Uyathuka yini uma ubona igazi elincane esinkini ngenkathi uxubha amazinyo akho? Noma uthola izinsini zakho ziphuma igazi ngaphandle kwesizathu esicacile? Abantu abaningi bavame ukungakunaki lokhu, becabanga ukuthi, “Kuyinto evamile nje.” Kodwa-ke, ukuphuma kwezinsini kungaba uphawu olubalulekile oluyisixwayiso oluvela emzimbeni wakho mayelana nezinkinga zempilo eziyisisekelo. Kulesi sihloko, ake sihlole izimbangela zokuphuma kwezinsini ukuze ukwazi ukunakekela kangcono ukumamatheka kwakho noNirogi Lanka.
Kungani izinsini zakho ziphuma igazi? Ziyini izimbangela?
Akukhona nje isizathu esisodwa sokuphuma kwegazi ezinsinini; ziningi. Ngokuvamile, lesi simo singahlotshaniswa nezinkinga zempilo yomlomo, kodwa singabangelwa nezimo zempilo yomzimba nakwezinye izindawo emzimbeni wakho. Ake sichaze lezi zimbangela ngokucacile.
| Izimbangela Eziyinhloko Zokopha Izinsini | |
|---|---|
| 1. Izimbangela Zempilo Yamazinyo Nomlomo | |
| Ukuhlanzeka Komlomo Okubi | Uma ungaxubhi kahle, izinhlayiya zokudla ziyabanjwa, okuvumela ungqimba lwebhaktheriya (i-plaque) ukuthi luqongelelane eduze kwensini yakho. Lesi yisona sibangela esiyinhloko sesifo sezinsini. |
| I-Gingivitis | Lesi yisigaba sokuqala sesifo sezinsini. Izimpawu ezivamile zifaka phakathi ukubomvu, ukuvuvukala, kanye nokopha igazi uma uxubha amazinyo akho. |
| I-Periodontitis | Uma i-gingivitis ingelashwa, iqhubekela kulesi simo esibi, lapho amathambo nezicubu ezisekela amazinyo akho zonakele, okungenzeka kubangele ukuba amazinyo akho akhululeke. |
| Ukubhema | Ukubhema kuvimbela ukugeleza kwegazi ezinsinini, okwandisa kakhulu ingozi yakho yokuthola isifo sezinsini. |
| 2. Izimo Zempilo Ezihlelekile | |
| Isifo Sikashukela | Isifo sikashukela singalimaza ikhono lomzimba wakho lokulwa nezifo, okukwenza ube sengozini enkulu yokuthola izinkinga zezinsini. |
| Izinguquko zama-hormone | Ukushintsha kwama-hormone ngesikhathi sokuthomba, ukukhulelwa, noma ukunqamuka kokuya esikhathini kungenza izinsini zakho zibe nomuzwa wokuzwela kakhulu futhi zithambekele ekuphumeni kwegazi. |
| Ukuntuleka Kwamavithamini | Ukuntuleka kweVithamini C kanye neVithamini K kuhlobene ngqo nokuphuma kwegazi ezinsinini. |
| Imithi Yokunciphisa Igazi | Ama-anticoagulant anikezwe izifo zenhliziyo angandisa amathuba okopha. |
| Izinkinga Zegazi | Izimo ezithinta ukujiya kwegazi, njenge-Hemophilia noma i-Thrombocytopenia. |
| I-Leukemia | Njengohlobo lomdlavuza wamangqamuzana egazi, ukuphuma kwegazi ezinsinini ngezinye izikhathi kungaba uphawu olubonisayo. |
Ungakuphatha kanjani lokhu ekhaya?
Kunezinyathelo ezilula ongazithatha ekhaya ukuze unciphise ukuphuma kwegazi ezinsinini. Kodwa-ke, sicela ukhumbule: uma ukuphuma kwegazi kuqhubeka isikhathi esingaphezu kwamasonto amabili , kufanele uthintane nodokotela wamazinyo eNirogi Lanka noma emtholampilo wangakini.
- Hlanza ibhulashi kabili ngosuku:Sebenzisa umuthi wokuxubha one-fluoride ukuze uxubhe okungenani imizuzu emibili, ikakhulukazi ngemva kokudla nangaphambi kokulala.
- Sebenzisa ibhulashi lamazinyo elithambile: Amabhulashi aqinile angalimaza izicubu zezinsini ezithambile; khetha njalo ibhulashi elithambile.
- Faka i-floss nsuku zonke: Ukufaka i-floss kuyindlela ephumelela kakhulu yokususa imfucumfucu yokudla phakathi kwamazinyo lapho ibhulashi lakho lingakwazi ukufinyelela khona.
- Ukuhlanza ngamanzi anosawoti afudumele: Ukuhlanza kabili kuya kathathu ngosuku ngengxube yethisipuni elilodwa likasawoti engilazini yamanzi kungasiza ekunciphiseni ukuvuvukala nokuvuvukala.
- Gwema ukubhema: Ukuyeka ukubhema kuyindlela engcono kakhulu ongayenzela impilo yakho yomlomo kanye neyonke.
- Yidla ukudla okunomsoco: Gxila ekudleni okucebile ngeVithamini C (amawolintshi, amagwava, ulamula) kanye neVithamini K (isipinashi, iklabishi, kanye neminye imifino eluhlaza).
Kwenzekani uma ungakunaki lokhu?
Lokhu kubalulekile empilweni yakho. Uma uphatha izinsini eziphuma igazi njengento encane, isimo esiyisisekelo njenge-periodontitis sizoqhubeka nokuba sibi kakhulu.
Ngokuhamba kwesikhathi, i-periodontitis ibangela ukuthi amathambo nezicubu ezizungeze amazinyo akho zincibilike, okuholela ekuqhekekeni kwamazinyo, futhi ekugcineni kulahlekelwe amazinyo unomphela. Ngaphezu kwalokho, ukunuka komlomo okuqhubekayo kuyinkinga evamile.
Cabanga ngalokhu: uma izinsini zakho eziphuma igazi ziyisibonakaliso senkinga yesistimu yomzimba njengesifo sikashukela, ukunganaki izinsini kusho ukuthi isifo esiyisisekelo singase siqhubeke singalawulwa. Ungalokothi uthathe lesi sibonakaliso kalula.
Kufanele uye nini kudokotela?
Funa usizo oluphuthumayo lwezokwelapha noma lwamazinyo uma uzwa ukopha okukhulu, okungalawuleki, ubuhlungu obukhulu, noma umkhuhlane. Esimweni esiphuthumayo, sicela uxhumane no-911 noma uvakashele umnyango wezimo eziphuthumayo wesibhedlela esiseduze nawe.
Kuvamile ukubona ukuphuma kwegazi ngezinye izikhathi uma usanda kushintsha indlela yakho yokuxubha noma uma uxubha kakhulu. Ngokuvamile, lokhu kuyaphela phakathi nosuku olulodwa noma ezimbili. Kodwa-ke, kufanele uthintane nodokotela wamazinyo noma nodokotela wakho oyinhloko ngokushesha uma ubona okulandelayo:
- Ukopha ezinsinini zakho kwenzeka kaningi ngaphandle kwesizathu esicacile.
- Ukopha akupheli ngisho nangemva kwamasonto amabili okunakekelwa njalo kwempilo yomlomo ekhaya.
- Izinsini zakho zibonakala zibomvu kakhulu, zivuvukile, noma zibuhlungu.
- Unephunga elibi elingapheli (i-halitosis).
- Amazinyo akho azwakala ekhululekile.
- Uzwa ukopha kwezinsini okuhambisana nezimpawu zomzimba njengokukhathala, umkhuhlane ophindaphindayo, noma ubuthakathaka.
- Inothi Elibalulekile: Uma uzwa ukopha okukhulu, okungalawuleki, sicela uqhubekele ngokushesha eMnyangweni Wezimo Eziphuthumayo (ED) oseduze noma ushayele u-911.
Udokotela wakho uzokuxilonga ukuze athole ukuthi lokhu kungenxa yesifo sezinsini noma esinye isimo sempilo esiyisisekelo. Uma kudingeka, angayala ukuhlolwa kwegazi ukuze athole imbangela futhi akunikeze uhlelo lokwelapha olusebenza kahle kakhulu oluvela eNirogi Lanka.
Izinto Ezibalulekile Okufanele Uzicabangele
👩🏽⚕️ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)
💬 Yisiphi isimo esinqunyelwe iBosentan (Tracleer) ngqo?
Lo muthi okhethekile, hhayi wezifo ezivamile. Usetshenziselwa ukwelapha i-Pulmonary Arterial Hypertension (PAH), isimo esisongela ukuphila lapho imithambo yegazi ethwala igazi lisuka enhliziyweni liya emaphashini incipha futhi iqine, okubangela umfutho wegazi ophakeme ngendlela eyingozi ongaholela ekuhlulekeni kwenhliziyo namaphaphu. Usebenza njengoMphikisi we-Endothelin Receptor ukusiza ukukhulula le mithambo yegazi.
💬 I-Bosentan isebenza kanjani ukukhulula imithambo yegazi emaphashini?
Ukuncipha kwemithambo yegazi yamaphaphu kuvame ukubangelwa yi-'Endothelin-1,' ikhemikhali ekhiqizwa ngokwemvelo ngumzimba wakho etholakala ngokweqile ezigulini ze-PAH. I-Bosentan isebenza ngokuvimba ama-receptor (i-ETA ne-ETB) athola izimpawu ezivela kule khemikhali. Ngokuvimba ngempumelelo la ma-receptor, ivimbela imithambo ukuthi ingakwazi ukuqina, iwavumele ukuba aphumule (i-vasodilation) futhi ithuthukise ukugeleza kwegazi emaphashini ngengcindezi ephephile.
💬 Yiziphi izixwayiso zeBlack Box ezihlobene neBosentan?
Izixwayiso ezibaluleke kakhulu ukuthi lo muthi awuvunyelwe ngokuphelele ngesikhathi sokukhulelwa, njengoba ungabangela ukukhubazeka okukhulu kokuzalwa. Ngaphezu kwalokho, iBosentan inengozi yokulimala okukhulu kwesibindi (ubuthi besibindi), yingakho iziguli kudingeka zihlolwe njalo igazi lama-enzyme esibindi phakathi nesikhathi sokwelashwa.
