Izindaba

Umhlahlandlela Wokuzihlola Wezempilo | Umzimba Wakho Ukusiphi Isigaba?

Udidwe imiphumela yakho yakamuva yokuhlolwa komzimba? Uyazibuza ukuthi ungayithuthukisa kanjani impilo yakho esezingeni eliphansi njengoba welulekwa udokotela wakho? Lo mhlahlandlela uhlukanisa izinhlelo ezimbili zokuhlola impilo ezaziwa emhlabeni wonke ukuze zikusize unqume izinga lakho lezempilo.

I. Izigaba ezinhlanu HumhlabaUkwahlukanisa
Okuvame ukusetshenziswa emibuthanweni yezokwelapha yamazwe ngamazwe:

1. Isimo Esilungile

• Zonke izinkomba zezempilo ngaphakathi kwebanga elijwayelekile + amazinga aphezulu wamandla
• Okutuswayo: Imizuzu engu-150 yokuzivocavoca okumaphakathi ngesonto

2. Isimo esihle

• Ikhanda elibuhlungu ngezikhathi ezithile/ukuqwasha + iBMI emngceleni
• Isexwayiso: Labo abane-cholesterol ephezulu ye-LDL kufanele baqaphele i-vascular sclerosis

3. I-suboptimalImpilo

• Ukukhathala okuqhubekayo> izinyanga ezi-3 + amaphuzu wokukhathazeka 22-25
• Okugxilwe kakhulu kuyo: Isibalo esingajwayelekile samangqamuzana amhlophe egazi sidinga uphenyo ngezifo ezingelapheki (isb., ukungajwayelekile kwe-immunoglobulin okudinga ukulungiswa komsoco)

4. Isimo Sangaphambi Kwesifo

• Kutholwe umfutho wegazi ophakeme/i-hyperglycemia + ukuncipha okungama-20% ekuhambeni kwamalunga
• Uhlelo: Ukuhlolwa kwe-Cardiopulmonary ukuqeqeshwa okwenziwe ngokwezifiso (landela iseluleko sikadokotela se-coronary heart disease)

5. Isimo Sezifo

• Ukulimala kwesitho + isikolo se-KPS <50 esidinga ukunakekelwa kwabahlengikazi
• Okumqoka: Ukwelashwa kweqembu lemikhakha eminingi

II. Ukuhlola Okunezinhlangothi Ezine
Izigaba ezine zezempilo ze-WHO:

1. Engokwenyama

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

2. Ngokwengqondo

• Isikolo sesikali sokucindezeleka <53
• Isikolo sosekelo lomphakathi >40

3. Ukuzijwayeza Komphakathi

• Isikhathi sokujwayela imvelo
• Ukubamba iqhaza emsebenzini ufinyelela ebangeni B

4. I-Functional Reserve

• Ukuhlolwa kokuhamba kwemizuzu engu-6>550 amamitha
• Amandla okubamba adlula amabhentshimakhi eminyaka ethile

III. Ukunemba Indlela Yokuzihlola

1. Ukuhlolwa Okuyisisekelo

• Ukushintshashintsha kwesilinganiso senhliziyo yokuphumula ekuseni <10 bpm
• Isilinganiso sanyanga zonke sokhalo-kuya-hip (owesifazane ≤0.85/owesilisa ≤0.9)

2. Ukuhlola Okuthuthukile

• Ukuhlolwa okuphoqelekile kwe-AFP/CEA eminyakeni engama-40
• Phinda uhlole ukusebenza kwe-thyroid ukuze uthole amazinga e-TSH angavamile

3. Ukuqapha Okunamandla

• Ngena uma ubuthongo obukhulu
• Ukudla usawoti wansuku zonke ≤5 amagremu

IV. Amasu Okuthuthukiswa Kwezinga Lezempilo

Ithusi → Isiliva

• 211 Indlela Yokudla: Imifino emi-2 + iphrotheni engu-1 + 1 okuyisisekelo (shintshanisa uphizi lwabanesifo sikashukela)
• Imizuzu emi-5 i-squats odongeni njalo ngehora

Igolide → IPlatinum

• Izikhathi ezi-2-3 zokuqeqesha ukumelana masonto onke (abadala bagxila emisipha yomlenze / emuva)
• I-WHODAS 2.0 yokuhlola isikali

Ukugcinwa Kwedayimane

• Ukuhlolwa komsebenzi we-cardiopulmonary wekota
• Sungula ingobo yomlando yomlando wezokwelapha

Izikhumbuzi Ezibalulekile:

• Ezinganeni ezinokulibaziseka kokukhula, bheka amazinga we-±2SD (beka kuqala ukudlala okulingisayo iminyaka engu-3-4)
• Ukuzivocavoca kwangemva kokuhlinzwa kulandela ukuhlukaniswa kwe-ASA (abadala bengeza ukuqeqeshwa kwebhalansi ukuze kuvinjelwe ukuwa)
• Amaphuzu wokutubeka emsebenzini >50 akhombisa isixwayiso sokusebenza ngokweqile

Ukuzihlola okuvamile kanye nokuphathwa kwezempilo kwesayensi kubalulekile ekugcineni impilo yakhoimpiloimpahla!