Kana iwe uri mucheche wekenza yehutano iwe unotarisana nehuwandu hwekuwedzera zvirwere zvinotarisana nezera, kana uchienzaniswa nevanhu vasina kumbove nekenza yekenza. Tsvakurudzo yekutsvakurudza iyi inobudiswa mubhuku rinonzi Cancer Epidemiology, Biomarkers & Prevention.
Ngozi yezvirwere zvakasangana nemakore yakareba zvakanyanya kana iwe uri muduku kudarika 40 pawakaonekwa kuti une kenza yekameti.
Kunyange zvazvo mhando dzakawanda dzekenza yehutano dzinofungidzirwa kuti dzinoponesa uye dzine maitiro akanaka, vamwe vaduku vari kuonekwa kuti vane kenza yekenza. Zvakakosha kunzwisisa njodzi dzeramangwana, kuitira kuti vanopona nekenza yepachirwere vanokwanisa kudzivisa zvinetso zvehutano munguva inotevera muupenyu.
NezveChidzidzo
Muchidzidzo chacho, vanopfuura 3700 vakapona nekenza yepachirwere vakaongororwa. Vose vakanga vaongororwa munguva yakatarisana pakati pe 1997 na2012. Boka rinodzora rakanga rakaenzana neboka risina chepenza rine makore akafanana, zvepabonde, uye nzvimbo dzinoberekerwa. Pakati pevakasara vanokonzerwa nekenza ye 3700 vakadzidza, vanenge 37 muzana vakawana kurapwa vasati vava nemakore makumi mana.
Tsvakurudzo yakawana kuti boka revakasara vaduku rakasangana nematambudziko makuru ekuvandudza mamiriro ezvinhu akasiyana-siyana anowanzobatanidzwa nekukwegura. Izvi zvinosanganisira:
- Dambudziko rekuwedzera kwehutano, iro rinozivikanwawo sehupamhi hwemhepo, rakanyanya kukura muboka rakapona.
- Ngozi yekushaya mwoyo yakanyanya kukura muboka revanhu vanorwara nekenza yehutano. Cardiomyopathy ndiyo mamiriro apo misimba yemwoyo isinganzwisisiki. Izvi zvinoita kuti zvive zvakaoma mwoyo wako kuputira ropa mumuviri wose, uye kuwedzera ngozi yako yekusakatika kwemwoyo.
Vanyori vakapedzisa vachiti, "Zvidzidzo zvenguva yemberi zvinodiwa kuti zviongorore zvinogona kuitwa kuderedza dambudziko rekuwedzera kwemigumisiro yehutano kwenguva refu."
Pamusoro peHurumende yeHurumende
Kuwedzera kweropa kunowedzera njodzi yako yekurwara kana kufa kubva kune chirwere chemwoyo, kurohwa, mwoyo kusakatika, uye chirwere chepfungwa.
Kana iwe uri muchengeti wekenza wepachirwere, iwe unofanirwa kuva neropa rako rinogara richiongororwa. Nepo huwandu hwepfungwa husina zviratidzo zvachose, ziva kuti zvimwe zviratidzo nezviratidzo zvingangowanikwa zvinosanganisira:
- Musoro kana kuti kunzwa kwekumanikidzwa mumusoro
- Chiratidzo chakasvibiswa
- Dhimini kana shakiness
- Kupfupika kwemhepo
- Kusachengetedza kwemhepo uye kuvhara kwemakumbo
- Chipfuva chepfu
- Pain mumakumbo netsoka kana uchifamba
- Cold feet
Kune dzimwe nzira dzekuchinja mararamiro aungaita kuti ubatsire kudzivirira kana kubata chirwere chepfungwa, kusanganisira:
- Kurasikirwa kwekurema: Kurasikirwa kunyange makirogiramu gumi kunogona kuderedza zvakanyanya ngozi yako.
- Kuderedza kwezvokudya zve sodium uye munyu: Kana iwe uri kunyanya kuwandisa, kunyange kuwedzera kuduku mune sodium kunowedzera dambudziko rako rekuwedzera kwehutano uye chirwere chemwoyo. Nyanzvi dzinokurudzira kuti uwedzere kutora sodium inenge isingasviki 100 mmol pazuva (inenge 2.4 g ye sodium)
- Kudya kwakakwana kwezvinotyisa zve potassium zvinopfuura 3 500 mg pazuva
- Kuwedzera kwekuita muviri: Maminitsi makumi matatu ekugadzirisa maitiro akawanda mazuva evhiki kunogona kuderedza dambudziko rekuwedzera kwehutano uye zvinetso zvakabatana
- Kuenzanisa kunwa doro: Kurerutsa doro kudya 10 oz. waini, kana 2 oz. kune dzimwe doro (vashoma mumadzimai uye vanhu vanoreruka-kurema) kunogona kuderedza ngozi yehutachiona uye zvinetso zvakafanana
- Potassium supplementation: inoderedza kuwedzera kweropa, kunyanya kana iwe ukatenga mabhii akakwirira e-sodium
- Zvokudya zvinoshanduka: DASH Diet - Zvokudya Zvokudya Zvokumanikidza Kuwedzera Kwoutachiona zvinowedzera kuderedza ropa uye kunoderedza ngozi dzezvinetso
Iko kunewo mishonga yemishonga inogona kushandiswa kuderedza kuwedzerwa kweropa uye kugadzirisa huwandu hwehutano, kusanganisira:
- Ropa kudzvinyirira mishonga
- Beta blockers uye calcium channel blockers, kunonoka mwoyo
- ACE inhibitors, inonziwo angiotensin inoshandura enzyme (ACE) inhibitors
- Angiotensin II Receptor Blockers (ARBs)
- Diuretics (mapiritsi emvura), kuderedza maitiro e-sodium uye kuchengetedza mvura
NezveCardiomyopathy
Kana iwe uri mupenyu wepachirwere chetachiona, unofanira kunge uchiziva zviratidzo nezviratidzo zvekushaya mwoyo , zvinogona kusanganisira:
- Kupfupika kwemhepo
- Kufugama kwemakumbo ako, zviuno netsoka
- Chirwere chekudzivirira (ascites), nemhaka yehuwandu hwemvura
- Kushungurudza, kunyanya paunorara pasi
- Kuneta
- Kusagadzikana kwepfungwa, mapapiro, kukurumidza kwemoyo
- Chipfuva chepfu
- Kutsiva uye kupera
Zvimwe zvinhu zvaunogona kuita kuti ubatsire kudzivirira kana kubata chirwere chemoyo kunosanganisira:
- Kudya kwakanaka uye kuora kurasikirwa (kana kudzivirira kuwedzera pfuma)
- Nguva dzose kurovedza muviri
- Kukwana zvakakwana
- Kushungurudzika mupfungwa
- Kudzivisa doro uye / kana cocaine
- Kudzora kudzvinyirira kweropa
- Kudzora high cholesterol
- Kudzora chirwere cheshuga
Kunewo mishonga inogona kubatsira nekushaya mwoyo, kusanganisira:
- Aldosterone blockers, kuenzanisa electrolyte uye kubatsira mwoyo musuru inoshanda zvakanaka
- Antiarrhythmia madhiragi kuchengetedza mwoyo rhythm zvakasikwa
- Mishonga yekuderedza ropa
- Anticoagulants kana ropa vanoonda, kudzivirira ropa
- Corticosteroids nezvimwe zvinorwisa zvinodhaka zvinodhaka
- Diuretics (mapiritsi emvura), kuderedza maitiro e-sodium uye kuchengetedza mvura
- Beta blockers, calcium channel blockers, uye digoxin, kunonoka mwoyo uye kuderedza ropa
Mune zvimwe zviitiko, chirwere chemoyo chinopesana nemararamiro ehupenyu uye mishonga inogona kudai pacemakers kana defibrillators, kana kuti kurapwa nekunyorera kusina kupora.
Shoko Rinobva
Kunyange zvazvo kutsvakurudza kuchiri kudiwa kuti uongorore nzira dzinoita kuti huwandu huwedzere huwandu hwehutano hwehutachiona uye hutachiona muhutano hwekenzasi, zvinonzwisisika kuziva zviratidzo nezviratidzo zvezviitiko izvi, kuwanzoongororwa, uye kujekesa hupenyu hwakanaka hupenyu hunochinja kuderedza ngozi yako.
> Sources:
> Blackburn BE, Ganz PA, Roe K, et al. Zvirwere zvine chokuita nokukwegura zvinokonzera pakati pevarwere vaduku vechirwere chetachiona [yakabudiswa paIndaneti musi waNovember 22, 2017]. Cancer Epidemiol Biomarkers Prev . doi: 10.1158 / 1055-9965.EPI-17-0623 Online: h ttp: //cebp.aacrjournals.org/content/early/2017/11/20/1055-9965.EPI-17-0623
> National Institutes of Health. "Kushushikana Kwakaita Sei Cardiomyopathy?" Chokwadi peji. https://www.nhlbi.nih.gov/health/health-topics/topics/cm/kutambudzwa
> National Institutes of Health. "Nhungamiro Yenyu Yokuderedza Ropa Rako Rokushandisa DASH." PDF Guide: https://www.nhlbi.nih.gov/files/docs/public/heart/dash_brief.pdf
> Dhipatimendi reUnited Health yeHurumende neHuman Services. "Kudzivirira Kukuru kweHypertension." PDF Guide: https://www.nhlbi.nih.gov/files/docs/resources/heart/pphbp.pdf