Ingabe AmaMarathon Akulungile Ngezinso Zakho?

-Delile

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Ukube ubungabuza abantu entanjeni yomjaho webanga ukuthi kungani bevele bezijulukele nobuhlungu ngamamayela angama-26.2, ungahle uzwe izinto ezinjengokuthi "ukufeza inhloso enkulu," "ukubona ukuthi ngingakwenza yini, "kanye" nokuthola impilo. " Kepha kuthiwani uma owokugcina engelona iqiniso ngokuphelele? Kuthiwani uma imarathon ibilimaza umzimba wakho empeleni? Lowo ngumbuzo abacwaningi baka-Yale abawuphendule ocwaningweni olusha, bathola ukuthi abagijimi bebanga elide bakhombisa ubufakazi bokulimala kwezinso ngemuva komjaho omkhulu. (Okuhlobene: Ingcuphe Yangempela Yokuhlaselwa Yinhliziyo Ngesikhathi Somjaho Omkhulu)

Ukubheka umphumela wokugijima ibanga elide empilweni yezinso, ososayensi bahlaziye iqeqebana labagijimi ngaphambi nangemuva kwe-Hartford Marathon ka-2015. Baqoqa amasampula egazi nomchamo, bebheka izimpawu ezihlukahlukene zokulimala kwezinso, okuhlanganisa amazinga e-serum creatinine, amaseli ezinso ku-microscope, namaprotheni emchameni. Okutholwe bekushaqisa: Amaphesenti angu-82 abagijimi bama-marathoni abonise "I-Stage 1 Acute Kidney Injury" ngemva nje komjaho, okusho ukuthi izinso zabo zazingawenzi kahle umsebenzi wokuhlunga udoti egazini.

"Izinso zisabela ekucindezelekeni komzimba we-marathon egijima sengathi ilimele, ngendlela efana naleyo eyenzeka ezigulini ezibhedlela lapho izinso zithinteka yizinkinga zezokwelapha nezokuhlinzwa," kusho uChirag Parikh, MD, ongumcwaningi oholayo kanye noprofesa wemithi eYale.

Ngaphambi kokuthi uthuke, ukulimala kwezinso kwathatha izinsuku ezimbalwa kuphela. Bese izinso zabuyela kwesejwayelekile.

Futhi, ungahle uthande ukuthatha okutholakele nghlamvu kasawoti (yay electrolyte!). S. Adam Ramin, M.D., udokotela ohlinzayo womchamo nomqondisi wezokwelapha we-Urology Cancer Specialists eLos Angeles, uveza ukuthi izivivinyo ezisetshenziswe ocwaningweni azinembile ngamaphesenti ayi-100 ekutholeni isifo sezinso. Isibonelo, i-spike emazingeni e-creatinine emchameni ingakhombisa ukulimala kwezinso, kepha futhi ingakhombisa ukulimala emisipheni. “Ngingalindela ukuthi la mazinga abe phezulu ngemuva komjaho omude noma ngabe yikuphi,” usho kanje. Futhi ngisho noma ugijima i-marathon kwenza kubangele ukulimala kwangempela ezinso zakho, uma uphilile umzimba wakho ungalulama uwedwa, ngaphandle kwezinkinga zesikhathi eside, usho kanjalo.

Kunento eyodwa okufanele uyikhumbule, noma kunjalo: "Lokhu kukhombisa ukuthi kufanele ube nempilo enhle ukuze ugijime umncintiswano, ungagijimeli umncintiswano wokuthuthukisa impilo yakho," kuchaza uRamin. "Uma uziqeqesha ngendlela efanele futhi unempilo, khona-ke umonakalo omncane ezinso phakathi nomjaho awunabungozi noma unomphela." Kepha abantu abanesifo senhliziyo noma sesifo sikashukela, noma ababhemayo, akufanele basebenzise umjaho webanga elide ngoba izinso zabo zingase zingakwazi ukululama nazo.

Futhi njengenhlalayenza, qiniseka ukuthi uphuza amanzi amaningi. "Ingcuphe enkulu ezinsweni zakho ngesikhathi sokuzivocavoca ukoma emzimbeni," kusho uRamin.

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