Iqhaza Lama-Hormone Empilweni Yenhliziyo: Uchwepheshe Uchaza Kungani Ingozi Yabesifazane Yenhliziyo Yenyuka Ngokudala

Njengomuntu wesifazane, kumele ngabe uzwile ngokubaluleka kwamahomoni ekwenzeni imisebenzi eyahlukene yomzimba. Nokho, bewazi yini ukuthi ama-hormone nawo anendima ebalulekile ekugcineni impilo yenhliziyo? Akukhona lokhu kuphela, izinguquko ze-hormonal ngokuya ngeminyaka nazo zandisa ingozi yezinkinga zenhliziyo kwabesifazane. Lezi zinguquko ngokuvamile azinakwa, okwenza kube kubalulekile ukuthi abesifazane baqonde ukuthi zithinta kanjani izinhliziyo zabo nokuthi yiziphi izinyathelo ezingasiza. Sikhulume naye UDkt A Nagesh, Udokotela Ohlinzayo Wenhliziyo, Umqondisi Womtholampilo we-MICS kanye Nokufakelwa Kwenhliziyo, Izibhedlela ze-CARE, Banjara Hills, Hyderabad, owabelane ngemininingwane yokuthi lokhu kushintsha kwama-hormone kuyithonya kanjani impilo yenhliziyo nokuthi yini abesifazane abangayenza ukuze bahlale bematasa futhi bavikele inhlalakahle yabo.

Iqhaza Lama-Hormone Empilweni Yenhliziyo

“Amahomoni aneqhaza elikhulu ekugcineni imizimba yethu isebenza ngendlela, okuhlanganisa impilo yenhliziyo nemithambo yegazi.I-Estrogen isiza ukuxegisa imithambo yegazi phakathi neminyaka yokuzala kowesifazane, inyuse ukugeleza kwegazi futhi yehlise nomfutho wegazi,” kusho uDkt Nagesh.

Ngokusho kwe-American Heart Association (AHA) Journals, i-estrogen ithinta izici eziningi zempilo yenhliziyo nemithambo yegazi. Kuyasiza ukulawula indlela imithambo yegazi esebenza ngayo, kunciphisa ukuvuvukala, kuthonya imetabolism kanye nokuzwela kwe-insulin, futhi kusekele impilo yamangqamuzana emisipha yenhliziyo nama-stem cells. Iphinde ibe neqhaza ekuvimbeleni inhliziyo ukuba ingakhuli.

“Akukhona lokhu kuphela, yandisa amazinga e-cholesterol ‘enhle’, i-High-Density Lipoprotein (HDL), futhi yehlisa i-cholesterol ‘embi’, i-Low-Density Lipoprotein (LDL). I-Estrogen iphinde ibe nezakhi zokulwa nokuvuvukala ezivikela udonga lwangaphakathi lwemithambo yegazi,” kwenezela uDkt Nagesh.

Ukunqamuka kokuya esikhathini kanye nezingozi zenhliziyo ezikhulayo

Ukunqamuka kokuya esikhathini kuwushintsho olukhulu lwamahomoni empilweni yowesifazane. Ukulahlekelwa yi-estrogen kuqala ukusabela kweketango ngemiphumela eqondile enhliziyweni. Nansi eminye imiphumela esohlwini ngochwepheshe:

• I-cholesterol engalingani: Abesifazane bangemva kokuya esikhathini bavame ukubona ukwanda kwe-cholesterol ye-LDL ne-triglycerides, kanye nokuncipha kwe-cholesterol ye-HDL. Le phrofayili ye-lipid embi ikhulisa ingozi ye-atherosclerosis (ukwakhiwa kwama-fatty plaque emithanjeni).

• Umfutho wegazi ophakeme: Ukwehla kwamandla e-oestrogen okuphumuza imithambo yegazi kungaholela emithanjeni eqinile, okuholela ekukhuphukeni komfutho wegazi kanye nokucindezeleka okwengeziwe enhliziyweni.

• Ukwanda kwesisindo kanye noshintsho lwe-metabolic: Izinguquko zamahomoni zinomthelela ekushintsheni lapho amafutha omzimba ebuthana khona, ngokuvamile okuholela ekuzuzeni isisindo phakathi nendawo, kokubili izici eziyingozi ezinkulu zesifo senhliziyo.

• Ukwanda kokuvuvukala: Ukulahleka kwendima ye-estrogen eqeda ukuvuvukala kungaholela ekwenyukeni kokuvuvukala kwemithambo, kuqhubeke kukhulisa ingozi yenhliziyo nemithambo yegazi.

Ucwaningo lwango-2023 lwathola ukuthi abesifazane ababenesikhathi sabo sokugcina ngaphambi kokuba babe neminyaka engama-45 babhekene nengozi enkulu yesifo senhliziyo ye-ischemic kanye nethuba eliphezulu lokufa ngenxa yalo. Le ngozi inkulu nakakhulu kwabesifazane abadlula ekunqamukeni kokuya esikhathini ngaphambi kwesikhathi (phakathi kweminyaka engama-40-45 ubudala) noma ukuya esikhathini ngaphambi kwesikhathi (ngaphambi kweminyaka engama-40 ubudala).

Ukuqaphela Izimpawu Kwabesifazane

Enye inselele ekubhekaneni nempilo yenhliziyo yabesifazane ukuthi izimpawu zesifo senhliziyo zivame ukubonakala ngendlela ehlukile kwabesifazane kunabesilisa. Nakuba amadoda ngokuvamile ezwa izimpawu zakudala ezifana nobuhlungu besifuba, abesifazane bangase babike:

• Ukukhathala okungachazeki okwenza imisebenzi evamile izwakale inzima ukuyiqeda

• Ukuphefumula okuncane, ngisho nangesikhathi sokusebenza ngokomzimba okulula

• Ukuba nokungakhululeki entanyeni, emhlathini, emhlane, noma emahlombe

• Ukuzizwa ucanucanu noma unesiyezi ngaphandle kwesizathu esicacile

Izinyathelo Ezisebenzayo Zenhliziyo Enempilo

Nakuba izinguquko ze-hormonal eziza nokuguga zingenakugwenywa, kunezinyathelo ezisebenzayo abesifazane abangazithatha ukuze banciphise ubungozi babo:

• Ukuhlolwa Kwezempilo Okuvamile: Ukuhlolwa okujwayelekile komfutho wegazi, amazinga e-cholesterol, noshukela wegazi kusiza ukuhlonza kanye nokubhekana nezingozi kusenesikhathi.

• Ukudla Okunempilo Yenhliziyo: Ukukhetha ukudla okunothe ngezithelo, imifino, okusanhlamvu, amaprotheni anomzimba namafutha anempilo kusekela impilo yenhliziyo nemithambo yegazi. Ukunciphisa ukudla kukasawoti kanye noshukela nakho.

• Umsebenzi Womzimba: Ukuhlanganyela okungenani imizuzu engu-150 yokuzivocavoca okusesilinganisweni isonto ngalinye, njengokuhamba ngokushesha, kusiza ukugcina isisindo esinempilo, kuqinisa ukujikeleza kwegazi futhi kuqinisa inhliziyo.

• Ukulawula Ingcindezi: Ukucindezeleka okungapheli nakho kungaba nomthelela empilweni engenampilo yenhliziyo. Ukucabangela, i-yoga, ukuphefumula okujulile nezinye izindlela zokuphumula zingamathuluzi asebenzayo okwehlisa amazinga okucindezeleka.

• I-Hormone Replacement Therapy (HRT): Kwabanye besifazane, i-HRT ingase idambise izimpawu zokunqamuka kokuya esikhathini futhi inikeze izinzuzo zenhliziyo, kodwa izingozi nezinzuzo ziyahlukahluka - xoxa ngezinketho nomhlinzeki wakho wezempilo.

• Ukuyeka Ukubhema Nokunciphisa Utshwala: Ukuqeda ukubhema nokuphuza utshwala ngokusesilinganisweni kubalulekile ekunciphiseni ingozi yenhliziyo nemithambo yegazi.

Iqhaza Labahlinzeki Bezempilo

"Ukubaluleka kwabahlinzeki bezempilo ekusekeleni impilo yenhliziyo yabesifazane akufanele kushaywe indiva. Odokotela kufanele bahlanganyele iziguli ezingxoxweni ezivulelekile mayelana nezimpawu, ubungozi, kanye noshintsho lwendlela yokuphila ngale kokuhlolwa okujwayelekile," kusho uDkt Nagesh.

Ngaphansi

UDkt Nagesh waphetha, “Odokotela badlala indima ebalulekile ekusizeni abesifazane njengoba bekhula, ikakhulukazi ekunakekeleni impilo yabo yenhliziyo. Kanye nokuhlolwa njalo, abahlinzeki bezempilo kufanele bakhulume ngokukhululekile nabesifazane ngezimpawu, izingozi, kanye nezinguquko zendlela yokuphila abangazenza ukuze bahlale bephilile. Ukufunda ngezici zendlela yokuphila ezingashintshwa nokwenza izinguquko ezincane nakho kunganciphisa lezi zingozi.”

Isixhumanisi Esiyisethenjwa

https://www.onlymyhealth.com/role-of-hormones-in-heart-health-and-why-women-face-greater-risk-with-age-12977823527