Iningi odokotela manje bakholelwa ukuthi ukucindezeleka ngokomzwelo kungabangela ekuthuthukiseni isifo senhliziyo.
Ukucindezeleka kubonakala kuhola isifo senhliziyo okungenani izindlela ezimbili. Okokuqala, uma ubhekene nokucindezeleka okungokomzwelo okungokomzwelo, kungenzeka ukuthi ube nomthelela wokukhula kwe-atherosclerosis , inqubo yesifo eveza ukwelashwa komzimba we-coronary artery (CAD) , isifo sohlangothi kanye nesifo se- peripheral .
Okwesibili, izinkathi zokucindezeleka okukhulu zingabangela izinkinga zenhliziyo ezinzima, njengokuhlasela kwenhliziyo .
Khumbula, Nokho, lokho ukucindezeleka yingxenye evamile yokuphila. Awusoze wazigwema ngokuphelele (futhi akufanele uzame). Kungakhathaliseki ukuthi inhliziyo yakho ingathinteka yini noma ukucindezeleka kubonakala sengathi ihlotshaniswa nohlobo lokucindezeleka obhekene nalo, futhi, ikakhulukazi, ukusabela kanjani kulo.
Ukucindezeleka ne-Atherosclerosis
Nakuba kungakaze kuboniswe ukuthi ukucindezeleka kungasheshisa ukuqina kwe-atherosclerosis , kukhona inani elilinganayo lobufakazi obonisa ukuthi lwenza. Abantu abasabelayo ekucindezelekeni kwansuku zonke ngokomzwelo wohlobo lwe-A, amazinyo axhunyiwe, ukulwa noma ukushayela kwe-adrenaline (okuvame ukubonakala njengokukhungatheka, intukuthelo noma inzondo) kubonakala sengathi ubungozi obukhulu kakhulu.
Ukucindezeleka, nendlela esabela ngayo kuwo, kungathinta ngqo imithwalo yegazi.
Ngisho nokucindezeleka okujwayelekile esikuthola empilweni yansuku zonke kungabangela ukuqhuma okwesikhashana emsebenzini wethu wamathambo, ngokusebenzisa izinguquko ze-hormonal kanye nokwanda kwe-adrenaline egazini lethu. Ngokucindezeleka okungokomzwelo okungokomzwelo, ikakhulukazi ku-Type A abantu abalahla i-adrenaline emaqenjini egazi lapho becasulwa kancane, lezi zinguquko zesikhashana zingaqhubeka.
Ukucindezeleka okungapheli kungabangela ukuvuvukala okwandayo (ngezinye izikhathi ukukhiqiza amazinga e-CRP aphakeme ), okuhlobene nengozi ephakeme yokuphefumula kwegazi.
Ngaphezu kwalokho, ukucindezeleka okungokomzwelo okungapheli kuvame ukuhambisana nokucindezeleka kwezinye izinto eziningana ezingozini zenhliziyo. Ababhemayo abacindezelekayo bavame ukwandisa ukusetshenziswa kwabo kagwayi, ngokwesibonelo. Futhi ukudla ngokweqile (futhi ngaleyo ndlela inzuzo yesisindo) kuvamile kubantu abacindezeleka ngokomzwelo. Amazinga e-cholesterol avame ukwanda ngesikhathi sokucindezeleka okwandayo.
Ngakho ukucindezeleka okungapheli kungase kuphuthumise ukuqina kwe-atherosclerosis kokubili ngokuthinta ngqo izitsha zakho zegazi, futhi ngokufaka phambili ekubuyeni kwenhliziyo yakho yonke engozini yomzimba.
Abantu abanezici zobuntu beThebula A banamathemba okuphawulekayo - ikakhulukazi angina - uma bethuthukisa i-CAD. Imiphumela yabo emva kokuhlinzwa komzimba i-coronary overpery isifo esibi nakakhulu kuneziguli ezingenayo impendulo yokunyanyisa ekucindezelekeni, futhi ingozi yabo yonke yokufa ngesifo senhliziyo yabo iphinde iphakeme.
Ukucindezeleka Nezimo Zenhliziyo Enhle
Kunobufakazi obuningi bokuthi ukucindezeleka okukhulu ngokomzwelo kungabangela izimo eziyingozi zomzimba, ikakhulukazi i-coronary syndrome (ACS) nokufa okuphazamiseka kwenhliziyo .
Izenzakalo zokuphila ezicindezelayo kakhulu - njengokufa komuntu othandekayo, ukuhlukaniswa, ukulahlekelwa umsebenzi, ukwehluleka kwebhizinisi, ukuhlukunyezwa, ukuvezwa kwezinhlekelele zemvelo (noma ezenziwe ngabantu), noma izingxabano zomkhaya ezimbi - zihlobene ngeengozi enkulu kakhulu ye-ACS noma ukufa komzimba (kokubili ngokuzumayo nangokungazelelwe) kuze kube sekupheleni konyaka ngemuva komcimbi ocindezelayo.
Lokhu kwanda okukhulu kwengozi yenhliziyo kucatshangwa ukuthi kungenxa yokuphakama okukhulu kwegazi, ukushaya kwenhliziyo, ithoni ye-vascular (noma i-vein constriction), ukuvuvukala, kanye nokusheshisa kwegazi okungase kubonakale, ngisho nakubantu abathandekayo, abanomzwelo obukhulu ukucindezeleka.
Lezi zinguquko kumzimba we-physiology zingandisa amathuba okuphuka kwe- plaque - umcimbi oveza i-ACS.
Isifingqo
Izinhlobo ezithile zokucindezeleka ngokomzwelo kunhlobo oluthile lomuntu zingasheshisa ukuthuthukiswa kwesifo senhliziyo esingapheli, noma kungabangela ukucindezeleka okukhulu kwenhliziyo. Akekho ongakwazi ukugwema zonke izinhlobo zokucindezeleka ngokomzwelo, kodwa uma ucabanga ukuthi ungasengozini yokuphefumula inhliziyo, kufanele ucabangele ukuthatha izinyathelo zokulawula kokubili impendulo yakho ekucindezelekeni, nanoma yiziphi ezinye izinto eziyingozi zokuphila kwakho .
Imithombo:
Sesso, HD, Kawachi, I, Vokonas, PS, Sparrow, D. Ukucindezeleka kanye nobungozi bokugula kwesifo senhliziyo eSifundweni Sokuguga Kwemvelo. Am J Cardiol 1998; 82: 851.
Chang, PP, Ford, DE, Meoni, LA, et al. Intukuthelo emadodeni amasha kanye nesifo esandulela isifo senhliziyo: abafundela phambili. I-Arch Intern Med 2002; 162: 901.
Mittleman, MA, Maclure, M, uSherwood, JB, et al. Ukususa i-infarction ye-myocardial acishe ivele ngeziqephu zentukuthelo. Izinqununu Zabacwaningi Bokuhlola Abafakiwe be-Myocardial Infarction. Ukujikeleza kuka-1995; 92: 1720.