Matenda a mtima amapha anthu ambiri ku United States chaka chilichonse kusiyana ndi mitundu yonse ya khansa. Ambiri mwa anthuwa amafa chifukwa cha matenda a mtima mwa anthu omwe ali ndi matenda oopsa. Pamene anthu ambiri akukhala ndi moyo wathanzi komanso kumwa mankhwala omwe amachepetsa chiopsezo cha mtima, imfa ya CAD ikugwetsa. Koma nthano 10 zokhudzana ndi matenda a mtima ndi mankhwala omwe akufotokozedwa m'munsimu zimatetezera anthu ambiri kuti asatenge ndondomeko zomwe akufunikira kuti apewe matenda a mtima.
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Maola awiri kapena atatu a masewera olimbitsa thupi pa sabata amafunika kuti mupindule mtima wanu.Gawo zisanu kapena zisanu ndi chimodzi za ntchito zolimbitsa thupi pa sabata zidzakuthandizani kuchepetsa kufa kwa CAD ndi khansa. Koma simukusowa kuti mukhale ochita masewera olimbitsa thupi kapena ngakhale msilikali wamlungu kuti mupindule. Mukuyenera kuchoka pa sofa ndi kusuntha. Mtima wanu umapindula ndi ntchito iliyonse imene mumachita-ndipo pamene mukuchita zambiri, mumapindula kwambiri. Tengani masitepe mmalo mwa elevator, yendani kuzungulira msika wamalonda, pukutsani nyumba yanu, kapena mutenge masamba. Cholinga cha ntchito ya mphindi 30 patsiku-yogawidwa m'magulu a mphindi 10 mpaka 15 ndi abwino-ndipo mtima wanu udzakuthokozani.
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Zina mwa "zakudya zapamwamba" zimatha kuteteza matenda a mtima.Palibe chakudya chomwe chingalepheretse matenda a mtima. Zakudya monga blueberries, makangaza, walnuts, ndi nsomba zimapindulitsa thanzi la mtima, koma sangakulepheretseni kukhala ndi matenda a mtima. Zakudya zina zimatha. Zakudya za Mediterranean, zomwe zili ndi mbewu zonse, nyemba, nsomba, ndiwo zamasamba, zipatso, ndi mafuta omwe amapezeka ngati mafuta a mafuta, awonetsedwa kuti athetse vuto la matenda a mtima.
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Mafuta ndi oipa kwa inu.Mafuta anayi osiyanasiyana amapezeka mu zakudya osati onse ali oipa. Mafuta a trans ndi oipa kwambiri. Mafuta awa opangidwa (kuganiza "pang'ono hydrogenated") omwe amagwiritsidwa ntchito mu zakudya zambiri zophikidwa ndi zakudya zowonongeka amauza ma LLL cholesterol. Mafuta okhuta, omwe amachokera ku zinyama monga nyama yofiira ndi batala, amakhalanso ndi ma LDL. Komabe, mafuta odzaza mafuta ndi mafuta obiriwira amatha kuchepetsa miyeso yanu ya LDL pamene amagwiritsidwa ntchito mmalo mwa mafuta odzaza.
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Zamoyo zanu zimapangitsa kuti mukhale ndi matenda a mtima.Ngakhale kuti majini amathandiza anthu ena, 90 peresenti ya CAD imapezeka mwa kusankha kosokoneza moyo, monga kudya zakudya zosayenera, kusuta fodya, ndi kuchita zochepa zolimbitsa thupi. Zosankhazi zikhoza kukweza mpweya wa mafuta m'thupi ndi mafuta ena owopsa m'magazi anu, kukweza mphamvu ya magazi, ndikupangitsani kuti mukhale ndi matenda a shuga kapena mtundu wa shuga. Zonsezi zimayambitsa matenda a mtima. Ngati muli ndi chiwerengero chachikulu cha cholesterol, kuthamanga kwa magazi, kapena matenda a shuga, ndikofunika kuti mukhale ndi moyo wathanzi komanso mutenge mankhwala kuti muteteze matendawa.
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Ngati muli ndi kuthamanga kwa magazi, mudzadziwa ndi zizindikiro zanu.Kuthamanga kwa magazi (kuthamanga kwa magazi) kumatchedwa "wakupha wakupha" chifukwa sizimakhala ndi zizindikiro mpaka zitayambitsa matenda a mtima kapena kupwetekedwa mtima. Magazi anu a magazi amatha kuwululidwa ndi chikho cha magazi. Ndilo lingaliro labwino kuti muwerenge kuwerenga kwa magazi musanafike zaka 21-kale, ngati kuthamanga kwa magazi kuthamanga m'banja lanu. Izi zimapereka chingwe choyambira pa miyeso yomwe yatengedwa m'moyo wanu wonse.
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Cholesterol yanu yonse ndiyeso yofunika kwambiri ya cholesterol.Cholesterol chonse chimaphatikizapo cholesterol chabwino (HDL) ndi cholesterol choipa (LDL). Tinkakonda kuganiza kuti cholesterol chochuluka chikhoza kuthetsa zotsatira za ma cholesterol, koma kafukufuku waposachedwapa akuwonetsa izi sizinali choncho. Ngakhale kuti mkulu wa HDL mlingo ndi chinthu chabwino, mlingo waukulu wa LDL umatanthauza kuti thupi lanu likhoza kukhala ndi mitsempha ya m'mitsempha yanu-yomwe ingabweretse ku matenda a mtima, kupweteka, ndi mavuto ena. Izi zimapangitsa LDL kukhala mlingo wofunikira kwambiri wa cholesterol.
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Akazi safunika kudandaula za matenda a mtima.Amuna amakonda kukhala ndi CAD komanso amakhala ndi mtima wamtima msinkhu kuposa amayi. Koma, atatha kusamba, chiopsezo cha mtima ndi chimodzimodzi kwa akazi monga amuna. Ndipotu amayi ambiri amafa ndi matenda a mtima chaka chilichonse kusiyana ndi khansa ya m'mawere. Nkhani yabwino ndi yakuti mwayi woti mayi adzapulumuka matenda ake a mtima wawonjezeka ndi 56 peresenti, chifukwa cha kuzindikira ndi kuyang'anira kwa CAD. Chifukwa chimodzi chomwe amayi samapezeka kuti ali ndi CAD ndi chakuti amai ambiri amagwiritsa ntchito ob / gyn monga dokotala wawo wamkulu komanso osayesa mtima. Akazi ayenera kukhala ndi chiyeso choyendetsa mutu ndi zozama ndi zoyesayesa za mtima zoyambirira ali wamkulu. Izi zimathandiza kuti zidziwitso zowopsa zidziwike ndikukambidwa mofulumira, zisanafike pamtima.
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Mutha kumwa kwambiri LDL cholesterol ndi zakudya zokha.Ngati mlingo wanu wa LDL uli wapamwamba kwambiri, mudzafunika statin kapena mankhwala otsika kwa cholesterol kuti mubweretse pansi. Ndi chifukwa chakuti chiwindi chanu chimapanga pafupifupi 75 peresenti ya cholesterol mu thupi lanu ndipo zakudya zimangopatsa 25 peresenti. Zakudya zabwino zokhudzana ndi mtima zingachepetse LDL yanu, koma kuwonjezera kwa mankhwala otsika kwa kolesterolini kudzakhala kofunikira ngati muli ndi LDL kwambiri komanso mbiri ya CAD .
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Kuchita opaleshoni yopitirira malire ndikukonzekera kowonjezera CAD.Pamene CAD imayambitsa mitsempha m'mitsempha ya mtima, mitsempha ina ingagwiritsidwe ntchito kupyolera mwazi pozungulira mavuto. Kuchita opaleshoni yachipatala yomwe amadziwika ndi opaleshoni ya mtima monga chithandizo chamakono chophatikizira (CABG) -chikhoza kuthana ndi vuto loyamba la mtima kapena lachiwiri ndikukupangitsani kukhala bwino. Koma, sichikhoza kuchiza CAD-ndipo sichikhoza kuzimitsa mitsempha yotsegulira. Ndondomeko ya matenda yomwe inachititsa kuti blockages ikhalebe.
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Kuthamanga ndi kotetezeka kusiyana ndi kupitirira opaleshoni.Palibe kukayikira kuti CABG ndi opaleshoni yaikulu. Koma pamene akukonzekera kuteteza matenda a mtima, ndipo akuchitidwa ndi dokotala wodziŵa bwino ntchito, chiwopsezo cha opaleshoni sichichepera limodzi peresenti. Kuwongolera kuli kovuta kwambiri kuposa CABG, kulola odwala kuti abwere mofulumira, ndipo ali ngati otetezeka. Anthu ena akhoza kuchita bwino ndi njira imodzi kuposa ina. M'mayesero awa, katswiri wamagetsi kapena dokotala wa opaleshoni adzafotokoza chifukwa chake.
Dr. Gillinov ndi dokotala wa opaleshoni ku Cleveland Clinic's Heart and Vascular Institute, nambala ya 1 ya cardiology komanso mapulogalamu a opaleshoni ya mtima monga momwe analembedwera ndi US News & World Report. Iye akuyang'anira Dipatimenti ya Opaleshoni ya Thoracic and Cardiovascular Surgery.