Ukukhathazeka ngezilungiselelo zezokwelapha ezixhunywe ekucindezelweni kwegazi eliphezulu
Kuyinto evamile ukuba abantu babe nokufundwa kwegazi eliphezulu ehhovisi likadokotela futhi babe nokufunda okujwayelekile ekhaya. Nakuba lezi zifundo eziguquguqukayo zingase zibe uphawu lwe- hypertension , kungase kube yinto elula yalokho esikubiza ngokuthi i-white coat hypertension.
Ukukhathazeka ne-White Coat Hypertension
I-white coat hypertension (eyaziwa nangokuthi ihhovisi elilodwa noma umtholampilo we-hypertension) yi-syndrome evamile phakathi kwabantu abazizwa bekhathazekile ngezilungiselelo zezokwelapha.
Ngakho-ke lokhu kungakhathazeka ukuthi inani le-systolic (inani eliphakeme lokufunda kwegazi) lingakhula cishe ngo-30 mm Hg ngokungena ehhovisi likadokotela.
Okumangalisa ukuthi abantu abangamaphesenti angama-20 bakholelwa ukuthi bathinteka yi-white coat syndrome. Kuvame ukubi nakakhulu lapho uvakashela okokuqala isikhungo sezokwelapha futhi ngokuvamile uzothola kalula lapho umuntu ejwayele ukujwayela indawo.
Izimbangela Neengozi Ehlanganisiwe Ye-White Coat Hypertension
Kusukela emibonweni yomtholampilo, ucwaningo luye lwaphakamisa ukuthi abantu abane-white coat hypertension abangekho engozini yokufa kwengqondo uma kuqhathaniswa nalabo abanegazi elivamile. Ngakolunye uhlangothi, kuthwala ukwanda okukhulu kwesifo sohlangothi , ukuhlaselwa yinhliziyo , nokuhluleka kwenhliziyo ye-congestive kulabo abanesimo sabo esinganakiwe noma esingaphansi.
Abaningi balaba bantu babonisa imikhuba emibi ye-cardiovascular ehlobene ne-hypertension.
Phakathi kwazo kukhona imizwelo emibi njengokwesaba, ukucindezeleka, ukwesaba, nentukuthelo kungathinta ngokuqondile ubuchopho besifundazwe futhi kuholele ekutheni ukwedlulele ngokweqile kwe-adrenaline namanye amahomoni akhiphe ukhathazeka. Lezi, nazo, zingadala ukuvuvukala enhliziyweni nasesimweni senhliziyo.
Ukwelapha i-White Coat Hypertension
Ukwelapha ngemithi ngokuvamile akuboniswa ngoba ukucindezeleka kwegazi kuyohlale kuxazulula lapho umuntu ebuyela endaweni yakhe ejwayelekile.
Ukuze uphephe, udokotela wakho uzovame ukuhlolisisa ukucindezeleka kwegazi eduze noma ngisho nokusikisela isilondolozi sasekhaya ukuqinisekisa ukuthi lokhu akuyona inkinga eqhubekayo. Kwabanye abantu, i-syndrome ingase ibe yesikhashana futhi ixazululwe yodwa. Kwabanye, kungase kube impendulo ephikisayo engathuthuki.
Abantu abane-hypertension emhlophe bajwayele ukuvakashelwa kathathu okumele bahlole futhi bahlole ukucindezeleka kwegazi. Uma, emva kwalesi sikhathi, ukufundwa kwengcindezi yegazi kusengaphezulu, udokotela angase afune ukuxoxa ngokuthi kungenzeka yini ukwelashwa okunomsoco ophezulu .
I-White Coat Hypertension Versus Masked Hypertension
Okumangalisa ukuthi, kukhona abantu abanokuhlangenwe nakho okuhlukile. Esikhundleni sokuzwa ukukhathazeka ehhovisi likadokotela, bazwa ukuzola okuholela ekufundeni kwegazi evamile. Kuyinto kuphela lapho ekhaya ukuthi ingcindezi yegazi ingakwazi ukudubula ngokungazelelwe.
Isimo, okubhekwa kuso njengesifo somfutho wegazi ophakeme, siyadabukisa. Ngokungafani nabantu abane-hypertension emhlophe, ababhekene kalula ehhovisi, labo abanesifo somfutho wegazi ovuthiwe bahlale bengatholakali futhi, ngaleyo ndlela, abatholi ukwelashwa abayidingayo.
Izimbangela ze-hypertension ezigciniwe azihlali zicacile ngaso sonke isikhathi.
Kungenzeka kube nokucindezeleka ekhaya, ukusebenzisana, nokuhlobene nomsebenzi okwenza impilo yansuku zonke ibe yinto engokomzwelo "wokupheka komphefumulo". Imikhuba yansuku zonke efana nokubhema nokuphuza ingadala lemiphumela.
Kwezinye izimo, abantu bazozilungiselela ukuvakasha odokotela ezinsukwini eziholela ekuqokweni ngokudla okungcono, ukuphuza kancane, noma ukunciphisa ugwayi. Ngokwenza kanjalo, bangakwazi ukufihla izimpawu eziningi abahlala nazo usuku nosuku.
Uma kushiywe kungalashwa, umuntu obambe umfutho wegazi ophakeme usengozini yezinhliziyo eziyingozi ezifanayo nalabo ababhekene nengculazi emhlophe.
> Imithombo:
> Cobos, B .; Haskard-Zolnierek, K .; no-Howard, K. "I-White Coat Hypertension: Ukuthuthukisa ubudlelwane bezokwelapha." I-Psychol Res Behav Manag. 2015; 8: 133-41.
> Ogedegbe, G .; Agyemang, C .; kanye noRavenell, R. "Ukucindezeleka Okugcizelelekile: Ubufakazi Bokuba Kudingeka Ukwelashwa." Impendulo ye-Curr Hypertens 2010; 12 (5): 349-355.