Masana kimiyya sun dade daɗewa cewa kasancewar zama a gida bayan wani sashi na ST STYI (STABI) (ciwon zuciya) babban haɗari ne ga mutuwar farko. Mutanen da suka shiga shirye-shirye na gyaran zuciya na zuciya bayan ciwon zuciya, sa'an nan kuma ci gaba da yin amfani da su a lokacin da aka kammala shirin na rehab, an san su da yawa fiye da mutanen da suka kasance (ko zama).
Wannan shine dalilin da yasa likitoci suke kula da marasa lafiya da cututtukan cututtuka (CAD) .
Dalilin cewa akwai yiwuwar yin amfani da irin wannan "motsa jiki" bayan da ciwon zuciya ya zama sabon abu. Ko dai kuma, sabon tsari ne na tsohuwar tunani - shekaru 50 da suka wuce wadanda aka yi wa masu fama da zuciya ta zuciya da su da yawa tare da makonni na kwanciyar hankali, kuma a sakamakon haka sun zama marasa lafiya. Wannan zai iya zama irin wannan motsa jiki bayan an sake farfadowa da zuciya ta hanyar takardar shaidar da aka bayyana a watan Agustan 2014 a cikin Mayo Clinical Proceedings . Wannan takarda ya nuna cewa, yayin da motsa jiki na yau da kullum bayan ciwon zuciya ta musamman kuma yana da muhimmanci rage haɗarin mutuwa, amfanin motsa jiki zai iya farawa sau ɗaya idan wani matashi ya isa.
Musamman ma, marubuta sun ba da shawara, masu tsira da zuciya na zuciya wadanda ke tafiya fiye da kimanin kilomita 31 a kowane mako, ko kuma waɗanda ke tafiya a kan briskly fiye da kimanin kilomita 46 a kowane mako, suna da mummunar mutuwa fiye da masu tafiya (ko masu tafiya) .
(Duk da haka, har yanzu suna da muhimmanci fiye da wadanda suka tsira daga zuciyar zuciya wanda ke cikin kwance.)
Shafin Farko don Cibiyar Harkokin Kasuwanci
Wannan hujja ta fito ne daga Nazarin lafiyar 'Yan Kasa na Kasuwanci da Nazarin Kiwon Lafiya ta kasa. Wadannan karatun sun tattara fiye da mutane 100,000, wadanda suka cika jerin tambayoyi game da tarihin likita da kuma halaye na aikin.
Daga cikin waɗannan mahalarta, 924 maza da mata 631 sun ruwaito cewa suna da hare-haren zuciya, kuma wadannan sune mutanen da suke cikin binciken da muke tattaunawa.
Ga abin da masu binciken suka gano. Bayan an biyo bayan kimanin shekaru 10, mahalarta sun gudu har zuwa mil mil takwas a kowane mako ko kuma sun kai kimanin mil 12 a kowane mako (wanda shine mafi nesa da mutum zai cimma wanda ya bi ka'idodin aikin motsa jiki na zuciya-baya), ya rage cututtukan zuciya -a mace mai lalacewa da kashi 21 cikin dari, idan aka kwatanta da wadanda suka tsira daga zuciya. An rage yawan mutuwar da kashi 24 cikin dari ga mutanen da suka yi gudun mita 8-16 ko kuma tafiya kilomita 12-23 a kowane mako; by 50% ga wadanda suka gudu 16-24 mil ko tafiya 23-34 mil kowace mako; kuma kashi 63% ga mutanen da suka gudu 24-31 mil ko tafiya 34-46 mil kowace mako.
Duk da haka, a cikin wadanda suka tsira daga zuciya da gaske suka motsa motsa jiki, har zuwa cewa sun gudu fiye da mil 31 ko kuma sun wuce fiye da kilomita 46 a kowane mako, an gano kashi 12 cikin dari na mace-mace - wanda kusan rabin rabin amfanin da aka samu mutanen da "kawai" suka bi jagororin motsa jiki na yanzu. Saboda haka, daga wannan binciken, yana nuna cewa karin motsa jiki da kake yi bayan ciwon zuciya ya fi yawan amfanin - har zuwa wani batu. Amma bayan wannan batu - da zarar an buɗe matakan bude kofa - ƙimar mutuwa ta hanyar motsa jiki zata fara juyawa.
Mawallafin edita mai bayyanawa a cikin wannan batun na Mayo Clinical Proceedings ya bayyana cewa akwai wani abu kamar "ciwon zuciya na ciwon zuciya," wanda yawancin motsa jiki zai iya rage cututtukan zuciya (watakila ta hanyar samar da kwalliya a cikin zuciya da Ta haka ne cardiomyopathy ). Idan haka ne, to lallai akwai wani abu mai mahimmanci kamar motsa jiki, akalla a cikin mutanen da ke da ciwon zuciya.
Shin Wannan Gaskiya ne?
Yana iya zama gaskiya cewa aikata "motsa jiki" bayan ciwon zuciya zai iya rage yawancin amfanin da kake samu ta hanyar yin motsa jiki na yau da kullum. Duk da haka, akwai muhimman ƙuntatawa ga wannan binciken da yake buƙatar mu sanya shawararsa cikin hangen zaman gaba.
Na farko, wannan binciken ne kawai aka yi ta tambayoyin. Dole ne mu dauki maganganun mahalarta don yawan aikin da suka yi, kuma watakila mahimmanci, saboda gaskiyar cewa suna da ciwon zuciya. (Doctors sukan yi amfani da kalmar nan "ciwon zuciya" ba tare da kuskure ba , kuma marasa lafiya zasu iya fita tare da kuskuren kuskure.) Saboda haka a wasu matakan, ana iya tambayar daidaitattun bayanai ɗin. Wannan, ba shakka, wani ƙayyadadden ƙwararren nazarin likita ne wanda ke dogara ne kawai akan tambayoyin don bayanai.
Zai yiwu mafi mahimmanci shine binciken da ya zama fili a yayin da mutum ke kallon teburin bayanai da aka buga tare da labarin kanta. Daga wannan tebur, an bayyana cewa masu tseren zuciya na zuciya da suka gudu fiye da kilomita 31 a kowane mako sun kasance, a matsakaici, mafi girma fiye da wadanda suka gudu. A gaskiya ma, sun kai shekaru 51 kawai. Bugu da ƙari kuma, suna da alamun zuciya a cikin shekaru 13 kafin su shiga cikin wannan binciken, ko (a matsakaici) a lokacin da yake da shekaru 38. Masu rubutun labarin ba su kai tsaye a kan abubuwan da suka faru a wannan shekarun ba.
Amma mun san cewa mutanen da suke da ciwon zuciya a lokacin da suka fara tsufa suna da nauyin CAD, kuma cutar cututtukan su na ci gaba da cigaba kuma da wuya a magance su tare da CAD. Don haka, watakila karuwar yawan mace da aka gani a cikin mutanen da suka gudu fiye da kilomita 31 a kowane mako bai haifar da aikin ba. A maimakon haka, watakila wannan shine kawai yawan mutanen da ke fama da cutar zuciya.
Layin Ƙasa
Wadannan darussan da aka watsa a yaduwan sakamakon wannan binciken sunyi iƙirarin cewa "Yawancin motsa jiki bayan ciwon zuciya zai iya kashe ku!" Yayinda yake iya tabbatar da cewa yin motsa jiki da yawa bayan ciwon zuciya zai iya tayar da amfani da aikin , mu Dole ne mu riƙa tunawa da wasu abubuwa yayin da muke tunanin abin da wannan binciken yake nufi.
Na farko, wannan binciken bai tabbatar da wani abu ba; bincike ne mai ajizai bai yi ba sai dai samar da sabon tunanin da ya kamata a jarraba shi a gwajin gwaji.
Abu na biyu, "kofawar motsa jiki" wanda aka bayyana a cikin wannan binciken, bayan abin da motsa jiki zai iya zama mummunan bayan an kai harin zuciya, yana da kyau sosai. Duk wanda yake tafiya fiye da mil mil 31 ko tafiya fiye da kilomita 46 a kowane mako ya yiwu ya sake tsara tsarin rayuwarsu a duk lokacin da suka fara motsa jiki. Da yawa daga cikin wadanda suka tsira daga cututtukan zuciya suna yin motsi a ko'ina kusa da matakin inda akwai dalili na damuwa.
Kuma mafi mahimmanci, ba tare da la'akari da ko akwai irin wannan motsa jiki ba bayan motsa jiki, wannan binciken ya sake tabbatar da cewa motsa jiki na yau da kullum bayan ciwon zuciya - ko da matakan motsa jiki mafi yawan masu tsira da zuciya na zuciya ba zasu yi ƙoƙari su kula ba - yana da alaƙa da ingantaccen ƙwarewa a sakamakon sakamakon zuciya. Aiki na yau da kullum, wannan binciken ya tabbatar, yana da mahimmanci ga lafiyarka bayan ciwon zuciya.
Sources:
Williams PT, Thompson PD. Ƙara yawan mace mai cututtuka na zuciya da jijiyoyin jini da ke haɗaka da motsa jiki mai tsanani a cikin wadanda suka tsira daga zuciya. Mayo Clin Proc 2014; DOI: 10.1016 / j.mayocp.2014.05.006.
O'Keefe JH, Franklin B, Lavie CJ. Ciniki don lafiyar jiki da kuma tsawon lokaci da sauƙi: Tsarin daban-daban na daban-daban. Mayo Clin Proc 2014; DOI: 10.1016 / j.mayocp.2014.07.007.