Ukwelashwa kokuhluleka kwenhliziyo sekude kakhulu kusuka lapho bekuyiminyaka embalwa edlule, okuye kwathuthukisa izinga lempilo kulabo abaphila nalesi simo. Noma kunjalo, iningi labantu abanesifo senhliziyo banokulinganiselwa ngokomzimba, ukucindezeleka nokukhathazeka okuthinta izinga labo lokuphila. Kusuka ukwenza izinguquko zokudla ukuze uzame ukuthola ukusekelwa ekuhloliseni ukusetshenziswa kobuchwepheshe bokuqapha, kunezinyathelo eziningi ezingakusiza ukuba ubhekane nalezi zikhathazo futhi usize ukuphatha isimo sakho ngokusemandleni akho.
Uzwela
Umthelela wokuhluleka kwenhliziyo kungaba ngokomzwelo kanye nomzimba. Izimpawu zingakudinga ukuthi ushintshe isimiso sakho, sikuvimbele ukuba ungahlanganyeli emisebenzini ongase uyijabulele ngaphambili noma ubafaka inselele ngokwengeziwe, isibonelo. Izinguquko ezidingekayo zokuphatha kahle ukuhluleka kwenhliziyo nazo zingaba nzima kakhulu.
Izinkinga ezivamile ezingokomzwelo ezihambisana nokuhluleka kwenhliziyo zihlanganisa:
- Ukucindezeleka: Ukucindezeleka okukhulu ngokomzwelo kungalimaza inhliziyo yakho. Ukucindezeleka kuphakamisa ukucindezeleka kwegazi futhi kwandisa izifo ze-coronary artery (i-CAD), okubili kokubili ukwehluleka kwenhliziyo. Nakuba ukucindezeleka okuthile kungokwemvelo, okungenakugwemeka ingxenye yokuphila, ukucindezeleka okungadingekile kufanele kugwenywe. Izindlela zokufunda ukubhekana nokucindezeleka zingasiza.
- Ukucindezeleka: Abantu abanesifo senhliziyo banethuba elihle lokuba nokucindezeleka okungapheli. Uma uzwa usizi, uzizwa unecala, unecala, ukungabi nethemba ngekusasa, noma umqondo wokuthi ungumthwalo, ungase ucindezeleke. Izimpawu zokucindezeleka ezihlala isikhathi esingaphezulu kweviki kufanele zikugqugquzele ukuthi ukhulume nodokotela wakho mayelana nokuthola ukwelashwa.
Ukubhekana nezinkinga ezingokomzwelo kuqala ngokuzihlonza bese usebenzisa amasu asebenzayo wokuguqula, njengoba nje uzobhekana nenkinga yangempela. Lokhu kusho ukufuna ukunakekelwa kochwepheshe, ukuchaza ngokucacile izimpawu zakho kuchwepheshe wezempilo, nokulandela noma yikuphi ukwelashwa okunconywayo noma imithi ekhethiwe.
Umgomo ofanelekayo? Umbono omuhle. Ucwaningo lwango-2017 lwathola ukuthi umuzwa wokuzethemba wenza ngcono izinga lokuphila kubantu abanesifo senhliziyo. Ngokuthakazelisayo, ukuzethemba kwakutholakala nokuthi kuyindlela eguquguqukayo, okusho ukuthi ungaba nombono omuhle ngezinto, ngisho noma ungazange uzibheke njalo.
Physical
Isihluthulelo sokuphila kahle ngokuhluleka kwenhliziyo ukuqapha ngokucophelela izimpawu zakho. Ukulungiswa kwemithi noma izinguquko ezilula zokuphila ngokuvamile kudingeke ukuba kulungiswe izimpawu ezintsha noma ezikhulayo, kodwa ukungazinaki noma ukucabanga ukuthi bazohamba kungabangela ukuba isimo sakho senhliziyo siphume ngokuphelele.
Uma izimpawu ezintsha zivela noma uma izimpawu ezingapheli zishintsha kumvamisa noma ukuqina kwazo, kubaluleke kakhulu ukuba uqaphele ithimba lakho lokunakekela impilo ngokushesha. Abanye okufanele babukele kubandakanya:
- Ukuvuvukala
- Inzuzo yesisindo
- Ukuphelelwa umoya
- Ubuthakathaka, ukukhathala
- Ukulahlekelwa kwesifiso
- Isizungu
- Ukushaya kwenhliziyo okungavamile
- Ubuhlungu besifuba
Ukudla kwakho nokusebenza komzimba kudlala indima ebalulekile ekubhekaneni nokuhluleka kwenhliziyo. Uma usuhlakulele lesi sifo, ukuthatha izinyathelo ezithe xaxa ekuphileni kwakho kwansuku zonke kuyisisekelo sokuvimbela lesi simo ukuba siphume.
- Ukudla okunomsoco kanye nosawoti: Kubantu abaningi abanesifo senhliziyo, ukudla okunempilo okunempilo njengendlela yokudla yaseMedithera kungasiza ukugcina isisindo esiningi nokunciphisa ukuvutha kwegazi okuvame ukubangela isifo senhliziyo. Ukuvinjelwa kosawoti kubaluleke kakhulu. Khuluma nodokotela wakho ngokuthi ukudla okunempilo kukuphi, futhi cabangela ukuhlangana nomuntu odla ukudla okungakanikeza iseluleko esengeziwe futhi axoxe ngendlela yokuphatha ukudla okuphansi-sodium ; usawoti uvame kakhulu ekudleni kwaseNtshonalanga, ngakho-ke kulula ukuyidla kakhulu ngisho nalapho utshela u-salt shaker wakho. Ungase udinge iseluleko esengeziwe sokudla uma unesifo esithile sokukhathazeka njengesifo sikashukela noma i-cholesterol ephezulu.
- Isisindo: Ukuhlaselwa kwesisindo esinempilo kungasiza ekunciphiseni ukucindezeleka ngokweqile enhliziyweni yakho, ukusiza ukuthuthukisa izimpawu zakho nesimo sakho sonke. Ukubheka iso lakho ngesisindo ngokuya esikhaleni nsuku zonke kungakusiza futhi ubone ukuguquka kwesimo sakho senhliziyo, isisindo singakhula ngokushesha uma isondlo sodium kanye namanzi okwezinye zigcinwa ngenxa yokuhluleka kwenhliziyo.
- Ukuzivocavoca: Ngokuvamile, ukuvivinya umzimba ngokulinganisela kungathuthukisa ukuqina komzimba wakho jikelele futhi kunciphise ukucindezeleka okungapheli enhliziyweni yakho. Ukuhamba, usebenzisa ibhayisikili yokuzivocavoca, ngisho nokuphakamisa izisindo ezilula kungathuthukisa kakhulu impilo yakho yonke. Uma ungazange usebenzise kamuva, ungase ufune ukubuza udokotela wakho ngokuqala ngohlelo oluhlelekile lokuvuselela inhliziyo . Gwema ukusebenzisa ngokushisa okukhulu noma kubanda, futhi ugweme umsebenzi okhuni kakhulu ngaphandle kokuthi ususwe udokotela wakho.
- Yeka ukubhema: Ngaphezu kokubangela izinhlobo eziningana zomdlavuza, kanye nesifo se-lung, ukuvezwa kokubhema kubangela ukulimala emithanjeni yakho yegazi, kuhlanganise nemithambo ye-coronary. Uma ubhema, kubalulekile ukuthi ufunde izindlela eziphumelela kakhulu zokuyeka.
- Utshwala: Utshwala lungaba yingozi kumfutho wezinhliziyo, kanti kwabanye abantu bangakwazi ukukhiqiza inhliziyo yokuxilonga. Ngokuya ngobukhulu bokuhluleka kwenhliziyo yakho, udokotela wakho angase ancome ukuthi ubaleke ngokuphelele utshwala noma uphuze kuphela imali elinganiselwe.
Social
Ukulinganiselwa ngokomzimba kokuhluleka kwenhliziyo kungenza kube nzima kuwe ukuba uhambe ngokuzungezile ngangokunokwenzeka. Ungase uzithole ugoqa imisebenzi yezenhlalakahle ngenxa yokungabi namandla namandla okuphefumula, isibonelo. Lokhu ngokuvamile kuvame ukuhlangenwe nakho.
Ukucabangela lokhu, ukuhlanganiswa okubalulekile nokuhlela okubalulekile kuwe kubalulekile ukugcina ubudlelwane bomphakathi-kanye nomzamo obalulekile wenjabulo yakho yonke.
Futhi, cabangela ukubuka izinto ngendlela ehlukile: Ungase ungakwazi ukuhlanganyela emicimbi yomndeni noma emisebenzini nabangani bakho kaningi noma uma nje usujwayele, kepha lokho akusho ukuthi la mathuba aphelele ngokuphelele. Ungase ucabange ukhetha imisebenzi esiseduze nekhaya lakho. Noma ungase uhambe emsebenzini, kodwa uzitholele ukuhlanganyela kuphela kwimisebenzi engakusiki. Ungacabanga futhi ngokuya futhi uvele usheshe ukuhamba uma ungezwa kahle.
Abaningi abanokuhluleka kwenhliziyo bathola ukuthi kuyasiza ukuxhumana nabantu abahamba ngendlela efanayo. Eqoqweni lokusekela kwenhliziyo, ungafunda amasu ahlukahlukene asebenzele abanye ukuphatha izinguquko zendlela yokuphila, ukuthatha imithi, ukubhekana nezinkinga nemiphumela emibi, ukusebenza nabashuwalense, nokuningi. Kungase futhi kube usizo ukukhuluma ngesimo sakho phakathi kwalabo abakwaziyo ngokwabo.
Udokotela wakho noma esibhedlela angakwazi ukutusa iqembu lezinsizakalo zokuhluleka kwenhliziyo, noma ungabheka nge-Heart Failure Society of America noma i-American Heart Association.
Kuyawusizo
Uma kuziwa ekuphikeleni kwenhliziyo, kunezinto eziningana ezingokoqobo eziphathelene nokuphathwa kokuphatha isimo sakho. Ukuthuthukisa uhlelo lokuthatha imithi yakho, ukuqapha impilo yakho, kanye nokugcina ithrekhi yakho yilezi ezimbalwa.
Imithi
Ngomuthi onobulungiswa obuyinkimbinkimbi ongase ubekiwe, kungcono ukuba nesistimu engakuvimbela ukuba ungakhohlwa ukuthatha imithi edingekayo noma ukuphuza imithi eminingi. Udinga ukwazi kahle ukuthi ukuphi, ngakho ungaba nolwazi nabanye odokotela abangase babheke ukubeka okuthile okusha kuwe.
Gcina uhlu lwamanje lonke imithi oyimisiwe. Lolu hlu kufanele lufake igama lomkhiqizo negama elijwayelekile lomuthi ngamunye, umthamo onqunyiwe, isikhathi okufanele uthathe ngaso, ukuthi yini, imiphumela emibi, nokuthi yimiphi imiphumela emibi edinga ukubikwa eqenjini lakho lokwelapha ngokushesha . Lolu lwazi lungatholakala kudokotela wakho noma kumakhemisi uma ungenayo kakade.
Udinga uhlelo lokuthatha imithi efanele ngesikhathi esifanele. Abanye abantu bathola uhlu lokuhlola olulula nsuku zonke ukuze lube usizo, kanti abanye basebenzisa izikhumbuzi zekhalenda ze-smartphone noma izinhlelo zokusebenza kule njongo. Ngaphandle kwalokho, ungasebenzisa i-dispenser ekhethekile ukuthi izigaba ziphuma ngemithi ngosuku. Khetha noma iyiphi indlela ezosebenza kangcono kuwe.
Amanye amathiphu abalulekile:
- Ungalokothi ushintshe imithi noma amanani akho ngaphandle kokuxoxa kuqala nodokotela wakho. Imithi yokwehluleka kwenhliziyo ijwayele ukusebenzisana, futhi ngisho nokushintsha okulula kungaba nemiphumela ephakeme kakhulu.
- Buza udokotela ukuthi yini okufanele uyenze uma ungaqedi ukweqa umthamo womunye wemithi yakho. Udokotela wakho angase abe nemiyalo ehlukene kuye ngokuthi umuthi.
- Uma uhamba, qiniseka ukuthi unomuthi okwanele nawe ukuze uthole uhambo lwakho lonke. Uma uhamba ngezinyawo, kungcono ukuwuthwala nawe, kunokuba ubeke esikhwameni esikhethiwe.
Ubuchwepheshe Bomuntu
Ubuchwepheshe bomuntu siqu obungakusiza ukuphatha kangcono ukuhluleka kwenhliziyo yakho kuyanda. Nakuba kungase kube yisikhathi ngaphambi kokuba udokotela wakho abheke ukuhlanganisa amanye alawa madivaysi, izinhlelo zokusebenza, namathuluzi ekunakekelweni kwezokwelapha njalo, ungase ucabange usebenzisa wona ngokwakho ukuqapha isimo sakho bese ucebisa izingxoxo nodokotela wakho:
- Ezimweni izibonakaliso ezibalulekile: Amadivaysi okucindezela kwegazi azenzekelayo noma ama-pulsometers atholakale iminyaka, futhi iningi lawo linembile ngokunembile. Zitholakala ema-pharmacy amaningi. Uma ukucindezelwa kwegazi kuguquke, ukulinganisa njalo ukucindezelwa kwegazi ekhaya kunganikeza udokotela wakho umbono ophelele wephethini yegazi lakho.
- Umsebenzi wokuqapha : Amadivaysi amancane afana ne-Fitbit, i-Apple Watch, nabanye, ngaphezu kwezinhlelo zokusebenza ze-smartphone, angakusiza uqiniseke ukuthi uthola inani elanele lokuzivocavoca usuku ngalunye ngokulinganisa izinyathelo zakho, ibanga elihambahamba, amakholori ashisa, nokuningi.
- Amathuluzi okuqoqa idatha: Ubuchwepheshe bungakusiza ukurekhoda nokulandelela izici ezihlukahlukene zempilo yakho ukuze wena, udokotela wakho, noma ochwepheshe angakwazi ukubuka izitayela ngokuhamba kwesikhathi futhi ushintshe uhlelo lwakho lokuphatha ngokufanele uma kudingeka. Izilinganiso zesisindo ezingenazintambo ezivumelanisa efonini yakho ziyisibonelo esisodwa, njengezigxobo zokudla kwedijithali.
- Umsebenzi wenhliziyo yeselula : Amanye ama-smartwatches awanakulinganisa isilinganiso senhliziyo yakho kuphela kodwa futhi akuqaphele uma izinga lakho lenhliziyo eliqhubekayo lihamba ngaphezu kwenani lemikhumbi. Njengoba ihlanganiswe nedivayisi efana neKardiaband evela ku-AliveCor, i-Apple Watch ingakwazi ukurekhoda nokudlulisela i-EEG ukuze udokotela abone ukuthi yiliphi uhlobo lwenhliziyo oluhlotshaniswa nesilinganiso senhliziyo esheshayo. Lawa madivayisi angahle abe usizo kakhulu uma uneziqephu ezingalindelekile zokuphazamiseka noma isizungu.
> Imithombo:
> Graven LJ, Gordon G, Kelgner JG, Abbott L, Bahorski J. Ukusebenza kokusekelwa komphakathi kanye nokuxazulula izinkinga ngokuhluleka kwenhliziyo ukuzinakekela: Ukutadisha umshayeli. Iziphakamiso Zokufundisa Ezibekezelayo. 2018 Feb; 101 (2): 266-275. doi: 10.1016 / j.pec.2017.09.008. I-Epub 2017 Septhemba 18.
> Kraai IH, Vermeulen KM, Hillege HL, Jaarsma T, Hoekstra T. Ukuqiniseka kanye nekhwalithi yokuphila ezigulini ezinokuhluleka kwenhliziyo. Ukunakekelwa kokusekelwa kwe-Palliat. 2017 Dec 4: 1-7. i-doi: 10.1017 / S1478951517001055. [I-Epub ngaphambi kokuphrinta]