Ngozi ya Coronary Artery Disease, A-Fib Anakulira
Mukamaganizira za matenda a leliac , mumaganizira mozama za zotsatira za thupi lanu. Koma chikhalidwecho chimakhudza kwambiri njira ina yofunikira: dongosolo lanu la mtima.
Kafukufuku amasonyeza kuti anthu omwe ali ndi matendawa ali ndi chiopsezo chachikulu cha mitundu iwiri ya matenda a mtima: ischemic (matenda omwe amadziwika kuti coronary artery disease) ).
Odwala amakhalanso ndi chiopsezo chochuluka chofa chifukwa cha matenda a mtima, ngakhale kuti kudya zakudya zopanda thanzi kumawoneka kuchepetsa vutoli.
Sizidziwikiratu chifukwa chake zonsezi zimachitika, makamaka popeza omwe ali ndi matenda a leliac sangawonongeke kwambiri kapena amasuta, zifukwa zikuluzikulu zoopsa za matenda a mtima. Amakhalanso ndi cholesterol chochepa. Akatswiri ena apeza kuti kutupa mothandizidwa ndi momwe chitetezo cha mthupi chimakhudzidwira ndi kupweteka kwa gluten kungakhale kulakwa, koma maphunziro asanatsimikizirepobe kuti chiphunzitsochi ndi cholakwika.
Komabe, chiopsezo chochuluka chikudalipobe. Kuphunzira kwa 2008 ku Scotland komwe kunatsatira anthu 367 omwe ali ndi matenda a leliac kwa pafupifupi zaka zinayi atapezeka kuti anapeza kuti anali ndi kachilombo kawiri kawiri ka anthu omwe amatchedwa "zochitika za mtima," kuphatikizapo matenda a mitsempha, kupweteka kwa mtima, kupweteka kapena matenda a mtima.
Ochita kafukufuku amakhulupirira kuti muyenera kumvetsera mwachidwi izi. Matenda a mtima ndi opha munthu mmodzi padziko lonse, ndipo chirichonse chimene chimapangitsa mwayi wanu kukhala ndi matenda a mtima-kuphatikizapo kukhala ndi matenda a celiac-ndi ofunikira.
Izi ndizo zomwe tikudziwa (ndipo sitikudziwa) za matenda a leliac ndi matenda anu a mtima, ndi zomwe mungachite kuti muchepetse chiopsezo chanu.
Anthu Osachita Zachikhalidwe Sakhala ndi 'Zachikhalidwe' Zoopsa za Coronary
Mukakhala ndi matenda a mitsempha, mankhwala otchedwa axy otchedwa plaque amamanga m'mitsempha yomwe imapatsa mtima wanu minofu ndi magazi. Kuyika kwalakwitsa kumatanthawuza kuti mtima wanu umakhala wosatengera mpweya wabwino, umene ungayambitse kupweteka pachifuwa, makamaka pamene mukugwira ntchito.
Pamapeto pake, ngati cholembera chokwanira chimatha, chidutswa chake chimatha kuphulika, zomwe zimatsogolera ku magazi omwe amaletsa mitsempha. Izi zimayambitsa matenda a mtima.
Anthu ambiri amadziwa makhalidwe omwe mumakhala nawo pachiopsezo cha matenda a mitsempha: kukhala olemera kwambiri, kukhala ndi cholesterol, ndi kusuta ndizo zitatu zomwe zimayambitsa chiopsezo.
Komabe, anthu omwe ali ndi matenda oopsa omwe amakhala ndi matenda a mitsempha sangagwirizane kwambiri ndi chithunzithunzichi. Amakonda kukhala wochepa thupi, amakhala ndi mafuta okwanira m'thupi, ndipo amasuta mochepa kuposa omwe alibe matenda a celiac omwe ali ndi matenda a mitsempha.
Ndi zoona kuti maonekedwe a celiac akusintha-anthu akuwonjezeka kwambiri kapena ngakhale owonjezera (osati ochepa thupi) pamene amapezeka, mwachitsanzo. Koma sizinayendetsa chiopsezo cha matenda a mtima mu celiacs.
Matenda a Celiac ndi Coronary Artery Disease: Kutentha kwa Link?
Nanga nchiyani chomwe chingayambitse ngoziyi?
Asayansi amanena kuti ndi chifukwa cha zomwe ena amatcha "boma lopuma yotupa."
Kuwotcha kumawoneka kuti kumathandiza kwambiri pa chitukuko cha matenda a mitsempha yamtunduwu, chifukwa kumathandiza kulumpha makina oyambitsa mitsempha m'mitsempha yanu.
Anthu omwe ali ndi matenda oopsa (omwe ali chikhalidwe chawo ) ali ndi ma chitetezo a chitetezo cha thupi omwe adzipangira ziwalo zawo. Njira yowonongeka ya chitetezo cha chitetezo cha chitetezo cha chitetezo cha thupi chitetezo cha thupi chimatha kuyendetsa galimoto kwinakwake m'thupi, kuphatikizapo mitsempha yomwe imatumikira mtima wanu. Kafukufuku wamakono posachedwapa pa maselo ena oyendetsa galimoto omwe amatulutsa ma chitetezo cha mthupi, komanso momwe maselowo amagwirizanirana ndi zilembo m'mitsempha, zikuwoneka kuti zimatsatiranso chiphunzitsochi.
Ndipotu, phunziro la 2013 linayang'ana akuluakulu omwe ali ndi matenda a celiac ndipo adapeza kuti amakhala ndi zipilala ziwiri za kutupa, kuphatikizapo zotsatira zowonetsera kuti zimakhala ndi chiyambi cha zomangira pamatumbo awo. Zina mwa zotsatira za mayesowa zinapindula kamodzi anthu atatsatira chakudya chopanda chakudya cha gluten kwa miyezi isanu ndi umodzi kapena isanu ndi itatu, kusonyeza kuti kutupa kwathunthu kunatsika.
Komabe, ochita kafukufukuwo anapeza kuti anthu akuluakulu omwe ali ndi matendawa amapezeka pachiopsezo chachikulu cha matenda oyambitsa mitsempha ya m'mimba, pogwiritsa ntchito zizindikiro za kutupa.
A-Fib: Mwinanso Wowopsa
Kugwiritsira ntchito mankhwala a atrial ndi vuto lamagetsi ndi mtima wanu umene umatsogolera ku mtima wosasinthasintha, nthawi zambiri. Ndi matenda aakulu omwe angakhalepo kwa zaka zambiri, ndipo amapezeka kwambiri kwa anthu oposa 40. Pamene muli ndi A-Fib, amachititsa kuti mukhale ndi matenda a sitiroko, magazi, kapena kufooka kwa mtima.
Anthu omwe ali ndi matenda oopsawa amavutikanso ndi mapulaneti apamwamba kwambiri, ngakhale kuti pangakhale pangozi yowopsa kwambiri. Mu kafukufuku wina, womwe unachitikira ku Sweden, ofufuza adafuna kuti anthu 28,637 adziwe kuti ali ndi matenda a celiac.
Iwo anapeza milandu 941 ya A-Fib mu gululo pazaka zisanu ndi zinayi zotsatirazi zitatha. Kuyambira kale, kukhala ndi A-Fib kunapangitsanso chiopsezo chotenga matendawa.
Kwachidziwikire, kukhala ndi matenda a celiac kumapangitsa munthu pafupifupi 30% kuti athe kupezeka ndi A-Fib kusiyana ndi munthu amene alibe matenda a Celiac. Apanso, kuvuta kungakhale kolakwa, olembawo analemba kuti: "Izi zikugwirizana ndi zomwe zachitika kale kuti kukwera kwa zizindikiro zotupa kumatanthawuza kuti matenda opatsirana amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda." Iwo adanena kuti maphunziro owonjezereka ndi ofunikira kuti azindikire chifukwa chake A-Fib ali wamba mu matenda a celiac ndipo mwinamwake mu matenda ena omwe amatha kudzipha.
Sitiroko Sikuti Ndi Vuto Lalikulu mu Celiac
Pali uthenga wabwino pamene tiyang'ana kugwirizana pakati pa matenda a leliac ndi mitundu yosiyanasiyana ya matenda a mtima: kukwapulika sikuwoneka ngati vuto lalikulu.
Pogwiritsa ntchito mndandanda wa odwala matenda odwala matenda a leliac omwewo monga maphunziro a Swedish ku mafilimu a atrial, ochita kafukufuku anawona kuti pangozi ya odwala 28,637 ali ndi chiwopsezo poyerekeza ndi chiopsezo chachikulu kwa anthu oposa 141,806 omwe alibe matenda a celiac.
Kafukufukuyu anapeza kuti anthu omwe ali ndi matendawa ali ndi chiopsezo choposa 10% cha kupwetekedwa kwapakati, koma ambiri omwe ali ndi chiopsezo chachikulu adayikidwa mu chaka choyamba atatha kudziwa. Panalibe "chiopsezo chachikulu chomwe chinawonjezereka pambuyo pa zaka zoposa zisanu zotsatila pambuyo pa matenda a celeacac." Zakale, kafukufuku wochepa anapeza kuti omwe anapezeka ndi matenda a celiac ali ana anali ndi chiopsezo chachikulu cha kupwetekedwa, koma kuphunzira kwakukuluku kunapeza kowonjezereka kowopsa.
Olembawo anamaliza kunena kuti: "Odwala omwe ali ndi matendawa ndi ochepa okha omwe amatha kudwala matendawa, omwe amangokhalapo kwa kanthaŵi kochepa akadziwunikira. Matenda a Celiac samawoneka kuti ndi omwe amachititsa kuti matendawa asokonezeke."
Kulimbitsa Matenda a Mtima Wanu
Chabwino, kotero kuti kukhala ndi matenda a leliac kumawoneka kuti kukuwonjezera mwayi wanu wa kukhala ndi matenda a mtima - chomwe chiri chokongola kwambiri ndipo chingakhale chakupha. Ndiye kodi mungatani pa izo?
Choyamba, musasute (ndipo ngati mukusuta, musiye). Kusuta kumadzetsa chiopsezo chanu cha matenda a mitsempha yambiri, ndipo mankhwala omwe amasuta fodya akhoza kuwononga mtima wanu.
Chachiwiri, muyenera kuonetsetsa kuti muli ndi kulemera kweniyeni. Kulemera kwambiri kapena kunenepa kumabweretsa matenda a mtima, mosasamala kanthu kuti muli ndi matenda a celiac kapena ayi. Ngakhale zingakhale zovuta kuti muchepetse pamene mukutsatira chakudya chochepa, anthu ambiri omwe ali ndi matenda a leliac amapeza kuti kulemera kwawo kumawoneka ngati "normalize" (poyamba, ngati ali olemera kwambiri) kutaya thupi, ndipo ngati ali ochepa thupi amayamba kupeza).
Inde, mwina simungakhale ndi mwayi wochuluka kuti muchepetse kulemera pamene mutayamba kukhala opanda gluten (anthu ambiri sali). Ngati mukulimbana ndi kulemera kwako, yang'anani zokhudzana ndi zotsatirazi zisanu zokhudzana ndi kuchepetsa kulemera kwake . Mapulogalamu atatu olemera kwambiri omwe amalephera kulemera kwambiri ngati muli opanda gluteni angathandizenso.
Chotsatira, muyenera kuganizira dokotala wanu za ngati muli pachiopsezo cha matenda a shuga, dzina limene madokotala amapatsidwa chifukwa cha zizindikiro za matenda a mtima, shuga ndi stroke.
Sizodziwikiratu kuti kukhala ndi matenda osokoneza bongo kumakhudza bwanji chiopsezo cha matenda a kagayidwe kachakudya - maphunziro pa izi adasakanizidwa. Koma ziri zomveka bwino kuti kukhala ndi matenda amadzimadzi kumabweretsa chiopsezo cha matenda a mtima kwambiri. Kotero ngati muli nacho, muyenera kudziwa za izo, ndipo kambiranani ndi dokotala wanu momwe mungathetsere vutoli.
Pomaliza, muyenera kumvetsera mavitamini anu. Zakudya za gluten zimakhala zosafunikira m'mavitamini ena omwe ali ofunika mtima ndi thanzi la mtima, kuphatikizapo folate, vitamini B6 ndi vitamini B12.
Mfundo Yofunika Kwambiri
Sitikudziwa ngati kumangirira zakudya zopanda thanzi (mosiyana ndi kudyetsa zakudya) zidzakuthandizani ndi maphunziro a zaumoyo a mtima sanayankhe funsoli. (Pali zowonjezera zifukwa zabwino zopeweratu zakudya.) Kafukufuku wina adawona kuti chiopsezo cha matenda a mitsempha yam'thupi ndi mafinya oopsa sanakhudzidwe ndi kuchuluka kwa ubongo wanu wamkati, kotero kuti mungathe Musanyalanyaze chifukwa cha matenda a mtima chifukwa chakuti mulibe mchere.
Choncho, muteteze bwino kwambiri kuti muteteze matenda a mtima, ngakhale mutakhala ndi chiopsezo chowonjezereka chifukwa muli ndi matenda oterewa, ndikukhala ndi moyo wathanzi: musasute, mukhale olemera, mudyetse zakudya zabwino, .
Zotsatira:
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Emilsson L et al. Kuwonjezeka kwa chiopsezo cha matenda opatsirana pogonana kwa odwala omwe ali ndi matenda a leliac: maphunziro a gulu lonse. European Heart Journal. 2011 Oct; 32 (19): 2430-7.
Emilsson L et al. Zomwe zimayambitsa matenda ndi ischemic matenda omwe ali ndi matenda a celiac. Mankhwala Osokoneza Bwino ndi Opaleshoni. 2013 May; 37 (9): 905-14.
Lebwohl B et al. Kuchiritsa matenda ndi matenda a mtima wa ischemic kapena matenda oopsa a odwala omwe ali ndi matenda a leliac; phunziro lophunzirira anthu. PLoS One. 2015 Jan 30; 10 (1): e0117529.
Ludvigsson JF et al. Kuopsa kwa kupweteka kwa odwala 28,000 omwe ali ndi matenda a celiac: kuphunzira kudziko lonse ku Sweden. Journal of Stroke ndi Cerebrovascular Diseases. 2012 Nov; 21 (8): 860-7.