Kushungurudzika uye chirwere chemwoyo chakabatana here?

Dzidzo yehutano

Iwe ungangodaro wakanzwa kuti kufutisa, kusvuta, uye chirwere cheshuga kunowedzera mukana wematambudziko emwoyo. Ditto ine cholesterol yakawanda, akwegura, uye nhoroondo yemhuri. Ikozvino pane imwe hombe njodzi njodzi yehosha yemoyo, uye ndeimwe iyo 17.3 mamirioni vakuru veAmerica rarama ne: kushushikana.

Kushungurudzika, chimiro chinoratidzirwa nekunzwa kwenguva refu kwekusuwa uye kurasikirwa kwekufarira mune zvaimboita zvinonakidza zviitiko, zvine hudzamu zvinokanganisa muviri . Zvinogona kukonzera kurasikirwa kwesimba, shanduko pakudya, kukanganisika kwekurara, kunetsekana kuisa pfungwa, uye-uye zvimwe zvidzidzo zviri kuwana-chirwere chemwoyo.

Kutsvakurudza akawana kuti vanhu vakuru vane kushushikana vane mukana wakakura makumi masere nemana muzana wekukura chirwere chemoyo pane vanhu vasina kushushikana. Zvimwe zvidzidzo zvinoisa njodzi padyo ne 80% . Uyezve, vanhu vane kushushikana uye chirwere chemoyo vane 59% njodzi yekuve nekurwadziwa kwemoyo kana kufa kubva kuchirwere chemoyo kupfuura vamwe vavo vasina nondepressed. Iyo American Moyo Sangano (AHA) ikozvino inokurudzira kuti varwere vemoyo vanovhenekwa kuora mwoyo.

Kushungurudzika kunogona kutonyanya kukosha kuita njodzi yekurwadziwa nemoyo sezvinhu zvakaita seshuga, kuputa fodya, neBP, uye kufutisa. David Corteville, MD , chiremba wezvepfungwa paRochester Regional Health Sands-Constellation Heart Institute.

Kushungurudzika kunokanganisa sei moyo

Hutano hwepfungwa hwako hungakanganisa sei hutano hwemwoyo wako? Masayendisiti anofunga kuti panogona kuve nenzira dzakasiyana siyana.

• Mararamiro zvinhu: Hazvishamise kuti zvakaoma kugara uchikurudzirwa kuti udye zvakanaka uye kurovedza muviri paunenge uchinzwa kushushikana Vanhu vane kushushikana vanogona kuve vanokwanisa kupfuura avo vari muhuwandu hwevanhu kuti vadye zvakanyanya uye kwete kurovedza muviri. Uye isu tinoziva kuti kufutisa uye kusaita huviri masimba ekutyaira echirwere chemoyo.
• Kuzvimba : Kushungurudzika kunogadzira yakaderera-giredhi kuzvimba mumuviri. Iko kuzvimba kunogona kudzikamisa tsinga uye kuita kuti zvive nyore kuti plaque (cholesterol inoiswa mumatsinga) ichatsemuka kubva kumadziro emadziro, nokudaro ichivhara midziyo uye nekukanganisa kuyerera kweropa kuenda kumoyo.
• Platelet kubatanidza: Maplatelet masero madiki muropa ayo anodikanwa pakuvhara kweropa. Kutsvakurudza inoratidza kuti vanhu vane kushushikana vanowanzove nemaplatelet anoshanda, zvichireva kuti ivo vanowanzo gadzira magumbeze anotadzisa kuyerera kweropa kuenda pamoyo.
• Mwoyo arrhythmias: Kushungurudzika kunoratidzika kunge kune mukana weumwe wekuvandudza atrial fibrillation, an kurova kwemoyo zvisina kujairika . Masayendisiti haana chokwadi chaizvo kuti sei, asi ivo vanofungidzira huwandu hwakawedzera hwekuzvimba hunowanzoonekwa muvanhu vane kushushikana kunogona kuve chinhu.

Chirwere chemwoyo chinogona kukonzera kushushikana here?

Kuva nehupenyu hunotyisidzira hupenyu sechirwere chemoyo, mhondi imwe muAmerica , inosungirwa kutora muripo wayo kune chero hutano hwepfungwa hwevamwe.

Inofungidzirwa kuti 20% [yevanhu vane chirwere chemwoyo] vane kushushikana uye vanosvika zvikamu zviviri kubva muzvitatu vane kushushikana mushure me kumira kurova kwemoyo , anodaro Todd Hurst, MD, chiremba wezvemwoyo neBanner University Medical Center muPhoenix, Arizona. Izvi zvinogona kunge zvakakonzerwa nezvakawanda zvikonzero, senge kugara wega, kurwadziwa, kurwara, kudzikisira chinzvimbo, kutya, kushushikana, uye kusava nechokwadi.

Kune zvakare njodzi yakawedzera yekushungurudzika mushure mekuvhiyiwa kwemoyo. Makumi matatu kusvika makumi mana muzana evarwere ava vanoora mwoyo, anodaro Dr. Corteville. Izvo zvakakwirira kupfuura huwandu hwevanhu.

Chimwe chinogoneka chinhu mumashure memwoyo kushushikana kushushikana? Zvimwe zvidzidzo zvinongedzera kune iyo chaiyo mishonga inoshandiswa kurapa chirwere chemwoyo.

Beta anovharira [zvinodhaka zvinoshandiswa kudzikisa BP uye kudzora kushushikana kwemuviri kemikari adrenaline] senge atenolol , metoprolol ,uye carvedilolave achibatanidzwa nenjodzi yakawedzera yekuora mwoyo mune zvimwe zvidzidzo, asi kwete zvese, anodaro Dr. Hurst. Kumwe kutsvagurudza kunodiwa pasati paine mhedziso dzechokwadi.

Uye nepo beta blockers inogona kuwedzera njodzi yekuora mwoyo, zvakakosha kuti uzive kuti mabhenefiti avo anogona kukunda njodzi dzawo.

Beta blockers yakaratidzirwa zvine simba kudzora kusakundikana kwemoyo, uye yega yega 10 mmHg inodonha mu systolic kumanikidza kunodzora mukana wekurwadziwa kwemoyo uye sitiroko neinenge 50%, anotsanangura Carl Tong, MD, Ph. , chiremba wezvemwoyo uye purofesa wehukama kuTexas A&M University College yeMishonga .

Kurapa kushushikana kunoderedza njodzi yehosha yemoyo here?

Zvinomira kufunga ipapo, kuti kana ukadzora kushushikana, unoderedza njodzi yehosha yemoyo.

Mune kumwe kuongorora, vanhu vane kushushikana vaibatwa navo mishonga inodzvinyirira kana kurapwa pamberi kuvandudza chirwere chemoyo zviratidzo zvakadzikisa njodzi yavo yekuve nechiitiko chemoyo ne48%.

Inosarudza serotonin reuptake inhibitors, kana SSRIs, [kirasi yemishonga yekudzvinyirira] yakaratidzirwa kuva yakachengeteka uye inoshanda muvarwere vemoyo, anodaro Dr. Corteville. Vazhinji varwere vemoyo vari pamishonga yakawanda uye isu tinofanirwa kufunga nezve kudyidzana kwezvinodhaka-zvinodhaka. Pakati peSSRIs, avo vane mashoma mashoma ekushandisa zvinodhaka-zvinodhaka vari esvitalopram uye sertraline . Wellbutrin yakaratidzwawo kuva yakachengeteka zvakare.

Kana zvasvika pakurapa, kugona kwehunhu maitiro ekurapa (CBT) yakaratidzirwa kuve inoshanda kwazvo pakurapa kushushikana uye inofanirwa kutariswa semutsetse wekutanga. CBT inzira yekurapwa kwepfungwa iyo inobatsira vanhu kugadzirisa mafungiro asina kunaka kana manzwiro mune mamwe akanaka. Kubatanidza CBT neSSRI kwakaratidzirwa kuve kunoshanda [mukurapa kushushikana] pane kushandisa imwe chete kana imwe, anotsanangura Dr. Corteville. Kurapa kwekushushikana kunoderedza njodzi yezviitiko zvemoyo zvakaita sekurwadziwa kwemoyo, sitiroko , uye rufu.

Kuderedza njodzi yako

Kuderedza njodzi yako yechero yakakomba mamiriro ehutano kazhinji kunouya kune izvo vanopa hutano vanodana Hupenyu Hwakareruka 7:

1. Kudya kudya kunovaka muviri
2. Kuva nesimba panyama.
3. Kurega kusvuta
4. Kudzora BP
5. Kuchengeta shuga yeropa kutarisa
6. Kuchengetedza hutano hwecholesterol
7. Kugara mukati mehuremu hwakasimba

Kudzidzira kurovedza muviri kwakaratidzirwa kuve kunoshanda sekutora mushonga wekudzvinyirira, anodaro Dr. Tong. IAHA inokurudzira maminetsi zana nemakumi mashanu ekuenzanisira-kusimba kurovedza muviri pavhiki (kufamba nekukurumidza, semuenzaniso) kana maminetsi makumi manomwe nemashanu ekurovedza muviri kwakanyanya vhiki nevhiki. Uye zvakare, chiitiko chinogona kubatsira neropa, shuga yeropa, uye huremu hune hutano.

Kutsvagurudza kunoratidza kuderera kwe80% pakurwiswa kwemoyo uye 50% kuderera kwesitiroko kune avo vanogadzirisa zvese zvinomwe zvinhu zvichienzaniswa nevaya vasina, Dr. Hurst anodaro. Izvi zvinoshanda kwatiri tese, kunyangwe tiine kuora mwoyo kana kuti kwete. Zvisinei, kurapa kushushikana kungangoita kuti zvive nyore kuti mumwe munhu achinje mararamiro avo.

Kana iwe uine kushushikana, ita shuwa kuti unoongororwa chirwere chemwoyo. Uye kana uine chirwere chemwoyo, ita shuwa kuti uri kuongororwa kwekuora mwoyo . Kushungurudzika uye chirwere chemwoyo chinowanzoenda pamwe chete uye nekurapa zvinobudirira imwe neimwe nemishonga yemoyo yakakodzera uye mishonga yekudzvinyirira inogona kusimudzira hupenyu hwako hwese - panyama nepfungwa.