Chinonyanya kutyisa vazhinji vedu kuva nechirwere chemwoyo. Wakambozvibvunza here kuti zvingave zvakanaka sei kuva nerunyerekupe rwechirwere ichi, icho dzimwe nguva chinouya kamwe kamwe pasina zviratidzo? Nhasi tichataura nezvebvunzo yakakosha inotipa ruzivo rwakakosha nezvehutano hwetsinga dzeropa mumoyo mako. Izvi zvinonzi Calcium Score Test.
Zvichitaurwa zviri nyore, chii chinonzi Calcium Score Test iyi?
Iyi iongororo yeCT scan chaiyo (Computed Tomography Scan). Inotsvaga calcium yakachengetwa mutsinga huru dzeropa dzinopa ropa kumoyo wako, tsinga dzemwoyo.
Zvino ungave uchifunga kuti, "Calcium yakanaka kumapfupa, handiti? Sei zvingave dambudziko kana iri mutsinga dzemwoyo?" Ehe, nyaya iyoyo ndeyechokwadi. Zvisinei, kuunganidzwa kwecalcium uku kunoitika nenzira yakasiyana. Funga nezvemapombi emvura mumba medu. Nekufamba kwenguva, zvinhu zvakaita sengura netsvina zvinoungana mukati memapombi iwayo, zvichideredza nzvimbo iri mukati memapombi, handiti? Saizvozvowo, zvinhu zvakaita secholesterol nemafuta zvinoungana mukati metsinga dzedu dzemoyo, zvichigadzira layer yatinodaidza kuti 'plaque' . Mukurapa, tinodana chirwere ichi kuti Atherosclerosis kana Coronary Artery Disease (CAD) . Nekufamba kwenguva, plaque iyi inooma uye calcium inoungana maari.
Saka, zvinoitwa neCalcium Score Test iyi ndeyekuona kuti ingani nzvimbo dzakasimba dzakasungwa necalcium, uye kuti dzakaoma sei. Kuwedzera kwehuwandu hwecalcium iyi chiratidzo chakanaka chekuti plaque iri kuungana mukati metsinga dzeropa rako iri kuwedzera, uye tsinga dziri kutetepa zvishoma nezvishoma. Izvi zvinogona kutipa pfungwa yakanaka yenjodzi yekurwara nemoyo mune ramangwana.
Ndiani anoda kuita bvunzo iyi yeCalcium Score?
Iyi haisi bvunzo inokurudzirwa kune wese munhu. Inonyanya kubatsira kune vanhu vari panjodzi yekubatwa nechirwere chemwoyo asi vasati vava nezviratidzo (semuenzaniso, kurwadziwa muchipfuva, kushaya mweya) . Vanhu vari pakati pemakore makumi mana nemakumi manomwe vane chimwe kana kupfuura chezvikonzero zvinotevera zvinogona kukonzera njodzi vanogona kutaura nachiremba wavo nezve bvunzo iyi.
| Chinhu Chinokonzera Njodzi | Zvimwe zvishoma nezveizvi |
|---|---|
| Nhoroondo yemhuri | Kana hama dzako dzepedyo, dzakadai saamai vako, baba vako, vanun'una vako, kana mumwe munhu, vakamborwara nechirwere chemwoyo vachiri vadiki (vari pasi pemakore 55 kuvarume, vari pasi pemakore 65 kuvakadzi). |
| Kusvuta fodya | Kana uri kusvuta fodya pari zvino kana kuti wakambosvuta kare. |
| Zvimwe zvirwere | Kana uine cholesterol yakakwira, chirwere cheshuga, kana BP yakakwira. |
| Kufuta zvakanyanya kana kufuta | Kana body mass index yako (BMI) iri pamusoro pe25 (yakafuta zvakanyanya) kana kupfuura 30 (yakafuta zvakanyanya). |
| Mararamiro asina kugadzikana | Kana uri munhu asingaite maekisesaizi zvakakwana uye unogara pasi kwenguva yakareba yezuva. |
Pamusoro pezvo, vamwe vanhu vanogona kunge vaine chirwere chekuzvarwa nacho chinonzi familial hypercholesterolemia . Munhu akadaro anogona kutarisirwa kuongororwa uku kunyangwe ari pasi pemakore makumi mana ekuberekwa.
Asi pane chimwe chinhu chekurangarira. Kuongororwa uku kunongotarisa ma plaque akaomarara akaomeswa necalcium. Hakugone kuona ma plaque matsva, akapfava anogona dzimwe nguva kuputika uye kukonzera chirwere chemwoyo. Saka haisi bvunzo chaiyo ye100% yengozi yako. Ingori imwe nzira yekubatsira chiremba wako kusarudza kana uchida kutanga kutora mishonga inoderedza cholesterol senge statins .
Bvunzo iyi inofanira kuitwa kangani?
Kazhinji, kana ukaita bvunzo iyi kekutanga uye mhedzisiro yacho iri 'Zero', zvinoreva kuti njodzi iripo parizvino yakaderera zvikuru. Kana uchida kuva nechokwadi chekuti njodzi yacho ichiri shoma, ungangoda kuita imwe bvunzo mumakore matatu kusvika mashanu.Panogona kunge paine zvakanakira kuongororwazve. Zvisinei, kana mhinduro yako isina kunaka (inopfuura zero) kamwechete, hapana zvazvakanakira kuongororwazve. Kana zvakadaro, chinangwa chinofanira kunge chiri pakurapwa uye kuchinja mararamiro.
Ndiani asingafaniri kunyora bvunzo iyi?
Kuongororwa uku hakumboitwi pamadzimai ane pamuviri nekuti mwaranzi inoburitswa neCT scan inogona kukuvadza mwana ari mudumbu.
Uyewo, bvunzo iyi hainyanyi kubatsira munyaya dzinotevera.
- Kune munhu asina zvinhu zvinokonzera chirwere chemwoyo .
- Kune munhu anotoziva kuti ari panjodzi huru yekubatwa nechirwere chemwoyo (vanhu ava vanoda kurapwa zvakadaro).
- Kune munhu atoonekwa kuti ane chirwere chemwoyo chinonzi Coronary Artery Disease .
- Munhu ane zviratidzo zvechirwere chemwoyo (sekurwadziwa pachipfuva) atove nazvo .
- Chero ani zvake akamborapwa chirwere chemwoyo (semuenzaniso kuiswa kwe stent, kuvhiyiwa kwe bypass) .
Muzviitiko zvakaita seizvi, taura nachiremba wako nezvekuti ndedzipi dzimwe bvunzo dzakakodzera kuongorora kana kutarisa mamiriro ako.
Unogadzirira sei bvunzo? Unoita sei bvunzo?
Iyi bvunzo iri nyore kwazvo, isingarwadzi. Saka hapana chikonzero chekutya. Maitiro ese anotora maminetsi gumi kusvika gumi nemashanu chete.
Bvunzo isati yaitwa...
- Iva nechokwadi chekuudza chiremba wako nezve allergies dzaunadzo, mishonga yauri kutora, uye kana uine pamuviri kana kuti ungangobata pamuviri.
- Dzivisa chikafu, zvinwiwa, zvekudya zvine caffeine zvakaita sekofi, uye fodya kwemaawa mana bvunzo isati yaitwa .
- Uchafanira kubvisa zvinhu zvesimbi zvawakapfeka, zvakaita semhete, mitsipa yemuhuro, uye magirazi.
- Uchapihwa gown rekuchipatara rekuti upfeke.
Munguva yebvunzo...
- Uchaitwa kuti urare pamubhedha wakakosha wobva wafambiswa nemuchina we scanner wakaita se donati hombe.
- Nyanzvi ichachenesa (uye pamwe ichagera) nzvimbo nhatu dzechipfuva chako uye ichabatanidza maerekitironi madiki, anonamira.
- Maelectrode aya akabatanidzwa nemuchina weEKG (Electrocardiogram) , uyo unonyora mashandiro emoyo wako panguva yebvunzo. Izvi zvinobvumira scan kutora mifananidzo yemutinhimira wemoyo wako.
- Munhu ari kushandisa muchina uyu anokutarisa kuburikidza negirazi riri mukamuri rakasiyana. Unogona kutaura nawo wonzwa zvauri kutaura.
- Panguva yekuskena, uchakumbirwa kuti ubatisise mweya wako kwemasekonzi gumi kusvika makumi maviri . Izvi zvinoitirwa kubatsira kuti mifananidzo ionekwe zvakajeka.
- Zvadaro, purogiramu yekombiyuta inoongorora mifananidzo iyi kuti ione kana paine calcium mutsinga dzemwoyo.
Chii chinoitika mushure mekuongororwa? Pane njodzi here?
Kana bvunzo yapera, unogona kuenderera mberi nemabasa ako enguva dzose. Hapana chirambidzo pakudya kana kunwa.
Tichitaura nezvenjodzi, sezvo pasina dhayi rekuenzanisa rinopinzwa mumuviri panguva yekuyedzwa uku, hapana mimwe migumisiro inobatanidzwa.
Uku kuskena kweCT, saka unosangana nemwaranzi shoma. Asi usazvidya moyo, huwandu hwemwaranzi hwaunowana hwakafanana nehuwandu hwemwaranzi hunoonekwa mumuviri wako kubva munharaunda mugore. Saka njodzi yekenza yakaderera zvikuru. Zvisinei, kune munhu ari pasi pemakore makumi mana ane CT scans kakawanda, njodzi yacho inogona kunge yakakwira zvishoma. Ndosaka izvi zvichiitirwa chete kune avo vanoda.
Nzira yekunzwisisa sei mhedzisiro?
Mhedzisiro yacho inowanzoonekwa mukati mezuva rimwe kusvika maviri. Chiremba weX-ray achaongorora maskeni, ogadzirira mushumo, uye outumira kuna chiremba wako.
Kuongororwa 'kwakanaka' kunoreva kuti calcium iri mutsinga dzemwoyo. Izvi zvinoreva kuti une chirwere chemwoyo (CAD). Uchapihwawo mamakisi zvichienderana nehuwandu hwecalcium yakawanikwa. Mamakisi aya anogona kubva pazero kusvika pa1000.
| Kukosha kweCalcium Score | Zvinorevei izvo? |
|---|---|
| 0 (zero) | Izvi zvinonzi 'Negative' scan. Hakuna calcium deposits. Njodzi yekubatwa nechirwere chemwoyo mumakore maviri kusvika mashanu anotevera yakaderera zvikuru. |
| 1 - 100 | Hapana humbowo hushoma hunoratidza kuti chirwere chemwoyo (CAD) chiripo. Njodzi yacho yakaderera, asi kuchinja mararamiro kwakakosha. |
| 101 - 400 | Pane humbowo huri pakati nepakati hwechirwere chemwoyo (CAD). Njodzi yekubatwa nechirwere chemwoyo mune ramangwana iri pakati nepakati. Chiremba anowanzo kurudzira kutanga kurapwa. |
| Kupfuura mazana mana | Pane humbowo hwakasimba hwechirwere chemwoyo (CAD). Panogona kunge paine kuungana kweplaque mutsinga dzeropa. Njodzi yekurwara nemoyo yakakura. Kurapwa nekukasika uye kuongororwa kwakawedzerwa kungadiwa. |
Yeuka kuti, izvi chete handizvo chete zvaunosarudza. Chiremba wako achafunga nezvemhedzisiro iyi pamwe chete nezvimwe zvese, zvakaita senhoroondo yemhuri yako, mararamiro ako, huwandu hwecholesterol, uye BP, kuti awane mufananidzo wakazara wenjodzi yako.
Kana mhedzisiro yacho isina kujairika, chii chaunotevera kuita?
Kana mamakisi ako ari pamusoro pe zero, zvinoreva kuti uri panjodzi. Panguva iyoyo, chiremba wako anogona kukutumira kuna chiremba wemwoyo. Zvichienderana nemhedzisiro nezvimwe zvinhu zvinogona kukonzera njodzi, vanogona kukurudzira zvinotevera:
- Kutanga mishonga inodzora cholesterol yakaita se statins .
- Kuita maekisesaizi zuva nezuva.
- Kuchinja zvekudya (kuderedza mafuta, shuga, munyu, kudya michero nemiriwo yakawanda).
- Kutumirwa kune imwe bvunzo kana zvichidikanwa.
- Gara uchishanyira chiremba uye uchitarisa mamiriro acho ezvinhu .
Kuongororwa uku kunoratidza nemazvo here kana tsinga yakavharwa?
Kwete, kwete chaizvo. Kuongororwa uku kunongoratidza kana calcium yakaiswa uye kana plaque yaumbwa pamadziro etsinga dzeropa. Izvi zvinopa chiratidzo chekuti nzira yekutetepa kwetsinga yakatanga here.
Zvisinei, haigone kuona kuti tsinga yeropa yakavharika sei kana kuti ropa riri kufamba zvakanaka sei mairi. Kune mimwe miedzo yakasarudzika yeizvozvo, yakaita seangiogram. Calcium Score Test bvunzo inokurumidza, isingarwadzi inogona kushandiswa kuongorora njodzi yeramangwana.
Mharidzo Yekuenda Nayo Kumba
- Calcium Score Test iCT scan chaiyo inoongorora calcium yakachengetwa mutsinga dzeropa dzemwoyo wako.
- Izvi zvinonyanya kubatsira pakuongorora njodzi yekurwara nemwoyo mune ramangwana kune vanhu vari panjodzi yekubatwa nechirwere chemwoyo asi vasati vava nezviratidzo.
- Kana chibodzwa chako chiri zero (0), inhau dzakanaka kwazvo. Zvinoreva kuti njodzi yacho yakaderera pari zvino.
- Sezvo mamakisi acho achikwira, njodzi yechirwere chemwoyo inowedzera, zvichireva kuti zvinoda kurapwa uye shanduko dzemararamiro.
- Mhedzisiro yebvunzo iyi ingori chikamu chenyaya yacho. Sarudzo dzekupedzisira dzinoitwa nachiremba wako mushure mekutarisa ruzivo rwese rwehutano hwako.
- Kana muine mibvunzo nezvebvunzo iyi kana zvabuda, musazeza kubvunza chiremba wenyu.
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