Kunezinhlobo ezimbili ezihlukene zokuhlela "ukuthayipha" ukuchaza ukuphakama kwegazi eliphezulu: ukuhlukaniswa nokuhlelwa kwesiteji. Ukuhlukaniswa kubhekisela kulokho okubangela ukucindezelwa kwegazi eliphezulu futhi kunezinhlobo ezimbili: okuyisisekelo nesekondari. Ukugxilonga kubhekisela ekukhulekeni kokufunda kwakho kwegazi eliphezulu futhi kunezigaba ezimbili: Isigaba I nesigaba II.
Uhlelo Lokuhlukanisa
Okokuqala, umhlinzeki wakho wokunakekelwa kwezempilo uzohlukanisa umfutho wegazi ophezulu njengenhloko noma eyesibili.
I-high blood pressure , eyaziwa nangokuthi iyadingeka noma i-idiopathic hypertension, iyisifo esitholakalayo kakhulu futhi sivame ukukhula njengoba ukhula. Lokhu kuhlukaniswa kubonisa ukuthi umhlinzeki wakho wokunakekelwa kwezempilo akatholanga isizathu esicacile se-high blood pressure yakho. Ukushisa okukhulu komzimba kungase kuhlotshaniswe nezakhi zofuzo, ukudla okubi, ukungatholi umzimba nokukhuluphala. Cishe amaphesenti angu-90 kubo bonke abantu abanomfutho wegazi ophakeme banomfutho wegazi ophezulu, ngokusho kweNational Institutes of Health.
Ukushisa komfutho kakhudlwana kunomqondo ocacile kodwa okuncane kakhulu. Isizathu esiyinhloko salesi sigaba somfutho wegazi ophakeme ngokuvamile yisimo sezokwelapha esithinta imishanguzo yakho, inhliziyo, izinso noma uhlelo lwe-endocrine. Umfutho wegazi ophezulu ungase uqiniseke njengoba isimo sakho sezempilo sithuthuka.
Abesifazane abakhulelwe abanesifo esiphakeme segazi ngokuvamile banesifo somfutho wegazi ophezulu.
Uhlelo lokuThuthukisa
Isistimu esetshenziselwa ukusungula umfutho wegazi ophezulu isekelwe kumanani kuphela, kokubili i- systolic ne-diastolic , etholakala ekucindezeni kwegazi lakho ukufunda:
- Inombolo ye-systolic, isilinganiso se-blood pressure yakho ngenkathi inhliziyo yakho iqhuma igazi, ibonakala phezulu.
- Inombolo ye-diastolic, isilinganiso se-blood pressure yakho ngenkathi inhliziyo yakho ihlala phakathi kwezingubo, ibonakala ngezansi.
Ukucindezeleka kwegazi kunezigaba ezimbili: Isigaba I no- Stage II . Ukufundwa kwengcindezi yegazi kungase kuchazwe nangokuthi unesifo sofuba noma isifo esiwumfutho wegazi ophezulu.
Izigaba ze-Hypertension
Ukuguqulwa kwesandulela ngculaza kusho ukuthi ukucindezela kwegazi lakho kuphakeme kunalokho okuvamile, kepha akukona okwanele ukukuthola njengesiteji I noma isigaba II. Kufanele uthathe isifo sofuba ngokweqile ngoba singabangela umfutho wegazi ophezulu.
Isigaba I I-hypertension ibhekisela ekucindezeni kwegazi ngokufunda kwe-systolic ka-140-159 mm Hg nokufundwa kwe-diastolic ka 90-99 mm Hg.
Isigaba I sisanda, kepha sisalokhu sína, uhlobo lwe-high blood pressure. Ngemuva kokuthola ukuthi uhlolwe yini, odokotela bangakhetha ukuqala ukwelashwa ngemithi noma ukuvumela "isikhathi somusa," lapho uyala khona ukuthi wenze ushintsho oluthile ekudleni kwakho nokuzivocavoca ngomzamo wokunciphisa ukucindezelwa kwegazi.
Isigaba II Ukushisa kwegazi kuveza ukuthi unomthelela ohlose ukucindezela okukhulu kwegazi ngokufunda nge-systolic ka-160 mm Hg noma ngaphezulu nokufundwa kwe-diastolic ka-110 mm Hg noma ngaphezulu.
Imikhombandlela yokwelashwa ivumela ukuguquguquka okungenangqondo kakhulu ekutholeni kokuqala kwe-Stage II Hypertension, futhi labo abatholakali kuleli sigaba cishe baqala yonke imithi elwa ne-hypertension ngokushesha. Isiteji sesi-2 Sengcindezi yomshoshaphansi idinga ukuhlolwa kwegazi njalo njalo nokuqapha ngokucophelela.
Inkinga ye-hypertensive yisimo esibi kakhulu esidinga ukunakekelwa okuphuthumayo.
Iziguli ezinezifo ezixilongwayo zifundela i-systolic ephakeme kune-180 mm Hg kanye nokufunda kwe-diastolic ephakeme kune-110 mm Hg.
Imithombo:
American Heart Association: Ukuqonda Ukucindezeleka Kwegazi (2015)
I-Mayo Clinic: Incazelo Ye-Hypertension Secondary (2013)
Izikhungo Zempilo Zesizwe: Incazelo Ye-High Blood Pressure (2015)