Iintliziyo zeNtsholongwane zeMpilo zeNtshontsho

Isifo senhliziyo sibulala abantu abaninzi eMelika rhoqo ngonyaka kunokuba zonke iintlobo zomhlaza zidibene. Uninzi lwaba bafa livela ekuhlaselweni kwentliziyo kubantu abane-coronary disease (CAD). Njengoko abantu abaninzi baninzi bafumana indlela yokuphila enempilo kwaye bathathe amayeza anciphise umngcipheko wokuhlaselwa kwentliziyo, ukufa kwabantu abavela kwiCAD bawa. Kodwa iincwadana ezili-10 malunga nesifo senhliziyo kunye nezo kunyango ezixutyushwa apha ngezantsi zinokuthintela abaninzi ukuba bathathe amanyathelo abayidingayo ukukhusela intliziyo.

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Iiyure ezimbini ukuya kweyesithathu zokuzivocavoca ngamandla ngeveki zifuneka ukuze uzuze intliziyo yakho.

Iiseshoni ezintlanu okanye ezintandathu zokumodareyitha ukwenza umsebenzi onamandla ngeveki kuya kunciphisa umngcipheko wokufa kwiCAD nomhlaza. Kodwa akudingeki ukuba ube ngumdlali oqhekezayo okanye umlwi weveki uzuze. Unyanzelekile ukuba uphume kwi-sofa uze uhambe. Intliziyo yakho iya kuzuza kuyo nayiphi na into oyenzayo-kwaye xa wenza njalo, uya kuzuza. Thatha izitebhisi esikhundleni se-elevator, hamba ngeenxa yokuthenga indawo yokuthenga, uchithe indlu yakho, okanye ubeke amaqabunga. Cwangcisa imizuzu engama-30 yomsebenzi ngosuku-olwahlukileyo kwiinqununu zemizuzu eyi-10 ukuya kwe-15 kakuhle-kwaye intliziyo yakho iya kukubulela.

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Ezinye "ukutya okuphezulu" kunokukhusela isifo senhliziyo.

Akukho ukutya kuya kuthintela isifo senhliziyo. Ukutya okufana ne-blueberries, iharharnate, i-walnuts kunye neentlanzi zinenzuzo kwintliziyo yempilo, kodwa ayikwazi ukukukhusela ekubeni uhlakulele isifo senhliziyo. Izidlo ezithile ziyakuthi, nangona kunjalo. Ukutya kweMedithera, ebonisa ukutya, izityalo, iintlanzi, imifuno, iziqhamo, kunye namafutha omnquma njengamafutha omnqumo, kuye kwaboniswa ukunciphisa ingozi yesifo senhliziyo.

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Amafutha akubi kuwe.

Iintlobo ezine ezahlukeneyo zamafutha zifumaneka ekudleni kwaye akuzona zonke ezimbi. Iimveliso zeTrans zibi kakhulu. La mafutha ayenziwe ngokufanelekileyo (cinga "ngokukodwa ngokukodwa") asetyenziswa kwizinto ezininzi eziphekiweyo kunye nokutya okucwangcisiweyo kuphakamisa ama-LDL ama-cholesterol. Amafutha anelisiweyo, avela kwimveliso yezilwanyana ezifana nomnyama obomvu kunye nebhotela, aphakamisa amanqanaba e-LDL. Ngakolunye uhlangothi, i-monounsaturated fats kunye namafutha e-polyunsaturated inganciphisa amanqanaba akho e-LDL xa isetyenziselwa endaweni yefuthe epheleleyo.

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Izaziso zakho zibeka ingozi yakho yesifo senhliziyo.

Nangona i-genetics idlala indima kwabanye abantu, iipesenti ezingama-90 ze-CAD zenzeka ngokukhetha izinto zokuziphatha eziyingozi, njengokutya ukutya okubi, ukutshaya nokungazinzi. Ezi zigqibo zinokuphakamisa umgangatho we-cholesterol kunye namanye amafutha anobungozi egazini lakho, ukuphakamisa uxinzelelo lwegazi, kwaye kukubangela ukuba uhlakulele isifo se-metabolic okanye uhlobo lwesifo sikashukela-konke okuphakamisa umngcipheko wesifo senhliziyo. Ukuba uzalwe ngokwemvelo kwi-cholesterol ephakamileyo, uxinzelelo lwegazi oluphezulu, okanye isifo sikashukela, kubaluleke kakhulu ukuba ulandele indlela yokuphila enempilo kwaye uthathe imishanguzo yokulawula le mingcipheko yengozi ukwenzela ukuphepha okanye ukulibazisa ukuhlaselwa kwentliziyo.

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Ukuba unomfutho ophezulu wegazi, uya kukwazi ngeempawu zakho.

Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi) lubizwa ngokuthi "umbulali ongenasicathulo" kuba akuvelanga nto impawu ize ibangele ukuhlaselwa yintliziyo okanye ukubetha. Uxinzelelo lwegazi luyakuboniswa kuphela nge-blood pressure coff. Ingcinga efanelekileyo yokuba ufunde ukunyanzelwa kwengcinezelo yegazi ngaphambi kokuba uneminyaka engama-21-ngaphambili, ukuba uxinzelelo lwegazi oluphezulu luhlala kwintsapho yakho. Oku kunika isiseko esilinganisweni esithathwe kuwo wonke umphefumlo.

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Iqondo lakho le-cholesterol lilonke leyona nto ibaluleke kakhulu yokulinganisa i-cholesterol.

I-cholesterol iyonke ifaka i-cholesterol efanelekileyo (HDL) kunye ne-cholesterol embi (LDL). Sasivame ukucinga ukuba inani elikhulu le-cholesterol elinokuthi likhuphe umphumo wezinga eliphezulu le-cholesterol, kodwa uphando lwangoku luye lwabonisa oku akunjalo. Nangona inqanaba eliphezulu le-HDL ngokuqinisekileyo liyinto entle, inqanaba eliphezulu le-LDL lithetha ukuba umzimba wakho unokufaka i-cholesterol kwimibhobho yakho-engakhokelela ekuhlaselweni kwentliziyo, ukuphazamiseka, kunye nezinye iingxaki. Oku kwenza ukuba iLDL ibe yiyona nto ibaluleke kakhulu yokulinganisa i-cholesterol.

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Abasetyhini akudingeki bakhathazeke ngesifo senhliziyo.

Amadoda athambekele ekuphuhliseni i-CAD kunye neentlungu zentliziyo ebuncinane kunabesifazane. Kodwa, emva kokumiselwa komzimba, umngcipheko wokuhlaselwa kwentliziyo ufana nabasetyhini njengamadoda. Enyanisweni, abaninzi abafazi bafa ngesifo senhliziyo minyaka yonke kunomdlavuza wesibele. Iindaba ezilungileyo kukuba umfazi oza kusinda ekuhlaselweni kwentliziyo yakhe uye wanda ngamaphesenti angama-56, ngenxa yokuqaphela kwangaphambili kunye nolawulo lwe-CAD. Esinye sezizathu zokuba abafazi bahlale bexilongwa ngeCAD kukuba a baninzi abafazi basebenzisa i-ob / gyn njengogqirha wabo wokunyamekela. Abasetyhini kufuneka babe nokuhlolwa okupheleleyo kweentloko-to-toe kunye nokuhlolwa kwintliziyo yesiseko ekudala. Oku kuvumela imingcipheko ekufuneka ichongwe kwaye ixoxwe ekuqaleni, ngaphambi kokuba ifuthe intliziyo.

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Ungaphatha izinga eliphezulu le-LDL ye-cholesterol ngokutya kuphela.

Ukuba izinga lakho le-LDL liphezulu kakhulu, uya kufuna isidlo okanye esinye isidumbu se-cholesterol esilahlayo. Kungenxa yokuba isibindi sakho senza malunga neepesenti ezingama-75 ze-cholesterol emzimbeni wakho kunye nokutya kukuphela kweempesenti ezingama-25. Ukutya okunomdla kwintliziyo kunokunciphisa i-LDL yakho, kodwa ukongeza kwimiyeza yokunciphisa i-cholesterol kuya kubaluleka ukuba unayo i-LDL ephezulu kunye nembali yeCAD .

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Ugqirha lwe-Bypass kunye nokulungiswa kwe-CAD.

Xa i-CAD ibangela izibilini kwiimithambo yeentliziyo, ezinye iirriyiti zingasetyenziselwa ukudlula igazi ngeengxaki zeengxaki. Ugqirha lwe- bypass -owaziwayo kwiintliziyo zonyango njenge- aronary artery bypass grafting (CABG) -nokukunceda ukukhusela ukuqala kwentliziyo yesibini okanye yesibini kwaye kukuve ulunge. Kodwa, ayinako ukunyanga i-CAD-kwaye ingenakho ukugulisa i-arteries. Inkqubo yesifo esabangela ukuba i-blockages ihlale.

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Ukuqhaqhaqhayisa kukukhuselekileyo kunokuba utyunjiswe.

Akungabazeki ukuba i-CABG iyintando enkulu. Kodwa xa kucwangciswe ukukhusela intliziyo, kwaye yenziwa ngumgqirha onogqirha, ingozi yomsebenzi ingaphantsi kwepesenti enye. Ukuqhaqhazela kungabonakali kakhulu kune-CABG, ukuvumela izigulane zifike ngokukhawuleza, kwaye zikhuselekile nje. Abanye abantu banokwenza ngcono nangendlela enye enye. Kule meko, i-cardiologist okanye ugqirha we-cardiac uya kucacisa ukuba kutheni.

UDkt. Gillinov ngudokotela ogqirha kwiCleveland Clinic Heart and Vascular Institute, iNombolo yesizwe 1 ye-cardiology kunye neprogram yokuhlinzwa kwentliziyo njengoko kuchazwe yi-US News & World Report. Uhlalo weSebe le-Thoracic and Cardiovascular Surgery.