Bvunza iyo Nyanzvi: Sei Rudzi rwechipiri Chirwere cheshuga uye Hutano Hwemoyo Zvakabatana

Zvemukati

• 1. Ndeupi hukama pakati perudzi rwechipiri chirwere cheshuga nehutano hwemwoyo?
• 2. Matanho api andingatore kudzivirira matambudziko erudzi rwechipiri chirwere cheshuga?
• 3. Ndezvipi zvimwe zvinhu zvinondiisa panjodzi huru yechirwere chemwoyo?
• 4. Chiremba anoongorora njodzi yangu yechirwere chemwoyo, uye ndinofanira kuona kangani?
• 5. Ndedzipi miedzo inoshandiswa navanachiremba kuongorora hutano hwemwoyo wangu?
• 6. Ndingaite sei kudzikisa BP yangu nechirwere cheshuga?
• 7. Ndingaite sei kudzikisa cholesterol yangu ine chirwere cheshuga?
• 8. Pane here kurapwa kwandinogona kutora kuchengetedza moyo wangu?
• 9. Pane here zviratidzo zvekuyambira kuti ndiri kukura chirwere chemwoyo?

1. Ndeupi hukama pakati perudzi rwechipiri chirwere cheshuga nehutano hwemwoyo?

Iko kusangana pakati pechirudzi chechipiri chirwere cheshuga uye hutano hwemwoyo zvakapetwa kaviri.

Kutanga, nyora 2 chirwere cheshuga inowanzo kuve yakabatana nemoyo mungozi njodzi. Izvi zvinosanganisira BP, cholesterol, uye kufutisa.

Chechipiri, chirwere cheshuga pachacho chinowedzera njodzi yechirwere chemwoyo. Atherosclerotic yemwoyo chirwere ndicho chinokonzera kufa kwevanhu vane chirwere cheshuga. Izvi zvinosanganisira kurwiswa nemoyo, kurohwa, uye chirwere chevascular chirwere.

Kukundikana kwemoyo kunowanzoitika kazhinji kune vanhu vanorarama nechirwere cheshuga.

Iwe unogona kuyedza iyo American College of Cardiology's Calculator yekufungidzira yako yegumi-gore njodzi yehosha yemoyo.

2. Matanho api andingatore kudzivirira matambudziko erudzi rwechipiri chirwere cheshuga?

Rudzi rwechipiri chirwere cheshuga chinosangana ne microvascular uye macrovascular zvinetso.

Microvascular zvinetso zvinosanganisira kukuvara kumidziyo midiki yeropa. Izvi zvinosanganisira:

• chirwere cheshuga retinopathy, inova kukuvadza kumeso
• nephropathy, zvinova kukuvadza itsvo
• neuropathy, inova kukuvadza kune mhiri tsinga

Matambudziko emacrovascular anosanganisira kukanganisa mitsipa mikuru yeropa. Izvi zvinowedzera mukana wekurwadziwa nemoyo, kurohwa, uye chirwere chevascular chirwere.

Kudzora mashuga eropa rako kunogona kudzikisira mikana yako ye microvascular zvinetso. Ropa shuga zvinangwa zvinoenderana nezera rako uye comorbidities. Vanhu vazhinji vanofanirwa kuchengeta shuga yeropa ye80 kusvika 130 mg / dL kutsanya, uye pasi pe160 mg / dL mumaawa maviri mushure mekudya, iine A1C isingasviki manomwe.

Iwe unogona kudzikisa njodzi yako yemacrovascular zvinetso nekugadzirisa yako cholesterol, BP, uye chirwere cheshuga. Chiremba wako anogona zvakare kukurudzira asipurini uye mararamiro maringe, sekurega kusvuta.

3. Ndezvipi zvimwe zvinhu zvinondiisa panjodzi huru yechirwere chemwoyo?

Mukuwedzera kune rudzi rwechipiri chirwere cheshuga, zvinokonzera njodzi yehutano hwemwoyo zvinosanganisira:

• zera
• kusvuta
• nhoroondo yemhuri yematambudziko emoyo
• BP
• cholesterol yakawanda
• kufutisa
• yakakwira mazinga ealbumin, protein mune yako weti
• chirwere chetsvo chisingaperi

Iwe haugone kuchinja zvimwe zvine njodzi, senge nhoroondo yemhuri yako, asi mamwe anorapika.

4. Chiremba anoongorora njodzi yangu yechirwere chemwoyo, uye ndinofanira kuona kangani?

Kana iwe uchangobva kuongororwa uine rudzi rwechipiri chirwere cheshuga, chiremba wako wekutanga wepamoyo ndiye munhu anozokubatsira kubata chirwere cheshuga uye nenjodzi yemoyo. Iwe unogona zvakare kuda kuona endocrinologist kune akaomarara manejimendi manejimendi manejimendi.

Iyo frequency yekushanya kwachiremba inosiyana kubva pamunhu kuenda kumunhu. Zvakadaro, ipfungwa yakanaka kuti utariswe kanokwana kaviri pagore kana mamiriro ako ari pasi pekutonga kwakanaka. Kana chirwere cheshuga chakanyanya kuomarara, unofanira kuona chiremba wako kanokwana kana pagore.

Kana chiremba wako achifungidzira mamiriro emoyo, ivo vanofanirwa kukuendesa kuna chiremba wezve moyo kuti uwane kwakawanda kuongororwa.

5. Ndedzipi miedzo inoshandiswa navanachiremba kuongorora hutano hwemwoyo wangu?

Chiremba wako anoongorora yako yemoyo njodzi yemamiriro ezvinhu kuburikidza neyako nhoroondo yezvokurapa, bvunzo yemuviri, bvunzo bvunzo, uye electrocardiogram (EKG).

Kana zviratidzo zvako kana kuzorora EKG zvisina kujairika, mimwe bvunzo inogona kusanganisira bvunzo yekushushikana, echocardiogram, kana coronary angiography. Kana chiremba wako achifungidzira peripheral vascular chirwere kana carotid chirwere, vanogona kushandisa Doppler ultrasound.

6. Ndingaite sei kudzikisa BP yangu nechirwere cheshuga?

Kuwedzera kweBP ndiko kunokonzeresa kune zvese chirwere chemoyo neitsvo, saka zvakakosha kuti uchengetedze. Kazhinji, isu tinonangana neropa rekumanikidza riri pasi pe140 / 90 kuvanhu vazhinji. Mune zvimwe zviitiko, sevanhu vane itsvo kana chirwere chemwoyo, isu tinonanga pasi pe130 / 80 kana nhamba dzakaderera dzikakwanisika zvakachengeteka.

Kuderedza yako yeropa kunosanganisira musanganiswa wemararamiro ekuchinja uye nemishonga. Kana iwe uchifungidzirwa kunge wakanyanya kufuta kana kufutisa, kuonda kunokurudzirwa.

Iwe unofanirwa zvakare kuita shanduko kuchikafu chako, sekutevera DASH dhayeti (Kudya nzira yekumisa Hypertension). Kudya uku kunoda isingasviki 2.3 g yesodium pazuva uye 8 kusvika kugumi servings yemichero nemiriwo pazuva. Iyo zvakare ine yakaderera-mafuta zvigadzirwa zvemukaka.

Iwe unofanirwa zvakare kudzivirira kunwisa doro kunwa uye nekuwedzera ako zviitiko zvezviitiko.

7. Ndingaite sei kudzikisa cholesterol yangu ine chirwere cheshuga?

Kudya kwako kunoita basa rakakura mumazinga ako echolesterol. Iwe unofanirwa kutora zvishoma zvakaguta uye zvekutengesa mafuta, uye wedzera yako kudyiwa kweanodya omega-3 fatty acids uye fiber.Zvikafu zviviri zvinobatsira kugadzirisa cholesterol ndiyo DASH yekudya uye chikafu cheMediterranean.

Iyo ipfungwa yakanaka yekuwedzera yako epanyama maitiro ehutano zvakare.

Kune chikamu chikuru, vanhu vazhinji vane chirwere cheshuga chechipiri vanofanirwa zvakare kutora statin mushonga kudzikisa cholesterol yavo. Kunyangwe iine cholesterol yakajairika, iyi mishonga yakaratidzirwa kudzikisa njodzi yematambudziko emwoyo.

Rudzi uye kusimba kwesitamin drug uye iyo inotarisirwa cholesterol kukosha kunoenderana nezvinhu zvinoverengeka. Izvi zvinosanganisira zera rako, comorbidities, uye yako inofungidzirwa yegumi-gore njodzi yeatherosclerotic vascular chirwere. Kana njodzi yako yakakura kudarika makumi maviri muzana, iwe unenge uchida kurapwa kwakanyanya.

8. Pane here kurapwa kwandinogona kutora kuchengetedza moyo wangu?

Hupenyu hune hutano hupenyu hunosanganisira chikafu chine hutano, kudzivirira kuputa, uye kugara uchirovedza muviri. Uye zvakare, zvese zvine njodzi yemoyo zvinoda kuve pasi pekutonga. Izvi zvinosanganisira BP, chirwere cheshuga, uye cholesterol.

Vazhinji vanhu vane rudzi rwechipiri chirwere cheshuga vanofanirwa zvakare kutora statin mushonga kudzikisa mukana wecoronary chiitiko. Vanhu vane nhoroondo yechirwere chemoyo kana avo vari panjodzi huru nekuda kwayo vanogona kunge vari vavhoti yeaspirin kana mamwe maantiplatelet agents. Aya marapirwo anosiyana pamunhu nemunhu.

9. Pane here zviratidzo zvekuyambira kuti ndiri kukura chirwere chemwoyo?

Zviratidzo zvekunyevera kwekuvapo kwechirwere chemoyo zvinogona kusanganisira:

• kusagadzikana pachipfuva kana ruoko
• mweya wekufema
• palpitations
• neurological zviratidzo
• kuzvimba gumbo
• mhuru kurwadziwa
• dzungu
• kufenda

Nehurombo, pamberi pechirwere cheshuga, chirwere chemwoyo chinowanzo nyarara. Semuenzaniso, kuvharika kunogona kuvapo mumaroniyoni asina kana kurwadziwa kwepfupa. Izvi zvinozivikanwa sekunyarara ischemia.

Ichi ndicho chikonzero kushingairira kugadzirisa ese ako emoyo mungozi zvinhu zvakakosha.

Dr. Maria Prelipcean chiremba anonyanya kugadzirisa endocrinology. Parizvino anoshanda kuSouthview Medical Group muBirmingham, Alabama, seyendocrinologist. Muna 1993, Dr. Prelipcean vakapedza kudzidza kubva kuCarol Davila Medical Chikoro nedhigirii ravo rekurapa. Muna 2016 na2017, Dr. Prelipcean vakanzi mumwe wevanachiremba vepamusoro muBirmingham neB-Metro Magazine. Munguva yake yekuzorora, anofarira kuverenga, kufamba, uye kupedza nguva aine vana vake.