Ukwazi Izingozi Nezivivinyo Ukulondoloza Ukuphila
Lapho uDavid Letterman ehlinzwa futhi enza kahle, abantu abaningi babe nemibuzo. Sonke sibonakala sisazi ngomuntu oshonile ngokuzumayo isifo senhliziyo. U-Letterman wayazi kanjani ukuthi kufanele akhathazeke? Yiziphi izivivinyo ayenazo ezitholile ukuthi unenkinga? Siyazi ukuthi lapho isifo senhliziyo sitholakala kusenesikhathi, izimpilo zingagcinwa. Ake sibuke indaba kaDavid Letterman njengesibonelo sokuqaphela izici zakho eziyingozi, ucele ukuhlolwa okuqhubekayo uma kudingeka, futhi ekugcineni ube ngumgqugquzeli empilweni yakho yezempilo.
I-Heart Letterman's Heart Disease
Uma ukukhulunywa ngobusuku obusesikhathini sebusuku uDavid Letterman wayeke abhale phansi Uhlu oluphezulu lwe-10 lwezizathu ezidinga ukwelashwa kwe-artery coronary atpass at age 52, inhloko phakathi kwabo kungenzeka ukuthi uyise washona ngokushaya kwenhliziyo ngesikhathi esifanayo.
U-Letterman wayenelungelo lokubalekela isiphetho sikayise-kodwa ngaphandle kokungenelela. Ukuhlolwa kwesimiso ekuqaleni kuka-2000 kuthole ukuvinjelwa okuphawulekayo kwegazi okuzungeze inhliziyo yakhe. Ukuhlinzwa okwenziwe nge-Quintuple okwenziwe ngemuva kokuthi i- angiogram ibeke i-giant comedic phakathi kwama-260,000 aseMelika asebenza ngenqubo yokuphila yonke unyaka.
I-Letterman ayizange ihlupheke futhi yachitha izinsuku eziningana esibhedlela. Wabuyela ekubanjeni i- Late Show noDavid Letterman ngemuva kokuvuselelwa kwamasonto ayisithupha. "Ngaphandle kokwenza kabusha imishanguzo," I-Letterman iqhutshwa ngemuva kokuhlinzwa, "futhi ifake i-EZ Pass." Isiboniso sakhe sokuqala esibukhoma ngemuva kokubuya siveze amalungu ayisishiyagalombili eqembu lezokwelapha elalinakekela iLetman ngesikhathi sokuhlala esibhedlela.
Udokotela owenza ukuhlinzwa kukaLetterman uthe "unesisindo senhliziyo eneminyaka engu-20 ubudala."
I-Angiogram ne-Coronary Artery Surgery Surgery
Ama-angiograms afaka ukucubungula i-catheter nokufaka idayi emithinini yenhliziyo ukubona ukuvinjelwa yi-ray-ray, kuyilapho ukuhlinzwa kwe-bypass kuvuselela ukugeleza kwegazi phakathi kwezingcweti, noma izitsha ezishintshayo, ukweqa izitsha ezivinjiwe.
I-Letterman yayine-angiogram lapho kunconywa odokotela bakhe, ngenxa yomlando womndeni wakhe wesifo senhliziyo. Uma i-angiogram ibonisa ukuvinjelwa, bese "ukudlula" izitsha zingase zinconywe. Umgomo oyinhloko wokuhlinzeka nge-bypass ukuvimbela ukuhlasela kwenhliziyo, okushaya abantu abangu-920,000 baseMelika njalo ngonyaka, kubulala abantu abangu-157,000.
Inhliziyo inezinkinga ezinhlanu ezinkulu. Lapho kusetshenzwa i-coronary bypass, ithatha indawo eyodwa noma ngaphezulu izitsha ezivinjiwe. Ngokweqile kwe-quintuple, wonke amahlanu aneminyango futhi adinga ukushintshwa. Kuvame ukwenza njengendlela yokuhlinzekwa okuhleliwe, kodwa kwimeko yeLotterman, kwenziwa njengendlela yokuphuthumayo. Ama-graft asetshenzisiwe athathwa emlenzeni futhi ngezinye izikhathi evela engalweni.
Izinkinga Zezinhliziyo Ze-Letterman's Heart Risk Factors
Uyise kaLetterman, uJoe, wasinda ekuhlaselweni kwenhliziyo ngesikhathi eseneminyaka engama-36 ubudala, ngesikhathi uDave engaphansi kweminyaka eyisithupha ubudala, eshiya uDave ekhathazekile ngokulahlekelwa nguyise ngesikhathi esencane. UJoe wafa ngesifo sakhe sesibili senhliziyo ngesikhathi eneminyaka engu-57 ngo-1973 lapho uDave eneminyaka engu-26 kuphela futhi ehlala eduze nase-Indianapolis. Wathuthela eLos Angeles ukuze aqale umsebenzi wakhe wokubhala umculi eminyakeni embalwa kamuva.
I-Letterman nayo yaziwa ngokujabulela ama-cigars, enye into ebungozi. Ukhulume ngomlando wakhe womndeni owonayo kanye namazinga aphezulu e-cholesterol ngesikhathi kuxoxwa ngo-Regurg Philbin, owaphumelela nge-angioplasty ephuthumayo emithanjeni ye-unclog cardiac in 1993.
Wavuma ukuba ngumlutha wotshwala iminyaka eminingi, wabe eseyeka ukuphuza. Ukuphuza utshwala ngokweqile kungaholela engozini yesifo senhliziyo.
Ukuphila Ngemva Kokuhlinzwa Kwenhliziyo
Ukubuyela ngokushesha kwe-Letterman kumpilo yethelevishini kwakungabonakali izinkinga eziqhubekayo zenhliziyo. Wasayina kaningi nge-CBS ukuze aqhubeke ne-Show Late. Wakhetha ukuhlala umhlalaphansi kanye nombukiso wakhe wokugcina owashiwo ngoMeyi 20, 2015, eneminyaka engu-68 ubudala. Washada nomkakhe uRegina Lasko ngemuva kokuzalwa nendodana ezalwa ngoNovemba 2003. Wahlala impilo egcwele ngemiklamo eminingi ukuphila.
Ukwazi Izingozi Zakho Zakho Ngezifo Zenhliziyo
Kunezici eziningi ezihlukene ezingakwandisa ingozi yesifo senhliziyo, futhi lezi zibhekwa njengezici eziyingozi.
Akuzona zonke izici eziyingozi ezilinganayo, ezinye zidala ingozi ngaphezu kwabanye. Noma kunjalo, ngokujwayelekile, inani elikhulu lezinto ozibeka engozini, amathuba amakhulu ukuthi ungavimbela imishanguzo; ukuvimbela okungaholela ekuhlaselweni kwenhliziyo kanye / noma ukufa okungazelelwe uma kungelashwa.
Umlando womndeni wesifo senhliziyo ubaluleke kakhulu, njengoba kuboniswe nguDavid Letterman. Uma umuntu ene-blood pressure ephelele, i-cholesterol ephelele, futhi ingumuthi wezempilo ngokuphathelene nokudla nokuzivocavoca, angase abe engozini enkulu yokuhlaselwa yinhliziyo esemncane uma abazali bakhe (noma ezinye izihlobo) benesifo senhliziyo. Ngokuvamile abantu bacabanga ukuthi bavikelekile ngoba banempilo enhle.
Ezinye izifo ezingezinhle zesifo senhliziyo zihlanganisa:
- Ukusetshenziswa kotshwala (kwanoma yiluphi uhlobo)
- Ukuba ngokweqile
- Indlela yokuphila yama-sedentary
- I-cholesterol ephezulu (noma i-cholesterol ephansi ye-HDL)
- Isifo sikashukela
- I-metabolic syndrome
Izici ezincane eziyaziwayo zengozi zifaka:
- Kubanda kakhulu
- Ukuzikhandla kungazelelwe
- Ukudla okunzima
- Imizwelo ejulile
- Izimo zezokwelapha ezifana nezimo ezizimele, i-apnea yokulala, noma imisebe yesifuba somdlavuza
Izingozi Zengozi Emadodeni Ngamakhosikazi
Ukubuka indaba kaDavid Letterman kuyisikhumbuzo esihle ngesifo senhliziyo, kodwa kufanelekile ukuphawula ukuthi isifo senhliziyo emadodeni nakwabesifazane sihluke ngezindlela eziningi.
Izingozi ezingozini kwabesifazane zihlanganisa izinto ezifana nokusebenzisa amaphilisi okulawula ukuzalwa (ikakhulukazi kubantu ababhema). Izimpawu zesifo senhliziyo kwabesifazane zivame ukuhluka, futhi lokhu kucatshangwa ukuthi yingxenye yesizathu sokuthi ukuhlasela kwenhliziyo kungase kube yingozi kubantu besifazane. Izimpawu ezinjengokukhathala, ukuphefumula okuncane, nokuzwa okungaqondakali ezindaweni ezifana nentamo, emuva, nomhlathi kungase kube uphawu olulodwa lokuthi kukhona into enhle. Ngisho nokuxilongwa kungaba nzima nakakhulu njengoba abesifazane bevame ukuvinjelwa emithanjeni encane yenhliziyo engabonakali kahle ngombono we-angiogram.
Ngezansi Ekuvikeleni Inhliziyo Yakho Impilo
Ukubuka impilo kaDavid Letterman kubonisa indlela yokuba ngummeli wakho ekunakekelweni kwezempilo. Wayeyazi ukuthi izifo zakhe ziyingozi kangakanani futhi wazinikeza nodokotela wakhe. Wayevame ukuvakashelwa ngokulandelana nodokotela wakhe, futhi ngokusobala wakhetha udokotela owayesebenze umlando wezokwelapha ngokucophelela nomndeni futhi walalela. Wahamba ngezincomo ze-angiogram yakhe. Futhi lapho i-angiogram ibonisa amabhulogi, wayesebenze ngokuhlinzwa ngokushesha.
Akuwona wonke umuntu onenhlanhla. Cishe ingxenye yesithathu yabantu abanesifo senhliziyo " banokufa okungazelelwe " njengesimpawu sabo sokuqala. Ungalindi kuze kube yilapho unesifo senhliziyo, futhi ungaqedi izimpawu eziyinkimbinkimbi.
> Imithombo:
> American Heart Association. Izinqubo Nokuhlinzwa Kwezinhliziyo. Kubuyekezwe 05/27/17. I-http: //www.heart.org/HEARTORG/Conditions/HeartAttack/TreatmentofaHeartAttack/Cardiac-Izinqubo-I-Surgeries_UCM_303939_Article.jsp#.Wm6dnK6nGpo
> American Heart Association. Izifo zenhliziyo kanye nezibalo zesifo sokushaya isisu 2017. http://www.heart.org/idc/groups/ahamah-public/@wcm/@sop/@smd/documents/downloadable/ucm_491265.pdf
> Amasevisi Okulawula Nokuvimbela Izifo. Izifo Zezinhliziyo Zengozi. Kubuyekezwe 08/10/15. https://www.cdc.gov/heartdisease/risk_factors.htm