Ukwehla kakhulu kwandisa ingozi yokuba nesifo sezinso
Mhlawumbe akudingeki ukuba uqale ngezingcaphuno ezivamile mayelana nomphumela wokulimala ngokweqile empilweni yakho. Ukulula okulula kungaba yisitatimende esinegama elide: "Ukukhuluphala ngokweqile kubulala" . Kodwa abantu abaningi bayazi ukuthi kakade. Indima yokudla ngokweqile njengengxenye enkulu engozini yenhliziyo nesifo senhliziyo, isifo sikashukela, isifo sofuba nesibambisene cishe sekuyaziwa yonke indawo.
SIKHULULEKILE
Ngo-1997, i-World Health Organization yabiza ukukhuluphala "enye yezinkinga zezempilo zomphakathi ezingenakunakekelwa esikhathini sethu esinomthelela empilweni okungase iqiniseke ukuthi ifana nokubhema". Uma ungena kuzibalo, nansi ezinye izinombolo ezikhathazayo: cishe abantu abayizigidi ezingu-3 bafa ngonyaka ngamunye ngenxa yokuphefumula. Ukukunika umbono, lokho kungokwesihlanu kwenani labantu abafa eMpini Yezwe II (izigidi ezingu-15). Ngamanye amazwi, silahlekelwa inani elifanayo labantu ukukhuluphala njalo eminyakeni emihlanu, njengoba befile phakathi nempi! Thina, iZwi Lase-Plenty yisizwe esinamandla kunazo zonke emhlabeni ngamanani amaningi (nakuba i-American Samoa ithatha ikhekhe uma uhamba ngephesenti labantu abaningi kakhulu).
Isizathu sokuthi lesi sihlukaniso esiyinkimbinkimbi singaphansi kwalesi sihloko, kodwa sihlanganisa izici zenhlalo, amasiko, nezomnotho. Siphila esikhathini sokudla eshibhile nezinsizakalo ezinkulu.
Yini encane e-US inkulu eYurophu. Iyiphi indlela e-US engekho kwezinye izindawo eziningi emhlabeni. Lesi sifo sokugubha siyoba nemiphumela yempilo yomphakathi.
INGABE UKUHLOLA KUPHELA UKUQALA KWAKHO
Kulungile. Kule minyaka eyishumi edlule, izifundo eziningana ziye zasungula isisindo somzimba esiphezulu sokuphakama (umzimba wakho we-Body Mass Index) njengesisongelo sokuthuthukiswa kwezifo zezinso nokuqhubeka.
Lokhu kuyiqiniso ngisho nangemva kokulungisa ukucindezela kwegazi nesifo sikashukela . Ngamanye amazwi, abantu abakhuluphele basengozini yokuhluleka kwezinso ngenxa yokukhuluphala kwabo kuphela, hhayi nje ngoba nabo banamathuba amaningi okuba nengcindezi ephezulu yegazi kanye nesifo sikashukela (ngaphandle kwalokho izimbangela ezimbili ezinkulu ezibangelwa isifo sezinso).
Okunye okunye okulula ukukwenza kungukuthi ukuthi: kunzima kakhulu, izinso zakho ziyasebenza kakhulu. Kusukela esimweni esithile sezesayensi, ukukhuluphala kunciphisa uhla lwezinguquko ezingasebenzi kulezinso ezigcina ziholela ekufeni kwesifo sezinso (CKD ). Esimweni esinzima nakakhulu, umuntu okhuthele angabona ukuthi izinso zezinso zabo ziyehla lapho kudingeka khona i- dialysis .
Ngakho yiziphi lezi zinguquko. Ngengozini yokuthola ubuchwepheshe obukhulu, ake ngikunikeze umbono ophuthumayo:
- Ukukhuluphala kakade kunomhlangano owaziwayo nezinye izifo ezilimaza izinso zakho. Ngikhuluma ngabasolwa abajwayelekile - ukucindezelwa kwegazi eliphezulu, isifo sikashukela, amazinga aphakeme e-uric acid, amazinga aphezulu e-cholesterol , njll. Le nkanyezi evame ukuza njengento "yokuthengiswa kwephakeji" ngokukhuluphala kuthiwa yi- syndrome ye-metabolic . Lezi zimo ziholela ezifweni zezinso, noma yizinqubo ezingaqondile .
- Ukukhuluphala ngokweqile kubangela ukuguqulwa okulimazayo ezintsheni 'ukukhishwa kwegazi nokucindezelwa. Lezi zinguquko ziqala isikhathi eside ngaphambi kokuba noma yimiphi imiphumela yomtholampilo yokukhuluphala ezinso izinso. Lokhu kuboniswe ekutadisheni okukhulu okuvela eSpain okwenziwa yizinso zezinso ezigulini ezikhulu kakhulu ezethula ukuhlinzwa kwesisindo / ukuhlinzwa.
- Uma ucabanga ukuthi amafutha omzimba wakho ongazizonda kakhulu nje kuphela i-depot yezicubu ezikuvimbela ekuboniseni iphakethe lakho lesithupha, cabanga futhi. I-paradigm entsha ekuqondeni kwethu amafutha omzimba ukuwubuka njengengqondo ye- endocrine; elikhiqiza ama-hormone abizwa ngokuthi "adipokines" . Yilawa ma-adipokines abangela ukuvuvukala kwesimiso nokuguqulwa ezintsheni 'ukugeleza kwegazi / ingcindezi. Ukuvuvukala kubuhlungu imithwalo yegazi nezinso, phakathi kwezinye izitho. Lapho amangqamuzana asezinso efa ngenxa yemiphumela yalesi sibhamu, kungaholela ekuqothulweni okuhlala njalo ezinsweni ekugcineni okuholela ekufweni kwezinso. Ngakho-ke, amafutha omzimba yinkimbinkimbi ye-hormonal activity eyenza umsebenzi wezinso.
INGABE YOKUPHATHWA KWEZINDAWO ZOKUPHILA KWESIKHATHI
Ayikho impendulo ye-brainer kungaba ukuthi ukulahlekelwa isisindo kungasiza. Ukulahlekelwa kwesisindo kuyaziwa ukunciphisa ukucindezelwa kwegazi, ukulahla ukumelana nokuvikela kwakho kwe-insulin, nokunciphisa ukuvuvukala kwesistimu okukhulunywe ngenhla. Ngaphandle kokulahlekelwa isisindo, imithi embalwa ingase ibe nendima ezimweni ezithile:
- Ngokwesibonelo, uhlobo oluthile lwesifo sezinso obangelwa ukukhuluphala into okuthiwa i-Focal Segmental Glomerulosclerosis (FSGS), futhi kungenzeka ukuthi ukulawula ukuthi ngezigaba zakuqala ngemithi ebizwa ngokuthi i-ACE inhibitors (isibonelo kungaba lisinopril).
- Imithi ye-cholesterol efana nesimo se-statins ingase ibe usizo (isb. Atorvastatin noma i-Lipitor).
- I-Metformin, imithi ejwayelekile esetshenziselwa isifo sikashukela inendima ekuvimbeleni ukulimala kwe-kidney ehlobene nokukhuluphala
- Ukwelashwa kwezinto ezihambisana nobungozi ezifana ne-hypertension, isifo sikashukela noma ukumelana ne-insulin, i-apnea yokulala, i-dyslipidemia iyadingeka.
Indaba ende emfushane, ngokuba namafutha kubi izindaba ezimbi zezinso zakho zokusebenza. Qinisekisa ibhande lakho uma umcabango wokuba u- dialysis uqeda wena.