Created at:1/13/2025
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Ukubala okuphansi kwe-hemoglobin kusho ukuthi igazi lakho alinawo amaprotheni anele athwala umoya-mpilo emzimbeni wakho wonke. Lesi simo, esibizwa nangokuthi i-anemia, singakushiya uzizwa ukhathele futhi ubuthakathaka ngoba izitho zakho azitholi umoya-mpilo abawudingayo ukuze zisebenze kahle. Ngenkathi kuzwakala kukhathaza, i-hemoglobin ephansi ivame ukwelapheka uma usuqonda ukuthi yini eyibangela.
Ukubala okuphansi kwe-hemoglobin kwenzeka lapho igazi lakho liqukethe amaseli amancane abomvu egazi noma i-hemoglobin encane kunokujwayelekile. I-Hemoglobin iyiprotheni enothile ngensimbi ngaphakathi kwamaseli akho abomvu egazi elithatha umoya-mpilo emaphashini akho futhi iwuyise kuyo yonke ingxenye yomzimba wakho.
Kwabesifazane abaningi abadala, amazinga ajwayelekile e-hemoglobin asukela ku-12.0 kuya ku-15.5 amagremu ngedesilitha yegazi. Kwabesilisa abadala, ngokuvamile yi-13.5 kuya ku-17.5 amagremu ngedesilitha. Uma amazinga akho ehla ngaphansi kwala mazinga, udokotela wakho cishe uzokuxilonga nge-anemia.
Cabanga nge-hemoglobin njengamaloli amancane okuletha emgombeni wakho wegazi. Uma ungawo amaloli anele noma engasebenzi kahle, izicubu zomzimba wakho azitholi izinto eziwusizo zomoya-mpilo abazidingayo ukuze basebenze kahle.
I-hemoglobin ephansi ivame ukuqala kancane kancane, ngakho ungase ungaboni izimpawu ngokushesha. Uphawu oluvamile kakhulu ukuzizwa ukhathele ngokungavamile noma ubuthakathaka, ngisho nangemva kokuthola ukulala okwanele noma ukuphumula.
Umzimba wakho uzozama ukukutshela ukuthi udinga umoya-mpilo owengeziwe ngezimpawu ezihlukahlukene. Ungase uzithole uphelelwa umoya ngesikhathi semisebenzi eyayivame ukuzizwa ilula, njengokukhuphuka izitebhisi noma ukuhamba uya emotweni yakho.
Nazi izimpawu ongase uzithole njengoba amazinga akho e-hemoglobin ehla:
Ezimweni ezinzima kakhulu, ungase uqaphele ukulangazelela okungajwayelekile kwezinto ezingezona ukudla njengeqhwa, isitashi, noma isitashi sombila. Lokhu kwenzeka ngoba umzimba wakho uzama ngamandla ukuthola insimbi eziyidingayo.
I-hemoglobin ephansi ithuthuka lapho umzimba wakho ungakhiqizi amaseli egazi abomvu anempilo ngokwanele noma ewalahleka ngokushesha kunokuba angawashintsha. Izizathu eziyisisekelo ziyahlukahluka kakhulu, kusukela ekuntuleni okunomsoco okulula kuya ezimweni zezokwelapha eziyinkimbinkimbi.
Ukuntula insimbi kuyimbangela evame kakhulu emhlabeni wonke. Umzimba wakho udinga insimbi ukuze wenze i-hemoglobin, ngakho-ke lapho izitolo zensimbi ziphansi, ukukhiqizwa kwe-hemoglobin kuyehla. Lokhu kuvame ukwenzeka kancane kancane futhi kungase kungabonwa kalula kuze kube yilapho izimpawu ziqala ukubonakala.
Nazi izizathu eziyinhloko zokuthi kungani amazinga akho e-hemoglobin engase ehle:
Ngezinye izikhathi ukukhulelwa kungabangela i-hemoglobin ephansi yesikhashana njengoba umzimba wakho usebenza ukusekela wena nomntwana wakho okhulayo. Lokhu kuvame ukulawuleka ngokunakekelwa okufanele ngaphambi kokubeletha nokudla okunomsoco.
I-hemoglobin ephansi ingabonisa izimo ezihlukahlukene zempilo ezingaphansi, kusukela ezingxenyeni zokudla okunomsoco ezilula kuya ezindabeni zezokwelapha ezingathi sína. Ukuqonda lezi zixhumano kukusiza kanye nodokotela wakho ukuthi nithole indlela efanele yokwelapha.
I-anemia yokuntuleka kwensimbi iyinhlobo evame kakhulu, evame ukukhomba ukunganele kokudla kwensimbi noma izinkinga ngokumuncwa kwensimbi ohlelweni lwakho lokugaya ukudla. Abesifazane abaneminyaka yokuzala basengozini enkulu ngenxa yokulahlekelwa igazi kwanyanga zonke ngokuya esikhathini.
I-anemia yesifo esingamahlalakhona yenzeka lapho izimo zempilo zesikhathi eside ziphazamisa ikhono lomzimba wakho lokusebenzisa insimbi ngempumelelo noma ukukhiqiza amaseli abomvu egazi anempilo. Izimo ezinjengesifo sezinso, isifo samathumbu esivuthayo, noma i-rheumatoid arthritis zingabangela lolu hlobo lwe-anemia.
I-anemia yokuntuleka kwamavithamini yenzeka lapho umzimba wakho ungasweli izakhamzimba ezibalulekile ezidingekayo ekukhiqizweni kwamaseli abomvu egazi. Ukuntuleka kwe-B12, okuvame ukubonakala kwabadla imifino noma abantu abanezinkinga zokumuncwa kokugaya ukudla, kungabangela amaseli abomvu egazi amakhulu, angavuthwanga angasebenzi kahle.
Ezimweni ezingavamile, i-hemoglobin ephansi ingase ikhombe:
Udokotela wakho uzoqhuba ezinye izivivinyo ukuze athole ukuthi yisiphi isimo esingase sibangele i-hemoglobin yakho ephansi. Lo msebenzi wamaphoyisa ubalulekile ekutholeni ukwelashwa okufanele.
I-hemoglobin ephansi ayivami ukuxazululwa ngokuphelele yodwa ngaphandle kokubhekana nesizathu esiyisisekelo. Kodwa-ke, amacala amancane abangelwa izinto zesikhashana njengokushintsha kokudla noma ukulahlekelwa igazi okuncane kungase kuthuthuke ngokuhamba kwesikhathi nokudla okunempilo.
Uma i-hemoglobin yakho ephansi ivela ekuntulekeni kwensimbi ngenxa yokudla okungenampilo, ukwandisa ukudla okunensimbi kungase kusize amazinga akho abuyele ngokuqhubekayo kokujwayelekile. Umzimba wakho ungakwazi ukwakha kancane kancane izitolo zawo zensimbi uma unikezwa izakhamzimba ezifanele nesikhathi esanele.
Izimo zesikhashana njengokukhulelwa, izikhathi ezinzima zokuya esikhathini, noma ukunikela ngokusanda kwegazi kungabangela i-hemoglobin ukuthi yehle okwesikhashana. Uma lezi zimo sezixazululiwe futhi umzimba wakho unesikhathi sokululama, amazinga akho angase athuthuke ngokwemvelo.
Kodwa-ke, amacala amaningi adinga uhlobo oluthile lokungenelela ukuze kulungiswe ngokugcwele inkinga. Izimo ezingapheli, ukulahlekelwa igazi okuqhubekayo, noma ukuntuleka okukhulu ngokuvamile kudinga ukwelashwa kwezokwelapha ukuvimbela izinkinga nokubuyisela amazinga e-hemoglobin enempilo.
Ukwelashwa ekhaya kwe-hemoglobin ephansi kugxila ekusekeleni ikhono lomzimba wakho lemvelo lokukhiqiza amaseli abomvu egazi anempilo. Ushintsho ekudleni kanye nokuguqulwa kwendlela yokuphila kungenza umehluko omkhulu, ikakhulukazi ezimweni ezithambile ezibangelwa ukuntula kokudla okunomsoco.
Ukudla ukudla okunensimbi yisivikelo sakho sokuqala sokulwa ne-hemoglobin ephansi. Umzimba wakho umunca insimbi evela emithonjeni yezilwane kalula kunevela emithonjeni yezitshalo, ngakho ukufaka zombili izinhlobo ekudleni kwakho kukunika ithuba elingcono kakhulu lokuthuthukisa amazinga akho.
Nawa ukudla okungasiza ukukhulisa i-hemoglobin yakho ngokwemvelo:
I-Vitamin C isiza umzimba wakho ukumunca insimbi ngempumelelo, ngakho ukuhlanganisa ukudla okunensimbi nemithombo ye-vitamin C kungathuthukisa imiphumela yakho. Zama ukudla izithelo ze-citrus, ama-pepper, ama-strawberry, noma utamatisi ngokudla kwakho okunensimbi.
Gwema ukuphuza ikhofi, itiye, noma ubisi ngokudla okunensimbi, ngoba lokhu kungaphazamisa ukumuncwa kwensimbi. Kunalokho, gcina lezi ziphuzo phakathi kokudla noma uzikhethe ngezikhathi ezahlukene zosuku.
Ukuthola ukulala okwanele nokuphatha ingcindezi nakho kusekela ukukhiqizwa kwamaseli egazi anempilo. Umnkantsha wakho usebenza kahle kakhulu lapho umzimba wakho uphumule kahle futhi ungaqhubeki ngaphansi kwengcindezi.
Ukwelashwa kwezokwelapha kwe-hemoglobin ephansi kuncike embangweni obangelayo nobukhulu besimo sakho. Udokotela wakho uzokwenza uhlelo lokwelapha olusekelwe esimweni sakho esithile, izimpawu, nemiphumela yokuhlolwa.
Izithasiselo zensimbi zivame ukuba yindlela yokuqala yokwelapha i-anemia yokuntuleka kwensimbi. Udokotela wakho angase akwelule ukuba uthathe amaphilisi ensimbi ngomlomo noma, ezimweni ezinzima, ukufakwa kwensimbi ngemithambo okuletha insimbi ngqo emsingeni wakho.
Ngezintulelo zamavithamini, udokotela wakho angase ancome izithasiselo ezithile njengemijovo ye-B12, amaphilisi e-folate, noma uvithamini C ukusekela ukumuncwa kwensimbi. Lokhu kwelashwa kuvame ukuqhubeka izinyanga eziningana ukuze kwakhiwe kabusha izitolo zomzimba wakho zomsoco.
Uma isifo esingamahlalakhona sibangela i-hemoglobin yakho ephansi, ukwelapha isimo esibangela lokho kuba yinto eza kuqala. Lokhu kungase kuhlanganise imithi yokunciphisa ukuvuvukala, ukuphatha izimo ze-autoimmune, noma ukusekela ukusebenza kwezinso.
Izimo ezingathi sína zingase zidinge ukungenelela okwengeziwe:
Udokotela wakho uzoqapha inqubekela phambili yakho ngezivivinyo zegazi ezivamile ukuze aqinisekise ukuthi amazinga akho e-hemoglobin ayathuthuka. Izikhathi zokwelashwa ziyahlukahluka, kodwa abantu abaningi babona ukuthuthuka phakathi namasonto ambalwa kuya ezinyangeni.
Kufanele ubone udokotela uma uhlangabezana nokukhathala okuqhubekayo, ubuthakathaka, noma ukuphefumula okuncane okuphazamisa imisebenzi yakho yansuku zonke. Lezi zimpawu, ikakhulukazi uma zingathuthuki ngokuphumula, zivame ukukhombisa ukuthi umzimba wakho awutholi umoya-mpilo owanele.
Naka ukuthi uzizwa kanjani ngesikhathi semisebenzi ejwayelekile. Uma uzithola uphelelwa umoya ekukhuphukeni izitebhisi, uzizwa unesiyezi uma usukuma, noma uqaphela inhliziyo yakho igijima ngesikhathi sokuzivivinya okulula, lezi kungaba yizimpawu zokuthi amazinga akho e-hemoglobin adinga ukunakekelwa kwezokwelapha.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nalokhu:
Ungalindi uma unezici eziyingozi ze-anemia, njengokudla imifino, ukugula okungapheli, noma umlando womndeni wezifo zegazi. Ukutholwa nokwelashwa kwasekuqaleni kungavimbela izinkinga futhi kukusize uzizwe ungcono ngokushesha.
Ukuhlolwa minyaka yonke kuvame ukuhlanganisa ukuhlolwa kwegazi okungathola i-hemoglobin ephansi ngaphambi kokuba izimpawu zibe zimbi. Le ndlela yokuvimbela ivumela ukwelashwa okuthambile nemiphumela engcono.
Ezinye izici zikhuphula amathuba akho okuthuthukisa ukubalwa kwe-hemoglobin ephansi. Ukuqonda lezi zici eziyingozi kukusiza ukuthi uthathe izinyathelo zokuvimbela futhi wazi ukuthi nini okufanele uqaphele kakhulu ngezimpawu.
Abesifazane abaneminyaka yokuzala babhekene nengozi enkulu ngenxa yokulahlekelwa igazi njalo ngenyanga. Ukukhulelwa nakho kwandisa izidingo zensimbi kakhulu, njengoba umzimba wakho usekela wena kanye nokunikezwa kwegazi lomntwana wakho okhulayo.
Izici zokudla zidlala indima enkulu emazingeni e-hemoglobin. Abantu abalandela ukudla kwemifino noma kwe-vegan bangase babe nengozi enkulu uma bengahleli kahle ukudla kwabo insimbi, ngoba insimbi esekelwe ezitshalweni kunzima ukuthi umzimba wakho uyithathe.
Nazi izici eziyingozi eziyinhloko okufanele uziqaphele:
Ukuba nezici eziyingozi akusho ukuthi nakanjani uzothuthukisa i-hemoglobin ephansi, kodwa kusho ukuthi kufanele uqaphele kakhulu izimpawu futhi ucabangele ukuhlolwa kwegazi njalo ukuqapha amazinga akho.
I-hemoglobin ephansi engelashwanga ingaholela ezinkingeni ezingathi sína njengoba umzimba wakho ulwela ukusebenza ngaphandle kokulethwa komoya-mpilo okwanele. Iningi lezinkinga zithuthuka kancane kancane, kodwa i-anemia ebucayi ingadala izingozi zezempilo ngokushesha.
Izinkinga zenhliziyo ziphakathi kwezinkinga ezingathi sína kakhulu. Lapho igazi lakho lingakwazi ukuthwala umoya-mpilo owanele, inhliziyo yakho isebenza kanzima ukuphusha igazi emzimbeni wakho wonke. Lokhu kucindezela okwengeziwe kungaholela ekushayeni kwenhliziyo okungajwayelekile, inhliziyo ekhulisiwe, noma ngisho nokuhluleka kwenhliziyo ezimweni ezinzima.
Izinkinga zokukhulelwa zingenzeka lapho i-hemoglobin ephansi ingalawulwa kahle. I-anemia ebucayi ngesikhathi sokukhulelwa yandisa ingozi yokuzalwa ngaphambi kwesikhathi, izinsana ezinobunzima bokuzalwa obuphansi, kanye nezinkinga ngesikhathi sokubeletha.
Nawa ama-complications amakhulu angathuthuka:
Izindaba ezinhle ukuthi izinkinga eziningi zingavinjelwa ngokwelashwa okufanele. Ukuxilongwa kusenesikhathi nokuphathwa okufanele kungakusiza ukuthi ugweme le miphumela emibi futhi ugcine impilo enhle.
Ukubala okuphansi kwe-hemoglobin ngokuvamile kubi empilweni yakho ngoba kusho ukuthi umzimba wakho awutholi umoya-mpilo owudingayo ukuze usebenze kahle. Kodwa-ke, ukuqonda ubunzima kanye nembangela kusiza ukubeka lesi simo ngendlela efanele.
I-hemoglobin ephansi emnene ingase ibangele ukukhathala nobuthakathaka kodwa akuvamile ukuthi iholele ezinkingeni ezinkulu uma iselashwa ngokushesha. Abantu abaningi abanamazinga aphansi kancane bangakwazi ukuphatha isimo sabo ngempumelelo ngoshintsho lokudla kanye nezithasiselo.
I-hemoglobin ephansi ephakathi nendawo kuya kokukhulu ibeka izingozi ezinkulu zempilo. Inhliziyo yakho, ubuchopho, nezinye izitho zidinga ukuhlinzekwa komoya-mpilo okuqhubekayo ukuze zisebenze kahle. Uma amazinga e-hemoglobin ehla kakhulu, lezi zitho azikwazi ukwenza imisebenzi yazo ebalulekile kahle.
Umgomo empilweni yakho uncike ekutheni amazinga akho aphansi kangakanani nokuthi ehle ngokushesha kangakanani. Ukwehla kancane kancane kuvame ukuvumela umzimba wakho ukuthi uzivumelanise kancane, kuyilapho ukwehla kungazelelwe kungabangela izimpawu eziqashelwa kakhulu.
Abanye abantu bakhathazeka ngokuthi ukuba ne-hemoglobin ephansi kusho ukuthi banesifo esibucayi. Ngenkathi kungakhomba izinkinga zempilo ezingaphansi, izimbangela eziningi zitholakala kalula. Ukuntula insimbi, okuyimbangela evame kakhulu, kuvame ukuphendula kahle ekunikezelweni nasezinguqukweni zokudla.
Ukutholwa kwasekuqaleni nokwelashwa ngokuvamile kuholela emiphumeleni emihle. Abantu abaningi abane-hemoglobin ephansi bangabuyela emazingeni avamile futhi bazizwe ngcono kakhulu ngokunakekelwa okufanele.
Izimpawu ze-hemoglobin ephansi zivame ukulingisa ezinye izimo zempilo ezivamile, ezingaholela ekuhlolweni okungalungile noma ekwelashweni okubambezelekile. Ukukhathala nobuthakathaka obuhambisana ne-hemoglobin ephansi kungabangelwa kalula yizindlela zokuphila ezimatasa, ukucindezeleka, noma ezinye izinkinga zezokwelapha.
Ukucindezeleka nezifo zokukhathazeka zihlanganyela izimpawu eziningi nge-hemoglobin ephansi, okuhlanganisa ukukhathala, ubunzima bokugxila, nokuzizwa ukhungathekile. Kodwa-ke, ukucindezeleka ngokuvamile kufaka phakathi ukudabuka okuqhubekayo noma ukulahlekelwa intshisekelo emisebenzini, kuyilapho ukukhathala kwe-hemoglobin ephansi kungokomzimba.
Izifo ze-thyroid, ikakhulukazi i-hypothyroidism, zingabangela izimpawu ezifanayo njengokukhathala, ukuzwela okubandayo, kanye nenkungu yobuchopho. Umehluko omkhulu ukuthi izinkinga ze-thyroid zivame ukufaka izinguquko zesibalo somzimba, ukulahlekelwa izinwele, kanye nezinguquko zesikhumba ezingavamile ku-hemoglobin ephansi.
Nawa amanye amagama avame ukudidaniswa ne-hemoglobin ephansi:
Indlela engcono kakhulu yokuhlukanisa i-hemoglobin ephansi nalezi zimo ukuhlolwa kwegazi. Uma uhlangabezana nokukhathala okuqhubekayo, ungasacabangi ukuthi kumane nje kungukucindezeleka noma ukuntula ukulala - ukuhlolwa kwegazi okulula kungahlinzeka ngezimpendulo ezicacile.
I-hemoglobin ephansi engelashwanga engathí sina ingaba yingozi ekuphileni, kodwa lokhu akuvamile ngokunakekelwa kwezempilo yesimanje. Izimo eziningi zibanjwa futhi zelashwe ngaphambi kokufinyelela emazingeni ayingozi. I-hemoglobin ephansi kakhulu ingakwazi ukucindezela inhliziyo yakho futhi inciphise ukulethwa komoya-mpilo ezingxenyeni ezibalulekile, kodwa ukwelashwa okusheshayo kwezokwelapha kungavimbela izinkinga ezingathi sína.
Amazinga e-hemoglobin ngokuvamile athuthuka phakathi kwamasonto angu-2-4 ngemva kokuqala ukwelashwa, nakuba kungase kuthathe izinyanga ezingu-2-3 ukubuyisela ngokugcwele amazinga avamile. Isikhathi sincike embangweni obangelayo, ubukhulu bokushoda, nokuthi usabela kahle kangakanani ekwelashweni. Udokotela wakho uzoqapha inqubekela phambili yakho ngokuhlolwa kwegazi okuvamile.
Gwema ukuphuza ikhofi, itiye, noma ubisi ngokudla okunothile ngensimbi, njengoba lokhu kungavimba ukumuncwa kwensimbi. Nciphisa izithasiselo ze-calcium ngesikhathi sokudla, futhi unciphise ukudla okunama-oxalates amaningi njenge-spinach uma kudliwa okuluhlaza. Gxila kulokho okufanele ukufake esikhundleni sokugwema okuqinile - hlanganisa ukudla okunothile ngensimbi nemithombo kavithamini C ukuze kumuncwe kangcono.
I-hemoglobin ephansi wuhlobo olulodwa lwe-anemia, kodwa i-anemia iyigama elibanzi elihlanganisa noma yisiphi isimo lapho ungenayo amangqamuzana abomvu egazi anempilo eyanele. Ungaba ne-anemia ngamazinga ajwayelekile e-hemoglobin uma amangqamuzana akho abomvu egazi engamile kahle noma engasebenzi kahle, nakuba i-hemoglobin ephansi iyona ejwayelekile.
Ukuzivocavoca okulula kungasiza ukuthuthukisa ukujikeleza kwegazi nempilo yonke, kodwa ngeke kukhuphule ngokuqondile amazinga e-hemoglobin. Eqinisweni, ukuzivocavoca okukhulu kungase kwehlise okwesikhashana i-hemoglobin ngokwanda kwevolumu yegazi nokuhlakazeka kwamangqamuzana abomvu egazi. Gxila emisebenzini emnene efana nokuhamba ngenkathi ubhekana nesizathu esiyisisekelo ngokudla okunempilo nokwelashwa kwezokwelapha.