Izindaba ezimbi zakamuva mayelana nemiphumela yesifo sokukhuluphala kwengane ebuthakathaka zihilela ama-livers. Njengoba kusanda kubikwa eNew York Times , izinga lesifo samabindi e-fat ekhuphuka kakhulu, ngenxa yokukhula kwesisindo esinzima kakhulu.
Umbuzo kithi sonke kungenxa yokuthi kuzodingeka izindaba ezimbi nakakhulu ukuvusa impendulo enzima yokulinganisa, njengoba i-alamu ye-alamu ibhalele iminyaka eminingi.
Futhi ngenkathi izimbongolo zingase zibe sezisengozini, izimpilo sezilokhu zikhona.
Isibonelo, emhlanganweni we-American Stroke Association's International Stroke Conference 2011, le nkinga yezindaba ezikhathazayo kakhulu yanikezwa: Ukunyuka okuphawulekayo kwesilinganiso sokushaya isifo kubonakala kubantwana abaneminyaka emihlanu kuya ku-14.
Njengodokotela oye wabona izinto ezimbi kakhulu ezenzeka kubantu abaningi kakhulu kakhulu eminyakeni edlule, angikwazi ukucabanga kabi nakakhulu kunokushaya kwesisu. Ngokwakheke " ingozi ye-cerebrovascular ," eyenziwa kaningi ngokusuka kwe-ischemia futhi kaningi kangako ngokuphuma kwegazi, isifo siwukuthi ubuchopho ukuthi i-infarction ye-myocardial (inhliziyo ye-heart)) iyena enhliziyweni: ingxenye yelungu ifa. Ingane ine-stroke kanye nengxenye yobuchopho okufanele ikhule, ukuhlukunyezwa nolwazi olusha olusha nolwazi lufa. Futhi nayo ifa umsebenzi othile, mhlawumbe ikhono lokukhuluma, noma ikhono lokuhambisa uhlangothi olulodwa lomzimba.
Ngayo ifa ebuntwaneni.
Ukuthi lokhu kuyindlela yokwelashwa kwansuku zonke yilezi zinsuku ezimbi futhi ezihamba phambili. Abacwaningi abathintekayo babengazi ukuthi kungani amazinga okushaya isifo, ukwehla kwabantu abadala abaneminyaka engaphezu kwengu-50, ekhuphuka ezinganeni nakubantu abadala. Ucwaningo olubuzwayo, ngabaphenyi e-CDC, lwaluvele lubukezwe amarekhodi e-hospitali phakathi kuka-1994 no-2007.
Ukuhlaziywa kwaklanyelwe ukukhombisa ukuthi yini, kodwa hhayi ukuthi kungani.
Kodwa lokho akuvimbeli ukuqagela okufundisiwe, abacwaningi ngokwabo kanye nathi sonke. Ukuncipha kwezigameko kubantu abadala asebekhulile ngokuqinisekile kungenxa yokwelashwa okungcono kwegazi eliphezulu, imbangela ehamba phambili yokushaywa yisifo sohlangothi, futhi kancane kancane ukulungisa ezinye izici eziyingozi zokugula njenge-lipid-ukwehlisa izidakamizwa zesimiso. Ukuhlukunyezwa okunje kusetshenzwa njalo, kutholakala futhi kushintshwe kubantu abadala abaziwa ukuthi babekhona eqenjini elisengozini.
Kodwa-ke, isifo sohlangothi nesifo se-ischemic akulindelwe eqenjini lobudala bezingane. Ngokomlando, akubanga naleso sizathu sokubheka ngendlela ehlelekile engozini yezifo ze-vascular kule ndawo, kungabi yedwa ukusebenzisa ukusetshenziswa kwama-antihypertensives nezidakamizwa ze-statin ukugwema inhlekelele.
Akuyona into encane yenhlekelele ukuthi ifike kulokhu. Ukuqagela okungcono kakhulu komcwaningi, kanye nomkami, ukuthi ukufuduka kwesifo ngaphansi kwesigqoko sonyaka kuqhutshwa cishe ngokugcwele ukukhuluphala kwesifo sofuba, isifo sikashukela kanye namazinga akhuphuka komfutho wegazi ophezulu ezinganeni zethu. Njengoba sinikezwe isihlobo sethu, ukunganaki kwamasiko okuyizinto eziyingozi, ukuvela kwesifo sofuba njengengozi yokuphuma kwezingane kwakungenakwenzeka kuphela-njengoba kukhula kwesifo sebindi manje ezindabeni.
Ukubikezela akudingeki ukuthi kube yilokho okufezekayo. Ukubikezela okubi kungashukumisa izimpendulo zokuvimbela ukuze izinkinga abazibikezelayo zingalokothi zenzeke. Ukuboniswa kwangaphambili kungaphathwa phambili.
Ngineminyaka eminingi ngigcwalisa isifo senhliziyo njengesimiso, isimo sezingane - ngethemba lokuthi ngeke ligcwaliseke.
I-logic ngemuva kokuncenga kwami okunesizungu kule ndaba kuye kwacaca ngokuqondile. Iqembu labachwepheshe emithini yemithwalo yempilo ebizwa ngokuthi i-Adult Treatment Panel ye-National Cholesterol Education Programme iziqondiso zezinkampani zabanakekeli bezempilo ekukhonjeni nasekuphatheni izimo zengozi zomzimba ezigulini zethu.
Lezo ziqondiso zisitshela ukuthi kufanele siphathe iziguli zethu zesifo sikashukela njengokungathi seziyaziwa ukuthi zinezifo zenhliziyo ngoba ukuxhumana phakathi kwalababili kunamandla.
Ngesikhathi ngiya esikoleni sezokwelapha, ngafunda ngezinhlobo ezimbili zesifo sikashukela esivela: ukuqala kwezingane kanye nokuqala kwabantu abadala. Lokho esikubiza ngokuthi i-type 2 yesifo sikashukela kutholakala ngokuphindaphindiwe ezinganeni ezingaphansi kweminyaka eyi-10. Kodwa ngaphansi kwesizukulwane esedlule, lesi simiso sabizwa ngokufanele ngokuthi "ukuqala komuntu omdala," ngoba kwenzeka cishe kuphela ekudleni ngokweqile, eneminyaka ephakathi abadala.
Uma isifo esisodwa esingapheli sakwa-midlife singasuka phansi ijika lesikhathi ukuze sibe yisimo sokubuntwana, yisiphi isisekelo esasifanele sicabange ukuthi abanye ngeke balandele? Okushiwo yi-Panel Treatment Adult mayelana nesifo sikashukela kubantu abadala - ukuthi singacatshangelwa ukuthi sibonakalise isifo senhliziyo - siyiqiniso ezinganeni, futhi, kuze kube yilapho kuboniswa ngenye indlela. Sinezizathu ezincane zokucabanga ukuthi sikashukela senza umonakalo ohlukile emzimbeni amancane kunokuba kube amakhulu.
Ngakho-ke, lapho abaneminyaka engu-16-, 17-, no-18 ubudala beba nesifo sikashukela esivela kubantu abadala, sekufanele kube khona iminyaka eyishumi noma ngaphezulu, akufanele yini silindele ukuqala ukubona emakamelweni aphuthumayo nge-angina pectoris ne- infyoction ye-myocardial ? Sekuyisikhathi eside ngicabanga ukuthi kufanele.
Futhi ngokudabukisayo, nginezibonakaliso ezingaphezu kwesikhathi ukuthi izibikezelo zami zagcwaliseka.
Eminyakeni embalwa eyedlule, ngenza ukubikezela ithuna lami evamile mayelana nokufika kwezifo ze-coronary entsheni yase-Atlanta, eGeorgia, emhlanganweni we-American College of Cardiology lapho. Omunye odokotela ezithameli zami wangitshela ukuthi uzwile ukuthi intsha engaba ngu-7 000 yayinesihlungu senhliziyo e-US ngonyaka odlule. Angikwazi ukuqinisekisa ukuthi izibalo, kodwa kunezincwadi eziningi zezokwelapha ezibhekisela kulo mkhuba.
Nginikeza inkulumo eMissouri eminyakeni embalwa emuva, ngemva kwalokho isidlo sezilwane ezithamelile sangitshela ngomfana oneminyaka engu-17 ubudala owayenakekelwa nguye, owayenqamuke kathathu nge-coronary bypass. Ngolwazi olungcono kakhulu lo mfana, lo mfana wayengekho okwakungavamile okwenziwe ngokofuzo ngesifo senhliziyo. Ukukhuluphala ngokweqile, uhlobo lwe-2 lwesifo sikashukela ngisemncane, futhi okusobala, imiphumela engalindelekile.
Lapho ngiqala ukuphikisana ngale minyaka eyi-10 emuva noma ngaphezulu, izethameli zami zazingabazeki futhi aziqiniseki ngokucabanga kwami. Muva nje, babonakala behle kakhulu, beqiniseka futhi bekhathazekile ngokujulile. Manje sebeqala ukunikeza ubufakazi bokuthi ngiqinisile. Lena umkhuba ongathandeki kakhulu. Futhi ngokungenangqondo, ngenkathi ngimxwayisa ngokufika kwe-angina njengomkhuba wezingane osemusha wokuhamba nge-acne, ngisho nami angizange ngibheke izibhamu ezinganeni ezingaphansi kweminyaka engu-10 noma ukusongelwa kwe-cirrhosis ezinganeni, ezingalokothi zivezwe utshwala.
Singashintsha izithameli ezinjalo, futhi sivikele izingane zethu nabazukulu kusukela ekuhlaselweni kwenhliziyo nokushaywa kwesimo esibi; singakwazi ukuvikela kokubili izimpilo kanye nezibindi - ngokuba umphakathi ohlonipha izinyawo namafoloko njengenhloko yemigomo yezokwelapha, kunokuthembela kakhulu kuma-stethoscopes, ama-scalpels nama-statins ngemuva kwenkinga. Ngokwenza konke okudingekayo ukuze udle kahle futhi ube amanga asebenzayo endleleni yokunciphisa okungenani.
Uhlu lokungenelela okuzosihola lapho lude, kodwa aluyinkimbinkimbi. Yonke inqubomgomo noma umkhuba ongeyona ingxenye yesisombululo yingxenye yenkinga - futhi ingozi engase ibe yinto enganeni. Vote ngokufanele.
Sekuyisikhathi sokuphendula i-alamu ngokuphuthumayo okudingekayo. Kuyi-tolls futhi sekuyisikhathi eside ukukhokhela sonke.