Izici zobungozi bokushaywa unhlangothi

Isifo sohlangothi senzeka lapho ukugeleza kwegazi kuya engxenyeni yobuchopho kungazelelwe. I-stroke kwesinye isikhathi ibizwa ngokuthi "ukuhlaselwa ubuchopho noma ingozi ye-cerebrovascular." Uma ukugeleza kwegazi kunqanyulwa isikhathi eside kunemizuzwana embalwa, ubuchopho abukwazi ukuthola izakhamzimba nomoya-mpilo. Amaseli obuchopho angafa, abangele ukulimala okungapheli.

Izinto ezinobungozi yizinto ezikhulisa amathuba akho okuthola isifo noma isimo. Lo mbhalo ukhuluma ngezici zobungozi bokushaywa unhlangothi nezinto ongazenza ukunciphisa ubungozi bakho.

Ingcuphe yinto ekhulisa amathuba akho okuthola isifo noma inkinga yezempilo. Ezinye izinto ezinobungozi bokushaywa unhlangothi ngeke ukwazi ukuzishintsha. Abanye ungakwazi. Ukushintsha izinto ezinobungozi ophethe kuzo kuzokusiza uphile impilo ende, enempilo.

Awukwazi ukushintsha lezi zici zobungozi bokushaywa unhlangothi:

• Iminyaka yakho. Ingozi yokushaywa unhlangothi ikhula ngokukhula.
• Ubulili bakho. Abesilisa basengozini enkulu yokuthola isifo senhliziyo kunabesifazane, ngaphandle kwabadala asebekhulile.
• Izakhi zofuzo zakho nohlanga lwakho. Uma abazali bakho beshaywe unhlangothi, usengozini enkulu. Abantu base-Afrika baseMelika, abaseMelika baseMexico, amaNdiya aseMelika, amaHawaii kanye nabanye base-Asia baseMelika nabo basengozini enkulu.
• Izifo ezifana nomdlavuza, isifo sezinso esingapheliyo, kanye nezinye izinhlobo zesifo samathambo.
• Izindawo ezibuthakathaka odongeni lwemithambo noma imithambo nemithambo engajwayelekile.
• Ukukhulelwa. Kokubili phakathi nangemva kwamasonto ngemuva kokukhulelwa.

Amahlule egazi asuka enhliziyweni angahambela futhi avimbe imithambo yegazi ebuchosheni futhi ibangele isifo sohlangothi. Lokhu kungenzeka kubantu abanezivalo zenhliziyo ezenziwe ngabantu noma ezinegciwane. Kungenzeka futhi ngenxa yokukhubazeka kwenhliziyo owazalwa unakho.

Inhliziyo ebuthakathaka kakhulu nesigqi senhliziyo esingajwayelekile, njenge-atrial fibrillation, nakho kungadala amahlule egazi.

Ezinye zezinto eziyingozi zokushaywa unhlangothi ongazishintsha yilezi:

• Ukungabhemi. Uma ubhema, yeka. Buza udokotela wakho usizo lokuyeka.
• Ukulawula i-cholesterol yakho ngokudla, ukuvivinya umzimba, nemithi, uma kudingeka.
• Ukulawula umfutho wegazi ophakeme ngokudla, ukuzivocavoca, kanye nemithi, uma kudingeka. Buza udokotela wakho ukuthi kufanele ube yini umfutho wegazi.
• Ukulawula isifo sikashukela ngokudla, ukuzivocavoca, kanye nemithi, uma kudingeka.
• Ukuzivocavoca okungenani imizuzu engama-30 nsuku zonke.
• Ukugcina isisindo esinempilo. Yidla ukudla okunempilo, udle kancane, bese ujoyina uhlelo lokwehlisa isisindo, uma udinga ukunciphisa umzimba.
• Ukulinganisela ukuthi uphuza kangakanani utshwala. Abesifazane akufanele baphuze isiphuzo esingaphezu kwesingu-1 ngosuku, nabesilisa bangabi ngaphezu kwezingu-2 ngosuku.
• UNGAYisebenzisi i-cocaine nezinye izidakamizwa zokuzijabulisa.

Amaphilisi okulawula ukubeletha angakhuphula ubungozi bamahlule egazi. Izingubo zivame kakhulu kwabesifazane nabo ababhemayo nabadala kuneminyaka engama-35.

Ukudla okunomsoco kubalulekile empilweni yenhliziyo yakho. Kuzosiza ukulawula ezinye zezinto ezinobungozi bakho.

• Khetha ukudla okunothe ngezithelo, imifino, nezinhlamvu ezigcwele.
• Khetha amaprotheni amancane, njengenkukhu, inhlanzi, ubhontshisi kanye nemidumba.
• Khetha imikhiqizo yobisi enamafutha amancane, njengobisi oluyi-1% nezinye izinto ezinamafutha aphansi.
• Gwema i-sodium (usawoti) namafutha atholakala ekudleni okuthosiwe, ekudleni okusetshenzisiwe, nasezintweni ezibhakiwe.
• Yidla imikhiqizo yezilwane embalwa nokudla okumbalwa ngoshizi, ukhilimu noma amaqanda.
• Funda amalebula okudla. Hlala kude namafutha agcwele nanoma yini enamafutha ayingxenye ye-hydrogenated noma i-hydrogenated. Lawa ngamafutha angenampilo.

Udokotela wakho angase asikisele ukuthatha i-aspirin noma elinye i-thinner yegazi ukusiza ukuvimbela amahlule egazi ukuthi angakhi. UNGAYITHATHI i-aspirin ngaphandle kokukhuluma nodokotela wakho kuqala. Uma uthatha le mithi, thatha izinyathelo zokuzivikela ekuweni noma ekukhubekeni, okungaholela ekopha.

Landela le mihlahlandlela kanye nezeluleko zikadokotela wakho ukuze wehlise amathuba okushaywa unhlangothi.

Ukuvimbela unhlangothi; Unhlangothi - ukuvimbela; I-CVA - ukuvimbela; I-TIA - ukuvimbela

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URiegel B, uMoser DK, uBuck HG, et al; Umkhandlu Wenhlangano Yezinhliziyo ZaseMelika Wobuhlengikazi Benhliziyo Nemithambo Stroke; Umkhandlu wezifo zemithambo yegazi; kanye noMkhandlu Wocwaningo Lwekhwalithi Yokunakekelwa Nemiphumela. Ukuzinakekela ukuvimbela nokuphathwa kwesifo senhliziyo nemithambo yegazi: isitatimende sesayensi sabasebenzi bezempilo abavela e-American Heart Association. J Am Inhliziyo Assoc. 2017; 6 (9). pii: e006997. I-PMID: 28860232 www.ncbi.nlm.nih.gov/pubmed/28860232.

UWhelton PK, uCarey RM, u-Aronow WS, et al. I-2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA umhlahlandlela wokuvimbela, ukuthola, ukuhlola kanye nokuphathwa kwengcindezi ephezulu yamabhodlela kubantu abadala: umbiko we-American College of Cardiology / American I-Heart Association Task Force kumihlahlandlela yokusebenza kwemitholampilo. UJ Am Coll Cardiol. I-2018; 71 (19): e127-e248. I-PMID: 29146535 www.ncbi.nlm.nih.gov/pubmed/29146535.