Masiyazi kwangaphambili ingozi yesifo sentliziyo? Masithethe ngeCardiac Risk Calculator!

Ngaba wakha wacinga, "Owu, ngaba ndiza kufumana isifo sentliziyo kwixesha elizayo?"? Sonke siziva sisoyika ngamanye amaxesha, akunjalo? Ingakumbi njengoko sikhula, okanye ukuba umntu kusapho lwethu unesifo sentliziyo. Ngoko ke, bekuya kuba kuhle kangakanani ukuba bekukho indlela yokwazi kwangaphambili ukuba intliziyo yakho iphilile kangakanani kwaye yintoni ingozi yakho yokufumana isifo sentliziyo kwixesha elizayo? Yiyo loo nto le Cardiac Risk Calculator yenzelwe yona.

Yintoni le Calculator yoMngcipheko wentliziyo?

Ngamafutshane, sisixhobo esikhethekileyo sokuhlola . Njengokuba sisebenzisa uvavanyo lomkhuhlane ukujonga umkhuhlane, sijonga umngcipheko wakho wokuba nesifo sentliziyo, okanye isifo sentliziyo, kwixesha elizayo. Wena nogqirha wakho ningayisebenzisa ukuqonda umngcipheko wakho kwaye nithathe amanyathelo okuwunciphisa. Mhlawumbi ngokwenza utshintsho oluncinci kwindlela yokuphila, okanye ukuba kuyimfuneko, ukusebenzisa amayeza, kunokukunceda uphephe isifo sentliziyo esisongela ubomi.

Yintoni kanye kanye lenziwa lolu vavanyo lomngcipheko wentliziyo?

Le "Cardiac Risk Calculator" isebenzisa ulwazi lwakho lwempilo ukuze ibale umngcipheko wakho wesifo sentliziyo kwixesha elizayo. Inokuqikelela ikakhulu amathuba okuba nezi meko zilandelayo:

• I-atherosclerosis: Oku kwenzeka xa amafutha eqokelelana ngaphakathi kwimithambo yegazi ethwala igazi eya entliziyweni nasebuchotsheni, iwavale. Cinga ngayo njengothuli olubhajwe kumbhobho wamanzi.
• Isifo seMitha yeCoronary: Imeko ebangelwa kukuvaleka kwemithambo yentliziyo (njengemibhobho yamanzi yentliziyo) ehambisa igazi entliziyweni.
• Uhlaselo lwentliziyo: Yimeko embi kakhulu eyenzeka xa igazi eliya entliziyweni liyeka ngequbuliso. Oku kuyingozi kakhulu, akunjalo?
• Ukungasebenzi kakuhle kwentliziyo: Imeko apho intliziyo ingakwazi ukupompa igazi ngokufanelekileyo. Kufana nokumpompa amanzi okungasebenzi kakuhle.
• Istroke: Imeko eyenzeka xa ukuhamba kwegazi ukuya ebuchotsheni kuphazamisekile okanye umthambo wegazi ebuchotsheni uqhuma. Oku kunokubangela ukukhubazeka kwelinye icala lomzimba.

Khawuthelekelele indlela ebekuya kuba lula ngayo ukuziphepha ezi zinto ukuba besinokuziqonda kwangaphambili!

Oogqirha balusebenzisa njani olu vavanyo lomngcipheko wentliziyo?

Oogqirha basebenzisa iziphumo ezivela kule ``Cardiac Risk Calculator'' ngeendlela ezininzi. Umzekelo:

• Hlola impilo yentliziyo yakho yangoku: Kanye njengokuba imoto yakho ilungiswa, oku kuyakunceda ubone indlela esebenza ngayo intliziyo yakho.
• Linganisa umngcipheko wakho wokuba neengxaki ezifana noxinzelelo lwegazi oluphezulu kunye ne-cholesterol ephezulu:Zombini ezi ngxaki zezona zibangela isifo sentliziyo. Zikwabizwa ngokuba "ngababulali abangathethiyo" kuba zonakalisa umzimba ngaphandle kokubangela naziphi na iimpawu ezinkulu.
• Bakunceda uthintele iingxaki zempilo yentliziyo: Bathi, "Ukuthintela kungcono kunokunyanga." Ngoko ke, wakuba uyiqonda ingozi yakho, ugqirha wakho angakuxelela into onokuyenza ukuze uyinciphise.
• Khetha unyango olufanelekileyo ukunciphisa umngcipheko wakho wesifo sentliziyo: Kusenokufuneka uqale ukuthatha amayeza okanye wenze utshintsho kwindlela ophila ngayo.
• Jonga indlela olusebenza ngayo unyango: Oku kunceda ukubona ukuba umngcipheko unciphile na emva kokuqalisa unyango.

Ngubani ongafanele asebenzise esi sixhobo sokubala umngcipheko wesifo sentliziyo?

Oku kubaluleke kakhulu. Ezi "Cardiac Risk Calculators" ziluncedo kuphela ukuba awuzange ube nesifo sentliziyo, isifo sohlangothi, okanye ukusilela kwentliziyo ngaphambili. Ukuba sele unesifo sentliziyo esinjalo, ulwazi olubonelelwe yile calculator aluyi kuba luncedo kangako. Kuba sele ukwicandelo elinomngcipheko ophezulu. Oogqirha baphatha kwaye bacebisa abantu abanjalo ngendlela eyahlukileyo.

Loluphi ulwazi olufunekayo kolu vavanyo lomngcipheko wentliziyo?

Kukho iindlela ezahlukeneyo zokuvavanya izinto ezibangela umngcipheko wesifo sentliziyo, kodwa ezi zizinto eziqhele ukuqwalaselwa kuvavanyo lomngcipheko wesifo sentliziyo:

• Ubudala, isini, kunye nohlanga: Ezi zibalulekile kwiimvavanyo ezithile zomngcipheko. Umzekelo, umngcipheko uyanda ngokuhamba kweminyaka.
• Uxinzelelo lwegazi kunye nokuba uthatha unyango loxinzelelo lwegazi oluphezulu na: Siza kujonga ukuba uxinzelelo lwakho lwegazi lunjani na kwaye nokuba uthatha amayeza alo na.
• Amanqanaba e-cholesterol kunye nokuba usebenzisa amayeza afana nee-statins ukwehlisa i-cholesterol: Ubungakanani be-cholesterol embi (LDL) egazini buchaphazela nomngcipheko.
• Imeko yesifo seswekile: Nokuba unesifo seswekile okanye awunaso. Isifo seswekile sisona sizathu siphambili sokufumana isifo sentliziyo.
• Nokuba kukho nabani na kusapho lwakho okhe waba nesifo sentliziyo okanye isifo sentliziyo, ingakumbi ngaphambi kokuba abe neminyaka engama-60 ubudala (imbali yosapho): Oku kunokukunceda ubone ukuba kukho impembelelo yemfuza. Ukuba umama wakho, utata, okanye abantakwenu bakha baba naso, kufuneka ulumke ngakumbi.
• Nokuba kufuneka uthathe unyango lwe-aspirin na ukunciphisa umngcipheko wesifo sentliziyo: Abanye abantu basebenzisa i-aspirin enesilinganiselo esiphantsi ukuthintela ukuqhekeka kwegazi. Kodwa oku kufanele kwenziwe kuphela ngokucetyiswa ngugqirha.
• Imbali yokutshaya (eyadlulayo, eyangoku, okanye engazange itshaye): Ukutshaya kubi kakhulu entliziyweni. Kwanecuba elinye linokubangela umonakalo.

Wakuba unike olu lwazi ngokuchanekileyo, ikhaltyhuleyitha ingabala umngcipheko wakho.

Ziziphi iintlobo zeeKhalkhuletha zoMngcipheko wentliziyo?

Ngoku kukho iintlobo ezahlukeneyo zeekhalkhuleyitha ezinokusetyenziselwa ukuqikelela umngcipheko wentliziyo, nokuba kukwi-intanethi okanye njengee-apps zefowuni. Ngamanye amaxesha ungenza olu vavanyo lwenziwe kanye eofisini kagqirha wakho. Ikhalkhuleyitha nganye ingacela ulwazi olwahlukileyo kancinci. Nangona kunjalo, akukho ndlela yokuba iziphumo ziya kwahluka kakhulu (ngaphandle kokuba zikhona).

Nazi ezinye izixhobo zokubala umngcipheko wesifo sentliziyo ezamkelekileyo onokuzisebenzisa wena nogqirha wakho:

Isibali-manani somngcipheko se-`ASCVD`

Oogqirha badla ngokusebenzisa i-Atherosclerotic Cardiovascular Disease (ASCVD) Risk Calculator, eyenziwe yi-American College of Cardiology (ACC). Ikwabizwa ngokuba yi-ASCVD Risk Estimator Plus. Esi sixhobo siqikelela umngcipheko wokufumana isifo sentliziyo kumntu ophakathi kweminyaka engama-40 ukuya kwengama-79 kwiminyaka eli-10 ezayo .

``(I-Atherosclerotic)`` njengoko kukhankanyiwe ngaphambili kuthetha ukuqina okanye ukuncitshiswa kwemithambo yegazi. Le ngxaki yeyona nto ibangela isifo sentliziyo. Kwakhona, le calculator inokuqikelela umngcipheko wesifo sentliziyo ebomini babantu abaphakathi kweminyaka engama-20 ukuya kwengama-59 ubudala.

I-ACC idibene ne-American Heart Association (AHA) ukwenza esi sibali-manani somngcipheko wentliziyo esithembekileyo. I-AHA Cardiovascular (CV) Risk Calculator ekwi-intanethi yinguqulelo eguqulwe kancinci yesibali-manani se-ASCVD, enemibuzo embalwa. Kodwa iziphumo kufuneka zifane kakhulu.

Oogqirha basebenzisa le "ASCVD Risk Calculator" ukuze babone ukuba unyango oluthile luza kutshintsha njani umngcipheko wakho, okanye "impembelelo yonyango" . Umzekelo, ukuthatha i-statin ukuze wehlise i-cholesterol ephezulu kunokunciphisa umngcipheko wakho ukusuka "ophakathi" ukuya "omncinci" okanye "ophantsi". Zombini ii-calculator ze-"AHA" kunye ne-"ACC" zikwacebisa izinto onokuzenza ukuze wehlise amanqaku akho omngcipheko.

Le ``ASCVD Risk Calculator`` ikwabonisa indlela onokuthintela ngayo isifo sentliziyo ngokuthatha elinye okanye ngaphezulu kwala manyathelo:

• Ukuqala okanye ukwandisa umthamo wamayeza okwehlisa i-cholesterol.
• Ukuqalisa amayeza oxinzelelo lwegazi okanye ukongeza amayeza amatsha.
• Ukuqala okanye ukuqhubeka nonyango lwe-aspirin.
• Ukuyeka ukutshaya. Le yeyona nto iphambili ekufuneka uyenze!

Amanqaku oMngcipheko kaReynolds

Eli gama lithi "Reynolds Risk Score" liqikelela umngcipheko wesifo sentliziyo kubantu bazo zonke izini abangenaso isifo seswekile . Alibabandakanyi abantu abanesifo seswekile kuba sele besengozini enkulu yesifo sentliziyo kunye nestroke.

I-Reynolds Risk Score iqwalasela ulwazi olufana neminyaka yakho, isini, uxinzelelo lwegazi, kunye namanqanaba e-cholesterol. Ikwaqwalasela nokuba umama okanye utata wakho wayenesifo sentliziyo ngaphambi kokuba abe neminyaka engama-60 ubudala. Olu lwazi lungabonisa umngcipheko wakho wemfuza wesifo sentliziyo.

Le calculator ikwaqwalasela nenqanaba lakho leprotheyini ye-C-reactive (hsCRP) enobuzaza obuphezulu . Le yiprotheyini efumaneka egazini. Inqanaba layo linokunika umbono wenqanaba lokuvuvukala emzimbeni. Ugqirha wakho angacela eli nqanaba le-"hsCRP" njengenxalenye yovavanyo lwegazi ukuze kuqinisekiswe umngcipheko wakho wesifo semithambo yegazi.

Ibalwa njani le ngozi yesifo sentliziyo?

Iikhalkhuletha zomngcipheko wesifo sentliziyo zikunika amanqaku omngcipheko wesifo sentliziyo njengepesenti. Oko kukuthi, i-10%, i-20%. Okukhona eli phesenti liphantsi, kokukhona amathuba okuba uhlaselwe sisifo sentliziyo ancipha kwiminyaka eli-10 ezayo. Okukhona ipesenti iphezulu, kokukhona amathuba okuba uhlaselwe sisifo sentliziyo esibi ngoku nakwixesha elizayo. I-"ASCVD Risk Calculator" ikwaxela kwangaphambili umngcipheko wakho wokuhlaselwa sisifo sentliziyo ebomini bakho bonke.

Ukuze kuqinisekiswe amanqaku akho, esi sibali sithelekisa ulwazi lwakho nedatha yesigulana evela kwizifundo zonyango zesifo sentliziyo zangaphambili.

Iikhalkhuletha ezininzi zomngcipheko wentliziyo zihlela umngcipheko wakho wesifo sentliziyo ngolu hlobo lulandelayo:

• Umngcipheko ophantsi: Umngcipheko ungaphantsi kwe-5%.
• Umngcipheko ophakathi komda: Umngcipheko ophakathi kwe-5% kunye ne-7.4%.
• Umngcipheko ophakathi: Umngcipheko ophakathi kwe-7.5% kunye ne-19.9%.
• Umngcipheko ophezulu: Umngcipheko ongaphezulu kwama-20%.

Kubalulekile: Eli nani alithethi ukuba ngokuqinisekileyo uza kuba nesifo sentliziyo okanye awuyi kuba naso. Olu luqikelelo nje. Kodwa lunokunika wena nogqirha wakho umbono olungileyo wento ekufuneka niyenze ngokulandelayo.

Ziziphi ezinye izinto ezichaphazela uvavanyo lomngcipheko wesifo sentliziyo?

Ngokuxhomekeke kumanqaku akho omngcipheko wentliziyo kunye neempawu onazo (ukuba zikhona), ugqirha wakho unokuyalela uvavanyo olongezelelweyo. Umzekelo:

• Uvavanyo lwegazi lwe-`(hsCRP)`.
• Iphaneli ye-lipid ilinganisa i-cholesterol iyonke, i-triglycerides (uhlobo lwamafutha egazini), kunye nee-lipoprotein (kuquka i-lipoprotein (A)).
• I-Electrocardiogram (ECG) - Le yindlela yokulinganisa umsebenzi wombane wentliziyo.
• Uvavanyo loxinzelelo lomzimba : Oku kuquka ukuthatha i-ECG ngelixa uhamba kwi-treadmill ukuze ubone indlela intliziyo esabela ngayo kumthambo.

Olu vavanyo lunokubonelela ngolwazi oluthe kratya malunga nempilo yentliziyo yakho.

Ndingawuphucula njani amanqaku am omngcipheko wesifo sentliziyo?

Le yeyona nxalenye ibalulekileyo. Nazi ezinye izinto onokuzenza ukunciphisa umngcipheko wakho wesifo sentliziyo:

• Yitya ukutya okunempilo kwentliziyo: Yitya ukutya okunamafutha aphantsi, ityuwa, neswekile, kunye neziqhamo nemifuno eninzi. Nciphisa iicarbohydrates ezicociweyo (ezifana nesonka nerayisi). Yitya intlanzi ene-omega-3s (ezifana nesalmon kunye ne-mackerel) ubuncinane kabini ngeveki.
• Yenza umthambo rhoqo we-aerobic (ubuncinane imizuzu eli-150 ngeveki): Izinto ezifana nokuhamba, ukubaleka, ukukhwela ibhayisekile, ukudada. Ukuba kunzima ukukwenza konke ngaxeshanye, ungakwahlulahlula kube yimizuzu eli-10-15 ukujima imini yonke.
• Nciphisa utywala obuselayo: Kungcono ukunciphisa utywala kangangoko unako, kwaye kungcono nangakumbi ukuba unokuyeka ukusela kwaphela.
• Yehlisa ubunzima (ukuba kuyimfuneko) kwaye ugcine ubunzima obusempilweni: Kubaluleke kakhulu ukugcina ubunzima obusempilweni obuhambelana nobude bakho. Jonga i-BMI ephakathi kwe-18.5 kunye ne-24.9.
• Fumana iindlela ezisempilweni zokulawula uxinzelelo: Phumla ingqondo yakho ngezinto ezifana nokucamngca, i-yoga, ukuzibandakanya kwinto oyithandayo, okanye ukuthetha nabahlobo.
• Fumana uncedo lokuyeka ukutshaya kwaye uphephe ukutshaya kwabanye abantu: Oku kufuneka ukwenze. Kukho iinkqubo ezinokukunceda uyeke ukutshaya.
• Lawula iimeko ezifana noxinzelelo lwegazi oluphezulu, isifo seswekile, kunye ne-cholesterol ephezulu: Landela imiyalelo kagqirha wakho ngokuchanekileyo. Sela amayeza akho ngexesha. Yiya kuhlolwa rhoqo.

Khawucinge nje ukuba ezi nguqu zincinci ziya kuba nefuthe elingakanani ebomini bakho. Intliziyo yakho iya kukubulela!

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, le Cardiac Risk Calculator sisixhobo esiluncedo kakhulu esisebenzisa ulwazi lwakho lomntu ukuqikelela umngcipheko wakho wokuba nesifo sentliziyo kwixesha elizayo. Wena nogqirha wakho ningasebenzisa olu lwazi ukuthatha amanyathelo afunekayo ukunciphisa umngcipheko wakho.

Ngokukodwa, i-"ASCVD Risk Calculator" ayigcini nje ngokuqikelela umngcipheko wesifo sentliziyo, kodwa ikwabonisa nendlela unyango oluthile olunokunciphisa ngayo loo mngcipheko.

Ungenza olu vavanyo lomngcipheko wentliziyo kwi-intanethi, nge-app yefowuni, okanye kwiofisi kagqirha wakho. Into ebalulekileyo kukuba ukuba uthatha olu vavanyo ekhaya, wabelane ngolwazi nogqirha wakho kwaye uxoxe ngento ekufuneka uyenze ukukhusela impilo yentliziyo yakho.

Khumbula, intliziyo yakho yeyona nto ixabisekileyo kuwe. Kuxhomekeke kuwe ukuyinyamekela! Intliziyo ephilileyo ithetha ubomi obusempilweni.

Umngcipheko wesifo sentliziyo , isixhobo sokubala intliziyo, impilo yentliziyo, i-cholesterol, uxinzelelo lwegazi, isifo seswekile, ukutshaya