Bvunza iyo Nyanzvi: Yakajairika Mibvunzo Nezve Doro uye Ropa Vanodzora

Zvemukati

• 1. Zvine njodzi zvakadii kunwa doro kana ndiri pane ropa rakaonda?
• 2. Ndeipi njodzi yekunwa doro kana uri pamushonga wangu?
• 3. Ndezvipi zvimwe zviratidzo zvandinofanira kudaidza chiremba?
• 4. Kunwa doro kunokanganisa sei cholesterol yangu yakakwira kana njodzi yezvimwe zvinhu zvemoyo?
• 5. Kune vamwe vanotapira ropa vakasiyana pane vamwe mune izvi here, kana ingozi yakafanana?
• 6. Pane here maturusi kana zviwanikwa zviripo zvinondibatsira kudzikisa kunwa kwangu doro?

1. Zvine njodzi zvakadii kunwa doro kana ndiri pane ropa rakaonda?

Sekureva kwaiye, kunwa zvine mwero ndicho chinwiwa chimwe chete pazuva kuvakadzi uye kusvika kune maviri zvinwiwa pazuva nevarume.

Kune zvinoverengeka zvezvinhu zvinoona kuti zvine njodzi sei kunwa doro zvine mwero kuri kutora ropa rakapfava. Nehurombo, izvi zvinhu zvakasiyana kune wese munhu.

Kune chikamu chikuru, kunwa doro zvine mwero kwakachengeteka kune vanhu kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinaramo. Zvakakosha kusimbisa izvi nemupi wako wehutano.

2. Ndeipi njodzi yekunwa doro kana uri pamushonga wangu?

Kana uine matambudziko ekurapa asingagumi ane chekuita nechiropa chako kana neitsvo, zvinokanganisa iyo metabolism (kana kupaza) yeropa rakatetepa. Izvi zvinogona kuita kuti ropa rako riwedzere kutetepa uye nekukuisa iwe pangozi yakanyanya yekutyisidzira hupenyu matambudziko ekubuda ropa.

Kunyangwe iwe uine chiropa chinowanzo shanda neitsvo, doro rinogona kudzikisira chiropa chako kugona kugadzirisa mamwe macomputer. Inogona zvakare kudzikamisa itsvo dzako mukuburitsa zvakapwanyika pasi chepfu kana zvinodhaka, senge yako yakatemwa ropa mutete. Izvi zvinogona kutungamira kune imwechete inokuvadza mhedzisiro yekuwedzeredza anticoagulation.

3. Ndezvipi zvimwe zviratidzo zvandinofanira kudaidza chiremba?

Kuva pane chero ropa rakaonda kunowedzera mukana wako wekubuda ropa. Kukuvara kunorwadza ndechimwe chezvikonzero zvinowanzoitika zvekubuda ropa, asi dzimwe nguva unogona kubuda ropa uchingoerekana wabuda.

Zviratidzo zvitsvuku mureza zvinosanganisira huwandu hwakawanda hwekuonekwa kwekurasikirwa neropa mumuti weti, chigaro, kurutsa, kana kubva mukukuvara kwemuviri. Tsvaga kurapwa kwekukurumidza kuti umise kubuda kweropa uye upe kumutsazve sezvazvinodiwa.

Pane zviitiko zvisingawanzoitika zvekubuda ropa mukati izvo zvinogona kana kuti zvisingaenderane nekukuvara kunorwadza. Vanogona kuve vakaoma kuziva uye nekuita pazviri nekuti zvinogona kunge zvisiri pachena pakutanga, asi kukuvara mumusoro kune njodzi huru uye kunofanirwa kuongororwa nemupi wezvehutano.

Zvimwe zviratidzo zvinowanzoonekwa zvekubuda ropa mukati zvinosanganisira:

• dzungu
• kushaya simba
• kuneta
• kufenda
• kuzvimba mudumbu
• yakachinja mamiriro epfungwa
• yakanyanya yakaderera BP (ichi chirwere chekukurumidzira, uye unofanirwa kutsvaga kurapwa nekukurumidza)

Iwe zvakare unogona kuona madiki maronda paganda rako anoonekwa kana tsinga dzeropa diki dzichikuvadzwa kubva kune zvezuva nezuva zviitiko Izvi hazviwanzo kuve kunetsekana kukuru kunze kwekunge zvakanyanyisa kana paine mavara akajeka.

4. Kunwa doro kunokanganisa sei cholesterol yangu yakakwira kana njodzi yezvimwe zvinhu zvemoyo?

Kunwa zvine mwero kunwiwa kunoonekwa uye kwakanakira hutano, asi havazi vese vanobvuma. Kune njodzi dzinoverengeka dzakabatana nechero huwandu hwekunwa doro.

Muna 2011 yaisanganisira makumi masere nemasere ekutsvagurudza kwakawanikwa kuti vanonwa doro vane huwandu hwakadzikira hwekufa kwemoyo uye sitiroko, pamwe nekuderera kwekusimudzira kwecoronary artery chirwere (CAD) uye isina-kuuraya sitiroko kana ichienzaniswa nevasina kunwa.

Njodzi yakadzika kwazvo yekufa kweCAD yakawanikwa mune vanonwa doro vanonwa ingangoita imwechete kana maviri zvidhakwa zvakaenzana. Kumwe kusarerekera mhedzisiro kwakawanikwa nekufa sitiroko uye kurova kusingauraye. Iyi meta-ongororo ndiyo hwaro hwazvino hwekunwa doro nhungamiro.

Kunwa zvine mwero doro, kunyanya muwaini tsvuku, kwawanikwa kuchikonzera kuwedzera kudiki kweiyo yako HDL (yakanaka) cholesterol.

5. Kune vamwe vanotapira ropa vakasiyana pane vamwe mune izvi here, kana ingozi yakafanana?

Kune anopfuura mamwe marudzi eropa rakatetepa uye vanoshanda munzira dzakasiyana mukati memuviri.

Imwe yeakachembera eropa kutsva ichiri kushandiswa kwakapararira ndeye warfarin (Coumadin). Pakati pevose vanoonda ropa varipo nhasi, warfarin inonyanya kukanganiswa nekunyanyisa kunwa doro. Nekudaro, kushandisa zvine mwero hakukanganise zvakanyanya metabolism yewarfarin.

Mukati memakore mashoma apfuura, kirasi nyowani yevanotapudza ropa yakagadziridzwa. Ivo vanopa akati wandei mabhenefiti pamusoro pewarfarin, asi ivo vane zvimwe zvakashata. Taura nemupi wako wezvehutano nezve mabhenefiti uye njodzi.

Pakati peava vatsva veropa, pane chaiwo thrombin inhibitors, senge dabigatran (Pradaxa), uye factor Xa inhibitors, senge rivaroxaban powder (Xarelto), apixaban (Eliquis), uye edoxaban (Savaysa). Maitiro avo ekuita haana kukanganiswa nedoro kunwa. Izvo zvakachengeteka kushandisa doro chero bedzi iwe uine hutano hwakanaka huzere uye wakasimbisa nemupi wako wehutano mupi.

Taura nemupi wako wezvehutano kuti uone kuti ndeipi ropa rakatetepa iwe raunokodzera.

6. Pane here maturusi kana zviwanikwa zviripo zvinondibatsira kudzikisa kunwa kwangu doro?

Kuva nemutemo wekumwa doro rakawandisa zvine mwero kunogona kunetsa kune vamwe vanhu. Hazvikurudzirwi kuti utange kunwa doro kana usingawanzo.

Kune avo vane dambudziko nekudhakwa, kune zviwanikwa uye maturusi ekubatsira kudzikisira kunwa doro. Sangano reNational Institute on Alcohol Abuse and Alcoholism (NIAAA) nderimwe remasangano mazhinji eNational Institute of Health (NIH), uye inyanzvi, inobatanidza zvinhu zvese zvine chekuita nedoro.

Kana iwe uchiziva kuti uri panjodzi yekushandisa zvisina kufanira doro, usazviise iwe munzvimbo inoyedza kunyanyisa kunwa.

Ehe, vatapi vezvehutano varipo kuti vakubatsire uye vakutsigire munzira.

Dr. Harb Harb chiremba asingakuvadzi anoshanda mukati meNorthwell Health System muNew York, kunyanya kuNorth Shore University Hospital, yakabatana neHofstra University. Akapedza chikoro chekurapa kuYunivhesiti yeIowa Carver College yeMishonga muIowa City, Iowa, mushonga wemukati kuCleveland Clinic muCleveland, Ohio, nemushonga wemwoyo paHenry Ford Health System muDetroit, Michigan. Dr. Harb vakatamira kuNew York City, vachisarudza nzira yebasa mune zvekurapa semubatsiri purofesa paDonald naBarbara Zucker Chikoro cheMishonga kuHofstra / Northwell. Ikoko, anodzidzisa uye anoshanda nevemwoyo uye vekurapa vanodzidziswa pamwe nevadzidzi vekurapa. Iye ari Shamwari yeAmerican College yeCardiology (FACC) uye American board-yakasimbiswa mune zvakajairika cardiology, echocardiography, uye kushushikana-kuyedza, uye nyukireya cardiology. Iye chiremba akanyoreswa mukududzirwa kwevascular (RPVI). Chekupedzisira, akawana giredhi redzidzo muhutano hweveruzhinji uye bhizinesi manejimendi kuti abatsire mukutsvagisa kwehutano hwekuvandudza hutano nekumisikidza.