Ukwandisa okwedlulele akuyona into engenabungozi njengoba bekukholelwa ngaphambili
Kuyinto engavamile ukuba nokufundela ukucindezelwa kwegazi okujwayelekile ekhaya kuphela ukuthola ukuthi ukufunda kuvele kungazelelwe uma usebenza ehhovisi likadokotela.
Isikhathi sakho sokuqala kungase kube ukuphonsa ikiti ekhaya futhi uqale ukwelapha ngokweqile, kodwa ukuthi yini ongase ubhekene nayo yisimo esaziwa njenge- white coat hypertension .
Ukuhlenga kabusha i-White Coat Hypertension
I-white coat hypertension (WCH) yayivame ukubhekwa njengento engapheli futhi engenabungozi evezwe ukucindezeleka kokuvakashela udokotela.
Ucwaningo manje lukhombisa ukuthi lokhu kungase kungabi njalo.
I-WCH ibangelwa ukukhululwa kwama-hormone ahlobene nokucindezeleka njenge-adrenaline, i-cortisol, i-epinephrine, ne-norepinephrin. Lawa yiwona amahomoni asebenzayo ohlelweni lomzwelo oluzwelayo futhi avuselela lokho okuthiwa "ukulwa noma indiza" impendulo. Umfutho wegazi ophakeme ungomunye wemiphumela emibi.
Nakuba kungase kubonakale kunengqondo ukuphakamisa ukuthi ukuba ehhovisi likadokotela kuvumela ukucindezeleka, lokho abacwaningi abatholile ukuthi abantu abane-WCH bavame ukuba nempendulo efanayo kwezinye izimo ezingezona ezicindezelayo. Lokhu kungabandakanya imihlangano yebhizinisi, ukubandakanyeka komphakathi, ukubambelela emotweni, noma ngisho nokubuka izindaba zasebusuku.
Lokho ucwaningo luboniswe ukuthi ama-spikes aphindaphindiwe e-blood pressure ayeba nomthelela omubi emzimbeni we-cardiovascular njengoba ukuphikelela kwengcindezi ephakeme yegazi, okwandisa ingozi yokuhlaselwa yinhliziyo, ukushaya isisu nokuhluleka kwenhliziyo.
Izincazelo ezingenzeka
Enye iqembu labacwaningi besayensi bathola ukuthi abantu abane-WCH bavame ukuzwa ukwanda kwegazi lapho belele. Ngokuvamile, ingcindezi kulindeleke ukuba idonsa ebusuku, kodwa ngenxa yezizathu ezithile, lokhu akukwenzeki kakhulu kulabo abane-WCH.
Kuye kwaphakanyiswa ukuthi isimiso se- endocrine salabo bantu singase sibe nesisusa esikhulu futhi sikwazi ukuthungatha ama-hormone wokucindezeleka ngisho nokugxilwa okuncane njengokungathi "kuthukuthele."
I-spikes engavamile ingasikisela futhi ukukhathazeka okungaphenduliwe kokukhathazeka okwaziwa ukwandisa ingozi yesifo senhliziyo. Ngokungafani nokukhathazeka okwenziwe jikelele (i-GAD) ebonisa ukukhathazeka okuqhubekayo, kunezinhlobo eziningi lapho ukukhathazeka kubangelwa izenzakalo ezithile noma izimo ezithile.
Isifo sokukhathazeka komphakathi (SAD) yisibonelo esisodwa lapho umuntu engase akhone khona ekhaya kodwa anqobe ukukhathazeka lapho ephuma ekhaya.
Ukuphatha i-White Coat Hypertension
Uma uthola ukuthi une-WCH, udokotela wakho angase ancoma ukuqapha kwengcindezi yengcindezi yegazi (ABPM) ukulandelela nokurekhoda ukucindezelwa kwegazi nxazonke. Lokhu kungasiza udokotela wakho ukuthi ahlole ukuthi kuningi kangakanani futhi kuyinkinga lezi zinguquko.
Uma i-ABPM ingasetshenzisiwe, ungase ukwazi ukuthola ukufundwa okulungile ehhovisi likadokotela uma ufika kusenesikhathi bese uhlala uthule okungenani imizuzu eyi-10. Uma ukufundwa kuyimingcele noma kungavumelani, udokotela wakho angase asikisele indlela yokubuka nokulinda.
Kodwa-ke, uma iziphakamiso ziphathelene, udokotela wakho angancoma ukwelapha okunamandla okunamandla . Izinguquko ekudleni, ekuvivinya umzimba nasekulawuleni ukucindezeleka (kufaka phakathi i-yoga nokuzindla) nazo zingacelwa. Uma ukukhathazeka kubangele imiphumela emibi, ungase uhanjiswe nodokotela we-psychotherapist.
> Imithombo:
> Huang, Y .; I-Huang, i-W .; Mai, Y. et al. "I-white-coat hypertension iyinhloko engozini yezifo zenhliziyo nokufa kwabantu bonke." J Hypertens. 2017; 35 (4): 677-88. I-DOI: 10.1097 / HJH.0000000000001226.
> Maseko, J .; Woodiwiss, A .; Libhaber, C. et al. "Ubudlelwane phakathi kwemiphumela ye-white coat ne-index ye-ventricular mass noma ukuqina komzimba: indima yokucindezela kwegazi ebusuku." Am J Hypertens. 2013; 26 (11): 1287-94. I-DOI: 10.1093 / ajh / hpt108.