Ukushisa komfutho kuveza izinselelo ezikhethekile kubesifazane
Ukucindezeleka komzimba kuyinkinga ebalulekile yempilo yabaningi baseMelika. Abantu abadala abayizigidi ezingu-70 e-United States, cishe oyedwa kwabaseMelika abathathu, banomfutho wegazi ophezulu. Ngaphansi kwengxenye engaphezu kwengu-50 yabantu baseMelika abanomfutho wegazi ophezulu abanokulawula okuhle. I-hypertension yisifo esingelapheki esivame ukubangela umonakalo enhliziyweni, ebuchosheni, emithanjeni yegazi, nakwezinye izitho, kuhlanganise nezinso.
Kungani Kukhona Amanani Amibili Elinganisweni Zakho Zokucindezela Ngegazi?
Inombolo ephezulu imelela ukucindezelwa kwegazi le- systolic , okuyisilinganiso somfutho emithanjeni yakho yegazi lapho inhliziyo yakho ibetha. Lapho inhliziyo yakho iphumula phakathi kwezinyosi, umfutho wegazi wakho uphansi. Lokhu kuboniswa inombolo ephansi, i- diastolic yegazi.
Ingabe Usengozini?
Abesifazane abaningi bazicabangela ukuthi bavikelekile emzimbeni wegazi. Nakuba kuyiqiniso ukuthi ingozi yokushisa komfutho iyancipha kwabesifazane uma kuqhathaniswa namadoda, leyo nzuzo iyanyamalala lapho abesifazane befinyelela esikhathini sokuya esikhathini. Ngemuva kokuphuma esikhathini, abesifazane balahlekelwa umphumela wokuzivikela we-estrogen njengoba amazinga ehla. Eqinisweni, abesifazane banengozi enkulu yokushisa kakhudlwana kunamadoda avela eneminyaka engama-65. Abesifazane bangabuye bathuthukise umfutho wegazi ophezulu ngaphambi kokuya esikhathini sokuya esikhathini, nakuba bengengozini encane.
Kubalulekile ukuqapha ukucindezeleka kwegazi kulo lonke umuntu omdala kusukela ukuphakama kwegazi okuvame ukungahambisani nezimpawu nezimpawu kuze kube yilapho kwenzeka ukulimala kwezitho ezinjengezinhliziyo noma izinso.
I-hypertension ngumbulali othulile, ngakho-ke kubalulekile ukuhlala uqaphile.
Abesifazane banezici ezinobungozi ngokuqondene nobulili
Izisu zokubeletha zomlomo zingandisa ukwanda kwegazi kwabanye besifazane. Kufanele uqiniseke ukuthi udokotela wakho ulinganisa ukucindezela kwegazi njalo futhi uyibhala erekhodi lakho lezokwelapha. Ukubhema kwandisa ingozi nakakhulu.
Uma ucabangela ukuthatha ipilisi yokubeletha ngomlomo futhi ubhema, qiniseka ukuthi uxoxisana nodokotela wakho engozini enkulu. Inhlanganisela yokubhema nokukhulelwa komlomo kuyingozi kwabesifazane abaningi.
Abesifazane Banamaphesenti Aphakeme Kakhulu Lokuqhathaniswa Namalungu Aqhathaniswa Namadoda
Abesifazane banephesenti eliphakeme lamafutha omzimba, okuyinto engozini engozini yokushisa kanzima. I-fat eqoqa ngaphakathi esiswini, eyaziwa njengamafutha e-visceral, ixhunywe ne-hypertension, i-cholesterol ephezulu, isifo senhliziyo, nokuqina kwe-insulin. Eqinisweni, ukuhlonza isifo se-metabolic, esibhekene nokukhuluphala okuphakathi, i-triglycerides ephakanyisiwe, nokucindezelwa kwegazi eliphezulu, kuye kwaholela abacwaningi ukuba bahlole ngokucophelela lesi sixhumanisi. Ukudla okufana nokudla kwe-DASH kuye kwaboniswa ukunciphisa ukucindezelwa kwegazi. Ngaphezu kokusika amakholori, ukudla kwe-DASH kunciphisa uketshezi, okunye okubangela ukulawulwa kwegazi.
Yini Ongayilindela Uma Une-Hypertension futhi Uba Nesisu?
Uma une-hypertension futhi uthatha imithi, xoza isimo sakho nodokotela wakho ngaphambi kokukhulelwa. Ukukhulelwa kwakho kungabangela ukwanda kwengcindezi yegazi futhi kungaba yingozi kokubili wena nomntanakho. Kukhona nemithi ethile engaba yingozi kumama nomntwana ngesikhathi sokukhulelwa, kubandakanya i-angiotensin receptor blockers (ama-ARB) kanye ne-angiotensin-guqula i-enzyme inhibitors (ACEIs).
Kubalulekile ukumisa le mithi ngaphambi kokuba ukhulelwe, kodwa ungamiseli imithi enqunyiwe ngaphandle kokubonisana nodokotela wakho.Uma ulandela ngokucophelela izincomo zikadokotela wakho ukuphatha ukucindezeleka kwegazi, ungahlala uphilile ngenkathi ukhulelwe futhi ungakhulula ingane enempilo.
Ukukhulelwa Kwesisu Kwabesifazane Ngaphandle Kwemlando Yokucindezelwa Kwegazi Eliphakeme
Akuyona eyingqayizivele kwabesifazane ngaphandle komlando we-high blood pressure ukuthuthukisa umfutho wegazi ophezulu ngesikhathi sokukhulelwa. Lesi esinye sezizathu zokunakekelwa kokubeletha kubaluleke kakhulu kubo bonke omama abalindele. I-PIH, eyaziwa nangokuthi i-gestational hypertension, ngokuvamile ixazulula ngemuva kokubeletha.
Kwenzeka ku-8% wabesifazane abakhulelwe, futhi iningi labesifazane abathuthukisa i-PIH baqala ukukhulelwa. I-PIH ingaba yi-preeclampsia, isimo esingaholela ekulimazeni i-placenta ne-fetus, ngaphezu kwalokho okungabangela ukulimala ezithombeni zikamama, kuhlanganise nezinso, isibindi nobuchopho. I-preeclampsia ivame ukuqala ngemva kwesonto lama-20 lokuzikhandla. Ezinye izici ezingozini ziwumfutho wegazi ophezulu ngaphambi kokukhulelwa; ukukhuluphala; uneminyaka engaphansi kweminyaka engama-20 noma ngaphezulu kweminyaka engama-40; ukubeletha okuningi (amawele, njll); kanye nomlando we-preeclampsia ngesikhathi sokukhulelwa. Abesifazane abane-preeclampsia bangase bathuthukise izimpawu ezifana nokuthumba nokuzuza ngokuzumayo, ukuguqulwa embonweni, kanye nokukhanda ikhanda. Umchamo wabo ungaqukatha amaprotheni. Uma i-eclampsia ikhula, umntwana kufanele akhululwe ukuze avikele izinkinga ezongela ukuphila.