Ngaba iiMarathons azilungile kwizintso zakho?
Umxholo
Ukuba ubunokubuza abantu kumgca wokugqibela wemarathon kutheni bezibeka nje ukubila kunye neentlungu ezingama-26.2, ubunokuva izinto ezinje "ukufezekisa injongo enkulu," ukubona ukuba ndingayenza na, "kunye" nokuba sempilweni. " Kodwa kuthekani ukuba esokugqibela asiyonyani ngokupheleleyo? Kuthekani ukuba umgama omde wawuwonakalisa umzimba wakho? Lowo ngumbuzo abaphandi bakaYale abawuphendule kwisifundo esitsha, befumanisa ukuba abagqatso bembaleki babonisa ubungqina bomonakalo wezintso emva komdyarho omkhulu. (Idibeneyo: Umngcipheko wokwenene wokuhlaselwa kwentliziyo ngexesha lohlanga olukhulu)
Ukujonga isiphumo sokuhamba umgama omde kwimpilo yezintso, izazinzulu zahlalutya iqela elincinci leembaleki ngaphambi nasemva kwe-2015 Hartford Marathon. Baqokelela iisampuli zegazi kunye nomchamo, bejonga kwiimpawu ezahlukeneyo zokulimala kwezintso, kubandakanywa amanqanaba e-serum creatinine, iiseli zezintso kwi-microscopy, kunye neeprotheni kumchamo. Izinto ezifunyanisiweyo beziyothusa: i-82 pesenti yababaleki babonise “iStage 1 Acute Kidney Injury” kamsinya nje emva kogqatso, nto leyo ethetha ukuba izintso zabo bezingawenzi kakuhle umsebenzi wokuhluza inkunkuma egazini.
"Izintso zisabela kuxinzelelo lomzimba lwe-marathon olubalekayo njengokungathi lwenzakele, ngendlela efana nento eyenzekayo kwizigulane ezibhedlele xa intso ichaphazeleka ngenxa yeengxaki zonyango kunye nokuhlinzwa," kusho uChirag Parikh, MD, umphandi okhokelayo kunye noprofesa. amayeza eYale.
Ngaphambi kokuba uphazamiseke, umonakalo wezintso wahlala iintsuku ezimbalwa kuphela. Emva koko izintso zabuyela esiqhelweni.
Kwaye ungafuna ukuthatha iziphumo kunye nengqolowa yetyuwa (ii-electrolyte yay!). S. Adam Ramin, M.D., ugqirha wotyando lweurologic nomalathisi wezonyango kwiUrology Cancer Specialists eLos Angeles, ubonisa ukuba iimvavanyo ezisetyenziswe kolu hlolisiso azichananga nge-100 ekhulwini ekuxilongeni isifo sezintso. Umzekelo, i-spike kumanqanaba e-creatinine kumchamo inokubonisa ukonzakala kwezintso, kodwa ikwabonisa ukwenzakala kwezihlunu. "Ndingalindela ukuba la manqanaba abe phezulu emva komdyarho omde ngaphandle kokujonga," utshilo. Nokuba uqhuba umgama omde yenza yenza umonakalo wangempela kwizintso zakho, ukuba uphilile kwaye umzimba wakho unokuphinda uzilungiselele ngokwawo, ngaphandle kwemicimbi yexesha elide, utshilo.
Kukho into enye omele uyikhumbule, nangona kunjalo: "Oku kubonisa ukuba kufuneka ube nempilo enhle ukuba ubaleke i-marathon, ungayibaleki i-marathon ukuphucula impilo yakho," u-Ramin uyachaza. "Ukuba uqeqesha ngokufanelekileyo kwaye usempilweni, umonakalo omncinci kwizintso ngexesha lomdyarho awuyongozi okanye awunasigxina." Kodwa abantu abanesifo senhliziyo okanye isifo seswekile, okanye abatshayayo, akufuneki babaleke umdyarho kuba izintso zabo zingenako ukuchacha.
Kwaye njengamaxesha onke, qiniseka ukusela amanzi amaninzi. "Umngcipheko omkhulu kwizintso zakho ngexesha lokuzivocavoca umzimba," kusho uRamin.