8, 2021-Ucwaningo olusha luphakamisa ukuthi uma iziguli ezine-COVID-19 sezingenazimpawu okungenani izinsuku eziyi-7, odokotela banganquma ukuthi sebelulungele yini uhlelo lokuzivocavoca futhi bazisize ziqale kancane.
UDavid Salman, umcwaningi wezokwelapha wezemfundo ekunakekelweni okuyisisekelo e-Imperial College London, kanye nozakwabo bashicilele umhlahlandlela wokuthi odokotela bangayiqondisa kanjani imikhankaso yokuphepha kweziguli ngemuva kokushicilelwa kwe-COVID-19 ku-inthanethi ku-BMJ ngoJanuwari.
Umbhali ukhathazekile ngeziguli osekunesikhathi eside zingasebenzi kodwa ezingenaso isifo esingelapheki se-COVID-19.
Ababhali baveze ukuthi iziguli ezinezimpawu eziphikelelayo noma i-COVID-19 enzima noma umlando wezinkinga zenhliziyo zizodinga ukuhlolwa okwengeziwe.Kodwa uma kungenjalo, ukuzivocavoca kungase kuqale okungenani amasonto ama-2 ngokuzikhandla okuncane.
Lesi sihloko sisekelwe ekuhlaziyweni kobufakazi bamanje, imibono yokuvumelana, kanye nolwazi lwabacwaningi kwezemidlalo kanye nemithi yezemidlalo, ukuvuselela, nokunakekelwa okuyisisekelo.
Umbhali uyabhala: “Kunesidingo sokulinganisela phakathi kokuvimbela abantu asebepholile kakade ekuvivinyeni umzimba ngezinga elituswayo elilungele impilo yabo, kanye nengozi engaba khona yesifo senhliziyo noma eminye imiphumela enanini elincane labantu. ”
Umbhali utusa indlela yezigaba, isigaba ngasinye sidinga okungenani izinsuku eziyi-7, siqale ngokuzivocavoca okuphansi futhi sithathe okungenani amaviki ama-2.
Umbhali uveza ukuthi ukusebenzisa isikali se-Berger Perceived Exercise (RPE) kungasiza iziguli ziqaphe umzamo wazo womsebenzi futhi zizisize zikhethe imisebenzi.Iziguli zilinganisele ukuphelelwa umoya nokukhathala kusuka ku-6 (akukho nhlobo ukuzikhandla) kuya ku-20 (umzamo omkhulu).
Umbhali uncoma izinsuku ze-7 zokuzivocavoca nokuguquguquka nokuphefumula kokuphefumula esigabeni sokuqala "somsebenzi wokukhanya okukhulu kakhulu (RPE 6-8)".Imisebenzi ingase ihlanganise umsebenzi wasendlini nokwenza ingadi elula, ukuhamba, ukuthuthukisa ukukhanya, ukuvivinya umzimba ukuzelula, ukuvivinya umzimba kokulinganisela noma izivivinyo ze-yoga.
Isigaba sesi-2 kufanele sifake izinsuku ezingu-7 zemisebenzi yokuqina kokukhanya (RPE 6-11), njengokuhamba ne-yoga elula, ngokunyuka kwemizuzu eyi-10-15 ngosuku ngezinga elifanayo elivumelekile le-RPE.Umbhali uveza ukuthi kula mazinga womabili, umuntu kufanele akwazi ukuba nengxoxo ephelele ngaphandle kobunzima ngesikhathi sokuzilolonga.
Isiteji sesi-3 singase sihlanganise izikhawu ezimbili zemizuzu emi-5, esokuhamba ngokushesha, izitebhisi ezikhuphukayo neziphansi, ukugijima, ukubhukuda, noma ukugibela ibhayisikili-okukodwa ekuvuseleleni ngakunye.Kulesi sigaba, i-RPE enconyiwe yi-12-14, futhi isiguli kufanele sikwazi ukuba nengxoxo phakathi nomsebenzi.Isiguli kufanele sikhulise isikhawu ngosuku uma ukubekezelelana kuvumela.
Isigaba sesine sokuzivivinya kufanele kube inselele ukusebenzisana, amandla nokulinganisela, njengokugijima kodwa kwelinye icala (isibonelo, ukushova amakhadi emaceleni).Lesi sigaba singabandakanya nokuzivocavoca umzimba noma ukuqeqeshwa kokuvakasha, kodwa ukuzivocavoca akufanele kuzizwe kunzima.
Umbhali ubhala ukuthi kunoma yisiphi isigaba, iziguli kufanele “ziqaphe noma yikuphi ukululama okungabonakali ihora elingu-1 nangosuku olulandelayo ngemva kokuzivocavoca, ukuphefumula okungavamile, isigqi senhliziyo esingavamile, ukukhathala ngokweqile noma ukukhathala, nezimpawu zokugula ngengqondo.”
Umbhali uveze ukuthi izinkinga zengqondo, njenge-psychosis, zikhonjwe njengesici esingaba khona se-COVID-19, futhi izimpawu zayo zingabandakanya ukuphazamiseka kwengcindezi yangemva kokuhlukumezeka, ukukhathazeka nokudangala.
Umbhali ubhala ukuthi ngemuva kokuqeda izigaba ezine, iziguli zingase zilungele okungenani ukubuyela emazingeni azo omsebenzi wangaphambi kwe-COVID-19.
Lesi sihloko siqala ngokombono wesiguli esasikwazi ukuhamba nokubhukuda okungenani imizuzu engama-90 ngaphambi kokuthola i-COVID-19 ngo-Ephreli.Isiguli singumsizi wezempilo, futhi sathi i-COVID-19 “ingenza ngizizwe ngibuthakathaka.”
Isiguli sathi ukuvivinya umzimba ukuzelula kuwusizo kakhulu: “Lokhu kusiza ekwandiseni isifuba namaphaphu ami, ngakho kuba lula ukuvivinya umzimba ngamandla.Kuyasiza ukwenza izivivinyo ezinamandla njengokuhamba.Lezi zivivinyo zokuzelula ngoba amaphaphu ami ezwa ukuthi angakwazi ukubamba umoya omningi.Amasu okuphefumula ayasiza kakhulu futhi ngivame ukwenza izinto ezithile.Ngithola ukuthi ukuhamba nakho kuyinzuzo kakhulu ngoba kuwukuzivivinya engingakwazi ukuwulawula.Ngiyakwazi Ukuhamba ngesivinini esithile futhi ibanga liyalawuleka kimina.Yandise kancane kancane ngenkathi ngibheka isigqi senhliziyo yami kanye nesikhathi sokululama usebenzisa i-“fitbit”.
USalman utshele iMedscape ukuthi uhlelo lokuzivocavoca ephepheni lwenzelwe ukusiza ukuqondisa odokotela "futhi bachazele iziguli phambi kodokotela, hhayi ukuthi zisetshenziswe nje, ikakhulukazi uma kubhekwa isifo esisabalele kanye nokutheleleka nge-trajectory ngemuva kwe-COVID-19."
USam Setareh, udokotela wezifo zenhliziyo eMount Sinai eNew York, wathi umyalezo oyisisekelo waleli phepha muhle: “Hlonipha isifo.”
Uvumelane nale ndlela, okuwukulinda isonto eligcwele ngemuva kokuvela kophawu lokugcina, bese kancane kancane uqhubeka nokuzivocavoca ngemuva kwe-COVID-19.
Kuze kube manje, idatha eminingi esengozini yesifo senhliziyo isuselwa kubasubathi neziguli ezisesibhedlela, ngakho-ke kunolwazi oluncane ngengozi yenhliziyo ezigulini ezibuyela kwezemidlalo noma eziqala ezemidlalo ngemuva kwe-COVID-19 emaphakathi kuya kokulinganisela.
USetareh, ongumxhumanisi wePost-COVID-19 Heart Clinic eMount Sinai, uthe uma isiguli sine-COVID-19 enzima futhi ukuhlolwa kwesithombe senhliziyo kukhombisa ukuthi unalo, kufanele silulame ngosizo lukadokotela wenhliziyo ePost-COVID-. 19 Umsebenzi ophakathi nendawo.
Uma isiguli singakwazi ukubuyela ekusebenzeni okuyisisekelo noma sinezinhlungu zesifuba, kufanele zihlolwe ngudokotela.Uthe ubuhlungu obukhulu besifuba, ukushaya kwenhliziyo noma inhliziyo kumele kubikwe kudokotela wenhliziyo noma emtholampilo we-post-COVID.
USetareh uthe yize ukuzivocavoca kakhulu kungaba yingozi ngemuva kwe-COVID-19, isikhathi esiningi sokuzivocavoca singaba yingozi.
Umbiko okhishwe yiWorld Obesity Federation ngoLwesithathu uthole ukuthi emazweni lapho abantu abangaphezu kwengxenye yabantu bekhuluphele ngokweqile, izinga lokufa kwabantu ngenxa ye-COVID-19 liphakeme ngokuphindwe ka-10.
USetareh uthe izinto ezigqokwayo nezilandelelayo azikwazi ukuthatha indawo yokuvakasha kwezokwelapha, zingasiza abantu balandelele inqubekelaphambili namazinga okuqina.
Isikhathi sokuthumela: Mar-09-2021