Tsvaga kana uri pangozi
Kana iwe unwa zvinopfuura zvinotungamirirwa zvinotapira zvinodhaka, hausi kungozviisa pangozi yekuvandudza dambudziko rekushandisa doro, asi iwe unowedzerawo kuwanda kwehutano hwemhando dzakasiyana dzematambudziko emwoyo.
Kune huwandu hwakawanda hwekutsvakurudza kwesayenzi hunoratidza kuwedzerwa kwehutano hwematambudziko emwoyo kune vanhu vanonwa doro zvinowanzoitika kana zvikuru.
Kubva pakutsvakurudza ikoko, National Institute inodhaka Kunwa Doro nekudhakwa (NIAAA) yakagadzira mirayiridzo ye "kuchengetedza" kunwa uye "kukanganisa" kunwa.
Heano mahedheni chaiwo ekunwa doro izvo NIAAA inoona "ngozi shoma:"
- Kune varume , 4 kana zvishomanana zvinwiwa pazuva, uye pasi pe14 zvinwiwa pavhiki
- Kune vakadzi , 3 kana zvishomanana zvinwiwa pazuva, uye zvinopfuura 7 zvinwiwa pavhiki
Somuenzaniso, kana iwe uri mukomana uye unwa 12-pack yewaini mukati mevhiki uye wobva wanwa 6-pack panguva yekupera kwevhiki, iwe uri kupfuura zvinotungamirirwa nemitambo 4. Kana iwe uri mukadzi uye unwa 2 magirasi ewaini zuva rega rega, uri kunwa kaviri mutengo unorumbidzwa sekuchengeteka.
Kana iwe ukapfuura nhungamiro yepamusoro yemazuva ose, unofungidzirwa uri munhu anonwa doro. Kana iwe ukapfuura mazano evhiki nevhiki iwe unenge uine doro rinodhaka. Vose vari kunwa doro uye kunwa doro vane nguva yavo pfupi uye kwenguva refu njodzi dzehutano.
Dambudziko reKasidi Cardiac Event
Kunyange kana iwe ukanwa mukati me "pasi pangozi" mazano, hazvirevi kuti hapana ngozi kune vose. Kunwa chero doro rekudhakwa zvachose kunogona kuwedzera mukana wekuve nemuviri wepfungwa mutsva mumaawa 24 anotevera.
Ongororo dzakawanda dzave dzichitungamirirwa pamusoro pemwoyo yematambudziko zvinokonzerwa nehuwandu uye zvinodhaka doro kushandiswa zvose munguva pfupi uye kwenguva refu.
Kuongororwa kwemasangano makumi maviri nemaviri makumi mashanu nemakumi matatu nemashanu (45,457) maitirwo akaitwa naMosotofsky uye vashandi pamwe chete kuti vaone maitiro ehupenyu hwehutano hwakanaka uye hunodhaka pamatambudziko aya.
Vatsvakurudzi vakaongorora hukama pakati pekudhakwa kwewaini uye:
Mune chidzidzo chakabudiswa mupepanhau Circulation , vatsvakurudzi vakagumisa kuti chero doro rinodhaka rinowedzera mungozi yemuviri wepfungwa mukati maawa makumi maviri okutanga, asi kungodhaka kunwa doro kunoramba kuchienderera mberi kusvika kune imwe vhiki.
Ichokwadi, chidzidzo chacho chakaratidza kuti kudya kwakanyanyisa kunwa kunogona kuva nekudzivirira kwevhiki. Vanonwiwa zvinonwiwa (2-4 zvinwiwa) vaiva 30 muzana zvishoma vashoma vangave vane myocardial infarction kana chirwere chinopisa mukati mevhiki, uye 19 muzana vashoma kuti vave nechirwere cheschemic, kana vachienzaniswa nevasinganwi.
Vaya vanonwa zvinodhaka, kune rumwe rutivi, vaiwanzoita kaviri kaviri kuti vave nemuviri wemuviri nemaawa makumi maviri nemaviri (6-9 zvinwiwa) uye kusvika kanomwe pane imwe nguva mukati mevhiki (19-30 zvinwiwa).
Doro uye Dambudziko rekufa
Imwe tsvakurudzo yeongororo makumi mapfumbamwe nemapfumbamwe yakatsvakurudza kuitika kwechinwa chekudhakwa pane zvinotevera mitsara yemwoyo:
- Kufa kwevanhu vose kubva muhutano hwemwoyo
- Kuitika uye kufa kune chirwere chemwoyo, uye
- Nharaunda uye kufa kwechirwere
Kuongororwa, kwakatungamirirwa naPeople Ronksley neshamwari, vakawana kuti kuedza kuenzanisa kunwa doro kunosanganiswa nehuwandu huripo hwehuwandu hwehutano hwehutano, asi chidziviriro chezvibereko izvi chinosanganiswa nehuwandu hwekumwa kunyange hwakaderera pane zvinyorwa zveNIAAA.
Chirwere ichi-kupindura kwakaratidza kuti chirwere chakanyanya kuderera chepachirwere chepfungwa chepfungwa chikaitika ne 1-2 zvinwiwa nezuva uye nekuda kwekufa kwechirwere, zvakaitika pamwe chete 1 doro pazuva, zvichienzaniswa nevasingatendi.
Nokudaro, kuongororwa kwaRonksley kunogona kushandurwa kuratidza kuti chero kunwa kunwa kwepamusoro pezvinwiwa zviviri pazuva kunowedzera mukana wekufa nechirwere chemoyo wekodzero uye chero uwandu hwekudhakwa kwepamusoro pekunwa kamwechete pazuva kunogona kuwedzera njodzi yekufa nekurohwa, kana uchienzaniswa nevasinganwi.
Ngozi Yakakwirira Yevakadzi Vakamwa
Vamwe vatsvakurudzo vakaita sarudzo dzekutsvakurudza makumi maviri nemaviri makumi maviri nezvishanu (689) 686 vatori vechikamu kuti vaone kana kuwirirana pakati pezvinodhaka zvekudhakwa uye zvakakosha zvepfungwa dzemwoyo, pamwe nehuwandu hwevanhu vakafa, hwakanga hukuru kune vakadzi vachifananidzwa nevarume.
Kuongororwa, kwakatungamirirwa naYL Zheng nevamwe vavo, vachienzanisa kuenzanisa kusvika kunwiwa kunwisa kusvika kunzvimbo yakaderera yekudhakwa kana kudhakwa kwevakadzi nevarume.
Vatsvakurudzi vakagumisa kuti kuenzanisa kune vakadzi vanorema vanodhakwa zvakanyanya kune ngozi yakawanda yekutadza kufanana nevarume.
Zvinoshamisa, kuongorora kwakaratidza kuti kwakanga kusina kusiyana pakati pengozi yemigumisiro miviri yemaviri kana kuti kufa kwevanhukadzi nevarume vanonwa doro kana vanonwisa.
Kuwedzera kwengozi yakakura yakaitika pakati pevakadzi vanonwa doro nevarume vanonwa doro, vatsvakurudzi vakawana.
Vatsvakurudzi vakurudzira kuti vasikana vechidiki, kunyanya avo vanogona kunwa doro, vanofunga kutarisira doro ravo rekudhakwa.
Kunyanya Kunwa uye Mwoyo Kukundikana
Chimwe chiongorori chekutsvakurudza kwemasere masere akabatanidza 202 378 vatori vechikamu vakaongorora dambudziko rekushaya mwoyo kwezvikamu zvinotevera zvekudhakwa:
- 3 kunwa kwevhiki
- 7 kunwa kwevhiki
- 10 kunwa kwevhiki
- 14 kunwa kwevhiki
- 21 kunwa kwevhiki
Kune mazinga ose ezvinwiwa zvinodhaka pasi pezvinwiwa gumi nemasere pavhiki, vatsvakurudzo vakashuma "ukama husina hukama" pakati pezvinodhaka zvinoshandiswa uye dambudziko rekushaya mwoyo .
Zvisinei, nokuda kwezvinwiwa 14 pavhiki, dambudziko risina kukanganisa kwemwoyo pakati pevatori vechikamu rakatanga kutambira kusvika 10 muzana rakakwirira kudarika vanonwika uye nekuda kwezvinwiwa makumi maviri nevhiki pavhiki zvakatanga kusvika kusvika 48 kubva muzana.
Chidzidzo chacho chakagumisa kuti kunwa doro zvakanyanyisa kunobatanidza nengozi yakaderera yekushaya simba kwemoyo, asi izvozvo zvinoreva kudarika 2 zvinwiwa pazuva.
Doro Rinoshandiswa uye Inyanzvi yeAriar
Doro kushandiswa kwenguva refu yakabatanidzwa nehuwandu hwehutachiona hwehutachiona, asi zvishomanana zvidzidzo zvakaitwa pamusana pekuedza kusvika pakuenzanisa kunwa mumamiriro ezvinhu.
Chidzidzo chevarume nevakadzi makumi mapfumbamwe negumi nemana makumi mapfumbamwe negumi nemana pamusoro pemakore gumi nemaviri uye kuongororwa kwemasvondo manomwe ekutsvakurudza anobatana nevamwe 12,55 vatori vechikamu vakaongorora kuitika kwezvinodhaka zvinoshandiswa kubva kune rimwe doro pavhiki kusvika kune makumi maviri nemasere pavhiki pamusana pezviitiko zvehutachiona hwemagetsi.
SC Larrson neshamwari vakawana ukama huripo pakati pezvinodhaka nehutano hwehutachiona hwehutano. Sezvo nhamba yezvinwiwa pavhiki inowedzera, mungozi yakakwana yekugadzirisa fyria inouraya yakawedzera.
Kuenzaniswa nevasinganwi, chidzidzo chacho chakawana zvikamu zvinotevera zvehuwandu hwehutachiona hwehutachiona hwehutachiona pamazinga aya echinwa doro:
- imwe kunwa pazuva, 8 muzana
- zvinwiwa zviviri pazuva, 17 muzana
- katatu kunwa pazuva, 26 muzana
- zvine zvinwiwa pazuva, 36 muzana
- zvishanu zvinonwiwa pazuva, 47 muzana
Vatsvakurudzi vakagumisa kuti kunwa doro, kunyange pamwero wakaderera, inokonzerwa nehutachiona hwehutachiona.
Kunyanya Kunwa uye Zvimwe Ngozi Zviitiko
Izvo zvinokonzera njodzi dzinokonzerwa nekunwa pamatunhu akakwirira iyo mitemo inorayirwa inokonzera zvinetso zvepfungwa chete. Kune humwe humwe humwe hutano hunogona kukanganiswa newaini.
Sources:
Larrson SC, et al. "Kushandisa Doro uye Ngozi Yekunyanyisa Kwepanyika: Inofanirwa Kudzidza uye Dose-Kupindura Meta-Kuongorora." Zvinyorwa zveAmerican College of Cardiology July 2014
Larrson SC, et al. "Kudhakwa Kweedoro uye Ngozi Yomwoyo Kukundikana: Dose-Kupindura Meta-Kuongorora Kwezvinangwa Zvidzidzo." European Journal of Heart Inopera April 2015
Mosotofsky E, et al. "Doro uye Ngozi Yenguva Dzakaitika Mwoyo: Kuongorora Kwakarongeka uye Dose-Kupindura Meta-Kuongorora." Kurwisana March 2016
Ronksley PE, et al. "Kushamwaridzana Kunwa Doro Dzakasarudzwa Nezvirwere Zvirwere Zvepfungwa Migumisiro: Ongororo Yakarongeka uye Meta-Kuongorora." British Medical Journal February 2011
Zheng YL, et al. "Doro Inobatsira uye Inowanzobatana Nengozi dzeMigumisiro Yemavhu Mwoyo Mukuvakadzi Kuenzaniswa Nevarume: Ongororo Yakarongeka uye Meta-Kuongorora kweProspective Observational Studies." BMC Utano Hwenyika Yose August 2015