Ikhono likaPotassium lokunciphisa ukucindezeleka kwegazi ngokuvamile lingafunwa
Ukucindezela ngokweqile, (noma ukucindezeleka kwegazi okungavamile) kungenye yezifo ezivame ukuguga njalo. Ngakho-ke kuyinkinga yempilo yomphakathi. Njengama-Centers for Disease Control (CDC), ukusabalala komfutho wegazi ophezulu phakathi kwabantu abadala base-US abaneminyaka engama-18 nangaphezulu kwakungaphezulu kwamaphesenti angama-29.1 ngo-2011-2012. Emhlabeni jikelele, ukusabalalisa okuvamile kwegazi okwenziwe ngabantu abadala abaneminyaka engama-25 nangaphezulu kwakungamaphesenti angaba ngu-40 ngo-2008.
Umfutho wegazi ophakeme ngokuqhubekayo unemiphumela emibi, okuholela engozini yokwanda kwesifo, ukuhlasela kwenhliziyo, ukwehluleka kwezinso, njll Ukwelashwa kwengcindezi ephezulu yensimu eqhubekayo, into eyenza cishe eminyakeni eyikhulu eyedlule.
Umlando Omfushane We-Hypertension
Kunzima ukucabanga ukuthi inqubo yesimanje yokulinganisa ukucindezelwa kwegazi iye yaphela iminyaka engaphezu kwengu-100 (lapho uDkt. Kortokoff, udokotela ohlinzayo waseRussia, echaza indlela enqabeni eyodwa). Ngenkathi singakwazi ukulinganisa ukucindezelwa kwegazi, akekho owazi ngempela ukuthi ukucindezela kwegazi "okuvamile" kufanele kube yiphi. Kamuva, izifundo ezisekelwe emphakathini zenziwa ukuphendula lo mbuzo. Ngalolo lwazi kwafika ukuqaphela ukuthi umfutho wegazi ophakeme ungandisa ingozi yenhliziyo nesifo se-vascular.
Ngeshwa, ngasekuqaleni kwekhulu lama-20, akukho ukwelashwa okuhle okwenziwe nge-hypertension. Kungakhathaliseki ukuthi amasu amancane okwelashwa ayekhona yini umsindo cishe ophakathi nesikhathi esibucayi namazinga anamuhla.
Lokhu kufaka ukufaka igazi nge-phlebotomy, noma ngisho nokusika izinso zomuntu ukuletha ukucindezela kwegazi phansi. Eqinisweni, ukucindezelwa kwegazi okwedlulele kwakuthiwa yi-hypertension engafanele, igama elibi elikhomba ukuthi ukuchazwa kwesifo kungalungile njengomdlavuza.
Ukwelashwa Kwamanje Kwegazi Eliphakeme Lokucindezeleka Kwegazi
Namuhla, odokotela abasasadingeki ukudlala i-vampire ukuze baphathe umfutho wegazi ophakeme weziguli zabo.
Lokhu kuyingxenye ngenxa yokuqonda kwethu okuthuthukisiwe kwe-physiology yomfutho wegazi lomuntu kanye nomthelela wezinto zangaphandle ezifana nokudla (okufaka ama electrolyte njenge-sodium, potassium, njll). Njengezinkinga eziningi nokho, lapho siqhubeka sifunda, imibuzo eningi iyakhula.
Ngakho-ke, umuntu ovamile angenza iphutha lokucabanga ukuthi udokotela wanamuhla uphumelele ubuciko nesayensi yokwelapha umfutho wegazi ophakeme. Nokho, ngisho nanamuhla, ukwelashwa kwesifo somfutho wegazi ophezulu kanye nendlela yokubhekana nale nkinga kusalokhu kuyindaba yokucwaninga okukhulu nokuphikisana. Omunye udinga ukubuka imikhombandlela eminingi enyatheliswa izinhlangano emhlabeni jikelele etshela udokotela ojwayelekile ukuthi angaphatha kanjani ukucindezelwa kwegazi eliphezulu nokuthi kanjani. Ngamunye kuthiwa yizwi lokugcina kulokhu; okungukuthi, kuze kufike isiqondiso esilandelayo. Omunye weziqondiso ezivamile ezisetshenziswe e-US odokotela ukwelapha umfutho wegazi ophezulu kukhona okuthiwa i-Joint National Committee (JNC) imihlahlandlela.
Ukucindezelwa Kwegazi Kulawulwa Kanjani?
Ngaphambi kokuba siqonde indima ye-potassium ekulawuleni ukucindezelwa kwegazi, kubalulekile ukuthi sibe nombono ocacile wendlela "i-thermostat" yomzimba wethu yokucindezela kwegazi isebenza ngayo. Le thermostat ihilela ukuhlanganiswa okuyinkimbinkimbi kwezinqubo ezilawulwa uhlelo lwethu lwezinzwa, izinso, isimiso se-endocrine esenza ama-hormone, inhliziyo, imithwalo yegazi, inani lemanzi egijima emithanjeni yegazi, amazinga ethu we-electrolyte, nokuningi.
Kokuthile okubonakala kubalulekile (njengalapho usho ukuthi, "Umfutho wegazi wami ugijima ngo-120/80"), kuyathakazelisa ukubona indlela le ndlela eyinkimbinkimbi edingekayo ukusebenza ngayo ekuxhumaneni okuphelele njalo kwesibili sempilo yethu ukuze sigcine igazi lethu ukucindezela kugijima lapho kufanele kube khona.
Ama-Electrolytes ne-Hypertension: I-Potassium
Uma kuziwa kuma-electrolyte nomfutho wegazi, odokotela abaningi ngisho nomuntu ovamile ngokuvamile baqonda indima ye-sodium. Iziguli zihlaselwa ngemilayezo mayelana nokusika ukudla kwazo, futhi kufanelekile. Ngeshwa, akugcizelelwa ngokwanele ngenkathi kuxoxwa ngemitholampilo ngendima ezuzisayo ye-potassium ekucindezelekeni kwegazi.
Njengoba kuchazwe lapha , i-potassium inendima ebalulekile emzimbeni womuntu, futhi iyisici esibalulekile ekuphileni. Amazinga ayo agcinwa kakhulu yizinso. Kukhona idatha ekhombisa ukuthi ukungadli i-potassium ngokwanele ekudleni kwethu kungaholela ekwandeni komfutho wegazi, futhi ngisho nokwandisa ingozi yesifo sezinso nokushaywa yisifo. Kukhona futhi idatha evela ekuhlaziyweni kwe-meta ebonisa ukuthi ukwanda kwegrimu eyi-1.6 ekwakhekeni kwe-potassium ngosuku kunganciphisa ingozi yokushaywa yisisindo ngamaphesenti angama-21. Futhi uma ukhathaza lesi simo ngokudla inani eliphakeme le-sodium kanjalo, khona-ke ukusebenza kumfutho wegazi lakho kugcizelela kakhulu. Ngakho-ke kubonakala sengathi uma kuziwa ekucindezeni kwegazi lethu, kusobala ukuthi i-potassium iyindoda enhle.
Kungani Ukucindezeleka Kwegazi Kwe-Potassium?
Asiqiniseki okwamanje. Noma kunjalo, lokhu futhi kuyisifundo sokucwaninga okusebenzayo. Enye yezizathu ezicatshangelwayo umthelela we-potassium ezinyangeni 'zokukwazi ukuqeda i-sodium emzimbeni. Siyazi ukuthi amazinga aphansi egazi we-potassium kusukela ekudleni okuphansi kwe-potassium angakhuphula ukuphindaphinda kabusha kwe-sodium ezinso, futhi kubangele ukucindezeleka okukhulu kwegazi.
Ungadla Ukudla Okuphakeme Kwe-Potassium Ukucindezelwa Kwegazi Okuphansi?
Ngenkathi ukuhlolwa okuningi kuqhutshwa ukuze uphendule lo mbuzo, ukuhlaziywa okukhulu kwe-meta-ukuhlaziywa kwezilingo ezingu-16 ezenziwe ngezikhathi ezithile kwenze kube lula ukuhumusha idatha ngokuchofoza izinombolo zethu. Ngakho-ke sinobufakazi bokuthi ukwanda kwe-potassium ukungenisa kungase kube nomfutho wegazi ophansi ezigulini ezinesifo sofuba. Noma kunjalo, abantu abavamile abangenayo i-high blood pressure issues ngeke babone ukunciphisa okufanayo. Kubuye kubonakale sengathi kukhona ukulingana phakathi kwesilinganiso nomphumela, lapho abantu abanokunyuka okuphezulu kokudla kwe-potassium (ka 90-120 mEq ngosuku) bangabona ukunciphisa okukhulu kwegazi.
Ukudla okuphezulu kwe-potassium akuwona wonke umuntu
Ngaphambi kokuba uqale ukubola ubhanana namatamatisi, sicela uthathe amaminithi ambalwa ukuxoxa nodokotela wakho noma ukudla okuphakeme kwe-potassium kungaba kuhle kuwe. Kuyoba khona abantu abangadliwa yi-potassium ephakeme abangalimaza ngaphezu kwalokho okusizayo. Lokhu kubandakanya abantu abanesifo esiphezulu sezinso, noma abantu abanezinhlobo ezithile zemithi ye-blood pressure efana ne-angiotensin eguqulela i-enzyme (ACE) inhibitors noma i-spironolactone, lapho ukudla okuphezulu kwe-potassium kungandisa khona ingozi yezinga eliphezulu legazi le-potassium / hyperkalemia. Ngesinye isiguli esifanele, kodwa ukudla okunomsoco we-potassium kungase kube nezinzuzo zenhliziyo, njengoba idatha ekhonjisiwe ingasikisela.
> Imithombo
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