Kutheni Abanye Abantu Banalo Utywala Baxhatshazela Okwenzekayo Nokuba Yintoni Enokwenziwa Ngayo
Ixesha lobugcisa lokufumana ukutshatyalaliswa kweso sangoko emva kokusela utywala ngotywala.
Ukusetyenziswa kotywala kotywala ngamanye amaxesha kuthiwa yi-Asian flush syndrome, i-Asian flush, okanye ukukhanya kwe-Asia ngenxa ye-36% yama-Asiya aseMpuma (amaJapan, amaTshayina namaKorea) abonakalisa ukutshatyalaliswa kobuso emva kokusela utywala.
Iimpawu ezinxulumene noTywala ziThuthukisa
Iqondo leempawu lihluka ukusuka kumntu ukuya komntu, kodwa ngokubanzi, iimpawu zokutywala kotywala ziquka:
- Ukuphuhlisa izitya okanye iibhloko ezinxulumene ne- erythema (ukulungiswa ngokukhawuleza kwesikhumba ebangelwa ukuhluthwa kwe-capillaries yegazi, ngokuqhelekileyo kwi-patches).
- I sizathu
- Intloko
- Iqondo lentliziyo ekhawulezayo
- Ukungaphumeleli kwintliziyo ehlaziyiweyo ngokuqhelekileyo emva kokusela utywala
Ukusetyenziswa kotywala kotywala kunokukwenzeka kwi:
- Ubuso
- Intamo
- Amagxa,
- Kwezinye iimeko, umzimba wonke
Yintoni Eyabangela Ukugqithisa Ubuso Emva kokusebenzisa Utywala?
Emva kokusela utywala, i-enzyme ebizwa ngokuba yi-dehydrogenases (ADH) iguqula utshwala ibe yi-acetaldehyde, i-toxin leyo eyona nto eyenziwa yi-alcoolised alcohol, enye enye i-enzyme ebizwa ngokuthi i-aldehyde dehydrogenase 2 (i-ALDH2) ize ilandele into engabonakaliyo ebizwa ngokuba yi-acetate.
Ukutshatyalaliswa kwesobuso kuthathwa ngendlela eyenzeka kubantu abangenalutho kwi-ALDH2, apho utywala buqulunqwa khona kwaye luqhutywe kumaxesha angama-100 ngokukhawuleza kunomyinge wesintu.
Ukuntuleka kwe-enzyme ye-ALDH2 kuthetha ukuba i-acetaldehyde ikwakhiwa emzimbeni, kubangela ukuhluma kunye nezinye iimpawu ezifana nokunyuka kwentliziyo kunye nesiphithiphithi.
I-ALDH2 iyona-enzyme efanayo ejongene nokucubungula i- histamine- imichiza echaphazelekayo ekuphenduleni-kwaye xa unesiphene kwi-gene ekuncedeni ukuphuza utywala, ufumana utywala obushushu.
Phantse ama-5-7% abantu abane-alcohol reaction reaction bashiywe ngokupheleleyo i-gene.
Ngaba Ukutshatyalaliswa Kwebuso Kubungozi?
Kwiingcaphephe, ukuphendulelwa kotywala kotywala kuye kwadibaniswa nomlinganiselo ongaphantsi kwamazinga okusela utywala (mhlawumbi ngenxa yokubambisana kunye nemiphumo emibi emva kokusela utywala) kunye nama-capillary ehlanjululwayo kunye namahlama atyhidiweyo. Nangona kunjalo, ukusabela ngokutsha kotywala yimeko enxulumene nomngcipheko wokwanda komdlavuza kulabo baselayo.
Abantu abangenalo i-ALDH2 basengozini enkulu yokuphucula umdlavuza we-esophageal (ngokukodwa i-squamous cell carcinoma) ekuphuzeni utywala kunabantu abane-ALDH2 enamandla ngokupheleleyo.
Izindlela zokuLawula ukuqhuma komzimba
Akunakwenzeka ukutshintsha i-enzyme ye-ALDH2, nangona kukho iindawo ezininzi zokusela iimveliso kunye neengxowa-mali ezithi zikuncede ukuba usebenzise i-acetaldehyde. Ukuze unqande ukutshatyalaliswa kotywala kufuneka utshintshe indlela osela ngayo ngeendlela ezimbalwa ezilula:
- Ukutya isidlo ngaphambi kokusela utywala kunokunciphisa umonakalo otywala kwi-system yakho ngokunciphisa i-acetaldehyde kunye nokuthintela ukusetyenziswa kotywala.
- Ukungaphuzi ngaphezulu kwesiselo esisiselo sotywala ngehora kunye nokusela kancinci. Oku kuvumela umzimba wakho ukuba ugxothe i-acetaldehyde, ngokukodwa xa uguqula amanzi phakathi kwezidakwa.
- Ukuthatha i-histamine i-H2-receptor-antagonist, efana ne-Pepcid AC okanye i-Zantac iya kukhankanya ukuphendula, kodwa kukho ukuphikisana nokusetyenziswa kwama-antihistamine ngelixa uqhubeka usela utshwala njengoko lo mkhuba awujongisi amanqanaba anetyhefu e-acetaldehyde kwinkqubo.
Umthombo:
Utywala Utywala Amanqaku Ukwanda komngcipheko weCcercer phakathi kwama-Asiya aseMpuma. Ngomhla wama-23 Matshi 2009. Iziko leSizwe lezeMpilo (NIH).