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Ingabe ukudangala nesifo senhliziyo kuxhumene?

Ingabe ukudangala nesifo senhliziyo kuxhumene?Imfundo Yezempilo

Cishe uzwile ukuthi ukukhuluphala ngokweqile, ukubhema, nesifo sikashukela kwandisa amathuba okuba nezinkinga zenhliziyo nemithambo yegazi. I-Ditto ene-cholesterol ephezulu, ukukhula, nomlando womndeni. Manje kunenye futhi ingozi enkulu yesifo senhliziyo, futhi yileyo 17.3 wezigidi zabantu abadala baseMelika phila: nokudangala.





Ukudangala, isimo esivezwa yimizwa edabukisayo yosizi nokuphelelwa yintshisekelo ezintweni ezijabulisayo ezake zaba khona, sinamandla amakhulu imiphumela emzimbeni . Kungadala ukulahleka kwamandla, ukushintsha kwesifiso sokudla, ukuphazamiseka kokulala, ubunzima bokugxila, futhi izifundo eziningi ziya ngokuthola isifo senhliziyo.



Ucwaningo uthole ukuthi abantu abadala abanokudangala banamathuba amakhulu angama-64 okuba nesifo senhliziyo kunabantu abangenakho ukucindezeleka. Ezinye izifundo zibeka ubungozi eduze 80% . Ngaphezu kwalokho, abantu abanesifo sokudangala nesifo senhliziyo banengozi enkulu engama-59% yokuhlaselwa yisifo senhliziyo noma yokubulawa yisifo senhliziyo kunabalingani babo abangacindezelwanga. I- Inhlangano Yezinhliziyo ZaseMelika (I-AHA) manje incoma ukuthi iziguli zenhliziyo zihlolwe ukucindezeleka.

Ukucindezeleka kungaba yinto ebaluleke kakhulu engcupheni yokuhlaselwa yinhliziyo njengezinto ezinjengesifo sikashukela, ukubhema, umfutho wegazi ophakeme, nokukhuluphala ngokweqile. UDavid Corteville, MD , isazi sezinhliziyo somtholampilo eRochester Regional Health's Sands-Constellation Heart Institute.

Ukucindezeleka kuyithinta kanjani inhliziyo

Impilo yakho yengqondo ingayithinta kanjani impilo yenhliziyo yakho? Ososayensi bacabanga ukuthi kungaba nezindlela ezahlukahlukene.



  • Izici Zokuphila: Akumangazi kakhulu ukuthi kunzima ukuhlala unogqozi lokudla kahle nokuzivocavoca umzimba lapho uzizwa uphansi. Abantu abanesifo sokudangala bangaba sethubeni eliningi kunelabantu ngokubanzi lokudla ngokweqile nokungazivocavoci umzimba. Futhi siyazi ukuthi ukukhuluphala nokungasebenzi kungamandla amabili okushayela isifo senhliziyo.
  • Ukuvuvukala : Ukudangala kukhiqiza ukuvuvukala okusezingeni eliphansi emzimbeni. Lokho kuvuvukala kunganciphisa imithambo yegazi futhi kwenze kube nokwenzeka ukuthi uqweqwe (i-cholesterol efakwa emithanjeni) luzoqhamuka ezindongeni zemithambo yegazi, ngaleyo ndlela luvale imikhumbi futhi luphazamise ukugeleza kwegazi kuye enhliziyweni.
  • Ukuhlanganiswa kweplatelet: Ama-platelet amangqamuzana amancane egazini adingekayo ekunqandeni igazi. Ucwaningo kukhombisa ukuthi abantu abanengcindezi bavamise ukuba nama-platelet asebenza kakhulu, okusho ukuthi maningi amathuba okuthi bakhe amahlule avimba ukugeleza kwegazi liye enhliziyweni.
  • Ama-arrhythmias enhliziyo: Ukucindezeleka kubonakala kukhuphula ithuba lomuntu lokuthuthukisa i-atrial fibrillation, i ukushaya kwenhliziyo okungajwayelekile . Ososayensi abaqiniseki kahle ukuthi kungani, kodwa basola ukuthi amazinga anyukayo okuvuvukala avame ukubonwa kubantu abanengcindezi angaba yisici.

Ingabe isifo senhliziyo singabangela ukucindezeleka?

Ukuba nesimo esisongela impilo njengesifo senhliziyo, umbulali wokuqala eMelika , nakanjani izothwala impilo yayo yengqondo yanoma ngubani.

Kulinganiselwa ukuthi u-20% [wabantu abanesifo senhliziyo] unengcindezi kanti cishe kwababili kokuthathu banokudangala ngemuva kwe- isifo senhliziyo , uthi UTodd Hurst, MD, udokotela wenhliziyo ophethe iBanner University Medical Center ePhoenix, e-Arizona. Lokhu kungenzeka kungenxa yezimbangela eziningi, njengokuhlukaniswa nabantu, ubuhlungu, ukugula, isimo sokusebenza esiphansi, ukwesaba, ukukhathazeka nokungaqiniseki.

Kukhona nengozi eyandayo yokudangala ngemuva kokuhlinzwa kwenhliziyo. Ezingamashumi amathathu kuya kwezingama-40% zalezi ziguli ziba nokudangala, kusho uDkt. Lokho kuphakeme kunabantu abaningi.



Enye into engaba khona ekucindezelekeni kokuhlaselwa yisifo senhliziyo? Ezinye izifundo zikhomba zona kanye izidakamizwa ezisetshenziselwa ukwelapha isifo senhliziyo.

Abavimbela i-Beta [izidakamizwa ezisetshenziselwa ukwehlisa umfutho wegazi nokulawula i-hormone yokucindezela komzimba i-adrenaline] njenge atenolol , metoprolol ,ne-carvedilolbekulokhu kuhlotshaniswa nengozi eyengeziwe yokucindezeleka kwezinye izifundo, kodwa hhayi zonke, kusho uDkt Hurst. Ucwaningo oluningi luyadingeka ngaphambi kokuba kufikwe eziphethweni ezithile.

Futhi ngenkathi ama-beta blocker engakhuphula ubungozi bokudangala, kubalulekile ukuthi wazi ukuthi izinzuzo zabo zingadlula izingozi zabo.



Ama-beta blockers akhonjiswe ngokuqinile ukuguqula ukwehluleka kwenhliziyo, futhi konke ukwehla kwe-10 mmHg ekucindezelekeni kwe-systolic kuzonciphisa amathuba okuhlaselwa yinhliziyo nokushaywa unhlangothi cishe ngama-50%, kuchaza UCarl Tong, MD, i-Ph.D. , isazi senhliziyo kanye noprofesa ohlangene eTexas A & M University College of Medicine .

Ingabe ukwelapha ukudangala kuyayinciphisa ingozi yesifo senhliziyo?

Kunengqondo-ke ukuthi, uma ulawula ukudangala, wehlisa ubungozi besifo senhliziyo.



Kwesinye isifundo, abantu abanokucindezeleka ababephathwa imishanguzo noma imishanguzo ngaphambi ukuthuthukisa izimpawu zesifo senhliziyo kwehlise ingozi yokuba nomcimbi wenhliziyo ngama-48%.

Ama-serotonin reuptake inhibitors akhethiwe, noma ama-SSRIs, [isigaba sezidambisigciwane] akhonjiswe ukuthi aphephile futhi asebenza kahle ezigulini zenhliziyo, kusho uDkt. Corteville. Iziguli eziningi zenhliziyo zinemithi eminingi futhi kudingeka sicabangele ukuhlangana kwezidakamizwa. Phakathi kwama-SSRI, labo abanokuthintana okumbalwa kwezidakamizwa nezidakamizwa kukhona esitalopramu futhi umabhebhana . I-Wellbutrin kukhonjisiwe ukuthi kuphephile futhi.



Uma kuziwa ekwelashweni, ukwelashwa kokuziphatha kwengqondo (CBT) kukhonjiswe ukuthi kuyindlela ephumelela kakhulu ekwelapheni ukudangala futhi kufanele kuthathwe njengokwelashwa komugqa wokuqala. I-CBT iyindlela yokwelashwa kwengqondo okusiza abantu ukuthi bavuselele imicabango noma imizwa engemihle ibe mihle ngokwengeziwe. Ukuhlanganisa i-CBT ne-SSRI kuboniswe ukuthi kuyasebenza kakhulu [ekwelapheni ukucindezeleka] kunokusebenzisa eyodwa noma enye, kuchaza uDkt. Corteville. Ukwelashwa kwengcindezi kunciphisa ubungozi bezehlakalo zenhliziyo ezifana nokuhlaselwa yisifo senhliziyo, unhlangothi , nokufa.

Ukunciphisa ubungozi bakho

Ukunciphisa ubungozi bakho kunoma yisiphi isimo sempilo esibi kaningi kwehlela kulokho abahlinzeki bezempilo bakubiza nge-Life's Simple 7:



  1. Ukudla ukudla okunempilo
  2. Ukusebenza ngokomzimba.
  3. Ukuyeka ukubhema
  4. Ukulawula umfutho wegazi
  5. Ukugcina ushukela egazini isheke
  6. Ukugcina amazinga e-cholesterol enempilo
  7. Ukuhlala ebangeni lesisindo esinempilo

Ukuvivinya umzimba ngendlela engaguquguquki ye-aerobic kukhonjisiwe ukuthi kuyasebenza njengokuthatha i-anti-depressant, kusho uDkt Tong. I-AHA incoma imizuzu eyi-150 yokuvivinya umzimba ngokuqina ngamandla ngesonto (ukuhamba ngamandla, ngokwesibonelo) noma imizuzu engu-75 yokuzivocavoca umzimba masonto onke. Ngaphezu kwalokho, umsebenzi ungasiza ngomfutho wegazi, ushukela wegazi, nesisindo esinempilo.

Ucwaningo lukhombisa ukwehla ngo-80% kokuhlaselwa yisifo senhliziyo kanye nokwehla ngo-50% kwesifo sohlangothi kulabo abalungisa zonke lezi zinto eziyisikhombisa uma kuqhathaniswa nalabo abangenzi kanjalo, kusho uDkt Hurst. Lokhu kusebenza kithi sonke, noma ngabe sinokudangala noma cha. Kodwa-ke, ukwelapha ukucindezeleka kungenza kube lula ngomunye umuntu ukushintsha indlela yakhe yokuphila.

Uma unesifo sokudangala, qiniseka ukuthi uhlolwe isifo senhliziyo. Futhi uma unesifo senhliziyo, qiniseka ukuthi unjalo kuhlolwe ukudangala . Ukudana nesifo senhliziyo kuvame ukuhambisana futhi ukwelashwa ngempumelelo ngayinye ngemithi yenhliziyo efanele kanye nezidambisi kungathuthukisa impilo yakho yonke — emzimbeni nasengqondweni.