Zininzi iindlela ezenzelwe ukuvavanya umngcipheko womntu wokuphucula isifo senhliziyo. Ngo-2007, i-calculator engozini-i-Reynolds Score-yaqinisekiswa kwabasetyhini. (Uhlobo oluthile lweReynolds Score lwagqitywa kamva kubantu, kwakhona.)
Ubaluleka bokulinganisa ingozi yakho
Ukulinganisa ngokuchanekileyo ingozi yomzimba kubalulekile , kuba kukuvumela (kunye nogqirha wakho) ukuba wenze isigqibo sokuba unobundlobongela obufanele usebenze ngayo ekuthathethweni amanyathelo okunciphisa umngcipheko wakho.
Kubantu abanomngcipheko we-cardiovascular high, inkqubo enobungozi yokunciphisa ubungozi inganciphisa ubunzima bokufa okanye ukukhubazeka kwisifo senhliziyo okanye ngesifo. Abantu abasengozini emfutshane nabo kufuneka bathathe ngokungathí sina amanyathelo abanokuyilandela ukunciphisa umngcipheko wabo.
Ingxelo yeReynolds Ingozi Ibalwa
Amaphuzu kaReynolds Ingozi eyakhelwe ngokukodwa kubasetyhini, kuba bekuvelelwe ukuba kubasetyhini kubaluleke kakhulu ukuba baqwalasele imbali yentsapho yesifo senhliziyo esasifanelekanga (esichaza ukuba i-genetic predisposition to diseases heart disease), kunye namazinga e-CRP (a umakishi wokuvuvukala).
Amaphuzu aphuhliswe ngokulandela iqela lama-25,000 aseMelika asempilweni ubudala abaneminyaka engama-45 ubudala okanye ngaphezulu (obani, ngokukodwa, abanalo isifo sikashukela) kwiminyaka eyi-10. Iingcali eziphuhlise umgangatho weReynolds zixhalabele ukuba imimiselo engummiselo oqhelekileyo-ngokukodwa, umlinganiselo we- Framingham- kungenzeka ukuba awuchani ngokuchanekileyo kubafazi njengokuba bebesilisa.
Ngokomzekelo, ababalawuli beengozi ezisemgangathweni bangaphumeleli ukuhlula ukuya kwi-20% yabasetyhini abanokuhlaselwa yintliziyo njengobungozi obuphezulu. Ngokunikezela ubunzima kumazinga e-CRP kunye nembali yentsapho, kwachazwa, umlinganiselo weReynolds ufaneleke ngakumbi kubafazi.
Umlinganiselo weReynolds ubalwa ngokusekelwe kwezi zinto zilandelayo:
- Ubudala
- Ukutshaya kwangoku (ewe okanye akukho)
- Uxinzelelo lwegazi
- I- cholesterol iyonke
- I-cholesterol yeHDL
- Nqanaba lePRP
- Umama okanye uyise ngokuhlaselwa kwentliziyo ngaphambi kweminyaka engama-60 (ewe okanye cha)
Ngokuphawulekayo, isifo sikashukela asizange sifakwe kule nqanaba lomngcipheko. Iziphelo zengqondo zomzimba ezisetyenziselwa ukuphuhlisa iReynolds Score kubasetyhini babulawa yintliziyo, ukuhlaselwa yintliziyo engapheliyo, ukushaya kwesifo, okanye isidingo sokuhlinzwa ngokugqithisileyo.
Impumelelo
Umvuzo weReynolds Score Score ubeka ngokuchanekileyo ingozi yabaninzi abafazi ngaphezu kweendlela eziqhelekileyo zokulandelelana. Enyanisweni, ama-40 ukuya kuma-50% wabasetyhini abaqhelekileyo abekwa kubangelwa ukuba babe nomngcipheko ophakathi baphinde bahlaziywa yiReynolds Score njengobungozi obuphantsi okanye obuncipheko obukhulu-ngoko kungenako ukuvumela indlela ejoliswe ngakumbi ekulawuleni umngcipheko.
Njengoko kuphawuliwe, umlinganiselo weReynolds ekuqaleni wawuqulunqwe ngokukhethekileyo kubafazi. Uphononongo olufanayo luye lwaqhutyelwa kumadoda, kwaye iqela elilodwa lakwaReynolds Risk liye laqinisekiswa kwamadoda.
Sebenzisa
Calculator Score Risk Score ingatholakala apha (kubini amadoda nabesifazane). Ibuza imibuzo embalwa elula kwaye iphinda iphinde ibuyele amanqaku eminyaka engama-10. (Oko kukuthi, kukuxelela ukuba kunokwenzeka ukuba uya kuba nesiganeko senhliziyo kwiminyaka eyi-10 ezayo.) Kukwavumela ukuba ubone ngokukhawuleza indlela umngcipheko wakho oya kuphucululwa ngayo ukuba unokutshintsha enye okanye ngaphezulu kwezi zinto zengozi.
Ngokomzekelo, ukuba utshaya uya kufuneka ukungena "akukho" kumbuzo wokutshaya kwaye i-calculator iya kukubonisa ukuba ubunzima bakho beminyaka engama-10 buya kuncitshiswa ukuba ufanele uyeke.
Qaphela ukuba amanqaku kaReynolds Risk ayengenzelwe abantu abanesifo sikashukela. Ukuba unesifo sikashukela sakho sengozini ye-cardiovascular kakade sele yaziwa ukuba iphakamileyo, kwaye umlinganiselo weReynolds awunakongeza ulwazi olungakumbi olongezelelweyo.
Ukusebenzisa i-calculator yamanqaku engozi yeReynolds, kufuneka ufunde ukufundwa kwegazi, kunye neziphumo ezininzi zokuhlolwa kwegazi: i-cholesterol iyonke, i-HDL kunye ne-CRP.
Izwi elivela ku- erywell
Inkalo yeReynolds yengozi yabasetyhini (kunye namadoda) yinkqubo yokubala emngciphekweni obeka ngakumbi ugxininiso kumazinga e-CRP kunye nembali yentsapho kunabanye, ababalaseleyo bokubala abaqhelanisiweyo.
Iingcali ezikholelwa ukuba iRPP ibe yinto ebalulekileyo yokubeka ingozi yemithwalo yemithwalo yempilo ibonakala ibaluleke kakhulu kwiReynolds Score Score.
> Imithombo:
> Ridker P, uBuring J, uRifai N, et al. Ukuphuhliswa nokuqinisekiswa kwezilungiso ezilungisiweyo zokuvavanya ingozi yomhlaba wonke kubantu besetyhini. JAMA 2007; 297: 611-619.
> Ridker PM, Paynter NP, uRifai N, et al. Iprotheyini esebenzayo e-C kunye nembali yomzali kuphucula ukubikezelwa kwengozi ye-cardiovascular risk: iReynolds Risk Score kumadoda. Uhambo luka-2008; 118: 2243.