Okunye ukuhluka komfutho wegazi kulo lonke usuku kuyinto evamile, ikakhulukazi njengempendulo ezincane izinguquko ekuphileni kwansuku zonke njengokucindezeleka, ukuzivocavoca, noma ukuthi ulala kanjani ubusuku obuphambili. Kodwa ukuguquguquka okwenzeka njalo ngezikhathi ezithile zokuvakashelwa udokotela kungabonisa inkinga engaphansi.
Eqinisweni, ucwaningo luye lwabona ukuthi ukuvakashelwa okuphakeme-ukuvakashela ukushintshashintsha kwegazi kugxile engozini ephezulu yesifo senhliziyo kanye nokufa kwabantu bonke.
Indlela Yokukwazi Uma Ukucindezelwa Kwakho Kwegazi Kuhlukana
Okokuqala, kubalulekile ukuqinisekisa ukuthi ukucindezela kwegazi kwakho kuguquka ngempela. Uma wenze izilinganiso ngokwakho usebenzisa imishini yokuqapha ekhaya noma imishini esetshenziselwa ezitolo zokudla kanye nama-pharmacy, izinguquko ozibonayo kungenzeka empeleni zihlobene namaphutha noma ukuhluka kwenqubo yokulinganisa uqobo.
Ngenkathi ukuqapha kwengcindezi yekhaya kungaba yithuluzi eliphumelelayo nelusizo kwezinye izimo, udinga ukuqeqeshwa okufanele ukuqinisekisa ukuthi usebenzisa indlela efanele , njengoba wenza izilinganiso ngaphandle kwalokhu kuqeqeshwa kungase kuchaze ukuhluka okubonayo. Imishini yokudakwa kwezidakamizwa-uhlobo oludinga ukuba uhlale esihlalweni futhi ubeke ingalo yakho ngendwangu-eyaziwa ngokuba engalingani kahle futhi engalungile.
Ukuze uvimbele ukufunda okungafaneleki, kungcono ukuletha ukuhlolwa komfutho wegazi lakho ekhaya nokuqhathanisa nokufundwa ehhovisi likadokotela wakho.
Ngaphandle kwalokho, odokotela abathile bancoma ukuqapha kwengcindezi yengcindezi yegazi lapho idivayisi igqoke khona umuntu ekhaya. Amadivayisi alinganisa ukucindezelwa kwegazi ngaphezu kwenyanga eyodwa kuya kwezinsuku ezimbili njalo ngemizuzu engu-15 kuya kwangu-20 phakathi nosuku njalo emaminithini angu-30 kuya kwangu-60 ebusuku. Lokhu kuyabiza kakhulu futhi akutholakali njalo, ngakho-ke izindinganiso ze-home pressure ze-blood are a alternative alternative.
Yini Ebangelwa Ukucindezeleka Kwegazi?
Ochwepheshe bahlola ukuthi kungani ukucindezeleka kwegazi kuhlukahluka kusuka ekuhambeleni ukuvakashela. Kungenzeka ukuthi abantu abanezingcindezi zegazi eziguquguqukayo banezinkinga ezingaphansi kwegazi lomkhumbi nokuthi ukufundwa kwabo okuguquguqukayo kusebenza njengomaki noma uphawu lokuthi basengozini enkulu yokuba nesifo senhliziyo noma isifo sohlangothi.
Ngokuvamile, ukuguquka kwegazi kungashintsha ngenxa ye- epheochromocytoma -ngokuvamile isifo esibuhlungu esithombeni se-adrenal. Lokhu kuyinto engavamile.
I-White Coat Hypertension and Masked Hypertension
Kubalulekile ukuhlukanisa izingcindezi zegazi eziguqukayo ezivela emizimbeni emibili eyaziwa ngokuthi i-white-coat hypertension ne-blood pressure.
Esikhathini esiyingqayizivele se- coat hypertension emhlophe , umfutho wegazi lomuntu uthathwa ngokuthi "uphakeme" ehhovisi likadokotela, kodwa evamile lapho esekhaya. Lokhu kuphakama kwengcindezi yegazi kubangelwa ukucindezeleka kokungena ehhovisi likadokotela, yingakho umhlengikazi uzolindela umuntu ukuba aphumule kahle imizuzu emihlanu ngaphambi kokufunda. Ngaphezu kwalokho, kunconywa ukuthi ukucindezelwa kwegazi ezimbili kuthathwa futhi kuphindwe uma kunomthelela ongaphezu kuka-5 mmHg.
Umfutho wegazi ophakeme uvame ukuphikisana futhi kwenzeka uma udokotela ehambela ukucindezelwa kwegazi kuyinto evamile kodwa ehhovisi lika-odokotela elifundwayo liphakeme.
Ukuxazulula lezi zinkinga, udokotela angase ancoma ukuqapha ekhaya noma ukuqapha ukucindezelwa kwegazi. Ukuqapha ikhaya kungabuye kunconywe ukuthi:
- Ukuphikelela kwengcindezi yegazi ephezulu ukufundwa naphezu kwemithi ekhulayo
- Ukufundwa kwengcindezi yegazi ephansi ngenkathi ethatha imithi ephakeme yegazi
Ingabe Une-Hypertension?
Uma ubona ukuthi ukucindezeleka kwegazi okuphezulu kufundwa okufakwe ngaphakathi ngokujwayelekile, kungenzeka ukuthi unesifo somfutho wegazi kodwa awutholakalanga ukuthi unayo. Ochwepheshe abazi kahle ukuthi ingcindezi enkulu yegazi ingabe iqala kanjani, kodwa kukholelwa ukuthi ihilela ukuxhumana okuyinkimbinkimbi phakathi kwezakhi zofuzo zomuntu kanye nemvelo yabo ethinta inhliziyo yabo nezinso zezinso.
Lokhu kuthiwa, kunezici ezicacile zengozi noma izici ezandisa ithuba lomuntu lokuthuthukisa umfutho wegazi ophakeme njengoku:
- Ubudala (amathuba okuba nomfutho wegazi ophakeme ukwandisa abadala obathola)
- Umlando womndeni
- Ukukhuluphala
- Ukudla okuphezulu kwe-sodium
- Indlela yokuphila yama-sedentary
- Ukudla ngokweqile kotshwala
- Ukuba nezinye izinkinga zezokwelapha ezifana nesifo sikashukela noma i-cholesterol ephezulu
Ukwedlulela kwesibindi kungase kuphakame, futhi. Ukushisa komfutho wesikhulu kusho ukuthi umfutho wegazi ophezulu uvela kwenye inkinga emzimbeni noma ngenxa yokuthatha imithi. Izibonelo ze-hypertension yesibili zifaka:
- I-apnea yokulala yokuvimbela
- Ukusetshenziswa kwemithi (isibonelo, ama-NSAID kanye nama-antidepressants athile)
- Ezinye izifo ezibangelwa i-endocrine ne-hormone (isibonelo, i- hyperthyroidism )
Izwi elivela
Uma uqinisekile ukuthi izilinganiso zinembile futhi ukuguquka kwengcindezi yegazi kwenzeka ngisho nalapho ukhululekile, uphumule kahle, futhi ungenaso isizathu esingakwazi ukuphendula ngezinguquko, hamba udokotela. Izindaba ezinhle ukuthi ngokuqapha okufanele, imikhuba yokuphila enempilo, kanye nemithi (uma kudingeka), ungathola ukulawula impilo yakho yenhliziyo.
> Imithombo:
> Basile J, Vimba uMJ. Uhlolojikelele lwe-Hypertension kubantu abadala. Ku: UpToDate, Bakris GL, Kaplan NM (Eds), UpToDate, Waltham, MA.
> Muntner P et al. Ukungafani Ukuhambela Ukucindezelwa Kwegazi Nezifo Zezinhliziyo ZaseCoronary, Ukushaya Isisu, Ukwehluleka Kwezinhliziyo, Nokufa: Isifundo Samaqembu. U-Ann Intern Med . 2015 Sep 1; 163 (5): 329-38.
> Nagai M, Hoshide S, Ishikawa J, Shimada K, Kario K. Ukuvakashela Ukuvakashelwa Kokucindezelwa Kwegazi: Izindlela Ezizimele Ezizimele Ze-Carotid Artery Izinyathelo Kubantu Abagugile Ngengozi Ephakeme Yezifo Zezinhliziyo. J Am Soc Hypertens . 2011 Meyi-Jun; 5 (3): 184-92.
> Wang J, Shi X, Ma C, et al. Ukuvakashela-Ukuvakashelwa Ukucindezeleka Kwegazi Igazi Lokuyiyona Ingozi Yobungozi Bokuphela Konke Nesifo Sezinhliziyo. Journal of Hypertension . 2017; 35 (1): 10-17. i-doi: 10.1097 / hjh.0000000000001159.