Vakawanda vakadzi vazhinji uye vanachiremba vakawanda havazivi kuti chirwere chemwoyo ndicho chiuraya mumwe chete wevakadzi, uye chinonyanya kukosha chekuremara. Uyezve, chirwere chemwoyo chinoonekwa kuvadzimai kazhinji hachisi chakafanana nehosha yevarume mumurume. Zvinogona kuva zvakaoma kufungidzira, uye zvakaoma kurapa.
Izvozvi zvinotungamirira kune maitiro maviri akafanana (uye dzimwe nguva anoshata) zvitendero zvakakanganisika zvinoitwa nevakadzi vakawanda nevanachiremba vavo: Kuti vakadzi havagoni kunyanya kurwara nemwoyo, uye pavanenge vachiita, zvinoratidzika zvakafanana nehosha yemwoyo inowanikwa nevanhu.
Ichokwadi ndechekuti kwete chete chirwere chemwoyo chinowanzosangana nevakadzi, asiwo kana vakadzi vane chirwere chemoyo zvinowanzoita zvakasiyana zvakasiyana nezvinoitwa nevanhu. Kukundikana kunzwisisa zvinhu izvi zviviri zvinokosha zvinotungamirira kuhupenyu hwakawanda hunodzivirirwa nekuremara kune vakadzi vane chirwere chemoyo.
Muurayi Mukuru wevakadzi
Mukutsvakurudza kwakaitwa neAmerican Heart Association, vakadzi vatanhatu mu10 vakati chekutyisidzira kwehutano hwavo kwaiva kenza yepamu; asi mumwe chete pa10 akati iyi yaiva chirwere chemoyo.
Asi muna 1999, apo kenza yakanga ichiuraya 264 000 vakadzi veAmerica (41 000 vavo vakafira nekenza yemazamu,) chirwere chemwoyo chinourawa kaviri kana kupfuura (513,000) uye iyo nyaya imwechete gore negore. Ichokwadi, gore negore kubva muna 1984, vakadzi vazhinji kupfuura varume vakafa nehosha yemwoyo.
Vanachiremba vazhinji havazviiti kana. Pasi pehafu yevanachiremba mune imwe tsvakurudzo yaifunga kuti chirwere chemwoyo chinonyanya kutyisa varwere vavokadzi.
Zvakaipisisa, pasi pehafu yevakadzi vose vanowana rubatsiro rwechiremba nguva dzose vanoti vanachiremba vavo vakambotaura navo pamusoro pekudzikisa dambudziko rehutano hwemwoyo.
Zviratidzo Zvakasiyana Zvakasiyana
Zvichida zvakanyanya kuvhiringidza zvose, zviratidzo zvechirwere chemoyo uye kunyange chirwere chemwoyo pachako chinogona kunge chakasiyana chaizvo nevakadzi kupfuura varume.
Sezvo mabhuku akawanda ezvokurapa anorondedzera "chinowanzo" chirwere chemwoyo (kureva kuti, varume vane mutsa vanowana), vanachiremba vanowanzokundikana kuziva chirwere chemwoyo apo vanochiona muvarwere vavokadzi. Ichokwadi kuti chirwere chemwoyo chinowanzoonekwa nevakadzi, uye panguva imwechete isingatariswi uye kusanzwisiswa nevakadzi nevechiremba avo vanoita nenzira huru kune yepamusoro yehuwandu hwekufa.
Kana iwe uri mukadzi, iwe unoda kuziva nheyo dzehutano hwemwoyo uye kunyanya chirwere chemwoyo sezvo ichibata mumadzimai. Izvi zvinotevera maitiro anokosha echirwere chemoyo mumadzimai, kuti mukadzi wese anofanira kuziva nezvazvo.
- Dambudziko reMwoyo Mungozi Mumadzimai : I "classic" zvinokonzerwa nehutano hwepfungwa zvinowanzoenderana nevarume nevakadzi. Asi kana iwe uri mukadzi, kune zvimwe zvakawanda zvezvinhu zvaunofanira kuongorora kuitira kudzivirira chirwere chemwoyo.
- Dambudziko reMwoyo Muzviratidzo Madzimai : Vakadzi vane chirwere chepfungwa vanowanzoona zviratidzo zvakasiyana nevarume - uye vanachiremba vavo vanogona kusvibiswa nekusiyana uku. Somukadzi, iwe unofanirwa kuziva nezvenzira iyo zviratidzo zvepfungwa dzemwoyo unogona kunge wakasiyana nezviratidzo zvinorondedzerwa mubhuku rechiremba wako.
- Coronary Artery Disease Madzimai : Coronary artery disease (CAD) ndiyo yakasiyana-siyana yehutano hwemwoyo muvarume nevakadzi. Asi CAD inogona kuzvibata mune dzimwe nzira dzinoshamisa kuvakadzi, izvo zvinogona kutungamirira vanachiremba pasi nenzira isina kururama.
- Mwoyo Usakundikana Madzimai : Mwoyo kukanganisa chinhu chinowanzoita mwoyo wepamweya iro rinewo zvimwe zvakasiyana muvakadzi. Kana iwe uri mukadzi ane mwoyo usina kukundikana, hezvino ndizvo zvaunoda kuziva.
- Dzimwe Mamiriro Evanhu Ane Mwoyo Anonyanya Kuita Vakadzi : Mukuwedzera kune CAD uye mwoyo kusakundikana, pane zvimwe zvakasiyana-siyana zvinetso zvepfungwa zvinowanikwa kuvakadzi vanogona kuvhiringidza kana kutsausa vanachiremba. Izvi zvinosanganisira dysautonomias , palpitations , sinasid sinus tachycardia , postural orthostatic tachycardia syndrome (POTS) , uye mitral valve prolapse .
> Sources:
Mosca, L, Manson, JE, Sutherland, SE, et al. Chirwere chemwoyo muvakadzi: chirevo chevashandi vezvehutano kubva kuAmerican Heart Association. Gwaro Rokunyora. Circulation 1997; 96: 2468.
Stangl V, Witzel V, Baumann G, Stangl K. Mazuva ano kuongororwa mazano kuti aone chirwere chetachiona muvakadzi. Eur Moyo J 2008; 29: 707.
Mieres JH, Gulati M, Bairey Merz N, et al. Basa rekuedza kusingaoneki mumakiriniki kuongororwa kwevakadzi vanofungidzirwa kuti ischemic heart disease: chirevo chekubvumirana kubva kuAmerican Heart Association. Circulation 2014; 130: 350.