Izindaba

Umhlahlandlela Wokuzihlola Kwezempilo | Umzimba Wakho Usesimeni Sini?

Udidekile ngemiphumela yakho yokuhlolwa komzimba yakamuva? Uzibuza ukuthi ungayithuthukisa kanjani impilo yakho engeyinhle njengoba welulekwe udokotela wakho? Lo mhlahlandlela uhlukanisa izinhlelo ezimbili zokuhlola impilo eziqashelwa emhlabeni wonke ukuze zikusize unqume izinga lakho lempilo.

I. I-H enezinga elihlanuumhlabaUkuhlukaniswa
Isetshenziswa kakhulu emibuthanweni yezokwelapha yamazwe ngamazwe:

1. Isimo Esifanele

• Zonke izinkomba zezempilo ezingaphakathi kwamazinga ajwayelekile + amazinga aphezulu amandla
• Isincomo: imizuzu eyi-150 yokuzivocavoca ngamandla aphakathi ngesonto

2. Umbuso Omuhle

• Ubuhlungu bekhanda/ukungalali ngezikhathi ezithile + i-BMI engenamkhawulo
• Isexwayiso: Labo abane-cholesterol ephezulu ye-LDL kufanele baqaphele i-vascular sclerosis

3. Okuphansi kakhuluImpilo

• Ukukhathala okuqhubekayo > izinyanga ezi-3 + amaphuzu okukhathazeka angama-22-25
• Ukugxila Okuyinhloko: Inani lamaseli amhlophe egazi elingajwayelekile lidinga uphenyo ngezifo ezingamahlalakhona (isb., ukungasebenzi kahle kwe-immunoglobulin okudinga ukulungiswa kokudla okunempilo)

4. Isimo Sangaphambi Kwesifo

• Umfutho wegazi ophakeme/i-hyperglycemia etholakele + ukwehla kwama-20% kokunyakaza kwamalunga
• Uhlelo: Ukuhlolwa kwenhliziyo namaphaphu ukuze kuqeqeshwe ngendlela oyifisayo (landela iseluleko sikadokotela sesifo senhliziyo)

5. Isimo Sezifo

• Ukulimala kwezitho zomzimba + amaphuzu e-KPS <50 adinga ukunakekelwa kwabahlengikazi
• Okubalulekile: Ukwelashwa kweqembu elihlanganisa imikhakha eminingi

II. Ukuhlolwa Okunezinhlangothi Ezine
Izingxenye ezine zezempilo ze-WHO:

1. Okubonakalayo

• Umfutho wegazi <140/90 mmHg (okujwayelekile kuka-2025)
• I-BMI 18.5-23.9

2. Ingqondo

• Isilinganiso sesikali sokucindezeleka <53
• Isilinganiso sokusekelwa komphakathi >40

3. Ukuzivumelanisa Nezenhlalo

• Isikhathi sokuzivumelanisa nezimo zemvelo
• Ukuhlanganyela emsebenzini kufinyelela eBangeni B

4. Indawo Egciniwe Yokusebenza

• Ukuhlolwa kokuhamba ngezinyawo kwemizuzu eyi-6 > amamitha angu-550
• Amandla okubamba adlula amazinga aqondene nobudala

III. Indlela Yokuzihlola Ngokucophelela

1. Ukuhlola Okuyisisekelo

• Ukushintshashintsha kwesilinganiso senhliziyo sokuphumula kwasekuseni <10 bpm
• Ukulinganisa isilinganiso sesinqe nesesinqe sanyanga zonke (owesifazane ≤0.85/owesilisa ≤0.9)

2. Ukuhlolwa Okuthuthukisiwe

• Ukuhlolwa kwe-AFP/CEA okuphoqelekile lapho umuntu eneminyaka engu-40
• Phinda ukuhlolwa kokusebenza kwe-thyroid ukuze uthole amazinga e-TSH angajwayelekile

3. Ukuqapha Okunamandla

• Ngena uma ulele ubuthongo obujulile ngaphansi kwamahora angu-1.5
• Ukudla usawoti nsuku zonke ≤5 amagremu

IV. Amasu Okuthuthuka Kwezinga Lezempilo

Ithusi → Isiliva

• 211 Indlela Yokudla: Imifino emi-2 + iphrotheni eli-1 + isisekelo esi-1 (shintshanisa noshizi kwabanesifo sikashukela)
• Ukugoqa odongeni imizuzu emi-5 njalo ngehora

Igolide → Iplatinum

• Izikhathi zokuqeqeshwa kokumelana ezingu-2-3 masonto onke (abadala bagxila emisipheni yomlenze/yasemuva)
• Isikali sokuhlola se-WHODAS 2.0

Ukulungiswa Kwedayimane

• Ukuhlolwa kokusebenza kwenhliziyo namaphaphu njalo ngekota
• Sungula ingobo yomlando wezokwelapha womndeni

Izikhumbuzo Eziyinhloko:

• Kubantwana abanokulibaziseka ekukhuleni, bheka amazinga e-±2SD (beka phambili ukudlala kokulingisa kwabaneminyaka engu-3-4)
• Ukuzivocavoca ngemva kokuhlinzwa kulandela ukuhlukaniswa kwe-ASA (abadala banezela ukuqeqeshwa kokulinganisela kokuvimbela ukuwa)
• Isilinganiso sokushiswa emsebenzini >50 sibonisa isixwayiso sokusebenza ngokweqile

Ukuzihlola njalo kanye nokuphathwa kwezempilo kwesayensi kubalulekile ekugcineni impilo yakho isesimweni esihle.impiloizimpahla!