Uma unesiteji sesi-2 somfutho wegazi ophakeme, unomthelela olinganiselayo ekucindezelekeni okukhulu kwegazi. Ezimweni eziningi, uma unesiteji se-hypertension 2, udokotela wakho uzofuna ukuqala emthini we-anti-hypertension ngokushesha. Isiteji sesi-2 somfutho wegazi ophakeme sidinga ukuhlolwa kwegazi njalo njalo nezinga eliphakeme lokuqapha ngokucophelela.
Isigaba 2 somfutho wegazi ophakeme, owaziwa nangokuthi sekwephuzile ukucindezelwa kwegazi noma ukucindezeleka okukhulu kwegazi, ngokuvamile kubonakala nge-systolic blood pressure value ngaphezu kuka-159 mmHg, noma inani le-diastolic yegazi le-99 mmHg.
Uma ucabanga ukuthi unesiteji se-hypertension 2, khuluma nodokotela wakho futhi ufune ukwelashwa.
Izigaba ezimbili ze-Hypertension
Yisiphi isigaba umfutho wegazi ophakeme ngokujwayelekile ubhekisela ebucayi bokufunda kwegazi lakho. Kunezigaba ezimbili: isigaba 1 nesigaba 2.
Udokotela wakho uzothatha isisindo somfutho wegazi ophezulu esekelwe izinombolo zakho ze- systolic ne-diastolic . Inombolo ye-systolic ingumlinganiso wengcindezi yegazi ngenkathi inhliziyo yakho iqhuma igazi, futhi yinombolo evelele phezulu kwe-equation. Inombolo ye-diastolic yindlela yokucindezelwa kwegazi ngenkathi inhliziyo yakho ihlala phakathi kwezinyosi, futhi yinombolo ebonakala ngaphansi kwe-equation.
Uma unesisindo somfutho wegazi ophezulu, isisindo sakho se-systolic sizovela ku-140 kuya ku-159 mm Hg nokucindezela kwakho kwe-diastolic 90 kuya ku-99 mm Hg. Uma unesiteji somfutho wegazi ophezulu, udokotela wakho angase anikeze umshini wegazi ukunciphisa imithi noma ukuphakamisa imithi yokuphila.
Ukwelashwa kwesigaba 2 se-Hypertension
Uma unesiteji sesi-2 somfutho wegazi ophakeme, udokotela wakho angakunikeza enye yemithi elandelayo:
- ACE inhibitors. Lawa avumela imithwalo yegazi ukuba ikhululwe ngokuvimbela ama-angiotensin, i-hormone, ekufakeni. Ama-inhibitors e-ACE afaka i-Prinival noma iZestril (lisinopril, i-Vasotec (i-enalapril), ne-Altace (ramipril).
- Angiotensin II receptor blockers. Le mithi isisiza imithwalo yegazi ukuphumula ngokuvimbela isenzo se-angiotensin futhi ivumele izitsha zegazi ziphumule. Ama-blockers angi-Angiotensin II ahlanganisa uCozaar (losartan), i-Atacand (candesartan) ne-Diovan (valsartan).
- Abavimba be-Beta. Abavimbela i-Beta basebenze ukuvimbela izimpawu ezithile zezinzwa ne-hormone enhliziyweni nasemithanjeni yegazi ukuncipha kwengcindezi yegazi. Abavimbela i-Beta bahlanganisa i-Lopressor noma i-Toprol XL (metoprolol), i-Tenormin (i-atenolol), no-Corgard (nadolol).
- Abavimbela isiteshi se-Calcium. Le mithi isebenza ngokuvimbela i-calcium ukuba ingene enhliziyweni nasezigazini zegazi. Ama-blockers wesiteshi se-Calcium afaka i-Norvasc (amlodipine), iCardizem noma iDilacor XR (diltiazem) ne-Adalat CC noma i-Procardia (nifedipine).
- Renin inhibitors. Lokhu kusebenza ngokunciphisa ukukhiqizwa kwe-renin, okuyi-enzyme eyenziwa izinso zakho okwandisa ukucindezelwa kwegazi.
Udokotela wakho angase akhombise izinguquko ezihlukahlukene zokuphila. Lokhu kungafaka phakathi ukuyeka ukubhema; ukugcina isisindo esinempilo; Ukuguquka kokudla okunjengokudla ukudla okunezithelo, imifino kanye nemikhiqizo yobisi ephansi; futhi uyanciphisa usawoti.
Udokotela wakho angase akucele ukuthi unciphise ukudla kwakho kotshwala. Kubantu abaningi abadala, kubandakanya abesifazane nabesilisa abaneminyaka engaphezu kwengu-65, lokhu kusho ukuphuza okulodwa ngosuku.
Amadoda angaphansi kweminyaka engu-65 avunyelwe iziphuzo ezimbili ngosuku.
Kufanele futhi usebenzise okungenani imizuzu engu-30 ngosuku. Lokhu kuhlanganisa ukuhamba, ukugijima, ukuqeqeshwa kwamandla, i-yoga, noma ukuvuthwa kwe-cardio efana nebhayisikili.
> Umthombo:
> Ukucindezeleka Kwegazi Eliphezulu (hypertension). I-Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/symptoms-causes/syc-20373410.