Kukhala wochuluka kumawonjezera chiopsezo cha matenda a impso
Mwina sindikufunikira kuti ndiyambe ndi njira zowonongeka zokhudzana ndi kunenepa kwambiri kwa umoyo wanu. Kuphweka kwakukulu kungakhale mawu awiri motalika: "kunenepa kwambiri kumapha" . Koma anthu ambiri amadziwa kuti kale. Udindo wa kunenepa kwambiri ndi chiwopsezo chachikulu cha mtima ndi mtima, matenda a shuga, matenda a mafupa ndi olowa nawo pafupifupi pafupifupi konsekonse.
TIKUKHALA KWAMBIRI
Mu 1997, bungwe la World Health Organization linatchula kuti kunenepa kwambiri "chimodzi mwa mavuto akuluakulu okhudza thanzi la anthu masiku ano omwe amakhudza thanzi lomwe lingakhale lopambana ngati la kusuta". Ngati muli mu chiwerengero, apa pali ziwerengero zowopsya: pafupifupi anthu 3 miliyoni amafa chaka chilichonse chifukwa chokhala ochepa kwambiri. Kuti ndikupatseni malingaliro, ndizo pafupifupi theka la chiwerengero cha anthu omwe anafa mu Nkhondo yachiwiri ya padziko lonse (15 miliyoni). Mwa kuyankhula kwina, ife tikusowa chiwerengero chomwecho cha anthu kuti tidye kwambiri zaka zisanu zilizonse, tifa mu nthawi ya nkhondo! Ife, Dziko Lochuluka ndilo fuko lachilendo kwambiri padziko lonse lapansi ndi manambala (ngakhale American Samoa ikatenga mkate ngati mupita ndi chiwerengero cha anthu ochepa kwambiri).
Chifukwa chake tili ndi kusiyana kwakukulu kumeneku kulibe nkhaniyi, koma ikuphatikizapo chikhalidwe, chikhalidwe, ndi chuma. Tikukhala mu nyengo ya chakudya chotchipa komanso kukula kwake.
Kodi chaching'ono ku US ndi chachikulu ku Ulaya. Kodi sing'anga bwanji ku US sichipezeka m'malo ena ambiri padziko lapansi? Mliriwu wa kususuka udzakhala ndi zotsatira za thanzi labwino.
KODI ZINTHU ZOCHITA ZINTHU ZILI ZINTHU ZOYENERA KUDZIWA?
Mwamtheradi. Kwa zaka 10 zapitazo, maphunziro angapo apanga kulemera kwa thupi kwa kutalika (Thupi la Thupi la Misa) ngati chiopsezo cha matenda a impso ndi kupititsa patsogolo.
Izi zimachitika ngakhale atasintha chifukwa cha kuthamanga kwa magazi ndi shuga . Mwa kuyankhula kwina, anthu omwe ali ochepa kwambiri amakhala pachiopsezo cha matenda a impso chifukwa cha kunenepa kwawo kokha, osati chifukwa chakuti iwo ali ndi mphamvu yapamwamba ya magazi ndi shuga (mwinamwake zifukwa ziwiri zoopsa kwambiri za matenda a impso).
Chinthu china chochepetseratu ndikuti: ndiwe wolemera kwambiri, impso zanu zimagwira ntchito. Komabe, kuchokera ku sayansi yambiri, kunenepa kwambiri kumapangitsa kusintha kosavuta kwa impso zomwe pamapeto pake zimayambitsa matenda a impso (CKD ). Pa zochitika zovuta kwambiri, munthu wokhudzidwayo angathe kuona kuti ntchito yawo ya impso ikuchepa mpaka akusowa dialyse .
Kotero kodi kusintha kumeneku ndi kotani? Pangozi yokhala ndi luso labwino, ndiloleni ndikupatseni mwachidule mwachidule:
- Kunenepa kwambiri kumakhala kale ndi gulu lodziwika ndi matenda ena omwe akupweteka impso zanu. Ndikulankhula za anthu omwe amawaganizira kwambiri - kuthamanga kwa magazi, matenda a shuga, ma oric acid, high cholesterol , etc. Izi zimagwiritsidwa ntchito monga "phukusi" ndi kunenepa kwambiri. Izi zimayambitsa matenda a impso, ngakhale njira zosaonekera .
- Kunenepa kwambiri kumayambitsa kusintha kwowopsya mu impso 'kusakaniza magazi ndi kukakamizidwa. Kusintha kumeneku kumayambira nthawi yayitali kusanayambe zotsatira zachipatala za kunenepa kwambiri pa impso. Izi zinasonyezedwa mu phunziro lalikulu lochokera ku Spain lomwe limagwiritsa ntchito malingaliro a impso pa odwala oposa omwe amapereka opaleshoni / opaleshoni.
- Ngati mumaganiza kuti mafuta anu omwe mumadana nawo kwambiri amangofuna kuti musamawononge mapepala anu asanu, ganiziraninso. Mpangidwe watsopano mukumvetsetsa kwathu kwa mafuta a thupi ndi kuwutenga ngati chigoba cha endocrine; omwe amapanga mahomoni otchedwa "adipokines" . Ndi ma adipokines omwe amachititsa kuti kutupa ndi kusinthika mu impso 'kuthamanga kwa magazi / kuthamanga. Kutupa kumapweteka mitsempha ya magazi ndi impso, pakati pa ziwalo zina. Pamene maselo a impso akufa chifukwa cha kutupa uku, amatha kupweteka kwamuyaya mu impso zomwe zimadzetsa matenda a impso. Choncho, mafuta a thupi ndi nthusiti yowonjezera ya ntchito ya mahomoni yomwe imakhala yoipa kwa ntchito ya impso.
KUKHALA KUKHALA KUKHALA KWAMBIRI KUKHALA KIDNEY DAMAGE YOTHANDIZA
Yankho lopanda ubongo lingakhale lakuti kutaya thupi kungathandize. Kulemera kwa thupi kumadziwika kuchepetsa kuthamanga kwa magazi, kutaya insulini yanu kukana, ndi kuchepetsa kutupa kwa systemic kutchulidwa pamwambapa. Kuwonjezera pa kuchepetsa kulemera kwake, mankhwala owerengeka angakhale ndi mbali zina:
- Mwachitsanzo, matenda ena a impso omwe amabwera chifukwa cha kunenepa kwambiri ndi chinachake chotchedwa Focal Segmental Glomerulosclerosis (FSGS), ndipo zingatheke kulamulira kuti pamayambiriro ndi mankhwala otchedwa ACE inhibitors (chitsanzo chikhale lisinopril).
- Mankhwala a cholesterol monga statins angakhale othandiza (mwachitsanzo, atorvastatin kapena Lipitor).
- Metformin, mankhwala omwe amagwiritsidwa ntchito pa matenda a shuga amathandizira kuchepetsa kuwonongeka kwa impso
- Chithandizo cha zinthu zomwe zimayambitsa chiopsezo monga matenda a shuga, shuga kapena insulini kukana, kugona tulo, matenda obwera m'mimba ndi ofunika.
Nkhani yayitali, kukhala mafuta ndi nkhani zoipa chifukwa cha ntchito yanu ya impso. Lembetsani lamba wanu ngati mukuganiza kuti mukudwala dialysis .