Umbuzo: Ndikhethe ukungadutyulwa ngumkhuhlane kulo nyaka kuba bendihlala kude nezihlwele kwaye ndinxibe imaski ngelixa ndithenga. Ndiye ndaqonda ukuba ndinomkhuhlane, ndingacela ipilisi yomkhuhlane kugqirha wam. Ngelishwa, ndiyakwazi. Andilikhumbuli igama. Lithini izinga losulelo kulo nyaka?
A. Ngokutsho kwamaZiko oLawulo noThintelo lweZifo, kulo nyaka umsebenzi womkhuhlane ungaphantsi “kwesiseko.” Kunyaka ophelileyo, bekungekho mkhuhlane. Oku kunokuba sisiphumo samanyathelo athatyathwa ngabantu ukunqanda i-COVID-19.
Ii-antivirals ezimbini zomlomo we-influenza yi-oseltamivir (i-Tamiflu) kunye ne-baloxavir (i-Xofluza) .Zombini zisebenza ngokumalunga nomkhuhlane walo nyaka, i-CDC ibika ingxelo.Kuthathwe ngokukhawuleza emva kokuba iimpawu ziqale, ngamnye unokunciphisa ixesha lomkhuhlane malunga nosuku okanye ezimbini.
UMBUZO. Ngaba kukho uphando malunga nokhuseleko lokuthatha i-calcium ukwenzela i-reflux? Ndithatha ubuncinane iipilisi ezine ze-500 mg eziqhelekileyo ngosuku kwi-GERD yam. Ezi zilawula isitshisa.
Ngokuqhelekileyo, ndithatha ezimbini ngaphambi kokulala ukuze ndingavuki ndibuhlungu besisu.Ndineminyaka ndiyenza le nto kuba ndingafuni ukusebenzisa iyeza elifana neNexium.Ingaba ndiza kuzisola?
A. Icalcium carbonateoyithathayo yenzelwe ukunika isiqabu sexesha elifutshane kwiimpawu.I-tablet nganye ye-500 mg ibonelela nge-200 mg ye-elemental calcium, ngoko ke iipilisi ezine zibonelela malunga ne-800 mg ngosuku.Oku kungaphakathi koluhlu lokutya okucetyiswayo lwe-1,000 mg kumadoda amadala angaphantsi iminyaka yobudala be-70.Ukucetyiswa kwansuku zonke kwabasetyhini ngaphezu kwe-50 kunye namadoda angaphezu kwe-70 yi-1,200 mg;ukuze bafumane loo nto ingako, abantu abaninzi badinga uhlobo oluthile lokongeza.
Into esingayaziyo kukhuseleko lwexesha elide lwe-calcium supplementation.Uhlalutyo lwe-meta lwe-13 kabini-imfama, izilingo ezilawulwa yi-placebo zifumene ukuba abafazi abathatha izongezelelo ze-calcium babeno-15% amathuba okuba bahlakulele isifo senhliziyo (Izondlo, i-26 Jan. 2021).
Uphononongo olupapashwe kwiphephancwadi Gut (ngoMatshi 1, 2018) libika ikhonkco phakathicalcium kunye nevithamin Dizongezo kunye ne-polyps ye-precancerous colon.Amavolontiya kolu vavanyo olulawulwayo anikwe i-1,200 mg ye-elemental calcium kunye ne-1,000 IU ye-vitamin D3. Le ngxaki ithatha iminyaka eyi-6 ukuya kwe-10 ukubonakala.
Ungafuna ukuqwalasela ezinye iindlela zokulawula isitshisa.Uya kufumana iindlela ezininzi onokukhetha kuzo kwi-e-Guide yokoyisa iDigestive Disorders.Iphantsi kweHealth eGuides tab on peoplespharmacy.com.
Umbuzo: Inqaku lakho malunga ne-lipoprotein a okanye i-Lp (a) mhlawumbi lisindise ubomi bam. Bonke ootatomkhulu abane kunye nabazali bobabini bahlaselwa yintliziyo okanye i-stroke. Andizange ndive nge-Lp (a) kwaye ngoku ndiyazi ukuba yinto ebalulekileyo yomngcipheko wokuvinjelwa. imithambo.
Kwincwadi ka-Robert Kowalski ka-2002 ethi The New 8-Week Cholesterol Therapy, ukhankanya izifundo ezininzi apho i-SR (ukukhululwa okuqhubekayo) i-niacin yehlisa i-Lp(a).Sele ndiqalile ukuyithabatha.Umyeni wam sele ethatha i-niacin phantsi kweliso likagqirha iminyaka.
I-A. Lp (a) yimeko eyingozi yofuzo yesifo senhliziyo kunye nesifo senhliziyo.Iingcali ze-Cardiologists zazi malunga neminyaka engama-60 ukuba le lipid yegazi ingaba yingozi njenge-cholesterol ye-LDL.
I-Niacin lelinye lamachiza ambalwa anokwehlisa i-Lp(a).I-Statins inokonyusa lo mngcipheko (i-European Heart Journal, 21 Juni 2020).
Ukutya okuphantsi kwe-fat "intliziyo" yendabuko ayiguquli amanqanaba e-Lp (a). Nangona kunjalo, uphando olutsha lubonisa ukuba ukutya okune-carb ephantsi kunokunciphisa le nkxalabo yengozi (i-American Journal of Clinical Nutrition, ngoJanuwari).
Kwikholamu yabo, uJoe noTeresa Graedon baphendula iileta ezivela kubafundi.Babhalele eKing Features, 628 Virginia Drive, Orlando, FL 32803, okanye ubathumelele i-imeyile ngewebhusayithi yabo ethi, peoplespharmacy.com.Bangababhali be “Top Mistakes Doctors Yenza Nendlela Yokuziphepha.”
Nika Isithethi se-Northwest Passages Community Forum Series ngokuthe ngqo ngokusebenzisa iinketho ezilula ngezantsi - oku kunceda ukuhlawula iindleko zeentatheli ezininzi kunye nezikhundla zomhleli kwiphephandaba.Izipho eziqhutywe kule nkqubo azixhuzulwa irhafu, kodwa zisetyenziselwa ukunceda ukuhlangabezana nazo. Iimfuno zezimali zengingqi ezifunekayo ukufumana inkxaso-mali ehambelana norhulumente.
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Ixesha lokuposa: Mar-10-2022