Njira zingapo zakhala zikukonzedwa pofuna kufufuza ngozi ya munthu yotenga matenda a mtima. Mu 2007, chiwerengero choopsa - Reynolds Score - chinatsimikiziridwa kwa akazi. (Zosiyana za Reynolds Score pambuyo pake zinatsimikiziridwa kwa amuna, komanso.)
Kufunika Kowononga Ngozi Yanu
Kuwona molondola chiopsezo cha mtima n'kofunika , chifukwa zimakulolani (ndi dokotala wanu) kuti musankhe momwe mungakhalire okhwima pakuchitapo kanthu kuti muchepetse chiopsezo chanu.
Kwa anthu omwe ali ndi chiopsezo cha mtima wamtima, pulogalamu yaukali yochepetsera chiopsezo ikhoza kuchepetsa kuchepa kwa imfa kapena kulemala kwa matenda a mtima kapena kupwetekedwa. Anthu omwe ali pachiopsezo chachikulu ayenera kulingalira mozama zomwe angatsatire pofuna kuchepetsa chiopsezo chawo.
Momwe Reynolds Mvetsera Woopsa Wawo Amawerengera
Maphunziro a Riskomu a Reynolds adakonzedweratu makamaka kwa amayi, chifukwa amamveketsa kuti akazi ndi ofunika kwambiri kuganizira mbiri ya banja la matenda a mtima asanakwane (omwe amatanthauza chibadwa cha matenda a mtima), komanso ma CRP (a chizindikiro cha kutupa).
Maphunzirowa anakhazikitsidwa mwa kutsata gulu la amayi 25,000 a ku America omwe ali ndi thanzi labwino 45 (kapena, omwe makamaka alibe shuga) kwa zaka 10. Akatswiri amene amapanga mapepala a Reynolds ankadandaula kuti zitsanzo zoopsa zowopsa - makamaka, mphoto ya Framingham - sizingakhale zolondola kwa amayi monga momwe zilili ndi amuna.
Mwachitsanzo, owerengeka omwe amawaika pangozi akhoza kulephera kugawa pakati pa azimayi 20% omwe amavutika ndi mtima ngati kuti ali pangozi yaikulu. Mwa kupereka kulemera kwa mibadwo ya CRP ndi mbiri ya banja, idatengedwa, chiwerengero cha Reynolds chikhoza kukhala choyenera kwa amayi.
Maphunziro a Reynolds amawerengedwa pogwiritsa ntchito zifukwa zotsatirazi:
- Zaka
- Wosuta fodya (inde kapena ayi)
- Kuthamanga kwa magazi
- Cholesteroliti chonse
- Chotsulo chotchedwa HDL cholesterol
- CRP mlingo
- Mayi kapena abambo ali ndi matenda a mtima asanakwanitse zaka 60 (inde kapena ayi)
Mwachidziwikire, matenda a shuga sanaphatikizidwe pamapiritsi awa. Mapeto a mtima omwe amagwiritsidwa ntchito popanga gawo la Reynolds kwa akazi anali ndi mtima wakufa, osati matenda oopsa a mtima, sitiroko yosavulaza, kapena kufunika kwa opaleshoni yochulukirapo .
Mphamvu
Phindu la Reynolds Risk Score linalongosola molondola chiwopsezo chenicheni cha amayi ambiri kuposa momwe amachitira zowonongeka. Ndipotu, amayi 40 mpaka 50% omwe amawoneka kuti ali ndi chiopsezo chachikulu, amawerengedwanso ndi Reynolds Score ngati ali otsika kapena omwe ali pangozi - motero angakhale ndi njira yowonjezera yowonongeka.
Monga tawonera, chiwerengero cha Reynolds pachiyambi chinakonzedweratu kwa amayi. Kafukufuku ofananawa tsopano wachitidwa kwa amuna, ndipo a Reynolds Score Risk Score tsopano atsimikiziridwa kwa amuna.
Gwiritsani ntchito
Chojambulira cha Reynolds Risk Score chingapezeke pano (kwa amuna ndi akazi). Imafunsa mafunso angapo osavuta ndipo nthawi yomweyo imabweretsanso masewera a zaka 10. (Ndikokuti, zikukuwuzani kuti mwina mungakhale ndi chochitika chamoyo mkati mwa zaka 10 zotsatira.) Ikuthandizanso kuti muwone mosavuta momwe chiopsezo chanu chingasinthike ngati mutasintha chimodzi kapena zingapo zazifukwazi.
Mwachitsanzo, ngati mumasuta fodya mumangoyenera kuti "ayi" chifukwa cha funso losuta fodya ndipo pulogalamuyi ikuwonetsani kuti zingachepetse bwanji zaka khumi zapitazo ngati mutasiya.
Onani kuti Reynolds Risk Score siyimene anthu omwe ali ndi shuga. Ngati muli ndi matenda a shuga, matenda anu a mtima amadziwika kuti ndi okwera, ndipo mapepala a Reynolds sangapangitse zina zambiri zothandiza.
Kuti mugwiritse ntchito chiwerengero cha mapulogalamu a Reynolds, muyenera kudziwa momwe magazi anu amawerengera, ndi zotsatira zofunikira zowononga magazi: cholesterol, HDL, ndi CRP.
Mawu ochokera kwa erywell
Malinga a Reynolds Risk kwa amayi (komanso kwa amuna) ndi chowerengera choopsa chomwe chimaika patsogolo kwambiri magulu a CRP ndi mbiri ya banja kusiyana ndi ena, omwe amagwiritsidwa ntchito mosavuta.
Akatswiri omwe amakhulupirira kuti CRP kukhala chinthu chofunika kwambiri cha matenda a mtima amayamba kukhala ofunika kwambiri pa Reynolds Risk Score.
> Zotsatira:
> Ridker P, Buring J, Rifai N, et al. Kupititsa patsogolo ndi kutsimikiziridwa kwa ndondomeko zowonjezereka zowunika kuopsa kwa chiopsezo cha mthupi mwa amayi. JAMA 2007; 297: 611-619.
> Ridker PM, Paynter NP, Rifai N, et al. Puloteni yogwiritsidwa ntchito ndi C komanso mbiri ya makolo zimapangitsa kuti anthu ambiri asamawonongeke ndi matendawa: Reynolds Risk Score kwa amuna. Kuyendayenda kwa 2008; 118: 2243.