Zvirwere zvemwoyo nhamba 2021

Nhau

Chii chinonzi chirwere chemwoyo? | Chirwere chemwoyo chakanyanya sei? | Pasi rese huwandu hosha yemoyo | Zvirwere zvemoyo nhamba muU.S. | Zvirwere zvemoyo nhamba nebonde | Zvirwere zvemoyo nhamba nerudzi | Kurwadziwa kwemoyo / sitiroko manhamba | Zvinokonzera, njodzi, uye kurapwa | MIBVUNZO | Kutsvakurudza

Mwoyo chiratidzo, icho chinoshongedza makadhi ekukwazisa, chinowanikwa mumahwindo ezvitoro zvezvishongo, kana chinowedzera kubata kwakakosha kune meseji yerudo. Inomiririra rudo, kushuva, uye kuzvipira. Uye imhaka yekuti ndiyo nhengo yedu yakakosha. Kukosha kwemoyo kunoenda zvinopfuura kureurura kwe emoji uye zvisikwa zvemapepa ekuvaka-ndiyo injini-ine chihure injini inoita kuti miviri yedu ienderere mberi.

Zvinetso nemoyo zvinoreva matambudziko emuviri wese, saka zvinonzwisisika kuti nei chirwere chemwoyo chiri chakakurumbira hutano hweveruzhinji. Kunyangwe tiri kutaura nezvekumanikidza kweropa, kurova kweasina kujairika, nyaya dzeropa, kana kurwiswa kwemoyo, zvakakosha kuti unzwisise njodzi, zviratidzo, uye mamiriro ane hukama nechirwere chemwoyo.

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Chii chinonzi chirwere chemwoyo?

Chirwere chemwoyo, chinonziwo chirwere chemoyo (CVD), izwi remumbure rinobatanidza mamiriro akasiyana siyana anokanganisa moyo. Izvi zvinosanganisira moyo wemhasuru chirwere (cardiomyopathy), zvisina kujairika kurova kwemoyo (arrhythmia), uye neropa midziyo nyaya senge yekupararira kana coronary arteri chirwere. Inenge hafu yevaAmerica vane imwe mhando yehosha yemoyo.

Zvizhinji zvezvirwere zvemoyo zvinobva mukukanganisa nemoyo wakajairika basa. Plaque buildup, kuwanda kweropa, kuwedzerwa kweropa, cholesterol yakawanda, uye kufutisa zvese zvinokwanisa kukonzera chirwere chemwoyo. Mazhinji emamiriro aya anodzivirirwa nekuchengetedza mararamiro ane hutano uye chikafu.

Mamiriro ega ega emoyo ane zviratidzo zvakasiyana, asi anowanzo yambiro zviratidzo zvinosanganisira kurwadziwa pachipfuva kana kumanikidza, kufema kwekufema, kupera kana kutonhora magumo, kuneta, uye nehuremu hwemusoro. Anopa hutano anogona kubvunza nezve aya mamiriro sechikamu chemuedzo wakazara wepanyama kubatsira kuongorora chirwere chemwoyo. Iye kana iye anogona zvakare kuraira kuongororwa kweropa, bvunzo dzekushushikana, iyo electrocardiogram (EKG), kana yekufungidzira bvunzo seX-ray, CT scan, ultrasound, kana MRI.

Chirwere chemwoyo chakanyanya sei?

• Chirwere chemwoyo ndicho chikonzero chikuru cherufu. Mu2016, vanhu mamirioni 17.6 vakafa nemaCVD, anosanganisira 31% yekufa kwepasirese. (World Health Organisation, 2016)
• Chirwere chemwoyo ndicho chinokonzera rufu muU.S. zvakare, zvichikonzera kufa kwevanhu vangangoita mazana matanhatu nemakumi matanhatu nematanhatu pagore. (Nzvimbo dzeDziviriro Kudzora nekudzivirira, 2019)
• Vanenge mamirioni 121.5 emamiriyoni eU.S. vane imwe hosha yemoyo. (American Moyo Sangano, 2019)

Pasi rese huwandu hosha yemoyo

• Kupfuura 75% yevakafa vane chekuita neCVD vanoitika mune yepasi- nepakati-mari nyika. (World Health Organisation, 2017)
• IWorld Heart Federation inofungidzira zvinopfuura mamirioni makumi maviri nematatu kufa kwehukama zvine chekuita neCVD pagore na2030. (World Heart Federation, 2019)

American chirwere chemoyo manhamba

• 1 pavane vana vanofa muUnited States mugumisiro wehosha yemwoyo. Ndirwo rufu mumasekonzi makumi matatu nemasere. (Nzvimbo dzeDziviriro Kudzora nekudzivirira, 2019)
• Pakazosvika gore ra2035, iyo American Heart Association inoronga kuti vanopfuura mamirioni zana nemakumi matatu vevakuru veUS vachange vaine imwe mhando yehosha yemoyo. (American Moyo Association, 2018)
• Yakakwira BP yakanyanya kuwanda chirwere chemoyo muU.S., sezvo makumi mashanu kubva muzana yevagari (vanofungidzirwa kuva miriyoni gumi nezviuru zvevanhu vekuAmerica) vakaonekwa vaine chirwere cheBP. (Mamirioni eMoyo, 2017)
• Vanenge mamirioni 18.2 emamiriyoni eUS vane coronary artery chirwere, uye 805,000 maAmerican vane chirwere chemwoyo gore rega. (Nzvimbo dzeDziviriro Kudzora nekudzivirira, 2019)

RELATED: Ropa kumanikidza kurapwa uye mishonga

Zvirwere zvemoyo manhamba nenyika

Iwo ekutanga gumi anoti ane akanyanya zera-akagadziridzwa CVD kufa mwero (pavanhu zviuru zana) ndeye:

1. Oklahoma (228.5)
2. Alabama (224.7)
3. Mississippi (222.1)
4. Arkansas (217.4)
5. Louisiana (212.2)
6. Tennessee (202.4)
7. Kentucky (198.3)
8. West Virginia (196.4)
9. Michigan (195.0)
10. Ohio (191.1)

(Nzvimbo dzeDziviriro Kudzora nekudzivirira, 2020)

Uye nyika ine huwandu hwepamusoro hwevanhu vane hutachiona hwakanyanya nde:

1. West Virginia (43.5%)
2. Kuenda (41.9%)
3. Nzvimbo (41.3%)
4. Mississippi (40.8%)
5. Kentucky (39.4%)
6. Louisiana (39%)
7. Kuvira (38.7%)
8. Maodzanyemba Carolina (38.1%)
9. Oklahoma (37.7%)
10. Indiana (35.2%)

(Hutano hweAmerica Nzvimbo, 2019)

Kana zvasvika pakurwiswa kwemoyo, aya matunhu ane akanyanya muzana ezviitiko pakati pevanhu vavo:

1. West Virginia (8.6%)
2. Kentucky (6.7%)
3. Arkansas (6.7%)
4. Tennessee (6.5%)
5. Maine (6.1%)
6. Alabama (6.1%)
7. Florida (6%)
8. Indiana (5.7%)
9. Oklahoma (5.6%)
10. Washington (5.5%)

(Hutano hweAmerica Nzvimbo, 2019)

Zvirwere zvemoyo nhamba nebonde

• Chirwere chemoyo - ndicho chinokonzera rufu kune vese varume nevakadzi muUS (American Heart Association, 2019)
• Muna 2017, chirwere chemwoyo chakauraya varume mazana matatu nemakumi matatu nemakumi matatu nevasere nevanomwe (1 mu4 vanhurume vakafa) uye vakadzi 299,578 (1 muvashanu vakadzi vanofa). (Nzvimbo dzeDaase Kudzora nekudzivirira, 2017)
• Ivhareji zera iro varume vacharwara nemoyo makumi matanhatu nemashanu, nepo kuvakadzi, iri makore makumi manomwe nemaviri. (Harvard, 2016)
• Vakadzi vane makore makumi mashanu nemashanu kusvika makumi mashanu nemashanu vane chirwere chemwoyo vane mukana wekuti vafire mukati megore. Vakadzi vakura kupfuura makumi matanhatu nemashanu vanowana chirwere chemwoyo vanowanzoita kupfuura varume vezera rimwe chete kufa mukati memavhiki mashoma. (Dhipatimendi reU.S. reHutano neHuman Services, 2020)

Zvirwere zvemoyo nhamba nerudzi uye dzinza

• 47% yevakuru vatema muU.S. vane imwe mhando yehutano hwemwoyo, pamwe ne30% yevakuru veSpanish vekuUS. (American College yeCardiology, 2018)
• Vasiri-Hispanic vatema vanhu vakuru vane yakanyanya CVD kufa mwero (208 kufa pavanhu 100 000), ichiteverwa nevarungu vakuru (168.9 pa100,000), American Indian / Alaska Native vakuru (151.4 pa100,000), Vakuru veSpanish (114.1 pa100,000), uye Asia / Pacific Islander vakuru (85.5 pa100,000). (National Center yehutano Statistics, 2017)
• Kuwedzera kweropa kuwanda kuri 41.2% yevakuru vatema, 28% yevakuru vachena, 25.9% yevakuru veSpanish, uye 24.9% yevakuru veAsia. (American College yeCardiology, 2018)

Kurwadziwa kwemoyo uye sitiroko manhamba

• Anenge mamirioni 1.5 mhenderekedzo yemwoyo (myocardial infarctions) uye sitiroko zvinoitika muUnited States gore rega rega. (Mamirioni Mwoyo, 2019)
• Mumwe munhu muU.S. ane sitiroko mumasekondi makumi mana ega ega, achiverengera mumwe chete pavanhu gumi nevatanomwe vafa. (American Moyo Sangano, 2020)
• Chirwere cheCerebrovascular chakaverengera kufa kwemamirioni 6.2 pasi rese mu2017. (American Heart Association, 2020)
• Gore rega rega, angangoita 605,000 matsva ekurwiswa kwemoyo uye mazana maviri emazana ekurwiswa kwemoyo kunoitika muU.S. (American Heart Association, 2020)
• Muna 2016, kurwiswa kwemoyo, kurohwa, uye kukundikana kwemoyo zvakakonzera kugara muchipatara miriyoni nemazana maviri ezviuru. (Nzvimbo dzeDaase Kudzora nekudzivirira, 2018)
• Acute myocardial infarctions akaverengera mazana maviri nemakumi masere ezviuru emakamuri ekushanyirwa muna 2017, uye chirwere checebrovascular chakawana imwe makumi mana nemakumi mana nepfumbamwe. (Nzvimbo dzeDaase Kudzora nekudzivirira, 2017)

Mutengo wechirwere chemwoyo

• Pakati pagore ra2014 na2015, chirwere chemwoyo uye sitiroko zvakadhurira United States madhora zviuru mazana matatu nemakumi maviri nenomwe mumabasa ekuchengetedza hutano, mishonga, uye kurasikirwa negoho nekuda kwekufa. (American Moyo Sangano, 2020)
• Vatsvagiri vanotarisira kuti mutengo weCVD uchakwira kusvika pamadhora mazana mazana manomwe nemakumi mapfumbamwe nematatu emadhora na2035. (American Heart Association, 2020)
• National Institutes of Health yakashandisa mari inodarika $ 1.4 bhiriyoni pakutsvagisa chirwere chemwoyo mu2019. (National Institutes of Health, 2020)
• 1 mune ese matanhatu madhora ekuchengetedza hutano anoshandiswa pane chirwere chemoyo. (Mamirioni Mwoyo, 2019)
• Kuchengetwa muchipatara kwekurwadziwa kwemoyo kunodhura wepakati $ 53,384, uye kupfuura kuvhiya kunogona kuita $ 85,891 kusvika $ 177,546. (American Moyo Association, 2017)
• Vanhu vane chirwere cheBP vanoshandisa mari inosvika madhora zviuru zviviri pagore kupfuura avo vasina hypertensive vezera ravo pahutano. (American Moyo Association, 2018)

Zvinokonzera chirwere chemwoyo

Zvino zvatave nenhamba dzinopenga kubva munzira, ngatisvike pamudzi wenyaya. Chii chinokonzera chirwere chemwoyo pakutanga? Kune runyorwa rurefu rwezvinhu zvemoyo zvine njodzi; mamwe anotaridzika nepo mamwe asiri. Semuenzaniso, zera, dzinza, uye nhoroondo yehutano hwemhuri zvinogona kuisa mumwe munhu panjodzi huru, asi hadzisi sarudzo dzemunhu. Nekudaro, kune zvakawanda zvengozi zvinhu zvinokanganiswa nesarudzo yedu yemararamiro, senge:

• Kusashanda panyama
• Kudya kwakashata
• Fodya kushandiswa
• Cholesterol yakakwira
• Kufutisa
• Chirwere cheshuga
• Kuwedzera kweropa
• Doro shandisa

Uye hazvisi izvo zvese. Nzvimbo yemunhu inogona kukanganisa hutano hwemwoyo, futi. Zvemagariro zvinogadzirisa senge hurombo, kusagadzikana kwedzimba, dzidzo, uye kushayikwa kweinishuwarenzi zvinogona kuve nesimba rakakura pahutano hwemunhu hwemwoyo. Pasina kuwana zviwanikwa uye kugona kuchengetedza kudya kunovaka muviri, kurovedza muviri, nezvimwe, munhu anozobatwa nechirwere chemwoyo.

Nzira yekudzivirira chirwere chemwoyo

Iko hakuna kushanduka kwenhoroondo yemhuri kana zera, asi kuchine nzira dzakawanda dzekuchengetedza chirwere chemoyo. Kudya ndiro dombo repakona rekudzivirira chirwere chemwoyo, uye kurovedza muviri ndiyo imwe kiyi mutambi, anodaro Anthony Kaveh , MD, chiremba wemishonga akabatanidzwa.

Kuchengeta ziso reropa cholesterol uye huremu kwakakosha, zvakare, sezvo cholesterol yakawanda uye kufutisa ndizvo zvakakonzera njodzi. Kurega kushandisa fodya uye kudhakwa kunwa doro zvakare kunoenda kure kure mukudzivirira CVD. Hutano kudzvinyirira manejimendi maitiro uye kurara kwakaringana kuisa iyo cherry kumusoro Chaizvoizvo, kudzivisa zvinhu zvinodzora zvine njodzi zvinongouya nekutungamira hupenyu hwakazara.

Asi matanho ekudzivirira anoshanda zvakasiyana kumunhu wega wega, sekureva kwaDkt Kaveh. Chinokosha kutsvaga nzira dzinoenderana nemunhu mumwe nemumwe, anodaro. Kungofanana nemushonga weropa rimwe chete wausinga shande zvakafanana muvanhu vaviri vakasiyana, mararamire akafanana anogona kusashanda zvakafanana kune wese munhu. Isu tese tinounza edu edu nhoroondo nezvakaitika kuhutano hwedu, uye isu tinofanirwa kutsvaga nzira dzakabatanidzwa dzinoenderana nezviitiko zvedu kuti tigone kuita sarudzo dzemararamiro ane hutano nguva dzese.

Dr. Kaveh anokurudzira varwere vake kuti kune huwandu hwakawanda mukushandurwa kwehupenyu hushoma. Sarudzo dzedu diki zuva rega rega dzinokanganisa zvakanyanya, anodaro. Zvinotonyanya kukosha, zvinoita sekunge haina kunonoka kukohwa mabhenefiti ehupenyu hunodzivirira moyo.

Shandisa iyo SingleCare tsamba yekudzora kadhi

Kurapa chirwere chemwoyo

Ehe, kurapwa kweCVD kunosiyana zvichienderana nemamiriro uye kuomarara kwayo, asi akati wandei mishonga inogona kubata zvakajairika chirwere chemoyo chinokonzeresa. Kune varwere vane cholesterol yakawanda, vatapi vezvehutano vanogona kupa zvirevo, kirasi yemishonga inoderedza LDL (yakaipa cholesterol), seLipitor (atorvastatin) kana Crestor (rosuvastatin). Kune vangangoita hafu yevaAmerican vane hypertension, beta blockers uye ACE inhibitors inogona kubatsira mukuderedza BP. Beta anovharira seSectral (acebutolol) anovharira chiito cheadrenaline kunonoka pamoyo, kurapa zvimisikidzo zvisina kujairika, kudzikisa BP, uye kubatsira kudzivirira kudzokororwazve kwemwoyo. ACE inhibitors saLotensin (benazepril) yakadzora BP nekuzorora uye nekuwedzera mitsipa yeropa. Kubatsira kudzivirira kuwanda kweropa, vatapi vezvehutano vanogona zvakare kukurudzira aspirin, clopidogrel, kana warfarin.

Zvimwe zvakanyanya kukuvadza kana kutyisidzira hupenyu zvinogona kuda kuvhiya senge kupfuudza kuvhiya, kupinza pacemaker, kana kuiswa kwakasimba.

RELATED: Lipitor ruzivo | Zvinyorwa zveCrestor | Acebutolol ruzivo | Lotensin ruzivo | Aspirin ruzivo | Clopidogrel ruzivo | Zvinyorwa zveWarfarin

RELATED: ACE inhibitors vs.beta blockers: Ndezvipi zvakakunakira iwe?

Chirwere chemwoyo mibvunzo nemhinduro

Ipi muzana muzana yevagari vane chirwere chemwoyo?

IAmerican Heart Association inofungidzira kuti 48% yevagari vemuUS vane rumwe rudzi rwechirwere chemwoyo.

Ndeipi nyika ine yakanyanya mwero chirwere chemoyo?

World Health Organisation data kubva muna 2012 inoratidza kuti Turkmenistan yaive nepamusoro-soro chirwere chemoyo chekufa, iine 712 vanofa pavanhu zviuru zana, zvichiteverwa neKazakhstan, ine 635 vakafa pa100,000.

Chirwere chemwoyo chiri kuwedzera kana kudzikira here?

Kufa kwakabatana neCVD kuri kuderera pasi rese, asi pakukwira muU.S., sekureva kweAmerican Heart Association.

Ndeupi mwero wekufa kwechirwere chemwoyo?

Hosha yemwoyo inokonzeresa munhu mumwe pavane vana vanofa muU.S., 198.8 vanofa kune vese zviuru zana zvevanhu.

Ndeapi muzana ekurwiswa kwemoyo anouraya muUS?

Kunenge gumi muzana yekurwisa kwemoyo kunouraya. Asi izvo zvekuti kurohwa kwemoyo kumwe kunoitika mumasekondi makumi mana muU.S. zvinoreva kuti zvichiri kukonzera kufa kwevanhu vakawanda. Muna 2017, chirwere chemwoyo chinonzi coronary chakakonzera kufa kwevanhu mazana matatu nemakumi matatu nemakumi matatu ane mapfumbamwe nemakumi matanhatu nevana muAmerica.

Ndechipi chinonyanya kukonzera chirwere chemwoyo?

Kuunganidzwa kwecholesterol pamadziro etsinga, anonzi atherosclerosis, ndicho chinonyanya kukonzera chirwere chemoyo. Atherosclerosis inowanzo kuve mhedzisiro yehunhu husina hunhu maitiro sekudya zvisina tsarukano, kuputa, uye kushaya kurovedza muviri.

Inguva yakareba sei chirwere chemwoyo chave chiri chikonzero chikuru cherufu?

Hosha yemwoyo haisi dambudziko nyowani kuUnited States. Icho chave chiri chikonzero chinotungamira cherufu kubva muna 1921, sekureva a 2006 kudzidza .

Ndezvipi zviratidzo zvekutanga zvechirwere chemwoyo?

Teerera kurwadziwa kwepfupa / kusagadzikana, kupfupika kwekufema, kuneta, kukosora / kufema, uye kushaya simba kwese, sezvo ivo vachigona kuve zvese zviratidzo zvehosha yemwoyo.

Ndeapi marudzi akasiyana echirwere chemwoyo?

Chirwere chemwoyo izwi rakapamhamha rinotsanangura mamiriro akasiyana siyana emoyo, kusanganisira chirwere chemoyo tsandanyama (cardiomyopathy), coronary artery disease, arrhythmia (kunge atrial fibrillation), uye congenital chirwere chemoyo.

Kutsvaga chirwere chemoyo

• Chirwere chemwoyo uye sitiroko Statistics 2019 kugadzirisa , Kutenderera neAmerican Heart Association (AHA)
• Zvirwere zvemwoyo ( CVDs ) , World Health Organisation (WHO)
• Kurwadziwa kwemoyo uye sitiroko manhamba , AHA
• Chirwere chemoyo pepa rechokwadi , Nzvimbo dzeDzidziso Kudzora uye Kudzivirira (CDC)
• Chokwadi nezve hypertension , CDC
• Iyo kumira kurova kwemoyo gender gap , Harvard
• Chirwere chemoyo uye vakadzi , Hofisi pahutano hwevakadzi
• Mariro & mhedzisiro ye chirwere chemwoyo , Miriyoni Mwoyo neCDC
• Misiyano yedzinza nerudzi mu chirwere chemoyo , CDC
• Saizi imwe haina kukodzera zvese: iro basa repabonde, murume kana mukadzi, dzinza uye dzinza mune yemoyo mishonga , Cardiology Magazini neAmerican College yeCardiology
• Zviratidzo zveVital: mamiriro epasi-musiyano mune zvisina kufanira uye zvinouraya zviitiko zvemoyo zvakanangana nekudzivirira , Miriyoni Mwoyo neCDC
• National chipatara amburenzi yekurapa ongororo 2017 , CDC
• Varwere vasina kuvimbiswa vakatarisana nezvikwereti zvinokuvadza zvechipatara zvekurwadziwa nemoyo, sitiroko, AHA
• Maitiro mu nezveutano mari pakati S. vakuru ne hypertension: kufungidzira kwenyika, 2003-2014 , Zvinyorwa zveAmerican Heart Association
• Chirwere chemoyo , America's Health Rankings neUnited Health Foundation
• Kufungidzira kwemari yekutsvagisa kwakasiyana, mamiriro, uye zvikamu zvezvirwere (RCDC) , National Institutes of Hutano (NIH)