Kiba abu ne mai hadari ga zuciya rashin ƙarfi saboda haka rasa nauyi a farkon zai iya taimakawa hana ƙin zuciya a baya. Amma yaya game da hanyoyin da ake fuskanta game da asarar nauyi, kamar aikin tiyata (aikin tiyata mai nauyi) da kuma na'urorin haɗari-haɗari ? Wadanda zasu iya hana ciwon zuciya kuma? Binciken ya ba da haske kan wannan.
Abune da Zuciya
Abune da hawan ƙananan yanayi ne, da rashin alheri, abubuwan haɗari don ci gaba da irin nau'o'in cututtukan zuciya da cututtukan zuciya ciki har da cutar hawan jini, ƙaddara zuciya, ƙwaƙwalwar ƙwayar cuta , bugun jini, da ciwon zuciya.
Har ila yau, ƙari ne mai cututtukan cututtuka irin na 2 , wanda ke ciki kuma na kanta muhimmin hanyar haɗari ga cututtukan zuciya. Kuma kiba shi ne dalilin high cholesterol, wanda kuma shi ne sanannun dalilin cututtukan zuciya.
Bugu da ƙari, kiba abu ne mai haɗari ga ƙwaƙwalwar ajiyar zuciya wanda aka sani da filastillation, kuma mutanen da ke da alamar fitilu suna fuskantar haɗari ga bugun jini. Kiba zai iya shafar abubuwa da yawa na tsarin kwakwalwa.
Kamar yadda muka gani a sama, akwai abubuwa da yawa wadanda cutar ta zama mai hatsari ga wadannan cututtuka na zuciya, amma yana da mahimmanci a tuna cewa kiba yana ƙaruwa cikin jiki, kuma ƙonewa zai iya taka rawar jiki a cikin cututtukan zuciya.
Kiba da Zuciya Basa
Na farko, menene rashin nasara na zuciya? Kawai sanya, akwai manyan nau'i biyu na zuciya rashin nasara : systolic zuciya maye da diastolic zuciya rashin cin nasara.
A cikin tsarin zuciya na systolic, zuciyar ta kasa yin famfo kullum; wannan hade ne tare da rage haɓaka ejection (wani ma'auni na sutura aikin).
A cikin haushin zuciya na diastolic (wanda aka fi sani da rashin ƙarfi na zuciya tare da ɓangaren haɓakaccen haɓaka), haɓakar haɓakaccen abu na al'ada ne, amma zuciya bata ci gaba da yin famfo ba saboda ƙwayar zuciya ne mai ƙarfi.
Dukkanin kwayoyin halitta da cututtuka na diastolic suna da magunguna daban-daban, har ma sun raba wasu matsaloli, irin su cutar hawan jini, cututtuka na jijiyoyin jini, da kuma kiba .
Ko dai irin rashin tausayi na zuciya zai iya haifar da bayyanar cututtuka na abin da aka sani da rashin tausayi na zuciya, wanda ruwa yake tarawa a cikin huhu, yana mai wahalar numfashi; ruwa zai iya tarawa a kafafu, haifar da kumburi da rashin jin daɗi.
Sabili da haka, a cikin rashin zuciya, zuciya baya iya rushewa ko kuma yadda ya kamata don kulawa da jiki a jiki.
To me menene kiba ya yi da rashin cin nasara zuciya? A cikin jagorancin rashin nasarar zuciya da aka fitar a shekara ta 2013 ta Kwalejin Kasuwancin Kwayoyin Halitta da Ƙungiyar Zuciya ta Amurka, an kiyasta kiba a matsayin farawa ga rashin lafiya.
Wannan jagora ya lissafa kiba a matsayin yanayin likita wanda zai iya, ta kansa, sanya mutum a Stage A na zuciya rashin nasara. Sashe na A, kamar yadda aka tsara ta wannan jagorancin ƙasa, ya ƙunshi dukan waɗanda suke "babban haɗari ga ƙin zuciya amma ba tare da cututtukan zuciya ba ko alamun zuciya na rashin cin nasara." Wannan yana nufin cewa, koda yake mutum da kiba bazai da alamun ko kuma bayyanar cututtuka na rashin ƙarfi na zuciya, har yanzu ana ganin sun kasance a farkon mataki na zuciya rashin nasara kawai ta hanyar ciwon kiba.
Wannan yana bada karfi game da muhimmancin kula da kiba don kauce wa rashin nasara na zuciya.
An gano Harkokin Bariatric don Rashin Zuciyar Zuciya
Abin farin ciki, yunkurin nauyi ya ɓata, kuma idan kuna da kiba za ku iya yin matakai mai yawa don hana cututtukan zuciya, ciki har da rashin zuciya, ta hanyar rasa nauyi. Ko da maƙarar nauyi, a cikin iyakar kashi biyar zuwa goma bisa dari na nauyin nauyi, zai iya yin babban bambanci.
Kuma yanzu binciken ya gano cewa asarar nauyi ta hanyar tiyata, ciki har da hanyoyin da ke kewaye da juna , sutura da gyaran kafa, da kuma tsalle-tsalle , kuma zai iya hana cutar kwakwalwa kamar cututtukan zuciya.
A cikin shekara ta 2016 American Heart Association Scientific Sessions, masu bincike da jagorancin marubuci Johan Sundstrom, MD, PhD, farfesa a fannin ilimin cutar annoba a Jami'ar Uppsala a Sweden, suka gabatar da sakamakon binciken da yawa (kusan 40,000 marasa lafiya a duka) wanda ya gano cewa marasa lafiya tare da kiba wanda ya yi aiki a kan tiyata mai yawa zai iya haifar da rashin tausayi na zuciya fiye da wadanda ba su da tiyata amma a maimakon haka sun yi kokarin canza canjin rayuwa kamar lalacewa da motsa jiki.
Masu bincike sunyi bayanin cewa tasirin da ake iya haifar da aikin jin dadi na iya haifar da aikin tiyata don magance cututtuka na zuciya ga rashin zuciya, irin su ciwon sukari, hawan jini, da kuma fibrillation.
Alal misali, a cikin binciken da Jamaly da abokan aiki suka wallafa da aka buga a cikin Journal of the American Academy of Cardiology a watan Disambar 2016, mawallafa sun gano cewa "idan aka kwatanta da kulawa ta farko, asarar nauyi ta hanyar aikin tiyata na rage yawan hadarin da ake ciki tsakanin mutane kula da mummunan haya. "Abin sha'awa, wannan ƙaddamarwar haɗari-raguwa ita ce mafi girma a cikin ƙananan yara da kuma mutanen da ke da karfin jini.
Har ila yau, ya kamata a lura cewa aikin tiyata na iya haifar da hasara mai yawa a kan ɗan gajeren lokaci, kamar yadda aka gani a cikin binciken Dokta Sundstrom, wanda, bayan shekara daya bayan tiyata, marasa lafiya sun rasa kimanin kilo 41 da waɗanda suka aiwatar kawai salon rayuwa (amma ba tiyata).
A cikin babban bangare saboda irin wannan nauyin hasara mai nauyi a kan ɗan gajeren lokaci, aikin tiyata ya samo a cikin binciken da yawa don haifar da raguwa masu yawa a cikin adadin ciwon sukari da kuma hawan jini, wanda hakan ya rage yawan haɗarin cututtukan zuciya ( tunda duka ciwon sukari da hawan jini su ne hadarin cututtukan zuciya).
Shin kai ne dan takara na aikin tiyata?
Don haka, mai yiwuwa ka yi mamaki idan kai dan takara ne don aikin tiyata. Ka tuna cewa akwai hanyoyi daban-daban na rashin nauyi-hasara, amma mafi yawan waɗannan hanyoyin suna da irin wannan bukatun.
Bisa ga ka'idodin shayarwa da aka fitar da Cibiyar Harkokin Kasuwancin Amirka (AHA), Kwalejin Kwalejin Nahiyar Kasuwancin (ACC), da kuma Ƙungiyar Obesity Society (TOS), aikin tiyata na iya zama wani zaɓi ga marasa lafiya marasa lafiya da suka dace da wasu ka'idodi.
Wadannan sharudda sun haɗa da halayen jiki (BMI) na 40 ko mafi girma, ko kuma BMI na 35 ko mafi girma a cikin mai haƙuri wanda ke da wasu yanayi na kiwon lafiya (wanda aka sani da "ka'idodi maras kyau") da cutar ta haifar. Kwamitin rubutun mahimmanci mai mahimmanci bai samo cikakkun shaida don bayar da shawarar aikin tiyata don marasa lafiya da ke da BMI wadanda suka fadi a kasa da waɗannan cututtukan.
Jagoran ya ci gaba da ba da shawara ga likitoci na farko da sauransu da ke kula da marasa lafiya tare da kiba tare da babban BMI don gwada "magunguna tare da ko ba tare da pharmacotherapy" na farko ba, sa'an nan kuma idan wannan bai yi aiki tare da sauran kayan abinci da salon salon rayuwa don samun asarar nauyi ba, bariatric ana iya ɗaukar tiyata.
Don haka yana da mahimmanci don tattauna wannan tare da likitanku, wanda zai iya taimaka maka ya yanke shawara idan kai dan takarar kirki ne don aikin tiyata, kuma, idan kun kasance, wane tsari zai dace da ku.
Wasu hanyoyi za ku iya rage yawan cututtukanku ga zuciya
Bugu da ƙari, asarar hasara, akwai wasu hanyoyi masu mahimmanci waɗanda za ku iya rage yawan hadarinku ga cututtukan zuciya a general da kuma zuciya ta musamman.
Na farko, san lambobinku. Wannan yana nufin samun kododin cholesterol, karfin hawan jini, da kuma jinin jininka don adadin ciwon sukari ko ciwon sukari. Yin la'akari da lafiyarka ya haɗa da sanin inda kake fara daga, saboda haka zaka iya sanin abin da ke da ƙananan haɗari da kuma magance kowannensu don rage yawan haɗarinka.
Kamar yadda ya bayyana, yawancin salon rayuwar da ke kula da duk waɗannan halayen haɗari suna kama da su, kuma zasu taimaka maka wajen kiyaye lafiyar lafiya. Gudanar da salon rayuwa mai kyau shine nufin yin aikin yau da kullum da kuma bin halaye na cin abinci lafiya .
An nuna wani salon cin abincin abinci, musamman, a lokuta da kuma, a tsawon shekarun bincike, don hana cutar cututtuka, kuma wannan shine abincin noma na Rum.
Maimakon kasancewa abincin abincin da mutum ya zaba don kawai gajerun lokaci na asarar hasara, abinci na Rumun rani shine zabi ne na rayuwa, hanyar cin abinci ga sauran rayuwarsu. Wannan ita ce yanayin da ake cin abinci ga mafi yawan mazauna ƙasashen da ke kusa da Tekun Bahar Rum-saboda haka sunan.
Abincin na Rumunan ya jaddada amfani da dukan 'ya'yan itatuwa da kayan marmari , hatsi, bishiyoyi, karin manya mai, manya da kaji, da giya (musamman giya mai ruwan inabi) a cikin daidaituwa.
A matsayin kariyar da aka haɓaka, yawancin abincin na Rumun da aka samo don taimakawa ga asarar nauyi da kuma ƙananan ciwon nono .
> Sources:
Estruch R, Ros E, Salas-Salvadó J, et al. Yin rigakafin farko na cututtukan zuciya da jijiyoyin jini. N Engl J Med 2013; 368: 1279-1290.
> Jamaly S, Carlsson L, Peltonen M, Jacobson P, et al. Bariatric tiyata da kuma hadarin sabon-farko arial fibrillation a cikin Suzanne obese batutuwa. J Am Coll Cardiol. 2016; 68: 2497-2504.
> Jensen MD, Ryan DH, Apovian CM, et al. 2013 Dokar AIHA / ACC / TOS don kula da nauyin kiba da kiba a cikin manya: rahoto na Cibiyar Harkokin Kasuwancin Kasuwancin Amurka da Ƙungiyar Ƙungiyar Ƙungiyar Amirka wadda ta buga a ranar lahadi 27, 2013]. J Am Coll Cardiol.
> Sundstrom J, Bruze G, Ottosson J, Marcus C, et al. Cibiyar Nazarin Harkokin Kimiyya ta Amirka ta Amirul 2016. Abstract (wallafe-wallafen) ya gabatar a ranar 14 ga Nuwamba, 2016.
> Yancy CW, Jessup M. Bozkurt B, Butler J, et al. 2013 ACCF / Manufar AHA don kula da rashin nasarar zuciya: rahoton da Cibiyar Harkokin Kasuwancin Amirka ta Ƙungiyar Harkokin Kasuwancin Amirka ta {ungiyar Harkokin Kasuwancin {asar Amirka ta Bayyana Sharu]] an. Yanayin 2013 Jun 5 [Epub gaba da buga].