Ukuba khona kwezifo zenhliziyo ezi-coronary kubhekwa njengokuphulwa kwesikhathi eside kwemithetho yokudla okunempilo, ukunganakwa kwezemidlalo nethonya lemikhuba emibi. Kuyaqapheleka ukuthi inqubo yokuguga nayo iyinto ekhulisa amathuba okuthola isifo senhliziyo.
Ekuqaleni kwesifo, izinguquko zincanyana, kodwa ngokuqhubeka kwesikhathi ziyanda futhi zibonakale. Ezitsheni ngokwazo, ifomu lama-cholesterol fatters, elivale leli ndima, ngenxa yalokho, inhliziyo ayikutholi ukondleka okufanele. Ukuntuleka kokwelashwa okufika ngesikhathi kungaba nemiphumela emibi - ukushaya kwenhliziyo nokushaywa unhlangothi.
Isifo senhliziyo esenziwe nge-Coronary singavinjelwa ngokudla okufanele, ukuguquka kwendlela yokuphila. Kuphela kwalokhu, kusobala, lesi sifo asikwazi ukwelapheka ngokuphelele, kodwa kungenzeka ukwenza lula ukwelashwa. Noma kunjalo, le nto ibaluleke kakhulu kwezempilo. Ngaphezu kwalokho, njenge-prophylaxis, leli yikhambi eliphumelela kakhulu. Ochwepheshe bathole ukuthi ukondliwa kudlala indima ebalulekile ekuvimbeleni isifo sokuqina kwemithambo yegazi, okuyi-harbinger yesifo senhliziyo.
Ngokuvamile, imbangela yokugula kwenhliziyo i-cholesterol ephezulu. Umzimba ukhiqiza le nto ngokwayo ngamanani anele, kepha ngokudla ingena emzimbeni ngokweqile.
Kunezinhlobo ezimbili zama-lipoproteins egazini: ama-lipoproteins aphezulu (i-HDL) kanye ne-low density lipoproteins (LDL). Uhlobo lokuqala luwusizo emzimbeni futhi likhuphuka izinga laso, ngcono. Isibonelo, iyakwazi ukuvimbela ukunamathela kwamafutha ezindongeni zemithambo yegazi, futhi ithuthukise isimo somzimba. Imvelo yohlobo lwesibili nayo ayinabungozi. Ubandakanyeka ekuthuthukisweni kwemisipha nakwezinye izinqubo ezithile.
Kepha inani elikhulayo lezinto emzimbeni lingalimaza. Into ebaluleke kakhulu ukuthi kukhona ibhalansi yamapoprotein amabili egazini. Uma yephukile, kufanele uthintane nodokotela.
Inani elikhulu le-cholesterol ne-triglycerides lakha izingwegwe odongeni lwemithambo yegazi. Ukukhula, balimaza kakhulu ukondleka kwezitho, okuyimbangela ye-atherosclerosis. Ezimweni eziningi, i-cholesterol ephezulu ibangelwa amaphutha okunomsoco. Lokhu ikakhulukazi ukusetshenziswa kwamafutha amaningi ezilwane. Ukuze ugcine izinkomba zilawulwa, udinga ukuhlolwa ngokuhlelekile. Ungalinganisa izinkomba ekhaya usebenzisa idivaysi ekhethekile.
Imiphumela yocwaningo ikhombisile ukuthi isifo esinjalo sanda kaningi uma amazinga e-cholesterol ephakanyisiwe.
Ukwehla kwe-cholesterol kuholela ekunciphiseni kwengozi yokuvela kwayo ngesigamu.
Ukwephula okutholakale ngesikhathi kwesinye isikhathi kwandisa amathuba okuthola ukwelashwa okuphelele.
Ngokwezibalo zezokwelapha ezitholakalayo:
- umphumela obulalayo nge-cholesterol ephezulu (kusuka ku-5.5 kuya ku-6.0) kusuka ku-ischemia ephindwe kabili;
- ubungozi be-pathology banda ngaphansi kwethonya lezinye izinto, njengokubhema, isifo sikashukela, ukukhuluphala.
Izinga le-cholesterol ephelele lihlobene ngqo nethuba lesifo se-coronary artery isifo.
Ngakho-ke, kunconywa ukuthi kuhlolwe i-cholesterol kusukela eminyakeni engama-20. Futhi qapha ukudla nendlela yokuphila. Kunezici zobungozi ezithinta i-cholesterol kanye nokuvela kwe-ischemia:
- Ukubhema.
- Ukusebenzisa kabi utshwala.
- Iminyaka engu-40 +
- Isisindo somzimba esithe xaxa.
- Ukudla okungenampilo (ubukhulu bezilwane ezinamafutha ekudleni)
- Ukuntuleka kokuzivocavoca umzimba.
- Hypercholesterolemia.
- Isakhi sofuzo.
- Isifo sikashukela mellitus
- Umfutho wegazi ophakeme
I-Ischemia yenzeka ikakhulukazi emadodeni, yize kunjalo nakwabesifazane. I-Alcohol iyinkinga ephikisanayo: abanye ochwepheshe bathi umthamo omncane ukhuphula izinga le-HDL egazini, kanti abanye ngokwezigaba baphika ukuthi liyazuza.
Into eyodwa iyaziwa ukuthi nethamo elincane lotshwala lingathinta isibindi, futhi, njengoba wazi, yi-cholesterol synthesizer.
I-Ischemia ne-cholesterol kuncike komunye nomunye, ngakho-ke kubalulekile phambi kwalesi sifo ukunciphisa inani lamafutha egazini, ngoba impilo yesiguli incike kuso.
Ukuxilongwa kaningi kwenziwa yi-cardiologist, kususelwa kwizikhalazo zesiguli mayelana nezimpawu zesifo. Futhi, isisekelo sokuxilongwa yilezi zivivinyo. Izifundo eziningi ziyaqhubeka, kufaka phakathi ucwaningo lwe-cholesterol ephelele nesilinganiso sama-lipoprotein. Ezimweni eziningi, i-cholesterol ku-IHD ingaphezu kokujwayelekile. Ukuxilongwa kwe-glucose yegazi ne-triglycerides nakho kuyenziwa. Ngokusekelwe emiphumeleni yalokhu kuhlaziya, kwenziwa isifundo esibalulekile - i-ECG. Inhloso yocwaningo ukulandelela umsebenzi wenhliziyo, ukuvumela ukuthi ulandelele ukwephulwa komsebenzi wayo.
Ngokuhambisana nezinye izindlela, i-ultrasound yenhliziyo isetshenziswa ngenkuthalo. Ukuyisebenzisa, ungabona ngokubona isimo somzimba: ubukhulu, ukusebenza kwe-valve, njll. I-echocardiography yengcindezi isetshenziswa ngomthwalo omncane womzimba. Ubhalisa i-myocardial ischemia. Enye yezindlela zokuxilonga ukuvivinya ukusebenza komzimba. Lokhu kuyadingeka uma ukwephulwa kwenzeka kuphela esimweni esijabulisayo, lokhu kungabonakala kusesekuqaleni. Isebenzisa ukuhamba, ukuvivinya imithwalo, ukukhuphuka izitebhisi. Idatha iqoshwa kumbhalisi okhethekile.
Isebenzisa i-electrocardiography, isimo sokuncishiswa kukagesi, nokuhlolwa kwe-myocardial kuyahlolwa. Inzwa ekhethekile ifakwa ngokusebenzisa i-esophagus bese inhliziyo iyaqoshwa. Ngemuva kokuthi udokotela enze ukuxilonga, ubeka umuthi bese edonsa imenyu ekhethekile.
Ukwelashwa okuphoqelekile ukusetshenziswa kwemithi ekhethekile, imvamisa odokotela banquma umuthi i-Simvastatin.
Izinga eliphelele le-cholesterol yesifo senhliziyo e-coronary livame ukuphakanyiswa, ngakho-ke, ukudla okhethekile kungumthetho obalulekile ekwelashweni. Umsoco we-ischemia uhlelwe ngesisekelo seTafula No. 10, elakhiwa ku-atherosclerosis. Ukwelashwa, udinga ukulandela imithetho ethile. Ukudla kusekelwe ekunciphiseni ukusetshenziswa kwamafutha ezilwane; ukwehla kokudla kwe-carbohydrate, ngaleyo ndlela kuncishiswe amakhalori; ukukhulisa inani lokudla ngefayibha; ukukhuphuka kwenani lamafutha emifino, ama-polyunsaturated acid; ukunciphisa usawoti kokudla.
Udinga futhi ukunciphisa ukusetshenziswa koshukela, ujamu, ujamu namaswidi ahlukahlukene. Ukudla okuningi okudliwayo kuqukethe amafutha ezilwane, ngakho-ke udinga ukukhawula kuphela okuyingozi kakhulu. Kufanele wenqabe ukudla:
- isibindi
- ubuchopho;
- isikhupha seqanda;
- uwoyela wekheni;
- ingulube enamafutha;
- oysters;
- amasoseji;
- sala;
- imayonesi;
- amafutha;
- squid;
- i-mackerel.
Kufanele futhi ubheke ukuthi yikuphi ukudla okufanele kube khona ekudleni:
- Izitsha zenhlanzi nokudla kwasolwandle. I-Caviar ne-squid ayifakiwe, kepha zonke izinhlanzi ezinamanzi anosawoti zivunyelwe. Ukudla okunjalo kufanele kudliwe cishe kathathu ngesonto. Ungasebenzisa futhi izilwane zasolwandle, ziwusizo kuzo zonke izinhlobo.
- Amagremu angama-500 wemifino ngosuku, ngoba angumthombo we-fiber yokudla yomzimba.
- Ingqolowa engcebile e-pectin.
- I-Flaxseed, imbewu ye-sesame, ngoba iqukethe izinto eziningi eziwusizo ku-atherosclerosis kanye ne-ischemia.
- Iklabishi elimhlophe nganoma yiluphi uhlobo futhi nanoma yimiphi imifino.
- Inani lamazambane alinganiselwe.
- Isitshalo seqanda, beet, iklabishi elibomvu.
- Ama-mangonberry, i-viburnum, i-cornel, ihalananda, ama-raspberries, ama-blueberries, ama-sitrobheli, amagilebhisi, ujusi.
- Izimila, imikhiqizo ye-soy yehlisa i-cholesterol enefayibha. Imikhiqizo yeSoy inomthelela omuhle emzimbeni.
- Amafutha emifino.
- Imikhiqizo yobisi enokuqukethwe okuphansi kwamafutha.
- Isinkwa nge-bran, rye.
- Iporridge enezinhlamvu ezahlukahlukene.
Ukuba khona kwetiye eliluhlaza, amanzi nge-kalamula, umhluzi we-rosehip, amaminerali namanje amanzi kuyadingeka ekudleni.
Lapho welapha, kufanele unamathele ekudleni okukhethekile okusiza ukunciphisa i-cholesterol embi.
Izitsha zidinga ukuphekwa ngendlela efanele, imifino kufanele iphekwe noma ibhakiwe, amasoseji kanye nemikhiqizo ebhemayo akufanele kube nakancane. Udinga ukudla okungenani izikhathi ezi-5 ngosuku, kepha ngezingxenye ezincane.
Lokhu kudla kwenzelwe isikhathi eside futhi kubhekwa njengokulinganiselayo. Into esemqoka ukuhlanganisa imikhiqizo ngamanani ahlukene wokudla okunempilo.
Lokhu kudla kunezinzuzo ezicacile nezingalungile.
Izinzuzo yilezi:
- ukuhlukahluka;
- ukwaneliswa njalo, ngenxa yokulondolozwa kokubhakwa kwezitsha;
- ukulungiswa kwe-cholesterol ejwayelekile;
- ukwenza ngcono isiguli inhlala-kahle.
Okubi:
- kunzima ukunamathela ekudleni, ngoba akujwayelekile;
- ngesithukuthezi ngokushesha;
- Kunzima ukubekezelela ezingeni lengqondo ngenxa yokuntuleka kwemikhiqizo ejwayelekile.
Ukudla kufanele kube yindlela yokuphila ejwayelekile. Naphezu kobunzima bokuqala, umuntu angayijwayela. Ochwepheshe bathi awukwazi ukugxila kokudla okunempilo, kepha kufanele uhlanganise ukudla nemidlalo. Uma umuntu osekhulile, ungazikhawulela ekuhambeni, ekubuyiseleni ngamabhayisekili. Lesi yisimo esidingekayo sokululama okuphumelelayo. Ngaphezu kwalokho, ukudla okuhlukahlukene kuzokusiza ukujwayela masisha ekudleni okusha, futhi indlela yokuphila enempilo izokwandisa isikhathi sayo.
Mayelana nesifo senhliziyo esi-coronary sichazwe kuvidiyo kule ndatshana.
