Ingabe nawe uyakhathazeka kancane uma ubona igazi elincane uma ukhafulela esinkini ngenkathi uxubha amazinyo akho? Noma ngezinye izikhathi umane unama-skin okopha ngaphandle kwesizathu? Eqinisweni, abantu abaningi ezweni lakithi abakubheki lokhu njengento enkulu kangaka. Bacabanga ukuthi, "Kuyinto evamile" futhi bangakunaki. Kodwa-ke, ama-skin okopha ngezinye izikhathi angaba uphawu olubalulekile olusinika ngenkinga enkulu emzimbeni wethu. Ngakho-ke namuhla sizoqaphela lokhu, okungukuthi, 'Ama-Skin Okopha'.
Kungani izinsini zethu ziphuma igazi? Ziyini izimbangela?
Akukhona nje isizathu esisodwa sokuphuma kwegazi ezinsinini, kungaba nezizathu eziningi. Lesi simo singabangelwa kakhulu yizinkinga zempilo yomlomo, kodwa singabangelwa nezinye izimo zezokwelapha emzimbeni. Ake sihlukanise lezi zizathu ngokucacile.
| Izimbangela eziyinhloko zokuphuma kwegazi ezinsinini | |
|---|---|
| 1. Izizathu ezihlobene namazinyo kanye nempilo yomlomo | |
| Ukungahlanzeki komlomo | Uma ungawaxubhi kahle amazinyo akho, ukudla kuyabhajwa phakathi kwamazinyo akho bese kwakheka i-bacterial fil (i-plaque) emgqeni wezinsini. Lena imbangela eyinhloko yesifo sezinsini. |
| I-Gingivitis | Lesi yisigaba sokuqala sesifo sezinsini. Izimpawu eziyinhloko izinsini ezibomvu nezivuvukile eziphuma igazi uma uxubha amazinyo akho. |
| I-Periodontitis (ukubhujiswa kwezicubu ezizungeze amazinyo) | Uma ingelashwa, i-gingivitis ingakhula ibe yilesi simo esibi, lapho amathambo nezicubu ezizungeze amazinyo zibhujiswa khona futhi amazinyo aqala ukuxega. |
| Ukubhema | Ukubhema kunciphisa ukugeleza kwegazi ezinsinini, okwandisa kakhulu ingozi yokuthola isifo sezinsini. |
| 2. Izimbangela ezihlobene nezinye izimo zezokwelapha emzimbeni | |
| Isifo Sikashukela (i-Diabetes Mellitus) | Isifo sikashukela sinciphisa ikhono lomzimba lokulwa nezifo, okwenza kube lula ukuthi isifo sezinsini sikhule. |
| Izinguquko zama-hormone | Izinsini zingaba nomuzwa ojulile futhi ziphume igazi ngenxa yezinguquko zamahomoni, ikakhulukazi ngesikhathi sokuthomba, ukukhulelwa, kanye nokunqamuka kokuya esikhathini. |
| Ukuntuleka kwamavithamini | Ukuntuleka kwevithamini C kanye nevithamini K kuthinta ngqo izinsini eziphuma igazi. |
| Ama-anticoagulant | Ama-anticoagulant, okuyimithi yokunciphisa igazi esetshenziselwa izimo ezifana nesifo senhliziyo, angandisa nengozi yokopha. |
| Izifo ezihlobene negazi | Izifo ezithinta ukujiya kwegazi, njenge-hemophilia kanye ne-thrombocytopenia. |
| I-Leukemia | Lona umdlavuza wamaseli egazi, enye yezimpawu zawo kungaba ukopha kwezinsini. |
Yiziphi ezinye izindlela zokulawula lesi simo ekhaya?
Kunezinto ezimbalwa ezilula ongazenza ekhaya ukusiza ekunciphiseni ukopha kwezinsini. Kodwa khumbula, uma uqhubeka nokopha isikhathi esingaphezu kwamasonto amabili naphezu kwalezi zinyathelo, kufanele nakanjani ubone udokotela.
- Hlanza amazinyo akho kahle okungenani kabili ngosuku: Hlanza amazinyo akho okungenani imizuzu emibili ngomuthi wokuxubha amazinyo oqukethe i-fluoride, ekuseni nangaphambi kokulala ebusuku.
- Sebenzisa ibhulashi lamazinyo elithambile: Amabhulashi anezinwele eziqinile angalimaza izinsini zakho, ngakho-ke khetha njalo ibhulashi lamazinyo elithambile.
- Ukufutha nsuku zonke: Ukufutha kuyindlela engcono kakhulu yokususa izinhlayiya zokudla ezinamathele phakathi kwamazinyo lapho ibhulashi lamazinyo lingenakufinyelelwa khona.
- Hlanza umlomo wakho ngamanzi anosawoti afudumele: Ncibilikisa ingxenye yesipuni sikasawoti engilazini yamanzi bese uhlanza umlomo wakho ngawo kabili noma kathathu ngosuku ukuze ulawule ukuvuvukala kwezinsini kanye nokutheleleka.
- Gwema ukubhema ngokuphelele: Uma ubhema, ukuyeka ukubhema kuwusizo olukhulu empilweni yakho yomlomo kanye nempilo yakho iyonke.
- Yidla ukudla okunomsoco: Yidla ukudla okunothe ngevithamini C (amawolintshi, ulamula, i-guava) kanye nevithamini K (imifino eluhlaza njengespinashi ne-kale).
Kwenzekani uma singakunaki lokhu?
Lena yinto ebaluleke kakhulu sonke okudingeka siyiqonde. Uma ungayinaki inkinga encane yokuphuma kwegazi ezinsinini, lesi simo singaba sibi kakhulu uma sibangelwa isifo sezinsini.
Ngokuhamba kwesikhathi, isifo se-periodontitis (i-periodontitis) singabangela ukuthi amathambo nezicubu ezizungeze amazinyo zincibilike, okubangela ukuba amazinyo akhululeke futhi ekugcineni awe ngalinye ngalinye. Kungabangela nomlomo onuka kabi.
Cabanga nje uma izinsini zakho eziphuma igazi zibangelwa esinye isimo sezokwelapha, njengesifo sikashukela? Uma ungasinaki lesi sibonakaliso, isifo esiyisisekelo sizoba sibi kakhulu. Ngakho ungalokothi usishaye indiva.
Kunini lapho kufanele nakanjani sibone khona udokotela?
Ngokuvamile, uma ushintsha imikhuba yakho yokuxubha, njengokuxubha amazinyo akho kanzima, ungase uzwe ukopha ngezinye izikhathi. Kodwa kuzophela phakathi nosuku olulodwa noma ezimbili. Kodwa-ke, uma unezinye zezimpawu ezilandelayo, bheka udokotela wamazinyo noma udokotela womndeni wakho ngokushesha .
- Uma izinsini zakho ziphuma igazi njalo ngaphandle kwesizathu.
- Uma ukopha kungayeki isikhathi esingaphezu kwamasonto amabili ngemva kokuzama ukunakekelwa ekhaya.
- Uma izinsini zibomvu kakhulu, zivuvukele, futhi zibuhlungu.
- Uma kukhona iphunga elibi eliphuma emlonyeni.
- Uma uzizwa sengathi amazinyo akho ayanyakaza.
- Uma unezinye izimpawu ezifana nokukhathala kanye nomkhuhlane ovamile kanye nokopha kwezinsini.
- Khumbula lokhu ikakhulukazi: Uma uzwa ukopha okukhulu, okunganqandeki, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Udokotela wakho uzokuhlola njengoba kudingeka ukuze anqume ukuthi imbangela iyisifo sezinsini noma enye inkinga yezempilo. Uma kudingeka, bazokudlulisela ukuhlolwa kwegazi futhi bakunikeze ukwelashwa okufanele kwaleso sizathu.
Umlayezo Wokuya Nawe Ekhaya
- Izinsini eziphuma igazi ngokuvamile ziyisibonakaliso sokuqala nesibaluleke kakhulu sesifo sezinsini (gingivitis).
- Lokhu kungalawulwa futhi kuvinjelwe kakhulu ngokuxubha amazinyo akho kahle, ukuxubha amazinyo nsuku zonke, nokugwema ukubhema.
- Kungaba futhi uphawu lwenye inkinga enkulu yezempilo, njengesifo sikashukela, ukuntuleka kwamavithamini, noma izinkinga zegazi.
- Uma ukunakekelwa ekhaya kungathuthukisi isimo sakho zingakapheli amasonto amabili, qiniseka ukuthi ubona udokotela wamazinyo noma womndeni wakho.
- Ungakushayi indiva lokhu “njengokujwayelekile.” Kubaluleke kakhulu empilweni yakho ukuthola ukwelashwa ngaphambi kokuba kube yisimo esibucayi.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Amaphilisi eBosentan (Bosentan / Tracleer) ayimithi ethile enikezwa yisiphi isifo?
Lona akuwona umuthi ojwayelekile! Lona umuthi ophumelela kakhulu we-Endothelin Receptor Antagonist emhlabeni okuvumela ukuthi ukhulule imithambo yegazi emaphashini (Pulmonary Arterial Hypertension (PAH), isifo esibulalayo lapho imithambo yegazi esuka enhliziyweni iye emaphashini iba lukhuni/inciphe, futhi umfutho wegazi ngaphakathi kwaleyo mithambo uba phezulu kangangokuthi iyaqhuma futhi amaphaphu nenhliziyo kuyahluleka!
💬 Uma imithambo yegazi eholela emaphashini ivaliwe futhi usuzokufa, ungayiphumuza kanjani leyo mithambo yegazi ngokuthatha la maphilisi (iBosentan)?
Imithambo yegazi emaphashini iyalelwa ukuba inciphe yikhemikhali enamandla emzimbeni wethu ebizwa ngokuthi 'i-Endothelin-1'! Iziguli ze-PAH zinalokhu okuningi. Lapho nje leli philisi lingena egazini, livimba ithuba elingu-100% lokuthi leyo khemikhali ibophe/icindezele inkinobho kuma-receptor (ama-ETA nama-ETB receptors) emithanjeni yegazi bese liyivala. Njengoba umyalezo ungafiki, imithambo yegazi iyakhululeka kakhulu (i-Vasodilation), futhi igazi lingageleza liye emaphashini ngengcindezi evamile.
💬 Yimiphi imiphumela emibi engaba yingozi (Izixwayiso Zebhokisi Elimnyama) okufanele abantu abathatha lo muthi (iBosentan) baziqaphele?
Ingozi enkulu ukuthi lokhu akuvunyelwe ngokuphelele 'kumama abakhulelwe'! Uma ingane izalwa ngenkathi iphuza lokhu, ingane izokhubazeka nakanjani (Izinkinga ezinkulu zokuzalwa) futhi ifele ngaphakathi! Futhi, lokhu kungabangela 'ukulimala kwesibindi okungu-100% (ubuthi besibindi),' ngakho-ke kubalulekile ukuhlolwa kwegazi (ama-enzyme esibindi) njalo ngenyanga.
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