Ukubeletha kungasiza "ukulungisa kabusha" umama emva kokukhulelwa
Sekuyisikhathi eside abacwaningi bethi ukuthi ukubeletha kuyasiza ingane. Kodwa, ngokusho kocwaningo olusha, ukuncelisa ingane kungase futhi kusebenze njengesikhathi lapho umzimba womama uvuselela khona, futhi uhlelo lwakhe lwesimiso lubuyela emuva ngokuhambisana nokudla kuphela. Le nkathi yesikhashana ingahlanganiswa nencishiswa yokunciphisa isifo senhliziyo kumama, futhi.
Ukubuka Ucwaningo
Abacwaningi baqasha abesifazane abangama-500 000 baseShayina ukuze bafunde ngokubanzi, ngokufunda abantu.
Ababambiqhaza babephakathi kweminyaka engu-30 no-79 futhi bevela ezindaweni ezihlukahlukene zezwe.
Phakathi nenkathi yeminyaka eyisishiyagalombili, abacwaningi bathola amacala angu-16 671 esifo senhliziyo nama-23 983 amacala okushaya isifo phakathi kwabesifazane abangama-289,573 ababengenaso isifo senhliziyo ekuqaleni kocwaningo.
Uma kuqhathaniswa nabomama ababengakaze bancelise isisu, abesifazane abancancisayo babone ukwehla kwamaphesenti angu-10 kuzo zonke izinhlobo ezinkulu ze-coronary disease, ngaphandle kwesifo sofuba. Futhi lo mphumela wanda isikhathi eside owesifazane ebelethwe ngebele.
Inothi, umfutho wegazi ophezulu, ukukhuluphala ngokweqile, isifo sikashukela, ukuvivinya umzimba, ubudala, ukubhema, nokucindezelwa kwegazi konke kwalawulwa abacwaningi. Ngamanye amazwi, ukuthola imiphumela eqondile yokuncelisa, imiphumela yomcwaningi yanciphisa izinto ezaziwa ukuthi zandisa ingozi yesifo senhliziyo.
Ngaphezu kwalokho, abesifazane baseShayina bavame ukuncelisa isikhathi eside kunabesifazane baseMelika.
Phakathi koomama abafundela, ubude obuphakathi bokuncelisa ukubeletha kwakunezinyanga ezingu-12. Nansi ukuthi ingozi yesifo senhliziyo isinciphile kubabesifazane abancelisayo ngezikhathi ezahlukene:
| Ubude besikhathi sokubeletha | Ukunciphisa Ingozi Yezifo Zenhliziyo |
| Izinyanga ezingu-0-6 | 1% |
| Izinyanga ezingu-6-12 | 7% |
| Izinyanga ezingu-12-18 | 11% |
| Izinyanga ezingu-18-24 | 13% |
| Izinyanga ezingu-24 | 18% |
Kuzo zonke izinyanga eziyisithupha ezengeziwe emva kwezinyanga ezingu-24 zokuncelisa, ingozi yesifo senhliziyo yehla ngamaphesenti amane.
Ucwaningo olwedlule mayelana nobungozi besifo senhliziyo phakathi kwabesifazane baseNtshonalanga abancancisayo baxubekile. Ngokwesibonelo, isifundo esisodwa, esanyatheliswa kuyi- American Journal of Obstetrics & Gynecology , salandele omama abangama-89,326 baseMelika futhi sathola ukuthi ukubeletha kunciphisa ingozi yesifo senhliziyo kubantu abaye bancelisa iminyaka emibili noma ngaphezulu-okunye okungajwayelekile abesifazane baseMelika abakwenzayo.
Ngokuqondile, omama ababebelethe iminyaka emibili kanye neminyaka babe namaphesenti angama-23 anciphisa ingozi yesifo senhliziyo kunabomama ababengabelisanga.
Ngokuphawulekayo, eChina, cishe amaphesenti angama-30 omama abahlala ezindaweni zasemaphandleni kuphela abelise izinyanga eziyisithupha noma ngaphezulu. Futhi amaphesenti angu-16 omama abahlala ezindaweni zasemadolobheni kuphela abelisa izinyanga eziyisithupha noma ngaphezulu. (I-World Health Organization itusa ukubeletha izinyanga eziyisithupha.)
Ukuthi Ukubeletha Kungcono Kanjani Impilo Yenhliziyo
Ngesikhathi ukhulelwe, umzimba wesifazane wenza ukudla kokubili: umama nomntwana. Lezi zidingo ezikhulayo ze-metabolic zihlangene nokuzuza kwesisindo, ukumelana kwe-insulin, namazinga aphezulu e-cholesterol egazini.
Ukubeletha kungenza kube lula ukuguquka phakathi kwesimo se-hypermetabolic sokukhulelwa kanye nesisindo semandla emva kokubeletha.
Ngesikhathi sokukhulelwa, umzimba womama ugcina amafutha ukuze uhlangabezane nezidingo zokudla okunomsoco womgibeli owengeziwe. Ukubeletha kungasiza ekuqedeni amafutha agcinwe ngokuphumelelayo nangempumelelo.
Ucwaningo lwangaphambili lubonisile ukuthi omama abancancisayo banamaphrofayili ahle kakhulu we-cardiometabolic kunomama abangenawo, kuhlanganise namazinga aphansi e-cholesterol, ukukhulelwa kwesisindo somzimba, nokuncipha kwengcindezi yegazi. Ukubeletha isikhathi eside kuhlanganiswe nengozi ephansi ye-syndrome ye-metabolic, isifo sikashukela, nomfutho wegazi ophezulu.
Abacwaningi besifazane baseShayina bacwaninga banikeza lo mqondo olandelayo mayelana nokuthi ukubeletha kuvikela isifo senhliziyo somama:
Ukutadisha kwethu akuklanyelwe ukufakazela imbangela nomphumela. Kodwa-ke, uma zikhona, izinzuzo zempilo kumama ekunceliseni ingane zingase zichazwe "ukusetha kabusha" okusheshayo kokumama komzimba ngemva kokukhulelwa. Ukukhulelwa kubangelwa izinguquko ezinkulu ekuguleni komzimba wesifazane njengoba egcina amafutha ukuze ahlinzeke amandla okudingekayo ekukhuleni kwengane yakhe nokuncelisa lapho umntwana ezalwa. Ukubeletha kungaqeda amafutha agcinwe ngokushesha nangaphezulu ngokuphelele. Kodwa-ke, abesifazane abancancisayo bangase babe namathuba amaningi okubandakanyeka kwezinye izindlela zokuziphatha ezizuzisayo kunabesifazane abangabelisi.
Ngenxa yokuthi abesifazane abancancisayo eChina ngokuvamile bavela ezindaweni ezingalondoloziwe, abacwaningi bakholelwa ukuthi cishe ngeke bahlanganyele eminye imikhuba enempilo enempilo-ngokungafani namaqembu abo aseMelika.
Ngamanye amazwi, umama waseMelika ophuza isikhathi esiningi uzobe unembeza wezempilo futhi akwenze ngoba lo msebenzi ubonakala unempilo kwengane. Lo mama ofanayo waseMelika obelethayo kungenzeka ukuthi uyazi impilo futhi enze ezinye izinto ezinempilo, njengokuzivocavoca njalo, adle ukudla okunempilo, futhi azigweme ukubhema.
E-China, noma kunjalo, abesifazane abancancisayo bavela ezindaweni zasemaphandleni bese benza isinqumo nje ngoba kungabizi futhi kuyasetshenziswa kakhulu emiphakathini yabo, hhayi ngenxa yokuthi bayazi kahle impilo.
> Imithombo:
> Lindemann, K. Omama abancancisayo bangase bangabi nesifo esiphambanweni besifo senhliziyo bese behlukunyezwa kamuva. ResearchGate. Juni 21. 2017.
> I-MedlinePlus. Isifo senhliziyo.
> Peters, SAE, et al. Ukubeletha kanye Nengozi Yezifo Zomzimba Zomama: Isifundo Esifunayo Sama-300 000 Abesifazane baseShayina. Umagazini we-American Heart Association. 2017; 6.
> Stuebe, AM, et al. Ubude besikhumba kanye nesigameko se-infarction ye-myocardial ekukhuleni komuntu ophakathi nendawo. Am J Obstet Gynecol. 2009 Feb; 200 (2): 138.e1-138.e8.