Ugwayi wokubhema uyingozi kakhulu yokulawula isifo senhliziyo. Nakuba cishe wonke umuntu obhemayo eqonda ukuthi ukubhema kwandisa ingozi yomdlavuza, abaningi (ngeshwa) abazi ukuthi banda kakhulu ingozi yesifo senhliziyo esemncane.
Ukubhema Nengozi Yezifo Zenhliziyo
Eqinisweni, ingozi yokuba nesifo senhliziyo iphindwe kasithupha kwabafazi ababhemayo, futhi abaphindayo kathathu ababhemayo, kunabantu abangabhemi.
(Nakuba ukubhema kungalungile kuwo wonke umuntu, manje kusungulwe kahle ukuthi kuyingozi kakhulu kwabesifazane.)
Emhlabeni jikelele, ukubhema kucatshangwa ukuthi kubangele ukuhlaselwa kwenhliziyo okungaba ngu-36%.
Ukubhema akubanga nje kuphela ukuthi kubangelwa isifo senhliziyo, kepha uma usuqala ukuhlakulela isifo senhliziyo, ukuqhubeka ukubhema kwenza kube kubi kakhulu, ngokushesha kakhulu.
Abantu abaqhubeka bebhema ngemuva kokuhlaselwa kwenhliziyo banengozi enkulu kakhulu yokuhlasela kwenhliziyo elandelayo. Abantu ababhema ngemuva kokuhlinzeka ngokweqile noma ukugcoba kunesimo esiphezulu kakhulu sokuthuthukisa ukungafakwa komshini ophelile noma ocijile. Ababhemayo abane- coronary artery disease (CAD) noma ukwehluleka kwenhliziyo banengozi enkulu yokufa ngaphambi kwesikhathi kunabangabhemi nalezi zimo.
Ugwayi wokubhema usheshisa ukuqina kwe-atherosclerosis , inqubo yesifo eveza i-CAD, ukwehluleka kwenhliziyo , isifo se-vascular peripheral , isifo sokushaya isisu , isifo se- aortic esiswini , nokufa okungazelelwe .
Ukubhema Kubangelwa kanjani Izifo Zenhliziyo?
Ukubhema kuyashesha ukuqina kwe-atherosclerosis ngezindlela eziningana:
- Ukubhema kwandisa ama-cholesterol e-LDL (ama-cholesterol amabi), futhi kunciphisa i-cholesterol ye-HDL (i-cholesterol enhle).
- Imikhiqizo yogwayi iqukethe amakhemikhali angadabukisa izindonga zamathambo wegazi, ukwanda okukhulu, ukulimaza nokuqina "izindonga zemikhumbi - zonke izimo ezihlobene ne-atherosclerosis.
- Ukubhema kukhulisa amazinga e-adrenaline, okuphakamisa ukucindezeleka kwegazi nokucindezeleka komzimba, okwenza kube nemithwalo yemithwalo yegazi.
- Ukubhema ngokweqile kukhulisa ukuthambekela kwegazi ukwakha izindwangu ngaphakathi kwemithambo yegazi, ngaleyo ndlela kwandisa ingozi ye- acon coronary syndrome (ACS) .
Ngaphezu kokusheshisa ukuqina kwe-atherosclerosis, ukubhema ugwayi kuneminye imiphumela engafanele ohlelweni lwezinhliziyo:
- I-nicotine egwayi inomthelela ekukhuleni kwenhliziyo kanye nokucindezelwa kwegazi okubonwayo ngemuva kokubhema ugwayi.
- Ukubhema kwandisa ama-serum homocysteine amazinga, okucatshangelwa ukuthi abangela ukulimala kwamagciwane.
- Ukubhema kwandisa amazinga e-carbon monoxide, ukunciphisa ikhono legazi lokuhambisa i-oxygen kuma-tissue.
Ngaphezu kwalokho, ukubhema akuthinti kuphela umuntu oye wanquma ukubhema; kuthinta umndeni, abangane kanye nabathandekayo abaphefumula umsizi wesibhamu. Ngenkathi idatha ebeka ukuthi umsizi wesibhamu uyandisa ingozi yesifo senhliziyo ayiqineki njengababhemayo ngokwabo, izifundo eziningi ziyavuma ukuthi yandisa ingozi kubantu abalahlwa yicala.
Imiphumela Ebuhlungu Yokubhema I-cigarette
Imiphumela eminingana emibi ekhishwa ukubhema inzima kakhulu.
Izinguquko ezingeni lokushaya kwenhliziyo nomfutho wegazi, imiphumela emibi yokuguqulwa, ngisho nezinye izinguquko zamakhemikhali ngaphakathi kwemithambo yegazi zingenzeka ngokushesha uma uvula.
Izinzuzo zeCardiac Of Smoking Cessation
Njengoba nje ukubhema ugwayi kuphazamisa ukuqina kwe-atherosclerosis, uma uyeka ukubhema unganciphisa ukuqhuma kwe-atherosclerosis. Ngaphezu kwalokho, ukuqeda ukubhema kuthuthukisa kakhulu umsebenzi jikelele wezitsha zakho zegazi. Ingozi yokuthuthukisa isifo senhliziyo ishaya ngokushesha ngemuva kokuyeka ukubhema, futhi iyaqhubeka nokuyeka isikhathi eside uhlala ugwayi.
Ngemuva kwesiqephu se-ACS, ababhemayo abashiya ngokushesha banengozini encane yokufa esikhathini esizayo esiseduze, uma kuqhathaniswa nabokubhema abangayeki.
Ukuyeka futhi kunciphisa kakhulu ingozi yakho yokuba nesiqephu esengeziwe se-ACS.
Ingozi yakho yokushaya isifo iphinde ibe ncishiswe ngokuhamba kwesikhathi ngemuva kokuyeka ukubhema.
Izinzuzo zokuyeka ukubhema zibonakala kubesilisa nabesifazane kuzo zonke izigaba.
Kungani Kufanele Ushiye Ngakwesokudla Manje
Eziningi ezithinta kabi ukubhema kwenzeka ngokucacile - ngemva nje kokukhanya. Lokhu kusho ukuthi amathuba akho okuba nesifo senhliziyo esiyingozi empeleni angancipha phakathi kwamahora angu-24 kuya kwangu-48 ngemuva kokubhema kwakho kokugcina.
Ngakho-ke akufanele nje uyeke ukubhema, kufanele ushiye ukubhema ngokushesha ngangokunokwenzeka.
Izwi elivela
Ukubhema kuyimbangela ekhunjulwayo yesifo senhliziyo esingakafiki nesifo sohlangothi. Izinzuzo zokuyeka ukubhema ziqiniswa kakhulu, futhi lezo zinzuzo ziqala ukwenzeka ngosuku olulodwa noma amabili kokubhema kwakho kokugcina.
> Imithombo:
> Mozaffarian D, Benjamin EJ, Go AS, et al. Izifo Zenhliziyo Nezibalo Ze-Stroke - Ukubuyekezwa ka-2015: Umbiko ovela ku-American Heart Association. Ukujikeleza kuka-2015; 131: e29.
> Raghuveer G, DA Omhlophe, Hayman LL, et al. Imiphumela Yomzimba Yobuntwana Ukufaka Umfutho Wokubhema Ugwayi: Ukufakazela Ubufakazi, Umthwalo, Nokuhlukana Komphakathi Nezenhlalo: Isitatimende Sosayensi Esivela ku-American Heart Association. Ukujikeleza 2016; 134: e336.
> I-Huxley RR, i-Woodward M. I-cigarette Ukubhema njengengozi yengozi ye-Coronary Heart Disease kwabesifazane ngokuqhathaniswa namadoda: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-Meta-analysis of Prospective Cohort Studies. I-Lancet 2011; 378: 1297.