Abubuwan Da Yakamata Mata Su Sani

Wadatacce

• Bita don

Da karfe 4 na safe ne da safe a watan Nuwamban 2014, kuma Merideth Gilmor, mai tallata jama'a da ke wakiltar 'yan wasa kamar Maria Sharapova, tana fatan a karshe za ta yi barci. Ranar ta fara da wuri, tare da gudu kamar mil takwas. Sannan ita da mijinta sun je bikin auren babbar kawarta, inda suka kwana suna “biki kamar taurarin dutse,” in ji ta. Har ta koma dakinta na otal, ta gama shiri ta fada kan gado ta fito. Amma yayin da ta yi haka, sai ta ji wani abu mai ban mamaki. "Ba zan taɓa mantawa da shi ba; yana jin kamar na murƙushe babban dandelion a hanci. Sai ganina ya yi baƙi," in ji ta. "Na ji, amma ba zan iya sadarwa ba kuma ba zan iya motsawa ba."

Gilmor, a lokacin yana da shekaru 38 kawai, kawai ya sami bugun jini.

Matsala Mai Girma

Gilmor yayi nesa da shi kaɗai. Philip B Gorelick, MD, darektan kiwon lafiya a Cibiyar Raya Lafiya Hauenstein Neuroscience a Grand Rapids, MI, ya ce "Yawan kamuwa da cutar sankara a cikin ƙananan mata yana ƙaruwa." Tsakanin 1988 zuwa 1994 da 1999 zuwa 2004, yawan shanyewar shanyewar jiki a cikin mata masu shekaru 35 zuwa 54 ya ninka sau uku; maza sun sami kusan babu canji, in ji Gorelick. Duk da yake yana daga cikin manyan likitoci biyar da ke binciken lafiyar mata 'yan mata ba sa tsammanin, gabaɗaya, kusan kashi 10 na shanyewar jiki na faruwa a cikin mutanen da shekarunsu ba su haura 50 ba.

Caitlin Loomis, MD, mataimakiyar farfesa a fannin ilimin jijiyoyin jiki a Makarantar Magungunan Yale, kuma likitan ilimin jijiyoyin jiki a Yale ya ce "Yana da wahala a san ko yaduwa na karuwa, ko kuma idan muna kawai zama mafi alherin gane cutar shanyewar jiki a cikin tsofaffi." -Sabuwar Asibitin Haven. Amma Gorelick yayi hasashen cewa shanyewar jiki yana ƙara zama ruwan dare, a wani ɓangare saboda hawan jini da matakan cholesterol masu haɗari, abubuwan haɗari guda biyu don bugun jini, suna shafar mata da yawa a ƙanana. (Shin kun san akwai alaƙa tsakanin rashin bacci da hawan jini?)

Yayin da sanin matsalar ke ƙaruwa, saboda shanyewar jiki ya fi yawa a cikin tsofaffi, mutane da yawa-likitoci sun haɗa-sun kasa gane alamun cutar yayin da suke faruwa a cikin ƙananan mata. Kimanin kashi 13 cikin 100 na masu fama da cutar bugun jini ba a gane su ba, a cewar wani binciken da aka yi kwanan nan a mujallar Bincike. Amma masu binciken sun gano cewa kashi 33 cikin 100 na mata sun fi fuskantar kuskure, kuma mutanen da ke kasa da shekaru 45 sun fi sau bakwai a yi musu ba daidai ba.

Kuma hakan na iya zama abin ɓarna: Kowane mintina 15 mai ciwon bugun jini yana tafiya ba tare da samun magani ba yana ƙara wata naƙasa a lokacin murmurewarsu, a cewar bincike a Bugun jini.

Sa'ar al'amarin shine, mijin Gilmor ya gane alamun ta-raunin jiki a fuskar ta, rudani, zubewar magana-kamar bugun jini. "Na ji ya kira 911, kuma na yi tunani, Ya kamata in yi ado. Amma ba zan iya motsa gabobina ba, ”in ji ta. A asibiti, likitocin sun tabbatar da abin da mijinta ke tsoro: Ta sami bugun jini na ischemic, wanda ke da kusan kashi 90 cikin 100 na duk bugun jini kuma yana faruwa a lokacin da wani abu, yawanci ya toshe. , yana hana jirgin ruwa zuwa kwakwalwa.

Carolyn Roth ba ta da sa'a sosai. A cikin 2010, tana da shekaru 28 kawai lokacin da ta haɓaka alamar gargaɗinta ta farko: ciwo mai tsanani a wuyanta bayan tafiya zuwa dakin motsa jiki. Ta rubuta shi a matsayin tsokar da aka ja. Ta kuma yi nasarar yin bayanin wuraren da suka yi kama da lu'u-lu'u wadanda suka rufe mata hangen nesa yayin da ta ke tuki gida a wannan daren da kuma ciwon wuyan da ya sa ta buge Tylenol gaba daya washegari.

Daga karshe dai washe gari ta damu ta kira mahaifinta ya kaita asibiti. Ta shiga da misalin karfe 8 na safe, kuma bayan ‘yan sa’o’i wani likita ya gaya mata cewa ta samu bugun jini. "Sun sani nan da nan, saboda idanuna ba sa amsa haske," in ji ta. Amma ta kasa kasa. Yayin da ta ke jin zafi, tashin zuciya, rudani, da raunin gani, ba ta taɓa samun wasu ƙarin alamun “na hali” ba, kamar gurgu na gefen hagu. Wannan yana iya zama saboda bugun jini ya haifar da tari, ko hawaye a cikin jijiya, yawanci sakamakon wani irin rauni kamar hadarin mota ko tari mai tsanani. (Wasu alamomi-kamar waɗannan manyan alamun gargaɗin-bai kamata ku taɓa yin watsi da su ba.)

Loomis ya ce "Idan ana batun murmurewar bugun jini, lokaci ne mafi mahimmanci." "Wasu magunguna suna da amfani ne kawai idan aka kawo su a cikin taga na sa'o'i uku zuwa 4.5, don haka yana da mahimmanci a kawo wadanda suka kamu da cutar bugun jini zuwa asibiti da wuri-wuri kuma a tantance su cikin sauri."

Bayan

Maido da bugun jini ya bambanta ga kowane mai haƙuri. Loomis ya ce "Abubuwa da yawa sun dogara da girman bugun jini da wurin da ke cikin kwakwalwa." Kuma yayin da gaskiya ne cewa murmurewa na iya zama hanya mai tsawo, mai jinkiri, sabanin abin da mutane da yawa suka yi imani, bugun jini ba lallai ba ne jumla ga naƙasasshiyar rayuwa. Wannan gaskiya ne musamman ga ƙananan marasa lafiya, waɗanda Loomis ya ce suna yawan yin abin da ya fi tsofaffi marasa lafiya idan ya zo ga warkar da jiki da farfadowa. (Wasu al'amuran kiwon lafiya suna shafar maza da mata daban.)

Dukansu Gilmor da Roth sun ce sun yi sa'ar samun sassaucin ayyuka wanda ya ba su damar samun hutu sosai. "Barci yana da mahimmanci a farkon, tunda kwakwalwarka tana ƙoƙarin gyara kanta. Yana ɗaukar lokaci mai tsawo," in ji Roth. Bayan ta dauki wasu watanni daga dakin motsa jiki don murmurewa, a hankali ta fara motsa jiki. "Zan yi kowane motsa jiki a yanzu-Har ma na yi tseren marathon birnin New York a 2013!" tana cewa. (Thine na Gudu? Bincika Abubuwa 17 da Zaku Sa ran Lokacin Gudun Marathon Na Farko.)

Gilmor ya kuma yaba da tsarin tallafin ta-likitocin ta, wanda ta kira ta da "Stroke Squad" (Loomis na ɗaya daga cikinsu), dangi, abokan ciniki, abokan aikin ta, da abokai-tare da murmurewa. "Na yi ƙoƙarin ganin abin dariya a cikin komai, wanda nake ganin ya taimaka," in ji ta. Baya ga aikin motsa jiki, Gilmor, wanda har yanzu yana fuskantar rauni a gefen hagun ta, a hankali ya fara hawan dutse tare da ɗanta a matsayin hanyar sake gina ƙarfin ta.

Amma gudu shine ainihin burinta na ƙarshe. "Myana ya ce mini, 'Mama, ina tsammanin za ku fi kyau lokacin da za ku iya sake yin takara.' Tabbas hakan ya sa na zama kamar, 'Lafiya-Dole in gudu!' "In ji Gilmor. A halin yanzu tana atisaye don tseren Marathon na Birnin New York na 2015, kuma, a gaskiya ma, ta gama gudun mil 14.

Gilmor ya ce "Ba abu ne mai sauƙi ba, ƙoƙarin yin tseren gudun fanfalaki." "Amma kawai ka ɗauki matakai baby. Gabaɗayan ra'ayi na yanzu shine: Dole ne ku wuce uzurinku. Kila ku ji tsoro, amma dole ne ku fi tsoro."

Abin da Za Ku Iya Yi Yanzu

Babu wani abu da za ku iya yi don tabbatar da cewa ba za ku taɓa samun bugun jini ba. Amma waɗannan dabarun guda bakwai na iya taimakawa rage haɗarin ku-da tallafawa masu tsira na yau.

1. Sanin dukkan alamomi: Acronym FAST wuri ne mai kyau don farawa. Yana nufin faɗuwar fuska, raunin hannu, wahalar magana, da lokacin kiran 911-wanda ke rufe manyan alamun yawancin bugun jini. "Amma zan ce abin da ya fi muhimmanci a tuna shi ne, idan wani ya canza ba zato ba tsammani a gaban idanunku, ku sami taimako," in ji Dr. Loomis. Bugu da ƙari ga alamun FAST, haɓaka matsalolin hangen nesa ba zato ba tsammani, rashin iya magana ko tsayawa a tsaye, maganganun da ba su da kyau, ko kuma kawai rashin zama kamar na al'ada na mutum na iya zama alamun bugun jini.

2. Yi hattara da wasu magunguna: Likitocin Gilmor sun yi imanin haɗarin ta na bugun jini ya ƙaru saboda nau'in kulawar haihuwa da ta ɗauka. Loomis ya ce "Duk wani maganin hana haihuwa na hormonal da ke ɗauke da sinadarin estrogen, gami da da yawa magungunan hana haihuwa, faci, da zoben farji, na ƙara haɗarin haɗarin kumburin jini," in ji Loomis. Yawancin lokaci, waɗancan ƙusoshin suna tashi a cikin jijiya, ba jijiya ba. Amma idan kuna da wasu abubuwan haɗari, kamar hawan jini, kuna iya son yin magana da ob-gyn ku game da sauya tsarin kula da haihuwa. (Marubuci ɗaya ya ba da dalilin da yasa ba za ta sake shan Pill ba.)

3.Kada kayi watsi da ciwon wuya: Kimanin kashi 20 cikin 100 na shanyewar ischemic a cikin manya da ke kasa da shekaru 45-ciki har da Roth's-ana haifar da su ne ta hanyar rarrabawar jijiyoyin mahaifa, ko tsagewar jijiyoyin jini da ke kaiwa ga kwakwalwa, bincike Littafin Jaridar Neurology nuna. Hadarin mota, tari ko amai ya yi daidai, da karkatacciyar hanya ko motsawa duk na iya haifar da wannan hawaye. Loomis ya ce hakan ba yana nufin ya kamata ku guji yoga ba (bayan haka, miliyoyin mutane suna karkacewa suna girgiza kawunansu kowace rana kuma babu abin da ke faruwa), amma yakamata ku kula sosai da yadda kuke ji bayan yin wani abu wanda ke haifar da motsi na kwatsam. wuya. Idan kun ji matsanancin zafi ko tashin hankali, ko lura da duk matsalolin hangen nesa bayan haka, je zuwa lissafin likita.

4. Mikewa: Kun ji gargadi game da tabbatar da tsayawa da mikewa lokacin da kuke tashi. Akwai yiwuwar, kun kuma yi watsi da su-musamman idan kun kasance a kujerar taga. Amma tashi zai iya ƙarfafa jini ya taru a ƙafafunku, yana ƙara haɗarin haɗarin kumburin da zai iya motsawa zuwa kwakwalwar ku, in ji Loomis. (Likitocin Gilmor suna tunanin hawan jirgin sama na baya -bayan nan, haɗe da amfani da Pill ɗin sa, shine ya jawo bugun bugun ta.) Kyakkyawar ƙa'idar yatsa: Tashi da shimfiɗa ko tafiya hanyoyin aƙalla sau ɗaya a sa'a.

5. Ci gaba da shafuka akan waɗannan lambobi: Tabbatar cewa ana shan hawan jini da cholesterol akai-akai, kuma idan lambobin sun fara ratsawa zuwa yankin "mafi girma fiye da al'ada", tambayi likitan ku abin da za ku iya yi don dawo da su, in ji Gorelick. Hawan jini yana lalata hanyoyin jini, kuma yawan cholesterol na iya ƙara yuwuwar kamuwa da gudan jini.

6. Tsaya akan abinci mai lafiyayyen zuciya: Loomis ya ba da shawarar abinci na Rum, wanda aka nuna don rage cututtukan zuciya. "Yana da yawa a cikin kifi, goro, da kayan lambu, ga kuma jajayen nama da soyayyen abubuwa," in ji ta. Fara da waɗannan girke-girke na Abincin Bahar Rum. Cin irin wannan nau'in abinci mai tsafta kuma zai taimaka maka kula da nauyin lafiya, wanda Gorelick da Loomis suka yarda yana daya daga cikin mafi sauki hanyoyin da za a rage haɗarin bugun jini.

7. Taimakawa masu tsiraIdan shanyewar shanyewar jiki ba ta shafe ka ba, tabbas ba za ka yi nisa ba don samun wanda ke da: Kowane daƙiƙa 40, wani yana da guda ɗaya, kuma a yau akwai waɗanda suka tsira daga bugun jini miliyan 6.5 da ke zaune a Amurka Kuma kamar yadda yake. Loomis ya ce, "Ciwon bugun jini wani lamari ne na canza rayuwa wanda zai iya zama da wahala a samu, ta jiki, da tausayawa. Samun cibiyar sadarwa na tallafi yana kawo babban bambanci." Don taimakawa waɗanda suka tsira, Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙarfafa ta Ƙaddamar da Ƙarfafa kawai. Akwai hanyoyi da yawa don shiga ciki: canza hoton bayanan ku zuwa tambarin Ku dawo da ƙarfi, ba da gudummawar kuɗi, ko shiga cikin Taron Traback a ranar 12 ga Satumba-sadaukar da hanyar gida ga wanda ya tsira daga bugun jini da kuka sani, kuma ku yi tafiya a ciki. girmama hanyarsa ta samun waraka a wannan rana.

Bita don