Ngingayisebenzisa Iphilisi Uma Nginokucindezela Okuphakeme?
Bangaki Abesifazane Abasebenzisa Iphilisi?
Iphilisi yindlela yokulawulwa kokuzalwa kwesibalo esisetshenziswa abesifazane beseneminyaka engu-15-44. Abesilisa abane kwabahlanu abanolwazi ngocansi basebenzise iphilisi lokulawula ukuzalwa - abesifazane abangama-26% kule nkathi yobudala banesifo esiphakeme segazi. Ingabe kukhona ukuxhumana phakathi kwephilisi nengcindezi ephezulu yegazi?
Amaphilisi Wokulawula Ukubeletha Nokucindezelwa Kwegazi Eliphakeme
Amaphilisi okulawula ukubeletha aqukethe ama-hormone ezakhiwe.
Amaphilisi okulawula ukuzalwa ayenziwa nge- estrogen ne- progestin . I- mini-pilill iyi- progestin kuphela yokukhulelwa . Lawa mahomoni angesizathu sokuthi iphilisi isebenza ukuvimbela ukukhulelwa - kodwa ngeshwa, ingakwandisa ingozi yokucindezela kwegazi eliphezulu. Uma usebenzisa iphilisi futhi uneminyaka engama-35, ukhuluphele, futhi / noma ubhema, ungase ube engozini enkulu nakakhulu. Amaphilisi okulawula ukubeletha angakwandisa ekucindezelekeni kwegazi kusukela kancane kuze kube yingozi. Uma usebenzisa iphilisi, ungase futhi ukwanda kancane engozini yokuthuthukisa i- clot yegazi . Ngezinye izikhathi, uma ukucindezeleka kwegazi kuphakama kakhulu ngenkathi usebenzisa iphilisi, kungase kudingeke ushintshele endleleni entsha yokulawula ukuzalwa.
Izimbangela Zengozi Ephezulu Yegazi
Ingozi yokuba nomfutho wegazi ophakeme ukwanda ngezinga lakho. Lapho abesifazane beyeka ukuthatha iphilisi, ukucindezelwa kwegazi ngokuvamile kuyancipha. Kodwa ucwaningo oluthile luthi amaphilisi okulawula ukubeletha angabangela ukwanda okuncane (okwamanje okuphawulekayo) ekucindezelweni kwe-diastolic - futhi lokhu kungaqhubeka kwabesifazane abadala asebekhulile iphilisi iminyaka.
Ingozi yangempela yokuthuthukisa umfutho wegazi ophezulu ngenkathi isebenzisa amaphilisi okulawula ukubeletha awaziwa. Kucatshangwa ukuthi i-estrogen ephiliseni ingabangela ukukhululwa kwamanye ama-hormone angabangela ukucindezeleka kwegazi ukuphakama. I-progestin nayo itholakale ithinta ukucindezelwa kwegazi - kodwa kubonakala sengathi yandisa ukucindezelwa kwegazi ngesilinganiso esifanayo nes estroggen.
Siyazi ukuthi kunezici ezithile ezingozini ezingase zenze kube lula ukuthi ukusetshenziswa kwepilisi yokulawula ukubeletha kuzonyusa ukucindezeleka kwegazi. Lezi zici zengozi zihlanganisa:
- Umlando wegazi eliphezulu lapho ukhulelwe.
- Umlando womndeni we-high blood pressure (ikakhulukazi kwezihlobo zesifazane).
- Umlando wezinkinga zenhliziyo noma izinkinga zezimpahla zegazi.
Ngingayisebenzisa Iphilisi Uma Nginokucindezela Okuphakeme?
Izimpendulo zalo mbuzo ngu-yebo no-cha. Ngaphambi kokuba uqale ukusebenzisa iphilisi, udokotela wakho kufanele aphathe umlando womuntu siqu nomndeni wezokwelapha (lokhu kufaka phakathi ukulalela ukunakekelwa kwezinkinga ze-cardiovascular risk). Kubaluleke kakhulu ukuthi uthembeke nodokotela wakho ngalesi sikhathi. Kumele futhi uhlolwe ingcindezi yakho yegazi - lokhu kuzosungula isilinganiso sokuqala.
Uma usuqala ukusebenzisa iphilisi, kufanele ube nokucindezelwa kwegazi lakho njalo. Uma i-blood pressure yakho iqala ukuphakama ngenkathi usebenzisa iphilisi, lokhu akusho ukuthi kufanele uyeke ukuthatha iphilisi. Uma ukucindezeleka kwegazi kungaphathwa ngempumelelo (noma ngokudla nokuzivocavoca noma imithi), udokotela wakho uyokuvumela ukuba uqhubeke nokusebenzisa iphilisi yakho.
Uma ubonakala sengathi uhlakulela umfutho wegazi ophezulu ngemuva kokuqala iphilisi, okokuqala, udokotela wakho anganquma ukulandela nje ukucindezela kwegazi njalo.
Ngokusekelwe ezimpawu zakho (uma unayo), ezinye izinto eziyingozi, kanye nemiphumela yokuhlolwa kwegazi lakho, udokotela wakho angase:
- Usuke uqhubeka njengesijwayelekile - futhi ugcine ephilisi lokulawula ukuzalwa okufanayo.
- Nquma ukushintsha umshwalense wakho kumshini wepilisi oqukethe uhlobo oluphansi (noma oluhlukile) noma i-progestin noma umkhiqizo wephilisi ongenayo i-estrogen.
- Uyeke ukusebenzisa iphilisi futhi ushintshe indlela eyahlukene yokulawula ukuzalwa .
Uma ukhathazekile ngokusebenzisa iphilisi yakho nokucindezela kwegazi eliphezulu, ungaxoxa ngezingozi zokuhlala ekulawulweni kokuzalwa kwe-hormonal nodokotela wakho. Akukho mthetho othi kufanele uqhubeke usebenzise iphilisi.
Ukulawulwa Kokubeletha Ukucindezela Kwegazi Eliphakeme
Uma unquma ukuthi ufuna ukuyeka ukuthatha iphilisi ngenxa yomsindo ophezulu wegazi, kunezinye izindlela zokulawula ukubeletha ongazisebenzisa ngokuphepha.
- Ungakhetha noma iyiphi indlela engaphezu kweyakho . Lezi zihlanganisa: amakhondomu , i- spermicide , isiponji , namakhondomu abesifazane .
- Kukhona futhi izinketho zemithi ongayenza. Lezi zihlanganisa: i- IUD (njenge- ParaGard engenama -hormone) noma i- diaphragm . Udokotela wakho angase abe olungile nawe usebenzisa indlela ye-progestin kuphela efana ne- Mirena IUD , i- Skyla IUD , i- Nexplanon , noma i- Depo Provera .
- Uma wazi ukuthi usuqedile ukuba nezingane (noma awufuni ukuba nezingane), ungabheka ngokuphepha ngezindlela ezinomphela njenge- tubal ligation noma i- Essure .
Imithombo:
Beevers, G., Lip, G., & O'Brien, E. (2010). I-ABC ye-high blood pressure (5th ed). Malden, MA: Blackwell Publishing.