Ukuze kutholakale isifo sikashukela, into yokuqala okufanele isiguli siyenze ukuhlola okusheshayo kweglue. Uhlobo lokwelashwa kanye nethuba lokululama kuzoncika kwimiphumela etholakele.
Ukuthola idatha ethembekile, kuyadingeka ukuthi ugcine imithetho ethile ngaphambi kokudlula izivivinyo, udokotela oxwayisa ngaso sonke isikhathi iziguli ngazo, ukuthi zingaphuzi ikhofi nezinye iziphuzo eziqinile. Omunye wemithetho eyinhloko ukungaphuzi utshwala, kubandakanya nobhiya, ngaphambi kosuku lokufunda.
Kungani ungaphuzi utshwala ngaphambi kokuhlola igazi?
Njengoba izivivinyo ezidlulayo zithathwa njengeyona ndlela ebaluleke kakhulu esisendleleni yokululama, kubalulekile ukusondela kulolu daba ngendlela efanelekile. Kusuka kwimiphumela etholakele ukuthi isimo sempilo sikashukela sincike. Ngokusekelwe ekuhlaziyweni, udokotela ukhetha indlela yokwelashwa.
Ngalesi sizathu, odokotela bahlala bexwayisa iziguli kusengaphambili ukuthi akufanele ziphuze ikhofi, itiye, ubisi, kanye nobhiya, iwayini nobunye utshwala ngaphambi kokuthatha izivivinyo.
Kwezinye izimo, awuvunyelwe nokuthi uphuze amanzi angenalutho. Uma ungayinaki le mithetho. Ukuhlolwa kwegazi okusheshayo kungahlanekezelwa. Ngenxa yalokhu, udokotela angahle anikeze ukwelashwa okungafanele, okuzokubambezela ukwelashwa.
Utshwala buyenqatshelwa ukuthi budliwe ngaphambi kokudlulisa izivivinyo esiswini esingenalutho ngenxa yokuthi i-ethanol, okuyingxenye yeziphuzo zotshwala, lapho isidakiwe, ibangela ukusabela okuthile okungathandeki kwamakhemikhali. Ngakho-ke, utshwala:
- Kwandisa ukugxila kwe-lactate;
- Kwandisa ukugcotshwa kwe-uric acid;
- Kwandisa ukugcwala kwama-triacylglycerols;
- Yehlisa ushukela wegazi.
Ngalesi sizathu, imiphumela yokuhlaziya etholiwe ingakhombisa isithombe esingathembeki ngokuphelele.
Kulokhu, ukuphela kwesinqumo esibalulekile kungaba ukulahla ngokuphelele ukusetshenziswa kweziphuzo ezinjengekhofi, itiye, ubhiya nobunye utshwala.
Ikakhulu, kunconywa ukuthi amahora ambalwa ngaphambi kokuhlolwa kuthathwe, ungathathi mithi engaphambanisa nezinkomba. Kungakuhle futhi ukubonisana nodokotela ukuthi kungenzeka yini ukuphuza amanzi ngaphambi kokunikela ngegazi.
Ngakho-ke, kwabanesifo sikashukela, imithetho embalwa eyisisekelo ingahlukaniswa izokusiza ukugwema amaphutha ekunikeleni ngegazi.
- I-Alcohol, kufaka phakathi ubhiya, ayikwazi ukuqeda kungakapheli izinsuku ezimbili kuya kwezintathu ngaphambi kokuhlolwa.
- Iziphuzo ezinjengetiye nekhofi azinconywa ukuba zichithwe amahora amaningi ngaphambi kocwaningo.
- Uma isiguli nokho siphuze utshwala okungenani kumthamo omncane, kungcono ukuhlehlisa ukuvakasha elabhorethri izinsuku ezimbili kuya kwezintathu ukuze sithole imiphumela ethembekile.
- Kwenqatshelwe ngokuphelele ukuphuza utshwala lapho uthatha ukuhlolwa kwegazi nge-HIV, i-hepatitis B no-C, i-syphilis.
- Kufaka notshwala kungahlanekezela imiphumela yokuhlolwa kwegazi kwe-calcium, phosphorus, magnesium, triglycerides, androstenedione, aldosterone, cortisol, insulin, parathyroid hormone.
- Ngaphezu kokuvinjwa kotshwala kanye nemimoya, kubalulekile ukuzilinganisela ekudleni okumnandi, okunamafutha, okunezipayisi nokuthosiwe ngosuku. Kufanele futhi uzame ukugwema izimo ezicindezelayo futhi uyeke ukubhema okungenani ihora elilodwa ngaphambi kokuhlolwa.
Ukwenza ukuhlolwa kwegazi kwe-biochemical
Lolu hlobo lokuhlaziywa lubhekwa njengoluphelele futhi lwenziwa ukuze kutholakale ukweqisa noma ukusilela kwanoma yiziphi izinto emzimbeni. Ngesikhathi sokusetshenziswa kwaso, utshwala bunqatshelwe.
I-Alcohol isiza ukukhulisa noma ukunciphisa izinto ezitholakele, ngenxa yalokho udokotela azothola isithombe esingathembekile.
Utshwala bungokwehlisa ushukela wegazi lakho.
Utshwala budonswa kabi amaseli.
Ngemuva kokuphuza utshwala, isiguli singazizwa singathandeki.
Abanye abantu bakholelwa ukuthi iziphuzo eziqukethe utshwala zingasiza ekuboneni ukuba khona kokutheleleka, kepha lokhu akunjalo njalo. Kwesinye isikhathi udokotela, esethole ukuhlolwa, akakwazi ukuqonda imbangela yezinkomba ezithile.
Ukuhlolwa kwegazi okujwayelekile
Kulokhu, utshwala buye futhi bufakazelwe, ngoba utshwala bungaba nomthelela ongemuhle kumaseli abomvu egazi, kwandise i-cholesterol, futhi bunciphise i-hemoglobin Futhi, ukwehla kwe-lipid metabolism kwenzeka esibindini, noma kunjalo, imininingwane enjalo ibalulekile ngesikhathi sokuhlinzwa.
Kunoma ikuphi, udokotela uzohlala etshela isiguli uma utshwala buvunyelwe ngaphambi kokuhlaziywa.
Kwenziwa isivivinyo sikashukela wegazi
Lolu hlobo lokuhlaziya ludinga ukulungiswa ngokucophelela, ngaphandle kwalokho kuzotholakala amanani angalungile eglucose. Ngalesi sizathu, ukusetshenziswa kwekofi notshwala kubantu abanesifo sikashukela ezinsukwini ezimbalwa ngaphambi kokuhlaziywa kungavunyelwe ngokuphelele.
Iqiniso ngukuthi i-ethanol ithinta ukusebenza kwesibindi. Kubandakanya notshwala kungangena ekuphenduleni kwamakhemikhali ngezidakamizwa ezisebenzayo nemishini yezokwelapha, okuphuzwa kuyo igazi.
Ngamanye amagama, uma uphuza utshwala ngaphambi kosuku lokuhlaziywa, ungathola imiphumela elandelayo:
- Kukhuphuka ushukela wegazi. Ugaxekile ngamunye we-ethanol uholela ekukhuleni kwenani lama-kilocalories ngamayunithi ayi-7. Lokhu kungenxa yokuthi utshwala bungena ngokushesha kwinqubo ye-metabolic emzimbeni, ngenxa yokuthi yakhelwa ku-glucose ngaphansi kwethonya lama-enzymes athile wesibindi.
- Ukwehla kweshukela egazini. Ukuhlushwa ushukela kuyancipha uma uphuza umthamo omkhulu wotshwala noma ubhiya, futhi lezi zinhlaka zinganakekelwa izinsuku ezimbili. Ukufundwa okungalungile kungasibekela ubungozi besifo sikashukela esibi.
Ngalesi sizathu, kuyadingeka izinsuku ezimbalwa ngaphambi kokuvakashela elabhoratri ukuthi ungadli nje kuphela iziphuzo zotshwala, kepha neziphuzo zotshwala eziphansi ezifana nobhiya, ngoba kuthinta umzimba ngezinga elifanayo, naphezu kwamandla ancishisiwe.
Ngesizathu esifanayo, akunconywa ukuthi uphuze itiye elinamandla nekhofi ngaphambi kocwaningo.
Buvunyelwa nini utshwala?
Kwezinye izimo, ukusetshenziswa kophuzo oludakayo kuvunyelwe ngenkathi kunikelwa ngegazi, lapho isiguli sihlolelwa i-ethanol emzimbeni. Abantu abanjalo bafaka, njengomthetho, izisebenzi ezihlala zivivinya igazi ngezikhathi zomsebenzi, ngokwesibonelo, abashayeli bezimoto.
Akukhathalekile ukuthi kungukuhlaziywa okuhlelelwe noma okuzenzakalelayo, kunoma yikuphi, lapho kudluliswa ukuhlaziywa okunjalo, lapho kubalulekile ukukhomba ubukhona be-ethanol egazini, abaxwayisi ukuthi awukwazi ukuphuza utshwala. Kungaba nezizathu ezimbili zokuthi kungani umuntu edluliselwa ekuhlolweni kwegazi okunjalo:
- Ukulethwa kokuhlaziywa okuphoqelekile ngaphambi kokuthi umshayeli wemoto angene emzileni.
- Uma kusolwa ukudakwa ngokweqile, kuhlolwa igazi ukuze kugwenywe izingozi ezimboni.
Ngakho-ke, esifundweni segazi akudingi noma yikuphi ukulungiswa komuntu. Isiguli simane sithathwe igazi emithanjeni bese sithunyelwa elabhorethri ukuze lihlolwe.
