Abantu abane-Hypertension Ngaphezu Kokuthuthukisa I-Type 2 Diabetes
I-United States Preventive Services Task Force ikhuthaza ukuthi abantu abaye banakekela ukucindezelwa kwegazi okukhulu kunama-135/80 mm Hg, ukuthi ngabe baphathwa yini noma bangabe baphethwe isifo somfutho wegazi ophezulu, kufanele bahlolwe uhlobo lwe-2 lwesifo sikashukela, okuthiwa ngezinye izikhathi ngokuthi " kuqala isifo sikashukela. " Isizathu salokhu kunconywa ubufakazi obubonisa ukuthi abantu abane-hypertension abangakabi nezibonakaliso zesifo sikashukela bazuza ekuqalweni kwezinyathelo zokuvimbela isifo senhliziyo uma bethola ukuthi banesifo sikashukela.
Umfutho wegazi ophezulu, ochazwa ngokuthi umfutho wegazi omkhulu kunani noma olingana no 140/90 mm Hg, yisimo esivamile kakhulu kubantu abanesifo sikashukela. Phakathi kwamaphesenti angu-20 no-60 weziguli onesifo sikashukela bazoba nomfutho wegazi ophezulu. Umfutho wegazi ophakeme ngokuvamile uyingxenye ye-syndrome eyaziwa ngokuthi "i-syndrome ye-metabolic syndrome," ehlanganisa ukumelana ne-insulini, ukukhathazeka kwe-cholesterol, nokukhuluphala okuphakathi.
Ubufakazi obutholakalayo bubonisa ukuthi bonke abantu abadala abanomfutho wegazi ophakeme ukufundwa okuqhubekayo okukhulu kunama-135/80 mm Hg bazuzwa ngokulawulwa ngokuqinile kwezinto ezibangelwa isifo sikashukela ngokuvimbela isifo senhliziyo.
Abantu abanesifo sikashukela basengozini enkulu yemiphumela emibi kusuka e-coronary heart disease, futhi abantu abanesifo sikashukela bazuza ekulawulweni okuqinile kwezinye izinto eziyingozi. I-American Diabetes Association kanye nochwepheshe abaningi batusa ukuthi abantu abanesifo sikashukela kufanele bazame ukugcina imigomo ephansi yengcindezi yegazi ukunciphisa ingozi yokuhlaselwa yinhliziyo nokushaya.
Ucwaningo lubonisa ukuthi abantu abanesifo sikashukela abanesifo sengcindezi segazi abangaphezu kuka-120/70 mm Hg banenani eliphakeme lemicimbi ye-cardiovascular, njenge-heart attack and stroke. Izingcindezi zegazi ezingaphezu kuka-120/70 mm Hg kubantu abanesifo sikashukela nazo zihlobene nokufa kwezinga eliphezulu. Iningi lezazi zincoma ukuthi abantu abanesifo sikashukela bazama ukugcina umfutho wabo wegazi ngaphansi kuka 130/80 mm Hg.
Ochwepheshe batusa ukuthi izinguquko zendlela yokuphila kufanele zengezwe emithi yokwelashwa lapho abantu abanesifo sikashukela bezama ukunciphisa ukucindezelwa kwegazi. Lezi zinguquko zihlanganisa ukunciphisa ukudla okusawoti, ukulahlekelwa isisindo, nokusebenza ngokomzimba okunamandla, njengokuhamba okusheshayo imizuzu engu-30 kuya kwezingu-45 izinsuku eziningi zesonto.
Ucwaningo ngo-2002 lwathola ukuthi abantu abangama-19.3 baseMelika abanesifo sikashukela, futhi kulinganiselwa ukuthi ingxenye yesithathu kulaba bantu abadala ayitholakali. Izingozi zesifo sikashukela zihlanganisa ukukhula, ukukhuluphala noma ukukhuluphala ngokweqile, umlando womndeni wesifo sikashukela sohlobo lwesibili, nokuba yilungu labantu abambalwa engozini enkulu. Ama-Afrika-American, ama-Hispanics, ama-Pacific Islanders, amaNdiya aseMelika, abantu base-Alaska, nabase-Asiya basengozini enkulu ye-type 2 yesifo sikashukela.
Kulinganiselwa ukuthi abantu abangaphezu kuka-26% abantu abadala base-US "banesifo sikashukela," futhi ukuguqulwa kwezici ezithile eziyingozi, njengokuyisisindo noma ukuphila komzimba, kungasiza labo bantu ukuba bagweme ukuthuthukiswa kwesifo sikashukela. I-American Diabetes Association incoma ukuthi abantu bahlolwe i-plasma glucose test for test initial screening. Ukuhlolwa okuhle kunqunywa ngezinga legazi glucose elingaphezu kuka 126 mg / dL. Uma unesidingo sokuhlola i-glucose esheshayo, udokotela wakho angase afune ukukuqinisekisa ngosuku oluhlukile ngokuhlolwa okuphindaphindiwe.
Uma imiphumela yakho yokuhlola ingu "umngcele," ungase ufune ukuhlolwa okuphindaphindiwe ngesikhathi esisodwa.
Kunezivivinyo ezahlukene zokuhlola ukuhlola ukuthi ngabe usengozini yesifo sikashukela noma uma unesifo sikashukela. Isivivinyo ngasinye sinezinzuzo ezihlukene kanye nezimo eziyingozi.
Uma une-hypertension, udokotela wakho kufanele akucabange ukungahambisani ne-glucose noma uhlobo lwesifo sikashukela. Kukhona ubufakazi obanele bokuthi abantu abanesifo segazi ngaphezulu kuka-135/80 mm Hg abanesifo sikashukela esitholwe ohlelweni lokuhlola bazozuza emaqenjini aqinile okulawula ukucindezelwa kwegazi aboniswa iziguli zesifo sikashukela ukuze kunciphise isifo senhliziyo.