Ngaba Utywala Bungaphezulu Ngegazi Lakho?

Umxholo

• Ngaba utywala ulinciphisa njani igazi?
• Ngaba oku kuyimpembelelo yexesha elifutshane?
• Ngaba ungasela utywala endaweni yokuthatha igazi elincinci?
• Ngaba ungasela utywala ngelixa uthatha i-thinner yegazi?
• Ngaba kufuneka usele utywala ukunceda ukujikeleza kwakho?
• Umgca wezantsi

Ingenzeka?

Utywala bunokulinciphisa igazi lakho, kuba lithintela iiseli zegazi ukuba zingadibani kunye zenze amahlwili. Oku kunokunciphisa umngcipheko kuhlobo lwemivumbo ebangelwa kukuvaleka kwimithambo yegazi.

Nangona kunjalo ngenxa yesi siphumo, ukusela utywala kunokwandisa umngcipheko kuhlobo lokuphuma kwemivumbo-ngakumbi xa uyisela kuyo. Kumadoda, oku kuthetha ngaphezulu kweziselo ezimbini ngosuku. Kubafazi, oku kungaphezulu kwesiselo esinye ngosuku. Ukusetyenziswa kotywala-ngakumbi ukugqitha-kunokuba nakho ukubeka eminye imingcipheko kwimpilo yakho.

Qhubeka ufunda ukuze ufunde okungakumbi malunga nokuncipha kwegazi, indlela utywala onxibelelana ngayo namayeza okucoca igazi, kunye nokunye.

Ngaba utywala ulinciphisa njani igazi?

Xa wenzakele, iiseli zegazi ezibizwa ngokuba ziiplatelet zingxamile ziye kwindawo yokwenzakala. Ezi seli zinamathele, kwaye ziyahlangana. Iiplatelets zikhupha iiproteni ezibizwa ngokuba zii-clotting factor ezenza iplagi ukuvala umngxunya.

Ukuvalwa kuyanceda xa wenzakele. Kodwa ngamanye amaxesha, ihlwili legazi lingenza ngaphakathi-okanye uhambe uye-kumthambo obonelela ngentliziyo yakho okanye ngengqondo enegazi eline-oxygen. Ukuvalwa kwegazi kuthiwa yitrombosis.

Xa iqokobhe livimba ukuhamba kwegazi entliziyweni yakho, kunokubangela isifo sentliziyo. Ukuba ibhloka ukuhamba kwegazi ukuya kwingqondo yakho, kunokubangela ukubetha.

Utywala buphazamisa inkqubo yokujiya kweendlela ngeendlela ezimbalwa:

• Iyanciphisa inani leeplatelets egazini, ngokuyinxalenye iphazamise ukuveliswa kweeseli zegazi kumongo wethambo.
• Yenza iiplatelets onazo zincamathele kancinci.

Ukusela iglasi okanye ezimbini zewayini suku ngalunye kunesifo sentliziyo kunye nemivumbo ebangelwa kukuvaleka kwimithambo yegazi (ukubetha kweschemic) ngendlela efanayo nokuthatha i-aspirin yemihla ngemihla kunokuthintela ukubetha.

Kodwa ukuba ngaphezulu kwezintathu zeziselo ezinxilisayo yonke imihla kunokunyusa umngcipheko kuhlobo lwesifo esibuhlungu esibangelwa kukopha kwingqondo (imivumbo eyopha).

Ngaba oku kuyimpembelelo yexesha elifutshane?

Kubantu abasela ngokuphakathi, ifuthe lotywala kwiiplatelets lihlala ixesha elifutshane.

Ngokwe-Mayo Clinic, ukusela ngokulinganisela kuhlelwa ngolu hlobo lulandelayo:

• Abafazi bayo yonke iminyaka: ukuya kwisiselo esinye ngosuku
• Kumadoda aneminyaka engama-65 okanye nangaphezulu: ukuya kwisiselo esinye ngosuku
• Kumadoda amancinci kuneminyaka yobudala engama-65: ukuya kuthi ga kwiziselo ezibini ngosuku

Imizekelo yesiselo esinye ibandakanya:

• ibhiya eyi-12-ounce
• iglasi ye-5-ounce yewayini
• 1.5 ii-ounces zamanzi, okanye ukudubula, kotywala

Kodwa kubantu abasela kakhulu, kunokubakho isiphumo esibuyayo apho ukwanda komngcipheko wokopha, nasemva kokuba bekuyekile ukusela. Ukugqitha kwizikhokelo ezicetyiswayo apha ngasentla kuthathwa njengotywala obuninzi.

Ngaba ungasela utywala endaweni yokuthatha igazi elincinci?

Hayi. Izicoci gazi iziyobisi ugqirha wakho amisela ukuba zithintele amahlwili egazi anokubangela isifo sentliziyo okanye ukubetha. Ukuba ugqirha wakho umisele elinye lala mayeza, kungenxa yokuba unesifo sentliziyo okanye enye imeko eyonyusa umngcipheko wamahlwili.

Utywala abukhuselekanga ukuba busetyenziswe njengegazi elincinci. Ayisiyonyusi yakho kuphela yokufumana ukubetha okuphuma egazini, kodwa kumanani amakhulu ikubeka emngciphekweni omkhulu wokuba:

• ukwenzakala ngenxa yokuwa, iingozi zeemoto, kunye nezinye iintlobo zengozi
• izifo ezidluliselwa ngeentlobano zesini (STDs) ngenxa yokuziphatha ngokwesondo okuyingozi
• isifo sesibindi
• ukudakumba
• isisu esophayo
• Umhlaza webele, umlomo, umqala, isibindi, ikholon kunye nomqala
• iziphene zokuzalwa kunye nokuphuphuma kwesisu xa zisetyenziswa ngexesha lokukhulelwa
• ukuxhomekeka etywaleni okanye utywala

Ngaba ungasela utywala ngelixa uthatha i-thinner yegazi?

Buza ugqirha wakho ukuba kukhuselekile na ukuba usele utywala ngelixa uthatha abacoci gazi. Zombini iziselo ezinxilisayo kunye negazi ezifana ne-warfarin (Coumadin) zincinci igazi lakho. Ukuthatha zombini kunye kunokuhlanganisa isiphumo se-anticoagulant kunye nokwandisa umngcipheko wokuphuma kwegazi.

Utywala bunokulinciphisa izinga apho umzimba wakho wonakele kwaye ususe ichiza elicutha igazi. Oku kungakhokelela ekwakhiweni okuyingozi kwesiyobisi emzimbeni wakho.

Ukuba usela utywala ngelixa unxibe igazi, kwenze oko ngokumodareyitha. Oko kuthetha ukuba isiselo esinye ngosuku kubafazi kunye namadoda aneminyaka engama-65 nangaphezulu. Kumadoda angaphantsi kweminyaka engama-65, ukuya kuthi ga kwiziselo ezibini ngosuku kuthathwa njengokuphakathi.

Ngaba kufuneka usele utywala ukunceda ukujikeleza kwakho?

Ukusela utywala ngokumodareyitha kunokuba nefuthe lokhuselo kwimithambo yakho yegazi. Olunye uphando lufumanisa ukuba utywala bonyusa amanqanaba eepoprotein ezixineneyo (HDL, aka "cholesterol elungileyo"). Olu hlobo lusempilweni lwecholesterol lunceda ukukhusela imithambo yakho kunye nokuthintela amahlwili egazi anokukhokelela kuhlaselo lwentliziyo kunye nemivumbo.

Nangona kunjalo zikho ezinye iindlela ezingekho mngciphekweni zokukhusela imithambo-umzekelo, ngokutya ukutya okusekwe kwizityalo kunye nokwenza umthambo. I-American Heart Association ayikukhuthazi ukusela utywala kuphela ukukhusela imithambo yakho yegazi kunye nokuphucula ukujikeleza kwakho.

Umgca wezantsi

Ukuba uza kusela utywala, yenza njalo ngokumodareyitha. Ungabinasiselo esingaphezulu kwesinye okanye ezimbini yonke imihla.

Isiselo esinye silingana:

• Ii-ounces ezili-12 zebhiya
• Ii-ounces ezi-5 zewayini
• 1.5 ii-ounces yevodka, irum, okanye obunye utywala

Kwaye ukuba unesimo sempilo esingaphantsi kwesifo seswekile okanye isifo sezintso, buza ugqirha wakho ukuba kukhuselekile na ukuba usele kwaphela.

Xa kuziwa kwimpilo yemithambo yegazi, ncokola nogqirha wakho. Buza ukuba usemngciphekweni wesifo sentliziyo okanye ukubetha. Ukuba kunjalo, khangela ukuba ngawaphi amanyathelo onokuwathatha ukunciphisa loo mngcipheko.