Nzira dzakasiyana-siyana dzakagadzirirwa kuongorora njodzi yemunhu yekudzivirira chirwere chemwoyo. Muna 2007, chigadziri chematambudziko - Reynolds Score - yakagamuchirwa nevakadzi. (Zvimwe zvakasiyana zveReynolds Score zvakagadziriswa zvekare kune varume, zvakare.)
Kukosha Kwekufungidzira Ngozi Yako
Kunyatsofungidzira ngozi yemwoyo kunokosha , nokuti zvinokubvumira iwe (uye chiremba wako) kuti asarudze kushatirwa kwaunofanira kunge uri kutora matanho ekuderedza dambudziko rako.
Kune vanhu vane ngozi yepfungwa yakakwirira, chirongwa chinokuvadza chekuderedza njodzi chinogona kuderedza zvakakonzerwa nekufa kana kuremara kubva muropa remoyo kana kuti kurohwa. Vanhu avo vari pakati penjodzi vanofanirwawo kutora nhanho matanho avanogona kutevera kuti vaderedze ngozi yavo.
Nzira iyo Reynolds Risk Score Inotaridzirwa
Chikamu cheReynolds Risk chakanga chagadzirirwa zvakananga kuvakadzi, nokuti zvakanzwika kuti kuvakadzi kunonyanya kukosha kufunga nezvehupenyu hwemhuri yehutano hwepfungwa isati yasvika (iyo inoreva chimiro chekuberekwa kwepfungwa kune chirwere chemwoyo), uyewo maCD CRP (a marker of inflammation).
Nhamba yacho yakagadzirwa nekutevera boka revanhu 25 000 vakadzi vekuAmerica vane utano hwemakore makumi mashanu nemashanu kana kupfuura (avo, kunyanya, vakanga vasina chirwere cheshuga) kwemakore gumi. Nyanzvi dzakagadzirisa chikwata chaReynolds chakanga chiri nehanya kuti mienzaniso yakaenzana yekutengesa - kunyanya, chikwata cheFramingham-chingasave chakakarurama kune vakadzi sezvavari mumarume.
Semuenzaniso, zviyero zvinokonzerwa nenjodzi zvinogona kukundikana kuisa kusvika ku20% yevakadzi avo vanozove nekurwadziwa kwemoyo sevari pangozi. Nokupa huwandu hwezvikwata zveRPP uye nhoroondo yemhuri, yakave yakarongedzwa, chikamu cheReynolds chinogona kuva chakakodzero yevakadzi.
Nhamba yeReynolds inotarirwa zvichienderana nemamiriro ezvinhu anotevera:
- Age
- Iye zvino fodya (hongu kana kwete)
- Systolic blood pressure
- Total cholesterol
- HDL cholesterol
- CRP level
- Amai kana baba vane chirwere chemwoyo vasati vava nemakore makumi matanhatu (hongu kana kwete)
Zvinonzwisisika, chirwere cheshuga chakanga chisingabatanidzwi muchikwereti ichi. Mhedziso dzepfungwa dzinoshandiswa pakusimudza Reynolds Chikamu chevakadzi vakanga vane chirwere chepfungwa, rufu, rusina kuuraya mwoyo, chirwere chisina kuuraya, kana chidimbu chekuvhiyiwa kwepamusoro kana chirwere.
Kubudirira
Nhamba yeReynolds Risk Score yakanyatsoronga kuisa njodzi chaiyo yevamwe vakadzi vakawanda pane zvaiitwa kare kare. Kutaura zvazviri, 40 - 50% yevakadzi avo vaiwanzoonekwa sevari pakati pengozi vaisarudzwa zvakare neReynolds Score sevhisi yakaderera kana yakawisira pangozi - saka inogona kubvumira nzira yakawanda inotarisana nehuwandu hwehutungamiri hwekutengesa.
Sezvakataurwa, purogiramu yeReynolds pakutanga yakanyatsokurudzirwa vakadzi. Chidzidzo chakafanana chave chave chichiitwa mumurume, uye imwe Reynolds Risk Score iye zvino yakagadzirirwa varume.
Shandisa
Murairidzi weReynolds Risk Score anogona kuwanikwa pano (nekuda kwevarume nevakadzi). Inobvunza mibvunzo yakawanda iri nyore uye inodzoka purogiramu yemakore gumi. (Ndiko kuti, inokuudza kuti iwe unenge uine chiitiko chepfungwa mumakore gumi anotevera.) Inokubvumirawo kuti uone zviri nyore kuti njodzi yako ingagadziriswa kana ingashandura chimwe kana zvimwe zvezvikonzero izvi.
Nemuenzaniso, kana iwe uri kusvuta iwe unongoda kuisa "kwete" mubvunzo wekusvuta uye kuverenga inokuratidza kuti mari yako yemakore gumi ingaderedzwa sei kana iwe uchizorega.
Cherechedza kuti Reynolds Risk Score haisi yevanhu vane chirwere cheshuga. Kana uine chirwere cheshuga, mwoyo wako wehutachiona hunenge watozivikanwa kuva wakakwirira, uye chikamu cheReynolds hachiwedzere mamwe mazano anobatsira.
Kuti ushandise purogiramu yekuti Reynolds inotarisana nehuwandu, iwe unoda kuziva ropa rako rekuverenga kuverengera, uye mimwe miviri inokosha yekuedza kwekutsvaga ropa: yega cholesterol, HDL, uye CRP.
Izwi Kubva kuVerywell
Chikamu cheReynolds Risk chevakadzi (uyewo chevarume) chigadzirisa chinotyisa chinonyanya kusimbisa kumazinga eCPP uye nhoroondo yemhuri kupfuura mamwe, akawanda anowanzoshandiswa kuverenga njodzi.
Nyanzvi dzinotenda CRP kuti dzive chikonzero chinokosha chepfungwa dzomumwoyo dzinowanzoisa kukosha kwazvo paReynolds Risk Score.
> Sources:
> Ridker P, Buring J, Rifai N, et al. Kuvandudza nekugadziriswa kwehutano hwakanaka huripo hwekuongororwa kwehupenyu hwehutano hwemwoyo muvakadzi. JAMA 2007; 297: 611-619.
> Ridker PM, Paynter NP, Rifai N, et al. C-reactive protein uye nhoroondo yemubereki inovandudza hutano hwehupenyu hwehutano hwehupenyu: Reynolds Risk Score yevarume. Circulation 2008; 118: 2243.