Ingabe udokotela ukutshelile ukuthi unesifo sikashukela sohlobo lwesibili? Sekuyisikhathi sokucabanga kabanzi ngempilo yenhliziyo yakho. Ungase ucabange, "O, nginesifo sikashukela, kuyini ukuxhumana phakathi kwalokho nenhliziyo yami?" Eqinisweni, kukhona ukuxhumana okukhulu kunalokho esikucabangayo. Kalula nje, isifo sikashukela nesifo senhliziyo kufana nezelamani emndenini owodwa. Namuhla, ake sixoxe ngalokhu kuxhumana kanye nezindaba ezinhle ezingakusiza ukuphatha zombili lezi zimo.
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Kungani abantu abanesifo sikashukela besengozini enkulu yokuthola isifo senhliziyo?
Lokhu kulula kakhulu ukukuqonda. Uma unesifo sikashukela, kusho ukuthi ushukela wakho wegazi (amazinga kashukela) uphakeme kunokuvamile. Uma leli zinga likashukela eliphezulu lihlala egazini isikhathi eside, liqala ukulimaza imithambo yegazi yethu, ikakhulukazi imithambo yegazi.
Cabanga ngale ndlela. Njengoba nje amapayipi amanzi emakhaya ethu egqwala futhi evaleka ukungcola ngokuhamba kwesikhathi, izinto ezifana ne-cholesterol nezinye izinto ziqoqana emithanjeni yethu yegazi ngenxa yalo shukela omningi futhi zifakwa 'njenge-plaque'. Le plaque inciphisa isikhala ngaphakathi kwemithambo yegazi futhi ivimbele ukugeleza kwegazi. Kwenzekani uma imithambo emikhulu ehlinzeka ngegazi enhliziyweni, ebuchosheni nasezinso ivaleka ngale ndlela? Yilapho-ke kuvela khona izimo ezibucayi njengokuhlaselwa yinhliziyo kanye nohlangothi .
Kalula nje, isifo sikashukela siyisici esiyingozi kakhulu sesifo senhliziyo. Ngezinye izikhathi njengodokotela, sithi ukuba nesifo sikashukela sohlobo lwesibili kufana nokuthi usuvele unesifo senhliziyo.
Kodwa indaba ayigcini lapho. Isifo sikashukela asisona isifo esiza sodwa. Ngokuvamile, uza nabangani bakhe abambalwa.
| Ezinye izinto eziyingozi ezihlobene nesifo sikashukela | Indlela ethinta ngayo ingozi yesifo senhliziyo |
|---|---|
| Ukukhuluphala ngokweqile | Ukukhuluphala kubeka ingcindezi eyengeziwe enhliziyweni futhi kuphakamisa umfutho wegazi kanye namazinga e-cholesterol. |
| Umfutho Wegazi Ophakeme | Njengoba umfutho ukhuphuka, izindonga zemithambo yegazi ziyalimala, okwenza kube lula ukuthi i-plaque yakheke. |
| I-Cholesterol Ephezulu | Ukwanda kwe-cholesterol 'embi' (LDL) egazini kuyimbangela eyinhloko yokwakheka kwama-plaque emithanjeni yegazi. |
Manje uyabona ukuthi le nethiwekhi iyinkimbinkimbi kangakanani? Isifo sikashukela, kanye nazo zonke lezi ezinye izinto, sikubeka engcupheni enkulu kakhulu yesifo senhliziyo. Njengodokotela, sizama ukunciphisa le ngozi futhi sikusindise ekuhlaselweni yinhliziyo noma isifo sohlangothi.
Kodwa ungesabi! Kunezindaba ezinhle!
Isikhathi eside, ukugxila okuyinhloko kokwelashwa kwesifo sikashukela kwakuwukulawula amazinga kashukela egazini. Sasazi ukuthi lokhu kuzovimbela izinkinga ezihlobene nemithambo yegazi emincane, njengokulimala kwamehlo (i-retinopathy), isifo sezinso, kanye nokulimala kwemizwa (i-neuropathy).
Kodwa sasingenakho ukucaca okuningi ngokuthi yini ngempela okwakudingeka siyenze ukuze sivimbele izifo zenhliziyo, okuyinkinga ngemithambo yegazi emikhulu exhumanisa izitho ezinkulu njengenhliziyo nobuchopho. Selaphe isifo sikashukela ngokwehlukana, umfutho wegazi ngokwehlukana, kanye ne-cholesterol ngokwehlukana.
Imithi yesimanje eshintshe konke
Kodwa manje leso simo sesishintshe ngokuphelele. Kuye kwaqalwa izinhlobo eziningana ezintsha zemithi yesifo sikashukela eminyakeni embalwa edlule, ezishintshe kakhulu ukuphathwa kwesifo sikashukela nesifo senhliziyo. Izinhlobo ezimbili zemithi ezibaluleke kakhulu yilezi:
- Ama-agonist e-GLP-1 receptor
- Izithibi ze-SGLT-2
Nakuba la magama engase azwakale eyinkimbinkimbi kancane, lokho okwenziwa yile mithi kuyamangalisa impela. Le mithi ayilawuli nje amazinga kashukela egazini, kodwa futhi isebenza ngqo ukuvikela inhliziyo nemithambo yegazi.
Lokhu kusho ukuthi uma uthatha lolu hlobo lomuthi, ubulala izinyoni ezimbili ngetshe elilodwa. Isifo sakho sikashukela sizolawulwa, futhi ngesikhathi esifanayo ingozi yakho yesifo senhliziyo izoncishiswa kakhulu. Lezi yizindaba ezinhle kakhulu ezigulini ezinesifo sikashukela, kanye nakodokotela abafana nathi abasiphathayo. Ngenxa yalezi zinto ezintsha ezitholakele, manje sesikwazi ukubhekana nalezi zitha ezimbili eziyingozi ngesikhathi esisodwa: isifo sikashukela nesifo senhliziyo.
Ngakho-ke, uma unesifo sikashukela, qiniseka ukuthi ukhuluma ngalezi zindlela zokwelapha ezintsha ngesikhathi esizayo lapho ubona udokotela wakho. Xoxa nodokotela wakho ukuthi yiluphi uhlelo lokwelapha olukulungele, ukulawula ushukela egazini lakho, nokuvikela inhliziyo yakho.
Umlayezo Wokuya Nawe Ekhaya
- Uma unesifo sikashukela sohlobo lwesibili, usengozini enkulu kakhulu yesifo senhliziyo. Lokhu kokubili kuhlobene kakhulu.
- Ingozi ayiveli nje kuphela emazingeni kashukela egazini. Ukukhuluphala ngokweqile, umfutho wegazi ophakeme, kanye ne-cholesterol ephezulu konke kuyanezela ekwandiseni le ngozi.
- Ukuze uvikele impilo yakho, kubalulekile ukulawula kahle hhayi amazinga akho kashukela kuphela, kodwa futhi nomfutho wegazi lakho, i-cholesterol, kanye nesisindo somzimba.
- Manje sekukhona imithi yesimanje (isib. ama-agonist e-GLP-1, ama-inhibitor e-SGLT-2) angagcini nje ngokulawula isifo sikashukela, kodwa futhi asiza ekuvikeleni inhliziyo.
- Hlala uthintana nodokotela wakho ukuze uthole uhlelo lokwelapha olungcono kakhulu lwesimo sakho sempilo. Gwema ukwenza izinqumo ngokusekelwe ekuqageleni noma iseluleko esivela kwabanye.
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