Nabani osebenza kwisebe elingxamisekileyo kwimozulu esenyakatho uyazi ukuba kwiintsuku xa ziba nzima kakhulu, abayi kubona nayiphi na ixesha lokuphumula-baya kubaleka ngaphandle kokuyeka ngexesha lokuhamba kwabo bonke. Kukhangeleka ukuba baya kubona ubuncinci abantu abambalwa bengozi ngokuphazamiseka kweemoto ezinxulumene nekhephu, okanye kwi-sledding okanye izingozi ze-ski.
Kodwa ngokuqinisekileyo baya kuhlaziywa ngabantu abaye bavelisa iingxaki zonyango ngokukhawuleza ezibangelwa likhephu elikhethiweyo.
Yaye ukujongana nalezi ngxaki zonyango ezinxulumene nefosholo ziza kuba neenxalenye ezimbini zeengcali zezokwelapha ngokutshintsha kwexesha. Eyokuqala, eqinisweni, ugqirha wamazinyo, oza kufumana yena ngokwakhe ubhalele iintsuku ezimbalwa ukuphatha ukulimala kwenzalo, ukulimala kwe-hip, ii-ankle ezikhohliweyo, iinkokhelo ze-rotator eziqhekekileyo , kunye ne -biceps .
Ingcali yesibini ekufoweni ngokukhawuleza yi-cardiologist. Enyanisweni, nayiphi na isebe le-cardiology elixabisa ityuwa yalo liya kuba sele liqeshwe ngokupheleleyo kwaye likhuphe i- laboratory ye-catheterization . Ngenxa yokuba kuvela, ikhephu elifudumayo yindlela efanelekileyo kakhulu yokunciphisa intliziyo yesifo kubantu abane-degree of coronary disease (CAD) .
Ukuhlaselwa kweentliziyo ezinxulumene neentambo
Ukuhlaselwa kwentliziyo eyenzekayo ngelixa iqhwa elikhethiweyo liqhelekile.
Kuphando olupapashwe ngo-2012, uphando lubhekisele kwizigulane ezingama-500 ezazonyangwa nge -acon coronary syndrome (ACS) ngaphezulu kweehosti ezimbini ezilandelanayo.
Bafumanisa ukuba iipesenti ezi-7 zezi ziphulo zengqondo zixhamene ngqo ne-snow-scveling. Ngaphezu koko, bafumanisa ukuba ukuba yindoda kunye neenkcukacha zentsapho yesifo senhliziyo esasifanele kwangaphambili zidibanisa kakhulu kunye ne-ACS ebangelwa yikhephu elikhethiweyo.
Kwisifundo esivela eCanada esapapashwa ngo-2017, abaphandi bafanisa iirekhodi zokungeniswa kwezibhedlele kunye neziqinisekiso zokufa kwabahlali baseQuebec abanenkcazelo ephezulu yemozulu, kwiminyaka ye-1981 ukuya ku-2013.
Ngeli xesha, ukuhlaselwa kweentliziyo ezili-128 000 kunye nokufa kwama-68,000 ngenxa yokuhlasela kwentliziyo kwenzeka. Ngokuphawulekayo, ngokupheleleyo isithathu kwisifo senhliziyo senzeke emva komhla emva kwemvula enkulu yekhephu. Ngaphezu koko, bafumene "umthamo-mpendulo" -kuthi, ngokugqithiseleyo ikhephu (ingqameko yekhephu, okanye iintsuku ezilandelelanayo zikhethiweyo) eziphezulu iziganeko zokuhlaselwa kwentliziyo. Kule sifundo, amaqondo okushisa angaphandle ahlanganyelwanga nentsholongwane yokwanda kweentliziyo, kodwa inqanaba lekhefu leqhwa lalinxulumene kakhulu.
Njengoko kunye nazo zonke ezinye izifundo ezijongene nokuhlaselwa kweqhwa kunye neentliziyo, ukuhlolwa kuka-2017 eCanada kwafumanisa umbutho kuphela namadoda, kungekhona nabasetyhini.
Kutheni ukuHlala kweNqanda kukunciphisa i-Heart Attacks
Iqhwa elikhuphayo libeka uxinzelelo olungavamile kwi-cardiovascular system. Ukunyamezeleka kwengqondo kunokubangela ukuhlaselwa kwentliziyo kwintliziyo ene-CAD. Xa iqhwa leqhwa, izinto eziningana zisebenza kunye ukuvelisa kakhulu ukunyamezeleka kwengqondo.
Esinye into, ukukrazula ngokwayo kubandakanya ukusetyenziswa kwengalo enzima. Ukuxhoba umzimba kubeka ngokugqithiseleyo ukubeka uxinzelelo olungakumbi kwi-cardiovascular system ngaphandle kokusebenza komlenze. Enyanisweni, iinjongo ezincinci zibonisa ukuba xa zifakela iqhwa, zifikelela kwiqondo lentliziyo kunye namanqanaba exinzelelo lwegazi aphezulu kakhulu xa aqhuba umsebenzi wokunyathela.
Kwaye xa ikhephu liphantsi okanye likhulu, umsebenzi wefosholo uba mkhulu kakhulu.
Xa abantu bephakamisa ifosholo enqabileyo yekhephu, abaninzi baya kubamba ukuphefumula kwabo, bavelise umphumo weValsalva . Esi siphumo seValsalva sandisa kakhulu uxinzelelo lwegazi luphezulu nangethuba lexeshana lomsebenzi.
Iqhwa elichithwayo, ngokucacileyo, kubanda kakhulu. Kwaye kwimozulu ebanda, i- vasoconstriction (ukunciphisa imithana yegazi) ivela kwimida encinci yegazi, eyongeza ukwanda kwengcinezelo yegazi kwaye ivelise ukukhathazeka okukhulu kwenhliziyo. Ngaphezu koko, ukuphefumula emoyeni obandayo kunokunyanzelisa i-airways kwaye kwenza kube nzima ukuhambisa i-oksijeni eyongezelelweyo intliziyo ifuna ngexesha loxinzelelo olunzulu.
Iqondo lokushisa ngokwamaqatha ngokwayo lingaqhubhisa umthamo weemithwaba ethile-nokuba yintsimbi ye-coronary spasm-kwabanye abantu.
Ukwenza izinto zibe zibi nakakhulu, abaninzi abantu bayayifaka iqhwa ekuseni, xa bekhathazekile ngokuphuma kwindlu kwaye bahamba ngezoshishino zabo zansuku zonke. Oku kuthetha izinto ezimbini. Okokuqala, amaqabunga amaqhwa ahlala ekhawuleza, ngoko ekukhawulezeni kwabo ukuba baphume kwi-driveway bayazibhokoxa ngakumbi kunokuba bangenjalo. Okwesibini, bazama ukwenza yonke le misebenzi eyongezelelweyo ngelixesha apho izandi zabo ze- circumcadian zenza ukuba zixhomekeke kwiintlekele ze-cardiovascular disasters. Ukongeza i-snow-scveling enamandla ngeli xesha elithile lusuku kunokuya kuba yinto embi kakhulu.
Ngubani Othotyelwayo kwiintliziyo Zamaxhoba Ngethuba lokutyhulwa kweqhwa?
Nabani na inqanaba le-CAD usemngciphekweni ophezulu wesiganeko senhliziyo ngenkqubela yeqhwa. Olu mngcipheko lukhuphuka kakhulu kubantu abahlala behlala behlala kunye nokuhlaselwa.
Kufuneka siqaphele ngokucacileyo ukuba abaninzi abantu abane-CAD abazi. Abantu abaziyo ukuba bane-CAD, ngokubanzi, sele benempawu zohlobo oluthile okanye olunye (oluqhelekileyo lwe- angina ), olukhokelela ekuphononongweni kokuxilongwa. Ngokuqhelekileyo, aba bantu sele beyazi ukuba ikhefu elikhuphayo libabeka engozini, kwaye banokuthi baphephe ukwenza njalo.
Ubuninzi babantu abahlaselwa yintliziyo xa ikhefu elikhethiweyo lingayazi ukuba bane-CAD. Oko baziyo (okanye kufanelekile) kukuba banomngcipheko we-CAD, njengesifo sikashukela , umfutho wexinzelelo , ukutshaya, i- cholesterol ephakamileyo , okanye ukugqithisa, ukuhlala emadodeni okanye ngaphezulu kweminyaka engama-55 okanye eyi-60 ubudala. Iingcali ze-cardiologists zikholelwa ukuba uninzi lwabantu abangaphezulu kwama-55 okanye njalo, nabani na abanezibini zengozi, ngaba ngokwenene banako ubuncinci beCAD.
Ukuba uyazi ukuba unayo i-CAD, okanye unayo okanye ezimbini kwezi zinto zengozi, kwaye ngokukodwa ukuba ungumntu, kufuneka uqaphele kakhulu ngeqhwa elikhethiweyo. Okona kuncinci, ukukrazula kwekhephu kubangelwa isiqendu sokuxinezeleka okukhulu kwenkqubo yakho ye-cardiovascular system. Ingqungquthela kunye / okanye ngaphezulu kweqhwa, kunye nenkulu kwindawo ofuna ukuyihlaba, inyuse ingozi yakho.
Ingozi yabasetyhini
Njengoko kuphawuliwe, uphando oluye lwabujonga ubudlelwane beqhwa lekhephu kunye nokuhlaselwa kwentliziyo sele lifumene umngcipheko wokuphakanyiswa kwamadoda, kodwa kungekhona kubasetyhini. Nangona ngokuqinisekileyo kunokwenzeka ukuba ikhefu ngokukrola ingabi yingozi kubafazi, kubonakala ngathi izifundo ziye zavela ngale ndlela nje ngenxa yokuba abantu banokukwazi ukuphuma ukukwenza iifowuni. Nangona kunjalo, mhlawumbi ngenxa yokuba sele i-politike engalunganga ukuba icinge ngezinto ezinjengezithandane ezinxulumene nezesondo, abaphandi abazange bazame ukuqokelela lolu hlobo lweedatha. Ikhephu elimhlophe mhlawumbi linobungozi kwabasetyhini, kodwa asikwazi ukusho njalo nangentembelo.
Ngako de idilesi efanelekileyo iqokelelwa, iingcebiso ezithembekileyo kubasetyhini ziya kuba kukuqwalasela imfucumfucu yekhefu ukuba ibe nje ingozi enkulu njengabantu.
Ukunciphisa Umngcipheko Wakho wokuKhutshwa kweNqanda
Ayikho indlela ejikeleze ukuba ikhephu eligqithisayo livelisa uxinzelelo olukhulu kwi-cardiovascular system. Iingcebiso ezilungileyo kakhulu zokunciphisa ingozi yakho nje ukuphepha ukukhanda iqhwa ukuba unayo i-CAD, okanye enye okanye emibini yengozi ye-CAD-ngakumbi ukuba uneminyaka engaphezulu kweminyaka engama-55 ubudala okanye njalo. Ukuba ngaba nguwe, ikhosi efanelekileyo kukuba kuqeshwe inkonzo ukucoca umzila wakho kunye nokuhamba kwakho. Kungabi xabisa, kodwa kungabizi ngaphaya kokuhlaselwa kwentliziyo.
Ukuba uya kukrola iqhwa nangona le ngcebiso efanelekileyo, kufuneka wenze konke onako ukunciphisa uxinzelelo olubi lwe-cardiovascular you are creating yourself.
Into engcono kakhulu ongayenza kukuba usebenzise rhoqo ukuze ukhethe ukunyamezela. Ukugcina impilo enesifo senhliziyo kuya kukuvumela ukuba udonse iqhwa ngexesha lovelisa ubuncinci (nangona kunjalo kuninzi) uxinzelelo lwenhliziyo. Kodwa ukuba ukhangele inyawo lekhephu kwi-driveway yakho ngoku, le ngcebiso ingasetyenziswa. Ngoko hlawula ummelwane oneminyaka engama-25 $ ukwenza umsebenzi namhlanje, uze ulungele ubusika obulandelayo.
Ukuba uqhubeka ugxininisa ngokwakho, zama ukulinda kude kube yimini xa iziqulatho zakho ze-circadian ziphantsi kwesigaba esincinci kwaye amazinga okushisa angaphandle ayenokumodareyitha enye. Ukumboza umlomo wakho ngenqena ukufudumala umoya ophefumulayo. Zizenzele. Yenza umsebenzi kwizinto ezimbini, ezintathu, okanye ezine ezihlukeneyo ngaphandle kweento zonke, kunye nokufudumala kunye ne-hydrate (uphinde ucinge ngezicwangciso zakho) phakathi.
Yaye ukuba iifostile zivelisa nayiphina impawu-ngokukodwa ingcinezelo yesifuba, ukukhanya okukhawulezileyo , okanye ukuphefumla okufutshane-misa nje into oyenzayo. Ukukhathazeka kwakho akusikho ikhephu kwakhona, kukuba ufuna ukufumana ugqirha. Masiyeke ukukrola kwangoku kwaye ufumene ugqirha phambi (kwaye kungengemva) wenze umonakalo ongunaphakade entliziyweni-okanye ngakumbi.
> Imithombo:
> Alter DA. I-Eco-Biological-Behavioral Storm Perfect Storm elandela i-Snowfall enkulu. CMAJ 2017; 189: E22522-6.
> Auger N, uMbumbi uBJ, uSmargiassi A, et al. Umbutho Phakathi kobuNani kunye nexesha leNqabungquthela kunye neengozi yeMyocardial Infarction. CMAJ 2017; 189: E235-242. Abstract
> Nichols RB, McIntyre WF, uKhan S. et al. I-Snow-Scveling and Risk of Acute Coronary Syndrome. Uphando lwezonyango kwiCardiology 2012; 101: 11-15.