Nhau dzemazuva ano dzakaipa pamusoro pemigumisiro yechirwere chehutano hwehutano hunosanganisira livers. Sezvino ichitsanangurwa muThe New York Times , uwandu hwehutachiona hwehutachiona hwevana huri kuwedzera zvinotyisa, nekuda kwekuwedzera kwekuwedzera kwekuwedzera kuneta.
Mubvunzo kwatiri tose ndezvekuti mamwe mashoko akaipa angazodiwa kuti ape mhinduro yakazara-dambudziko, sezvo bhero yeAlar yave iri kubhadhara kwemakore.
Uye kunyange zvazvo zvipembenene zvingave zviri pangozi, mararamiro ave nguva dzose.
Semuenzaniso, paAmerica Stroke Association ye International Stroke Conference 2011, iyi nhau yemashoko makuru anonyadzisa yakaiswa: Kuwedzera kwakakosha kwehuwandu hwekurohwa kwave kuchionekwa kuvana vane makore 5 kusvika ku14.
Sezvo chiremba anoona zvinhu zvakanyanya zvakashata zvakaitika kune vakawanda vakanaka kwazvo kune mamwe makore, ini zvechokwadi handigoni kufungidzira zvakanyanya kukunda kupfuura kurohwa mumwana. Yakagadzirirwa " njodzi yeperebrovascular ," yakanyanyisa kakawanda neIschemia uye kazhinji kazhinji nekushaya ropa, kushungurudzika kune uropi izvo myocardial infarction (mwoyo yezvakaipa) ndeyemoyo: chikamu chenhengo chinouraya. Mwana ane chirwere uye chikamu cheropi chinofanirwa kunge chichikura, kufara nehuchangobva kuwana ruzivo uye ruzivo runofa. Uye pamwe nayo inofa mamwe mabasa, zvichida kukwanisa kutaura, kana kukwanisa kufamba rumwe rutivi rwemuviri.
Nayo inofa mwana.
Icho ichi chiri chiitiko mune zvemazuva ano epidemiology zvose zvinotambudza uye zvinotambudza. Vatsvakurudzi vakabatanidzwa vakanga vasingazivi kuti sei kushaya maitiro, kupera kwevanhu vakuru kune makore makumi mashanu, vari kuwedzera kuvana nevakuru vechidiki. Chidzidzo ichi mubvunzo, nevanotsvakurudza paCDC, chaingova kuongororwa kwezvinyorwa zvekuchengetedzwa kwepakati pegore ra1994 kusvika muna 2007.
Kuongorora kwakagadzirirwa kuratidzira chii, asi kwete chikonzero.
Asi izvozvo hazvirevi zvimwe zvidzidzo zvakadzidziswa, nevanotsvakurudza pachavo uye isu tose. Kupera kwekurohwa muvanhu vakwegura vakuru kunenge kwakangoita nekuda kwekutapurirwa kwakanyanya kwehuwandu hwehutachiona, chinokonzera chikonzero chekurohwa, uye kusvika zvishoma kuderedza zvimwe zvinokonzerwa nehutano hwehutano hwepfungwa dzakadai sokuputira-kuderedza nemishonga yemasimoni. Kutambura kwakadaro kunowanzotorwa, kunowanikwa nekugadziriswa kune vanhu vakuru vanozivikanwa kuti vari muboka risina ngozi.
Asi, chokwadi, chirwere chechirwere uye chirwere chemoyo chinotarisirwa hachina kutarisirwa muzera rezera revana. Nhoroondo yekare, pakange kusina chikonzero chekutarisa zvakarongeka kune njodzi yezvirwere zvevascular muhuwandu hwevanhu, rega kushandiswa kushandiswa kwema antihypertensives uye mishonga yemasimoni kuti dzidzivise dambudziko.
Hazvisi zvishoma panjodzi iyo yakasvika pane izvi. Vatsvakurudzi 'vanofungidzira zvakanaka, uye yangu, ndeyokuti kubuda kwekurohwa pasi kwezera rinoputika kunopedzeresa zvachose nehosha yakawandisa, chirwere cheshuga uye kuwedzera kwemari yehutachiona muvana vedu. Tichipiwa hama yedu, tsika dzisina tsika dzezvinhu zvinokonzerwa nengozi, kubuda kwekurohwa sekutyisidzira kunze kwevana kwakange kusinganzwisisiki-sekuwedzera kwechirwere chechiropa iye zvino munhau.
Zvirevo hazvifaniri kunge zviri pamusoro pezvinoitika. Kuipa kunofanirwa kunogona kukurudzira mhinduro dzinodzivisa kuitira kuti matambudziko avanofanotaura haamboiti. Zvakafanotaurwa zvinogona kufambiswa mberi.
Ndine, kwemakore, ndagara ndichifanotaura chirwere chemwoyo sechiitiko, chirwere chevana - mune tarisiro yaisazombozadzika.
Izvo zvine musoro kubva kumararamiro angu akasurukirwa panyaya iyi yave yakananga. Boka reyanzvi mune mishonga yemwoyo inonzi Adult Treatment Panel yeThe National Cholesterol Education Program inopa mazano kune vanopa utano mune zvekucherechedza nekuchengetedza kwepfungwa dzenjodzi mukati mevarwere vedu.
Izvozvo zvinotitaurira kuti tinofanira kufudza varwere vedu vane chirwere cheshuga sekunge vakatozivikanwa kuti vane chirwere chemwoyo chekoni nokuti kubatana pakati pezviviri kwakasimba.
Pandakaenda kuchikoro chekurapa, ndakadzidza nezvemarudzi maviri eeshuga yekutenda: vana vechidiki vose uye vose vakuru. Zvatiri kudana chinonzi chirwere cheshuga chechipiri chinowanikwa kakawanda muvana vari pasi pezera remakore gumi nemashanu. Asi pasi pechizvarwa chakadarika, iyi chaiyo chaiyo yakanzi "kutanga kwevanhu vakuru," nokuti yakaitika zvinenge zvakanyanya muhuwandu hwehuwandu hwemakore, pakati pemakore vanhu vakuru.
Kana munhu asingagoni kurwara nechirwere chemadhimoni anogona kuenda kune imwe nguva yenguva refu kuti ave mamiriro ehucheche, chii chatinofanira kufunga kuti vamwe havazoteveri? Zvichiitwa nevakuru vezvechirwere chinonzi chirwere cheshuga kuvanhu vakuru - kuti chinogona kufungidzirwa kuti chiratidze chirwere chemoyo - ndezvechokwadi kune vana, zvakare, kusvikira zvaratidzwa zvimwe. Tine chikonzero chiduku chekufunga nezvechirwere cheshuga chinokanganisa zvakasiyana nemitumbi midiki kupfuura kune yakakura.
Saka, apo vane makore 16, 17-, uye vane makore gumi nemasere vane chirwere cheshuga chekare chirwere chekare chirwere chekare chirwere chekare chirwere chekare chirwere cheshuga chekare chirwere cheshuga chekare chinotora makore gumi kana kupfuura, hatifaniri kutarisira kutanga kuonekwa mumakamuri ekurumidzira ne angina pectoris uye myocardial infarction ? Ndagara ndichifunga kuti tinofanira.
Uye zvinosuruvarisa kuti, ndakave nezviratidzo zvishoma pamusoro penguva kuti zvandaifunga zvange zvaitika.
Makore akati apfuura apfuura, ndakagadzira guva rangu rinowanzofanotaura nezvekuuya kwechirwere chirwere mumakore ekuyaruka muAtlanta, Georgia, paAmerican College of Cardiology musangano ikoko. Mumwe wechiremba muvateereri vangu akandiudza kuti akanga anzwa kuti vamwe vechidiki vanokwana 7 000 vakanga vane hurombo hwemwoyo muUnited States gore rakapfuura. Handikwanise kusimbisa iyo nhamba, asi kune mamwe mabhuku ezvechiremba anotaura nezvechiitiko ichi.
Ndakapa hurukuro muMissouri makore mashomanana kumashure, mushure mekunge mumwe mudyiri wezvokudya mukati mevateereri akandiudza pamusoro pomukomana ane makore 17 uyo ane hanya naye aive achibatanidzwa, uyo akanga aine coronary bypass katatu. Nekukwanisa kweruzivo rwake, mukomana uyu akanga asina chimiro chinoshamisa chechibereko chechirwere chepfungwa. Kungoita kurema, rudzi rwechipiri chirwere cheshuga pazera remakore, uye zvakajeka, zvinokonzerwa nemigumisiro.
Pandakatanga kukakavadzana pamusoro pemakore gumi shure kana kupfuura, vateereri vangu vakanga vasinganzwisisiki uye vasina chokwadi chekufunga kwangu. Munguva pfupi yapfuura, vakaona sevasina kunyanya kunetseka, vachigutsikana uye vane hanya zvikuru. Iye zvino vava kutanga kupa uchapupu hunondiratidza kuti ndakarurama. Izvi hazvifadzi chaizvo. Uye pachena, pandainge ndiri kunyevera pamusoro pekuuya kwemainina semusikana wechidiki wekufamba nemafuta, kunyange ini ndakanga ndisingambofungi kurohwa kwevana vari pasi pezera remakore gumi kana kutyisidzirwa kwechirrhosis kuvana, vasingambotauri nedoro.
Tinogona kuchinja mafambiro akadaro, uye kudzivirira vana vedu nevana vazukuru kubva pamwoyo kushungurudzwa uye kurwiswa kwekusagadzikana kwemoyo; tinokwanisa kuchengetedza hupenyu hwehupenyu uye huputi - nekuva sangano rinokudza tsoka nemafoloko semudzidzisi wezvigadzirwa zvezvokurapa, pane kuvimba zvakanyanya pamusoro pezvakagadziriswa, stalpels nemasimoni mushure mekuparadzwa. Nokuita zvose zvinotarisirwa kuti uite kudya zvakanaka uye uri kushingaira uri mumugwagwa wekusanyanya kumirisana.
Nyaya yezvinobatsira kuti tivepo ikoko ndeyekureba, asi kwete yakaoma. Mimwe mitemo kana tsika inenge isina chikamu chegadziriro chikamu chechinetso - uye chinogona kutyisidzira mwana. Vote maererano.
Iko nguva yakapfuura kupindura alamu nekukurumidza iyo inotenderwa. Izvo zvikwereti uye zvakambove zviri kubhadhara kwatiri isu mose.