Omnye ku-4 omdala waseMelika unomfutho ophezulu wegazi (uxinzelelo lwegazi), nangona malunga nesithathu sazi ukuba kutheni. Ezi zibalo zichaphazelekayo xa ucinga ukuba uxinzelelo lwegazi oluphezulu kulula ukuluxilonga nokunyanga, kwaye ngokukodwa ukwethusa ngenxa yokuba ingozi yempembelelo yenye yezona zinto ezibangela ukufa eUnited States.
Abantu abaninzi bacinga ukuba abantu basengozini kakhulu yezifo zentliziyo, kodwa ngexesha lokupapasha, abaninzi abantu besifazane bafa ngenxa yezifo zentliziyo rhoqo ngonyaka ukususela ngo-1984.
Ukungathandabuzeki kwengcinezelo yegazi kunokudala umonakalo wezintso, kwaye kuphakamisa umngcipheko wokuhlaselwa kwintliziyo, ukuphazamiseka , kunye nezinye izifo zentliziyo. Isizathu samathathu kuma-5 kwimeko yokuhluleka kwentliziyo yabasetyhini yenyani yegazi.
Isifo senhliziyo saseCoronary ngumntu oyedwa obulala abafazi baseMerika, besithi bangaphezu kwama-500 000 ubomi babasetyhini ngamnye ngonyaka. Ukufumanisa kwangaphambili kunye unyango lwexinzelelo lwegazi olukhuselekileyo lunokuthintela abaninzi balaba bafe.
Ngubani osemngciphekweni
Uxinzelelo lwegazi oluphezulu lunokwenzeka kunoma ubani nawuphi na ubudala. Ngokusoloko kunzima ukuphawula isizathu esibangela ukunyuswa kwengcinezelo yegazi kuba izinto ezininzi kunye neemeko zidlalwa indima ekuphuhliseni kwayo.
Uhlanga kunye nendawo yeendawo ezibonakalayo zibonakala zibalulekileyo kwiimeko ezithile. Abafazi base-Afrika nabamaMerika abahlala kwiSouth-East United States banakho ukufumana uxinzelelo lwegazi oluphezulu kunabo abahlala kwenye indawo. Ngokubanzi, abantu base-Afrika baseMelika banako ukuhlakulela ingcinezelo ephezulu yegazi kwixesha elidlulileyo kwaye banzima kakhulu kunabamhlophe.
Nangona kunjalo, ngokuqinisekileyo oku akuthethi ukuba abantu abamhlophe kufuneka bacinge ngengcinezelo ephezulu yegazi i-African-American disease. Enyanisweni, i-11 ithi (i-Alabama, i-Arkansas, i-Georgia, i-Indiana, eKentucky, eLouasana, i-Mississippi, eNorth Carolina, eSouth Carolina, eTennessee, naseVirginia) kwimzantsi-mpuma zibizwa ngokuba yi "Stroke Belt States" ngenxa yezinga eliphezulu afunyanwa ngamadoda kunye nabesifazane bazo zonke iintlanga.
Ezinye izinto ezibangela ukunyuka kwengcinezelo yegazi zibandakanya ukutshaya, ukungabikho komsebenzi okwenziwe ngokomzimba, ukugqithisa ngokweqile, ukuthatha i-sodium ephezulu, i-cholesterol ephezulu , ukutywala ngokugqithiseleyo iziyobisi kunye nobunzima. Izigulane zesifo sikashukela nazo zisengozini enkulu yokunyuka kwengcinezelo yegazi kunye nezinye izifo zentliziyo.
Abasetyhini abasebenzisa izithintelo zokukhulelwa komlomo kufuneka babe neengcinezelo zabo zegazi, nangona umngcipheko wokukhulelwa komlomo ungaphantsi kunokuba ngaphambili ngoba inani le-estrogen kunye neprogestin kwiipilisi zanamhlanje ziphantsi kakhulu. Abasetyhini abanomfutho ophezulu wegazi ababhemayo basebenzise izithintelo zokukhulelwa komlomo babhekana neengxaki ezili-10 ukuya kwezi-15 eziphezulu zengozi yokubetheka.
Emva kokumisa umva , umngcipheko wesifazana wokunyuka kwengcinezelo yegazi kunye nezinye izifo zengqondo zanda kakhulu; umngcipheko ukwandisa kakhulu ngokukhawuleza kwabasetyhini emva kwe- hysterectomy , mhlawumbi ngenxa yokuba isisu sikhiqiza iichiza ezinceda ukulawula uxinzelelo lwegazi.
Ukwanda kwengozi yesifo senhliziyo kubasetyhini emva kokumiswa komzimba kucatshangelwa ukuba kwenzeka ngenxa yokunciphisa ama-estrogen. Kwiminyaka bekukholelwa ukuba unyango olususwa endaweni ye-estrogen (i-hormone therapy alternative, okanye i-HRT) lunikezela isiphumo sokukhusela kwisifo senhliziyo kubafazi xa kuthathwa rhoqo.
Nangona kunjalo, ulwazi olufunyenwe kwi-Women's Health Initiative ngo-Ephreli 2000 lufumene ukuba i-estrogen yandisa ingozi yesifo senhliziyo.
Ngokutsho kwephepha leNkcazo yezeMpilo yoLuntu:
Akukho zifundo eziye zabonisa ukuba i-HRT iya kunciphisa ukuhlaselwa kwentliziyo. Izifundo eziliqela zenzeke kwi-HRT kunye nesifo senhliziyo esiye sacebisa ukuba i-HRT isinciphisa isifo senhliziyo esisemngciphekweni wesifo sengqondo njengamazinga e-LDL. izifundo ezininzi zokujonga apho abafazi ngokwabo, okanye oogqirha babo, bakhetha i-HRT kwaye balandelwa ngokuhamba kwesikhathi.Izifundo ezinjalo azithembekiyo. Babengalawulwa ngokwaneleyo ukuba banikele iimpendulo ezicacileyo. "
Njengabasebenzisi bokukhulelwa ngomlomo, abafazi abasaqambileyo basebenzise i-estrogen bangongeza ukongeza ingozi yabo yesifo senhliziyo.
Iimpawu
Nangona ezinye izigulane zinokuziva ziba nekhanda, utywala, okanye imbonakalo ephazamisekileyo, amaninzi amaninzi akukho zibonakaliso . Unokungaqondi ngokupheleleyo ukuba unengcinezelo yegazi kude kubekho into eyenzekayo efuna unyango. Abasetyhini abafumana ukungabikho kwesifiso sesondo kufuneka babe neengcinezelo zegazi ngenxa yokuba abanye bakholelwa ukuba uxinzelelo lwegazi oluphezulu lunokubangela ukuba i-libido ephantsi kwabasetyhini abathile.
Ukuhlolwa kweengcinezelo zegazi rhoqo kufuneka kube yinxalenye yenkqubo yokuhlola ipilo yomntu wonke. Ukuzibonela ngezixhobo zokubeka ingcinezelo yegazi zifumaneka kwii-pharmacy ezininzi, kwaye ezininzi izibhedlele kunye neekliniki ziya kwenza ukunyanzeliswa kwegazi ngaphandle kokucela.
Uxinzelelo lwegazi lwenziwa ngamanani amabini. Inombolo ephezulu yixinzelelo ye - systolic -uxinzelelo lwegazi kwiinqanawa njengoko intliziyo ibetha. Inombolo engezantsi yinycinezelo ye - diastolic -uxinzelelo lwegazi phakathi kweentliziyo. Uxinzelelo lwegazi luqwalaselwa phezulu xa uxinzelelo lwe-systolic luyi-140 okanye ngaphezulu kunye / okanye xa uxinzelelo lwe-diastolic lungama-90 okanye ngaphezulu.
Unyango
Iindaba ezilungileyo malunga nokunyuswa kwengcinezelo yegazi kukuba kulula ukulawula. Ukuba uxinzelelo lwegazi luphakamileyo, ugqirha wakho uya kugqiba ukuba ngaba unyango luyanciphisa uxinzelelo lwegazi lwakho. Unokukhetha ukuba wenze utshintsho kwimpilo yakho ngaphambi okanye ngexesha lokunyanga ngamayeza.
Ukutshintsha kwendlela yokuphila kwedwa kudla ngokukhawuleza kunciphisa uxinzelelo lwegazi kwaye kungaquka:
- Ukulahlekelwa isisindo, xa kuyimfuneko
- Ukulandela ukutya okunempilo
- Ukubandakanya umsebenzi oqhelekileyo womzimba-imizuzu engama-30 yokuhamba okanye enye imisebenzi ye-aerobic ngosuku
- Ukunciphisa inani le-sodium ekudleni kwakho
- Ukunciphisa utywala
- Ukuyeka ukutshaya
Zininzi iintlobo zamachiza ezifumanekayo ukunyanga uxinzelelo lwegazi. Unyango lwamayeza luvame ukusetyenziswa ngokubambisana neendlela zokuphila. Ezinye zeemichiza eziqhelekileyo ezisetyenziswa rhoqo ukunyanga uxinzelelo lwegazi ziquka:
- Diuretics
- Beta-blockers
- I-ACE (i-enzyme ene-angiotensin-covering inhibitors)
- Abagcini bezithuthi zeCalcium
- I-Alpha-beta blockers
Ezi zi yobisi zingasetyenziselwa zodwa okanye zidibaniselwano, kuxhomekeke kwinto ogqirha ugqirha ngayo. Ukuba ugqirha wakho uyalela amachiza, kubalulekile ukuba uthathe imithi ngokuchanekileyo njengoko imiselwe kwaye ungayeki ngaphandle komyalelo wakhe. Ngokukhawuleza ukuyeka unyango lwegazi unokubangela ukuba uxinzelelo lwegazi lukhule ngokukhawuleza.
Ukuba ufumene unyango lwegazi oluphambili, kubalulekile ukuba ulandele iingcebiso zakho ngonyango. Ukulandela imiyalelo yegqirha yakho kuya kunceda ukunciphisa uxinzelelo lwegazi kunye nomngcipheko wesifo senhliziyo. Xoxa nayiphi na imibuzo enayo kunye nodokotela wakho-kubalulekile ukuba uqonde isicwangciso sonyango lwakho kunye nenzuzo enokubakho kwimpilo yakho kunye nempilo.
> Umthombo:
> Uxinzelelo lwegazi oluphezulu. Healthywomen.org.