Uma utshelwe ukuthi une-hypertension yangempela, kusho ukuthi ukulinganisa kwegazi lakho kuphakeme kunalolu hlobo "oluvamile", kodwa aluphakeme ngokwanele ukuze kutholakale ukuxilongwa okusemthethweni kokucindezeleka komfutho wegazi ophezulu. Njengoba leli gama lisho ukuthi, iziguli ezine-hypertension zangempela ziba nengozi enkulu kakhulu yokuthuthukisa umfutho wegazi ophezulu esikhathini esizayo esiseduze.
Kuyini Ukushiswa Kakhulu?
Uma udokotela wakho esilinganisa ukucindezeleka kwegazi, ubeka imiphumela ngokulandelayo:
- Umfutho wegazi ovamile: i- systolic blood pressure ingaphansi kuka-120 mmHg, futhi i-diastolic yegazi ingaphansi kuka-80 mmHg
- I-hypertension: systolic 140 noma ngaphezulu, noma i-diastolic engu-90 noma ngaphezulu
- Ukwelashwa ngokweqile: ukucindezelwa kwegazi okufundwayo kungamanga phakathi kwezinto ezijwayelekile kanye nezinga eliphezulu legazi.
- Funda mayelana ne-systolic ne-diastolic yegazi.
- Funda mayelana nokuxilongwa kwegazi.
Kuyini Ukubaluleka Kwesandulela Ngculaza?
Ngenkathi ukucindezeleka kwegazi kuka 140/90 noma ngaphezulu kubhekwa "yi-hypertension," lokhu kukhishwa ngokweqile kuyinhlangano engekho emthethweni.
Uma ingcindezi yakho yegazi iphakeme kunebala "elijwayelekile" (120/80 mmHg), ingozi yakho ye-cardiovascular iqala ukuphakama, futhi ukwandisa umfutho wegazi, kuphakamisa ingozi yakho. Eqinisweni, umehluko omkhulu phakathi kwe-"hypertension" kanye "nesandulela-ngculazi" kuphela yilezo ezihlolwe ngaphambili, eziningi zokwelashwa ezihleliwe zenzelwe ukukhombisa ukuthi ukwelashwa okunonya kungathuthukisa imiphumela.
Lezo zinhlobo zezilingo zisesimweni esincane kakhulu sokusindiswa kwesifo sofuba, ngakho-ke, kuze kube manje, ukwelashwa okunamandla nezidakamizwa ezingelamvelo akuzange kubonakaliswe ukuletha imiphumela engcono ekuphefumulweni kwesisu (ngaphandle kokushiwo ngezansi).
Ngakho "ukucindezeleka ngokweqile" kungaphezu nje komfutho wegazi ophakeme kakhulu kunokujwayelekile, noma lokho kungenzeka ukuthi ukhule emazingeni "okungokoqobo" okucindezelayo njengoba isikhathi sihamba.
Ukwelashwa ngokweqile ngokwakho kungandisa ingozi yakho okungenani.
Ukuphathwa Kwesifo Sokucindezeleka Kungenziwa Kanjani?
Uma unempilo enhle, izincomo zamanje zizokwelapha ukwelashwa kwesandulela-ngculazi ngokushintsha izinguquko zokuphila: ukudla, ukuzivocavoca, ukuqeda ukubhema nokugwema ukuphuza ngokweqile.
Kodwa-ke, uma une-hypertension futhi unesifo somzimba we-coronary , isifo se- peripheral isifo somshukela, isifo sikashukela noma isifo esingenasifo sezinso, kukhona ubufakazi obanele bokutholwa ukukhombisa ukuthi ukwelashwa okunomthelela okwedlulele kuthuthukisa imiphumela - ngakho-ke ukuphathwa kwezidakamizwa kuvunyelwe, ngenhloso yokunciphisa ukucindezelwa kwegazi kuze kube uhla olujwayelekile.
Uma une-hypertension yangempela, ingozi yakho yokukhula komfutho wegazi ophezulu ingaphezulu kakhulu. Ngakho kufanele wenze isiqiniseko sokuthi ukucindezelwa kwegazi kwakho kutholakale okungenani njalo ezinyangeni eziyisithupha kuya kwezingu-12. Izimo ezinhle ukuthi ngezinye izikhathi uzodinga ukuba ukwelashwa ngegazi eliphezulu .
Imithombo:
Chobanian, AV, Bakris, GL, Black, HR, Cushman, WC. Umbiko weSikhombisa weKomiti Kazwelonke Yohlangene Yokuvimbela, Ukutholakala, Ukuhlolwa Nokuphathwa Kwezinga Eliphakeme Lokucindezeleka Kwegazi: Umbiko we-JNC 7. I-JAMA 2003; 289: 2560.
I-Vasan, i-RS, i-Larson, i-MG, i-Leip, i-EP, ne-al. Umthelela Wokucindezeleka Kwegazi Okuphezulu Okusemngciphekweni Wezifo Zezinhliziyo. N Engl J Med 2001; 345: 1291.
I-WEber MA, i-Schiffrin EL, i-White WB, ne-al. Izinkombandlela Zokuzivocavoca Zomtholampilo Ukulawulwa Kokweqile Kwengqondo Emphakathini Isitatimende se-American Society of Hypertension kanye ne-International Society of Hypertension. J Hypertens 2014; 32: 3.