Noma ubani osebenza emnyangweni ophuthumayo esifundeni sezulu esenyakatho uyazi ukuthi ngezinsuku lapho ziba nzima kakhulu, ngeke zibone noma yiliphi isikhathi sokuphumula-zizosebenza ngaphandle kokuma ngesikhathi sokushintsha kwazo zonke. Kungenzeka ukuthi bazobona okungenani abantu abambalwa balimala ekuphazamiseni imoto ehlobene neqhwa, noma ku-sledding noma izingozi ze-skiing.
Kodwa ngokuqinisekile bayobe bahlaselwe abantu abaye bahlakulela izinkinga zezokwelapha okungazelelwe ezibangelwa iqhwa elimnyama.
Futhi ukubhekana nalezi zinkinga zezokwelapha ezihlobene ne-shoveling bazoba nezinhlobo ezimbili zezichwepheshe zezokwelapha ngokudayela ngejubane. Owokuqala, unogqirha wama-orthopedic, ozozithola ehamba ngezinsuku ezimbalwa ephethe ukulimala, ukulimala kwe-hip, amaqebelengwane asontekile, amakhekhe aphethwe yi- rotator , nama- biceps aphukile .
Isazi sesibili sokudayela ngesivinini yi-cardiologist. Eqinisweni, noma yikuphi umnyango wezinhliziyo owufanele usawoti wawo uyobe usuvele usebenza ngokugcwele futhi usuqothule i-laboratories ye-catheterization . Ngoba njengoba kuvela, iqhwa le-floral iyindlela ephumelelayo kakhulu yokunciphisa ukuhlaselwa kwenhliziyo kubantu abanesifo esithile se- coronary artery (CAD) .
Ukuhlaselwa Kwezinhliziyo Ezihlobene Ne-Shoveling
Ukuhlaselwa kwenhliziyo okwenzeka ngenkathi iqhwa le-scveling livame ukucindezeleka.
Esicwaningweni esashicilelwe ngo-2012, uphenyo ubheke iziguli ezingu-500 ezelashwa nge- acon coronary syndrome (ACS) ngaphezu kwamahora amabili alandelanayo.
Bathole ukuthi amaphesenti angu-7 alezi zimo eziphuthumayo zenhliziyo ayehlobene ngokuqondile neqhwa. Ngaphezu kwalokho, bathola ukuthi ukuba owesilisa nokuba nomlando womndeni wesifo sezinhliziyo ngaphambi kwesikhathi ngasinye kuhlotshaniswa kakhulu ne-ACS ebangelwa iqhwa elimnyama.
Esicwaningweni esivela eCanada eshicilelwe ngo-2017, abacwaningi baqhathanisa amarekhodi okubhedlela esibhedlela kanye nezitifiketi zokufa ezakhamuzi zaseQuebec nge-database yolwazi olunzulu, iminyaka engu-1981 kuya ku-2013.
Phakathi nalesi sikhathi, ukuhlaselwa kwenhliziyo kuka 128,000 kanye nokufa kuka-68,000 ngenxa yesifo senhliziyo kwenzeka. Okuphawulekayo, ingxenye eyodwa yesithathu yokuhlasela kwenhliziyo kwenzeka ngosuku olulandelayo ngemuva kweqhwa elikhulu. Ngaphezu kwalokho, bathola "umthamo wokuphendula umthamo" -kuthi, uma kuqhathaniswa neqhwa (ekujuleni kweqhwa, noma ezinsukwini ezilandelanayo kunqanyulwa) kuphakama izigameko zokuhlaselwa kwenhliziyo. Kulolu cwaningo, amazinga okushisa angaphandle ahlobene nokuhlaselwa kwenhliziyo, kodwa izinga leqhwa lihambisana kakhulu.
Njengalokhu kuzo zonke ezinye izifundo ezibhekene nokuhlaselwa kweqhwa kanye nokushaya kwenhliziyo, isifundo se-2017 saseCanada sathola inhlangano kuphela yamadoda, hhayi abesifazane.
Kungani Ukuqhwala Kweqhwa Kunciphisa Ukuhlasela Kwezinhliziyo
Iqhwa elithambile libeka ukucindezeleka okungavamile esimisweni senhliziyo. Ukucindezeleka komzimba kungabangela ukuhlaselwa kwenhliziyo kumuntu one-CAD engaphansi. Lapho iqhwa le-froveling, izici eziningana zisebenza ndawonye ukuze zenze ukwanda okukhulu kwengqondo.
Okokuqala, ukuklabalaza kuhilela ukuvivinya umzimba. Ukuzivivinya umzimba kubeka ngokuphawulekayo ukubeka ukucindezeleka okukhulu ohlelweni lwe-cardiovascular than ukuvivinya umlenze. Eqinisweni, izifundo ezinsizwa ezinempilo zibonisa ukuthi uma zifakwe iqhwa, zifinyelela emazingeni ehliziyo nangamazinga egazi ephakeme kakhulu kunalokho uma enza umsebenzi wokubhala phansi.
Futhi lapho iqhwa lijulile noma likhulu, umsebenzi we-scveling uba mkhulu kakhulu.
Lapho abantu bephakamisa inhlavu eqinile yeqhwa, iningi labo lizobamba ukuphefumula, ngokukhiqiza umphumela weValsalva . Lo mphumela we-Valsalva ukwandisa kakhulu umfutho wegazi ngisho nangaphezulu ngesikhathi somsebenzi ophezulu.
Iqhwa elithambileyo, ngencazelo, kuyisimo sezulu esibandayo. Futhi esimweni sezulu esibandayo, i- vasoconstriction (ukwehlisa imithwalo yegazi) kwenzeka emithanjeni encane yegazi, eyandisa ukwanda kwegazi futhi iveza ukucindezeleka okukhulu kwenhliziyo. Ngaphezu kwalokho, ukuphefumula emoyeni abandayo kungenza kube nzima ukuhambisa umoya omoya owengeziwe ngesikhathi sokucindezeleka ngokweqile.
Ukushisa okubandayo ngokwabo kungabangela ukuqhuma kwemithi ethile-ngisho ne-coronary artery spasm-kwabanye abantu.
Ukwenza izinto zibe zimbi nakakhulu, abantu abaningi baqhwaza iqhwa ekuseni, lapho bekhathazekile ngokuphuma endlini bese benza ibhizinisi labo lamanje. Lokhu kusho izinto ezimbili. Okokuqala, amaqhwa amaqhwa ajwayele ukuba asheshe, ngakho ekugijimeni kwabo ukuba baphume emgwaqweni bazikhandla kakhulu kunalokho abangase bakwenze. Okwesibili, bazama ukwenza wonke lo msebenzi owengeziwe phakathi nesikhathi lapho izilinganiso zabo zomphakathi zibenza zibhekane nezinhlekelele zempilo. Ukwengeza i-snow-shoveling enamandla ngalesi sikhathi esithile sosuku kungahle kube yinto embi kakhulu.
Ubani Othandwa Ngenhliziyo Ngenkathi Ukudweba Iqhwa?
Noma ubani onanoma yiliphi i-degree le-CAD usemngciphekweni ophakeme wezehlakalo zomzimba ezinzima ngenkathi iqhwa elithambile. Lesi sengozini sikhuphuka kakhulu kubantu abavame ukuhlala phansi futhi behluleka.
Kufanele sikuqaphele ngokucacile ukuthi abantu abaningi abane-CAD abazi. Abantu abazi ukuthi bane-CAD, ngokuvamile, sebevele bephethe izimpawu zenye uhlobo noma enye (ngokuvamile e- angina ), okuye kwaholela ekuhlolweni kokuxilongwa. Ngokuvamile, laba bantu sebesazi kakade ukuthi iqhwa lokugcoba libabeka engozini, futhi kungenzeka ukuthi bayakugwema ukwenza kanjalo.
Iningi labantu abanesifo senhliziyo ngenkathi iqhwa elimhlophe lingazi ukuthi bane-CAD. Lokho abakwaziyo (noma kufaneleke) ukuthi banezinto ezibeka engcupheni ze-CAD, njenge- sikashukela , umfutho wegazi ophakeme , ukubhema, i- cholesterol ephakeme , noma ukukhuluphala ngokweqile, ukuhlala ngokweqile noma ngaphezulu kweminyaka engu-55 noma engu-60 ubudala. Izazi ze-cardiologists ziye bakholelwa ukuthi iningi labantu abangaphezu kuka-55 noma ngaphezulu, nalabo abanezinkinga ezimbalwa, kukhona okungenani okungenani i-CAD encane.
Uma wazi ukuthi unayo i-CAD, noma unayo eyodwa noma ezimbili yalezi zinto eziyingozi, futhi ikakhulukazi uma ungumuntu, kudingeka uqaphele ngokucophelela ngeqhwa lokuthungula. Okungenani, ukukhwabanisa kweqhwa kuhlanganisa isiqephu sokucindezeleka okuphawulekayo ohlelweni lwakho lwezinhliziyo. Iqhwa elijulile futhi / noma elikhudlwana, futhi likhudlwana indawo okumele ulifake, iphakamisa ingozi yakho.
Ingozi Yabesifazane
Njengoba kuphawuliwe, izifundo ezibuke ubuhlobo beqhwa lokukhwabanisa nokuhlaselwa kwenhliziyo zitholile ingozi ukuba iphakanyiswe emadodeni, kodwa hhayi kwabesifazane. Nakuba kungenzeka ukuthi i-snow shoveling empeleni ingase ibe yingozi kakhulu kwabesifazane, kubonakala sengathi kungenzeka ukuthi lezi zifundo ziye zavela ngale ndlela ngoba nje amadoda angase akwazi ukuphuma ekwenzeni i-shoveling. Kodwa-ke, mhlawumbe ngenxa yokuthi sekuyiyona engavumelekile kwezombusazwe ngisho nokucabangela ngezinto ezinjengemikhuba yeqhwa ehlobene nezocansi, abacwaningi abakaze bazame ukuqoqa lolu hlobo lwedatha. Iqhwa elithambile cishe liyingozi nakwabesifazane, kodwa asikwazi ukusho ngakho nganoma yikuphi ukuzethemba.
Ngakho-ke kuze kutholakale idatha efanelekile, iseluleko esilungele kakhulu besifazane kuyoba ukucabangela ukukhwabanisa kweqhwa ukuba kube yingozi nje njengabantu.
Ukunciphisa Ingozi Yakho Yokuqhwa kweqhwa
Ayikho indlela ezungeze iqiniso lokuthi iqhwa elimhlophe liveza ukucindezeleka okukhulu esimweni senhliziyo. Iseluleko esihle kunazo zonke sokunciphisa ingozi yakho nje ukugwema iqhwa elimnyama uma une CAD, noma eyodwa noma ezimbili izici engozini for CAD-ikakhulukazi uma ungumuntu oneminyaka engu-55 ubudala noma kunjalo. Uma ngabe nguwe, inkambo engcono kakhulu kuyoba ukuqasha isevisi ukuhlanza i-driveway yakho nokuhamba kwakho. Kungaba kubiza, kodwa kuyabiza ngaphezu kwesifo senhliziyo.
Uma uzokwehliswa iqhwa naphezu kwalesi seluleko esihle, kufanele wenze konke okusemandleni akho ukunciphisa ukucindezeleka okukhulu komzimba okuzenzekelayo.
Into engcono kakhulu ongayenza ukuzivocavoca njalo ukuze wakhe ukubekezela kokuzivocavoca. Ukulondoloza ukuqina okuhle kwenhliziyo kuzokuvumela ukuba usule iqhwa ngenkathi ukhiqiza ukucindezeleka kwenhliziyo (nakuba kunjalo). Kodwa uma ubheka izinyawo zeqhwa ku-driveway yakho okwamanje, lesi seluleko angeke sisebenze. Ngakho bakhokhela ingane engumakhelwane wakho $ 25 ukuze wenze lo msebenzi namuhla, bese uqala ukulungiselela ubusika ozayo.
Uma usalokhu ucindezela ngokuzishaya, zama ukulinda kuze kube yilapho usuku lapho izilinganiso zakho zomphakathi zingaphansi kwesigaba esincane esibi futhi izinga lokushisa ngaphandle lingase lilinganise kancane. Vala umlomo wakho ngesikhafu ukuze ushise umoya ophefumulayo. Hamba ngokwakho. Yenza lo msebenzi emibili, emithathu, noma emine ukuphuma ngaphandle kwakho konke ngesikhathi esisodwa, bese ufudumala uphinde uhlume (futhi ubuye ucabangele izinhlelo zakho) phakathi.
Futhi uma i-shoveling ikhiqiza noma yimaphi izimpawu-ikakhulukazi isifuba esifubeni, ikhanda elikhanyayo noma ukuphefumula-vimbela lokho okwenzayo. Ukukhathazeka kwakho akusiyona iqhwa futhi, kungukuthi udinga ukubona udokotela. Masiyeke ukugaya okwamanje futhi ubonile udokotela ngaphambi (futhi hhayi ngemuva) wenze umonakalo unomphela enhliziyweni yakho-noma kubi nakakhulu.
> Imithombo:
> Alter DA. I-Eco-Biological-Behavioral Storm Storm Elandela Ukuqhwala Okukhulu. I-CMAJ 2017; 189: E22522-6.
> Auger N, uMbumbi BJ, uSmargiassi A, et al. Umphakathi Phakathi Kokulinganisa Nesikhathi Sokuqhwala Kweqhwa kanye Nengozi Ye-Myocardial Infarction. I-CMAJ 2017; 189: E235-242. Abstract
> Nichols RB, McIntyre WF, Chan S. et al. I-Snow-shoveling kanye neengozi ye-Acute Coronary Syndrome. Ucwaningo lwezokwelapha ku-Cardiology 2012; 101: 11-15.