Isifo se-Cardiovascular sisithathwa njengento ebangela ukufa kwehlabathi jikelele. E-Melika, malunga nokufa kwabantu abathathu kubangelwa isifo senhliziyo, isifo okanye isifo sesifo senhliziyo. Yonke imizuzu engama-40, i-America isweleka kwesinye sezi zifo. Kuye kwenziwa imizamo yokunciphisa ingozi ehambisana nesifo senhliziyo kunye nokongeza iminyaka ebomini bethu.
Oku kubaluleke ngakumbi kuba abaninzi bethu abazi ukuba kwenzekani ngaphakathi kwimizimba yethu kwaye banentlonelo yeempawu ezilumkiso. Enyanisweni, i-American Heart Association ilinganisela ukuba abaninzi baseMelika banesiphako ngokumalunga neenkalo ezisixhenxe zempilo kunye neendlela zokuziphatha ezandisa ingozi yesifo senhliziyo. Oku kwaziwa nangokuthi "Ubomi Bulula 7": ukubhema, ukwenza umsebenzi, ukutya okunempilo, ubunzima bomzimba, nokulawula i-cholesterol, uxinzelelo lwegazi kunye noshukela wegazi.
Abanye bathi i-wave wave wave (PWV) iye yavela njengendlela efanelekileyo yegolide yokuhlola ingozi yomzimba. I-PWV imilinganiselo ngqo ye-aortic ukuqina kwaye ibandakanya ukulinganisa amandla okujikeleza kwegazi. Kuze kube kutshanje, ukufumana ixabiso le-PWV lifuna iinkqubo ezinzima kunye neendleko. Ngoku, akukho ukulinganisa kwe-PWV okungabonakaliyo, kwaye lo mlinganiselo uvame ukubandakanywa ekuhlolisweni kwekliniki yethu rhoqo. Kubaluleke kakhulu ukwenza xa uhlola abantu abaneengozi ephezulu yesifo senhliziyo.
Ukongezelela, iindlela zamanqaku zenza inkqubo ilula, ngokukhawuleza nangaphezulu.
Ikhonkco phakathi kwe-Aortic Stiffness kunye ne-Early Brain Damage
Uphando olutsha lubonisa ukuba ukuqina kobuchopho kunokuthi kwenzeke kuthi ngokukhawuleza kunokuba sasikholwa ngaphambili. Ngokomphando okhokelwa yi-UC Davis School of Medicine, abantu abaphilileyo kwiminyaka yabo engama-40 bangabonakalisa ukuqina kobunzima.
Le meko ingabangela ukulimala kwengqondo ephosakeleyo, eye yadibana nokuncipha kwengqondo kunye nokugula kwesifo se-Alzheimer kamva.
Olu hlolo olukhulu, olubandakanya abathathi-nxaxheba abangu-1,900, bavavanya abadlali abathathi-nxaxheba be-carotid besalance wave pulse wave okanye i-CFPWV (ukulinganiswa kobunzima be-aorti) kunye nokuzithoba kwi-imagery magnetic resonance imaging (MRI). Uphononongo luphelile ukuba ukwanda kweCFPWV kwaxhunyaniswa nomonakalo omkhulu wengqondo.
Ngamanye amazwi, abathathi-nxaxheba abanomdla obuninzi obuthathaka be-aortic babeneenguqu ezintle kwiingcamango zabo ezimhlophe kunye nobuchopho.
UDkt. Pauline Maillard, umbhali oyintloko oyifunayo, uthi ukuqina kobunzima kungabonakalisa inkcazo enempilo ye-vascular kwaye kufuneka ihlolwe ubomi bonke. Iziphumo zovavanyo lukaDkt. Maillard lubonisa ukuba utshintsho lokuqala luqala ekuqaleni, olubonisa ukubaluleka kokuqwashisa kwangaphambili ngokuqina kobunzima. Ezinye izifundo ziqinisekisile ukuba i-PWV ephakamileyo inokuzimela ngokuzimeleyo kokuqina kobunzima, isifo senhliziyo nokufa. Ukuba ezi ziphumo ziyinyani, ukujongana nokuqina kobunzima ebusweni bokuphila kunokunceda ukugcina impilo yengqondo kunye nokunciphisa ukuxhatshazwa nokufa okudibanisene nezizathu ezahlukahlukeneyo zesifo senhliziyo.
Ukunciphisa Umda Wakho Wangaphakathi Ngokwenza Izinto Ezifanelekileyo
Kakade amaYiputa aseMandulo enza inxibelelaniso phakathi kwe-pulse neyentliziyo yethu. Ethetha ngeziganeko zangaphakathi ezichaphazela ixesha lokuphila komntu, uTom Sydneyham, udokotela waseNgesi ovela kwi-17 leminyaka, wathi: "Indoda indala njengemibhobho yakhe." Ngokutsho kukaDkt. Edward Lakatta weSizwe soBugcisa, Uninzi lwabantu abaneminyaka ephakathi-aphakathi aluphilisanga njengoko kubonakala ngathi. Ixesha lomntu lomzimba lingaba likhulu kakhulu kunexesha lakhe lexesha.
Inembile kuthi ininzi yethu ingqondo nentliziyo ingagcinwa ixesha elide ngokwenza ukhetho lokuphila, oluquka ukutya ukutya okunempilo, ukunciphisa uxinzelelo nokusebenzisa.
Ngomnyaka ka-1998, uDkt. Hirofumi Tanaka, umlawuli weLebhu yezoLobuGcisa iLayunivesithi yaseTexas, wenza ucwaningo olwakubandakanya isampuli yabasetyhini abasempilweni kwaye wabonisa ukuba ukuqina kobunzima kunyuke kunye nobudala kubantu abaphila ngendlela yokuhlala. Ngokwahlukileyo, abafazi ababenomdla kakhulu abazange bafumane ukwanda kweeminyaka yobudala obunzima obunzima kwaye emva koko, babenomngcipheko omncinci wesifo senhliziyo. Ngoku kutshanje, iqela leenzululwazi zaseJapan ezivela kwiYunivesithi yezoNzululwazi yezeMidlalo yeNippon lihlolisise umphumo wokuzivocavoca kwi-PWV kumadoda amancinane. Akumangalisi, baqinisekisa ukuba ukuvivinya umzimba okunciphisa umzimba kunciphisa ukuqina komzimba kubantu abanempilo. Nangona kunjalo, abanye abalobi bathi iimpawu zofuzo, nazo zichaphazela i-PWV yethu.
Ungayigcina Njani Ubunzima bakho be-Aortic?
Iifowuni ezifumanekayo zorhwebo ngoku zenza ukulinganisa i-PWV ngokulula. Enye indlela yokulula nokulula ngokulinganisa ukuqina kwakho kwe-aortic kukusebenzisa i-Heart-ifowuni eyenziwe nguDkt. Jess Goodman onokusixelela okwenzekayo emzimbeni wethu malunga ne-PWV.
Inkqubo ye-IHeart inamacandelo amabini: i-sensti ye-pulse ye-fingertip kunye ne-app yokuhlalutya isignali kunye nokubonisa. Esi siqhotyoshelweyo-kwisixhobo sithatha imizuzwana engama-30 ukulinganisa i-pulse yakho. Idibanisa kwi-database yolwazi kwaye ithumela iziphumo kwi-smartphone okanye tablet yakho. Ufumanisa ukuqina kwakho komgudu kunye nobudala bakho bokuphila ngokukhawuleza.
Ungasindisa kwakhona iziphumo kwiprofayile ye-IHeart ye-intanethi yokufanisa. Ngolunye ukhokelo oluvela kwizixhobo zeHeHeart ekudleni, indlela yokuphila kunye nokuqina, unokusebenza ekunciphiseni i-PWV yakho kwaye uvunye ezinye zeenzuzo zokunciphisa ukuqina ko-aortic.
Inkampani iye yazisa nemveliso entsha, iHeart Pro. Kujoliswe kwiingcali zempilo kunye nezempilo ezingayisebenzisa ukuze zibonise iingeniso zeeseshoni zazo kubaxhasi abanokukwazi ukuzenza. Ukufundwa kungafumaneka emva kwemisebenzi eyahlukeneyo ukukunceda ukuba usebenze indlela umzimba wakho usabela ngayo kwiintlobo ezahlukeneyo zokuzivocavoca. Into ekhankanywe ngokugqithiseleyo malunga neHeHeart kukuba abasebenzisi banikezwa ietrikri eziphendula kakhulu kwiinguqu zokuphila.
Ngamanye amaxesha, abasebenzisi be-iHeart bayamangalisa xa bebona inani labo langaphakathi elibonisiweyo. Abanye bayakuvuyela ukufumanisa ukuba bancinane kunokuba babecinga, ngelixa abanye bangayifumana i-call-up xa babhekana nenani (ngokubalulekayo) liphezulu kunexesha lokulandelana. Nangona kunjalo, igajethi ayifanelekanga ukuba ifowuni yokuxilonga, kwaye ukulinganisa kwithuba langaphakathi akukaqinisekanga okwamanje. Nangona kunjalo, ezininzi iingcali ziyibona njengesixhobo esikhulu sokukhuthaza abo bazama ukuphucula impilo yabo nenhlalakahle.
> Imithombo:
> Benjamin E, Virani S, Muntner P, et al. Izifo zeentliziyo kunye neStroke Statistics-2018 Uhlaziyo: Ingxelo evela kwi-American Heart Association. Ukuhamba , 2018.
> Kobayashi R, Hatakeyama H, Hashimoto Y, Okamoto T. Imiphumo emihle yexesha elide lokusebenzisa umthambo wokujikeleza kwe-aerobic kwintshukumo ye-pulse wave in young mening healthy. Umbhalo weMicrosoft Medicine & Fitness Fitness . 2017; 57 (12): 1695-1701.
> Maillard P, Mitchell GF, Himali JJ, et al. Iimiphumo zoBungqina bokuHlala kwi-Brain Integrity kwi-Young Adults evela kwi-Framingham Heart Study >. Stroke. 2016; 47 (4): 1030-6.
> Muiesan M, Salvetti M, Dolejsova M, et al. Izigqibo ze-Pulse Wave Velocity kwi-Healthy People and in the presence of Cardiovascular Risk Factors: 'Ukusungula iZingqinisiso eziqhelekileyo kunye neenkcukacha.' European Heart Journal . 2010; 31 (19): 2338-2350.
> Tanaka H, DeSouza C, Izicwangciso D. Ukungabikho kwenyuka-nxu lumene nobudala obumaphakathi kubasetyhini abakhutheleyo. I-Arteriosclerosis, iThrombosis, ne-Vascular Biology . 1998; 18 (1): 127-132.