Uma unesifo sikashukela usengozini enkulu yokushaywa isifo nezinye izifo zenhliziyo. Njengezinkinga eziningi zempilo ezihambisana nesifo sikashukela, amazinga aphezulu-kune-evamile yegazi glucose (ushukela wegazi) aphakamisa izingozi.
Izinga eliphezulu le-Sugar Blood liphakamisa ingozi yokuphazamiseka
Amazinga egazi we-glucose aphakanyisiwe ngokuqhubekayo anikezela ekwakheni kwe-plaque emifuleni yegazi.
I-plaque - into eyenziwe nge-pastle eyenziwe nge-cholesterol, i-calcium, imfucuza yamaselula kanye namaprotheni - amathisela ezindongeni zegazi futhi angaphazamisa ukugeleza kwegazi. Lokhu ukugeleza kwegazi okungaziphathi kahle kungaholela ekushayweni.
Izinga lakho lokushukela ngegazi ezinyangeni ezimbalwa ezedlule luboniswa yi- hemoglobin A1c test . I-American Diabetes Association ithi abantu abanamazinga a-A1c angaphezu kwe-7% cishe cishe kathathu banomdlavuza njengoba abantu abanezinga le-A1c elingaphansi kwe-5%.
Kulabo abanesifo sikashukela, into ebalulekile okufanele iyenze uma kuqhathaniswa nokunciphisa ingozi yokushaywa yisifo sokushaya isifo ukugcina ushukela wegazi ngaphakathi kwebala lokukhomba. Ukulawula amazinga wegazi glucose kuzokusiza ukunciphisa umakhi we-plaque .
Iyini isifo sohlangothi?
I- stroke ihilela imithwalo yegazi nobuchopho. Ngokusho kwe-American Stroke Association, "Ukushaywa komzimba kwenzeka lapho isitsha segazi esithwala i-oksijeni nezakhi emcimbini kungavinjelwa i-clot [ischemic stroke] noma i-bursts [ isifo esibuhlungu ].
Uma lokho kwenzeka, ingxenye yengqondo ayikwazi ukuthola igazi (ne-oksijeni) idinga, ngakho iqala ukufa. "
Izibhamu zenzeke ngokuzumayo futhi zidinga ukwelashwa ngokushesha. Ukwelashwa kungakapheli imizuzu engama-60 yezimpawu zokuqala kuvame ukuholela ekuboniseni okuhle. Uma kunqunywe oksijini isikhathi esingaphezu kwemizuzu embalwa, amangqamuzana obuchopho aqala ukufa.
Uma i-stroke ihlala isikhathi eside, umonakalo omkhulu ebuchosheni.
Izimpawu zesisu
Ngokungazelelwe ukuqala kwesinye sezibonakaliso ezilandelayo zokuxwayisa ngesifo sokushaya isisu kuvumela ukushayela ngokushesha kwabasebenzi bezokwelapha eziphuthumayo:
- Ubumbulu noma ubuthakathaka emlenzeni owodwa, ingalo noma uhlangothini lobuso
- Kunzima ukuhamba noma ukugcina ibhalansi, noma isizungu esikhulu
- Ukudideka noma kunzima ukukhuluma noma ukuqonda abanye
- Umbono kabili
Ukuhlaselwa kwe-Ischemic esheshayo (TIAs) kuyindlela yokushaywa ngesisu . Izimpawu zifana nokushaya kwesifo esigcwele, kodwa azihlali isikhathi eside - ngokuvamile nje imizuzu embalwa kuya kwehora. Ama-TIA ayimpawu zokuxwayisa ukuthi isifo esikhulu esingasilandela singasilandela.
Izingozi Ze-Stroke
Umlando womndeni wesifo senhliziyo ukwandisa ingozi yokushaywa yisifo socansi, njengoba kuneminyaka engaphezu kwengu-55. Ezinye izici ezingozini zokuhlukunyezwa zihlanganisa:
- Umfutho wegazi ophezulu. Ukuphakama kwengcindezi yegazi kubangela inhliziyo ukuba isebenze kanzima futhi ingenye yezinto eziyinhloko zokubeka isifo. Ukucindezelwa kwegazi okuphansi kuka 130/80 kungcono kakhulu.
- Isisindo esengeziwe phakathi nendawo. Abantu abanesisindo esiningi ngokweqile phakathi kwe-middlesection ("i-apple-shaped") basengozini enkulu yokushaywa yisifo. Ngokusho kweNational Institutes of Health, izilinganiso zesinqe zamadoda kufanele zibe ngaphansi kwamasentimitha angu-40 futhi abesifazane kufanele babe ngaphansi kwamasentimitha angu-35.
- I-cholesterol ephakeme. I- cholesterol okuthiwa "kubi" (LDL) inikela ekwakheni i-plaque. Umgomo ungaphansi kuka-100 mg / dL (ama-milligram ngamunye nge-deciliter). I- cholesterol ethi "Kuhle" (i-HDL) isisiza ukususa i-plaque, ukuze lelo zinga ligcinwe ngaphezu kuka-40 mg / dL. I-triglycerides ephakeme iphinde iholele ekupheni okuningi. Lawo mazinga kufanele abe ngaphansi kuka-150 mg / dL.
- Ukubhema . Phakathi kwemiphumela yaso emibi kakhulu empilweni, lo mkhuba unciphisa imithwalo yegazi futhi ishesha inqubo yokwakha i-plaque, ukunikeza ama-clots ithuba lokubumba.
Izindlela Zokunciphisa Ingozi Yokushaya Isisu
Izinyathelo ezilandelayo zizosiza ukunciphisa ingozi yokushaya:
- Ukulawula okuhle kwe-glucose
- Ukulawula ukucindezeleka kwegazi ngokuzivocavoca noma imithi
- Ukudla ukudla okunenhliziyo enempilo, okunomsoco ophansi othela izithelo, imifino kanye nohlamvu oluphelele
- Ukusebenzisa nsuku zonke ukusiza i-cholesterol ephansi nokulawula amazinga egazi le-glucose
- Ukuzama ukufeza isisindo somzimba esihle
- Ukucela ochwepheshe bezempilo ngokuqala uhlelo lwe-aspirin
- Ukuyeka ukubhema
Imithombo:
"Kuyini Stroke?" I-American Stroke Association. I-American Heart Association. Ifinyelele ngo-2/19/2016
"Thayipha izinkombandlela zokuziphatha zohlobo lwe-Diabetes 2." Julayi 1, 2008. Isiqondiso seNational Guideline Clearinghouse. 2/19/2016.
"Isifo Sikashukela, Isifo Sengqondo, neStroke." Agasti, 2013. I-National Diabetes Information Clearinghouse. 7 Septhemba 2007 National Institute of Diabetes and Digestive and Kidney Disorders
"I-NINDS Ikhasi Lolwazi Lwase-Ischemic Eliphansi." I-National Institute of Neurological Disorders and Stroke. NgoFebruwari 1, 2016. Isikhungo seNational of Neurological Disorders and Stroke.