Ngaba nawe ukhathazeka kancinci xa ubona igazi elincinci xa utshica esinkini ngelixa uhlamba amazinyo akho? Okanye ngamanye amaxesha uneentsini ezophayo ngaphandle kwesizathu? Enyanisweni, abantu abaninzi kwilizwe lethu abakujongi oku njengento enkulu kangaka. Bacinga ukuba, "Kuqhelekile" baze bakutyeshele. Nangona kunjalo, iintsini ezophayo ngamanye amaxesha zinokuba luphawu olubalulekileyo olusinika enye ingxaki enkulu emzimbeni wethu. Ngoko ke namhlanje siza kuyazi le nto, oko kukuthi, 'Iintsini ezikhupha igazi'.
Kutheni iintsini zethu ziphuma igazi? Zithini izizathu?
Akukho sizathu sinye nje sokuphuma kwegazi kwiintsini, zininzi izizathu. Esi simo sinokubangelwa ziingxaki zempilo yomlomo, kodwa sinokubangelwa nazezinye iimeko zempilo emzimbeni. Masizichaze ngokucacileyo ezi zizathu.
| Izizathu eziphambili zokopha kweentsini | |
|---|---|
| 1. Izizathu ezinxulumene namazinyo nempilo yomlomo | |
| Ucoceko lomlomo olubi | Xa ungawahlambi kakuhle amazinyo akho, ukutya kuyanamathela phakathi kwamazinyo akho kwaye i-bacterial filth (i-plaque) yakheka kumgca weentsini. Le yeyona nto ibangela isifo seentsini. |
| I-Gingivitis | Eli linqanaba lokuqala lesifo seentsini. Iimpawu eziphambili ziintsini ezibomvu nezidumbileyo eziphuma igazi xa uhlamba amazinyo akho. |
| I-Periodontitis (ukutshatyalaliswa kwezicubu ezijikeleze amazinyo) | Ukuba ayinyangwa, i-gingivitis inokukhula ibe yimeko enzima, apho amathambo kunye nezicubu ezijikeleze amazinyo zitshatyalaliswa kwaye amazinyo aqala ukukhululeka. |
| Ukutshaya | Ukutshaya kunciphisa ukuhanjiswa kwegazi kwiintsini, nto leyo eyonyusa kakhulu umngcipheko wokuba nesifo seentsini. |
| 2. Izizathu ezinxulumene nezinye iimeko zempilo emzimbeni | |
| Isifo Seswekile (iDiabetes Mellitus) | Isifo seswekile sinciphisa amandla omzimba okulwa nosulelo, nto leyo eyenza kube lula ukuba isifo seentsini sikhule. |
| Utshintsho kwihomoni | Iintsini zinokuba nobuthathaka ngakumbi kwaye zophe ngenxa yotshintsho lweehomoni, ingakumbi ngexesha lokufikisa, ukukhulelwa, kunye nokuya exesheni. |
| Ukunqongophala kweevithamini | Ukunqongophala kwevithamini C kunye nevithamini K kuchaphazela ngokuthe ngqo iintsini eziphuma igazi. |
| Izinto ezilwa nokugabha kwegazi | Ii-anticoagulants, ezizi-blood thinner ezisetyenziselwa iimeko ezifana nesifo sentliziyo, nazo zinokunyusa umngcipheko wokopha. |
| Izifo ezinxulumene negazi | Izifo ezichaphazela ukujiya kwegazi, ezifana ne-hemophilia kunye ne-thrombocytopenia. |
| I-Leukemia | Lo ngumhlaza weeseli zegazi, enye yeempawu zawo isenokuba kukopha kweentsini. |
Ziziphi ezinye iindlela zokulawula le meko ekhaya?
Kukho izinto ezimbalwa ezilula onokuzenza ekhaya ukunceda ukunciphisa ukopha kweentsini. Kodwa khumbula, ukuba uqhubeka nokopha kangangeeveki ezingaphezu kwezimbini nangona la manyathelo enziwe, ngokuqinisekileyo kuya kufuneka ubone ugqirha.
- Hlamba amazinyo akho kakuhle ubuncinane kabini ngemini: Kusasa nangaphambi kokuba ulale ebusuku, hlamba amazinyo akho ubuncinane imizuzu emibini usebenzisa i-toothpaste equlethe i-fluoride.
- Sebenzisa ibhrashi yamazinyo ethambileyo: Iibhrashi ezineebhrashi eziqinileyo zingonakalisa iintsini zakho, ngoko ke khetha ibhrashi yamazinyo ethambileyo rhoqo.
- Yifake yonke imihla: Ukuyifaka kwi-floss yeyona ndlela ilungileyo yokususa amasuntswana okutya anamathele phakathi kwamazinyo angenakufikelelwa yibrashi yamazinyo.
- Hlamba umlomo wakho ngamanzi afudumeleyo anetyuwa: Ncibilikisa isiqingatha sethisipuni yetyuwa kwiglasi yamanzi uze uhlambe umlomo wakho ngaloo manzi kabini okanye kathathu ngemini ukulawula ukudumba kweentsini kunye nosulelo.
- Kuphephe ukutshaya ngokupheleleyo: Ukuba uyatshaya, ukuyeka ukutshaya kuluncedo kakhulu kwimpilo yomlomo wakho kunye nempilo yakho iyonke.
- Yitya ukutya okunesondlo: Yitya ukutya okutyebileyo kwi-vitamin C (iiorenji, iilamuni, iiguava) kunye ne-vitamin K (imifuno eluhlaza efana nesipinatshi kunye nekale).
Kuza kwenzeka ntoni ukuba asiyinaki le nto?
Le yeyona nto ibalulekileyo sonke ekufuneka siyiqonde. Ukuba awuyinaki into yokuba iintsini ziphuma igazi, imeko inokuba mandundu ukuba ibangelwa sisifo seentsini.
Ekuhambeni kwexesha, isifo se-periodontal (i-periodontitis) sinokubangela ukuba amathambo kunye nezicwili ezijikeleze amazinyo zinyibilike, nto leyo ebangela ukuba amazinyo akhululeke aze ekugqibeleni awe ngamanye. Sinokubangela nokunuka komlomo.
Khawucinge nje ukuba iintsini zakho eziphuma igazi zibangelwa yenye imeko yezonyango, njengesifo seswekile? Ukuba awuyinaki le mpawu, isifo esisisiseko siya kuba sibi kakhulu. Ngoko ke ungaze uyinake.
Sifanele siye nini kugqirha ngokuqinisekileyo?
Ngokwesiqhelo, ukuba utshintsha imikhwa yakho yokuxubha amazinyo, njengokuxubha amazinyo akho kancinci, unokufumana ukopha ngamanye amaxesha. Kodwa kuya kuphela kungekapheli usuku okanye ezimbini. Nangona kunjalo, ukuba unezinye zezi mpawu zilandelayo, bonana nogqirha wamazinyo okanye ugqirha wosapho lwakho ngokukhawuleza .
- Ukuba iintsini zakho zihlala ziphuma igazi ngaphandle kwesizathu.
- Ukuba ukopha akupheli kangangeeveki ezingaphezu kwezimbini emva kokuba uzame ukunyanyekelwa ekhaya.
- Ukuba iintsini zibomvu kakhulu, zidumbile, kwaye zibuhlungu.
- Ukuba kukho ivumba elibi eliphuma emlonyeni.
- Ukuba uziva ngathi amazinyo akho ayashukuma.
- Ukuba unezinye iimpawu ezifana nokudinwa kunye nomkhuhlane oqhelekileyo kunye nokopha kweentsini.
- Khumbula oku ngakumbi: Ukuba ufumana ukopha okukhulu, okunganqandekiyo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
Ugqirha wakho uza kukuxilonga xa kufuneka ukuze abone ukuba imbangela sisifo sezinsini okanye yenye ingxaki yempilo. Ukuba kuyimfuneko, baza kukuthumela kuvavanyo lwegazi baze bakunike unyango oluchanekileyo lwesi sifo.
Umyalezo Wokuya Ekhaya
- Iintsini eziphuma igazi zihlala ziluphawu lokuqala nolubalulekileyo lwesifo seentsini (gingivitis).
- Oku kungalawulwa kwaye kuthintelwe kakhulu ngokuxukuxa amazinyo akho kakuhle, ukuxukuxa i-floss yonke imihla, nokuphepha ukutshaya.
- Isenokuba luphawu lwenye ingxaki enkulu yempilo, efana nesifo seswekile, ukungabikho kweevithamini emzimbeni, okanye iingxaki zegazi.
- Ukuba unyango lwasekhaya aluyiphuculi imeko yakho kwisithuba seeveki ezimbini, qiniseka ukuba ubona ugqirha wamazinyo okanye ugqirha wosapho.
- Musa ukuyityeshela le nto "njengesiqhelo." Kubaluleke kakhulu kwimpilo yakho ukuba ufumane unyango ngaphambi kokuba ibe yimeko enzima.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Iipilisi zeBosentan (Bosentan / Tracleer) ziyindlela ekhethekileyo yonyango olunikwe isifo esithile?
Eli asiloyeza liqhelekileyo! Eli liyeza eliphumelele kakhulu le-Endothelin Receptor Antagonist ehlabathini elikuvumela ukuba uphumze imithambo yegazi emiphungeni (i-Pulmonary Arterial Hypertension (PAH), isifo esibulalayo apho imithambo yegazi esuka entliziyweni iye emiphungeni incipha/iqina, kwaye uxinzelelo lwegazi ngaphakathi kwezo mithambo luba phezulu kangangokuba luyaqhuma kwaye imiphunga nentliziyo ziyasilela!
💬 Xa imithambo yegazi ekhokelela emiphungeni ivaliwe kwaye sele uza kufa, ungayiphumza njani loo mithambo yegazi ngokuthatha ezi pilisi (iBosentan)?
Imithambo yegazi emiphungeni iyalelwa ukuba inciphe yikhemikhali enamandla emzimbeni wethu ebizwa ngokuba yi-'Endothelin-1'! Izigulane ze-PAH zinezinto ezininzi ezinje. Kwangoko nje le pilisi ingena egazini, ivala ithuba eliyi-100% lokuba loo khemikhali ibophe/icinezele iqhosha kwi-receptors (ETA kunye ne-ETB receptors) kwimithambo yegazi ize iyivale. Ekubeni umyalezo ungangeni, imithambo yegazi iyakhululeka kakhulu (i-Vasodilation), kwaye igazi linokuhamba liye emiphungeni ngoxinzelelo oluqhelekileyo.
💬 Zeziphi iziphumo ezinobungozi (Isilumkiso seBlack Box) ekufuneka abantu abasebenzisa eli yeza (iBosentan) baziqaphele?
Eyona ngozi inkulu kukuba oku akuvumelekanga ngokupheleleyo 'kumama abakhulelweyo'! Ukuba umntwana uzelwe esela oku, ngokuqinisekileyo umntwana uya kuba nokukhubazeka (iziphene ezinkulu zokuzalwa) aze afe ngaphakathi! Kwakhona, oku kunokubangela 'umonakalo wesibindi nge-100% (iHepatotoxicity),' ngoko ke kubalulekile ukuba kwenziwe uvavanyo lwegazi (ii-enzymes zesibindi) inyanga nenyanga.
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