Qaabab dhowr ah ayaa loo sameeyay si loo qiimeeyo khatarta uu qofku u keeni karo cudurka wadnaha. Sanadkii 2007, halis-xisaabiye - Dhibcaha Reynolds - waxaa loo ansixiyey haweenka. (Muuqaal ka mid ah dhibcaha Reynolds ayaa mar dambe loo xaqiijiyey ragga, sidoo kale.)
Muhiimadda Qiyaasista Khatartaada
Si sax ah u qiyaasidda khatarta wadnaha waa muhiim , sababtoo ah waxay kuu ogolaataa (iyo dhakhtarkaaga) in aad go'aansatid sida aad u dagaalamayso inaad qaadato talaabooyin aad ku yareyso khatartaada.
Dadka qaba khatarta wadnaha ee wadnaha ayaa sare u kacaya, barnaamijka gardarada ah ee dhimista halista ayaa si weyn hoos loogu dhigi karaa dhimashada ama naafanimada cudurka wadnaha ama istaroogga. Dadka ku jira khatarta dhexdhexaadku waa inay sidoo kale hubiyaan tallaabooyinka ay raaci karaan si ay u yareeyaan halistooda.
Sidee loo xisaabiyaa dhibcaha Reynolds Reynolds
Dhibaatada Reynolds Risk Factors waxaa asal ahaan loogu talagalay haweenka, sababtoo ah waxaa la dareemay in haweenku si gaar ah muhiim u tahay in ay tixgeliso taariikhda qoys ee wadnaha cudurada wadnaha oo hore (taas oo tilmaamaysa xeeldheeraha hiddo-wadeyaasha), iyo weliba heerarka CRP calaamadeeyaha caabuqa).
Dhibcaha waxaa la sameeyay iyada oo la raacayo koox ka kooban 25,000 haween Maraykan ah oo da'doodu tahay 45 sano jir ama ka weyn (gaar ahaan, aan lahayn cudurka macaanka) celcelis ahaan 10 sano. Khabiirada horumariyay dhibcaha Reynolds waxay ka walaacsan yihiin in qaababka halista ah ee gaar ahaaneed - gaar ahaan, dhibcaha Framingham - laga yaabo inaanay sax aheyn dumarka sida ay raga yihiin.
Tusaale ahaan, xisaabiyeyaasha halista ah ee khatarta ah ayaa ku fashileen inay kala soocaan ilaa 20% haweenka ka dib markii ay yeeshaan weerarrada wadnaha iyagoo halis sare ugu jira. Adoo siinaya miisaan aad u sarreeya heerarka CRP iyo taariikhda qoyska, waxaa loo maleynayaa, dhibcaha Reynolds ayaa ku haboon haweenka.
Dhibcaha Reynolds waxaa loo xisaabiyaa iyadoo lagu saleynayo arrimaha soo socda:
- Da '
- Sigaarcabiga hadda (haa ama maya)
- Cadaadiska dhiigga ee dhiigga
- Wadarta baruurta
- Kolestaroolka HDL
- Heerka CRP
- Hooyo ama aabe leh wadno qabasho ka hor da'da 60 (haa ama maya)
Waxaa macquul ah, diabetesku kuma jirin dhibcahan halista ah. Qalabka wadnaha ee loo isticmaalo horumarinta Dhibcaha Reynolds ee haweenka ayaa ahaa dhimasho wadnaha, wadnaha aan ahayn dilaaca, istaroogga aan caadiga ahayn, ama baahida loo qabo qalliinka qallooca ama fareemka .
Waxtarka
Dhibcaha Halista Khatarta Reynolds ayaa si sax ah u cadeeyay khatarta dhabta ah ee haween badan oo ka badan intii ay samaysay moodooyinka caadiga ah ee saadaalinta. Dhab ahaan, 40 ilaa 50% haweenka sida caadiga ah loo qiyaaso inay yihiin halis dhexdhexaad ah ayaa dib loogu qeexay Dhibcaha Reynolds sidii midkood ama mid khatar sare - taas oo suurtogal u ah in la helo habab badan oo loola beegsado maaraynta khatarta.
Sida lagu xusay, dhibcaha Reynolds asal ahaan waxaa loo diyaariyey haweenka. Daraasad la mid ah ayaa hadda lagu sameeyay ragga, waxaana dhibcaha Khatarta Reynolds ee hadda loo hayaa ragga.
Isticmaal
Xisaabinta Khatarta Reynolds Reynolds waxaa laga heli karaa halkan (ragga iyo dumarka labadaba). Waxay waydiisaa dhowr su'aalood oo sahlan oo isla markiiba soo celiso dhibcaha khatarta 10 sano ah. (Taasi waa, waxa ay kuu sheegaysaa mudnaanta qiyaasta ah inaad yeelan doonto dhacdo wadnaha ah 10ka sano ee soo socda.) Waxay sidoo kale kuu ogolaaneysaa inaad aragto sida ugu wanaagsan ee khatartaada loo hagaajin lahaa haddii ay badali karto hal ama dhowr ka mid ah arrimahan halista ah.
Tusaale ahaan, haddii aad tahay sigaarcab, waxaad u baahnaan lahayd inaad "maya" gasho su'aasha sigaarcabka, makiinadda xisaabiyuhu waxay ku tusaysaa inta ay le'eg tahay khatartaada 10-sano ee la dhimay haddii aad joojisey.
Ogow in Dhibicda Khatarta Reynolds loogama jeedo dadka qaba sokorowga. Haddii aad sonkorow qabto khatarta wadnahaaga ayaa horeyba loo yaqaanay inay sareyso, dhibcaha Reynolds kuma dari karaan macluumaad dheeraad ah oo faa'iido leh.
Si aad u isticmaasho xisaabta dhibcaha Reynolds, waxaad u baahan tahay inaad ogaatid akhriskaaga cadaadiska dhiigga, iyo natiijooyin baaritaanno oo muhiim ah oo dhowr ah: kolestaroolka guud, HDL, iyo CRP.
Ereyga ka yimid Verher
Khatarta Reynolds ee Haweenka (iyo sidoo kale ragga) sidoo kale waa halis xisaabiye oo meelo badan oo diiradda saaraya heerarka CRP iyo taariikhda qoyska marka loo eego kuwa kale ee loo isticmaalo xisaabiyeyaasha khatarta ah.
Khabiirada aaminsan CRP inay noqdaan kuwo muhiim u ah khatarta wadnaha iyo xididada ayaa waxay muhiim u yihiin dhibcaha Halista Reynolds.
> Ilo:
> Ridker P, Buring J, Rifai N, et al. Horumarinta iyo ansixinta algorithms ee horumarinta qiimeynta khatarta wadnaha ee caalamiga ah ee haweenka. JAMA 2007; 297: 611-619.
> Ridker PM, Paynter NP, Rifai N, iyo al. C-reactive-ka iyo taariikhda waalidku waxay hagaajinaysaa saadaasha khatarta wadnaha ee caalamiga ah: Risk Risk Risk Risk for ragga. Wareegga 2008; 118: 2243.