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Kunwa doro zvishoma 'kwakabatana nenjodzi yakaderedzwa yesitiroko, nepo kunwa zvakanyanya kunogona kuwedzera njodzi'

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12 makore apfuura

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Isu tinoshandisa kusaina kwako kukupa zvirimo munzira dzawakabvumira uye kuvandudza manzwisisiro edu pamusoro pako. Unogona kuzvibvisa chero nguva.

dzouropiZvidzidzo zvakawanda zve epidemiologic zvakaratidza kuderedzwa kwenjodzi yeischemic sitiroko (uye sitiroko yakazara, sezvo sitiroko yeischemic ndiyo inonyanya kufarirwa munyika dzekumadokero) kuti ibatanidzwe nechiedza kusvika pakati pekunwa doro. 

Chidzidzo chekupedzisira-kusvika-date, meta-analysis, yakabva pane 27 zvidzidzo zvinotarisirwa; vanyori vakaronga kudya kwakashumwa kwe <15 g / zuva sekushandiswa kwechiedza, uye 15-30 g / zuva sekushandisa zvine mwero. Vanyori vanoratidza kusiyana (kusvuta kukuru, kuwanda kwedoro) pakati pezvidzidzo zveChinese neavo vanobva kune dzimwe nyika, izvo zvinogona kutsanangura mimwe misiyano inoratidzwa pakati pemigumisiro yedoro munyika dzakasiyana. Vanotaurawo kuti vakanga vasina ruzivo rwemaitiro ekunwa (nguva dzose, kunwa zvine mwero zvichienderana nekudhakwa-kunwa) kana kuti rudzi rwechinwiwa chinodhaka chinonwiwa.

Mhedzisiro yakakosha yekudzidza ndeye 15% kuderedzwa kwese kwese sitiroko kune yakaderera kunwa doro, hapana mhedzisiro yepakati, uye 20% yakawedzera njodzi yekunwa doro zvakanyanya (RR 1.20, 95% CI 1.01, 1.43). Ongororo yakaitwawo zvichienderana nerudzi rwesitiroko: kune ischemic sitiroko uye kufa kwesitiroko kwaive nekudzikira kwekunwa doro kwakaderera, asi hapana mhedzisiro yakakosha yekunwa zvine mwero kana zvakanyanya. Nekuda kwehemorrhagic sitiroko, iyo RR yezvidzidzo zvinoremedza kunwa doro zvakanyanya yaive yakakwirira kupfuura yevanorega, asi hapana kana misiyano pakati pevanonwa nevasinganwi yaive yakakosha.

Iyi meta-analysis inotsigira zvakambowanikwa zvekudzikira kwenjodzi yekurohwa kwakawanda nekunwa kwakareruka uye pamwe nekuwedzera kwenjodzi yekudhakwa zvakanyanya. Nhengo dzeForamu dzinowanzobvumirana nemhedziso dzevanyori: "Kunwa doro shoma kwakabatana nenjodzi yakadzikira yekurwara nesitiroko uye kufa, nepo kunwa doro zvakanyanya kunobatanidza nenjodzi yakawedzera yekurohwa zvachose. Kushamwaridzana pakati pekunwa doro uye kurwara nesitiroko uye kufa kwakaumbwa naJ. Kunwa doro kwemagiramu 0-20 pazuva kwakabatana nekuderera kwehuwandu hwekurwara nesitiroko uye kufa. "

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