Sekuyiminyaka kube "ulwazi oluvamile" ukuthi abantu abacindezeleke kakhulu banengozi yokwanda kwesifo senhliziyo. Kodwa ingabe lolu lwazi olujwayelekile lulungile? Futhi uma kunjalo, yiziphi izinhlobo zokucindezeleka okwandisa ingozi yesifo senhliziyo, yandisa kanjani ingozi yakho, futhi yini ongayenza ngayo?
Okungenani izinto ezintathu zenze kube nzima ukulungisa imiphumela yokucindezeleka enhliziyweni:
- Abantu basho izinto ezahlukene ngokucindezeleka.
- Ezinye izinhlobo zokucindezeleka zibonakala zimbi kakhulu enhliziyweni kunabanye.
- Indlela osabela ngayo ekucindezelekeni kungabaluleke kakhulu kunokucindezeleka ngokwayo.
Eminyakeni yamuva sifundile okuningi ngokucindezeleka nesifo senhliziyo. Ukubuyekeza okufushane kuzokusiza ufunde ukuthi yini okudingeka ukwazi ngakho.
Abantu Basho Ukuthini Ukucindezeleka Kubangela Izifo Zenhliziyo?
Lapho abantu bebhekisela "ekucindezelekeni," bavame ukukhuluma ngezinto ezimbili ezihlukene: ukucindezeleka ngokomzimba, noma ukucindezeleka ngokomzwelo. Ososayensi bezokwelapha abhala ngokucindezeleka futhi inhliziyo ivame ukukhuluma ngokucindezeleka ngokomzimba. Lapho izazi ze-cardiologists zifuna ukwenza " ukuhlolwa kokucindezeleka ," zikufaka esiteji sokuhamba; abakutshelisi ngamanga ukuthi inja yakho ifile.
Kodwa uma iningi lethu likhuluma ngokucindezeleka nenhliziyo, ngokuvamile sibhekisela ezinhlobonhlobo zomzwelo.
Ukucindezeleka ngokomzimba kanye nenhliziyo
Ukucindezeleka ngokomzimba - ukuzivocavoca noma ezinye izinhlobo zokuzikhandla ngokomzimba - zibeka izidingo ezilinganiselwe nokuphindaphindiwe enhliziyweni.
Lokhu ukucindezeleka ngokomzimba ngokuvamile kuvunyelwe ukuthi kuhle. Eqinisweni, ukungabi nokucindezeleka ngokomzimba (okungukuthi, indlela yokuphila emzimbeni) kuyingxenye enkulu yengozi ye- coronary artery disease . Ngakho lolu hlobo "lokucindezeleka" lubhekwa njengenzuzo enhliziyweni.
Uma unesifo senhliziyo esibalulekile, noma kunjalo, ukucindezeleka okukhulu ngokomzimba kungaba yingozi.
Kumuntu one-coronary artery disease, ukuzivocavoca okunamandla kakhulu kungabeka izidingo ezinhlanjeni zenhliziyo ukuthi imishanguzo ye-coronary isifo ayikwazi ukuhlangana, futhi inhliziyo iba ischemic (okungukuthi, isifo se- oxygen.) I-ischemic heart muscle ingabangela i-angina (ubuhlungu besifuba), noma ukuhlasela kwenhliziyo (ukufa kwangempela kwemisipha yomzimba).
Ngakho-ke ukucindezeleka ngokomzimba - okungukuthi, ukuzivocavoca - ngokuvamile kukulungele kakhulu , futhi ngokuvamile kukhuthazwa (ngezixwayiso ezifanele, uma unesifo senhliziyo). Futhi uma ukuvivinya umzimba kungaphezu ngokweqile ngokweqile, ukucindezeleka ngokomzimba akubangeli ngempela isifo senhliziyo.
Ukucindezeleka Kwengqondo Nenhliziyo
Ukucindezeleka ngokomzwelo ngokuvamile uhlobo lokucindezeleka abantu abakhuluma ngalo lapho bethi ukucindezeleka kubangela isifo senhliziyo. "Akumangazi ukuthi wafa," uzozwa abantu bethi, "nayo yonke inkathazo ayifaka ngayo." Kodwa kuyiqiniso? Ingabe u-Ed wayebulala ngempela u-Elsie nakho konke ukugembula kwakhe nokuphuza nokuhlala wonke amahora ebusuku?
Wonke umuntu - ngisho nodokotela - banomuzwa wokuthi ukucindezeleka ngokomzwelo, uma kunzima okwanele noma okungaphelele, kunzima kuwe. Abaningi bakholelwa ukuthi lolu hlobo lokucindezeleka lungabangela isifo senhliziyo. Kodwa ubufakazi besayensi bokuthi empeleni wenza kanjalo kuye kwaba nzima ukufika.
Nokho, maduzane, ubufakazi obanele buqoqiwe ukuze bakwazi ukusho ukuthi izinhlobo ezithile zokucindezeleka ngokomzwelo, kubantu abathile nasezimo ezithile, kubonakala sengathi zinezifo zenhliziyo. Ngaphansi kwezimo ezifanele (noma kunalokho, ezingalungile), ukucindezeleka ngokomzwelo kungaholela ekuthuthukiseni isifo senhliziyo esingapheli, noma kungasiza ekunqandeni izinkinga ezinzima zenhliziyo kubantu abavele benesifo senhliziyo.
Kubalulekile ukuqaphela ukuthi, hhayi konke ukucindezeleka ngokomzwelo okufanayo, hhayi konke okubi kithi. Ngokuvamile, yindlela esabela ngayo ekucindezelekeni, kunokucindezeleka ngokwayo, okubangela izinkinga .
Izindlela zokucindezeleka ngokomzwelo ezingabangela izifo zenhliziyo zivele zivele.
Ngoba akunakwenzeka ukugwema konke ukucindezeleka ngokomzwelo - ukungasho lutho olungathandeki - kubalulekile kithi ukuthi sifunde ukuthi singabhekana kanjani nokucindezeleka ukunciphisa umthelela walo ohlelweni lwethu lwezinhliziyo.
Imithombo:
I-Denollet, J, Brutsaert, i-DL. Ukunciphisa ukucindezeleka ngokomzwelo kuthuthukisa ukuhlushwa kwesifo senhliziyo: ukushona kweminyaka engu-9 ekuhlolweni komtholampilo wokuvuselelwa. Ukujikeleza kuka-2001; 104: 2018.
Rozanski, A, Bairey, CN, Krantz, DS, et al. Ukucindezeleka kwengqondo kanye nokufakwa kwe-myocardial ischemia engathuli kweziguli ezine-artery disease. N Engl J Med 1988; 318: 1005.
Shen BJ, Avivi YE, Todaro JF, et al. Izici zokukhathazeka ngokuzimela futhi ngokubikezelayo zibikezela ukuthi i-infarction ye-myocardial emadodeni igalelo eliyingqayizivele lokukhathazeka phakathi kwezici zengqondo. J Am Coll Cardiol 2008; 51: 113.