Ngakho uhlole ingozi yakho yokuthuthukisa isifo senhliziyo, futhi iphakamisa ukuthi iphezulu. Wenzani manje?
Isinyathelo 1: Thatha lokhu ngokweqile
Uma izinkinga zakho zengozi yesifo zibeka isigaba esingozi kakhulu, lokhu kusho enye yezinto ezimbili. Kungenzeka ukuthi ingozi yakho yokuthuthukisa isifo senhliziyo eminyakeni embalwa elandelayo isiphezulu kakhulu, noma usuvele unesifo senhliziyo futhi awukwazi okwamanje.
Ngeshwa, inani eliningi labantu abafunda ukuthi basesimweni esiphezulu "sengozini enkulu" sesivele sine- artery coronary disease (CAD) - abasazi ngakho ngoba, kuze kube manje, abanalo izimpawu .
Ngakho-ke ingozi enkulu yempilo yinto engathí sina, futhi idinga impendulo enzima kakhulu.
Isinyathelo 2: Qinisekisa ukuthi udokotela wakho uthatha lokhu ngokungathí sina
Ukuthola ukuthi isiguli sisengozini enkulu yomcimbi wesifo esiyingozi, ikakhulukazi enye ye- Acute Coronary Syndromes (ACS) , kufanele ifake uhlobo oluthile lokuphendula kudokotela.
Udokotela wakho kufanele akwenze izinto ezimbili ngokushesha: a) Hlola ukuthi ngabe usuvele unesifo somzimba we-coronary, futhi uma kunjalo, umise ukwelashwa okufanele, futhi b) Thatha izinyathelo zokukusiza ukuguqula zonke izinto ezilawulwayo ezilawulwayo .
Ngenxa yokuthi ezinye iziguli ezingozi kakhulu zizobe seziba ne-CAD ephawulekayo, ukuhlolwa okungenasidingo kufanele kucatshangelwe ngokuqinile ukuze kukhishwe lokhu kungenzeka.
Lokhu kuhlola kuzovame ukufaka scan scan calcium , kanye / noma ukucindezeleka / isifundo se-thallium .
Uma ukuhlolwa okungahlosiwe kuphakamisa kakhulu i-CAD, kuzomele kuthathwe izinyathelo zokuphatha, nokunciphisa amathuba okuthuthukisa i-ACS.
Ngesikhathi esifanayo, udokotela wakho kufanele futhi ahlele uhlelo olucacile lokuhlasela zonke izici eziyingozi ezingaguquguquki - kuhlanganise nokudla , ukulahlekelwa isisindo, ukuyeka ukubhema, ukushiswa komfutho wegazi , kanye ne- cholesterol - futhi kufanele aqale ukwelapha ngokushesha.
Udokotela wakho kufanele akunike zonke izinsiza ekulahleni kwakhe ukukukhuthaza nokukusiza ekulungiseleleni indlela yakho yokuphila ukunciphisa ingozi yakho.
Udokotela wakho kufanele futhi abonise isimo sengqondo esinobudlova ngokubhebhethekisa ama- cholesterol wakho we- LDL ne- HDL ye-cholesterol amazinga, nokulawula ukucindezeleka kwegazi negazi lakho (uma kunesidingo).
Udokotela wakho kufanele abonise isimo sengqondo esifanele ngengozi yakho - impilo yakho isengozini lapha, futhi kufanele athathe lokhu ngokujulile. Lokhu kuhlanganisa ukugibela kahle kakhulu ngokwenza izinguquko ezidingekayo zokuphila.
Futhi khumbula ukuthi odokotela bangumuntu, futhi isimo somuntu sikwenza kube nzima ukukhipha zonke izigameko zesiguli esenqaba ukwenza izinto ezithandekayo. Kulukhuni ukuziphoqa njengomdokotela ukuba uhambe khilomitha engaphezulu kwesiguli esingeke senze umzamo wangempela nokuphikelela wokuzivocavoca, ukuncipha umzimba noma ukuyeka ukubhema.
Isinyathelo sesi-3: Qala i-Manhattan Project Yakho
Ngenkathi udokotela wakho edinga ukukusiza ukunciphisa ingozi yakho yengqondo, ingxenye ebaluleke kakhulu yomsebenzi ikuwe.
Ukunciphisa ngempumelelo ingozi yakho yinto ezokwenzeka kuphela ngokuzinikezela kwakho, futhi akulula.
Ukwenza okudingeka kwenziwe njalo kuhilela ushintsho oluyisisekelo kokubili isimo sengqondo nokuphila ngendlela abantu abaningi abonakala bengakwazi ukuyenza.
Izinga lokuzikhandla elidingekayo lihambisana nomzamo we-US owawenza ukuthuthukisa ibhomu le-athomu ngesikhathi se-WWII. Kwakuyinto eyayibonakala ingenakwenzeka, kodwa uma singakwenzi, ingozi yayiphakeme kangangokuthi amaJalimane noma amaJapane angasishaya esikhumbeni. Ngakho-ke, ngokumelene nazo zonke izinkinga, sashayela imithombo yethu futhi senza iManhattan Project.
Yilo kanye uhlobo lomzamo odinga ukuwenza. Ngokumelene nezinkinga, udinga ukushintsha impilo yakho.
Uma ungenjalo, uzothola imiphumela, mhlawumbe eminyakeni eminingi ngaphambi kwalokho ongathanda ukukucabanga.
Ukuthi iningi leziguli ezisengozini enkulu liphelile ukwenza imizamo emibili yenhliziyo yokuguqula ingozi ingase ihlobene nokuhluleka kwamantombazane okunakekelwa okuyisisekelo kanye nodokotela wezinhliziyo ukuze kugcizelele ukubaluleka kokuphila nokufa kokushintsha kwabo indlela yokuphila.
Ingabe ikhona iqembu labodokotela abaye baphumelela ekutholeni iziguli zabo ukuba zimise noma yini abakwenzayo, ukugxila ngokuzumayo zonke izinyathelo zamandla ukuze ziphinde zithole impilo yazo?
Yebo. Yi-oncologists. Iziguli ezitshelwe ukuthi zinomdlavuza zivame ukubeka konke okunye futhi zizenzele ngokwabo ukwenza noma yini edingekayo (kungakhathaliseki ukuhlinzwa, imisebe, noma i-chemotherapy, evame ubuhlungu futhi ngokuvamile ihlala izinyanga noma iminyaka) ukuzama ukwelashwa. Lesi simo sengqondo lapho iziguli kufanele zamukele lapho zitshelwe ukuthi zisengozini enkulu yokuhlaselwa yinhliziyo, ukufa okungazelelwe noma ukushaywa yisifo.
Phela, ukutshelwa ukuthi usengozini enkulu yomcimbi wenhliziyo akuyona yonke into ehluke kakhulu kunokuba utshele ukuthi unomdlavuza. Isifo senhliziyo kaningi asikhubaza kancane noma siyabulala, futhi umphumela awuncike kancane esimweni sakho sengqondo nokuhlanganyela kwakho okusebenzayo ekwenzeni okudingekayo. Uma kukhona, unethuba elingcono kakhulu lokushintsha umphumela owedlula ukwedlula isiguli esiphezulu ngesifo somdlavuza.
Kuyinto engathí sina. Futhi bobabili wena nodokotela wakho kufanele nibe nokuhweba zonke izinsizakalo ezitholakalayo zokuvimba lesi sifo esongela ukukulimaza noma ukukubulala esikhathini esizayo esiseduze. Imithi ibalulekile ekunciphiseni ingozi yakho, kepha ukuzivocavoca, ukudla, ukulahlekelwa isisindo nokuqeda ukubhema nakho kubalulekile.
Indlela Yokunciphisa Noma Noma Yonke Ngaso Kanye?
Ngokuvamile, abantu abasengozini kakhulu abaphumelela kakhulu yibo abamukela "isimo sengqondo sokushintsha konke" - labo abamukela ukuthi ukuguqulwa okuphelele endleleni yokuphila kuyadingeka. Bazoyeka ukubhema, bathathe uhlelo lokuzivocavoca, futhi bashintshe ukudla kwabo kanyekanye. Futhi bayakwenza ngokwenza ubungozi bokuguqulwa kwezinto ezihlosiwe ezihlokweni eziyinhloko zempilo yabo. Ngelinye ilanga bayindlela yokuphila engozini enkulu yomuntu, futhi ngosuku olulandelayo abakho. Ukuqeda izimo zabo ezingozini kuyisihloko sokuphila kwabo, kuze kube yilapho indlela entsha yokuphila iba yikhuba elimisiwe (futhi bangumuntu ohlukile). Kuzwakala kunzima, futhi. Ukuphila nokufa kunzima.
Ukwenza kancane kancane ekushintsheni kwendlela yokuphila, kuyilapho kubonakala kunengqondo ebusweni babo, akusebenzi kubantu abaningi. Uma ukudla nokuzivocavoca zihlehlisiwe kuze kube yilapho ukubhema kumiswa, isibonelo, cabanga ngalokho okushoyo. Wena ngokuyisisekelo uzophila uhlobo olufanayo lokuphila olwenza njalo, ngaphandle kokuthi uzama ukuyeka ukubhema. Kulukhuni. Ngandlela-thile ukubhema akukaze kuphele, futhi ukudla nokuzivocavoca akukaze kubhekane nhlobo, futhi maduzane ngonyaka noma ezimbili noma ezinhlanu zihamba - bese sekuphuzile kakhulu.
Wonke umuntu uhlukile, futhi indlela yokuhamba kancane ingaba yiyona kuphela eyenzekayo kubantu abaningi. Noma yikuphi imisebenzi kuyindlela engcono kakhulu. Kodwa ekusebenzeni "ukuphothula izifundo" ngokuvamile kubonisa ukuhluleka komthethosisekelo ukwamukela izinguquko ezijulile ezidinga ngempela. I-Gradualism, ngamanye amazwi, ingase ibe yinkomba yokuthi umuntu akanalo uhlobo lokuzilungisa olulungile empini oludingekayo ukuvimbela umphumela omubi.
Kungakhathaliseki ukuthi ukhetha indlela encane noma yonke indlela, qiniseka ukuthi uthola ukuthi kunzima kanjani ukwenza izinguquko ezidingekayo.
Imithombo:
Yusuf S, Hawken S, Ounpuu S, et al. Imiphumela yezinto ezingaba nezingozi ezingaguquguquki ezihlobene ne-infarction ye-myocardial emazweni angu-52 (isifundo se-INTERHEART): isifundo sokulawula icala. Lancet 2004; 364: 937.
U-Akesson A, uLarsson SC, i-Discacciati A, i-Wolk A. Ukudla okungeyona engozini yokuphila kanye nemikhuba yokuphila ekuvimbeleni okuyinhloko kwe-infarction ye-myocardial emadodeni: isifundo seqembu esisekelwe kubantu. J Am Coll Cardiol 2014; 64: 1299.
Qopha i-NB, i-anyanisi DK, ngaphambi kwe-RE, et al. Izinhlelo zokuvimbela isifo senhliziyo yomphakathi kanye nemiphumela yempilo endaweni yasezindaweni zasemaphandleni, ngo-1970-2010. I-JAMA 2015; 313: 147.