Ukungafani Okumangalisa Ngenxa Yebulili
Inhliziyo yowesifazane ibheka njengeyomuntu, kodwa kukhona umehluko omkhulu. Isibonelo, inhliziyo yowesifazane ivame ukumbalwa njengamanye amakamelo ayo angaphakathi. Izindonga ezihlukanisa ezinye zalezi zindawo zilula. Inhliziyo yowesifazane iqhuma ngokushesha kunomuntu, kodwa ichitha igazi elingamaphesenti angu-10 ngaphansi komunye nomunye. Uma owesifazane egxilile, izinga lokushayela kwakhe liphuma futhi inhliziyo yakhe ichitha igazi elingaphezulu.
Uma umuntu egxilile, imishanguzo yenhliziyo yakhe igxila, iphakamisa ukucindezeleka kwegazi.
Kungani lokhu kungezwani kunendaba? Kubalulekile ngoba ubulili budlala indima ezinkampanini, zokwelashwa, kanye nemiphumela yezifo ezivamile zenhliziyo.
I-Coronary Artery Disease (CAD)
I-CAD, imbangela ehamba phambili yokuhlaselwa kwenhliziyo, inqubo efanayo kumadoda nabesifazane. Amafutha engeziwe ajikeleza egazini afakwa ezindongeni ze-arteries of heart, enza ama-deposits abizwa ngokuthi ama-plaques. Lapho lezi zitshalo zikhula kancane, ziba nzima futhi kancane kancane zinciphise umthambo, ziphazamise ukugeleza kwegazi. Ngokuvamile ama-plaque ahlala ethambile futhi ahlala engazinzile futhi ahluleka. Lokhu kubangela ukuhlaselwa kwemicimbi eyenza i-clot yegazi evimba ukugeleza kwegazi. Noma yikuphi, umphumela ukuhlasela kwenhliziyo.
Naphezu kwalolu hlelo, abesifazane banengozi ye-CAD yokuthi amadoda akanayo. Bavame nokuba nezibonakaliso ezahlukene zokuhlasela kwenhliziyo. Uma izimpawu zivela, i-CAD ingase ibe nzima kakhulu ukuxilonga ukusebenzisa izindlela ezijwayelekile zokuhlola.
Ngemuva kokuhlaselwa yinhliziyo, abesifazane abenzi njalo kanye nabesilisa. Ngezinye izikhathi, kungenxa yokuthi abesifazane abahlali bethola ukwelashwa okungcono kwesifo sabo. Ngezinye izikhathi, kungenxa yokuthi abazi ukuthi basengozini kuze kube sekwephuzile. Nazi izindlela eziyisithupha i-CAD ehluke kuzo amadoda nabesifazane:
- Abesifazane banezimo eziyingozi abangenayo. Ezinye izifo ezitholakele kwabesifazane kuphela zandisa ingozi ye-CAD. Lokhu kuhlanganisa i-endometriosis, isifo se-polycystic ovary (PCOS), isifo sikashukela, nomfutho wegazi ophezulu okhulelwa ngesikhathi sokukhulelwa. I-Endometriosis itholakale ukuthi iphakamisa ingozi yokuthuthukisa i-CAD ngamaphesenti angama-400 kwabesifazane abangaphansi kweminyaka engama-40. Abesifazane nabo babelana ngezici zendabuko emadodeni, njengengcindezi ephezulu yegazi, amazinga ashukela ephezulu ephezulu, amazinga aphezulu e-cholesterol, ukubhema nokukhuluphala. Njengabesilisa, abesifazane bangathinteka ngomlando womndeni wesifo senhliziyo , ikakhulu lapho ubaba noma umfowenu etholakele ukuthi une-CAD ngaphambi kweminyaka yobudala engama-55 noma umama noma udade wathola ukuthi uneminyaka engama-65 ubudala.
- Abesifazane ngokuvamile basebekhulile uma benesifo sokuqala senhliziyo. Amadoda asengozini yokuhlaselwa yinhliziyo ekuqaleni kokuphila kunabesifazane. I-Estrogen inikeza abesifazane ukuvikeleka kwesifo senhliziyo kuze kube sekupheleni kokuya esikhathini, uma amazinga e-estrogen ewa. Yingakho iminyaka yobudala yesifo senhliziyo yabesifazane ineminyaka engu-70, kodwa angu-66 emadodeni.
- Izimpawu zesifo senhliziyo zingahluka kwabanye besifazane. Ubuhlungu besifuba (okuchazwe nangokuthi isisindo esikhukhulayo esifubeni) yisimpawu esivame kakhulu sokuhlasela kwenhliziyo emadodeni. Abanye besifazane nabo babhekana nobuhlungu besifuba, kodwa banamathuba amaningi okuba nezimpawu ezehlukene. Ngokungafani nobuhlungu obukhulu, obuhlungu esifubeni obonakele kuma-movie, abesifazane bavame ukuzwa izimpawu ezincane ezingamasonto amathathu noma amane ngaphambi kokuhlaselwa yinhliziyo. Amafulegi abomvu afaka:
- Ukukhathala okusha noma okumangalisayo. Awuzikhandla, kodwa uzizwa ukhululekile kakhulu, kodwa awukwazi ukulala, noma ube nesifuba "esinzima". Isibonelo, umsebenzi olula njengokwenza umbhede ukwenze uzizwe ukhathele ngokweqile noma uvele uphelelwe yisikhathi emva kokuvame ukujwayele ukuzivocavoca.
- Ukuphelelwa umoya noma ukujuluka. Bheka ukuthi yini lapho kwenzeka khona noma ingabe ingasebenzi ngaphandle kokuzikhandla, ihambisana nesifo esinjalo esifubeni noma ukukhathala, sidlulele isikhathi esithile ngemva kokuzikhandla, noma sishaye umoya obandayo, ozwakalayo owenza ngaphandle kwesizathu. Futhi, uma ukuphefumula kudlulela lapho ulele futhi ukhululekile uma uhlala.
- Ubuhlungu entanyeni, emuva noma emhlathini. Qaphela lapho kungekho muscle othize noma ohlangene owenza ama-aches noma lapho ukukhathazeka kudlulela lapho uzikhandla futhi uyeka lapho umisa. Ubuhlungu bungaba yingalo, kuyilapho kuvamise ingalo yesobunxele emadodeni. Futhi, qaphela ubuhlungu obuqala esifubeni bese busakazeka emuva, ubuhlungu obwenzeka ngokuzumayo futhi bungakuvusa ebusuku, noma ubuhlungu ohlangothini oluphansi lwesobunxele.
- I-CAD kwabesifazane ngezinye izikhathi kunzima ukuyihlolisisa. I-ray ray ye-X-ray (i-angiogram) ethathwe ngesikhathi sokucwaninga inhliziyo iwuhlolo olujwayelekile lwegolide lokuthola ukungenelela noma ukuvinjelwa emithanjeni enkulu yenhliziyo. Kodwa i-CAD kwabesifazane ivame ukuthinta imishanguzo encane engabonakali ngokucacile kwi-angiogram. Yingakho owesifazane onikezwa isignali "esicacile" ngemuva kwe-angiogram futhi eqhubeka enezibonakaliso kufanele abone isazi sezinzwa zegazi esibuchwepheshe besifazane abanesifo senhliziyo.
- Ukuhlasela kwenhliziyo kunzima kowesifazane kunomuntu. Abesifazane abavumi ukukwenza kanye namadoda emva kokuhlaselwa yinhliziyo. Ngokuvamile badinga ukuhlala esibhedlela isikhathi eside futhi kungenzeka ukuthi bafe ngaphambi kokuphuma esibhedlela. Lokhu kungenzeka ngenxa yokuthi abesifazane abahlushwa isifo senhliziyo banezici ezingaphezu kokungaphenduli, ezifana nesifo sikashukela noma umfutho wegazi ophezulu. Ngezinye izikhathi, kungenxa yokuthi babeka imindeni yabo kuqala futhi abazikhathaleli ngokwabo.
- Abesifazane abatholi imithi efanele njalo emva kokuhlaselwa yinhliziyo. Ngemuva kokuhlaselwa kwenhliziyo, abesifazane basengozini enkulu yokuthuthukisa i-clot yegazi engabangela ukuhlaselwa kwenhliziyo. Ngenxa yezizathu ezingaziwa, akuzona amathuba okunikezwa izidakamizwa ukuvimbela amacengezi anjalo egazi. Lokhu kungachaza ukuthi kungani abesifazane baningi amathuba kunokuba amadoda ahlaselwe yinhliziyo yesibili ezinyangeni ezingu-12.
Ukungaphumeleli Inhliziyo
Ukuhluleka kwenhliziyo emadodeni kuvame ukubangelwa umonakalo ovela ekuhlaselweni kwenhliziyo okuvimbela ukuthi imisipha ingatholakali ngokuqinile njengoba kufanele. Ngakolunye uhlangothi, abesifazane banamathuba amaningi okuthuthukisa ukuhluleka kwenhliziyo uma isifo segazi esiphakeme, isifo esingenasifo sezinso, noma esinye isimo singavimbela izinhliziyo zabo ukuba ziphumule kahle phakathi kwama-beats. Abesifazane abanalolu hlobo lwehluleka kwenhliziyo bahlala isikhathi eside kunamadoda anesifo senhliziyo. Kodwa, badinga ukunakekelwa kaningana ngezikhathi zokuphefumula, abanamakhono okulinganisa ngokomzimba, futhi kungenzeka ukuthi badinga ukunakekelwa ekhaya.
Fibrillation ye-Atrial
I-fibrillation ye-atrial (afib) yisimo esibangela inhliziyo ukuba ishaye ngendlela engavamile, esheshayo ngokushesha, isigqi. Ucwaningo lwamuva luye lwathola ukuthi abesifazane abane-afib banezibonakaliso eziningi, izinga eliphakeme lokuphila, ithuba eliphakeme lokushaya, kanye nemiphumela emibi kunamadoda. Futhi kungenzeka ukuthi baphathwe nge-afib nge-catheter ablation, kodwa kungenzeka ukuthi baphinde babhedlela ngenxa ye-afib ngemuva kwenqubo kunamadoda. Naphezu kwalezi zinkinga, abesifazane abathola ukwelashwa nge-afib banamathuba amaningi okusinda isikhathi eside futhi bancane amathuba okufa ngenxa yenkinga yenhliziyo kunamadoda afib.
Zivikele
Kungakhathaliseki ukuthi uyindoda noma owesifazane, akukaze kube sekwephuzile kakhulu ukwehlisa amathuba okuba uhlaselwe yinhliziyo. Nakhu okudingeka ukwenze:
- Yeka ukubhema noma ungaqali
- Thola ukuzivocavoca njalo (okungenani, hamba imizuzu engama-30 ngosuku)
- Yidla ukudla okunezithelo, imifino, okusanhlamvu okugcwele, nezinhlanzi kanye nemikhiqizo yezilwane ezincane, ama-carbohydrate alula, nokudla okucutshungulwayo
- Gcina isisindo esivamile, ukucindezelwa kwegazi, i-blood lipid, kanye namazinga kashukela egazi.
UDkt. Cho uyisifo senhliziyo kanye nenhloko yesigaba e-Tomsich Family Family of Medicine Mental Medicine. Ungumqondisi weSikhungo Senhliziyo Yabesifazane.
> Imithombo
> Mu F, Rich-Edwards J, Rimm EB, et al. I-Endometriosis kanye nengozi ye-coronary heart disease. Imijikelezo ye-Circ ye-Cardiovasc, 2016: 9 (3): 257-264.
> McSweeney JC, Rosenfeld AG, Abel WM, et al. Ukuvimbela nokuzwa isifo senhliziyo ischemic njengowesifazane: State of the Science. I-Circ, 2016; 133 (13): 1302-1331.
> Mehta LS, Beckie TM, DeVon HA, et al. I-infarction elula ye-myocardial kwabesifazane: Isitatimende sesayensi esivela ku-American Heart Association. I-Circ, 2016; 133 (9): 916-947.
> Piccini JP, Simon DN, Steinberg BA, et al. Umehluko emiphumeleni yomtholampilo kanye nemisebenzi ye-fibrillation ye-atrial kubantu besifazane namadoda: Imiphumela emibili yeminyaka evela ebhalweni lwe-ORBIT-AF. I-JAMA Cardiol, ngo-2016; 1 (3): 282-291.
> Kaiser DW, Fan J, Schmitt S, et al. Ukwahlukana ngokobulili emiphumeleni yomtholampilo ngemuva kokukhishwa kwamakhemikhali ekuphefumulweni kwama-atrial. I-JACC Clin Electrophysiol, 2016; I-DOI: 10.1016 / j.jacep.2016.04.014.