Izindlela Zokunciphisa Ukucindezeleka Kwegazi
Umfutho wegazi ophakeme ubalulekile engozini yezifo ezihlukahlukene, kuhlanganise nokuhlaselwa yinhliziyo, ukushaya isifo, ukuhluleka kwenhliziyo, nesifo sezinso. Kunezinketho eziningi uma kuziwa ekuphatheni izinga eliphezulu legazi. Imithi, izinguquko zendlela yokuphila, kanye nezinye izindlela zokungenelela konke kusetshenziselwa inhlanganisela ehlukene, kuye ngezidingo ezihlukile zesiguli ngasinye.
Ukwelapha Ngokwemvelo Kwezinhlobo Ezihlukene Zemibuzo
Ngenkathi umgomo we-high blood pressure ukwelashwa njalo ukunciphisa ukucindezelwa kwegazi, izinombolo ezithile ezibhekiswe kuzo kanye nendlela ozifinyelela ngayo zingase zihluke kuye ngokubunzima nokubangela ukucindezeleka kwegazi eliphezulu .
Iziguli ezinzima azikho isifo esiyinkimbinkimbi esibangela ukucindezelwa kwegazi eliphezulu futhi azizange zenze ezinye izinkinga zomzimba ngenxa yomsindo ophezulu wegazi; Iziguli ezinzima zinezinye izifo ezikhona ngaphezu komfutho wegazi ophezulu. Isibonelo, ukwelapha umfutho wegazi ophezulu esikhungweni sesifo sikashukela kungabandakanya indlela ehlukile yokwelashwa kanye nokubhekisisa komfutho wegazi ohlukile.
Imigomo Yeziguli Eziyinkimbinkimbi
Ukwelashwa kweziguli ezingathintekile kugxile ekwehliseni ukucindezelwa kwegazi nokugwema izinkinga zesikhathi eside. Izinhloso ezithile zemigomo yegazi yilezi:
- Ukucindezela kwe-Systolic <140
- Ukucindezela kwe-Diastolic <90
Ngakho-ke, ukucindezelwa kwegazi ka-138/87 kuzocatshangelwa ngaphakathi kwezinhloso kodwa 138/91 ngeke.
Imigomo Yeziguli Ezixubile
Iziguli eziyinkimbinkimbi zidinga ukwelashwa kokubili kwengcindezi ephakeme yegazi nezinye izifo ezikhona. Ezinye izifo ezivamile ezihlangana nomfutho wegazi ophezulu zihlanganisa:
- Isifo sikashukela
- Izinkinga zezinso
- Izinkinga ezithile zezinhliziyo noma izifo
Izinhloso ezithile zemithwalo yegazi ezigulini eziyinkimbinkimbi yizi:
- I-Systolic Pressure <130
- Ukucindezela kwe-Diastolic <85
Ngakho-ke, i-129/84 yayizoba phakathi kwebala lokukhomba kepha u-130/83 ngeke ube.
Ukwelapha Ukucindezelwa Kwegazi Eliphakeme
Ukwenza izinguquko zendlela yokuphila kungaba yinto ebalulekile kunoma yiluphi uhlelo lwezokwelapha lokuncipha kwengcindezi yegazi.
Ezimweni eziningi, izinguquko zokuphila ziwukuphela kokwelashwa okudingekayo. Ngisho noma ungenayo i-high blood pressure, i-American Heart Association itusa ukuba wenze lezi zinguquko ezibalulekile ukusiza ukuvimbela ukucindezeleka kwegazi nesifo senhliziyo:
- Ukuncipha emsimbeni
- Yeka ukubhema (noma kangcono okwamanje, ungalokothi uqale)
- Yidla ukudla okunempilo okucebile izithelo, imifino, kanye nemikhiqizo yobisi ephansi kakhulu kanye namafutha aphansi
- Nciphisa ukudla kwe-sodium okungaphezu kwama-milligram angu-2,300 ngosuku
- Bamba iqhaza ekuzivocavoca umzimba okujwayelekile okungenani imizuzu engama-30 ngosuku, izinsuku eziningi zesonto
- Ukunciphisa ukuphuza utshwala okungaphezu kweziphuzo ezimbili ngelanga lamadoda kanye nesiphuzo esisodwa ngosuku lwabesifazane
Imithi ingaba yingxenye ebalulekile yamaprogramu amaningi yokwelapha ukunciphisa ukucindezelwa kwegazi, ikakhulukazi iziguli ezidinga ukufezwa ukunciphisa okuningi. Izidakamizwa zokwelapha umfutho wegazi ophezulu zingabandakanya:
- I-Angiotensin-yokuguqula i-enzyme (ACE) inhibitors
- Angiotensin II receptor blockers (ARBs)
- I-Diuretics (amaphilisi amanzi)
- Beta-blockers
- Abavimbela isiteshi se-Calcium
- Alpha-blockers
- I-Alpha-agonists
- Renin inhibitors
Ukuqapha Imigomo
Ngesikhathi ukwelashwa, ukucindezelwa kwegazi kufanele kuhlolwe njalo ukuze kuqinisekiswe ukusebenza kwe-course ofrapy yamanje. Kuvamile ukuthi iziguli zithole ukucindezelwa kwegazi njalo ezinyangeni ezingu-1-6 kuye ngokuthi:
- Ukuhlukunyezwa kokwelashwa
- Amarekhodi adlule okuphumelela noma ukwehluleka kokwelashwa
- Ukucindezelwa kwegazi njengoba kubhalwe ezinyangeni ezintathu ezedlule