Isifo senhliziyo siyinkinga enkulu kwabaningi bethu. Ngezinye izikhathi, ngisho noma kungekho zimpawu ezinkulu, isimo esibucayi singakhula emzimbeni. Ngakho-ke, ungamangala uma singakutshela ukuthi kukhona indlela yokwazi kusengaphambili ngempilo yenhliziyo yakho, okungukuthi, usengozini engakanani yokuthola isifo senhliziyo, ikakhulukazi isifo semithambo yegazi (CAD)? Yebo, yilapho ukuhlolwa kwegazi kuba usizo khona. Ngokusekelwe emiphumeleni yalezi zivivinyo kanye nomlando wakho wezempilo, udokotela wakho uzokwakha uhlelo lokwelashwa olufanele kakhulu kuwe.
Heart disease risk
Check the risk of developing a heart disease within the next 10 years with the Framingham Score
Ubani okudingeka enze lokhu kuhlolwa kwegazi?
Manje ungase ucabange, "Ingabe ngiyakudinga lokhu kuhlolwa?" Kunezizathu eziningana zokuthi kungani udokotela wakho engayala lolu hlobo lokuhlolwa kwegazi. Uma unesinye noma ngaphezulu salezi zici eziyingozi, kubalulekile ukucabangela lezi zivivinyo.
- Imikhuba yokudla engafanele: Uma udla ukudla okuningi okunamafutha, okunoshukela, kanye nofulawa.
- Umlando womndeni: Uma umama wakho, ubaba, noma izingane zakini beke baba nesifo senhliziyo ngaphambi kokuba bafinyelele eminyakeni engu-50.
- Ukukhuluphala noma ukukhuluphala ngokweqile: Uma ukhuluphele kakhulu ngobude bakho.
- Ukuntuleka kokuzilolonga: Uma ungumuntu ohlala endaweni eyodwa usuku lonke futhi ongazivivinyi.
- Ukubhema noma ukusebenzisa ugwayi: Uma ubhema ugwayi noma usebenzisa ezinye izinhlobo zikagwayi.
- Ezinye izimo zezokwelapha: Uma usuvele unezimo ezifana nesifo sikashukela, umfutho wegazi ophakeme, noma uke waba nokuhlaselwa yinhliziyo noma isifo sohlangothi esikhathini esidlule.
Uma unalezi zingozi, ungesabi. Akusho ukuthi nakanjani uzoba nesifo senhliziyo. Kodwa-ke, kuwukuhlakanipha ukuhlonza ingozi kusenesikhathi bese uthatha izinyathelo ezidingekayo.
Ukuhlolwa kwegazi kubheka ini?
Uma bebheka ingozi yakho yesifo senhliziyo, odokotela banaka ngokukhethekile izinto ezimbalwa egazini lakho. Kalula nje, lezi yizici ezibalulekile ezisinika izinkomba mayelana nempilo yenhliziyo yethu. Ake sibheke ngayinye yalezi ngamagama alula.
| Ukuhlolwa | Incazelo elula |
|---|---|
| I-Cholesterol Ephelele (TC) | Inani le-cholesterol ephelele egazini. Uma lokhu kuphakeme, kulapho ingozi yesifo senhliziyo iphakama khona. |
| Ama-Triglycerides (TG) | Lokhu futhi uhlobo lwamafutha egazini. Kungandiswa ngokudla okunoshukela omningi, ufulawa, amafutha, kanye notshwala. Kungancishiswa ngokuzilolonga. |
| I-High-Density Lipoprotein (i-HDL) | Lokhu kubizwa ngokuthi "i-cholesterol enhle." Isusa i-cholesterol embi emithanjeni yegazi. Uma inani layo liphezulu, kuba ngcono. |
| I-Lipoprotein Ephansi (i-LDL) | Lena "i-cholesterol embi" . Uma ikhuphuka, ingahlala emithanjeni yegazi bese iyivala. Iyimbangela enkulu yokuhlaselwa yinhliziyo. |
| Inani Eliphelele Legazi (i-CBC) | Inikeza incazelo ephelele yamaseli abomvu egazi, amaseli amhlophe egazi, nama-platelet egazini. Ingahlonza izimo ezifana ne-anemia. |
| I-Hemoglobin A1c (HbA1c) | Kubonisa izinga lakho elijwayelekile likashukela egazini ezinyangeni ezi-2-3 ezedlule. Lokhu kubaluleke kakhulu ekuxilongweni kwesifo sikashukela. |
| I-Glucose Yokuzila Ukudla (Ushukela Wegazi Ozila Ukudla) | Amazinga kashukela egazini alinganiswa ngemva kokuzila ukudla amahora angu-8-10. Ingabona isifo sikashukela kanye nezici zaso eziyingozi ngaphambi kokuba umuntu athole isifo sikashukela. |
| Iphrotheni esabela ku-C ezwela kakhulu (i-us-CRP) | Kubonisa izinga lokuvuvukala okuncane emithanjeni yegazi. Uma leli nani liphakeme, kulapho ingozi yesifo senhliziyo iphakama khona. |
| I-Serum Creatinine (CR) | Ukuhlolwa okulinganisa ukusebenza kwezinso. Uma izinso zingasebenzi kahle, kungathinta nenhliziyo. |
Ngaphezu kwalokhu, udokotela wakho angase akucele ezinye izivivinyo ezithile kuye ngengozi yakho. Isibonelo, izivivinyo ezifana ne-Lipoprotein (a), Apolipoprotein B (ApoB), Homocysteine (Hcy). Ukuhlolwa ngakunye kwalokhu kusiza ukuthola isithombe esicacile sengozi yakho yesifo senhliziyo.
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Check Availability →Uzilungiselela kanjani ngaphambi kokuhlolwa?
Kulungile, manje ake sibone ukuthi yini okudingeka siyenze ngaphambi kokuya esivivinyweni.
1. Ukuzila Ukudla: Ezinye izivivinyo, ikakhulukazi lezo ezilinganisa i-cholesterol (Lipid Profile) kanye noshukela wegazi (Fasting Blood Sugar), zidinga ukuthi ungadli futhi ungaphuzi amahora angaba ngu-8-12 ngaphambi kokuhlolwa. Ukuphuza amanzi ngokuvamile kulungile. Kodwa qiniseka ukuthi ubuza udokotela wakho ngalokhu.
2. Ulwazi Lwemithi: Tshela udokotela wakho nganoma yimiphi imithi, amavithamini, noma ezinye izithasiselo ozithatha njalo. Eminye imithi ingathinta imiphumela yokuhlolwa.
Okubaluleke kakhulu: Ungalokothi uyeke ukuthatha imithi yakho ngaphandle kokubonisana nodokotela wakho kuqala. Uzokweluleka ngalokho okufanele ukwenze uma kudingeka.
Ungayiqonda kanjani imiphumela yokuhlolwa?
Uma uthola umbiko wakho wokuhlolwa kwegazi, ungase uzizwe wesaba kancane izinombolo namagama akulo. Kodwa ungakhathazeki. Ake sibheke kalula ukuthi liqukethe amazinga anempilo ezinto eziyinhloko.
Isexwayiso: Lezi yizilinganiso ezimaphakathi nje. Lezi zindinganiso zingahluka kuye ngobudala bakho, ubulili, kanye nezinye izimo zempilo. Ngakho-ke, khuluma nodokotela wakho njalo ukuze uthole incazelo enembile kakhulu yombiko wakho.
| Ukuhlolwa | Izinga Elifanele |
|---|---|
| I-Cholesterol Ephelele (TC) | Ngaphansi kuka-200 mg/dL |
| Ama-Triglycerides (TG) | Ngaphansi kuka-150 mg/dL |
| I-HDL (i-cholesterol enhle) | Amadoda: makhulu kuno-45 mg/dL Abesifazane: ngaphezu kuka-55 mg/dL |
| I-LDL (i-cholesterol embi) | - Kulabo abasengozini ejwayelekile: ngaphansi kuka-130 mg/dL - Kulabo abanesifo sikashukela/isifo senhliziyo: 100 mg/dL noma ngaphansi kuka-70 mg/dL (njengoba udokotela wakho ekweluleke) |
| I-Hemoglobin A1c (HbA1c) | Ngaphansi kuka-5.7% (okunempilo) 5.7% - 6.4% (ingozi yangaphambi kwesifo sikashukela) Ngaphezulu kuka-6.5% (isifo sikashukela) |
| Ukuzila Ukudla Ushukela Egazini | Ngaphansi kuka-100 mg/dL (okunempilo) 100 - 125 mg/dL (ingozi yesandulela sikashukela) Ngaphezu kuka-126 mg/dL (isifo sikashukela) |
Wenzani ngemva kokuthola imiphumela?
Uma imiphumela yakho yokuhlolwa kwegazi isengozini, ungesabi. Akusho ukuthi unesifo ngokushesha. Kuyisixwayiso mayelana nengozi .
Udokotela uzoxoxa nawe ngale miphumela futhi akuchazele ukuthi yini okufanele uyenze ngokulandelayo. Ungenza okulandelayo:
- Izinguquko endleleni yokuphila: Inikeza iseluleko sendlela yokulawula ukudla kwakho nokuzivocavoca.
- Ukunikeza imithi: Ukucela ukuqala imithi yokwehlisa i-cholesterol, ukulawula umfutho wegazi, noma ukulawula amazinga kashukela.
- Ukuhlolwa okwengeziwe: Ungathunyelwa kwezinye izivivinyo ezifana ne-ECG, i-Echo, kanye ne-Exercise ECG ukuze ubheke ngokujulile ukusebenza kwenhliziyo.
Khumbula, lokhu kuhlolwa kwegazi kuyithuba elihle lokuthi uthathe umthwalo wemfanelo ngempilo yakho. Into ebalulekile ukusebenzisa le miphumela ukwenza izinguquko ezidingekayo ukuze ube nempilo enhle.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwegazi kuyithuluzi elibaluleke kakhulu ekutholakaleni kusenesikhathi kwengozi yesifo senhliziyo.
- Ukwanda kwe-cholesterol embi (LDL) kanye nokwehla kwe-cholesterol enhle (HDL) yizimpawu eziyisixwayiso eziyinhloko.
- Ukuhlolwa kwe-HbA1c kanye noshukela wegazi ozila ukudla kubalulekile ukuze kutholakale isifo sikashukela kanye nezici zaso eziyingozi ngaphambi kwesifo sikashukela.
- Kungakhathaliseki ukuthi imiphumela yokuhlolwa kwegazi lakho ithini, ungenzi izinqumo wedwa. Njalo xhumana nodokotela wakho ukuze uthole iseluleko.
- Ngisho noma imiphumela yokuhlolwa isengozini, ingozi ingalawulwa kakhulu ngendlela efanele yokuphila kanye, uma kudingeka, nemithi.
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