Kuqhelekile ukuba izandla zethu zibanda ngemini ebandayo, okanye xa sikwiofisi ene-AC elungileyo. Oku kuthetha ukuba ubukwindawo ebandayo, kwaye akukho nto ibalulekileyo yokuxhalaba ngayo. Nangona kunjalo, ukuba ufumanisa ukuba izandla zakho zihlala ziziva zibanda kakhulu nokuba ukwindawo efudumeleyo, kwaye ngaphandle kwesizathu esinye, kusenokuba uzama ukusinika into ethile.
Kutheni izandla zethu zibanda?
Ngamafutshane, le yindlela yokuzikhusela emzimbeni wethu. Xa sichatshazelwa yingqele, umzimba wethu uzama ukugcina ubushushu kwizitho zethu ezibalulekileyo, njengentliziyo nemiphunga. Enye indlela umzimba wethu okwenzayo oku kukunciphisa ukuhanjiswa kwegazi kwizitho ezikude, njengezandla neenyawo. Imithambo yegazi esezandleni iyancipha, inciphisa ukuhamba kwegazi. Ekubeni igazi lithwala ubushushu, xa ukuhamba kwegazi kuncipha, izandla ziyabanda.
Nangona kunjalo, ngamanye amaxesha le mithambo yegazi inokuxinana ngequbuliso ngaphandle komkhuhlane. Oogqirha bayibiza le meko ngokuthi "vasospasm". Ngamaxesha anje, ungaziva ubanda ezandleni zakho nokuba ukwindawo efudumeleyo. Ukuba oku kwenzeka rhoqo, kungonakalisa izicwili ezisezandleni zakho kwaye kubangele nezilonda kulusu. Le yimeko engaqhelekanga.
Ngoko ke, ukuba izandla zakho zihlala zibanda, okanye ukuba zivakalelwa kukuba zithatha ixesha elide kunesiqhelo ukufudumala kwakhona xa zibanda, kungcono ukubona ugqirha.
Ngaba ezi mpawu zihamba nezandla ezibandayo?
Izandla ezibandayo zodwa azisoloko zixhalabisa. Nangona kunjalo, ukuba uneempawu ezingezantsi, kubalulekile ukufuna iingcebiso zonyango.
| Uphawu | Indlela oziva/obonakala ngayo |
|---|---|
| Amanxeba okanye izilonda (Izilonda) | Izilonda ezibuhlungu nezingaphiliyo ezandleni okanye ezandleni. |
| Intlungu | Intlungu ebuhlungu eyenzeka ngezandla ezibandayo. |
| Ukungqungqa | Ukungaziva mnandi okanye ukurhawuzelela ezandleni okanye kwiminwe. |
| Utshintsho lolusu | Ulusu oluqinileyo, olutyebileyo, okanye olutshintshileyo umbala (umz., olujika lube mhlophe, luhlaza okwesibhakabhaka, mfusa). |
| Iinyawo ezibandayo | Ngaphandle kwezandla, iinyawo kunye neenzwane zihlala zibanda. |
Zithini izizathu zokuba izandla zisoloko zibanda?
Isizathu esiphambili kukusabela komzimba okuqhelekileyo kubushushu bendalo. Nangona kunjalo, ezinye iimeko zonyango zinokubangela ukuba izandla zibanda njengophawu.
| Imeko | Kalula nje... |
|---|---|
| Isifo sikaRaynaud | Oku kwenzeka xa imithambo yegazi kwiminwe nakwiinzwane iqina ngequbuliso. Oku kunokwenzeka xa ujamelene nomkhuhlane okanye uxinzelelo. Iminwe ijika ibe mhlophe okanye ibe luhlaza okwesibhakabhaka, ize ibe bomvu kwaye ibe buhlungu xa ukuhamba kwegazi kuqalile. |
| I-Hypothyroidism | Xa i-thyroid gland ingavelisi iihomoni ezaneleyo, i-metabolism yomzimba iyehla. Oku kunokuchaphazela umzimba wonke kwaye kukwenze uzive ubanda nokuba ukwindawo efudumeleyo. |
| Isifo semithambo yegazi ejikeleze umqolo (i-PAD) | Oku kwenzeka xa amanqatha (i-plaque) eqokelelana ngaphakathi kwemithambo yegazi, ethintela ukuhamba kwegazi ezandleni nasezinyaweni. Oku kunokubangela ukuba izandla neenyawo zibe bandayo. Oku kungaba yimeko embi kakhulu ukuba ayinyangwa. |
| I-Lupus | Esi sisifo sokuzikhusela komzimba. Oku kuthetha ukuba inkqubo yomzimba yokuzikhusela ihlasela iiseli zayo. Oku kunokubangela ukudumba nokudumba emzimbeni wonke. Aba baguli nabo basengozini yokuba neRaynaud's syndrome. |
| I-Scleroderma | Esi sisifo esibangelwa kukuzikhusela komzimba. Kule meko, ulusu ezandleni nakwiminwe luba lukhuni kwaye luqine. Ezi zigulana zihlala zinengxaki yeRaynaud's syndrome. |
Iphathwa njani le nto?
Ugqirha udla ngokunyanga imeko ebangela ukuba izandla zakho zibe bandayo, kungekhona ukubanda ngokwako . Iindlela zonyango ziya kwahluka ngokuxhomekeke kwisizathu sakho.
Zeziphi izinto onokuzenza ekhaya?
Ngelixa uthetha nogqirha wakho, kukho izinto ezimbalwa onokuzenza ngokwakho ukuze ugcine ukujikeleza kwegazi lakho kuqhubeka:
- Zikhusele ekubandeni: Nciphisa ixesha olichitha kwiindawo ezibandayo (amagumbi anomoya opholileyo, kufutshane neefriji). Nxiba iiglavu/iiglavu xa uphuma ngaphandle.
- Lawula uxinzelelo: Uxinzelelo lunokubangela ukuba imithambo yegazi inciphe. Izinto ezifana nokucamngca kunye nokuzilolonga zinokunceda.
- Kuphephe ukutshaya ngokupheleleyo: Ukutshaya konakalisa imithambo yegazi kwaye kuphazamisa ukuhamba kwegazi.
- Nciphisa i-caffeine kunye notywala: Ikofu, iti, kunye notywala nazo zinokubangela ukuba imithambo yegazi inciphe.
- Lumka ulusu lwakho: Sebenzisa isithambisi esifanelekileyo sokuthintela izandla zakho ukuba zome.
Unyango lwezonyango
Ukuba unesifo, ugqirha wakho angakunika amayeza aso. Amanye amayeza oxinzelelo lwegazi oluphezulu anokunceda ukwandisa imithambo yegazi kunye nokunyusa ukuhamba kwegazi ezandleni zakho. Umzekelo:
- Izithinteli zemijelo yecalcium
- I-Alpha-blockers
- Izithinteli ze-ACE (ACE)
Kubalulekile: La ngamayeza afanele athathwe kuphela ngengcebiso kagqirha. Ungaze uwasebenzise ngokubona kwakho.
Kunqabile kakhulu, abanye abantu banokufuna inaliti okanye utyando lwe-nerve block. Ugqirha wakho uza kukuchazela oku.
Ngaba izandla ezibandayo ziluphawu lwesifo sentliziyo okanye i-anemia?
Izandla ezibandayo azisoloko ziluphawu oluthe ngqo lwesifo sentliziyo okanye i-anemia. Nangona kunjalo, zombini ezi meko zichaphazela ukuhamba kwegazi emzimbeni, kwaye zinokuchaphazela ngokungathanga ngqo imithambo yegazi esezandleni.
Ukuba urhanela ukuba unesifo sentliziyo okanye i-anemia, kufuneka unikele ingqalelo kwezinye iimpawu ngaphandle kwezandla ezibandayo.
- Ubunzima bokuphefumla
- Ukudinwa rhoqo
- Isiyezi
Ukuba unale mpawu, bonana nogqirha ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) .
Ekugqibeleni, izandla ezibandayo zihlala ziluphawu olulula lokuba umzimba wakho ubanda. Kodwa ukuba oku kwenzeka rhoqo, ngaphandle kwesizathu esicacileyo, kwaye ukhathazekile ngako, eso sisizathu esihle sokuthetha nogqirha.
Umyalezo Wokuya Ekhaya
- Kuqhelekile ukuba nezandla ezibandayo kwiindawo ezibandayo. Kodwa ukuba izandla zakho zihlala zibanda nakwiindawo ezifudumeleyo, oko kungaba luphawu lwengxaki.
- Ukuba ufumana iimpawu ezifana nezandla ezibandayo, iintlungu, ukungaziva, ukutshintsha kombala wolusu, okanye amanxeba angapholiyo, funa ingcebiso kagqirha ngokukhawuleza.
- Isifo sikaRaynaud, iingxaki ze-thyroid, kunye nezinye iimeko zonyango zinokubangela ukuba izandla zibanda.
- Ukuba unenkxalabo malunga notshintsho emzimbeni wakho, kusoloko kububulumko ukuthetha nogqirha wakho, kunokucinga ukuba, "Le yinto encinci nje."
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Zeziphi izifo ezibekelwe iipilisi zePitavastatin (Livalo)?
Esi sisizukulwana esitsha samayeza e-'High Cholesterol/Hyperlipidemia' (Statin)! Inciphisa 'i-cholesterol embi (LDL)' kwaye ithintela ukuhlaselwa yintliziyo/ukubetha. Eyona nzuzo inkulu yoku kukuba ayiphulwa ziimatshini zokuqhekeza amayeza (CYP450) esibindini, ngoko ke ayisebenzisi/ayityisi naziphi na ezinye iziyobisi ozisebenzisayo (Drug Interactions).
💬 Le pilisi intsha ye-cholesterol (iPitavastatin) iyinyibilikisa njani i-cholesterol embi xa ingena emizimbeni yethu?
Umatshini oyintloko owenza i-cholesterol kwisibindi somzimba wethu ubizwa ngokuba yi-'HMG-CoA Reductase'. Kwangoko nje le pilisi ifika kwisibindi sethu, loo matshini uvalwe/uvalwe kwaye utshixiwe ngokupheleleyo (Inhibition). Xa umatshini ucinyiwe, akukho mafutha matsha aveliswayo. Emva koko, isibindi asinalo olunye ukhetho ngaphandle kokunyusa inani lee-receptor ze-LDL ze-cholesterol embi/LDL egazini lethu size siyifunxe kwaye siyitshabalalise.
💬 Zeziphi iingozi eziyingozi kunye nemiphumo emibi ekufuneka uyiqaphele xa uthatha le pilisi ye-cholesterol (iPitavastatin)?
Nokuba ayisebenzi kwamanye amayeza, eyona ngozi inkulu yi-'Myopathy/Rhabdomyolysis'! Ukuba ufumana intlungu enganyamezelekiyo yomlenze/yemisipha, ubuthathaka, kunye nomchamo omnyama/iMyoglobinuria, xelela ugqirha wakho ngokukhawuleza, kungenjalo ungafa ngenxa yokungasebenzi kakuhle kwezintso. Kwakhona, oku akuvumelekanga 'koomama abakhulelweyo' kunye nabo 'banezifo zesibindi'!
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