Dambudziko rinogona kuratidzika sechiitiko chisingatarisirwi. Uye, muchikamu chikuru, hazvizivikanwi. Hapana munhu anogona kunyatsoziva kana chirwere chichiitika. Asi kune dzimwe nzira dzekuziva kana iwe uri kunyanya kana kuti zvishoma kuti uwane stroke. Mimwe miedzo yakareruka yezvokurapa, uye kunyange miedzo shomanana yaunokwanisa kuzviita inogona kukubatsira kuona kana uri pangozi yakakura yekurohwa.
Kuwana pfungwa yekuti iwe unenge uine chirwere chekurohwa kunokosha sei, nokuti dzakawanda zvinokonzera ngozi zvinogona kuchinja kana kushandiswa zvishoma. Miedzo inotevera inogona kukubatsira kuti uone kuti ndeupi rudzi rwemabasa aunofanira kutora kuti uderedze njodzi yako yekurova chirwere.
Moyo Auscultation
Apo chiremba wako anoteerera mwoyo wako achishandisa stethoscope, manzwiro ayo mwoyo wako unoita anogona kubatsira chiremba wako kuziva kana iwe une dambudziko rinosanganisira rimwe remwoyo wako valves kana kuti iwe une chikamu chisingaenzaniswi uye rwiyo rwekushaya moyo wako. Zvinetso zvemagetsi emwoyo uye zvinetso zvemwoyo zvinonzi zvinozivikanwa zvinotungamirira pakurova-kubudisa ropa. Nenzira yakanaka, moyo unovhara chirwere uye mwoyo unofadza zvisiri izvo zvinoporesa kana zvaonekwa.
Mune mamwe mamiriro ezvinhu, kana uine mafungiro emwoyo asinganzwisisiki, ungada kuongororwa zvakare nedzimwe chirwere chemwoyo chinoshandiswa, seyakadai se electrocardiogram (EKG) kana echocardiogram.
EKG
An EKG inoongorora mwoyo wako rhythm nekushandisa zviduku zvidhina zvesimbi zvinowanikwa panzvimbo yeganda rebhokisi. Dambudziko risina njodzi, EKG haina kusanganisira nheyo kana injikisi uye hazvidi kuti iwe utore chero mishonga. Paunenge uine EKG, maitiro emakombiyuta anobudiswa nemafungu anobudiswa, anowirirana nemoyo wako.
Iyi nzira yekuzunguza, iyo inogona kudhindwa pamapepa, inoudza vanachiremba vako kukosha kwemashoko nezvekuti mwoyo wako uri kushanda sei. Kusawanda kwemoyo wemwoyo kana kusinganzwisisiki rhythm kunogona kukuisa pangozi yekurohwa.
Chimwe chepfungwa inonyanya kuchena mwoyo, kusagadzikana kweputika, kunowedzera kuumbwa kwemagazi eropa kunogona kuenda kuuropi, zvichikonzera chirwere. Atrial fibrillation haisi isiri uye inenge inoporesa mwoyo rhythm isingadikanwi. Dzimwe nguva, vanhu vanoonekwa kuti vane inrial fibrillation inofanirwa kutora vatapfupa ropa kuti vaderedze mikana yekuve nesitiroko.
Echocardiogram
Echocardiogram haisi yakajairika seyeimwe mimwe miedzo pane urongwa urwu. Imwe nyanzvi haifaniri kuonekwa sekuongorora kuongorora, uye inoshandiswa kuongororodza huwandu hwezvinetso zvemwoyo zvinokwanise kuongororwa zvizere nemoyo unofadza uye EKG. Echocardiogram rudzi rwemwoyo ultrasound inoshandiswa kuchengeta mafambiro emoyo. Icho chimiro chinofadza chemoyo wako muchiito, uye hachidi mishonga kana injikisi. Echocardiogram inotora nguva refu kupedza kupfuura EKG. Kana iwe uine echocardiogram, chiremba wako angakurudzira kutaurirana nemunhu anonzi cardiologist, uyo chiremba anoongorora uye anotarisira chirwere chemoyo.
Ropa Ropa
Vanopfuura 3/4 yevanhu vane chirwere chepachirwere vane hypertension, iyo yakagara ichitsanangurwa sehuwandu hwemvura yakakwirira kupfuura 140mmHg / 90 mmHg. Ichangobva kuongororwa mazano ekurapa chirwere chepupuriro inokurudzira systolic ropa rinosvika kana pasi pezvinangwa zve 120 mmHg. Izvi zvinoreva kuti kana iwe wakagara wataurirwa kuti une 'borderline' yehutachiona, ropa rako rinogona kuwira iye zvino muhutachiona hwehutano. Uye, kana iwe uri kutora mishonga yekudzora ropa rako, iwe unogona kuchinja kugadziriswa kwemaziro ako emishonga kuti usvike kutsanangurwa kutsva kwehuwandu hwemhepo.
Hypertension inoreva kuti ropa rako rinoramba richikwira. Nokufamba kwenguva, izvi zvinotungamirira kune zvirwere zvemidziyo yeropa mumoyo, mitsetse yecarotid nemidziyo yeropa muuropi , izvo zvose zvinokonzera chirwere. Hypertension inogona kurapa mamiriro ekurapa. Vamwe vanhu vanowanzosangana nehutano hwehutano, uye kune zvimwe zviitiko zvehupenyu zvinobatsira uye zvinowedzera kuwedzera kwehutano. Kutungamirirwa kwehuwandu hwemhepo kunobatanidza kudya kwekudya, kusagadziriswa kwemunyu, kutarisirwa kwehuremu, kudzvinyirira kunetseka uye mishonga yemishonga yemishonga.
Carotid Auscultation
Iwe une mapaundi ane simba, anonzi carotid arteri, mumutsipa wako. Mishonga inonzi carotid inopa ropa kuuropi yako. Zvirwere zvemasero aya zvinotungamirira pakuumbwa kwemazimbe eropa anokwanisa kuenda kuuropi. Aya mavhavha eropa anotema kurohwa nekuvhiringidza kuteerera kweropa kusvika kumagetsi europi. Kazhinji, chiremba wako anogona kutaurira kana imwe kana maviri emaketari ako emvura ane chirwere nekuteerera ropa riri mumitsipa yako ne stethoscope.
Kakawanda, kana uine ruzha rusingaoneki runofadza chirwere checarotid, uchada zvimwe zviedzo, zvakadai se carotid ultrasound kana carotid angiogram, kuti uwedzere kuongorora hutano hweakarotid arteri yako. Dzimwe nguva, kana chirwere checarotid chirwere chakazara, unogona kushandiswa kugadzira chirwere kuti udzivise chirwere.
Mafuta uye Cholesterol Nhamba
Iropa rako rekutsvaga mafuta uye mazinga ari nyore kuyerwa neruzhinji rwekuyera ropa. Kwemakore akawanda, nharo huru yakabuda pamusoro pe "mafuta akanaka" uye 'mafuta akaipa' mukudya kwako. Izvozvo ndezvokuti kutsvakurudza kwezvokurapa kwave kuchive kuzarura ruzivo rwakakosha pamusoro pekudya kwemafuta kunobatsira cholesterol uye triglycerides mazinga muropa. Vamwe vanhu vanowanzofungidzirwa kumafuta akakwirira uye echolesterol maitiro nekuda kweiyo genetics. Kunyange zvakadaro, huwandu hwehutatu hwe triglycerides uye LDL cholesterol inongova pangozi, zvisinei pasinei nokuti chinokonzera chirwere kana chikafu. Izvi zvinokonzerwa nokuti mafuta akawandisa uye cholesterol inogona kutungamirira kune zvirwere zvevascular uye zvinogona kuita kuti kuumbwa kweropa, izvo zvinokonzera kushungurudzika uye kuora mwoyo.
Nhasi mirayiridzo yehutano hwehutano hwemopa uye yehuklesterol mazinga ndeokuti:
* Pasi 150 mg / dL ye triglycerides
* Pasi pe 100 mg / dL yeLDL
* Pamusoro 50 mg / dl yeH HDL
* Pasi pe 200 mg / dL yekerotiyoti rose
Tsvaga zvakawanda pamusoro pemafuta ako akanaka uye cholesterol uye udzidze zvakawanda pamusoro pemitemo yezvino ye mafuta uye cholesterol mukudya kwako . Kana iwe wakasimudza mafuta uye chelesterol, unofanirwa kuziva kuti izvi zvinogadziriswa mhinduro uye kuti unogona kuderedza mazinga ako kuburikidza nekubatana kwekudya, kurovedza muviri, nemishonga.
Blood Sugar
Vanhu vane chirwere cheshuga vane maviri kana katatu kakawanda vanowanzobata chirwere muhupenyu hwavo hwose. Uyezve, vanhu vane chirwere cheshuga vangangodaro vane chirwere chechirwere vaduku pane vasina-diabetics. Kune mimwe miedzo yakawanda iyo inowanzoshandiswa pakuyera shuga yeropa. Iyi miedzo inoshandiswa kuziva kana iwe une chirwere cheshuga chisingawaniki kana chirwere cheshuga chekare.
Kuedza kwekutsvaga kweglucose yeropa kunotanidza nhamba yako yehuga yehuga shure kwemaawa 8-12 ekutsanya kubva pakudya nekumwa. Chimwe chekuongorora ropa, hemoglobin A1c test, inotarisa zvinokonzerwa nehutachiona hwemuviri wako pane imwe nguva kwemavhiki matanhatu kusvika 12 usati watora kuongorora ropa. Girasi yekutsanya uye hemoglobin A1c migumisiro yechiratidzo inogona kushandiswa kugadzirisa kana iwe une borderline yechirwere cheshuga, chirwere cheshuga chekare, kana chirwere cheshuga chisina kutora. Chirwere cheshuga chirwere chinorapa chinogona kutarisirwa nekudya, mishonga kana zvose.
Independent Self-Care
Izvi hazvirevi 'muedzo' sezvo zvichigadzirisa kana iwe usingakwanisi kutora chikamu mukuzvichengeta iwe nguva dzose. Izvi zvinosanganisira mano ako ekuita mabasa akadai sekupfekedzwa, kuputira meno ako, kushambidza, kutarisira uhu hwako pachako uye kuzvipa. Kurasika kwekuzvimiririra kupedzisa mabasa aya kwakaratidzwa kuva chirwere chekurohwa. Nokudaro, iwe unofanirwa kutaura nechiremba wako kana iwe ukacherechedza kuti iwe kana mudiwa wako unononoka kukwanisa kukwanisa kuzvitarisira. Iwe unogona kutsvakurudza kuti uwane zvakawanda pamusoro pekuti kuzviriritira kunogona kushandiswa sei kuongorora dambudziko rako rekurohwa .
Kufamba Kufamba
Imwe tsvakurudzo yesayenzi yekutsvakurudza kubva kuElbert Einstein College of Medicine iyo yakatarisa kumhanya kwekufamba kwevakadzi vane 13 000 yakaona kuti avo vaive nekukurumidza kufamba nekukurumidza vaive ne 67% mukana mukuru wekurohwa kune avo vaifamba nekukurumidza kufamba nekukurumidza. Kufamba kunobva kune zvimwe zvinhu zvakadai semasimba simba, kubatana, kuenzanisa uye mwoyo uye mapapu. Nokudaro, kunyange zvazvo zvingasava zvakakosha kuti 'kukurumidze' kufamba kwako kungofanana nekukurumidzira, kufamba zvishoma nezvishoma mureza mutsvuku unogona kuratidzira dambudziko rekurohwa.
Nzira dzakananga dzokufamba dzakashandiswa naAlbert Einstein College of Medicine dzakatsanangura kufamba nokukurumidza kufamba semamita 1.24 mamita nehafu, kuenzanisa kufamba nekukurumidza se 1.06-1.24 mamita kwechipiri uye kunonoka kufamba nekukurumidza kunonoka kupinda 1.06 mamita kwechipiri.
Kumira paChimwe Chete
Vatsvakurudzi muJapan vakabudisa zviitiko zvekuongorora kwesayenzi kwakagumisa kuti kukwanisa kumira pamutsipa mumwe kwenguva yakareba kudarika masekondi makumi maviri ndeimwe chiratidzo chinogona kugadzirisa mikana yemunhu yekushaya chirwere. Chidzidzo chacho chakawana kuti vanhu vakuru vakanga vasingakwanisi kumira pamakumbo mamwe kwenguva yakareba kudarika masekondi makumi maviri vaifarira kuva nenhoroondo yekurohwa zvakanyarara. Kuchengetedza kwakanyanyisa kune zvirwere izvo zvisingawanzokonzera zviratidzo zvakajeka zvehutano, asi zvinogona kuva nemigumisiro yakajeka kana isingazivikanwi yakadai sokusava nemafungiro ekuenzanisa, kurangarira, uye kuzvitarisira. Kakawanda, zvinokanganisa zvinyararire zvechirwere chisina kujeka zvinonyatsoonekwa, uye nokudaro munhu anenge ave nekurova zvinyararire kazhinji haazvizivi. Asi, kana iwe wakanyarara, izvi zvinoreva kuti iwe uri pangozi yekurohwa uye kuti unofanira kutora matanho ekutaura nachiremba wako nezvenzira dzekudzikisa mikana yako yekurova chirwere. Mukuwedzera, kune nzira dzakawanda dzekuita mararamiro dzinogona kuderedza mikana yako yekurova chirwere.
Sources:
Kusiyana kwepabonde mukufungidzira kwechirwere cheschemic: maonero aripo, Alyana A Samai naSheryl Martin-Schild, Vascular Health uye Risk Management, July 2015
Kufamba nekukurumidza uye njodzi yezviitiko zvinokonzerwa nechirwere chepachimbuzi pakati pevakadzi ve postmenopausal, McGinn AP, Kaplan RC, Verghese J, Rosenbaum DM, Psaty BM, Baird AE, Lynch JK, Wolf PA, Kooperberg C, Larson JC, Wassertheil-Smoller S, Stroke, 2008