Ukuncwina kunokunceda "ukusetha kabusha" umama emva kokukhulelwa
Abaphandi baye bazisa ukuba ukubelesa kunceda umntwana. Kodwa, ngokubhekiselele kuphando olutsha, ukuncelisa kunokusebenza njengethuba apho umzimba womama uphinde uvuselele kwakhona, kwaye inkqubo yakhe yokubuyisela umzimba ibuyele ngokuhambelana nokutya kuphela. Eli xesha lexeshana linokubambisana nomngcipheko wesifo senhliziyo kumama, naye.
Ukujonga Uphando
Abaphengululi baqeshe abafazi abangama-500 000 baseTshayina ukuba bafunde ngokubanzi, ngokufunda abantu.
Abathathi-nxaxheba babephakathi kweminyaka engama-30 ukuya kwengu-79 kwaye bevela kwiindawo ezahlukeneyo zelizwe.
Ngexesha lesibhozo leminyaka, abaphandi bafumanisa iziganeko ezingama-16,671 zesifo senhliziyo kunye namacala angama-23,983 okubethelwa phakathi kwabaama-289,573 oomama abangenayo isifo senhliziyo ekuqaleni kwesi sifundo.
Xa kuthelekiswa noomama ababengakaze babele, abesifazana abancinci bafumana ama-10 ekhulwini anciphisa kuzo zonke iindidi eziphambili ze-coronary disease, ngaphandle kwesifo soxinzelelo. Kwaye le nxaxheba yandisa ixesha elide elibelethwe ngumfazi.
Ingqalelo, uxinzelelo lwegazi oluphezulu, ukukhuluphala, isifo sikashukela, ukusetyenziswa, iminyaka, ukutshaya, kunye nokunyuswa kwengcinezelo yegazi zonke zilawulwa ngabaphandi. Ngamanye amagama, ukufumana imiphumo efanelekileyo yokuncelisa, iziphumo zabaphandi zaphuhlisa izinto ezaziwa ukuba zenze ingozi yesifo senhliziyo.
Ngaphezu koko, abafazi baseTshayina bavame ukubelesa ixesha elide kunabesifazane baseMerika.
Phakathi koomama abafundiswayo, ubude bokuncelisa iinyanga zazi-12. Nantsi ingozi yesifo senhliziyo iyancipha kwabesetyhini ababelethwe ngamaxesha ahlukeneyo:
| Ubude bexesha lokuxiliswa | Umngcipheko oNcitshiswayo weZifo zeNtliziyo |
| 0-6 iinyanga | 1% |
| 6-12 iinyanga | 7% |
| 12-18 | 11% |
| 18-24 iinyanga | 13% |
| Kwiinyanga ezingama-24 | 18% |
Kwiinyanga ezintandathu ezongezelelweyo emva kweenyanga ezingama-24 zokuncelisa, ingozi yesifo senhliziyo iyancipha ngamaphesenti amane.
Uphando olwangaphambili malunga nomngcipheko wesifo senhliziyo phakathi koomama baseNtshona bawabele. Ngokomzekelo, uphando oluthile, olupapashwe kwi- American Journal ye-Obstetrics & Gynecology , lulandele oomama abangama-89,326 baseMerika kwaye lufumene ukuba ukuncelisa kunciphisa umngcipheko wesifo senhliziyo kubantu abancincile iminyaka emibili okanye ngaphezulu-into eyenziwa ngabasetyhini baseMerika.
Ngokukodwa, oomama ababengencelise ibele ezimbini kunye neminyaka babe neepesenti ezingama-23 banciphise ingozi yesifo senhliziyo kunokuba oomama ababengamncelisi.
Ngokucacileyo, e-China, malunga neepesenti ezingama-30 zoomama abahlala kwimimandla yasemaphandleni kuphela abancancise iintsuku ezintandathu okanye ngaphezulu. Kwaye iipesenti ezili-16 zoomama abahlala kwimimandla yasezidolophini zodwa zancincile iintsuku ezintandathu okanye ngaphezulu. (UMbutho WezeMpilo Wehlabathi Ucebisa ukuncelisa iinyanga ezintandathu.)
Indlela Ukubeleka Kuphucula Impilo Yentliziyo
Ngoxa ukhulelwe, umzimba womfazi wenza ukutya ezimbini: umama kunye nosana. Ezi zinyango ezikhulayo zihlangene nokufumana ubunzima, ukuxhathisa kwe-insulin kunye namazinga aphezulu e-cholesterol egazini.
Ukuncelisa isondlo kunokuncedisa ukutshintshana phakathi kwe-hypermetabolic state of pregnancy kunye nokunciphisa amandla emfuno emva kokuziswa.
Ngethuba lokukhulelwa, umzimba womama ugcina amafutha ukuze ahlangabezane neemfuno zondlo olongezelelweyo. Ukuncwina kunokunceda ukuphelisa amafutha afakwe ngokufanelekileyo nangempumelelo.
Ucwaningo lwangaphambili lubonise ukuba oomama abancinci banamaphrofayili anokwakheka kancinci ngaphezu koomama abangenayo, kubandakanywa amanqanaba e-cholesterol amancinci, ukunyuka kwegazi kunye nokunciphisa uxinzelelo lwegazi. Ukubeleka ixesha elide lidibaniswe nomngcipheko ophantsi wokugula kwesifo, isifo sikashukela, kunye negazi.
Abaphandi kubafundi baseTshayina bafundisisa banikezela le ngcamango elandelayo malunga nokuba unyamezelo lukhusela isifo senhliziyo esiswini:
Isifundo sethu asizange senzelwe ukubonisa isizathu nesiphumo. Nangona kunjalo, ukuba ngaba i-causal, inzuzo yezempilo kumama ekunceliseni ibele ingachazwa ngokukhawuleza "ukusetha kabusha" komzimba emva kokukhulelwa. Ukukhulelwa kubangela ukuba utshintsho olukhulu kwi-metabolism yowesifazane njengoko egcina amafutha ukuze anike amandla amandla okukhula komntwana kunye nokuncelisa xa umntwana ezalwa. Ukuncelisa isisu kunokususa i-fat egciniweyo ngokukhawuleza kwaye ngakumbi. Nangona kunjalo, abafazi abancancisayo banokuthi banamathuba amaninzi okubandakanyeka kwezinye iindlela zokuziphatha ezinoncedo kunabasetyhini abangabanyanga.
Ngenxa yokuba abafazi abancinci baseTshayina bavela kwimimandla engaxhaswanga ngempilo, abaphandi bakholelwa ukuba akunakwenzeka ukuba bazakwenza ngokuzibandakanya kwezinye iindlela zokuziphatha ezinempilo-ngokungafani nabamanyeneyo baseMerika.
Ngamanye amazwi, umama waseMerika oncelisa ixesha elide mhlawumbi uya kuba nonembeza wezempilo kwaye akwenze ngenxa yokuba lo msebenzi ubonwa njengempilweni yengane. Unina ongumama waseMerika oncelisayo unokuthi uyaziqonda impilo kwaye enze ezinye izinto ezinempilo, njengokuzivocavoca rhoqo, ukutya ukutya okunempilo, nokuyeka ukutshaya.
E-China, nangona kunjalo, abafazi abancancisayo bavela kwimimandla yasemaphandleni kwaye benze isigqibo nje ngokuba kungabizi kwaye kuqhutyelwa kakhulu kuluntu lwabo, kungekhona ngenxa yokuba baqaphela impilo.
> Imithombo:
> Lindemann, K. Oomama abancancisayo banokungabikho kancinci ukufumana iintlungu zesifo senhliziyo kunye nokushaywa kabuhlungu kamva ebomini. UPhando. Juni 21. 2017.
> I-MedlinePlus. Isifo sentliziyo.
> Peters, SAE, et al. Ukuxiliswa kunye noNgcipheko lweSifo soMzimba weMatrika: Isifundo esicacileyo sama-300 000 aseTshayina abafazi. Umbhalo we-American Heart Association. 2017; 6.
> Stuebe, AM, et al. Ubude bexesha lokutya kunye nesiganeko se-myocardial infarction ekukhuleni komntu osekudala. IJ Obstet Gynecol. 2009 Feb; 200 (2): 138.e1-138.e8.