Ngaba uvuka kusasa uze ngequbuliso uzive ngathi ingalo yakho yasekhohlo ayinamandla, iyaqaqamba, kwaye iyakhasa? Okanye ngaba wakha waba nalo mvakalelo wokuqaqamba nangaliphi na ixesha losuku? Le yinto eqhelekileyo kubantu abaninzi. Ngamanye amaxesha inokuba ngenxa yesizathu esilula kakhulu. Nangona kunjalo, kwiimeko ezingaqhelekanga, inokuba luphawu lwesilumkiso sengxaki enkulu yempilo. Ngoko ke namhlanje, masithethe ngayo yonke le mvakalelo yokuqaqamba engalweni yasekhohlo.
Kuthetha ukuthini ukurhawuzelela kwisandla sasekhohlo?
Ngamafutshane, ingalo yakho yasekhohlo ayiziva nto, nto leyo ethetha ukuba awukwazi ukuziva nantoni na ukusuka egxalabeni ukuya kwiminwe yakho. Ngamanye amaxesha olu hlobo lokuziva lunokukhatshwa bubuthathaka engalweni, ukuva iinaliti, okanye ukuva ukuva ukubetha okuqala kwiminwe.
Zithini izizathu ezilula zokurhawuzelelwa ezandleni?
Izihlandlo ezininzi isizathu soku singaba yinto elula kakhulu. Ngaphambi kokuba uphakuzele, cinga ngezi zinto:
- Ukulala kwindawo engafanelekanga: Ngamanye amaxesha silala iingalo zethu zifakwe phantsi kweentloko zethu. Oku kunokubangela ukuba imithambo-luvo kunye nemithambo yegazi ezingalweni zethu zicinezelwe, nto leyo ethintela ukuhamba kwegazi kwaye ibangele ukuba iingalo zethu zingabi nanto. Oku kudla ngokuziphelela emva kwexesha elithile.
- Intloko ebuhlungu: Abanye abantu banokufumana ukurhawuzelelwa kwelinye icala lomzimba, ingakumbi ingalo okanye umlenze, ngaphambi okanye ngaxeshanye nentloko ebuhlungu ebuhlungu.
Ukurhawuzelela okubangelwa zizinto ezilula ezifana nezi kudla ngokuphela ngexesha elifutshane. Kodwa ukuba kuyaqhubeka okanye kuhamba nezinye iimpawu, ngokuqinisekileyo sifanele sikhathazeke ngako.
Izizathu ezinzulu ezifuna ingqwalaselo ekhawulezileyo
Ukurhawuzelela kwisandla sasekhohlo kunokuba luphawu lokuqala lwesifo esibi, ngamanye amaxesha esisongela ubomi. Makhe sijonge ngasinye ngasinye ngasinye.
1. Ukuhlaselwa yintliziyo
Esi sesona sizathu siphambili sokuba abantu abaninzi boyike xa ingalo yabo yasekhohlo irhawuzelela. Ngexesha lokuhlaselwa yintliziyo, umthambo wentliziyo ohambisa igazi entliziyweni uyavaleka. Oku kuncitshisa izihlunu zentliziyo igazi kunye neoksijini eziyidingayo. Ngenxa yoko, intlungu okanye ukurhawuzelela okuphuma engalweni yasekhohlo kunokwenzeka.
Ungalibali: Ukongeza ekutsaleni kwengalo yasekhohlo, ukuhlaselwa yintliziyo kunokubangela neempawu ezifana nentlungu yokucinezela okanye uxinzelelo embindini wesifuba, ubunzima bokuphefumla, isiyezi, isicaphucaphu, kunye nentlungu entanyeni, emhlathini, emqolo, okanye emagxeni.
Le yingxamiseko yezonyango. Ukuba unale mpawu, thatha i-aspirin ngoko nangoko (ngaphandle kokuba une-allergy kuyo), fowunela i-1990 Ambulance Service okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
2. Istroke
Istroke sibangelwa kukuvaleka okanye ukuqhekeka komthambo wegazi ohambisa igazi engqondweni. Oku kuthintela ukuhanjiswa kwegazi kunye neoksijini kwinxalenye yengqondo. Oku kunokubangela ukuba umzimba ungabi nanto okanye ubuthathaka kwiindawo ezahlukeneyo zomzimba, ingakumbi kwelinye icala, njengengalo yasekhohlo.
Ukongeza kwi-handible ezandleni, ukukhubazeka kunokubangela iimpawu ezifana nokulahlekelwa yibhalansi, ubunzima bokuthetha, intetho engacacanga, ukugoba kwelinye icala lobuso, ukudideka, kunye nentloko ebuhlungu ngequbuliso . Ezi mpawu zisenokuba yi-transient ischemic attack (TIA).
Le yingxaki yezonyango. Ukuba unale mpawu, yiya kwi-ETU ngaphandle kokulibazisa.
3. Iingxaki zoMgogodla
Intambo yethu yomqolo kulapho imithambo-luvo ebaleka khona iye kuzo zonke iindawo zomzimba ibaleka khona. Ukuba ingxaki kwithambo lomqolo (umqolo) ibangela ukuba umthambo oxineneyo uhambe ukusuka apho uye esandleni, kunokutsalwa esandleni.
Kanye njengokuba umbhobho wamanzi ucinezelwe, ukuhamba kwamanzi kuyehla, xa enye yemithambo-luvo yethu icinezelwe, imiqondiso ehamba ngayo iyaphazamiseka. Kulapho ke kuvela khona ukurhawuzelela kunye nentlungu.
Kukho iimeko ezininzi ezinokubangela oku:
- I-Cervical Spondylosis: Njengoko ukhula, i-cartilage kunye neediski eziphakathi kwamathambo entanyeni zinokuphelelwa ngamandla, nto leyo ebangela ukuba imithambo-luvo icinezelwe.
- Idiski yeHerniated: Idiski ephakathi kwamathambo entanyeni iyavuthuluka ize icinezele umthambo.
- I-Spinal Stenosis: Njengoko ukhula, indawo engaphakathi komqolo iyancipha, nto leyo ebangela uxinzelelo kwimithambo-luvo.
4. Ezinye Iingxaki Zemithambo-luvo
Ezinye iimeko zonyango zingonakalisa inkqubo yethu yemithambo-luvo.
- I-Carpal Tunnel Syndrome: Imeko ebangela ukurhawuzelela esandleni nakwiminwe ngenxa yokucinezelwa kwe-median nerve, i-nerve enkulu ehamba esihlahleni.
- I-Peripheral Neuropathy: Le yimeko eqhelekileyo kubantu abane -Diabetes Mellitus . Inokubangelwa kukunqongophala kweVithamini B1 okanye B12.
- Ukulimala kweBrachial Plexus: Ukulimala kwinethiwekhi yemithambo-luvo kwindawo yamagxa.
| Imeko embi kakhulu | Iimpawu ezongezelelweyo ezinokwenzeka | Okufanele ukwenze ngoko nangoko |
|---|---|---|
| Ukuhlaselwa yintliziyo | Intlungu/uxinzelelo esifubeni, ubunzima bokuphefumla, isiyezi, isicaphucaphu. | Fowunela u-1990 ngoko nangoko uze uye kwi-ETU. |
| Istroke | Ukudumba kwelinye icala lobuso, ubunzima bokuthetha, ukulahlekelwa kukulinganisela komzimba. | Yiya kwi-ETU ngoko nangoko. |
| Iingxaki zemithambo-luvo yomqolo/intamo | Intlungu yentamo, ukuqina kwentamo, intloko ebuhlungu, ubuthathaka bengalo. | Bona ugqirha wakho. |
5. Ezinye izizathu
Ukongeza kwizizathu eziphambili ezikhankanyiweyo apha ngasentla, kukho nezinye izizathu ezininzi zokuba isandla sasekhohlo singaziva singanamandla.
- Ukwenzakala: Ingozi yesandla, umzekelo ukutsha okanye ukwaphuka, ingonakalisa imithambo-luvo kwaye ibangele ukurhawuzelelwa.
- Ukujikeleza kwegazi okungekuhle: Isifo semithambo yegazi, imeko ekwimithambo yegazi nemithambo yegazi ethwala igazi emzimbeni wonke, sinokubangela ukuncipha kokuhamba kwegazi ezandleni, nto leyo ebangela ukuba igazi lingabi nagazi.
- I-Allergic Reaction: Ngamanye amaxesha, ukuba isilwanyana esifana nesigcawu siluma isandla sakho sasekhohlo, indawo inokudumba, irhawuzelele, kwaye ivakale ngathi iyarhawuzelela ngenxa ye-allergic reaction.
- I-Multiple Sclerosis (MS): Esi sisifo semithambo-luvo esichaphazela ingqondo kunye nomqolo. Ukuqaqamba kwamalungu omzimba kunokuba luphawu lokuqala lwe-MS.
- Isifo seLyme: Usulelo lwebhaktheriya oludluliselwa zizinambuzane ezifana neenkozo.
- Ityhefu yelothe: Ukutyiwa kwezinto ezinelothe, ingakumbi iipeyinti ezindala, kunokubangela ukurhawuzelelwa kwamalungu omzimba abantu abadala. Ukuba unamathandabuzo malunga noku, ungaqhagamshelana neZiko leSizwe loLwazi ngeTyhefu kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Ngaba kukho izinto onokuzenza ekhaya ukuze unciphise ukurhawuzelelwa?
Ukuba unezinhlungu ezandleni zakho kuphela kwaye akukho zimpawu zimbi (ezifana neentlungu zesifuba okanye ubunzima bokuphefumla), ungazama ezi zinto zilula ngaphambi kokuba ubone ugqirha.
- Beka into eshushu okanye ebandayo kwindawo erhawuzelelayo (iphakheji eshushu/ebandayo).
- Hlikihla loo ndawo kakuhle.
- Phumla isandla sakho.
- Yolula ingalo yakho kancinci kancinci okanye wenze umthambo olula.
Kodwa khumbula, oku kufanele kwenziwe kuphela ukuba akukho zimpawu zimbi. Ukuba unamathandabuzo, kungcono ukubona ugqirha.
Ufanele uye nini kugqirha ngoko nangoko?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo kunye nokurhawuzelelwa sisandla sasekhohlo, funa ingcebiso kagqirha ngokukhawuleza.
- Ukudideka, isiyezi, okanye ubunzima bokulawula umzimba wakho.
- Umbala wolusu uyatshintsha (uluhlaza okwesibhakabhaka okanye umhlophe).
- Intloko ebuhlungu kakhulu.
- Isicaphucaphu okanye ukuhlanza.
- Intlungu esifubeni, emqolo, entanyeni, ebusweni, okanye egxalabeni.
- Ukukhubazeka kwegxalaba, ingalo, isandla, okanye ubuso.
- Ubunzima bokuhamba.
- Ubunzima bokuthetha okanye ukungakwazi ukuthetha kakuhle.
- Ukudumba naphi na emzimbeni, ingakumbi ezandleni okanye ezinyaweni.
- Ubunzima bokuphefumla okanye ukuginya.
Ukuba unayo nayiphi na kwezi mpawu, ungazityesheli. Kubalulekile ukufuna unyango ngoko nangoko, kuba zinokuba luphawu lwento enzulu.
Umyalezo Wokuya Ekhaya
- Ukurhawuzelela kwisandla sasekhohlo kunokubangelwa zizinto ezilula (ezifana nokulala kwindawo engafanelekanga) kunye nezizathu ezinzulu kakhulu ezifana nokuhlaselwa yintliziyo kunye nokubetha kwentliziyo.
- Ukuba uneempawu ezifana neentlungu zesifuba, ubunzima bokuphefumla, ukudumba kobuso, okanye ubunzima bokuthetha kunye nokurhawuzelela, yingxamiseko yezonyango. Yiya kwi-ETU ngoko nangoko.
- Iimeko ezifana nesifo seswekile, ukunqongophala kweevithamini, kunye nokuxinana kwemithambo-luvo entanyeni nako kunokubangela ukuba izandla zingabi nanto ixesha elide.
- Ukuba unamathandabuzo malunga nokuqaqamba kwesandla sakho, okanye ukuba kuphazamisana nemisebenzi yakho yemihla ngemihla, qiniseka ukuba ubona ugqirha wosapho lwakho (ugqirha) ukuze ufumane unobangela.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Iipilisi zeNiacin (Niacin / Vitamin B3 / Niacor) zisetyenziselwa esiphi isifo?
Nangona le yivithamini eqhelekileyo (iVitamin B3 / iNicotinic Acid), xa inikwa ngeedosi eziphezulu, isebenza njengepilisi ye-cholesterol enamandla kakhulu (i-Antihyperlipidemic agent)! Umlingo omkhulu noxabisekileyo woku kukuba lolona yeza kuphela kwihlabathi liphela elinokunyusa 'i-cholesterol elungileyo (i-HDL)' ngobuninzi (ukuya kuthi ga kwi-35%) (kwaye inciphise i-cholesterol embi kunye ne-triglycerides).
💬 Le pilisi yevithamini iyilawula njani i-cholesterol yegazi xa inikwa ngeedosi eziphezulu (iNiacin High-dose)?
Isibindi somzimba wethu sifumana amafutha/ioyile kwiiseli zamafutha zomzimba (izicubu zamafutha). Kwangoko nje le pilisi ingena emzimbeni, iyayivala/iyayivala kwaye ivale ukukhululwa kweoyile (ii-Free Fatty Acids) kwezo seli zamafutha nge-100% (ithintela i-lipolysis). Emva koko, ekubeni isibindi singayifumani ioyile, isibindi asinakwenza i-VLDL entsha kunye ne-cholesterol 'embi (LDL)'. Kwangaxeshanye, iyayimisa i-cholesterol 'elungileyo (HDL)' emzimbeni kwaye iyandise.
💬 Zithini iingozi ezibulalayo kunye neziphumo ebezingalindelekanga (ukuxukuxa) zokuthatha le pilisi ye-cholesterol (i-Niacin)?
Eyona ngxaki inkulu kukuba kwimizuzu engama-20 emva kokusela oku, umzimba wakho wonke/ubuso bakho buza kutsha njengomlilo bube bomvu, kwaye uya kuba nokurhawuzelelwa kakhulu (Intense Niacin Flush / Prostaglandin idluliselwe)! (Ukuze uyeke oku, kufuneka uthathe ipilisi ye-Aspirin isiqingatha seyure ngaphambi kokuba uthathe iyeza). Enye into eyingozi kakhulu kukuba oku kubangela ukuba 'iswekile/iswekile' kunye ne-asidi yegazi (i-uric acid) zinyuke ngendlela engaqhelekanga (i-gout iyakhula)! Kwakhona, kukho umngcipheko omkhulu weengxaki/ukulimala okukhulu kwesibindi.
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