Ngoko uhlolisise umngcipheko wakho wokuhlakulela isifo senhliziyo, kwaye iya kuba phezulu. Wenzani ngoku?
Inyathelo 1: Thatha Oku
Ukuba iziganeko zobungozi zesifo senhliziyo zibeka kwindawo enobungozi obuphezulu, oku kuthetha enye yezinto ezimbini. Umngcipheko wakho wokuphuhlisa isifo senhliziyo kwiminyaka embalwa ezayo iphezulu kakhulu, okanye sele usenayo isifo senhliziyo kwaye awukwazi.
Ngelishwa, inani elininzi labantu abafundayo "kwindawo ephezulu yengozi" liye lafumana i-coronary artery disease (CAD) - ayifuni nto ngenxa yokuba, ngoku, abanalo iimpawu .
Ngoko ukuba inobungozi obuphezulu be-cardiovascular is stuff, kwaye ifuna impendulo enzulu kakhulu.
Inyathelo 2: Qiniseka ukuba ugqirha wakho uthatha oku
Ukufumanisa ukuba isigulane sisengozini enkulu yesiganeko esikhulu senhliziyo, ngokukodwa enye ye- Acute Coronary Syndromes (ACS) , kufuneka ifake uhlobo oluthile lwempendulo kumgqirha.
Ugqirha wakho kufuneka enze ngokukhawuleza izinto ezimbini kuwe: a) Hlola ukuba ngaba usenokuba ne-coronary artery disease, kwaye ukuba kunjalo, qalisa unyango olufanelekileyo, kwaye b) Thatha amanyathelo okukunceda ukuguqula yonke into enobungozi obulawulayo .
Ngenxa yokuba ezinye izigulane ezinobungozi obuphezulu ziza kuba ne-CAD ebalulekileyo, ukuhlolwa okungekho okungenasiphelo kufuneka kuthathelwe ingqalelo ngokuqinileyo ukulawula le nto.
Olu vavanyo luya kufaka i- scan cardiaac calcium scan , kunye / okanye ukunyamezela / ukufunda i-thallium .
Ukuba ukuvavanya okungenabangeliyo kubonisa ngokucacileyo i-CAD, ma nyathelo kufuneka athathwe ukuyiphatha, kwaye anciphise amathuba okuphuhlisa i-ACS.
Ngethuba elifanayo, ugqirha wakho kufuneka abeke nesicwangciso esicacileyo sokuhlaselwa kuzo zonke izinto ezinobungozi-kuquka ukutya , ukulahleka kwesisindo, ukuyeka ukutshaya, ukuphelelwa komfutho wegazi , kunye ne- cholesterol- kwaye kufuneka uqalise unyango ngokukhawuleza.
Ugqirha wakho kufuneka akunike zonke izixhobo ekuhlaleni kwakhe ukukhuthaza nokukunceda ekulungiseni indlela yokuphila ukuze unciphise umngcipheko wakho.
Ugqirha wakho kufuneka kwakhona abonise isimo sengqondo esinobudlova ngokubhekiselele kwi- LDL ye-cholesterol kunye ne- HDL ye-cholesterol , kunye nokulawula ukunyanga kwegazi kunye negazi legazi (ukuba kuyimfuneko).
Ugqirha wakho kufuneka abonise isimo sengqondo esifanelekileyo ngengozi - ubomi bakho bunobungozi apha, kwaye kufuneka ukuba athathe ngoku. Oku kubandakanya ukukhwela kunzima malunga nokwenza ukulungiswa kwendlela yokuphila.
Kwakhona gcinani engqondweni ukuba oogqirha ngabantu, kwaye ubunzima bomntu kwenza kube nzima ukukhupha zonke izigulane zesigulane esenqwenela ukwenza izinto ezithandayo. Kunzima ukuziphobisa njengogqirha ukuba uhambe khilomitha eyongezelelweyo kwisigulane esingeke senze umzamo wokwenene kunye oqhubekayo wokusebenzisa, ukunciphisa umzimba, okanye ukuyeka ukutshaya.
Inyathelo lesi-3: Qala iProjekthi yakho yeManhattan
Nangona ugqirha wakho ufuna ukukunceda ukunciphisa ingozi yakho ye-cardiovascular, inxalenye ebalulekileyo yomsebenzi iphezulu kuwe.
Ukunciphisa ngempumelelo ingozi yakho yinto eyo kwenzeka kuphela ngokuzinikezela kwakho, kwaye akulula.
Ukwenza oko kufuneke kwenziwe kwenziwe ngokuqhelekileyo kubandakanye utshintsho olubalulekileyo kwiimeko zombini kunye nendlela yokuphila ebonakala ngathi abantu abaninzi abakwazi ukufeza.
Umlinganiselo wenzame efunekayo uhambelana nomzamo wase-US wokwenza ibhomu ye-athomu ngexesha le-WWII. Kwakukho into eyayibonakala ingenakwenzeka, kodwa ukuba asizange sikwenze, ingozi yayikuphakamileyo ukuba amaJamani okanye amaJapane asibetha kwi-punch. Ngoko, ngokuchasene nazo zonke iingxaki, siye sahamba ngeemithombo zethu kwaye senza iManhattan Project.
Yilo kanye uhlobo lomzamo omele uwenze. Ngokuchasene neengxaki, kufuneka uguqule ubomi bakho.
Ukuba awunayo, uya kuba nemiphumo emibi, mhlawumbi iminyaka emininzi ngaphambi kokuba ungathanda ukucinga.
Ukuba ininzi yezigulane ezisemgangathweni ophezulu ekugqibeleni ukugqiba ukwenza imizamo yesigidi-ntliziyo yokuguqula ingozi yabo inokuthi ihambelane nokungaphumeleli koogqirha bokunakekela abaphambili kunye ne-cardiologists ukugxininisa ukubaluleka kokuphila nobomi bokuguqula zabo indlela yokuphila.
Ngaba kukho nawaphi na oogqirha abaphumelele ukufumana izigulane zabo ukuba ziyeke nantoni na enokwenzayo, ukuba zijonge ngokukhawuleza zonke iinguye zamandla ekuvuseleleni impilo yazo?
Ewe. Ziyi-oncologists. Izigulane ezixelelwa ukuba unomhlaza zihlala zibeka zonke izinto zibambe kwaye zitshintshe ngokwazo ukwenza konke okuyimfuneko (nokuba utyando, i-radiation, okanye i-chemotherapy, ihlala ibuhlungu, kwaye ihlala ihlala iinyanga okanye iminyaka) ukuzama ukunyanga. Esi sinengqondo esifanayo ukuba izigulane kufuneka zithathwe xa zixelelwe ukuba zisengozini enkulu yokuhlaselwa yintliziyo, ukufa ngokukhawuleza, okanye ukubetha.
Emva kwakho konke, ukuxelelwa ukuba usemngciphekweni ophezulu kweso siganeko senhliziyo ayikho yonke into eyahlukileyo kunokuba utshelwe ukuba unomdlavuza. Isifo senhliziyo sisisoloko singakhubaza okanye siyabulala, kwaye isiphumo asixhomekeke kwisimo sakho sengqondo kunye nokuthatha inxaxheba kwakho ekwenzeni okufunekayo. Ukuba nantoni na, unethuba elingcono lokwenza utshintsho kwisiphumo esiphambili kunegulane eliqhelekileyo ngomhlaza.
Yiloo nto. Kwaba bobabini kunye nogqirha wakho kufuneka nibe nongxowankulu zonke izibonelelo ezifumanekayo ukuyeka isifo esongela ukulimaza okanye ukukubulala kwikamva elikufutshane. Uncedo lubalulekile ekunciphiseni umngcipheko wakho, kodwa ukuzivocavoca, ukutya, ukulahleka kwesisindo kunye nokuyeka ukutshaya kubalulekile.
Indlela Yokugqibela, Okanye Konke Ngangoku?
Ngokuqhelekileyo, abantu abasengozini kakhulu abaphumelele kakhulu yibo bafumana "utshintsho sonke" sengqondo - abo bamkele ukuba utshintsho olupheleleyo kwinkqubo yokuphila luyadingeka. Bayayeka ukutshaya, baqalise inkqubo yokuzilolonga, kwaye batshintshe ukutya kwabo kanye. Kwaye benza ngokuwenza ingozi yokuguqula umxholo womxholo wokubomi babo. Ngelinye ilanga bahlobo lomntu obomngcipheko wokuphila, kwaye ngengomso abangekho. Ukukrazula imingcipheko yabo ibe yinto ephambili ebomini babo, de kube yindlela yokuphila entsha ibe ngumkhwa ogqityiweyo (kwaye bangabantu abahlukile). Kuyavakala nzima, kwaye kunjalo. Ubomi nokufa kunzima.
Indlela ehamba phambili yokuguquka kwendlela yokuphila, ngelixa libonakala liqikelele ebusweni bayo, ayisebenzi kubantu abaninzi. Ukuba ukutya kunye nokuzivocavoca zihlehlisiwe kude kube yinto yokuyeka ukutshaya, umzekelo, cingisisa malunga noko kuthetha ntoni. Ngokuqinisekileyo uya kuhlala uphila uhlobo olufanayo lobomi obuhlala uyenza, ngaphandle kokuba uzama ukuyeka ukutshaya. Kunzima. Ngandlela-thile ukutshaya akupheli, kwaye ukutya kunye nokuzilolonga akunakuze kubhekiswe kuzo zonke, kwaye kungekudala unyaka okanye ezimbini okanye ezintlanu zihamba-kwaye emva kwexesha.
Wonke umntu uhlukile, kwaye indlela yokuhamba ngokuthe ngcembe ingaba yinto eyenzekayo kuphela kubantu abaninzi. Naliphi na imisebenzi yindlela efanelekileyo. Kodwa ekusebenziseni "ukugqwesa ubuqu" ngokuqhelekileyo kubonakalisa ukungaphumeleli komgaqo-siseko ukuvuma utshintsho olusisiseko oluyimfuneko. Ukufunda iziqu, ngamanye amazwi, kunokubonisa ukuba umntu akanalo isimo sengqondo esilungele ukulwa esilungele ukukhusela isiphumo esibi.
Ingaba ukhetha ukuhamba ngokuthe ngcembe okanye yonke indlela, qiniseka ukuba ufumanisa ukuba kubaluleke kangakanani ukwenza utshintsho olufunekayo.
Imithombo:
Yusuf S, Hawken S, Ounpuu S, et al. Impembelelo yeziganeko ezinobungozi ezingaguqukiyo ezinxulumene ne-myocardial infarction kumazwe angama-52 (isifundo se-INTERHEART): uhlolo lokulawulwa kwimeko. Lancet 2004; 364: 937.
U-Akesson A, uLarsson SC, i-Discacciati A, i-Wolk A. Ukutya okunobungozi obuphantsi kunye nemikhuba yokuphila kwinqanaba eliphambili lokuthintela i-myocardial infarction kumadoda: isifundo seqela elixhomekeke kubantu. J Am Coll Cardiol 2014; 64: 1299.
Bhalisa i-NB, i-onion DK, ngaphambi kwe-RE, et al. Iiprogram zokukhusela izifo ze-cardiovascular disease kunye neziphumo zempilo kwinqanaba elisemaphandleni, ngo-1970-2010. JAMA 2015; 313: 147.