Tiyeni tidziwe pasadakhale chiopsezo cha matenda a mtima? Tiyeni tikambirane za Cardiac Risk Calculator!

Kodi munayamba mwaganizapo kuti, "O, kodi ndidzakhala ndi matenda a mtima mtsogolo?"? Tonsefe nthawi zina timamva mantha amenewo, sichoncho? Makamaka pamene tikukalamba, kapena ngati wina m'banja mwathu ali ndi matenda a mtima. Ndiye, zikanakhala bwino bwanji ngati pakanakhala njira yodziwira pasadakhale momwe mtima wanu ulili wathanzi komanso momwe mungapewere matenda a mtima mtsogolo? Ndicho chifukwa chake Cardiac Risk Calculator iyi imagwira ntchito.

Kodi chowerengera cha zoopsa za mtima ichi ndi chiyani?

Mwachidule, ndi chida chapadera choyezera kutentha thupi . Monga momwe timagwiritsira ntchito mayeso a kutentha thupi kuti tione ngati muli ndi malungo, chimayang'ana chiopsezo chanu chotenga matenda a mtima, kapena matenda a mtima, mtsogolo. Inu ndi dokotala wanu mutha kugwiritsa ntchito izi kuti mumvetse chiopsezo chanu ndikuchitapo kanthu kuti muchepetse. Mwina mwa kusintha pang'ono moyo wanu, kapena ngati kuli kofunikira, kugwiritsa ntchito mankhwala, zingakuthandizeni kupewa matenda a mtima omwe angakupheni.

Kodi kuwunika kumeneku kwa chiopsezo cha mtima ndi mtima kumachita chiyani kwenikweni?

``Cardiac Risk Calculator`` iyi imagwiritsa ntchito zambiri zaumoyo wanu kuti iwerengere chiopsezo chanu cha matenda a mtima mtsogolo. Imatha kuwerengera makamaka mwayi wokhala ndi matenda otsatirawa:

• Matenda a atherosclerosis: Izi zimachitika pamene mafuta amasonkhana m'mitsempha yomwe imanyamula magazi kupita ku mtima ndi ubongo, n'kuwatseka. Taganizirani ngati dothi lomwe limamatira mu chitoliro cha madzi.
• Matenda a Mitsempha ya Mtima: Matenda omwe amayamba chifukwa cha kutsekeka kwa mitsempha ya mtima (monga mapaipi amadzi a mtima) omwe amapereka magazi kumtima.
• Matenda a Mtima: Matenda oopsa omwe amapezeka pamene magazi opita kumtima asiya mwadzidzidzi. Izi ndi zoopsa kwambiri, sichoncho?
• Kulephera kwa Mtima: Matenda omwe mtima umalephera kupompa magazi bwino. Zili ngati pompu yamadzi yalephera.
• Stroke: Matenda omwe amapezeka pamene magazi akupita ku ubongo asokonekera kapena mtsempha wamagazi muubongo waphulika. Izi zingayambitsenso ziwalo mbali imodzi ya thupi.

Tangoganizani momwe zingakhalire zosavuta kupewa zinthu zimenezi ngati tingathe kuzidziwa pasadakhale!

Kodi madokotala amagwiritsa ntchito bwanji kuwunika kwa chiopsezo cha mtima?

Madokotala amagwiritsa ntchito zotsatira za ``Cardiac Risk Calculator'' m'njira zambiri. Mwachitsanzo:

• Unikani thanzi la mtima wanu panopa: Monga momwe zimakhalira ndi kukonza galimoto, izi zimakuthandizani kuona momwe mtima wanu ukugwira ntchito.
• Yesani chiopsezo chanu chotenga mavuto monga kuthamanga kwa magazi ndi cholesterol yambiri:Mavuto onsewa ndi omwe amayambitsa matenda a mtima. Amatchedwanso "opha anthu osalankhula" chifukwa amawononga thupi popanda kuyambitsa zizindikiro zazikulu.
• Kukuthandizani kupewa mavuto a mtima: "Kupewa ndi bwino kuposa kuchiza," amatero. Choncho, mukamvetsa zoopsa zanu, dokotala wanu angakuuzeni zomwe mungachite kuti muchepetse.
• Sankhani chithandizo choyenera kuti muchepetse chiopsezo chanu cha matenda a mtima: Mungafunike kuyamba kumwa mankhwala kapena kusintha moyo wanu.
• Yang'anirani momwe chithandizochi chilili chothandiza: Izi zimathandizanso kuona ngati chiopsezo chachepa mutayamba kumwa mankhwala.

Ndani sayenera kugwiritsa ntchito chida chowerengera chiopsezo cha matenda a mtima ichi?

Izi ndizofunikira kwambiri. "Cardiac Risk Calculators" izi ndi zothandiza pokhapokha ngati simunakhalepo ndi matenda a mtima, sitiroko, kapena kulephera kwa mtima kale. Ngati munakhalapo kale ndi vuto la mtima lotere, chidziwitso chomwe chaperekedwa ndi chowerengera ichi sichingakhale chothandiza kwambiri. Chifukwa chake muli kale m'gulu la anthu omwe ali pachiwopsezo chachikulu. Madokotala amachiritsa ndi kulangiza anthu otere mosiyana.

Ndi chidziwitso chiti chomwe chikufunika poyesa chiopsezo cha matenda a mtima ndi mitsempha yamagazi?

Pali njira zosiyanasiyana zowunikira zoopsa za matenda a mtima, koma izi ndi zinthu zomwe nthawi zambiri zimaganiziridwa poyesa zoopsa za matenda a mtima:

• Zaka, jenda, ndi mtundu: Izi ndizofunikira pakuwunika zoopsa zina. Mwachitsanzo, zoopsa zimawonjezeka ndi ukalamba.
• Kuthamanga kwa Magazi ndi ngati muyenera kumwa chithandizo cha kuthamanga kwa magazi: Tidzafufuza momwe kuthamanga kwa magazi anu kulili komanso ngati mukumwa mankhwala ake.
• Kuchuluka kwa cholesterol komanso ngati mukumwa mankhwala monga ma statins kuti muchepetse cholesterol: Kuchuluka kwa cholesterol yoyipa (LDL) m'magazi kumakhudzanso chiopsezo.
• Matenda a Shuga: Kaya muli ndi matenda a shuga kapena ayi. Matenda a shuga ndi chinthu chachikulu chomwe chimayambitsa matenda a mtima.
• Kaya wina aliyense m'banja mwanu adadwala matenda a mtima kapena matenda a mtima, makamaka asanakwanitse zaka 60 (mbiri ya banja): Izi zingakuthandizeni kuona ngati pali vuto la majini. Ngati amayi anu, abambo anu, kapena abale anu adadwalapo, muyenera kusamala kwambiri.
• Ngati mungatenge mankhwala a aspirin kuti muchepetse chiopsezo cha matenda a mtima: Anthu ena amamwa aspirin yochepa kuti apewe magazi kuundana. Koma izi ziyenera kuchitika pokhapokha ngati dokotala wakupatsani upangiri.
• Mbiri ya kusuta (yakale, yamakono, kapena sinachitikepo): Kusuta n’koipa kwambiri pamtima. Ngakhale ndudu imodzi yokha ingawononge mtima.

Mukapereka izi molondola, chowerengera chingathe kuwerengera zoopsa zanu.

Kodi Mitundu ya Ma Calculator Okhudza Ngozi za Mtima Ndi Chiyani?

Pali mitundu ingapo ya ma calculator omwe angagwiritsidwe ntchito kuwerengera zoopsa za mtima, kaya pa intaneti kapena ngati mapulogalamu a pafoni. Nthawi zina mutha kupeza kuwunikaku ku ofesi ya dokotala wanu. Calculator iliyonse ingafunse zambiri zosiyana pang'ono. Komabe, palibe njira yomwe zotsatira zake zingakhale zosiyana kwambiri (pokhapokha ngati zilipo).

Nazi zida zowerengera zoopsa za matenda a mtima zomwe inu ndi dokotala wanu mungagwiritse ntchito:

Chowerengera cha Zoopsa cha `ASCVD`

Madokotala nthawi zambiri amagwiritsa ntchito chida chowerengera chiopsezo cha matenda a mtima cha Atherosclerotic Cardiovascular Disease (ASCVD), chopangidwa ndi American College of Cardiology (ACC). Chimatchedwanso ASCVD Risk Estimator Plus. Chida ichi chimawerengera chiopsezo cha matenda a mtima mwa munthu wazaka zapakati pa 40 ndi 79 mkati mwa zaka 10 zikubwerazi .

``(Atherosclerotic)`` monga tafotokozera kale zikutanthauza kuuma kapena kuchepa kwa mitsempha yamagazi. Vutoli ndi lomwe limayambitsa matenda amtima. Komanso, chowerengera ichi chingathe kuwerengera chiopsezo cha matenda amtima kwa anthu azaka zapakati pa 20 ndi 59.

ACC yagwirizana ndi bungwe la American Heart Association (AHA) kuti apange chida chowerengera zoopsa za mtima chodalirikachi. Chowerengera cha AHA Cardiovascular (CV) Risk Calculator cha pa intaneti ndi mtundu wosinthidwa pang'ono wa chowerengera cha ASCVD, chokhala ndi mafunso ochepa. Koma zotsatira zake ziyenera kukhala zofanana kwambiri.

Madokotala amagwiritsa ntchito "ASCVD Risk Calculator" iyi kuti awone momwe mankhwala ena angasinthire chiopsezo chanu, kapena "zotsatira za chithandizo" . Mwachitsanzo, kutenga statin kuti muchepetse cholesterol yambiri kungachepetse chiopsezo chanu kuchoka pa "pakati" mpaka "pang'ono" kapena "pang'ono". Ma calculator onse a `AHA'' ndi `ACC'' amalimbikitsanso zinthu zomwe mungachite kuti muchepetse chiopsezo chanu.

Chowerengera cha "ASCVD Risk Calculator" ichi chikuwonetsanso momwe mungapewere matenda a mtima pochita chimodzi mwa izi:

• Kuyamba kapena kuonjezera mlingo wa mankhwala ochepetsa cholesterol.
• Kuyambitsa mankhwala ochepetsa kuthamanga kwa magazi kapena kuwonjezera mankhwala atsopano.
• Kuyamba kapena kupitiriza kulandira aspirin.
• Kusiya kusuta. Ichi ndi chinthu choyamba chomwe muyenera kuchita!

Chiwerengero cha Reynolds Risk

"Reynolds Risk Score" iyi ikuyerekeza chiopsezo cha matenda a mtima mwa anthu amitundu yonse omwe alibe matenda a shuga . Imachotsa anthu omwe ali ndi matenda a shuga chifukwa ali kale pachiwopsezo chachikulu cha matenda a mtima ndi sitiroko.

Chiŵerengero cha Reynolds Risk Score chimaganizira za zaka zanu, jenda, kuthamanga kwa magazi, ndi kuchuluka kwa cholesterol m'magazi. Chimaganiziranso ngati amayi anu kapena abambo anu adadwala matenda a mtima asanakwanitse zaka 60. Izi zitha kusonyeza kuti muli pachiwopsezo cha matenda a mtima m'majini anu.

Chowerengera ichi chimaganiziranso kuchuluka kwa puloteni ya C-reactive (hsCRP) yanu yomwe ili ndi mphamvu yowonjezereka . Iyi ndi puloteni yomwe imapezeka m'magazi. Kuchuluka kwake kungapereke lingaliro la kuchuluka kwa kutupa m'thupi. Dokotala wanu angapemphe kuchuluka kwa ``hsCRP'' ngati gawo la mayeso a magazi kuti adziwe chiopsezo chanu cha matenda a mitsempha ya mtima.

Kodi chiopsezo cha matenda a mtima ichi chimawerengedwa bwanji?

Makina owerengera zoopsa za matenda a mtima amakupatsirani chiŵerengero cha chiopsezo cha matenda a mtima ngati peresenti. Izi zikutanthauza kuti, 10%, 20%. Chiŵerengerochi chikachepa, mwayi wanu woti mudwale matenda a mtima m'zaka 10 zikubwerazi umakhala wochepa. Chiŵerengerocho chikakwera, mwayi wanu woti mudwale matenda oopsa a mtima tsopano komanso mtsogolomu umakhala wokwera. ``ASCVD Risk Calculator`` imaneneratunso za chiopsezo chanu cha matenda a mtima m'moyo wanu wonse.

Kuti mudziwe kuchuluka kwa zigoli zanu, chowerengera ichi chimayerekeza zambiri zanu ndi zambiri za odwala kuchokera ku kafukufuku wakale wa matenda a mtima.

Makina ambiri owerengera zoopsa za mtima amagawa chiopsezo chanu cha matenda a mtima motere:

• Chiwopsezo chochepa: Chiwopsezo chochepera 5%.
• Chiwopsezo cha malire: Chiwopsezo pakati pa 5% ndi 7.4%.
• Chiwopsezo chapakati: Chiwopsezo pakati pa 7.5% ndi 19.9%.
• Chiwopsezo chachikulu: Chiwopsezo choposa 20%.

Chofunika: Chiwerengerochi sichikutanthauza kuti mudzadwala matenda a mtima kapena ayi. Ichi ndi chiwerengero chabe. Koma chingakupatseni inu ndi dokotala wanu lingaliro labwino la zomwe mungachite kenako.

Ndi zinthu zina ziti zomwe zimakhudza kuwunika kwa chiopsezo cha matenda a mtima?

Kutengera ndi kuchuluka kwa chiopsezo cha matenda a mtima ndi zizindikiro zomwe muli nazo (ngati zilipo), dokotala wanu angafune mayeso ena. Mwachitsanzo:

• Kuyezetsa magazi kwa `(hsCRP)`.
• Kapepala ka mafuta kamayesa cholesterol yonse, triglycerides (mtundu wa mafuta m'magazi), ndi lipoproteins (kuphatikiza lipoprotein (A)).
• Electrocardiogram (ECG) - Ichi chimayeza ntchito yamagetsi ya mtima.
• Mayeso Olimbitsa Thupi : Izi zimaphatikizapo kutenga ECG mukuyenda pa treadmill kuti muwone momwe mtima umayankhira masewera olimbitsa thupi.

Mayeso awa angapereke chidziwitso chakuya chokhudza thanzi la mtima wanu.

Kodi ndingatani kuti ndiwonjezere chiopsezo cha matenda a mtima?

Ichi ndi gawo lofunika kwambiri. Nazi zinthu zina zomwe mungachite kuti muchepetse chiopsezo chanu cha matenda a mtima:

• Idyani zakudya zopatsa thanzi pamtima: Idyani zakudya zomwe zili ndi mafuta ochepa, mchere, ndi shuga, komanso zipatso ndi ndiwo zamasamba zambiri. Chepetsani chakudya chokonzedwa bwino (monga buledi ndi mpunga). Idyani nsomba zokhala ndi omega-3s (monga salimoni ndi mackerel) osachepera kawiri pa sabata.
• Chitani masewera olimbitsa thupi nthawi zonse (osachepera mphindi 150 pa sabata): Zinthu monga kuyenda, kuthamanga, kukwera njinga, kusambira. Ngati n'zovuta kuchita zonsezi nthawi imodzi, mutha kuzigawa m'magulu a mphindi 10-15 tsiku lonse.
• Chepetsani kumwa mowa: Ndi bwino kuchepetsa kumwa mowa kwambiri momwe mungathere, ndipo ndibwinonso ngati mungathe kusiya kumwa mowa wonse.
• Chepetsani thupi (ngati kuli kofunikira) ndikukhala ndi thupi labwino: Ndikofunikira kwambiri kukhala ndi thupi labwino malinga ndi kutalika kwanu. Yesetsani kukhala ndi BMI pakati pa 18.5 ndi 24.9.
• Pezani njira zabwino zothanirana ndi kupsinjika maganizo: Pumulani maganizo anu pogwiritsa ntchito zinthu monga kusinkhasinkha, yoga, kuchita chizolowezi, kapena kulankhula ndi anzanu.
• Pezani thandizo kuti musiye kusuta fodya komanso kupewa kusuta fodya kwa anthu ena: Izi ndi zofunika kuchita. Pali mapulogalamu omwe angakuthandizeni kusiya kusuta fodya.
• Kuwongolera matenda monga kuthamanga kwa magazi, matenda a shuga, ndi cholesterol yokwera: Tsatirani malangizo a dokotala wanu molondola. Imwani mankhwala anu pa nthawi yake. Pitani kukayezetsa nthawi zonse.

Tangoganizirani momwe kusinthaku kung'ono kungakhudzire moyo wanu. Mtima wanu udzakuthokozani!

Pomaliza, zinthu zingapo zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kotero, chida ichi chowerengera zoopsa za mtima ndi chida chothandiza kwambiri chomwe chimagwiritsa ntchito zambiri zanu kuti chidziwitse chiopsezo chanu chodwala matenda a mtima mtsogolo. Inu ndi dokotala wanu mungagwiritse ntchito izi kuti muchitepo kanthu kofunikira kuti muchepetse chiopsezo chanu.

Makamaka, ``ASCVD Risk Calculator'' sikuti imangowerengera chiopsezo cha matenda a mtima, komanso imasonyeza momwe mankhwala ena angachepetsere chiopsezocho.

Mungathe kuchita izi pa intaneti, pogwiritsa ntchito pulogalamu ya foni yam'manja, kapena ku ofesi ya dokotala wanu. Chofunika kwambiri ndichakuti ngati muchita izi kunyumba, gawani izi ndi dokotala wanu ndikukambirana zomwe muyenera kuchita kuti muteteze thanzi la mtima wanu.

Kumbukirani, mtima wanu ndiye chuma chanu chamtengo wapatali kwambiri. Ndi udindo wanu kuusamalira! Mtima wathanzi umatanthauza moyo wathanzi.

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