Mukati
Njodzi zvinhu zvezvinetso zvemwoyo, chirwere chemwoyo (angina uye chirwere chemwoyo)
The maitiro ehupenyu dzakabatanidzwa zvakanyanya hutano hwemoyo netsinga yeropa. Maererano neWorld Health Organisation, iyo kudya kwakashata, kushaya kwekuita muviri uye kusvuta vane mhosva ye80% yematambudziko emwoyo uye sitiroko2.
Kudzidza Interheart3, yakaitwa muna 2004, inoramba iri chiratidzo chakakosha chevashandi vehutano. Iyo data inobva kunyika makumi mashanu nembiri pamakondinendi mashanu, kune vanenge makumi matatu vatori vechikamu. Migumisiro yaro inoratidza izvozvo 9 zvinhu (6 ngozi zvinhu uye 3 kudzivirira zvinhu) kufanotaura 90% yemyocardial infarction muvarume uye 94% muvakadzi. Ichi chidzidzo chakanyanya kuratidza kukosha kwakakosha kwe kusingaperi kunetseka pahutano hwemwoyo.
Chidzidzo 6 pangozi zvinhu :
- hypercholesterolemia: 4 nguva yakakwirira ngozi;
- kusvuta: njodzi 3 nguva yakakwirira;
- chirwere cheshuga: njodzi 3 nguva yakakwirira;
- hypertension: 2,5 nguva yakakwirira ngozi;
- le kusingaperi kunetseka (kuora mwoyo, kushushikana kwehutano, matambudziko ehukama, kunetseka kwemari, nezvimwewo): njodzi 2,5 nguva yakakwirira;
- un waistline yakakwirira (abdominal obesity): njodzi 2,2 nguva yakakwirira.
Zvinhu zvitatu zvinoshandisa a kudzivirira maitiro :
- kushandiswa kwezuva nezuva kwe michero nemiriwo;
- kudyiwa zvine mwero kwedoro (yakaenzana ne1 chinwiwa pazuva chevakadzi uye 2 chevarume);
- muitiro wenguva dzose wemuviri muviri.
Ziva kuti kukosha kweimwe neimwe yeizvi njodzi zvinhu kunosiyana kubva kumunhu kuenda kune mumwe munhu, uye zvakare nenyika nenyika.
Zvimwe zvinhu zvine njodzi
Zvikonzero zvikuru zvekurwadziwa kwemoyo mumunhu ari panjodzi54 Mugwagwa traffic (kushushikana uye kusvibiswa kwemhepo) Kushanda nesimba Kunwa doro Kunwa kofi Kusangana nekusvibiswa kwemhepo Manzwiro asina kunaka (kutsamwa, kuvhiringidzika, kushushikana, nezvimwewo) Kudya kukuru Positive manzwiro (mufaro, kushingaira, mufaro, nezvimwewo) Kushandisa Cocaine * Zvepabonde * Ichi ndicho chinokonzeresa chakasimba. |
Kusvibiswa kwemhepo. Kunyange zvazvo masayendisiti ave achifarira zvikuru kubva pakutanga kwema1990, zvichiri kuoma kuyera mhedzisiro.12, 27,41-43. Kusvibiswa kwemhepo kwakakonzera kufa kwevanhu makumi maviri nevaviri vasati vasvika muCanada muna 21, maererano neHeart and Stroke Foundation.41. Inenge hafu yavo ingadai yakaitika kuburikidza nekurwadziwa kwemoyo, sitiroko kana kukundikana kwemoyo. Kunyanya vanhu vatova panjodzi yezvinetso zvemwoyo vane hanya nazvo. Maererano nekuongorora kukuru kweBritish kwakabudiswa muna 2008, vanhu vanogara munzvimbo dzakasvibirira (mapaki, miti, nezvimwewo) vane huwandu hwekufa kwepasi (ne6%) pane avo vanogara munharaunda dzine zvishoma zvinomera.27.
Izvo chaizvo zvidimbu zvakanaka yakaturikwa mumhepo (kunyanya iyo ine dhayamita isingasviki 2,5 micrometer) inopinda mumhepo yekufema uye kukonzera kupererwa kwekupindura musangano rose42. Aya ma-ultrafine particles anogadzira kuoma kwetsinga iyo, nekufamba kwenguva, inofambisa ropa zvishoma.
Kusvuta fodya. Ongororo dzeEpidemiological dzinoratidza kuti kugara uchiputirwa nehutsi hwefodya yefodya kunowedzera njodzi yehosha yetsinga yemwoyo, inofananidzwa neyemunhu anoputa "chiedza".7,44.
Kuongororwa ropa kunoisa gwara? Kwete chokwadi.siyana-siyana kuongorora ropa dzakagadzirwa mutariro yekufanotaura zviri nani njodzi yekurwadziwa kwemoyo. Kushandiswa kwavo kunoramba kuri kumucheto; havasi chikamu chebvunzo dzenguva dzose. Vanachiremba vatatu vakabvunzurudzwa (kusanganisira chiremba wemwoyo)51 tendai kuti ivava bvunzo hadzifanirwe, kuwedzera pakudhura. Maonero avo anoratidza mhedzisiro yezvidzidzo zvenguva pfupi yapfuura. Hedzinoi dzimwe tsananguro. Chiyero chepamusoro cheC-reactive protein. C-reactive protein ndeimwe yemamorekuru akawanda anogadzirwa panguva yekuzvimba immune immune. Inovanzwa na chiropa uye chinotenderera muropa. Kunyange zvazvo ichokwadi kuti kuwedzera kwayo kunowedzera muvanhu vari pangozi yekurwadziwa kwemoyo uye inoramba yakaderera muvanhu vane hutano9,10, chidzidzo chikuru chakagumisa kuti kuderedza chiyero cheC-reactive protein hazvina kuderedza kufa50. Ziva kuti matambudziko akati wandei ehutano anoita kuti mwero weC-reactive protein muropa usiyane (kufutisa, arthritis, utachiona, nezvimwewo). Naizvozvo, mhedzisiro yebvunzo iyi yakaoma kududzira. Iyo yakakwirira yefibrinogen. Iyi imwe puroteni inogadzirwa nechiropa inoita basa repakati mukuita kwe kufuka kweropa. Zvaifungidzirwa kuti yakakwirira yefibrinogen inogona kubatsira pakuumbwa kwe ropa clots, izvo zvinogona kupedzisira zvakonzera kurova kwemoyo kana sitiroko. Kufanana neC-reactive protein, chiyero chayo chinowedzera panguva yekuzvimba. Kuyera kweyero yefibrinogen inonyanya kushandiswa muEurope. Muedzo uyu, zvisinei, hauna kuratidzwa. Iyo yakakwirira yehomocysteine. Zvinotendwa kuti kana iyi amino acid inowanikwa mukunyanya kuwanda muropa, mikana yekutambura neatherosclerosis inowedzera. Matishu anoshandisa homocysteine kugadzira mapuroteni. Iwe unogona kuderedza yako homocysteine level nekuita shuwa kuti unodya chikafu chine huwandu hwakakwana hwevhitamini B6, B9 (folic acid) uye B12.9. Kushandiswa kwemichero nemiriwo kune mhedzisiro yakanaka pane homocysteine mazinga. Nekudaro, kudzikisa iyo homocysteine level haina kukanganisa pakufa. |