Chero ani anoshanda mune dhipatimendi rekukurumidzira mune imwe nyika yekuchamhembe anoziva kuti mumazuva apo inonaya zvikuru, havazooni chero nguva ipi zvayo-vachabva vachinge vasina kumira munguva dzavo dzose. Zvakanaka kuti vanozoona vanhu vashomanana vakakuvadzwa mukuputika kwemotokari dzinokonzerwa nechando, kana mune sledding kana njodzi dzechikepe.
Asi zviri pachena kuti vachabviswa nevanhu vakagadzirisa matambudziko ehutano anokonzerwa nekukanganiswa kwechando.
Uye kutarisana nematambudziko ehutano ane chokuita nefoshoro vachave neveviri mapoka maviri evechiremba vezvehutano pakutsvaira nokukurumidza. Yokutanga, hongu, ndiye chiremba wemasana, uyo achawana iye pachake akatemerwa kwemazuva mashomanana achirapa kukuvara kwakadzoka, kukuvara kwechikafu, mazhenje akaputika, zviputi zvinoputika , uye biceps dzakaputika .
Nyanzvi yechipiri pakubhururuka nekukurumidzira ndiyo nyanzvi yehupenyu. Zvechokwadi, dhipatimendi chero ripi zvaro rezvemapurisa rinokosha kukosha kwayo rinenge ratove rakashanda zvakazara uye rakapisa shandari ye catheterization . Nokuti sezvo zvichizoitika, shwando yefoshu inguva yakanyatsonaka yekugadzirisa chirwere chemwoyo kune vanhu vane chero mararamiro emakoroni (CAD) .
Shoveling-Related Heart Attacks
Kuchirwa kwemoyo kunowanikwa apo fosheni yechando inowanzoshungurudza.
Mune chidzidzo chakabudiswa muna 2012, vaongorori vakatarisa varwere vashanu vaibatwa neAacon coronary syndrome (ACS) pamusoro pemakore maviri akatevera.
Vakaona kuti 7 muzana yematambudziko aya epamwoyo akanga akanangana zvakananga nechando-shoveling. Uyezve, vakawana kuti kuva murume uye kuva nemhuri yehutano hwepfungwa yeperi yakanga isati yasvika imwe neimwe yakabatana zvikuru neAACS inokonzerwa nefoshi yechando.
Mune chidzidzo chinobva kuCanada yakabudiswa muna 2017, vatsvakurudzi vakaenzanisa zvinyorwa zvekugamuchira zvipatara uye zviiti zvekufa zvevagari vomuQuebec vane nzvimbo yakawanda yechando yemamiriro ekunze, kwemakore 1981 kusvika muna 2013.
Munguva iyi, vanopfuura 128 000 kushaya mwoyo uye 68,000 vakafa nekuda kwekurwadziwa kwemoyo kwakaitika. Zvinoshamisa, zvakazara chikamu chetatu chemwoyo chekushungurudza kwakaitika zuva rakatevera kupera kwechando. Uyezve, vakawana "chirwere-mhinduro" -kureva kuti, iyo inowedzera chando (yakadzika yechando, kana yakanyatsotarisana nemasikati yakavhenekera) yakakwirira yezviitiko zvekurwadziwa kwemoyo. Muchidzidzo chino, kutonhora kwekunze kwekunze kwakanga kusingabatanidzwi kuwedzera kwekurwadziwa kwemwoyo, asi kuwanda kwechando kwakanyatsobatanidzwa.
Sezvo nepamusoro pezvimwe zvose zvidzidzo kutarisa chando-shoveling nekurwisa kwemoyo, chidzidzo che2017 cheCanada chakawanawo sangano chete nevarume, uye kwete nevakadzi.
Chikonzero Nei Kuvhara Chando Kunokonzera Mwoyo Inoshungurudza
Kupisa kwechando kunokonzera kusagadzikana kunoshamisa pamwoyo yematambudziko. Izvi zvinokonzera kushungurudzika kwemoyo kune munhu ane CAD. Apo fosheni yechando, zviitiko zvakasiyana zvinoshanda pamwechete kuti zvibudise zvakanyanya kukura kwepfungwa dzemwoyo.
Nechinhu chimwe, kushambadzira pachako kunosanganisira kushanda nesimba. Hondo yekuita basa inonyanya kuisa kudzvinyirira zvakanyanya pamwoyo yematambudziko kudarika gumbo. Ichokwadi, kuongororwa nevarume vechidiki vane hutano vanoratidza kuti pavanodonha chando, vanosvika pamwoyo mazinga uye mazinga eropa anonyanya kukwirira kudarika apo vanoita basa rekutsika.
Uye kana chando chiri chakadzika kana chakaremera, basa refoshoro rinowedzera zvakakura.
Apo vanhu vanosimudza foshoro inorema yechando, vazhinji vanowanzobatanidza kufema kwavo, vachigadzira muitiro weValsalva . Izvi Valsalva zvinowedzera kuwedzera kukanda kweropa zvakanyanya kunyange panguva dzekushanda kwepamusoro.
Kutonhora kwechando, netsanangudzo, kunotonhora kutengesa maitiro. Uye mumamiriro ekutonhora, vasoconstriction (kuderera kwemidziyo yeropa) inowanikwa mumidziyo midzi yeropa, iyo inowedzera kuwedzera kweropa uye inoita kuti mwoyo unetseke. Uyezve, kufema mumhepo inotonhorera kunogona kuvharidza mhepo uye kuita kuti zvive zvakaoma kutora oksijeni yakawanda iyo mwoyo inoda panguva dzekunyanyisa kunetseka.
Kutonhora kwakasvibira pachako kunogona kukonzera kupisa kwemamwe mishonga-kunyange maronary artery spasm-mune vamwe vanhu.
Kuita kuti zvinhu zviwedzere kuipa, vanhu vakawanda vanopisa chishuvo mangwanani, kana vaine hanya nokubuda kunze kweimba uye vachifamba nebhizimisi ravo rezuva nezuva. Izvi zvinoreva zvinhu zviviri. Chokutanga, chando-chando-shanje chinowanzove chichikurumidzira, saka mukukurumidza kwavo kuti vabude kubva mumugwagwa vanozviedza kupfuura zvavanokwanisa kuita. Chechipiri, vari kuedza kuita basa iri rose rakawedzerwa panguva iyo apo maitiro avo emitambo inoita kuti vawedzere kugadzikana nematambudziko emwoyo. Kuwedzera kuoma kwechando-shoveling panguva ino chaiyo yezuva kunogona kuva chinhu chakaipa kwazvo.
Ndiani Anowanikwa Mumwoyo Anotambudza Paanenge Achidhura Snow?
Chero ani zvake ane chirongwa chipi nechipi cheCAD ari pangozi yakakura yepamuviri wepachimumumu yakaoma apo shoveling yechando. Iyi njodzi inowedzera zvakanyanya kune vanhu vanowanzogara varipo uye vanorondedzerwa.
Tinofanira kucherechedza pachena kuti vanhu vazhinji vane CAD havazvizivi. Vanhu vanoziva kuti vane CAD, kazhinji, vakatova nezviratidzo zvemarudzi mamwe kana imwe (kazhinji angina ), izvo zvakaita kuti kuongororwa kuongororwa. Nenzira yakawanda, vanhu ava vanoziva kare kuti fosheni yechando inovaisa pangozi, uye zvinonzwisisika kuti havaiti kudaro.
Ruzhinji rwevanhu vane mwoyo unorwisa apo fosheni yechando haazive kuti vane CAD. Zvavanoziva (kana zvakakodzera) ndezvokuti vane zvipingamupinyi zveCAD, zvakadai sechirwere cheshuga , hypertension , kusvuta, cholesterol yakakwirira , kana kuti kuwandisa, kuvepo, kana makore anopfuura 55 kana 60. Nyanzvi dzeCardiologists dzasvika pakufunga kuti ruzhinji rwevanhu vanopfuura 55 kana zvakadaro, avo vanewo zvimwe zvezviitiko izvi zvimwe ngozi, zvechokwadi vane zvishoma CAD duku.
Kana iwe uchiziva kuti une CAD, kana iwe une imwe kana mbiri yezviitiko izvi zvinotyisa, uye kunyanya kana iwe uri murume, unofanirwa kunyatsochenjerera pamusoro pefoshu yechando. Pachinhu chiduku, chando chekutsvaga chinoumba chikamu chekunetseka kwakanyanya kwehutano hwemwoyo yenyu. Iyo yakadzika uye / kana yakanyanya kurema chando, uye yakawanda nzvimbo yaunofanira kuifukidza, inowedzera ngozi yako.
Dambudziko revakadzi
Sezvakataurwa, zvidzidzo izvo zvakatarisa ukama hwechando yefoshu uye kushungurudzwa kwemwoyo zvakawana mukana wokukwiridzirwa kune varume, asi kwete mumadzimai. Kunyangwe zvichinyatsooneka kuti chando chefosheni chinogona kunge chisina ngozi kune vakadzi, zvinoratidzika sezviri pachena kuti zvidzidzo zvakabuda nenzira iyi nekuda kwekuti varume vakanyanya kubuda kuti vaite shoveling. Zvisinei, zvichida nokuti yakave yakashata mune zvezvematongerwo enyika kunyange kufungidzira pamusoro pezvinhu zvakadai semasikirwo echando-shoveling ane chokuita nepabonde, vatsvakurudzi vasati vamboedza kuunganidza rudzi urwu rwe deta. Denga rechando rinogona kunge rakaipisisa kune vakadzi, asi hatigoni kutaura kudaro nechivimbo chero chipi zvacho.
Saka kusvikira data yakakodzera yakaunganidzwa, mazano ekuchengetedza mazano kune vakadzi angave ekufunga nezvechando foshoro kuti iite seyengozi yakakura sezvazviri mumarume.
Kuderedza Dambudziko Rako Rokuputika Kwechando
Hapana imwe nzira yakapoteredza chokwadi chokuti fosheni yechando inounza kushungurudzika kwakanyanya pamwoyo yematambudziko. Izvo zvakanakisisa mazano ekuderedza dambudziko rako ndeyekudzivisa kuvhara kwechando kana uine CAD, kana imwe kana maviri mungozi yeCAD-kunyanya kana uri murume anopfuura makore makumi matanhatu kana kupfuura. Kana uyu ndiwe, nzira yakanakisisa ingadai iri yekubhadhara basa rekuchenesa gwara rako uye kufamba kwako. Inogona kunge inodhura, asi inodhura kudarika chirwere chemwoyo.
Kana iwe uchienda kunopisa chando pasinei nemazano akaisvonaka, iwe unofanira kuita zvose zvaunogona kuti udzikise hutachiona hwemwoyo unenge uri kuzvigadzirira iwe pachako.
Chinhu chakanaka chaungaita ndechekuita nguva dzose kuitira kuti uite basa rako kushivirira. Kuchengetedza utano hwakanaka hwemwoyo kuchakubvumira kuti ufukidze chando paunenge uchitakura zvishoma (kunyange zvichiri kuwanda) kushushikana kwepfungwa. Asi kana uri kutarisa netsoka yechando pamugwagwa wako ikozvino, zano iri haringashandisi. Saka chengetedza muvakidzani mwana $ 25 kuti aite basa nhasi, ezvo ugove wakagadzirirwa kwechando chinotevera.
Kana iwe uchiri kumanikidzira pakuzvitsvaira iwe, edza kumirira kusvika gare gare pazuva apo circadian rhythms yako iri muchitsauko chisina kunaka uye kutonhora kunze kunogona kuenzanisa zvishoma. Isaza muromo wako necheka kuti udziye mhepo yaunofema. Zvichengete iwe pachako. Ita basa mune zviviri, zvitatu, kana zvina zvakasiyana pane zvose panguva imwe chete, uye usvaire uye uite hydrate (uye funga zvakare nezvezvirongwa zvako) pakati.
Uye kana tsvina yakaita zviratidzo zvachose-kunyanya chipfuva, kusuruvara, kana kupererwa kwemhepo-ingosiya izvo zvauri kuita. Kunetseka kwako hakusi kwechando zvakare, ndizvo zvaunoda kuona chiremba. Ngatisimire kuputika ikozvino uye iwe waona chiremba zvisati zvaitika (uye kwete shure) waita kukuvara kwekusingaperi pamwoyo wako-kana kuipa.
> Sources:
> Alter DA. I-Eco-Biological-Maitiro Anopera Dutu Rakazara Rinotevera Chando Chine Mvura. CMAJ 2017; 189: E22522-6.
> Auger N, Potter BJ, Smargiassi A, et al. Kushamwaridzana Pakati Pezvakawanda uye Nguva Yenharaunda uye Njodzi yeMyocardial Infarction. CMAJ 2017; 189: E235-242. Abstract
> Nichols RB, McIntyre WF, Chan S. et al. Snow-shoveling uye Dambudziko reAcute Coronary Syndrome. Clinical Research in Cardiology 2012; 101: 11-15.