Okungaholela Ekungeneni Kwengozi Yomphefumulo
Nakuba amaholidi ahloswe ukuba agcwale injabulo yomndeni nabangane nezikhathi ezimnandi, noma ubani onesifo senhliziyo-noma obesengozini enkulu yesifo senhliziyo -amaholide kungase kube yisikhathi sengozini ekhethekile.
Ucwaningo oluthile lubonise ukuthi phakathi kwamaholide asebusika akukhona kuphela izinkinga zenhliziyo ezingase zenzeke, kodwa uma zenzeka kungenzeka ukuthi zibulawe .
Izinyanga zikaDisemba noJanuwari zingozi kakhulu kubantu abanesifo senhliziyo. Futhi ngokusho kocwaningo luka- 2004 olushicilelwe ku- Circulation , izinsuku ezintathu abantu abafa kakhulu ngenxa yesifo senhliziyo zinguDisemba 25, Dec. 26, noJan. 1.
Kungani Amaholidi Ayingozi Kwakho?
Kungani isikhathi seholidini yisikhathi esiyingozi kakhulu senhliziyo ephikisana phakathi kochwepheshe. Kodwa ekuzameni ukukhomba umphumela, ochwepheshe banezizathu eziningi ezingabangela ukukhetha. Eqinisweni, ingozi yenhliziyo eyayihambisana namaholide cishe ikhiqizwa ngezici eziningi ezihlukene ukusebenza ndawonye.
Amaholide kanye Nengozi Yokuhlasela Kwenhliziyo
Ukuhlukunyezwa kwe-myocardial (ukuhlaselwa kwenhliziyo) ngenxa yezinkinga eziningi zenhliziyo ezenzeka ngesikhathi samaholide.
Ukuhlaselwa kwenhliziyo kuvame ukubangelwa isimo esibizwa ngokuthi i- acute coronary syndrome, noma i-ACS . I-ACS yenzeke uma i- plaque ye-atherosclerotic e-artery coronary iqhuma ngokuzumayo, futhi i-clot yegazi iqala ukwakha esakhiweni se-plaque ephukile.
Uma i-clot ivulela ngokuphelele umthambo, ukuhlasela kwenhliziyo okuphelele (okubizwa ngokuthi i- STEMI ) kwenzeka. Uma ukukhishwa kungaphansi kokuphelela, ngokuvamile ngokuvamile isisulu sibhekene nokuhlaselwa kwenhliziyo "okuyingxenye" (i- NSTEMI ), noma i- angina engaqiniseki . Zonke iziqephu ze-ACS zibhekwa njengezimo eziphuthumayo zezokwelapha, futhi uma ukwelashwa kwephuzile, umonakalo wenhliziyo okhulayo noma ukufa kungenzeka.
Cishe, isizathu sokuthi i-ACS ivame kakhulu phakathi kwamaholide ukuthi inkathi yeholidini ijwayele ukugcwala "izimbangela" ze-ACS - okungukuthi, ngezenzakalo ezingasheshe ziphume umshini. Nazi ezinye izimbangela ze-ACS ezivame ukuba zivame kakhulu phakathi kwamaholide kunezinye izikhathi. Ngenkathi lolu hlu lugcizelela izici eziyingozi esizibona ikakhulukazi ngamaholidi ebusika, khumbula ukuthi eziningana zalezi zingozi zingase zikhuphuke nanoma yiliphi iholidi, noma nganoma yisiphi isenzakalo esibalulekile empilweni yakho:
- ukuvezwa kwesimo sezulu esibanda
- ukuvezwa kwamazinga okungazelelwe nokungavamile okwenzayo, afana neqhwa elimhlophe
- ukuvezwa kokucindezeleka ngokomzwelo , okuyinto evamile kakhulu futhi ngokuvamile kuvame kakhulu ngesikhathi samaholide
- ukuhlala phansi ezinyangeni zasebusika
- ukuvezwa kokugula, ikakhulukazi umkhuhlane , okungabangela ushintsho oluvuthayo emithanjeni yegazi
- ukuzitika ngokweqile kokudla, utshwala kanye / noma ugwayi
- ukuvezwa kokungcola kwangaphakathi, njengokubhema ugwayi, noma ngisho nendawo yokucima umlilo engenahle
Zonke lezi zinto zifaka isandla ekukhulekeleni kwenhliziyo okwenzeka ngamaholidi.
Ukuhluleka Kweholide Nenhliziyo
Abantu abanokuhluleka kwenhliziyo -isimo lapho inhliziyo engasakwazi khona ukusebenza ngokwanele ukuhlangabezana nezidingo zomzimba-nayo ingozi enkulu ngesikhathi seholide .
Izizathu zokuthi ukuhluleka kwenhliziyo kuvame ukwedlula amaholide kufana nezizathu zokuhlasela kwenhliziyo kuvamile. Lokhu kufaka hlangana nokuvezwa komkhuhlane, ukuzama ngokungazelelwe (khulukhulu ngemva kokunciphisa umsebenzi wokusebenza ngokomzimba), ukuvezwa "ukutheleleka kwebusika" njengemkhuhlane, nokukhukhumeza ngokweqile.
Ukwehlisa ngokweqile kuyinkinga ekhethekile uma unesifo senhliziyo. Ukuhamba ngokudla okusawoti ophansi kuyisizathu esivamile abantu abadinga ukufakwa esibhedlela ngenxa yokuhluleka kwenhliziyo, ikakhulukazi phakathi namaholide, njengoba kuneziphuzo ezimbalwa kunokujwayelekile.
Amaholide kanye nokufa kweCardiac
Akukhona nje ukuthi izinkinga zenhliziyo zivama kakhulu phakathi kwamaholide, kodwa uma izinkinga zenhliziyo zenzeka cishe zizofakazela ukuthi ziyafa.
Akekho oqiniseka ngesizathu salokhu, kodwa imbangela enkulu kakhulu imvelo yomuntu.
Ukuba nenkinga yenhliziyo akukaze kube lula, kodwa ngukuphi isikhathi sonyaka bekungeke kube lula kunokuba phakathi kwamaholidi? Ngeke nje kube nenkinga yenhliziyo ukuphazamisa ukuzijabulisa kwakho kwemikhosi, kodwa kungaphazamisa izimpilo zabo bonke abathandekayo bakho nabangani abaye basebenza kanzima futhi bahamba kude kangaka ukuze baholele amaholide. Kulula kakhulu, ngalezi zikhathi, ukungayinaki izimpawu zokuxwayisa ezingase zivumele ukuhlola okusheshayo nokwelashwa okusheshayo. Ngokuvamile, abantu abahlushwa isifo senhliziyo phakathi namaholide bazikholisa ukuthi bavele bacabange izimpawu zabo, noma babatshele inkinga yesisu, noma bazithethelele ngokwabo ukuba bafune usizo lwezokwelapha ngokushesha. (Ukungazinaki izimpawu zenhliziyo, indlela, ikakhulukazi ngesikhathi seholide, kubonakala sengathi ijwayelekile kubantu besifazane kunamadoda.)
Ngesikhathi izimpawu zingasakwazi ukukhishwa, noma ngesikhathi abathandekayo bakho bengatshela ngokukubuka ukuthi usezinkingeni, kungase kube sekwephuzile kakhulu ukuvimbela inhlekelele.
Kungenxa yokuthi kungamaholide akusho ukuthi ngeke kube yinhliziyo yakho. Eqinisweni, njengoba sibonile nje, ngoba nje ngamaholidi cishe kunenhliziyo yakho. Ngaso sonke isikhathi uthathe izimpawu zomzimba ezinamandla kakhulu-ikakhulukazi ngesikhathi seholide.
Isifingqo
Izinkinga zenhliziyo-nokufa ezinkingeni zenhliziyo-cishe kungenzeka ngesikhathi samaholide asebusika kunanoma yisiphi esinye isikhathi. Unganciphisa amathuba akho okuba yisisulu sezinkinga zenhliziyo ezihlobene neholide ngokugwema izimbangela ezibakhiqizayo, ngokuqaphela izimpawu zesifo senhliziyo, nangokusebenzisa lezo zimpawu uma ucabanga ukuthi kungenzeka.
Imithombo:
UKloner RA, uPoole WK, uPerritt RL. Ngabe unyaka wonke ukufa kwe-coronary cishe kwenzeka? Ukuhlaziywa kwabantu abaneminyaka engu-12 engama-220 000 amacala. Ukujikeleza . 1999; 100: 1630-34.
Phillips DP, Jarvinen JR, Abramson IS, Et al. Ukushona komzimba kuphakeme kakhulu phakathi kukaKhisimusi noNyaka Omusha kunanoma isiphi esinye isikhathi: amaholidi njengengozi engozini yokufa. Ukujikeleza . 2004; 110: 3781-88.
U-Spencer FA, i-Goldberg RJ, u-Becker RC, i-Gore JM. Ukusatshalaliswa kwonyaka we-acute myocardial infarction yesibili yokubhalisa kwe-National Myocardial Infarction. J Am Coll Cardiol . 1998 Meyi; 31 (6): 1226-33.
I-Environmental Protection Agency. Imiphumela Yempilo Ye-Breathing Wood Smoke. 2007. http://www.epa.gov/burnwise/pdfs/woodsmoke_health_effects_jan07.pdf