Noma nini lapho ubamba umkhuhlane noma uzizwa ukhathele ngendlela engavamile, umuzwa wakho wokuqala cishe uyovakashela udokotela wakho. Ngesikhathi sokubonisana kwakho, udokotela wakho ngokuvamile uzohlola izimpawu zakho futhi, uma kudingeka, a-ode ukuhlolwa kwelabhorethri ukuze athole isithombe esicacile sempilo yakho. Nakuba ukuhlolwa kwegazi nomchamo okuvamile kuyingxenye ejwayelekile yezokwelapha zanamuhla, ubuwazi ukuthi isayensi yezokwelapha iyaqhubeka ithuthuka? Izindlela ezenziwa ngazo lezi zivivinyo—nendlela esichaza ngayo imiphumela yazo—ziyashintsha kancane kancane. Namuhla, sixoxa ngezinye izinguquko ezibalulekile zakamuva ezivivinyweni zelabhorethri ezivamile okufanele uzazi.
Ukuhlolwa Kwe-Cholesterol (Iphrofayili Ye-Lipid) - Ingabe Ukuzila Ukudla Kusadingeka?
Uma uneminyaka engaphezu kwengu-40 noma ulawula isisindo sakho, udokotela wakho angase akuyalele njalo ukuhlolwa kwe-cholesterol, okwaziwa ngokuthi 'i-Lipid Profile'. Kalula nje, lokhu kuhlolwa kulinganisa izinhlobo ezahlukene zamafutha (ama-lipid) egazini lakho.
Lolu vivinyo lugxile ezimpawini ezine ezibalulekile:
- I-Cholesterol Ephelele: Inani eliphelele le-cholesterol egazini lakho.
- I-HDL (High-Density Lipoprotein): Ngokuvamile ibizwa ngokuthi “ i-cholesterol enhle ”. Amazinga aphezulu ngokuvamile angcono empilweni yenhliziyo yakho.
- I-LDL (Low-Density Lipoprotein): Eyaziwa ngokuthi “i-cholesterol embi”. Amazinga aphezulu andisa ingozi yakho yesifo senhliziyo kanye nesifo sohlangothi .
- Ama-Triglycerides ( ama-Triglycerides ): Olunye uhlobo lwamafutha olutholakala egazini lakho.
Sekuyiminyaka sitshelwa ukuthi kumelwe sizile ukudla amahora angu-8-12 ngaphambi kwalokhu kuhlolwa, sigweme konke ukudla nokuphuza. Odokotela babevame ukweluleka ngalokhu ngoba babekholelwa ukuthi ukudla okudliwayo kungaphazamisa kakhulu imiphumela, ikakhulukazi amazinga e-triglyceride.
Ngakho-ke, yini eshintshile?
Ucwaningo lwamuva lubonisa ukuthi kubantu abaningi , ukuzila ukudla akudingekile ngokuphelele. Ukudla okudlayo akuthinti kakhulu amazinga akho e-LDL kanye ne-HDL cholesterol. Kodwa-ke, ukudla okuthile okunamafutha amaningi noma okunoshukela omningi kungabangela ukwanda kwesikhashana kwamazinga e-triglyceride.
Lokhu kusho ukuthi uma uthatha isivivinyo ngaphandle kokuzila ukudla futhi amanye amanani akho ejwayelekile kodwa ama-triglycerides akho ephezulu, udokotela wakho angase akucele ukuthi ubuye ukuze uhlolwe ukuzila ukudla okulandelayo. Lokhu kusiza ekucaciseni ukuthi ukuphakama bekuyinkinga yangempela yezokwelapha noma nje umphumela wesikhashana wokudla kwakho kwakamuva.
Ngesikhathi esizayo udokotela wakho e-oda iphrofayili yamafutha, mbuze ukuthi udinga ngempela yini ukuzila ukudla. Ezimweni eziningi, ungase ukwazi ukungayinaki inkinga yokuzila ukudla ngokuphelele.
Ukuhlolwa Kwesifo Sikashukela
Isifo sikashukela siyinselele evamile yezempilo, futhi abantu abaningi basesigabeni sangaphambi kwesifo sikashukela bengazi. Ukutholwa kusenesikhathi kubalulekile ukuze kulawulwe ngempumelelo.
Ngokwesiko, odokotela babethembele ekuhlolweni kwe-Fasting Blood Sugar noma i-Oral Glucose Tolerance Test (OGTT), okuhilela ukuphuza isisombululo se-glucose nokulinda amahora amabili. I-OGTT ingaba yimbi, njengoba idinga ukuzila ukudla ekuseni kanye nokulinda amahora amabili elabhorethri.
Iyiphi indlela elula? Ukuhlolwa kwe-HbA1c!
Muva nje, odokotela baye bakhetha kakhuluI-Hemoglobin A1c, noma nje ukuhlolwa kwe- 'HbA1c ', kokuxilonga nokuqapha isifo sikashukela.
Kalula nje, lokhu kuhlolwa kulinganisa iphesenti likashukela egazini lakho (i-glucose) elixhunywe kwi-hemoglobin, iphrotheni esemaselini akho abomvu egazi. Njengoba amaseli abomvu egazi ephila cishe izinsuku ezingama-90-120, lokhu kuhlolwa kunikeza isilinganiso samazinga kashukela egazini lakho ezinyangeni ezi-2-3 ezedlule . Awudingi ukuzila ukudla kulokhu kuhlolwa, futhi kungenziwa nganoma yisiphi isikhathi sosuku.
Inothi elisheshayo lesexwayiso...
Nakuba ukuhlolwa kwe-'HbA1c' kulula futhi kuthembekile, kungase kungabi yi-100% enembayo kubantu abanezimo ezithile zempilo, ikakhulukazi lezo ezithinta amangqamuzana abomvu egazi.
Ngokwesibonelo:
- I-anemia: Izinhlobo ezithile ze-anemia zingabangela ukuthi imiphumela ye-HbA1c ibonakale iphakeme noma iphansi kunalokho eyikho ngempela.
- Isifo Se-Sickle Cell: Izimo zofuzo ezithinta amangqamuzana abomvu egazi zingashintsha nokunemba kokufundwa kwe-HbA1c.
Lokhu akusho ukuthi i-HbA1c iyisivivinyo esibi, kodwa kusho ukuthi akufanele uthembele enombolweni eyodwa ukuze wenze izinqumo zezokwelapha. Uma imiphumela yakho ingavamile, udokotela wakho uzocabangela umlando wakho wezokwelapha—njengokuntula igazi okukhona—futhi angase acele ukuhlolwa okwengeziwe kokuzila ukudla uma kudingeka.
Ukuhlolwa komchamo – Ingabe kuyadingeka njalo ngonyaka?
Iningi lethu lalijwayele ukuhlolwa komchamo njalo njengengxenye yokuhlolwa kwaminyaka yonke ukuze kuqashwe ukusebenza kwezinso futhi kuhlolwe izifo.
Umbono usushintshile!
Izinhlangano ezinkulu zezempilo emhlabeni wonke manje sezeluleka ukuthi uma ungenazo izimpawu , ukuhlolwa komchamo okuvamile akunikezi inani elincane lomtholampilo. Esikhundleni salokho, lezi zivivinyo kufanele zigcinelwe lapho izimpawu zikhona.
| Isimo | Isincomo Samanje |
|---|---|
| Uma unezimpawu zomchamo: (isib., ukusha, ubuhlungu, ukuchama njalo, iphunga) | Kunconywa kakhulu ukuhlola umchamo. |
| Njengengxenye yokuhlolwa okuvamile, ngaphandle kwezimpawu | Ngokuvamile akudingeki. |
| Uma ukhulelwe | Ukuqapha njalo kuyimpoqo njengengxenye yokunakekelwa kwangaphambi kokubeletha. |
Ngakho-ke, singayiqapha kanjani indlela izinso ezisebenza ngayo?
Odokotela manje bathembele kakhulu ekuhlolweni kwegazi okubizwa ngokuthi i-`eGFR (isilinganiso sokuhlunga se-Glomerular esilinganiselwe)` ukuhlola ukuthi izinso zakho zisebenza kahle kangakanani. Lokhu kuvame ukufakwa ku-`Basic Metabolic Panel` ejwayelekile (iphakheji yokuhlola igazi evamile). Inikeza ukuhlolwa okunembe kakhudlwana kokusebenza kwezinso kunokuhlolwa komchamo.
Umlayezo Wokuya Nawe Ekhaya
- I-Cholesterol (Iphrofayili Ye-Lipid): Ukuzila ukudla akusadingeki, kodwa hlala uthintana nodokotela wakho kuqala.
- Isifo Sikashukela (HbA1c): Ithuluzi elihle kakhulu lokuhlola isilinganiso sakho sikashukela sezinyanga ezi-2-3, yize izimo ezithile ezifana ne-anemia zingathinta imiphumela.
- Ukuhlolwa komchamo: Uma ungenazo izimpawu (futhi ungakhulelwe), ukuhlolwa okuvamile ngokuvamile akudingeki. Ukuhlolwa kwe-eGFR okusekelwe egazini kuthembeke kakhulu ekuhloleni impilo yezinso.
- Isinyathelo Esibaluleke Kakhulu: Ungalokothi uzame ukuhumusha imiphumela yakho yelebhu noma wenze izinqumo zezempilo ngokusekelwe enombolweni eyodwa. Udokotela wakho kuphela ongachaza le miphumela ngokwesimo sempilo yakho iyonke. Njalo xoxa ngemibiko yakho yelebhu nomhlinzeki wakho wezempilo.
Ukuhlolwa kwelebhu, ukuhlolwa kwezokwelapha, i-cholesterol, iphrofayili ye-Lipid, isifo sikashukela, i-HbA1c, ukuhlolwa komchamo, ukuhlaziywa komchamo, impilo, ukuhlolwa kwegazi, umbiko welebhu
