Ngisho noma sinomkhuhlane noma sizizwa sikhathele kancane, sijwayele ukuya kudokotela. Uma senza kanjalo, isikhathi esiningi, udokotela ulalela izimpawu zethu, asihlole, futhi asithumelele elebhu ukuze athole ulwazi olwengeziwe. Ngakho-ke, ukuhlola izinto ezifana negazi nomchamo ngale ndlela sekuyinto evamile empilweni yethu yezempilo. Kodwa bewazi ukuthi ngokuthuthuka kwesayensi, indlela okwenziwa ngayo lokhu kuhlolwa kwelebhu kanye nendlela esichaza ngayo imiphumela yazo nakho kuyashintsha kancane kancane? Namuhla sizokhuluma ngezinye zezinguquko ezibalulekile ezenzeke muva nje kwezinye zezivivinyo zelebhu esizenza njalo.
Ukuhlolwa Kwe-Cholesterol (Iphrofayili Ye-Lipid) - Ingabe kudingeka ngizilambele manje?
Ake sithi uneminyaka engaphezu kwengu-40 ubudala. Noma ukhuluphele kancane. Bese kuba yinto evamile ukuthi udokotela akunike isivivinyo sokuhlola i-cholesterol yakho. Lokhu sikubiza ngokuthi ' iphrofayili yamafutha'. Kalula nje, lokhu kuhlola izinhlobo zamafutha egazini lakho.
Lolu vivinyo lugxile ezintweni ezine eziyinhloko:
- I-Cholesterol Ephelele: Inani eliphelele le-cholesterol egazini.
- I-HDL (i-High-Density Lipoprotein): Sonke siyazi lokhu ngokuthi " i-cholesterol enhle ". Uma lokhu kuphakeme, kungcono enhliziyweni.
- I-LDL (Low-Density Lipoprotein): Lena "i-cholesterol embi." Amazinga aphezulu alokhu andisa ingozi yezifo ezifana nesifo senhliziyo kanye nesifo sohlangothi .
- Ama-Triglycerides : Lolu olunye uhlobo lwamafutha atholakala egazini.
Besilokhu sazi ukuthi akufanele udle noma uphuze lutho amahora angu-8-12 ngaphambi kokwenza lokhu kuhlolwa. Odokotela abaningi bakweluleka lokhu ngoba babekholelwa ukuthi ukudla esikudlayo kungathinta la manani, ikakhulukazi ama-triglycerides.
Kodwa yini ushintsho olusha manje?
Ucwaningo lwamuva nje luthole ukuthi kubantu abaningi ,Akudingeki ukuzila ukudla ngaphambi kokuthatha lesi sivivinyo. Ngoba ukudla esikudlayo akunawo umthelela omkhulu emazingeni e-cholesterol (i-HDL ne-LDL). Kodwa-ke, okunye ukudla okunamafutha noshukela kungakhuphula amazinga e-triglyceride okwesikhashana.
Lokhu kusho ukuthi uma uthatha isivivinyo ngaphandle kokuzila ukudla, kanti amanye amanani akho ajwayelekile kodwa ama-triglycerides akho aphezulu kakhulu, udokotela wakho uzokutshela ukuthi uphinde uhlole ngosuku lokuzila ukudla. Lokhu kuzokusiza ukuthi unqume ukuthi ukufundwa kuphakeme ngempela noma ukuthi kungukwanda kwesikhashana okubangelwa ukudla.
Ngakho-ke, ngesikhathi esizayo udokotela wakho ekucela ukuthi wenze iphrofayili yamafutha, mbuze ngqo ukuthi udinga ukuzila ukudla noma cha. Esikhathini esiningi, uzokwazi ukugwema lokho kuhlushwa yindlala okucasulayo.
Ukuhlolwa kokuthola isifo sikashukela
Isifo sikashukela siyisifo esivame kakhulu ezweni lethu. Kunabantu abaningi abasesimweni sokuthola isifo sikashukela, okungukuthi, abasengozini enkulu yokuthola isifo sikashukela. Ngakho-ke, kubaluleke kakhulu ukuthola ukuhlolwa okunembile ukuze kutholakale lesi simo kusenesikhathi.
Esikhathini esidlule, indlela eyinhloko yokuhlola isifo sikashukela kwakuwukuhlolwa ushukela wegazi ngokuzila ukudla (Fasting Blood Sugar) kanye nokuhlolwa kokubekezelela ushukela ngomlomo (OGTT) okwenziwa emahoreni amabili ngemva kokuphuza isisombululo se-glucose. Lokhu kuhlolwa kwe-OGTT kuyinkinga encane. Kufanele uzile ukudla ubusuku bonke, uye elabhorethri ekuseni, uphuze isiphuzo esinoshukela, bese ulinda cishe amahora amabili.
Iyiphi indlela elula manje? Ukuhlolwa kwe-HbA1c!
Muva nje, olunye lwezivivinyo ezisetshenziswa kakhulu odokotela ukuxilonga nokuphatha isifo sikashukela yi -Hemoglobin A1c , noma i-HbA1c ngamafuphi.
Kalula nje, lokhu kulinganisa inani likashukela (i-glucose) elinamathele kuphrotheni ebizwa ngokuthi i-hemoglobin emaseli akho abomvu egazi. Njengoba iseli elibomvu legazi liphila izinsuku ezingaba ngu-90-120, lokhu kuhlolwa kungakunikeza umbono omuhle wamazinga akho ajwayelekile kashukela egazini ezinyangeni ezi-2-3 ezedlule . Akudingeki ukuthi ulambele lokhu, futhi kungenziwa nganoma yisiphi isikhathi sosuku.
Kodwa kukhona "kodwa" okuncane kulokhu futhi...
Nakuba ukuhlolwa kwe-`HbA1c` kulula kakhulu futhi kunokwethenjelwa, muva nje kutholakale ukuthi imiphumela ingase ingabi yi-100% enembayo kubantu abanezimo ezithile zempilo. Lokhu kungaba yiqiniso ikakhulukazi kubantu abanezifo ezithinta amaseli abomvu egazi .
Ngokwesibonelo:
- I-anemia: Isimo esivame kakhulu kwabesifazane ezweni lethu. Kwezinye izinhlobo ze-anemia, inani le-`HbA1c` lingabonakala liphezulu noma liphansi kunalokho eliyikho ngempela.
- Isifo Se-Sickle Cell:Ezimweni zofuzo ezinjengalezi, amanani e-HbA1c angashintsha ngenxa yezinguquko kumaseli abomvu egazi.
Lokhu akusho ukuthi ukuhlolwa kwe-`HbA1c` akukuhle. Kodwa-ke, akuwona umqondo omuhle ukusekela izinqumo zakho enombolweni eyodwa kuphela embikweni wakho webhulebhu. Ikakhulukazi uma inani lakho le-`HbA1c` lilinganiselwe phakathi kwamazinga ajwayelekile kanye namazinga esifo sikashukela, udokotela wakho uzocabangela ezinye izimo, njenge-anemia, futhi angase ancome ezinye izivivinyo, njengezinga likashukela egazini lokuzila ukudla, uma kudingeka.
Ukuhlolwa komchamo - Ingabe wonke umuntu kufanele akwenze njalo ngonyaka?
Abantu abaningi bajwayele ukuhlolwa komchamo okuphelele (ukuhlolwa komchamo) okungenani kanye ngonyaka. Sasicabanga ukuthi kuzoba ukuhlolwa okuvamile kokutheleleka komgudu womchamo kanye nokusebenza kahle kwezinso.
Kodwa manje isimo sesihlukile!
Iziqondiso zezempilo eziqashelwa emhlabeni wonke manje zincoma ukuthi akubalulekanga kangako ukwenza ukuhlolwa komchamo njengokuhlolwa okulula uma kungekho zimpawu . Kunalokho, kwanele ukwenza lokhu kuhlolwa kuphela uma kukhona izimpawu.
| Ithuba | Okunconywayo njengamanje |
|---|---|
| Uma unezimpawu zomchamo: (isib., ukutheleleka komgudu womchamo, ubuhlungu, ukuchama njalo, iphunga elibi) | Kubaluleke kakhulu ukwenza ukuhlolwa komchamo. |
| Njengokuhlolwa kwempilo okuvamile , ngaphandle kwezimpawu | Ukuhlolwa komchamo ngokuvamile akudingeki. |
| Uma ungumama okhulelwe | Ukuhlolwa komchamo okuvamile kuyimpoqo njengengxenye yokuhlolwa okuvamile ngesikhathi sokukhulelwa. |
Ngakho-ke uhlola kanjani ukusebenza kwezinso?
Odokotela manje bathembele kakhulu ekuhlolweni kwegazi ukuze babone ukuthi izinso zisebenza kahle kangakanani. Kubizwa ngokuthi i-`eGFR (isilinganiso sokuhlunga se-Glomerular esilinganiselwe)`. Lokhu kuvame ukuba yingxenye yephakheji yokuhlola igazi ye-`Basic Metabolic Panel` esiyenzayo. Lokhu kunikeza umbono onembile kakhulu ngomsebenzi wezinso kunokuhlolwa komchamo.
Umlayezo Wokuya Nawe Ekhaya
- I-Cholesterol (Iphrofayili Ye-Lipid): Ezimweni eziningi, awudingi ukuzila ukudla kulokhu kuhlolwa. Kodwa-ke, cela iseluleko kudokotela wakho.
- Isifo Sikashukela (HbA1c): Lesi isivivinyo esihle esikutshela ngamazinga kashukela egazini lakho ezinyangeni ezi-2-3 ezedlule. Kodwa-ke, imiphumela ingahluka kancane ngezimo ezifana ne-anemia.
- Ukuhlolwa komchamo: Uma ungenazo izimpawu (ngaphandle kokuthi ukhulelwe), akunasizathu sokwenza lokhu kuhlolwa. Ukuhlolwa kwegazi kwe-eGFR kunembe kakhulu ekuhloleni ukusebenza kwezinso.
- Okubaluleke kakhulu: Ungesabi noma wenze izinqumo ngokusekelwe ezinombolweni ezisembikweni wakho webhulebhu. Udokotela wakho kuphela, owazi umlando wakho wezempilo ophelele, ongaqonda ngempela ukuthi zisho ukuthini. Xoxa njalo ngemiphumela yakho yokuhlolwa nodokotela wakho.
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