Iindaba ezimbi zakutshanje malunga nemiphumo yobunzima bebuntwaneni zibandakanya izibindi. Njengoko kwandiswe nje kwiNew York Times , isantya sesifo sesibindi esinamafutha ebantwini senyuke ngokukrakra, ngenxa yokunyuka kwenyameko yobuthakathaka obukhulu.
Umbuzo kuthi sonke sizathu sokuba kukho ezinye iindaba ezimbi eziya kufuneka ukuba zikhuphe impendulo ngokukhawuleza, kuba i-bell ye-alarm iye yahlawula iminyaka.
Kwaye ngelixa iimbombo zingasengozini, ubomi buye behlala behleli.
Ngokomzekelo, kwiNgqungquthela ye-International Stroke ye-American Stroke Association, i-American Stroke Association ye-International Stroke Conference 2011, le nkcazo yeendaba ezixhalabisa kakhulu yaboniswa: Ukunyuka okuphawulekayo kwinqanaba lokushaywa kwesibalo kubonakala kubantwana abaneminyaka emi-5 kuya kwe-14.
Njengogqirha oye wabona izinto ezimbi kakhulu zenzeke kubantu abaninzi abalungileyo kwiminyaka, ngokwenene andinakucingela ngakumbi kunokuba kuphazamise umntwana. Ingozi " yengozi ye-cerebrovascular ", iqhutywe ngokuphindaphindiweyo yi-ischemia kwaye ingaphantsi kancinci ngenxa yokuphuma kwintsholongwane, ukuphazamiseka kwintsingiselo yinto yokutshatyalaliswa kwe-myocardial (intliziyo yesifo) yintliziyo: inxalenye yecimbi iyafa. Umntwana une-stroke kunye nenxalenye yengqondo emele iphumelele, ukuxhamla namava asanda kuzuza kunye nolwazi lufa. Yaye kunye nayo iyafa enye imisebenzi, mhlawumbi ikhono lokuthetha, okanye ukukwazi ukuhamba kwelinye icala lomzimba.
Kufa kubuntwana.
Ukuba le nto yindlela yokuhlaselwa yi-epidemiology yanamhlanje yintlekele kwaye ihlasele. Abaphandi ababandakanyekayo babengazi ukuba kutheni amazinga okuhlaselwa, ukuhla kweyabantwana abadala abangaphezu kweminyaka engama-50, ekhuphuka kubantwana nakubantu abadala. Uphononongo olubhekiselwe kumbuzo, ngabaphandi kwi-CDC, kwakungokuhlaziywa kwamarekhodi e-hospitali phakathi kuka-1994 no-2007.
Uhlalutyo lwenzelwe ukubonisa oko, kodwa kungenjalo.
Kodwa oko akuthinteli uqikelelo oluthile lwezifundo, ngabaphandi ngokwabo kunye nathi sonke. Ukunciphisa ukubetha kwabadala abadala ngokuqinisekileyo ngenxa yonyango olungcono lwe-hypertension, imbangela ebangela ukubetha, kunye nokunciphisa ezinye izinto ezinobungozi zesifo se-cardiovascular such as lipid-downing with drugs. Ubunzima obunjalo buhlala bufunwa, bufunyenwe kwaye buguqulwa kubantu abadala abaziwayo kwiqela elisengozini.
Kodwa ke, i-stroke kunye nesifo sengqondo senhliziyo ayikulindeleki kwiqela leminyaka yobudala. Ngokomlando, akubangakho isizathu sokujonga ngendlela efanelekileyo kwimingcipheko yesifo se-vascular kule ndawo, makungabikho kuphela ukusebenzisa i-antihypertensives kunye nezidakamizwa ze-statin ukukhusela inhlekelele.
Akuyinto encinane kwentlekele ekuye kwafika kule nto. Abaphandi baqiqa kakhulu, kunye nam, kukuba ukufuduka kwe-stroke phantsi kwekhasi elidala kuqhutywe ngokukhawuleza ngenxa yongcinezelo yesifo, isifo sikashukela kunye nokunyuka kwamazinga oxinzelelo lwengcinezelo kubantwana bethu. Ukunikezelwa kwesihlobo sethu, ukunyanzelwa kwenkcubeko yezinto ezinobungozi, ukuvela kwesifo sobungozi njengesisongela ukuba abantwana bebonke baqikelele-njengokuba ukukhula kwesifo sesibindi ngoku kwiindaba.
Izibikezelo akufuneki ukuba zenzeke ntoni. Izibikezelo ezibi ziyakwenza ukuba izimpendulo zokhuseleko zingabikho. Ukuchazwa kwangaphambili kungaphunyezwa.
Ndiye, ngenxa yeminyaka, ndiyichaza isifo senhliziyo njengesiqhelo, imeko yezilwanyana - ngethemba lokuba ayinakuze yenzeke.
Ingqiqo emva kwendibano yam enesizungu kunesi sihloko ichanekile. Iqela leengcali zonyango lomntu obizwa ngokuba yi-Adult Treatment Panel ye-National Cholesterol Education Programme imiba yezikhokelo zabanikezeli bezempilo ekuchongwa nasekulawuleni iziganeko zengozi yezilwanyana kwizigulane zethu.
Ezi zikhokelo zisitshela ukuba sifanele siphathe izigulane zethu ngesifo sikashukela ngokungathi sele ziyaziwa ngokuba nesifo senhliziyo ngenxa yokuba ikhonkco phakathi kwezi zibini zinamandla.
Xa ndaya esikolweni sezokwelapha, ndafunda malunga neentlobo ezimbini zesifo sikashukela esikuyo: ukuvela kwabantwana kunye nokuqala kwabantu abadala. Oko esikubiza ngokuba yi-type 2 yesifo sikashukela ifunyaniswa ngokuphindaphindiweyo kubantwana abangaphantsi kweminyaka eyi-10. Kodwa ngaphantsi kwesizukulwana esadlulileyo, le nto leyo imbizwa ngokufanelekileyo ngokuthi "ukuqala kwabantu abadala," kuba kwenzeka ngokukhawuleza ekugqithiseni kakhulu, ekuphakathi kweminyaka abadala.
Ukuba esinye isifo esingapheliyo se-midlife sinokufudukela phaya kwinqanaba leminyaka ukuba libe yimeko yobuntwana, sisiphi isizathu esasifanele sicinge ukuba abanye abayikulandela? Oko i-Panel Treatment Panel ithi malunga nesifo sikashukela kubantu abadala - ukuba inokucingwa ukuba isifo sesifo senhliziyo - sinyanisekile kubantwana, kwakhona, kude kube ngenye indlela. Sinezizathu ezincinci zokucinga ukuba isifo sikashukela senza umonakalo ohlukileyo kumzimba amancinci kunokuba zikhulu.
Ngoko, xa abantu abaneminyaka eyi-16, 17-, kunye ne-18 ubudala bebenokudala isifo sikashukela esele sasiyiminyaka elishumi okanye ngaphezulu, akufanele sikulindele ukuba siqale ukubabona kumagumbi angxamisekileyo kunye ne-angina pectoris kunye ne- myocardial infarction ? Ndide ndicinga ukuba kufuneka.
Kwaye ngokubuhlungu kukuba, ndinezibonakaliso ezingaphezulu kwangexesha lokuba iziprofeto zam zizaliseka.
Kwiminyaka emininzi edlulileyo, ndenza isiqhelo sam esichengeni sokuqala kwesifo se-coronary e-Atlanta, eGeorgia, kwi-College yase-American College of Cardiology. Omnye wamagqirha ekuphulaphuleni kwam wathetha ukuba wayevile ukuba abantwaba-7 000 abaselula babehlaselwa yintliziyo e-US kunyaka ongaphambili. Andikwazanga ukuqinisekisa ukuba i-statistic, kodwa kukho uninzi lweencwadi zonyango olubhekiselele kulo mkhuba.
Ndinikela intetho eMissouri ngeminyaka embalwa emva koko, emva koko i-dietitian in the audience yandixelela ngomfana oneminyaka eli-17 ubudala onoxanduva lwakhe, oye wafumana i-coronary trippress. Eyona nto ingcono kakhulu yolwazi lwakhe, le nkwenkwe yayingenaso isifo esingaqhelekanga kwisifo senhliziyo. Ukugqithisa nje, uhlobo lwesifo sikashukela ebusheni, kunye nemiphumo ecacileyo.
Xa ndiqala ukwenza ingxabano malunga nale minyaka eyi-10 emva okanye ngaphezulu, abaphulaphuli bam babengenangqondo kwaye baqinisekanga ngombono wam. Kutshanje, babonakale benqabile, beqinisekile kwaye banenkxalabo. Ngoku baqala ukubonelela ubungqina bokungqina kwam. Oku kungonwabi kakhulu. Ngokuqinisekileyo, ngelixa ndandilumkisa malunga nokufika kwe-angina njengendlela yokufumana intsha yokuhamba kunye ne-acne, ndandizange ndibonise ukubethelwa kwabantwana abangaphantsi kweminyaka eyi-10 okanye isongelo se-cirrhosis ebantwaneni, engazange abonakalise utywala.
Sinokutshintsha ezo zimo, kwaye sikhusele abantwana bethu nabazukulu kwiintsholongwane zentliziyo kunye nemivimbo yesifo esingenabuhlungu; sinokukukhusela ubomi bobabini kunye neengxowa-ngokuba uluntu oluhlonipha iinyawo kunye neefoloko njengengcambu yezokwelapha, kunokuthembela kakhulu kwi-stethoscopes, scalpels kunye nemimiselo emva kweentlekele. Ngokwenza konke okufunekayo ukuba wenze ukutya ngokufanelekileyo kwaye usebenze ngokunyanisekileyo kwindlela yokuncinci.
Uluhlu lwamanyathelo okusifumana apho lude, kodwa aluyinkimbinkimbi. Yonke imigaqo-nkqubo okanye isenzo esingeyona inxalenye yesisombululo yinxalenye yengxaki-kwaye inokubakho ingozi kumntwana. Vote ngokufanelekileyo.
Kulixesha elidlulileyo lokuphendula i-alamu ngokukhawuleza kufuneke. Iirejista kwaye sele ihlawulela sonke.