Yintoni omele uyenze emva kokusinda kwisifo sentliziyo

Umxholo

• Kuthatha ixesha elingakanani ukubuyela kwisifo sentliziyo?
• Ukubuyela kwimeko yesiqhelo somhlolokazi
• Ukutya
• Zithini iziphumo ebezingalindelekanga emva kokuhlaselwa sisifo sentliziyo?
• Ukuhlaselwa sisifo sentliziyo kubantu abadala
• Ukuhlaselwa yintliziyo ngeentsi
• Utshintsho kwindlela yokuphila
• Zilolonge
• Yeka ukutshaya
• Ukulawula ezinye izinto ezinobungozi
• Ukubuyisela kwisimo sangaphambili
• Ukulindelwa kobomi emva kokuhlaselwa yintliziyo
• Yintoni ongamele uyenze emva kokuhlaselwa sisifo sentliziyo
• Lazi ixesha lokufuna unyango
• Imbonakalo

Kuthatha ixesha elingakanani ukubuyela kwisifo sentliziyo?

Ukuhlaselwa sisifo sentliziyo yimeko yempilo esongela ubomi apho igazi eliqukuqela liye entliziyweni ngesiquphe liyema ngenxa yomthambo we-coronary ovalelweyo. Ukonakala kwezihlunu ezisingqongileyo kwenzeka kwangoko.

Ukuchacha kwisifo sentliziyo ekugqibeleni kuxhomekeke kubuzaza besi sifo nokuba uphathwa ngokukhawuleza kangakanani na.

Ngokukhawuleza emva komsitho, unokulindela ukuhlala esibhedlele kangangeentsuku ezi-3 ukuya kwezi-5, okanye de imeko yakho izinze.

Ngokubanzi, kuthatha iiveki ezininzi- kwaye ukuya kuthi ga kwiinyanga ezininzi- ukubuyela kwisifo sentliziyo. Ukuchacha kwakho kuxhomekeke:

• imeko yakho iyonke
• izinto ezinobungozi
• ukubambelela kwisicwangciso sonyango

Ukubuyela kwimeko yesiqhelo somhlolokazi

"Umhlolokazi," njengoko igama lisitsho, ubhekisa kuhlobo olubi lokuhlaselwa sisifo sentliziyo. Kwenzeka xa iipesenti ezili-100 zomthambo wasekhohlo ongaphambili (LAD) uvaliwe.

Olu hlobo oluthile lokuhlaselwa kwentliziyo lunokubulala ngenxa yendima ebalulekileyo ye-LAD ekunikezeni igazi entliziyweni yakho.

Iimpawu zomhlolokazi ziyafana nezo zesifo sentliziyo esivela komnye umthambo ovalekileyo. Oku kubandakanya:

• iintlungu zesifuba
• ukuqhawukelwa ngumphefumlo
• intloko elula
• ukubila
• isicaphucaphu
• ukudinwa

Ngaphandle kwegama, ukuhlaselwa sisifo sentliziyo kunokuchaphazela nabasetyhini.

Ngolu hlobo lokuhlaselwa kwentliziyo, unokuba usesibhedlele iintsuku ezimbalwa ezongezelelweyo, ngakumbi ukuba ufuna utyando ukuze uvule umthambo we-LAD.

Ukutya

Ukutya okunamafutha asezantsi, ukutya okunekhalori esezantsi kuye kwaqinisekiswa ukunceda ukuthintela umngcipheko wesifo sentliziyo. Nangona kunjalo, ukuba sele uhlaselwe yintliziyo, ukutya ngokufanelekileyo kuyinto nje ekuncedeni ukuthintela ukwenzeka kwexesha elizayo.

Isicwangciso sokutya esiluncedo sibizwa ngokuba ziindlela zokutya zokumisa uxinzelelo lwegazi, okanye iDASH.

Eyona njongo yoku kutya kukunciphisa isodiyam, inyama ebomvu, kunye namafutha agcweleyo ngelixa kugxilwe kwimithombo ye-potassium eneziqhamo kunye nemifuno, kunye nenyama engenamafutha, intlanzi kunye neoyile yezityalo.

Ukutya kweMeditera kuyafana ne-DASH kuba bobabini bagxininisa ukutya okusekwe kwizityalo.

Uphando lubonisa ukuba ukutya okusekwe kwizityalo kunokunciphisa ukudumba kunye noxinzelelo lwe-oxidative, enegalelo kukusilela kwentliziyo. Ukutya okunjalo kunokunciphisa ubukrakra besifo sentliziyo.

Ngokubanzi, jolisa ku:

• Kuphephe ukuhambisa amafutha kunye namafutha xa kunokwenzeka. La mafutha anegalelo ngokuthe ngqo ekwakhiweni kwamacwecwe kwimithambo. Xa imithambo yakho ivaliwe, igazi alinakuphuma liye entliziyweni, nto leyo ekhokelela ekuhlaselweni yintliziyo. Endaweni yoko, yitya amafutha avela kwimithombo yezityalo, enje ngeoyile yomnquma okanye amandongomane.
• Yitya iikhalori ezimbalwa. Ukutya iikhalori ezininzi kunye nokutyeba kakhulu kunokubangela nentliziyo yakho.Ukulawula ubunzima bakho kunye nokutya ukutya okunezityalo, inyama etyebileyo kunye neemveliso zobisi ezinamafutha asezantsi kunokunceda.
• Nciphisa isodiyam. Ukunciphisa ukutya kwakho imihla ngemihla kwisodium kungaphantsi kwangaphantsi kunokwehlisa uxinzelelo lwegazi kunye noxinzelelo lwentliziyo yakho. Eli likwangumba ophambili wokutya kwe-DASH.
• Gxila kwimveliso yokutya. Zonke iziqhamo kunye nemifuno kufuneka ibe kukutya ekutyeni. Xa imveliso entsha ingafumaneki, cinga ukufaka endaweni yeeswekile ezingena mkhenkce okanye ityuwa ngaphandle kwetyuwa.

Zithini iziphumo ebezingalindelekanga emva kokuhlaselwa sisifo sentliziyo?

Emva kokuhlaselwa yintliziyo, kuyinto eqhelekileyo ukuziva udiniwe kakhulu. Unokuziva ubuthathaka kwaye udinwe engqondweni.

Unokuba nokunciphisa ukutya. Ukutya ukutya okuncinci kunokunceda ukubeka uxinzelelo entliziyweni yakho.

Kuqhelekile ukuba nemiphumo emibi yengqondo emva kokuhlaselwa kwentliziyo. Oku kunokuhlala phakathi kweenyanga ezi-2 ukuya kwezi-6. Ezinye iimpawu ezinxulumene nempilo yengqondo zibandakanya:

• umsindo
• ukucaphuka
• uloyiko
• ukuphelelwa bubuthongo nokudinwa emini
• lusizi
• iimvakalelo zokuba netyala nokuphelelwa lithemba
• Ukuphulukana nomdla kwizinto ozithandayo

Ukuhlaselwa sisifo sentliziyo kubantu abadala

Umngcipheko wokuhlaselwa sisifo sentliziyo kunye nesifo sentliziyo ukwanda emva kweminyaka engama-65.

Oku kungenxa yotshintsho olunxulumene nobudala olunokwenzeka entliziyweni, kubandakanya uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi) kunye nokuqina kwemithambo (arteriosclerosis).

Ukuhlaselwa sisifo sentliziyo njengomntu okhulileyo nako kuza neengqwalaselo ezikhethekileyo.

Ukutya kunye noqeqesho lokuzivocavoca kubalulekile kuthintelo lokuhlaselwa kwentliziyo kwikamva, kodwa kungathatha ixesha elide ukubuyela kwimeko yesiqhelo. Abantu abadala abadala banokuba semngciphekweni omkhulu wemicimbi yokuqonda kunye nokuncipha kokuhamba kokusebenza.

Ukunciphisa iziphumo zexesha elide zokuhlaselwa sisifo sentliziyo, kuyacetyiswa ukuba abantu abadala babenako ukuphapha ngakumbi malunga nokwanda komzimba xa bekwazi.

Oku kuya kunceda ukomeleza imisipha yentliziyo kwaye kuyikhusele kumonakalo wexesha elizayo.

Olunye uqwalaselo luzama ukunciphisa uxinzelelo lwegazi, njengoko kufuneka. Uxinzelelo lweyona meko ixhaphakileyo enxulumene nentliziyo kubantu abadala abangaphezu kweminyaka engama-75.

Ukuhlaselwa yintliziyo ngeentsi

I-stent isetyenziselwa ukunciphisa amathuba okuhlaselwa yintliziyo. Le ityhubhu yocingo ifakwa kwimithambo evaliweyo yokunceda ukunyuka kwegazi liye entliziyweni yakho. I-stent ishiywe endaweni ngokusisigxina ukuphucula imeko yakho.

Xa uyenzile nge-angioplasty ye-coronary, ukubekwa kwe-stent kuvula imithambo yakho kwaye kwandise ukuhamba kwegazi ukuya kwintliziyo yesisu. Iimpawu zinciphisa umngcipheko wakho wokufumana ukunciphisa loo mthambo.

Nangona kunjalo, kusenokwenzeka ukuba uhlaselwe sisifo sentliziyo kwixa elizayo eyahlukileyo Umthambo ovalekileyo. Kungenxa yoko le nto ukwamkela indlela yokuphila esempilweni engenamandla.

Ukwenza olu tshintsho kunokudlala indima ebalulekileyo ekuncedeni ukuthintela uhlaselo oluzayo.

Njengomthetho wesithupha, kuya kufuneka ubone ugqirha wakho ngoko nangoko ukuba uva iintlungu esifubeni- nasemva kokubekwa kwesitent. Kwimeko enqabileyo ukuba i-stent ivale, uyakufuna utyando ukuvula umthambo kwakhona.

Kwakhona kunokwenzeka ukuba ufumane i-clot yegazi emva kokufumana i-stent, enokunyusa umngcipheko wokuhlaselwa yintliziyo.

Ugqirha wakho uya kuncoma ukuthatha i-aspirin, kunye neyeza ezichasayo ezichasayo, ezifana ne-ticagrelor (i-Brilinta) okanye i-clopidogrel (i-Plavix) ukukhusela ama-clots egazi.

Utshintsho kwindlela yokuphila

Indlela yokuphila esempilweni inokuxhasa isicwangciso sonyango lonyango lwesifo sentliziyo. Cinga ngendlela oqhuba ngayo ngoku kwaye ujonge iindlela onokuthi uziphucule ngayo.

Zilolonge

Ngethuba nje ugqirha wakho enika ukuqhubeka, ungaqala inkqubo yovavanyo emva kokuba uphinde wachacha kwintliziyo.

Ukuzilolonga rhoqo kubalulekile ukugcina ubunzima, kodwa kukwasebenza nezihlunu zakho - eyona misipha ibalulekileyo yintliziyo yakho.

Naluphi na uhlobo lokuzilolonga olufumana impompo yegazi lakho luluncedo. Xa kuziwa kwimpilo yentliziyo, nangona kunjalo, umthambo we-aerobic ngowona ulungileyo. Imizekelo ibandakanya:

• ukuqubha
• ibhayisekile
• ukubaleka okanye ukubaleka
• ukuhamba ngesantya esiphakathi ukuya kwinqanaba elikhawulezayo

Ezi ndlela zokuzilolonga zinceda ukonyusa inani leoksijini elijikeleza emzimbeni wakho kwaye zomeleza amandla wentliziyo okumpompa ngokuhamba kwegazi kuye kuwo wonke umzimba wakho.

Njengebhonasi eyongeziweyo, ukwenza umthambo rhoqo kunceda ukunciphisa:

• igazi elonyukayo
• uxinzelelo
• icholesterol

Ukuba uqaphela naziphi na iimpawu ezingaqhelekanga ngelixa uzilolonga, njengokuphefumla ixesha elide, amalungu omzimba abuthathaka, okanye iintlungu esifubeni, yima kwangoko ubize u-911 okanye ufune unyango olukhawulezileyo.

Yeka ukutshaya

Ukuba uyatshaya, usenokucinga ngokuyeka ukutshaya kwixa elidlulileyo, kodwa ukwenjenjalo kubaluleke ngakumbi emva kokuhlaselwa sisifo sentliziyo.

Ukutshaya ngumngcipheko wesifo sentliziyo kuba yonyusa uxinzelelo lwegazi kunye nomngcipheko wamahlwili ngokunciphisa iiseli zeoksijini ngaphakathi kwegazi.

Oku kuthetha ukuba intliziyo yakho isebenza nzima ukumpompa igazi kwaye ineeseli zeoksijini ezimbalwa ezisempilweni ukugcina ukusebenza ngokukuko.

Ukuyeka ngoku kungayiphucula kakhulu impilo yakho iyonke kwaye kuncede nokunciphisa ukubakho kwentliziyo ekuhlaselweni lixesha elizayo. Qiniseka ukuba uyawuphepha umsi wecuba, kuba oko kububeka ubungozi obufanayo ngokubhekisele kwimpilo yentliziyo.

Ukulawula ezinye izinto ezinobungozi

Isifo sentliziyo sinokuhamba kwiintsapho, kodwa uninzi lokuhlaselwa sisifo sentliziyo kunokubangelwa kukukhetha indlela yokuphila.

Ngaphandle kokutya, ukuzivocavoca, kunye nemikhwa yokutshaya, kubalulekile ukulawula ezinye izinto ezinobungozi ezinokuthi zibe negalelo ekuhlaselweni kwentliziyo kwexesha elizayo.

Thetha nogqirha wakho malunga:

• uxinzelelo lwegazi
• cholesterol ephezulu
• isifo seswekile
• isifo se-thyroid
• izixa ezingaqhelekanga zoxinzelelo
• iingxaki zempilo yengqondo, ezinje ngoxinzelelo kunye noxinzelelo
• utywala

Ukubuyisela kwisimo sangaphambili

Uya kudinga ukufaka inkqubo yokuvuselela intliziyo. Oogqirha kunye nabanye abaqeqeshi bezonyango baqhuba ezi nkqubo. Ziyilelwe ukubeka esweni imeko yakho kunye nenkqubo yokubuyisela kwimeko yesiqhelo emva kokuhlaselwa sisifo sentliziyo.

Kunye nemfundo malunga notshintsho kwindlela yokuphila, imeko yakho yomngcipheko wentliziyo iya kujongwa ukuze uqinisekise ukuba ubuyela empilweni. Ugqirha wakho uya kuthetha nawe malunga neendlela onokuthi ujonge imeko yakho yomngcipheko wentliziyo ngokunjalo.

Iinombolo zeenjongo ezinokubakho kwimingcipheko yakho zibandakanya:

• uxinzelelo lwegazi lungaphantsi kwe-130/80 mmHg (iimilimitha zemekyuri)
• isinqe sesinqe ngaphantsi kwe-intshi ezingama-35 kwabasetyhini kunye nee-intshi ezingaphantsi kwama-40 kumadoda
• ubunzima bomzimba (BMI) phakathi kwe-18.5 kunye ne-24.9
• i-cholesterol yegazi phantsi kwe-180 mg / dL (milligrams nge-deciliter nganye)
• iswekile yegazi phantsi kwe-100 mg / dL (ngamaxesha okuzila okuqhelekileyo)

Uya kufumana ukufundwa rhoqo kwezi metriki ngexesha lokuvuselelwa kwentliziyo. Nangona kunjalo, kuyanceda ukuhlala unolwazi ngala manani ngaphaya kokubuyiselwa kwimeko yesiqhelo.

Ukulindelwa kobomi emva kokuhlaselwa yintliziyo

Umngcipheko wokuhlaselwa sisifo sentliziyo uyanda ngokwanda kweminyaka, ngakumbi kwi.

Ukufumanisa kwangoko kunye nonyango kunokunyusa ixesha lakho lokuphila emva kokuhlaselwa sisifo sentliziyo. Okwangoku, kuqikelelwa ukuba iipesenti ezingama-20 zabantu abadala abaneminyaka engama-45 nangaphezulu baya kuba nesifo sentliziyo sesibini kwisithuba seminyaka emihlanu.

Kukho uqikelelo lokuba ukuya kuthi ga kwiipesenti ezingama-42 zabasetyhini basweleka kungaphelanga unyaka emva kokuhlaselwa sisifo sentliziyo, ngelixa imeko efanayo isenzeka kwiipesenti ezingama-24 zamadoda.

Umahluko wepesenti unokubangelwa ngabafazi abaneempawu ezahlukileyo kunamadoda ngexesha lokuhlaselwa yintliziyo kwaye ngenxa yoko bengakuqondi ukuhlaselwa yintliziyo kwinqanaba lokuqala.

Kubalulekile ukuba wazi ukuba abantu abaninzi bayaqhubeka ukukhokela ubomi obude emva kokuhlaselwa sisifo sentliziyo.

Akukho manani ngokubanzi achaza ixesha lokuphila emva kokuhlaselwa sisifo sentliziyo. Kubalulekile ukuba usebenze kwizinto zakho zomngcipheko ukukhusela iziqendu ezizayo.

Yintoni ongamele uyenze emva kokuhlaselwa sisifo sentliziyo

Nika intliziyo yakho ithuba lokuphilisa emva kokuhlaselwa yintliziyo. Oku kuthetha ukuba unokufuna ukuguqula indlela yesiqhelo kwaye uphinde uqwalasele imisebenzi ethile kwiiveki ezininzi.

Ngokuthe ngcembe yehlisela umva kwindlela yesiqhelo yemihla ngemihla ukuze ungabeki emngciphekweni wokuphinda ubuye. Kuya kufuneka uguqule imisebenzi yakho yemihla ngemihla ukuba inoxinzelelo.

Kungathatha ukuya kwiinyanga ezi-3 ngaphambi kokuba ugqirha wakho akunike KULUNGILE ukubuyela emsebenzini.

Kuxhomekeke kwinqanaba loxinzelelo lomsebenzi wakho, unokufuna ukunciphisa kakhulu umthwalo wakho okanye unciphise ukubuyela kuwo ngokungesosigxina.

Awunakho ukuqhuba isithuthi ubuncinci iveki emva kokuhlaselwa kwentliziyo yakho. Olu thintelo lunokuba lude ukuba uneengxaki.

Urhulumente ngamnye unemithetho eyahlukeneyo, kodwa umthetho jikelele kukuba imeko yakho kufuneka izinzile ubuncinci ngaphambi kokuba uvunyelwe ukuqhuba kwakhona.

Ugqirha wakho unokukucebisa ukuba ubambe ngesondo kunye neminye imisebenzi ebonakalayo ubuncinci iiveki ezi-2 ukuya kwezi-3 emva kokuhlaselwa yintliziyo.

Lazi ixesha lokufuna unyango

Usemngciphekweni wokuhlaselwa sisifo sentliziyo emva kokuba uphinde wachacha.

Kubalulekile ukuba uhlale uhambelana nomzimba wakho kwaye uxele naziphi na iimpawu kugqirha wakho kwangoko, nokuba zibonakala zincinci.

Tsalela umnxeba ku-911 okanye ufune unyango olungxamisekileyo ukuba unamava:

• ukudinwa ngequbuliso nangaphezulu
• Intlungu yesifuba, kunye nentlungu ehamba kwenye okanye kwiingalo zombini
• ukubetha kwentliziyo ngokukhawuleza
• ukubila (ngaphandle kokuzilolonga)
• isiyezi okanye ukudinwa
• ukudumba komlenze
• ukuqhawukelwa ngumphefumlo

Imbonakalo

Ukuphucula impilo yakho yentliziyo emva kokuhlaselwa sisifo sentliziyo kuxhomekeke kwindlela onamathela ngayo kwisicwangciso sonyango. Kuxhomekeke kwisakhono sakho sokuchonga iingxaki ezinokubakho.

Kuya kufuneka wazi ukuba umahluko kwiziphumo zonyango phakathi kwamadoda nabasetyhini emva kokuhlaselwa sisifo sentliziyo.

Abaphandi bafumanisa ukuba iipesenti ezingama-42 zabasetyhini bafa kungaphelanga unyaka omnye behlaselwa sisifo sentliziyo, xa kuthelekiswa neepesenti ezingama-24 zamadoda.

Amaziko oLawulo lweNtsholongwane kunye noThintelo (CDC) aqikelela ukuba abantu banesifo sentliziyo minyaka le e-United States kwaye aba ngabantu abaye bahlaselwa sisifo sentliziyo ngaphambili.

Ukwazi umngcipheko wakho kunye nokwenza utshintsho kwindlela yokuphila kunokukunceda ube ulixhoba kwaye wonwabele ubomi bakho.