Ingabe uphinde uphathwe yisisu esibuhlungu ngemva kokuphuza ubisi, ukudla i-yogurt, noma ukudla ushizi? Ingabe uzwa umsindo wokubhonga lapho isisu sakho sigcwele? Noma ingabe unesifo sesisu kanye nokunyakaza kwamathumbu okubuhlungu? Uma lezi zinto zikwehlela njalo, ungase ube nesimo esibizwa ngokuthi 'i-Lactose Intolerance'. Kodwa ungakhathazeki, lokhu akusona isifo esibi kakhulu. Namuhla sikhuluma ngephilisi elihlafunwayo elingasiza kule nkinga. Lawo amaphilisi e-Lactase.
Okokuqala, kuyini ukungabekezelelani ne-lactose?
Kalula nje, sibiza i-lactose ngokuthi uhlobo lukashukela olutholakala ngokwemvelo obisini nasemikhiqizweni yobisi. Ukuze imizimba yethu igaye lolu hlobo lukashukela, i-lactose, amathumbu ethu akhiqiza i-enzyme ebizwa ngokuthi i-lactase .
Cabanga ukuthi i-lactose ifana nokhuni olukhulu, kanti i-lactase ifana nembazo yokuyinquma. Uma unembazo, ungayisika ukhuni lube yizicucu bese ulumunca kalula emzimbeni wakho.
Kodwa-ke, imizimba yabanye abantu ayikhiqizi ngokwanele le enzyme ebizwa ngokuthi i-lactase. Kwenzekani-ke? Uma sidla imikhiqizo yobisi, i-lactose (ushukela) ekuyo ayikwazi ukugaywa futhi iya emathunjini ethu amakhulu. Amabhaktheriya lapho athatha le lactose bese eqala ukuyibilisa. Le nqubo ibangela igesi, ukuqunjelwa, ukuqaqamba, kanye nohudo ngezinye izikhathi.
Into ebalulekile ukuthi ukungabekezelelani ne-lactose akuyona into yokungezwani nobisi. Kuyisimo esihluke ngokuphelele. Uma umuntu engezwani nobisi, amasosha omzimba ayasabela, kodwa lapha kumane nje kuwukuntuleka kwe-enzyme.
Ngakho-ke la maphilisi e-Lactase asiza kanjani?
Kulula kakhulu. Amaphilisi e-Lactase awukunikezwa kwangaphandle kwe-enzyme ye-lactase ekhiqizwa ngumzimba wakho ngobuningi obuncane. Kufana nokunikeza umuntu ongenawo umhluzi umhluzi umhluzi umhluzi.
Uma uthatha leli philisi ngaphambi kokudla ubisi, i-enzyme ye-lactase ekulo iya esiswini sakho futhi isilungile. Ngemuva kwalokho, lapho i-lactose ekudleni okudlayo ifika esiswini sakho, leyo enzyme izoyigaya kahle. Ngemuva kwalokho, akukho okunye kokungakhululeki okukhulunywe ngakho okuzokwenzeka.
Kubalulekile ukukhumbula ukuthi lokhu akulona ikhambi lazo zonke izinto, kodwa kumane nje kuyisizo ekugayweni kokudla ngaleso sikhathi . Lokhu kusho ukuthi ukuthatha lokhu uma ungadli ubisi ngeke kusize ngalutho.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha la maphilisi
Nakuba lezi ziyizithasiselo ezivame ukuthengwa emakhemisi, kuwukuhlakanipha ukukhuluma nodokotela wakho ngaphambi kokuzisebenzisa. Lokhu kubaluleke kakhulu uma unezinye zezimo ezilandelayo:
| Isimo okufanele sibikwe | Incazelo |
|---|---|
| I-Phenylketonuria | Lesi yisimo esingavamile kakhulu, esihambisana nofuzo esiba khona lapho uzalwa. Uma unalesi sifo, cishe usuvele uyazi ngaso. |
| Ukungezwani komzimba | Uma uke waba nokusabela kokungezwani komzimba ne-Lactase noma yimuphi omunye umuthi, ukudla, umbala, noma isilondolozi, sitshele ngakho. |
| Ukukhulelwa noma ukuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, kubalulekile ukufuna iseluleko sezokwelapha ngaphambi kokuthatha noma yimuphi umuthi noma isithasiselo. |
Uwasebenzisa kanjani la maphilisi kahle?
Ukuze uthole okuningi kulokhu, kubaluleke kakhulu ukwazi ukuthi ungayisebenzisa kanjani kahle.
- Ukuhlafuna: Leli iphilisi elihlafunwayo. Ngakho-ke, kufanele lihlafunwe ngokuphelele ngaphambi kokugwinya.
- Isikhathi Sokuthatha: Into ebaluleke kakhulu ukuthi kufanele ulithathe nini. Thatha leli philisi ngokuluma kokuqala ukudla kobisi ozokudla (isb. i-yogurt, i-pizza kashizi, ingilazi yobisi). Yilapho i-enzyme ne-lactose kuhlangana khona esiswini ngesikhathi esifanayo futhi kusebenze kahle. Ukulithatha ngemva kokudla ngeke kusebenze.
- Isilinganiso Esinconywayo: Landela imiyalelo esephaketheni noma njengoba kuyalelwe udokotela wakho. Ungathathi ngaphezu kwesilinganiso esinconywayo.
- Ezinganeni: Odokotela ngezinye izikhathi batusa lezi ngisho nasezinganeni ezingaphezu kweminyaka engu-4 ubudala. Kodwa-ke, uma uzinika ingane, qiniseka ukuthi ukhuluma nodokotela wezingane futhi uzinike kuphela njengoba kuyalelwe.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe amaphilisi amaningi kunalokho okucabangayo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Masiqaphele nemiphumela emibi.
Ngokuvamile, imiphumela emibi kakhulu evela kumaphilisi e-Lactase ayivamile kakhulu. Kukhona futhi nengozi encane yokusebenzisana neminye imithi. Kodwa-ke, njenganoma yini, abanye abantu bangase babe nemiphumela emibi.
Into eyinhloko okufanele ukhathazeke ngayo ukusabela kwe-allergy . Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, yeka ukuthatha amaphilisi ngokushesha bese ubona udokotela.
- Ukuqubuka kwesikhumba noma isimo esifana ne-eczema
- Ukuluma
- Ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona, ngakho-ke uma uhlangabezana nanoma yini engavamile, xhumana nodokotela.
Isikhumbuzo esincane mayelana nezithasiselo
Amaphilisi e-lactase awafani nemithi kadokotela, awela ngaphansi kwesigaba sezithako zokudla. Ngakho-ke, kubalulekile ukwazi izinto ezimbalwa ngawo.
- Ukuntuleka kokulawulwa okuqinile: Ngokungafani nemithi evamile, izithasiselo zokudla azilawulwa ngokuqinile kwekhwalithi. Ngakho-ke, ubumsulwa bazo kanye nekhwalithi yazo kungahluka.
- "Okwemvelo" akusho ukuthi "kuphephile": Ukuthi nje umkhiqizo wenziwe ngezithako zemvelo akusho ukuthi uphephile kuwo wonke umuntu.
- Umkhiqizi othembekile: Noma nini lapho kungenzeka, khetha isengezo esenziwe yinkampani eyaziwayo ezweni lonke nenedumela elihle.
Uma izimpawu zakho zingathuthuki ngemva kokuthatha la maphilisi, noma uma ziba zimbi kakhulu, qiniseka ukuthi ubona udokotela ukuze akuhlole, njengoba kungase kube nezinye izimbangela zezinkinga zesisu.
Umlayezo Wokuya Nawe Ekhaya
- Amaphilisi e-Lactase ayisengezo sama-enzyme esisiza abantu abangakwazi ukubekezelela i-lactose ukuthi bagaye ukudla kobisi.
- Lokhu akulona ikhambi lalesi sifo, kumane kuyimpumuzo yesikhashana.
- Isikhathi esingcono kakhulu sokuthatha iphilisi yilapho uluma umkhiqizo wobisi okokuqala . Yilapho-ke kusebenza khona kangcono.
- Kubalulekile ukukhuluma nodokotela wakho ngaphambi kokusebenzisa noma yisiphi isithasiselo sokudla, ikakhulukazi uma ukhulelwe, unezinye izimo zezokwelapha, noma unikeza ingane.
- Uma kuvela izimpawu zokusabela kokungezwani komzimba (ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala), yeka ukuthatha amaphilisi ngokushesha bese ucela iseluleko sikadokotela.
- Uma izimpawu ziqhubeka, bona udokotela ukuze anqume ukuthi kukhona yini esinye isizathu sobuhlungu besisu sakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Yisiphi isifo esinikezwa iBisoprolol (Bisoprolol / Zebeta)?
Lona umuthi we-beta-blocker ophumelela kakhulu futhi onamandla kakhulu emhlabeni! Odokotela bawusebenzisa ukulawula umfutho wegazi ophakeme kakhulu nokwandisa impilo ngokukhulula inhliziyo esebenza kanzima ngemva kokuhlaselwa yinhliziyo noma ukwehluleka kwenhliziyo.
💬 Ukuthatha leli philisi lenhliziyo (i-Bisoprolol) kwehlisa kanjani umfutho wegazi kanye nokukhathala kwenhliziyo?
Uma uthukuthele/wesaba, inhliziyo yakho ishaya ngokushesha ngenxa yomyalezo othi 'Adrenaline/Noradrenaline (Epinephrine)' othunyelwa usuka ebuchosheni. Lapho nje leli philisi lingena emzimbeni, liya ngqo enhliziyweni bese livimba/livala wonke amasango (ama-Beta-1 Receptors) avumela i-adrenaline ukuthi idlule, okuphoqa ukuthi ikhiyeke. Njengoba kungekho ndlela yokuthi umyalezo udlule, inhliziyo imane yehlise ijubane bese iqala ukushaya ngesivinini esincane. Ngemuva kwalokho, umthwalo enhliziyweni uyehla futhi nengcindezi nayo iyehla.
💬 Kungani kuthiwa ungayeki ukuthatha lo muthi (i-Bisoprolol) ngokuzumayo? Yiziphi izingozi (Isexwayiso Sebhokisi Elimnyama)?
Uma uthatha leli philisi izinyanga bese 'uyeka ngokuzumayo', wonke lawo ma-receptor e-adrenaline avaliwe azovuleka ngokuzumayo ngokungalawuleki! Ngemuva kwalokho, ngemizuzu embalwa, uzoba nokuhlaselwa yinhliziyo okukhulu futhi inhliziyo yakho izoma (i-Angina Exacerbation / Myocardial Infarction) okubulalayo kangangokuthi ungafa! Futhi, leli philisi lingayinciphisa kakhulu ijubane lenhliziyo yakho futhi libangele isiyezi/ukungalali/ukukhathala.
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