Izindlela eziningana zenzelwe ukuhlola ingozi yomuntu yokuthuthukisa isifo senhliziyo. Ngo-2007, wokubala engozini - i-Reynolds Score - yaqinisekiswa ngabesifazane. (Okuhlukile kweReynolds Score kamuva kwaqinisekiswa kumadoda, futhi.)
Ukubaluleka kokulinganisa ingozi yakho
Ukulinganisa ngokunembile ingozi yenhliziyo kubalulekile , ngoba kukuvumela (kanye nodokotela wakho) ukuba anqume ukuthi ubuhlungu kufanele ube kanjani ekuthathe izinyathelo zokunciphisa ingozi yakho.
Kulabo bantu abanengozi yokuphefumula kwenhliziyo, uhlelo oluyingozi lokunciphisa ingozi lunganciphisa amathuba okufa noma ukukhubazeka kwesifo senhliziyo noma isifo sohlangothi. Abantu abasengozini emaphakathi nabo kufanele babheke ngokungathí sina izinyathelo abangayilandela ukuze banciphise amathuba abo.
Indlela I-Reynolds Score Risk Score Ibalwa
I-Reynolds Risk Score ekuqaleni yenzelwe abesifazane ngokuqondile, ngoba kwakunomuzwa wokuthi kubesifazane kubaluleke kakhulu ukucabangela umlando womndeni wesifo senhliziyo ngaphambi kwesikhathi (okusho ukuthi izifo zesifo senhliziyo zisengaphambi kwesikhathi), kanye namazinga e-CRP (a uphawu lokuvuvukala).
Isibalo sakhiwa ngokulandela iqembu lama-25,000 abesifazane aseMelika abanempilo engama-45 ubudala noma ngaphezulu (obani, ikakhulukazi ababengenayo isifo sikashukela) iminyaka eyi-10. Ochwepheshe abathuthukisa amaphuzu kaReynolds bakhathazekile ngokuthi izinhlobo zokubeka ingozi ejwayelekile - ikakhulukazi, amaphuzu kaFramingham - kungenzeka ukuthi angabi ngokunembile kubesifazane njengoba besesilisa.
Ngokwesibonelo, ama-calculators asezingeni eliphezulu angase ahluleke ukuhlukanisa abesifazane abangaba ngu-20% abese behlaselwa yinhliziyo njengengozi enkulu. Ngokwenza isisindo esiningi kumazinga e-CRP nomlando womndeni, kwachazwa ukuthi, amaphuzu weReynolds angase afaneleke kakhulu kwabesifazane.
Isibalo seReynolds sibalwa sisekelwe kulezi zici ezilandelayo:
- Ubudala
- Ukubhema okwamanje (yebo noma cha)
- I-systolic yegazi
- Ingqikithi ye- cholesterol
- I-cholesterol ye-HDL
- I-CRP level
- Umama noma ubaba enesifo senhliziyo ngaphambi kweminyaka engu-60 (yebo noma cha)
Ngokuphawulekayo, isifo sikashukela asizange sifakwe kulolu phawu engozini. Iziphetho zemizwa ezisetshenziselwa ekuthuthukiseni iReynolds Score yabesifazane besifo senhliziyo, isifo senhliziyo esingekho esibulalayo, isifo esingenabungozi, noma isidingo sokuhlinzeka nge-bypass noma stent .
Ukuphumelela
Isikolo se-Reynolds Risk Score sichaze ngokunembile ingozi yangempela yabesifazane abaningi kakhulu kunezibonelo ezijwayelekile zokubikezela. Eqinisweni, abesifazane abangama-40 kuya ku-50% abavame ukubhekwa njengengozi emaphakathi bahlelwa kabusha yiReynolds Score njengengozi ephansi noma engozini enkulu - ngaleyo ndlela bangase bavumele indlela ehlose kakhulu ekulawuleni izinkinga.
Njengoba kuphawuliwe, ekuqaleni isiqephu seReynolds sakhiwe ngokukhethekile kwabesifazane. Ucwaningo olufanayo seluqhutshwa manje emadodeni, futhi i-Reynolds Score ye-Risk Score manje isiqinisekiswe kumadoda.
Sebenzisa
Umbala wokubala weReynolds Risk Score ungatholakala lapha (kokubili amadoda nabesifazane). Ibuza imibuzo eminingana elula futhi ibuyisela ngokushesha amaphuzu eminyaka engama-10. (Okungukuthi, kukutshela ukuthi kungenzeka ukuthi uzothola umcimbi wezinhliziyo eminyakeni eyishumi elandelayo.) Ibuye ikuvumele ukuba ubone ukuthi ingozi yakho ingathuthukiswa kanjani uma ingashintsha eyodwa noma ngaphezulu kwezici eziyingozi.
Isibonelo, uma uphethile uzodinga nje ukungena "cha" ngombuzo wokubhema futhi wokubala uzokukhombisa ukuthi ingozi yakho engama-10 inganciphisa kangakanani uma ufanele ukuyeka.
Qaphela ukuthi iReynolds Risk Score ayifuni kubantu abanesifo sikashukela. Uma unesifo sikashukela ingozi yakho yempilo isivele iyaziwa ukuthi iphakeme, futhi amaphuzu kaReynolds angeke afake ulwazi olwengeziwe oluwusizo.
Ukuze usebenzise i-Calculator ye-score ye-Reynolds yobungozi, udinga ukwazi ukufundwa kwegazi lakho, kanye nemiphumela eminingi yokuhlola yegazi: inani le-cholesterol, i-HDL, ne-CRP.
Izwi elivela kuVerywell
I-Reynolds Risk Score yabesifazane (kanye nabesilisa) yinkinga yokubala engozini eyenza ukugcizelela kakhulu emazingeni e-CRP nomlando womndeni kunezinye izibalo zokusebenzisa ingozi esetshenziswa kakhulu.
Ochwepheshe abakholelwa ukuthi i-CRP ukuba yi-determinant ebalulekile yengozi yezinhliziyo zivame ukubaluleka kakhulu kwiReynolds Score Score.
> Imithombo:
> Ridker P, uBuring J, uRifai N, et al. Ukuthuthukiswa nokuqinisekiswa kwezinto ezilungisiwe zokuhlola ukuhlolwa kwengozi yenhliziyo yomzimba kubesifazane. I-JAMA 2007; 297: 611-619.
> Ridker PM, Paynter NP, uRifai N, et al. Iprotheyini esebenzayo e-C nomlando wabazali kuthuthukisa ukubikezelwa kwezinhlekelele zomhlaba wonke: I-Reynolds Risk Score yamadoda. Ukujikeleza ngo-2008; 118: 2243.