Isifo senhliziyo sibulala abantu abaningi e-United States njalo ngonyaka kunokuba zonke izinhlobo zomdlavuza zihlangene. Iningi lalaba bafa livela ekuhlaselweni kwenhliziyo kubantu abane-coronary artery disease (CAD). Njengoba abantu abaningi bethatha impilo enempilo enempilo futhi bathatha imithi ehlisa ingozi yokuhlaselwa yinhliziyo, ukufa kwabantu abavela eCAD bawa. Kodwa izinkolelo ezingu-10 eziphathelene nesifo senhliziyo nezindlela zokwelashwa ezixoxwa ngezansi zivimbela abaningi ukuthi bangathathi izinyathelo ezidingayo ukuze bagweme ukuhlaselwa yinhliziyo.
1 -
Amahora amabili kuya kwamathathu wokuzivocavoca ngamandla ngesonto kuyadingeka ukuze uzuze inhliziyo yakho.Izifundo ezinhlanu noma eziyisithupha zokuzikhandla ngokuzikhandla emsebenzini ngesonto ziyokwehlisa ingozi yokufa kusuka ku-CAD nomdlavuza. Kodwa akudingeki ukuba ube umzimba wokuzivocavoca noma ngisho nesonto lempi ukuze uzuze. Kumele uvele ususe isoya bese uhamba. Inhliziyo yakho iyozuza kunoma yimuphi umsebenzi owenzayo-futhi uma wenza ngokwengeziwe, uzozuza ngokwengeziwe. Thatha izitebhisi esikhundleni se-elevator, hamba eduze nendawo yezitolo, uhlanze indlu yakho, noma ubeke amaqabunga. Hlela imizuzu engama-30 yomsebenzi ngosuku-ohlukaniswe ngamagumbi amaminithi angu-10 kuya kwangu-15 kuhle-futhi inhliziyo yakho izokubonga.
2 -
Ezinye "ukudla okuphezulu" zingavimbela isifo senhliziyo.Akukho ukudla okuyovimbela isifo senhliziyo. Ukudla okunjengama-blueberries, amahalananda, ama-walnuts nezinhlanzi kunenzuzo yempilo yenhliziyo, kodwa ayikwazi ukukuvimbela ukuba uhlakulele isifo senhliziyo. Izidlo ezithile zingakwazi, noma kunjalo. Ukudla kwaseMedithera, okuhlanganisa okusanhlamvu, izithelo, izinhlanzi, imifino, izithelo, namafutha omnqumo njengamafutha omnqumo, kuye kwaboniswa ukunciphisa ingozi yesifo senhliziyo.
3 -
Amafutha akubi kuwe.Izinhlobo ezine zamafutha atholakala ekudleni futhi akuzona zonke ezimbi. Amafutha we-Trans ayingozi kakhulu. Lezi zinhlayiya ezenziwe ngamakhemikhali (cabanga "kancane hydrogenated") ezisetshenziselwa izimpahla eziningi eziphekwe kanye nokudla okusetshenziselwa ukuphakamisa amazinga e-LDL ama-cholesterol. Amafutha anelisiwe, avela emikhiqizweni yezilwane njengenyama ebomvu nebhotela, futhi aphakamisa amazinga e-LDL. Ngakolunye uhlangothi, amafutha omhlophe namafutha we-polyunsaturated angase ahlehlise amazinga akho e-LDL uma asetshenziswa endaweni yamafutha agcwele.
4 -
Izakhi zakho zofuzo ziqaphela ingozi yesifo senhliziyo.Nakuba izakhi zofuzo zidlala indima kwabanye abantu, amaphesenti angama-90 e-CAD ayenzeka ngokukhetha kokuphila okulimazayo, njengokudla ukudla okuncane, ukubhema nokuthola umzimba omncane. Lezi zinqumo zingakhulisa izinga le-cholesterol namanye amafutha anobungozi egazini lakho, uphakamise ukucindezela kwegazi lakho, futhi kukugqugquzele ukuthi uhlakulele isifo se-diabetes noma u-2 uhlobo lwesifo sikashukela-konke okuphakamisa ingozi yesifo senhliziyo. Uma usuhlobo lwe-cholesterol oluphakeme, umfutho wegazi ophezulu, noma isifo sikashukela, kubaluleke kakhulu ukuthi ulandele indlela yokuphila enempilo futhi uthathe imithi yokulawula lezi zinto eziyingozi ukuze ugweme noma ubaleke ukuhlasela kwenhliziyo.
5 -
Uma une-high blood pressure, uzokwazi ngezimpawu zakho.Umfutho wegazi ophakeme (umfutho wegazi ophakeme) ubizwa ngokuthi "umbulali othulile" ngoba ngokuvamile awukhiqizi izimpawu aze ahlasele isifo senhliziyo noma isifo sohlangothi. Umfutho wegazi lakho ungabonakaliswa kuphela nge-cuff yegazi. Kungumqondo omuhle ukuba ufunde ukucindezelwa kwegazi ngaphambi kweminyaka engu-21-ngaphambili, uma ukucindezela kwegazi kugijima emndenini wakho. Lokhu kunikeza isisekelo sesilinganiso esithathwe kulo lonke impilo.
6 -
Izinga lakho le-cholesterol lakho liyisilinganiso esibaluleke kakhulu se-cholesterol.Ingqikithi ye-cholesterol ihlanganisa kokubili i-cholesterol enhle (i-HDL) ne-cholesterol embi (i-LDL). Sasivame ukucabanga ukuthi inani elikhulu le-cholesterol elihle lizokwenyusa umthelela wezinga eliphezulu le-cholesterol, kepha izifundo zamuva zibonisile lokhu akusikho icala. Nakuba izinga eliphezulu le-HDL ngokuqinisekile liyizinto ezinhle, izinga eliphakeme le-LDL lisho ukuthi umzimba wakho ungafaka i-cholesterol emithanjeni yakho-engabangela ukuhlaselwa yinhliziyo, ukushaya isifo, nezinye izinkinga. Lokhu kwenza izinga le-LDL libe yisilinganiso se-cholesterol esibaluleke kakhulu.
7 -
Abesifazane akudingeki bakhathazeke ngesifo senhliziyo.Amadoda athambekele ekuhlakuleleni i-CAD futhi ahlaselwe yinhliziyo esemncane kunabesifazane. Kodwa, emva kokuya esikhathini sokuphumula, ingozi yokuhlasela kwenhliziyo ifana nabesifazane njengamadoda. Eqinisweni, abesifazane abaningi bafa ngesifo senhliziyo minyaka yonke kunomdlavuza webele. Izindaba ezinhle ukuthi ithuba lokuthi owesifazane uzosinda ekuhlaselweni kwenhliziyo yakhe lenyuke ngamaphesenti angu-56, ngenxa yokuqaphela kwangaphambili nokuphathwa kwe-CAD. Esinye isizathu sokuthi abesifazane abangeke bahlolwe ukuthi bane-CAD ukuthi abesifazane abaningi basebenzisa i-ob / gyn njengodokotela wabo wokunakekela oyinhloko futhi abatholi ukuhlolwa kwenhliziyo. Abesifazane kufanele babe nokuhlolwa okuphelele kwekhanda nokuyizinyosi ngokuhlolwa kokuqala kwenhliziyo ekukhuleni kwabantu abadala. Lokhu kuvumela ukuthi izinto eziyingozi zingabonwa futhi zixoxwe ekuqaleni, ngaphambi kokuba zithinte inhliziyo.
8 -
Ungaphatha izinga eliphezulu le-LDL le-cholesterol ngokudla kuphela.Uma izinga lakho le-LDL liphakeme kakhulu, uzodinga isitembu noma esinye isidakamizwa esinciphisa i-cholesterol ukuze usikwe phansi. Kungenxa yokuthi isibindi sakho senza cishe amaphesenti angama-75 we-cholesterol emzimbeni wakho futhi ukudla kuphethwe kuphela ngamaphesenti angu-25. Ukudla okunempilo okunempilo kunganciphisa i-LDL yakho kancane, kepha ukwengezwa kwemithi yokwehla kwe-cholesterol kuyoba kubalulekile uma une-LDL ephakeme kakhulu nomlando we- CAD .
9 -
Ukuhlinzeka nge-bypass nokulungiswa kwe-CAD.Uma i-CAD ibangela ukuvinjelwa emithanjeni yezinhliziyo, ezinye izimbangela zingasetshenziselwa ukudlula igazi nxazonke zezinkinga. Ukuhlinzeka nge- bypass- odokotela abahlinzayo abahlinzayo njenge- artery coronary bypass grafting (CABG) -ngasiza ukuvimbela ukuhlasela kwenhliziyo kokuqala noma yesibili futhi kukuzwe uzizwe kangcono. Kodwa, ayikwazi ukuphulukisa i-CAD-futhi ayikwazi ukukhipha ama-stenti ukuthi i-arteries ye-prop evulekile. Inqubo yesifo esabangela ukuthi i-blockages ihlale.
10 -
Ukuphoqa kunesiphephelo kunokuhlinzwa ngokudlula.Akungabazeki ukuthi i-CABG iyindlela enkulu yokuhlinzwa. Kodwa uma kuhloswe ukuvimbela ukuhlaselwa kwenhliziyo, futhi kwenziwa ngumhlinzeki ohlinzayo, ingozi yokusebenza ingaphansi kwephesenti eyodwa. Ukwehla okuncane kungenasidingo esincane kune-CABG, okuvumela iziguli ukuba zilulame ngokushesha, futhi ziphephile. Abantu abathile kungenzeka benze kangcono ngenqubo eyodwa kunomunye. Kulezi zimo, i-cardiologist noma udokotela ohlinzayo we-cardiac uzochaza ukuthi kungani.
UDkt. Gillinov ungudokotela ohlinzayo e-Cleveland Clinic's Heart and Vascular Institute, uhlelo lukaNobhala lwe-cardiology kanye nenqubo yokuhlinzwa kwenhliziyo njengoba kuvezwe yi-US News & World Report. Usihlalo uMnyango Wezokwelapha Nezifo Zezinhliziyo.