Chirwere chepfungwa chinouraya vanhu vakawanda muUnited States gore roga roga kupfuura mhando dzose dzekenza dzakabatana. Zvizhinji zvezvi rufu zvinowanikwa kubva mukurwara kwemoyo kune vanhu vane coronary artery disease (CAD). Sezvo vanhu vakawanda vachiwedzera nzira yehupenyu-hutano uye vanotora mishonga inoderedza ngozi yechirwere chemoyo, kufa kweKAD kuri kudonha. Asi nhema 10 pamusoro peswere chemoyo uye marapirwo ayo anotaurwa pamusoro apa achiri kudzivirira vazhinji kuti vasatora matanho avanoda kuti vadzivise chirwere chemwoyo.
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Maawa maviri kusvika matatu ekudzidzira muviri zvakasimba vhiki inodiwa kuti ubatsire mwoyo wako.Zvidzidzo zvishanu kana zvitanhatu zvekuenzanisa kuita basa guru pavhiki zvichaderedza ngozi yako yekufa kubva kuCAD nekenza. Asi iwe haufaniri kunge uri nyanzvi yekudzidzira kana kunyange vhiki yevhiki inobatsira. Iwe unofanirwa kubva pane sofa nekufamba. Mwoyo wako unobatsira pane basa ripi neripi raunoita-uye kana uchidaro, iwe unowedzera kubatsirwa. Tora masitepisi pane nzvimbo yekufambisa, famba-famba pedyo nechitoro chekutengesa, kupedza imba yako, kana kutora mashizha. Chinangwa kwemaminitsi makumi matatu emabasa pazuva-yakakamurwa muzvikamu gumi nemaminitsi gumi nemashanu zvakanaka-uye mwoyo wako uchakuvongai.
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Zvimwe "zvinonaka zvekudya" zvinogona kudzivirira chirwere chemwoyo.Hapana zvokudya zvichadzivirira chirwere chemwoyo. Zvokudya zvakadai se-blueberries, mapomegranates, walnuts, uye hove zvinobatsira utano hwemwoyo, asi hazvigoni kukudzivirira kubva pakuva nechirwere chemwoyo. Zvimwe zvikafu zvinogona, zvisinei. Zvokudya zveMediterranean, zvinosanganisira zviyo zvose, maruva, hove, miriwo, michero, nemafuta anonzi monounsaturated akafanana nemafuta emuorivhi, ave akaratidzwa kuderedza dambudziko rehutano hwemwoyo.
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Mafuta akaipa kune iwe.Mafuta mana emafuta anowanikwa muzvokudya uye kwete ose akaipa. Trans mafuta inonyanya kuipa. Aya mafuta akaumbwa (funga "chikamu hydrogenated") anoshandiswa mune zvakawanda zvakagadzirwa uye zvokudya zvinogadzirwa zvinomutsa LDL cholesterol mazinga. Mafuta anogutisa, anobva kumitikiti yemhuka yakadai semafuta matsvuku uye bhotela, uyewo anounza LDL mazinga. Kune rumwe rutivi, mafuta anogadziriswa nemafuta anonzi polyunsaturated anganyatsoderedza mitemo yako yeLDL kana yakashandiswa panzvimbo yefuta yakazara.
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Majini ako anoona njodzi yehosha yemoyo.Kunyange zvazvo mazamu anoita basa kune vamwe vanhu, 90 muzana yeCAD inowanikwa kuburikidza nekusarudzwa kwehupenyu hunokuvadza, zvakadai sekudya zvokudya zvisina kunaka, kusvuta, nekuwana zvishoma-kusina basa. Zvisarudzo izvi zvinogona kukonzera huwandu hwehushani hweklesterol nemamwe mafuta anokuvadza muropa rako, kusimudza ropa rako, uye kukuita iwe kukura chirwere chemagetsi kana chirwere cheshuga chechirwere-izvo zvose zvinokonzera ngozi yehutano hwemoyo. Kana iwe wakaberekwa zvakanyanya kune cholesterol, kukanda ropa, kana chirwere cheshuga, zvakakosha kuti iwe uite mararamiro ane hupenyu-hutano uye utore mishonga yekudzivirira idzi zvinowanzoisa njodzi kuitira kuti usadzivirire kana kunonoka kurwisa mwoyo.
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Kana uine kuwedzera kweropa, iwe uchazviziva nezviratidzo zvako.High blood pressure (hypertension) inonzi "muurayi anyerere" nokuti haigoni kuratidza zviratidzo kusvikira ichikonzera chirwere chemwoyo kana kurohwa. Ropa rako rega rinogona kuzarurirwa chete neropa rinoputika. Iyo pfungwa yakanaka kuva neropa rekuverenga kuverengwa kutora makore makumi maviri nemaviri-apfuura, kana kuwedzerwa kweropa kunomhanya mumhuri yako. Izvi zvinopa nheyo yepamusoro yezviyero zvakatorwa muupenyu hwose.
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Yenyu yakakwana yehushutori yepamusoro ndiyo yakakosha yepamutauro weiyo cholesterol.Kose cholesterol inosanganisira zvose zvakanaka cholesterol (HDL) uye yakaipa cholesterol (LDL). Taifunga kufunga kuti mafuta akawanda echolesterol aizoderedza kukanganisa kwehuipi yakashata yakawanda, asi zvidzidzo zvenguva pfupi zvakaratidza izvi handizvo. Kunyange zvazvo huwandu hweHCDL huri chinhu chakanaka, nhare yakakwirira yeLDL inoreva kuti muviri wako unogona kuisa cholesterol mumishonga yako-iyo inogona kukonzera kukurwisa mwoyo, kurohwa, uye zvimwe zvinetso. Izvi zvinoita kuti LDL ive yepamusoro-soro yakakosha yeiyo cholesterol.
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Vakadzi havafaniri kunetseka nezvechirwere chemwoyo.Varume vanowanzokudziridza CAD uye vanorwara mwoyo pamusana pevakadzi. Asi, mushure mokunge apera, chirwere chekurwadziwa kwemoyo chakafanana kune vakadzi sevarume. Mukati, vakadzi vakawanda vanorwara nechirwere chepfungwa gore roga roga kubva pane kenza yebonde. Nhau dzakanaka ndeyokuti mukana mukadzi achapukunyuka kurwisa kwemoyo wake wakawedzera ne 56 kubva muzana, nekuda kwekuziva nekugadzwa kweCAD. Chimwe chikonzero vakadzi havawanzoongororwa kuti vane CAD ndechokuti vakadzi vakawanda vanoshandisa ob / gyn sechiremba wavo wokutanga uye havazombogoni kuongorora mwoyo. Vakadzi vanofanira kuva nekodzero yepamusoro-to-chee checkup neongororo yepamusoro yemoyo munguva yekukura. Izvi zvinobvumira ngozi dzezviitiko kuti zvizivikanwe uye dzinokurukurwa kare, zvisati dzava nemoyo.
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Iwe unogona kubata nepamusoro-soro yeLDL cholesterol level nekudya chete.Kana uwandu hweLDL yako hwakanyanya kwazvo, iwe uchada statin kana imwe cholesterol-kuderedza mishonga kuti uuye nayo pasi. Nokuti chiropa chako chinokwana 75 muzana yehushutori muviri wako uye kudya kunongova nemhosva ye 25 muzana. Iro-kudya-utano hwakanaka kunogona kuderedza LDL yako zvishoma, asi kuwedzerwa kwehutachiona-kuderedza mishonga kuchave kwakakosha kana iwe wakanyanya kwazvo LDL uye nhoroondo yeCAD .
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Kuvhiyiwa kwepamusoro nekugadzirisa kugadzirisa CAD.Apo CAD inokonzera kubvisa mukati memajoka emwoyo, mamwe mishonga inogona kushandiswa kudarika ropa mukati mematambudziko. Kuvhiyiwa kwepamusoro-kuzivikanwa nevarapi vezvechirwere semapurisa ekugadzirisa nekupindira (CABG) -nogona kubatsira kudzivirira kutanga kana kwechipiri kurwisa mwoyo nekuita kuti unzwe uri nani. Asi, haikwanisi kurapa CAD-uye haikwanisi kupisa maitiro emvura. Utano hwehutano hwakaita kuti blockages igare.
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Kunyorera kunodzivirira kupfuura kupfurikidza nekuvhiyiwa.Hapana mubvunzo kuti CABG inobata chirwere chikuru. Asi kana zvarongwa kurambidza kurwisa kwemwoyo, uye kunoitwa nechiremba anyanzvi, chirwere chekushandisa chinodarika chikamu chimwe chete. Kunyorera hausi kushaya simba kune CABG, kubvumira varwere kuti vadzoke nekukurumidza, uye zvakachengeteka. Vamwe vanhu vangangodaro vanoita zviri nani pane imwe nzira kupfuura imwe. Muzviitiko izvi, nyanzvi yezvechirwere kana chirwere chepfungwa chinotsanangura chikonzero nei.
Dr. Gillinov ndiye chiremba wechiremba paCleveland Clinic's Heart uye Vascular Institute, nhamba yeNyika 1 ye cardiology uye chirongwa chekuvhiya mwoyo sezvinotsanangurwa ne US News & World Report. Anogadza Dhipatimendi reTercracic and Cardiovascular Surgery.