Impilo ithatha inguquko ebalulekile kwabesifazane ngemuva kokunqamuka kokuya esikhathini phakathi kweminyaka engama-45-55 ubudala. Ngesikhathi sokunqamuka kokuya esikhathini noma ekupheleni komjikelezo wokuya esikhathini, umzimba wowesifazane ubhekana nezinguquko ezinkulu zamahomoni ezibonakala ngendlela yezimpawu nezimpawu eziningi ezihlanganisa ukuqwasha, ukushaya kwenhliziyo, ukushisa, ukujuluka ebusuku phakathi kokunye. Ukunqamuka kokuya esikhathini kwenzeka lapho ungayi esikhathini isikhathi esiyizinyanga eziyi-12 zilandelana. Ngemva kokuphela kwesikhathi, ukuncipha kwamahomoni okuzala i-estrogen ne-progesterone kungaholela ezinguqukweni eziningi ezingokomzimba nengqondo kwabesifazane. Lawa ma-hormone adlala indima ebalulekile ekulawuleni imisebenzi ehlukahlukene yomzimba futhi lapho ukukhiqizwa kwawo kuncishisiwe, kungaholela ebungozini obukhulayo bezifo eziningi kubandakanya nesifo senhliziyo. 

Ngokusho kweBritish Heart Foundation, ukuncipha kwamazinga e-estrogen kungaholela ekwakhekeni kwamafutha emithanjeni yakho okubangela ukuthi ibe mincane. Lokhu kungandisa ingozi yokuba nesifo senhliziyo, isifo senhliziyo noma isifo sohlangothi. Ukwengeza, amazinga aphansi e-estrogen nawo ahlobene nokuzuza isisindo, amazinga aphezulu e-cholesterol, ukwanda komfutho wegazi kanye nenani elikhulayo lamafutha azungeze inhliziyo, okuyizinto zonke eziyingozi yokuhlaselwa yinhliziyo.

"Ngemva kokunqamuka kokuya esikhathini, kubalulekile ukubeka kuqala impilo yenhliziyo yakho. Zijwayeze umzimba njalo, uhlose okungenani imizuzu engu-150 yokuzivocavoca okunamandla ngesonto. Yamukela ukudla okulinganiselayo okuhlanganisa izithelo, imifino, okusanhlamvu okuphelele, namaprotheni angenalutho kuyilapho unciphisa amafutha agcwele kanye nama-trans. Gcina iso kumfutho wegazi lakho, njengalezi zici zenhliziyo, dlala indima ebalulekile yokulawula ushukela wegazi njenge-cholesterol yegazi. ukuzindla noma ukuvivinya umzimba kokuphefumula okujulile, kungaba nomthelela enhlalakahleni yonke, "kusho uDkt V. Vinoth Kumar, Udokotela Oyi-Senior Consultant Interventional Cardiologist, CARE Hospitals, HITEC City, Hyderabad.

"Ukuhlolwa njalo nomhlinzeki wakho wezempilo kubalulekile ukuze uqaphe futhi ubhekane nanoma yiziphi izici ezingaba yingozi. Bangakunikeza iseluleko esiqondene nomuntu siqu ngokusekelwe kuphrofayela yakho yezempilo, kukusize wenze izinqumo ezinolwazi ukuze unciphise ingozi yokuhlaselwa yinhliziyo ngemva kokuya esikhathini," kusho uDkt Kumar.

UDkt. Aparna Jaswal - Umqondisi, i-Electrophysiology and Cardiac Pacing, Fortis Escorts Heart Institute, Okhla Road, New Delhi, uthi ngemva kokunqamuka kokuya esikhathini, abesifazane babhekana nengozi eyengeziwe yesifo senhliziyo ngenxa yezinguquko ze-hormonal, kodwa kunamasu amaningana okusiza ukuvimbela ukuhlaselwa yinhliziyo nokugcina impilo yenhliziyo:

AMACEBISO OKUVIMELA UKUHLASELWA KWENHLIZIYO NGEMVA KOKUYA ESIKHATHINI

1. Ukudla okunempilo: Gcizelela izithelo, imifino, okusanhlamvu, amaprotheni amancane, namafutha anempilo kuyilapho unciphisa amafutha agcwele, amafutha e-trans, i-cholesterol, i-sodium, noshukela owengeziwe.

2. Ukuvivinya umzimba njalo: Hlela okungenani imizuzu engu-150 yokuzivocavoca okunamandla okumaphakathi noma imizuzu engu-75 yokuzivocavoca okunamandla ngesonto, kanye nemisebenzi yokuqinisa imisipha.

3. Gcina isisindo esinempilo: Gcina inkomba yesisindo somzimba wakho (BMI) ngaphakathi kwebanga elivamile (18.5 kuya ku-24.9) ukuze unciphise ingozi yesifo senhliziyo.

4. Yeka ukubhema: Ukubhema kwandisa kakhulu ingozi yesifo senhliziyo, ngakho funa usizo lokuyeka futhi ugweme ukuchayeka ekubhemeni.

5. Nciphisa utshwala: Ukuphuza utshwala okusesilinganisweni, okuchazwa ngokuthi kufika isiphuzo esisodwa ngosuku kwabesifazane, kungasiza ekugcineni impilo yenhliziyo.

6. Lawula ingcindezi: Zijwayeze amasu okunciphisa ukucindezeleka njengokuphefumula okujulile, ukuzindla, i-yoga, noma ukuzibandakanya ezintweni zokuzilibazisa ezijabulisayo.

7. Qapha umfutho wegazi kanye ne-cholesterol: Hlola njalo futhi ulawule umfutho wegazi kanye namazinga e-cholesterol ukuze unciphise ingozi yesifo senhliziyo.

8. Lawula ushukela osegazini: Lawula isifo sikashukela noma i-prediabetes ngokudla, ukuvivinya umzimba, imithi, nokuqapha.

9. Thola ukuhlolwa njalo: Hlela ukuhlolwa okujwayelekile nomhlinzeki wakho wezempilo ukuze uhlole impilo yenhliziyo futhi ubhekane nanoma yikuphi ukukhathazeka.

10. Ukubambelela emithini yemithi ngendlela efanele: Thatha imishanguzo ebekiwe yezimo ezifana nomfutho wegazi ophakeme, i-cholesterol ephezulu, noma isifo sikashukela njengoba uyaliwe.

11. Lala kahle: Hlela amahora angu-7-9 wokulala kwekhwalithi ubusuku ngabunye ukuze usekele impilo yenhliziyo.

Ngokusebenzisa le mikhuba yokuphila, abesifazane banganciphisa ingozi yokuhlaselwa yinhliziyo futhi balondoloze impilo enhle yenhliziyo ngemva kokuya esikhathini.

Isixhumanisi Esiyisethenjwa

https://www.hindustantimes.com/lifestyle/health/11-tips-for-women-to-prevent-heart-attack-after-menopause-101708160038753.html