Ngaba isifo seswekile siyayandisa ingozi yam yokuphuhlisa amatye ezintso?

Umxholo

• Yintoni amatye ezintso?
• Ngaba bukhona ubungozi bamatye ezintso?
• Ukunyanga amatye ezintso
• Ukuthintela amatye ezintso
• Ukutya okunguDASH

Yintoni unxibelelwano phakathi kweswekile kunye namatye ezintso?

Isifo seswekile yimeko apho umzimba wakho ungavelisi ngokwaneleyo i-insulin okanye ungasisebenzisi kakuhle. I-insulin ibalulekile ekulawuleni amanqanaba eswekile yegazi. Iswekile ephezulu yegazi inokubangela iingxaki kulo naliphi na ilungu lomzimba wakho, kubandakanya nezintso zakho.

Ukuba unesifo seswekile sesi-2, unokuba nomchamo omuncu kakhulu. Oku kwandisa umngcipheko wokuphuhlisa amatye ezintso.

Yintoni amatye ezintso?

Ifom yamatye ezintso xa unezinto eziphezulu kumchamo wakho. Amanye amatye eentso avela kwi-calcium oxalate engaphezulu. Ezinye zivela kwi-struvite, i-uric acid, okanye i-cystine.

Amatye anokuhamba ukusuka kwizintso zakho ngokusebenzisa umchamo wakho. Amatye amancinci anokugqitha emzimbeni wakho kwaye aphume kumchamo wakho ngaphandle kwentlungu.

Amatye amakhulu anokubangela iintlungu. Banokungeniswa nakwindlela yakho yokuchama. Oko kunokuthintela ukuhamba komchamo kwaye kubangele usulelo okanye ukopha.

Ezinye iimpawu zamatye ezintso zibandakanya:

• umqolo okanye iintlungu zesisu
• isicaphucaphu
• ukugabha

Ukuba ufumana iimpawu ezinzima zamatye ezintso, jonga ugqirha wakho. Ugqirha wakho unokurhanela amatye ezintso ngokusekwe kwiimpawu zakho. Ukuvavanywa komchamo, uvavanyo lwegazi, kunye neemvavanyo zokucinga kungafuneka ukuqinisekisa isifo.

Ngaba bukhona ubungozi bamatye ezintso?

Nabani na angenza ilitye lezintso. E-United States, phantse iipesenti ezisi-9 zabantu babenelitye elinye lezintso, ngokwe-National Kidney Institute.

Ukongeza kwisifo seswekile, ezinye izinto ezinobungozi zamatye ezintso zibandakanya:

• ukutyeba kakhulu
• ukutya okuphezulu kwiprotheni yezilwanyana
• Imbali yosapho yamatye ezintso
• izifo kunye neemeko ezichaphazela izintso
• izifo kunye neemeko ezichaphazela inani le-calcium kunye neeacidi ezithile emzimbeni wakho
• ukuphazamiseka kwendlela yokuchama
• ukudumba okungapheliyo kwesisu

Amayeza athile anokubeka emngciphekweni omkhulu wokukhula kwamatye ezintso. Phakathi kwazo kukho:

• womchamo
• ii-antacids eziqulathe ikhalsiyam
• izongezo ezine calcium
• i-topiramate (i-Topamax, i-Qudexy XR), iyeza lokulwa nokubanjwa
• indinavir (Crixivan), ichiza elisetyenziselwa ukunyanga usulelo lwe-HIV

Ngamanye amaxesha, akukho sizathu sinokumiselwa.

Ukunyanga amatye ezintso

Amatye ezintso amancinci akasoloko efuna unyango. Uya kucetyiswa ukuba usele amanzi ongezelelweyo ukunceda ukubakhupha. Uyazi ukuba usela amanzi aneleyo xa umchamo wakho uphaphathekile okanye ucacile. Umchamo omnyama uthetha ukuba awuseli ngokwaneleyo.

Ukuthomalalisa iintlungu ngaphezulu kwekhawuntari kunokwanela ukunciphisa iintlungu zelitye elincinci. Ukuba akunjalo, ugqirha wakho unokucebisa iyeza elinamandla. Ngamanye amaxesha, ugqirha wakho unokumisela i-alpha blocker ukukunceda uligqithise ngokukhawuleza ilitye.

Amatye amakhulu ezintso angabiza ukuba kunikwe iipilisi zeentlungu ezinamandla kunye nongenelelo ngakumbi. Banokubangela ukopha, usulelo lomchamo, okanye nokonakalisa izintso zakho.

Olunye unyango oluqhelekileyo olusetyenziswayo lutshintsho lwangaphandle lwe-lithotripsy, olusebenzisa amaza othusayo ukuba aqhekeze ilitye.

Ukuba ilitye likwi-ureter yakho, ugqirha wakho unokukwazi ukuyaphula nge-ureteroscope.

Ukuba amatye akho makhulu kakhulu kwaye awukwazi ukuwadlula, unokufuna utyando.

Ukuthintela amatye ezintso

Nje ukuba ube nelitye lezintso, unomngcipheko ophezulu wokuba nelinye. Ungawunciphisa umngcipheko wakho ngokugcina ukutya okunesondlo kunye nokulawula ubunzima bakho.

Kukwabalulekile ukuthatha ulwelo oluninzi yonke imihla. Sela malunga neesibhozo, iikomityi ze-8-ounce zamanzi okanye iziselo ezingezizo ezomso ngosuku. Ijusi zeCitrus nazo zinokunceda. Funda ngakumbi iingcebiso kwizidlo zeswekile ezinokukunceda ukunciphisa umzimba.

Ukuba sele unelitye lezintso kwaye ufuna ukuzama ukuthintela ukukhula kwamatye ezintso ongezelelweyo, ukwazi ukuba yintoni ebangele amatye kwasekuqaleni kuya kukunceda ekuthinteleni amatye exesha elizayo.

Enye indlela yokufumanisa unobangela kukuba uhlalutye ilitye lakho. Xa ufunyaniswe unelitye lezintso, ugqirha wakho uya kucela ukuba uqokelele umchamo kwaye ubambe ilitye xa lidlula. Uhlalutyo lwelebhu lunokunceda ukumisela ukwakheka kwelitye.

Uhlobo lwelitye luya kunceda ugqirha wakho athathe isigqibo sokuba loluphi utshintsho ekufuneka ulwenzile kwindlela otya ngayo.

Amanye amatye eentso avela kwi-calcium oxalate, kodwa oko akuthethi ukuba kufuneka uphephe i-calcium. I-calcium encinci yenza amanqanaba e-oxalate anyuke. Kungcono ukufumana i-calcium yakho yemihla ngemihla kukutya. Uya kudinga isixa esifanelekileyo sevithamini D ukuyifunxa ngokufanelekileyo i-calcium.

Ukufumana isodiyam engaphezulu kunokuyonyusa i-calcium kumchamo wakho. Ukunciphisa ukutya okutyiwa kunokunceda.

Iiproteni ezininzi zezilwanyana zinokuphakamisa i-uric acid kunye nokukhuthaza ukwakhiwa kwamatye. Nciphisa umngcipheko ngokutya inyama ebomvu ebomvu.

Okunye ukutya kunokubangela ukuba kukhule amatye ezintso. Cinga ukunciphisa i-tshokholethi, iti kunye nesoda.

Ukutya okunguDASH

Izindlela zokutya zokumisa uxinzelelo lwegazi (DASH) kunokunceda ukunciphisa uxinzelelo lwegazi. Inokunciphisa amathuba akho okuphuhlisa amatye ezintso. Ekutyeni kwe-DASH, uya kugxininisa oku kulandelayo kokutya:

• imifuno
• iziqhamo
• iimveliso zobisi ezinamafutha asezantsi

Uya kubandakanya:

• amazimba
• iimbotyi, iimbewu, kunye namandongomane
• intlanzi kunye neenkukhu

Uya kutya kuphela izixa ezincinane ze:

• isodiyam
• yongeza iswekile kunye neelekese
• amafutha
• inyama ebomvu

Ulawulo lwesahlulo nalo lubalulekile kwicandelo le-DASH. Nangona kubizwa ngokuba kukutya, kwenzelwe ukuba ube yindlela yokuphila yobomi bokutya ngokuchanekileyo. Buza ugqirha wakho okanye ugqirha wezidlo ngolwazi oluthe kratya malunga ne-DASH.

Andiqondi ukuba unxibelelwano phakathi kweswekile kunye namatye kulo mhlathi wokuqala. Isifo seswekile ngokuqinisekileyo singazonakalisa izintso, kodwa asichazi ukuba umonakalo unokwenza njani amatye. Kubonakala ngathi ngumhlathi wesibini kuphela ophendula imibuzo H1 okanye H2.

Ndizamile ukukhangela umxholo ongaphezulu koku-kukho unxibelelwano phakathi kwe-fructose ngakumbi kunye namatye-kodwa khange ndikwazi ukuza nesicatshulwa esicacisayo.