Buza Isazi: Imibuzo ejwayelekile mayelana notshwala negazi

-Delile

• 1. Kuyingozi kangakanani ukuphuza utshwala uma nginciphisa igazi?
• 2. Ziyini izingozi zokuphuza utshwala uma ngisebenzisa imithi yami?
• 3. Yiziphi ezinye zezimpawu okufanele ngibize ngazo udokotela?
• 4. Ukuphuza utshwala kuyithinta kanjani i-cholesterol yami ephezulu noma ingozi yezinye izindaba zenhliziyo?
• 5. Ngabe abanye abacutha igazi bahlukile kunabanye kulokhu, noma ingabe kuyingozi efanayo?
• 6. Ngabe akhona amathuluzi noma izinsiza kusebenza ezingisizayo ukunciphisa ukuphuza kwami ​​utshwala?

1. Kuyingozi kangakanani ukuphuza utshwala uma nginciphisa igazi?

Ngokusho kwalaba, ukuphuza okulinganiselayo isiphuzo esisodwa ngosuku kwabesifazane kuze kube yiziphuzo ezimbili ngosuku kwabesilisa.

Kunezici eziningana ezinquma ukuthi ukuphuza utshwala ngokulinganisela kuyingozi kangakanani ngenkathi uthatha abacoci begazi. Ngeshwa, lezi zinto zihlukile kuwo wonke umuntu.

Ngokwengxenye enkulu, ukuphuza utshwala ngokulinganisela kuphephile kubantu ngenkathi uthatha izinciphisi zegazi inqobo nje uma ungenazinkinga ezinkulu kwezokwelapha futhi usempilweni ephelele. Kubalulekile ukukuqinisekisa lokhu kumhlinzeki wakho wezokunakekelwa kwempilo.

2. Ziyini izingozi zokuphuza utshwala uma ngisebenzisa imithi yami?

Uma unezinkinga ezingapheli zezokwelapha ezihlobene nesibindi sakho noma izinso, kuzothinta imetabolism (noma yehle) yegazi elinciphile. Lokhu kungenza igazi lakho libe mncane kakhulu futhi likubeke engcupheni enkulu yezinkinga zokopha ezisongela impilo.

Ngisho noma unesibindi nezinso ezisebenza ngokujwayelekile, utshwala bungakhawulela amandla akho esibindi okuhlanganisa amanye amakhemikhali. Kungakhawulela izinso zakho ekukhipheni ubuthi obudiliziwe noma izidakamizwa, njengegazi lakho elibekiwe elinciphile. Lokhu kungaholela emiphumeleni efanayo eyingozi ye-anticoagulation eyeqile.

3. Yiziphi ezinye zezimpawu okufanele ngibize ngazo udokotela?

Ukuba kunoma yiliphi igazi elincanyana kuzokwandisa ingozi yokuphuma kwegazi. Ukulimala okulimazayo kungenye yezimbangela ezivame kakhulu zokopha, kepha kwesinye isikhathi ungopha ngokuzenzekelayo.

Izimpawu zefulegi elibomvu zifaka inani elikhulu lokulahleka kwegazi okubonakalayo emchameni, esitulweni, ekuhlanzeni, noma ekulimaleni okuthile emzimbeni. Funa ukunakekelwa kwezempilo ngokushesha ukunqanda ukopha futhi unikeze ukuvuselelwa lapho kudingeka.

Kunezimo ezingavamile zokopha kwangaphakathi okungenzeka noma kungahlotshaniswa nokulimala okubuhlungu. Kungaba nzima ukukhomba nokwenza okuthile ngoba kungenzeka kungabonakali ekuqaleni, kepha ukulimala ekhanda kuyingozi enkulu futhi kufanele kuhlolwe ngumhlinzeki wezokunakekelwa kwempilo.

Ezinye izimpawu ezivamile zokopha kwangaphakathi zifaka:

• isiyezi
• ubuthakathaka
• ukukhathala
• ukuquleka
• ukuvuvukala kwesisu
• isimo sengqondo esishintshile
• umfutho wegazi ophansi kakhulu (lokhu kuyisimo esiphuthumayo kwezokwelapha, futhi kufanele ufune ukunakekelwa kwezokwelapha ngokushesha)

Futhi ungabona imihuzuko emincane esikhumbeni sakho ivela lapho imithambo yegazi emincane ilimala emisebenzini yansuku zonke. Lokhu akuvamile ukukhathazeka kakhulu ngaphandle kokuthi kunabile noma kukhona ukushintsha kombala okuphawuliwe.

4. Ukuphuza utshwala kuyithinta kanjani i-cholesterol yami ephezulu noma ingozi yezinye izindaba zenhliziyo?

Ukuphuza utshwala ngokulingene kunenzuzo ebonakalayo futhi ebalulekile kwezempilo, kepha hhayi wonke umuntu uyavuma. Kunezingozi eziningana ezihambisana nanoma yiliphi inani lokuphuza utshwala.

Ngo-2011 obekubandakanya izifundo zocwaningo ezingama-84 zangaphambilini zathola ukuthi abaphuza utshwala banesibalo esincishisiwe sokufa kwenhliziyo nokushaywa unhlangothi, kanye nokwehla kokukhula kwesifo semithambo yenhliziyo (CAD) nesifo sohlangothi esingabulali uma kuqhathaniswa nabangaphuzi.

Ingozi ephansi kunazo zonke yokushona kwe-CAD itholakale kulabo abaphuza utshwala bephuza cishe okulingana nambili kuya kwezimbili zotshwala. Umphumela ongathathi hlangothi watholakala ngokufa kwesifo sohlangothi kanye nokushaywa okungabulali. Lokhu kuhlaziywa kwe-meta kuyisisekelo semihlahlandlela yamanje yokusetshenziswa kotshwala.

Ukuphuza utshwala ngokulingene, ikakhulukazi ewayinini elibomvu, kutholakale ukuthi kubangele ukwanda okuncane kwe-cholesterol yakho ye-HDL (enhle).

5. Ngabe abanye abacutha igazi bahlukile kunabanye kulokhu, noma ingabe kuyingozi efanayo?

Kunezinhlobo ezingaphezu kweyodwa zegazi elincanyana futhi zisebenza ezindleleni ezahlukahlukene emzimbeni.

Esinye sezinciphisi ezindala kakhulu segazi esisasetshenziswa kabanzi yi-warfarin (Coumadin). Kubo bonke abanciphisi begazi abakhona namuhla, i-warfarin ithinteka kakhulu ngokusetshenziswa kotshwala ngokweqile. Kodwa-ke, ukusetshenziswa ngokulingene akuthinti kakhulu imetabolism ye-warfarin.

Eminyakeni embalwa edlule, kwasungulwa isigaba esisha sabanciphisa igazi. Banikela ngezinzuzo eziningi ngaphezulu kwe-warfarin, kepha banokunye ukungalungi. Khuluma nomhlinzeki wakho wezokunakekelwa kwezempilo ngezinzuzo nezingozi.

Kulezi zinciphisi zegazi ezintsha, kune-thrombin inhibitors eqondile, efana ne-dabigatran (Pradaxa), ne-factor Xa inhibitors, njenge-rivaroxaban powder (i-Xarelto), i-apixaban (i-Eliquis), ne-edoxaban (i-Savaysa). Indlela yabo yokwenza ayithinteki ekuphuzeni utshwala. Kuphephile ukuphuza utshwala inqobo nje uma unempilo enhle jikelele futhi uqinisekisile nomhlinzeki wakho wezokunakekelwa kwempilo.

Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola ukuthi iliphi igazi onciphise ukulifanele.

6. Ngabe akhona amathuluzi noma izinsiza kusebenza ezingisizayo ukunciphisa ukuphuza kwami ​​utshwala?

Ukuba nemingcele yokuphuza kuphela inani elilinganiselwe lotshwala kungaba yinselele kwabanye abantu. Akunconyelwa ukuthi uqale uphuze utshwala uma ungejwayele.

Kulabo abanenkinga yokuphuza ngokweqile, kunezinsizakusebenza namathuluzi okusiza ukunciphisa ukuphuza utshwala. INational Institute on Alcohol Abuse and Alcoholism (NIAAA) ingesinye sezikhungo eziningi zeNational Institute of Health (NIH), futhi ingumthombo oyingqayizivele, ohlanganisa zonke izinto eziphathelene notshwala.

Uma wazi ukuthi usengozini yokusebenzisa kabi utshwala, ungazibeki endaweni ezolinga ukuphuza ngokweqile.

Vele, abahlinzeki bezempilo balapha ukuze bakusize futhi bakusekele ngokuhamba kwesikhathi.

UDkt.Harb Harb ngudokotela wenhliziyo ongahlaseli osebenza eNorthwell Health System eNew York, ikakhulukazi eNorth Shore University Hospital, esebenzisana neHofstra University. Uqede isikole sezokwelapha e-University of Iowa Carver College of Medicine e-Iowa City, e-Iowa, umuthi wezangaphakathi eCleveland Clinic eCleveland, e-Ohio, nemithi yenhliziyo eHenry Ford Health System eDetroit, eMichigan. UDkt.Harb uthuthele eNew York City, wakhetha indlela yokusebenza kwezokwelapha njengomsizi kaprofesa eDonald naseBarbara Zucker School of Medicine eHofstra / Northwell. Lapho, ufundisa futhi asebenze nabaqeqeshiwe benhliziyo nemithambo kanye nabafundi bezokwelapha. Ungumuntu we-American College of Cardiology (FACC) kanye nebhodi laseMelika eliqinisekisiwe ku-cardiology ejwayelekile, i-echocardiography, nokuhlolwa kwengcindezi, kanye nenhliziyo yenuzi. Ungudokotela obhalisiwe wokuhumusha ngemithambo (RPVI). Ekugcineni, wathola iziqu kwezempilo yomphakathi nasekuphathweni kwebhizinisi ukuze afake isandla ocwaningweni lokulungiswa kwezempilo kuzwelonke nasekusebenziseni.