Xa sicinga "ngesifo sentliziyo," sihlala sicinga ngendoda eneminyaka ephakathi. Kodwa ubusazi na ukuba unobangela ophambili wokufa kwabasetyhini kwihlabathi liphela sisifo sentliziyo kunye neemeko ezinxulumene naso, ezaziwa ngokuba sisifo sentliziyo (CVD)? Ngokwenene ngumbulali othuleyo. Abafazi abaninzi abazi nokuba basengozini. Ngoko ke, namhlanje siza kuthetha ngesizathu sokuba abafazi bafanele bazi ngakumbi ngesifo sentliziyo, ukuba zithini iimpawu, kunye nento esinokuyenza ukukhusela iintliziyo zethu.
Kutheni inkqubo yentliziyo yabasetyhini yahlukile kweyamadoda?
Mhlawumbi ucinga ukuba, "Intliziyo yintliziyo, ngoko ke ngaba kukho umahluko phakathi kwamadoda nabafazi?" Ungamangaliswa, ewe, kukho umahluko ocacileyo. Izazinzulu zifumanise ukuba lo mahluko uchaphazela abafazi ngendlela eyahlukileyo ngendlela abachaphazeleka ngayo sisifo sentliziyo.
Ngamafutshane, olu tshintsho lubalulekile.
- I-Anatomy: Xa ithelekiswa namadoda, iintliziyo zabasetyhini kunye nemithambo yegazi zincinci . Iindonga zamagumbi aphambili (ii-ventricles) zentliziyo ezipompa igazi nazo zincinci.
- Inani Legazi: Abafazi baneeseli ezibomvu zegazi ezimbalwa egazini labo, nto leyo ethetha ukuba banokuthwala ioksijini encinci ngexesha.
- Uhlengahlengiso lwentliziyo: Xa siphakama ngequbuliso silele, okanye xa sinyuka intaba, imizimba yethu kufuneka ihlengahlengise. Abafazi banamathuba amaninzi okuba noxinzelelo lwegazi oluhla ngequbuliso ngexesha lotshintsho.
- IiHormoni: Lo ngumahluko omkhulu. Abafazi banezinga eliphezulu leehomoni ze-estrogen kunye ne-progesterone. Amadoda anezinga eliphezulu le-testosterone. Ezi homoni zinempembelelo enkulu kwimpilo yentliziyo yethu.
Umfazi uyazi njani ukuba unesifo sentliziyo?
Abafazi badla ngokuqala ukuba neempawu zesifo sentliziyo emva kweminyaka eli-10 kunamadoda. Nangona iimpawu ezininzi ziqhelekile kuzo zombini izini, kukho umahluko othile kubafazi, ingakumbi xa kufikwa kuhlaselo lwentliziyo kunye nokusilela kwentliziyo.
Iimpawu zokuhlaselwa yintliziyo kwabasetyhini
Xa abantu becinga ngokuhlaselwa yintliziyo, badla ngokucinga ngentlungu yesifuba eqinileyo neyinciphileyo. Lelo lolona phawu luqhelekileyo. Nangona kunjalo, abafazi banamathuba amaninzi okuba nezinye iimpawu kunye, okanye endaweni yoko, nentlungu yesifuba.
Uhlaselo lwentliziyo kubasetyhini ludla ngokuba 'luhlaselo lwentliziyo olungabonakaliyo'. Oku kuthetha ukuba iimpawu zivela ngendlela engaqondakaliyo ukuba luhlaselo lwentliziyo. Oku kunokulibazisa unyango kwaye kube yingozi nakubomi.
Abafazi banokufumana enye okanye ngaphezulu kwezi mpawu xa behlaselwa yintliziyo.
| Uhlobo lwempawu | Inkcazo kunye neendawo zefelti |
|---|---|
| Iindawo apho uziva khona iintlungu okanye ukungakhululeki |
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| Ezinye iimpawu eziqhelekileyo |
Okubaluleke kakhulu: Ukuba ufumana enye okanye ngaphezulu kwezi mpawu ngaphandle kwesizathu esinye, nceda ungachithi xesha. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko. Yonke iminithi edlulayo ngexesha lokuhlaselwa yintliziyo yonakalisa izihlunu zentliziyo yakho. Ke ngoko, kubalulekile ukufuna unyango ngokukhawuleza.
Iimpawu Zesilumkiso Kwangoko Zokuhlaselwa Yintliziyo
Abafazi abaninzi bafumana iimpawu ezithile ezilumkisayo (iimpawu ze-prodromal) iiyure, iiveki, okanye iinyanga ngaphambi kokuba bahlaselwe yintliziyo. Ezi zinto ziyafika zidlule, ngoko ke abantu abaninzi abayinaki.
Uphawu oluqhelekileyo nolubalulekileyo ekuqaleni kukudinwa okungaqhelekanga ngaphandle kwesizathu esicacileyo. Ukuba uziva udiniwe ngaphezu kwesiqhelo, nokuba ungenzi nto, musa ukuyityeshela loo nto.
Ezinye iimpawu zesilumkiso kwangethuba:
- Ndiziva ndingakhululekanga
- Ukungagayi kakuhle ukutya rhoqo
- Ukubetha kwentliziyo
- Kufana nokuba ingqondo yam igqunywe yinkungu, andikwazi ukugxila.
- Umnqweno wokutya
- Ubunzima bokuphefumla kunye nokungalali ebusuku
- Ukuba ndindisholo okanye ukurhawuzelela ezandleni
- Intloko ebuhlungu rhoqo okanye enzima
- Ukungonwabi esifubeni
- Intlungu yomhlathi okanye yezinyo
- Ubunzima okanye ubuthathaka kwiingalo
Abantu abaninzi abazithathi nzulu ezi mpawu kuba ziyafika zidlule. Kodwa ukuba ufumana into engaqhelekanga efana nale, kulungile ukubona ugqirha wakho ngokukhawuleza ukuze akunike icebiso.
Abafazi kunye nokusilela kwentliziyo
Ukungaphumeleli kwentliziyo yimeko engapheliyo apho intliziyo ingakwazi ukupompa igazi ngokufanelekileyo. Oku kunokukhokelela ekugcinweni kolwelo, ukudumba emilenzeni, kunye nokwanda kobunzima. Indlela le meko echaphazela ngayo abafazi yahlukile.
- Ukusilela kwentliziyo okubangelwa yiDiastolic, uhlobo lokusilela kwentliziyo okwenzeka xa amandla okumpompa kwentliziyo (i-ejection fraction) eqhelekileyo, lubonakala kakhulu kubafazi.
- Izizathu eziphambili zokusilela kwentliziyo kubasetyhini luxinzelelo lwegazi , isifo sevalvu yentliziyo, isifo seswekile, kunye nesifo semithambo yentliziyo.
- I-Stress Cardiomyopathy (Broken Heart Syndrome), imeko enokubangelwa kukwenzakala okukhulu kwengqondo, ikwaxhaphakile phakathi kwabasetyhini.
- Abafazi basengozini enkulu yokuba neempawu zokungasebenzi kakuhle kwentliziyo emva kokuhlaselwa yintliziyo.
Iimpawu ezinje ngokuphefumla kancinci (ingakumbi ngexesha lokuzilolonga), ubunzima bokuzilolonga, kunye nokudumba komzimba (i-edema) ziqhele ukubonwa kwabasetyhini.
Ziziphi izinto ezibangela umngcipheko wesifo sentliziyo kubafazi?
Izinto ezinobungozi ezifana ne-cholesterol ephezulu kunye noxinzelelo lwegazi oluphezulu zichaphazela wonke umntu. Kodwa ezinye izinto zichaphazela abafazi ngakumbi, kwaye ezinye zichaphazela abafazi kuphela. Makhe sizijonge.
| Into enobungozi | Indlela ebachaphazela ngayo abafazi |
|---|---|
| I-Cholesterol ephezulu | Amanqanaba aphantsi e-cholesterol elungileyo (i-HDL cholesterol) ayingozi kakhulu kubasetyhini abaneminyaka engaphezu kwama-65 kunamadoda. |
| Isifo Seswekile (iDiabetes Mellitus) | Umfazi onesifo seswekile unamathuba amaninzi okuba nesifo seswekile kunendoda enesifo seswekile.Umngcipheko wokuba nesifo sentliziyo uphezulu ngokuphindwe kabini ukuya kane. |
| Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) | Uxinzelelo lwegazi oluphezulu luqhelekile kubasetyhini abaneminyaka engaphezu kwama-60 ubudala, kodwa alulawulwa kakuhle. Oku kungenxa yokuba amanye amayeza anemiphumo emibi emininzi kwaye umzimba uba novelwano ngakumbi kwityuwa emva kokuya exesheni. |
| Ukuya exesheni | Ihomoni i-estrogen ikhusela izifo zentliziyo. Njengoko amanqanaba e-estrogen ehla emva kokuya exesheni, umngcipheko wokuqhekeka kwegazi, ukugcinwa kwamafutha kwiindonga zemithambo yegazi (i-atherosclerosis), kunye ne-cholesterol ephezulu iyanda. |
| Ukutyeba kakhulu | Ukutyeba kakhulu kuyingozi kakhulu kubasetyhini kunakumadoda. Ukuqokelelwa kwamafutha, ingakumbi ejikeleze isisu, kuyawandisa kakhulu umngcipheko wesifo sentliziyo. Ukutyeba kakhulu kunokunyusa umngcipheko wokuhlaselwa sisifo sentliziyo kumfazi ukuya kuthi ga kathathu . |
| Ukutshaya | Umfazi otshayayo unethuba elikhulu lokufumana isifo sentliziyo kunendoda etshayayo. |
| Izifo ezichaphazela umzimba | Izifo ezifana ne-rheumatoid arthritis kunye ne-lupus zixhaphake kakhulu kubasetyhini. Ezi zifo zinyusa kakhulu umngcipheko wokuhlaselwa sisifo sentliziyo kunye nezinye izifo zentliziyo. |
| Iimeko ezenzeka ngexesha lokukhulelwa | Iimeko ezinje ngoxinzelelo lwegazi oluphezulu (i-preeclampsia), isifo seswekile sokukhulelwa, kunye ne-cardiomyopathy emva kokubeletha ngexesha lokukhulelwa ziyandisa kakhulu umngcipheko wokuba nesifo sentliziyo kamva ebomini. |
| I-Polycystic ovary syndrome (i-PCOS) | I-PCOS inokubangela izinto ezininzi ezinokubangela umngcipheko wesifo sentliziyo, ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu kunye ne-cholesterol. |
Izinto esinokuzenza ukuze sizikhusele kwisifo sentliziyo
Musa ukoyika ukuthetha ngazo zonke ezi ngozi. Iindaba ezimnandi zezokuba iimeko ezi-4 kwezi-5 zesifo sentliziyo zinokuthintelwa. Nazi ezinye zezinto onokuzenza ukuze usithintele.
Khawuthelekelele uqhuba imoto. Ukuba udlula isikhonkwane esinye, mhlawumbi itayara iya kuphuma kancinci, kodwa uya kukwazi ukuya egaraji. Kodwa ukuba udlula izikhonkwane ezintathu okanye ezine? Kuya kufuneka ume apho, akunjalo? Izinto ezinobungozi ziyafana. Xa zininzi, amathuba okuba ingxaki ibe nkulu kakhulu kunaxa ikhona. Ngoko ke into ekufuneka siyenze kukuphepha ezi "zikhonkwane" kangangoko sinako.
- Yazi iingozi zakho: Yiya kuxilongwa ngugqirha minyaka le. Lumka uxinzelelo lwakho lwegazi, i-cholesterol, kunye namanqanaba eswekile egazini. Ukuba ufuna ukulawula, sebenzisa amayeza achazwe ngugqirha wakho ngqo.
- Ukuzilolonga: Yenza isicwangciso sokuzilolonga esikulungeleyo. Kungaba lula njengokuhamba ngokukhawuleza imizuzu engama-30 ngosuku, ubuncinane iintsuku ezi-5 ngeveki.
- Yeka ukutshaya notywala: Yeka ukutshaya ngokupheleleyo. Nciphisa ukusetyenziswa kotywala.
- Ukutya okunempilo kwentliziyo: Le yeyona nto ibalulekileyo.
- Isicwangciso: Thetha nogqirha wakho malunga notshintsho ekufuneka ulwenze kwindlela otya ngayo. Bhala uluhlu lwezinto ofuna ukuzitya kunye nezinto ofuna ukuziyeka.
- Khetha: Cwangcisa ukutya kwakho kweveki. Xa usiya kuthenga, thenga ngokwelo luhlu. Ukuba usiya kutya ngaphandle, cinga kwangaphambili malunga nokuba zeziphi iindlela ezinempilo ezikhoyo.
- Lumka ngobukhulu besidlo: Nokuba simnandi kangakanani na isidlo, akulunganga ukutya kakhulu. Lumka ubungakanani besidlo esikwipleyiti yakho.
- Yonwabela!: Yintsomi ukuba ukutya okunempilo akunambitheki kakuhle. Fumana iiresiphi ezimnandi nezinempilo ozithandayo.
Intliziyo yakho yeyona nto ixabisekileyo ebomini bakho. Luxanduva lwakho ukuyikhusela. Thetha ngokukhululekileyo nogqirha wakho ngezinto ezikubangela umngcipheko kunye neempawu ozifumanayo. Ngaleyo ndlela, ungaphila ubomi obusempilweni nobonwabisayo.
Umyalezo Wokuya Ekhaya
- Isifo sentliziyo sesona sibangela ukufa kwabasetyhini. Musa ukucinga ukuba sisifo "samadoda."
- Abafazi banokufumana iimpawu ezahlukeneyo zokuhlaselwa yintliziyo kunamadoda. Banokufumana iimpawu ezifana nokudinwa okungaqhelekanga, ukuphefumla kancinci, kunye nokucaphuka, kunokuba babe neentlungu zesifuba.
- Iimeko ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, ukuya exesheni, iingxaki zokukhulelwa, kunye ne-PCOS ziyandisa kakhulu umngcipheko wesifo sentliziyo kumfazi.
- I-80% yesifo sentliziyo inokuthintelwa. Kubalulekile ukulandela indlela yokuphila esempilweni kunye nokuhlolwa rhoqo ngugqirha.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, musa ukuzityeshela kwaye ubone ugqirha wakho ngoko nangoko.
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