I-Labil hypertension, futhi ngezinye izikhathi ngokubhekwa ngokubhekwa ngokuthi yi-borderline hypertension, igama elisetshenziselwa ukuchaza labo bantu ababhekana nezinguquko ezivamile emazingeni okushisa komfutho wegazi , noma ukucindezelwa kwegazi eliphezulu. Lesi simo sibonakala ngokushintsha ngokuzumayo kokuqhubekayo nokuqhubekayo kokucindezela kwegazi, okuvame ukuvela ekufundeni okujwayelekile noma okunempilo kuya ekufundeni okuphakeme ngezikhathi ezahlukene zosuku.
Mhlawumbe izintshisekelo eziningi zikhona imibono yezokwelapha ezihlukahlukene mayelana nesimo esivela ekubalweni kwayo njengesizathu esingenacala sokuthi unomthelela omkhulu wegazi ophakeme "ohleliwe" kuze kube yilapho kungakalungi isimo esifanayo.
Imibono yezokwelapha Nge-Labil Hypertension
Ngenkathi abanye emphakathini wezokwelapha bebhekene ne-hypertension ye-labile njengesimo esinokwethenjelwa, abanye bakholelwa ukuthi kuwumqondo ongenaphutha nokuxilongwa. Kungakhathaliseki ukuthi ikamu elibhekene nalo, ukukholelwa komfutho we-labile kubonakala sengathi kunomqondo obaluleke kakhulu kunomqondo ozwakalayo futhi owingozi kakhulu owaziwa ngokuthi "ohleliwe". Ngokusho kochwepheshe abaningi bezokwelapha, ukucindezeleka kwegazi okukhathazeka kakhulu uma kunqunywa noma kuqhubeka isikhathi eside njengoba imiphumela yaso embi empilweni yakho empeleni ithatha iminyaka eminingi ukuthuthukisa.
Ngenkathi iningi labachwepheshe bezezempilo bejwayele leli gama, azikho izindlela eziningi ezivunyelwe kabanzi ukuze zichazwe noma zihlolisise i-labile hypertension, ezenza iziqondiso zokwelapha ngisho nokuqonda isimo kunzima kakhulu.
Lokho kusho ukuthi lapho umuntu ephikisana negazi ngokwemvelo noma eguquguqukayo, ngokuvamile kuwuphawu lwesinye isimo.
Izimbangela
Izinguquko eziphindaphindiwe ezingcindezini zegazi zingabangela izici eziningana, ezinye zijwayelekile futhi ziphilile kanti ezinye zimbi kakhulu. Labo ochwepheshe bezokwelapha ababukela i-labile hypertension njengendlela yokuxilongwa okungafanelekile bakhomba iqiniso lokuthi cishe wonke umuntu unembile, noma uhlukile kwegazi - futhi kufanele.
Ngokusho odokotela e-Icahn School of Medicine eNtabeni iSinayi eNew York, ukucindezelwa kwegazi kumuntu ophilile kuqhubeka njalo ukuze kuhlangabezane nezidingo zomzimba wethu.
Isibonelo, ukucindezeleka kwegazi ngokwemvelo kwehla ngesikhathi sokuphumula nokulala, kuyilapho kuphakama ngesikhathi sokuvivinya umzimba. Isikhundla sabo ukuthi nakuba kuyisikhathi esivamile, i-labile yomshuwalense ngokuvamile yindlela engafanelekile yokuveza abantu abanegazi labo abacindezelekile ngendlela engavamile ngendlela efana nalezi ziguli eziningi ezihlolwe ngepheochromocytoma noma isisu esiyinqaba esivela kumangqamuzana angama-gland .
Abanye odokotela babona ukuxhuma phakathi kwe-labile yokuxilongwa komfutho wegazi ophakemeyo owaziwa ngokuthi "ijazi elimhlophe" noma "ihhovisi" lokushisa komfutho, okuyinto imigomo esetshenziselwa ukuchaza ukucindezelwa kwegazi okufundwayo kuphela ephezulu ehhovisi likadokotela noma esimweni sezokwelapha ngenxa ukukhathazeka okuvamile kulezo zimo. Amacala amaningi okugcoba okukhulu kwegazi amhlophe akhombisa ukufundwa kwegazi okujwayelekile noma okunempilo ekhaya ngaphambi nangemva kokuvakashela ihhovisi nge-spike ekucindezelekeni kwegazi kuphela ngenkathi ehhovisi likadokotela.
Lokho kusho ukuthi kukhona odokotela ababona izibonakaliso ze-labile hypertension ezingabhekene neze nesimo esingavamile njengepheochromocytoma noma i-white coat hypertension.
Esikhathini esiningi, lezo zinguquko ezihlukahlukene ekucindezelekeni kwegazi ngokuvamile zingaphandle kwezinga elivamile lomfutho wegazi futhi ngokuvamile zingaxhunyaniswa nokucindezeleka ngokomzwelo. Izimpawu zokucindezeleka kwe-labile emoyeni eziqhutshwa ngokomzwelo zingabandakanya izinwele zekhanda nokukhala ezindlebeni .
Ukwelapha
Uma ukucindezeleka okungavamile kwe-labile kungenakukwazi ukubhekwa ngokwejwayelekile, ukucindezeleka kwegazi okunempilo kushintsha noma isifo esingavamile noma isimo, odokotela abaningi bazobiza ukubhekwa kwengcindezi yegazi esikhathini esingamahora angu-24 njengoba kubhalwa isiguli esiphezulu ngemva kokufundwa kwengcindezi eyodwa kwegazi ngokuvamile kubhekwa kungenangqondo . Ukuqapha ukucindezelwa kwegazi phakathi nenkathi yosuku olugcwele kungasiza udokotela ekunqumeni ukuthi yiyiphi iphesenti yesikhathi umuntu abhekana nayo ne-high blood pressure.
Kanye nedayari yomsebenzi wansuku zonke, imiphumela yokuqapha ingasiza ekunqumeni imbangela ye-spikes ye-blood pressure.
Ngokungafani nezinye izimo ze-high blood pressure, amacala amaningi we-labile yomshuwalense awuphenduli kahle emithini yemithi ephakeme yomshuwalense . Esikhundleni salokho, kulabo bantu abanesifo somfutho wegazi ophezulu ongasondelene nokucindezeleka ngokomzwelo, isinyathelo sokuqala ukuphatha ukukhathazeka, okungafani nokushintsha kokuphila njengokuzivocavoca njalo nokudla okunempilo kumasu okuphumuza emithini yokulwa nokukhathazeka.
Imithombo
"Sibutsetelo soHlelo lwe-Hypertension." I-Mount Sinai Doctors Clinical Practice . I-Icahn School of Medicine eNtabeni iSinayi, 2015.
"I-Lable Hypertension: Inkulumo Eyiphutha? Isifundo Se-Framingham." I-American Journal of Cardiology 43.2 (1979): 419.
UMann, uSamuel J. "Umthamo Wezokwelapha We-Hypertension Labile: I-Dilemma Yokuphatha." I-Journal of Clinical Hypertension 11.9 (2009): 491-97.