Cishe usulizwile igama elithi "ukuvuvukala" kaningi, akunjalo? Cishe silisebenzisa leli gama uma sithola isilonda, inxeba livuvukala futhi libomvu, noma sithola umkhuhlane. Empeleni kuyindlela evamile yokusabela kwesistimu yethu yokuzivikela yomzimba. Kodwa bewazi ukuthi ngezinye izikhathi lesi simo sokuvuvukala singaqhubeka emizimbeni yethu isikhathi eside ngaphandle kokulimala okubonakalayo noma ukutheleleka? Lokhu sikubiza ngokuthi ukuvuvukala okungapheli . Namuhla sizokhuluma ngesihloko esibalulekile kubantu abaningi: ingabe kukhona ukuxhumana phakathi kwalokhu kuvuvukala okungapheli nomdlavuza webele?
Okokuqala, kuyini lokhu kuvuvukala?
Kalula nje, ukuvuvukala kuyindlela amasosha omzimba asabela ngayo ekulimaleni, njengokutheleleka noma isilonda. Cabanga usika umunwe wakho. Indawo ezungeze isilonda ibomvu, ivuvukele kancane, futhi izizwa ifudumele, akunjalo? Lokho ukuvuvukala okukhulu. Lokho kusho ukuthi "ibutho" lomzimba wakho (amangqamuzana omzimba) selifikile endaweni yesilonda, lalwa namagciwane ahlaselayo, futhi laqala ukwelapha isilonda. Lokhu kuyinto enhle, futhi izophela ezinsukwini ezimbalwa.
Kodwa-ke, ukuvuvukala okungapheli kuyinto ehlukile. Kuwukuvuvukala okuphansi okuqhubeka kwenzeka emizimbeni yethu izinyanga, ngisho neminyaka. Kungabangelwa yilokhu:
- Izifo ezingalawulwa
- Ukukhuluphala ngokweqile (isisindo somzimba esengeziwe)
- Indlela yokuphila yobuvila ngaphandle kokuzivocavoca umzimba
- Ukusetshenziswa kotshwala nogwayi
- Ukucindezeleka okungapheli
Lokhu kuvuvukala okungapheli, njengokuthile okuhlala kuvutha elangeni eliphansi, kungalimaza kancane kancane amangqamuzana ethu futhi, ngokuhamba kwesikhathi, kuvule indlela yezifo ezinkulu njengomdlavuza.
Kuyini ukuxhumana phakathi komdlavuza webele nalokhu kuvuvukala?
Lesi yisihloko esithola ukunakwa okukhulu kubacwaningi bezokwelapha okwamanje. Nakuba kungakabikho isiphetho esiqinisekisiwe esingu-100% kulokhu, ubufakazi obuqinile kakhulu buyaqongelela.
"Lesi yisihloko esiyinkimbinkimbi ngempela. Ngicabanga ukuthi ukuvuvukala kudlala indima ekuthuthukisweni nasekusabalaleni kwanoma yimuphi umdlavuza, hhayi umdlavuza webele kuphela," kusho uDkt. Naoto Tada Ueno, uchwepheshe e-MD Anderson Cancer Center.
Nazi ezinye zezinto ezitholwe ocwaningweni:
- Ingozi yokuphinda umdlavuza webele ngemva kokwelashwa ngenxa yokuvuvukala okungapheliKungase kwande.
- Ezinye izifundo zibonise ukuthi abantu abasebenzisa izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala (ama-NSAID) (isib. i-ibuprofen, i-aspirin) banengozi ephansi kancane yokuba nomdlavuza webele. (Kodwa ungaqali lokhu ngaphandle kokubuza udokotela wakho, kulungile?!)
- Lokhu kuvuvukala okungapheli kungasiza ekusabalaleni kwamaseli omdlavuza futhi kunciphise impendulo ekwelashweni komdlavuza.
Kodwa ochwepheshe bathi ukuthi ukulawula ukuvuvukala kukodwa kungamisa ukusabalala komdlavuza futhi kwandise impilo “kusengumbuzo omkhulu.” Isayensi isazama ukuqonda kahle ukuthi lokhu kusebenza kanjani.
Ukuzivikela komzimba kanye ne-microbiome yomzimba wethu kuhlobene kanjani nalokhu?
Le ndaba ijula kancane. Iyathakazelisa kakhulu. Sishilo ngaphambilini ukuthi ukuvuvukala kuwumsebenzi wesimiso sethu sokuzivikela komzimba. Ngakho-ke abanye ososayensi bacabanga ukuthi imbangela yalokhu kuxhumana kokuvuvukala nomdlavuza kungaba umsebenzi wesimiso sethu sokuzivikela komzimba.
Ucwaningo olwenziwe abacwaningi eMayo Clinic luthole okuthile okumangazayo kakhulu. Okusho ukuthi, kunezinhlobo ezahlukene zamabhaktheriya ezicutshini zamabele zabesifazane abanempilo abangenawo umdlavuza kanye nasezicutshini zamabele zabesifazane abanomdlavuza. Lokhu kusho ukuthi njengamathumbu ethu, izicubu zamabele zinomphakathi wazo ohlukile wamagciwane (i-microbiome) .
Okumangaza kakhulu ukuthi umphakathi wamagciwane emabeleni abesifazane abanomdlavuza wawuhlukile kowabesifazane abanempilo. Njengoba amagciwane engalawula izinga lokuvuvukala emizimbeni yethu, ososayensi basola ukuthi lo mehluko ungase ube yibhuloho phakathi kwengozi yomdlavuza webele nokuvuvukala.
Ukubaluleka kwale "microbiome" kukhulu kakhulu kangangokuthi kutholakale ukuthi umphakathi wamagciwane emathunjini abantu abasabela kahle ekwelashweni ngemithi yokuzivikela komzimba okunikezwa iziguli zomdlavuza uhlukile kowalabo abangaphenduli. Ngakho-ke, ososayensi manje bacwaninga ukuthi izindlela ezifana "nokufakelwa indle" zingashintsha yini "microbiome" yomuntu futhi zandise impumelelo yokwelashwa komdlavuza. Nakuba lokhu kusesezigabeni zokuqala, kunamandla okwenza umehluko omkhulu ekwelashweni komdlavuza esikhathini esizayo.
Ngakho-ke singakunciphisa kanjani lokhu kuvuvukala okungapheli?
"Uma ubuza ukuthi kukhona yini umuthi noma indlela ethile efakazelwe ukuthi iyasebenza, impendulo okwamanje 'cha,'" kusho uchwepheshe uDkt. Ueno. Kodwa uthi ungakhathazeki, sizofunda okuningi ngalokhu eminyakeni eyishumi ezayo.
Kodwa asikwazi ukulinda kuze kube yileso sikhathi. Ngenhlanhla, ukwenza izinguquko ezimbalwa ezilula endleleni yethu yokuphila kungasiza kakhulu ekulawuleni lokhu kuvuvukala okungapheli. Lezi zinto azigcini nje ngokunciphisa ingozi yakho yomdlavuza, kodwa futhi zingasiza ekuvikeleni kwezinye izifo eziningi, njengesifo sikashukela nesifo senhliziyo.
Bheka ithebula elingezansi ukuze ubone ukuthi yini esingayenza.
| Okufanele ukwenze (Ushintsho Lwendlela Yokuphila) | Kungani kubalulekile? (Kungani Kusiza) |
|---|---|
| Ukugcina isisindo esinempilo | Ukukhuluphala ngokweqile kuyimbangela yokuqala yokuvuvukala okungapheli. Uma ukhuluphala, uba nokumelana ne-insulin , okwandisa amazinga kashukela egazini kanye nokuvuvukala. |
| Ukuzivocavoca njalo | Enye indlela enhle yokunciphisa ukuvuvukala ukwenza okungenani imizuzu engama-30 yokuzivocavoca okulingene (njengokuhamba ngokushesha noma ukugibela ibhayisikili) ngosuku. |
| Ukuvinjelwa kotshwala | Ukuphuza iziphuzo ezingaphezu kweyodwa ngosuku kwabesifazane kanye nezimbili kwabesilisa kwandisa ukuvuvukala. Utshwala buphinde bukhulise ingozi yomdlavuza webele. |
| Ukuyeka ukubhema | Amakhemikhali akugwayi afakazelwe kahle ukuthi abangela ukuvuvukala emzimbeni, ngakho-ke lesi esinye isizathu esihle sokuyeka ukubhema. |
| Ukuphathwa kwezifo ezingamahlalakhona | Uma unezinkinga zezokwelapha ezifana nesifo sikashukela noma izifo ezihlasela amasosha omzimba, zilawule. Bona udokotela wakho njalo bese uthatha imithi yakho njengoba uyalelwe. |
| Ukuphathwa kokucindezeleka | Ukucindezeleka isikhathi eside kwandisa ukuvuvukala. Zama ukuphumula ngezinto ezifana ne-yoga, ukuzindla, ukuhamba nomngane, ukulalela umculo, noma ukubhala encwadini yezindaba. |
Umlayezo Wokuya Nawe Ekhaya
- Kunezinhlobo ezimbili zokuvuvukala: ukuvuvukala okwenzeka uma kwenzeka ukulimala okulula (ukuvuvukala okukhulu) kanye nokuvuvukala okuhlala isikhathi eside emzimbeni (ukuvuvukala okungapheli). Yilokhu kuvuvukala okungapheli okuyingozi kithi.
- Nakuba kunobufakazi obuqinile bokuthi kukhona ukuxhumana phakathi kokuvuvukala okungapheli nomdlavuza webele, ucwaningo ngale ndlela lusaqhubeka.
- Indlela engcono kakhulu yokulawula lokhu kuvuvukala ukugcina indlela yokuphila enempilo. Ukugcina isisindo esinempilo, ukuzivocavoca, ukudla ukudla okuhle, nokugwema ukubhema notshwala kubaluleke kakhulu.
- Uma unokungabaza noma imibuzo mayelana nomdlavuza webele noma enye inkinga yezempilo, sicela ungathembeli kuphela olwazini oluku-inthanethi, kodwa xhumana nodokotela womndeni wakho ukuze uthole iseluleko esinembile.
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