Unhu hwako hwekuva nechirwere chemyocardial (kurwisa kwemoyo) kunogona kufungidzirwa nekuisa mungozi yezvinhu zvinokonzerwa nekodonary artery disease (CAD), kana atherosclerosis ye coronary arteries .
Nhau dzakaipa ndeyekuti pane zvimwe zvinhu zvinowanzoisa njodzi dzeCAD, uye dzakawanda dzadzo dzinowanikwa munzvimbo dzekuMadokero. Mashoko akanaka ndeokuti mazhinji ematambudziko aya zvinhu zviri musimba redu kuzvidzora.
Izvi zvinoreva kuti mumwe nomumwe wedu ane zvakawanda zvokutaura pamusoro pokuti tingava sei nekurwadziwa kwemoyo.
Zvimwe zvinokonzera kukanganisa kwemwoyo zvinogona kugoverwa mumapoka maviri evanhu: izvo zvatisina kutarisira, uye izvo zvatinokwanisa kuzvidzora.
Zvisiri Zvisingakwanisi Kutarisana Nengozi
Zvisingatongotaridziki zvinokonzera njodzi zvinhu izvo zvatisingaite zvakawanda. Izvi zvinoreva kuti hatigoni kuvarasisa nehupenyu hwekusarudza kana mishonga.
Kazhinji, izvo zvisiri izvo zvinogona kudzora ngozi zvinokonzerwa nezera, zvepabonde nemagene. Izvi zvinokonzera ngozi ndezvi:
- Nhoroondo yehama dzepedyo dzakave dzave neCAD isati yasvika (kazhinji, CAD yakaitika munhurume hama vasati vava nemakore makumi mashanu, kana muhama dzechikadzi vasati vava nemakore makumi matanhatu.)
- Zera 55 kana kupfuura (varume), kana 65 kana kupfuura (vakadzi)
- Kune vakadzi, kuve-post-menopausal, kana kuti mavari mavari maunobviswa.
- Chirwere chisingaperi chepfungwa.
Kune avo isu vasina zvinhu zvinokonzera ngozi, zvinotonyanya kukosha kuisa pfungwa dzedu pamatambudziko edu, sezvo kuderedza izvo zvicharamba zvichikonzera zvakanyanya pangozi yedu yose.
Zvinokonzerwa Nengozi
Zvinodzora zvinokonzera ngozi ndezvatinogona kuita chimwe chinhu pamusoro. Tinogona kuderedza zvikuru dambudziko rekurwadziwa kwemoyo uye kufa kwepfungwa nekunyatsocherechedza zvinotevera zvinokonzera ngozi:
- Kusvuta . Apo kusvuta ndiko chikonzero chikuru chekurwadziwa kwemoyo kune vanhu vasati vava nemakore makumi mana, ihwo hutano hwakasimba pane imwe nguva.
- High cholesterol uye triglycerides . High LDL cholesterol, cholesterol yakazara, uye triglycerides , uye pasi peHDL cholesterol, inosanganiswa nehuwandu hwekurwa kwemoyo.
- Kuwedzera muviri . Kunyanya kuwandisa , uye kunyanya kuva nedumbu guru, rave richibatanidzwa nehuwandu hwekurwa kwemoyo.
- Kusava nekurovedza muviri . Vanhu vanoita nguva dzose vanopedzisira vava pangozi yekutambudza mwoyo.
- Hypertension . Kuwedzera kweropa kunonyanya kukonzera kukanganisa kwemoyo, uye kunyanya kupora. Kuwedzera kwehuwandu hwemahutano kwakawanda kwazvo muAmerica vanopfuura makore 55, asi kazhinji hazvifananidzi kutarisirwa.
- Chirwere cheshuga . Chirwere cheshuga chiri kuramba chichiwanzoitika muUnited States, sezvo huwandu hunova huwandu hwehuwandu. Chirwere cheshuga, kunyanya, sutu yakakosha yeropa nezvimwe zvinokonzerwa nemagetsi zvinosangana nechirwere ichi, zvinowedzera kukura kwekuwedzerwa kweatrosclerosis.
- Metabolic syndrome . Metabolic syndrome , kana kuti isati yaita chirwere cheshuga, inobatanidzawo zvakanyanya nehuwandu hwemwoyo.
- Kuwedzera kweC-reactive protein (CRP) . CRP ndeye "itsva" mungozi. Kuwedzera kwezvikwata zveRPP zvinoratidza kuvhiringidza kune chimwe nzvimbo mumuviri, uye kunze kwekuti zvimwe zviratidzo zvinokonzerwa nokuputika zvichionekwa kune imwe nzvimbo (zvakadai sechirwere chinonzi active), CRP yakakwirira inofungidzirwa kuratidza kupisa mumidziyo yeropa-iyo inofambidzana ne atherosclerosis.
- Kusava nekodha kunwa doro . Ongororo dzinoverengeka dzinoratidza kuti kunwa doro zvakanyanyisa (rimwe kusvika kune zviviri zvinonwiwa pazuva, kana mune zvimwe zvidzidzo, rimwe chete kusvika kune zviviri zvinonwiwa pavhiki) rinosanganiswa nehuwandu huripo hwekushaya mwoyo. Chikonzero nei vanachiremba vachizeza kunyorera doro nokuda kwekunetseka kwehutano hwemwoyo ndeyokuti, kana vanhu vanwa zvinopfuura zvinodha zviviri zvinodhaka nezuva, avo vose vanogona kufa (kubva pachiropa, chirwere chemwoyo, kenza yepamu, tsvina, nezvimwe zvinokonzera) inomuka zvikuru nokukurumidza. Uye sezvatinoziva tose, kuvanhu vakawanda zvakaoma kumira nemumwe kana maviri.
- Psychological stress . Kushungurudzika kwakave kwakabatana nekurwisa mwoyo kwemakore akawanda. Asi kumwe kushungurudzika muhupenyu hakudziviriki uye kunyange chinhu chakanaka mumatambudziko akawanda.
Zvimwe Zvimwe Ngozi Dambudziko Muvakadzi
Pano pane mamwe mavhiringiti maviri anokonzerwa nevakadzi :
- Kutora mapiritsi ekudzivirira kuberekwa , kunyanya pakati pavanhu vanoputa. Kurapa kwepamuviri mapiritsi ave achibatanidzwa nekukwira kuduku muhutano hwekurwa kwepakutanga kwevakadzi muvakadzi. Asi apo mapiritsi ekuberekwa kwepabonde akabatanidzwa nekusvuta, kune kuwedzera kukuru muhutano. Kutaura zvazviri, zvino zvakajeka kuti vakadzi vanoputa havangofaniri kutora mapiritsi ekuberekwa.
- Kubata pamuviri wakaoma . Vakadzi vanovandudza zvimwe zvinetso panguva yekuzvitakura, kunyanya, vakadzi vanosimudzira kukanda ropa (chirwere chinonzi preeclampsia) kana gestational chirwere cheshuga (chirwere cheshuga panguva yekuzvimba), kana kuti vanotakura vana vashoma-kuberekwa, vanove nehuwandu hwekurwadziwa kwepakutanga kwemoyo. Nemhaka yokuti pamuviri wakaoma unosarudza vakadzi vari kuwedzerwa mungozi, vakadzi ava vanofanira kutarisira zvose zvinotaridzika zvinokonzera njodzi zvinhu zvakanyanya.
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Lloyd-Jones, DM, Larson, MG, Beiser, A, et al. Ngozi Youpenyu Hwekuvandudza Coronary Heart Disease. Lancet 1999; 353: 89.
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