Isifo seswekile -ukuthintela ukubetha kwentliziyo kunye nokubetha

Abantu abanesifo seswekile banamathuba aphezulu okuhlaselwa sisifo sentliziyo kunye nemivumbo kunaleyo ingenaso isifo seswekile. Ukutshaya nokuba noxinzelelo lwegazi kunye ne-cholesterol ephezulu kuyonyusa le mngcipheko ngakumbi. Ukulawula iswekile yegazi, uxinzelelo lwegazi, kunye namanqanaba e-cholesterol kubaluleke kakhulu ekuthinteleni ukuhlaselwa yintliziyo kunye nemivumbo.

Jonga ugqirha wakho onyanga isifo seswekile rhoqo njengoko kuyalelwe. Ngexesha lotyelelo, ababoneleli ngezempilo baya kujonga i-cholesterol yakho, iswekile yegazi kunye noxinzelelo lwegazi. Unokuyalelwa ukuba uthathe amayeza.

Ungalinciphisa ithuba lokuhlaselwa sisifo sentliziyo okanye ukubetha ngamandla ngokwenza umthambo okanye ukuzilolonga yonke imihla. Umzekelo, ukuhamba yonke imihla ngemizuzu engama-30 kunokunceda ukunciphisa umngcipheko.

Ezinye izinto onokuzenza ukunciphisa umngcipheko zezi:

• Landela isicwangciso sakho sokutya kwaye ujonge ukuba utya kangakanani. Oku kunokukunceda ukunciphisa umzimba ukuba utyebe kakhulu okanye utyebe kakhulu.
• Musa ukutshaya iisigarethi. Thetha nogqirha wakho ukuba ufuna uncedo lokuyeka. Kulumkele ukubhengeza umsi wecuba.
• Thatha amayeza akho ngendlela abacebisi bakho abayincomayo ngayo.
• Ungaphoswa kukuqeshwa ngugqirha.

Ulawulo olufanelekileyo lweswekile yegazi lunokwehlisa umngcipheko wesifo sentliziyo kunye nokufa icala. Amanye amayeza eswekile anokuba nempembelelo engcono kunamanye ukunciphisa umngcipheko wokuhlaselwa sisifo sentliziyo kunye nemivumbo.

Ukuphonononga amayeza akho eswekile kunye nomboneleli wakho. Amanye amayeza eswekile anesiphumo esingcono kunamanye ekunciphiseni umngcipheko wokuhlaselwa sisifo sentliziyo kunye nemivumbo. Esi sibonelelo somelele ngakumbi ukuba sele ufumanise ukuba uneengxaki zentliziyo.

Ukuba uye wahlaselwa sisifo sentliziyo okanye wabethwa sistroke, usengozini yokufumana esinye isifo sentliziyo okanye ukubetha. Thetha nomboneleli wakho ukuze ubone ukuba ngaba ukwamayeza eswekile na anikezela okona kukhuseleko luhle kuhlaselo lwentliziyo kunye nokubetha.

Xa une-cholesterol eyongezelelweyo egazini lakho, inokwakha ngaphakathi kweendonga zemithambo yentliziyo yakho (imithambo yegazi). Olu lwakhiwo lubizwa ngokuba lucwecwe. Inokunciphisa imithambo yakho kwaye inciphise okanye imise ukuhamba kwegazi. I-plaque nayo ayizinzanga kwaye inokuqhekeka ngesiquphe kwaye ibangele igazi. Yiyo le nto ibangela isifo sentliziyo, ukubetha, okanye esinye isifo sentliziyo.

Uninzi lwabantu abanesifo seswekile banikwa amayeza okunciphisa amanqanaba e-cholesterol ye-LDL. Amayeza abizwa ngokuba zii-statins ahlala esetyenziswa. Kuya kufuneka ufunde indlela yokuthatha amayeza akho e-statin kunye nendlela yokujonga iziphumo ebezingalindelekanga. Ugqirha wakho uza kukuxelela ukuba kukho inqanaba ekujoliswe kulo le-LDL ekufuneka ujolise kulo.

Ukuba uneminye imingcipheko yesifo senhliziyo okanye ukubetha, ugqirha wakho unokumisela amanani aphezulu e-statin drug.

Ugqirha wakho kufuneka ahlole amanqanaba akho e-cholesterol ubuncinci kube kanye ngonyaka.

Yitya ukutya okungenamafutha amaninzi kwaye ufunde indlela yokuthenga kunye nokupheka ukutya okusempilweni kwintliziyo yakho.

Fumana umthambo omninzi, ngokunjalo. Thetha nogqirha wakho malunga nokuba zeziphi iintlobo zokuzilolonga ezilungele wena.

Vavanya uxinzelelo lwegazi rhoqo. Umboneleli wakho kufuneka ajonge uxinzelelo lwegazi kutyelelo ngalunye. Kubantu abaninzi abanesifo seswekile, injongo yoxinzelelo lwegazi yi-systolic (inombolo ephezulu) uxinzelelo lwegazi phakathi kwe-130 ukuya kwi-140 mm Hg, kunye noxinzelelo lwegazi lwe-diastolic (inombolo esezantsi) engaphantsi kwe-90 mm Hg. Buza ugqirha wakho ukuba yintoni efanelekileyo kuwe. Iingcebiso zinokwahluka ukuba sele uhlaselwe sisifo sentliziyo okanye ukubethwa yintlungu.

Ukuzivocavoca umzimba, ukutya ukutya okunetyuwa encinci, kunye nokwehla kobunzima (ukuba utyebe kakhulu okanye utyebe) kungalunciphisa uxinzelelo lwegazi. Ukuba uxinzelelo lwegazi luphezulu kakhulu, ugqirha wakho uya kukuyalela amayeza ukuba alwehlise. Ukulawula uxinzelelo lwegazi kubalulekile njengokulawula iswekile yegazi ekuthinteleni uhlaselo lwentliziyo kunye nokubetha.

Ukufumana umthambo kuya kukunceda ulawule isifo seswekile kwaye wenze nentliziyo yakho yomelele. Soloko uthetha nogqirha wakho ngaphambi kokuba uqale inkqubo entsha yomthambo okanye ngaphambi kokuba wandise inani lomthambo owenzayo. Abanye abantu abanesifo seswekile banokuba neengxaki zentliziyo kwaye bangazi ngenxa yokuba abanazimpawu. Ukwenza umthambo wokulinganisela ngamandla ubuncinci iiyure ezingama-2.5 veki nganye kunokunceda ukukhusela kwisifo sentliziyo kunye nokubetha.

Ukuthatha iiasprini yonke imihla kunokunciphisa amathuba okuhlaselwa sisifo sentliziyo. Umthamo ocetyiswayo zii-81 milligrams (mg) ngosuku. Musa ukuthatha iasprini ngale ndlela ungakhange uthethe nogqirha wakho kuqala. Buza ugqirha wakho malunga nokuthatha iasprini yonke imihla ukuba:

• Uyindoda engaphezu kwama-50 okanye umfazi ongaphezu kwama-60
• Uneengxaki zentliziyo
• Abantu kusapho lwakho baneengxaki zentliziyo
• Unoxinzelelo oluphezulu lwegazi okanye amanqanaba aphezulu e-cholesterol
• Uyatshaya

Iingxaki seswekile - intliziyo; Imithambo yegazi Coronary - isifo seswekile; CAD - isifo seswekile; Isifo seCerebrovascular - isifo seswekile

• Iswekile kunye noxinzelelo lwegazi

Umbutho weSwekile yaseMelika. 10. Isifo sentliziyo kunye nolawulo lomngcipheko: imigangatho yokhathalelo lonyango kwisifo seswekile-2020. Unonophelo lweSwekile. 2020; 43 (iSuppl 1): S111-S134. IINKCUKACHA: 31862753.

U-Eckel RH, uJakicic JM, uArd JD, et al. Isikhokelo se-AHA / ACC se-2013 kulawulo lwendlela yokuphila ukunciphisa umngcipheko wentliziyo: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwizikhokelo zomsebenzi. Ukujikeleza. 2014; 129 (25 iSuppl 2): ​​S76-S99. IINKCUKACHA: 24222015 pubmed.ncbi.nlm.nih.gov/24222015/.

UMarx N, Reith S.Ukulawula isifo se-coronary esingapheliyo kwizigulana ezinesifo seswekile. Ku: De Lemos JA, Omland T, ii-eds. Isifo seCoronary Artery esinganyangekiyo: Umhlobo kwiBraunwald's Isifo sentliziyo. IPhiladelphia, PA: Elsevier; I-2018: isahluko 24.

• Amanqanaba aphezulu e-cholesterol egazini
• Uxinzelelo lwegazi oluphezulu - abantu abadala
• Iingcebiso malunga nendlela yokuyeka ukutshaya
• Uhlobo lwe-1 yeswekile
• Uhlobo lwe-2 yeswekile

• I-ACE inhibitors
• Iziyobisi Antiplatelet - P2Y12 inhibitors
• Ikholesterol - yintoni ekufuneka uyibuze kugqirha wakho
• Ukulawula uxinzelelo lwegazi oluphezulu
• I-vein thrombosis enzulu - ukukhutshwa
• Iswekile kunye nokuzilolonga
• Unonophelo lwamehlo seswekile
• Isifo seswekile - izilonda unyawo
• Isifo seswekile-ukugcina sisebenza
• Isifo seswekile - ukunyamekela iinyawo zakho
• Uvavanyo lwesifo seswekile kunye nokuhlolwa
• Isifo seswekile - xa ugula
• Iswekile esezantsi yegazi- ukuzikhathalela
• Ukulawula iswekile yegazi lakho
• Uhlobo lwe-2 yeswekile- ukubuza ugqirha

• Iingxaki zesifo seswekile
• Isifo sentliziyo seswekile