Ukuqapha kwengcindezi yegazi (ABPM) kuyindlela entsha yokuhlola umfutho wegazi lomuntu. Kuvame ukusetshenziselwa ukunquma ukuthi umuntu empeleni unesifo somfutho wegazi lapho ama-readiness pressure efundwayo ehhovisi ephazamiseka noma ehlukahluka kakhulu. Ikakhulukazi, i-ABPM isetshenziselwe ukuhlola iziguli ezinezicathulo ze- coat white .
Idivaysi ye-ABPM iqukethe inkinga yegazi egqoke engalweni, futhi ifakwe kwidivaysi yokurekhoda (cishe ubuningi besidlali seCD) esembethe ibhande.
Idivaysi ye-ABPM igqoke amahora angu-24 noma angu-48, futhi irekhoda ukucindezela kwegazi njalo (ngokuvamile kumaminithi angu-15 noma imizuzu engama-30) phakathi naleso sikhathi. Ngakho i-ABPM inikeza udokotela wakho irekhodi eliphelele lomfutho wegazi lakho isikhathi esisodwa noma ezimbili.
Ulwazi olunikezwa yi-ABPM luhluke ngokuphelele kulokho ulwazi udokotela athola ngokuthatha umfutho wegazi lakho ehhovisi. Ihhovisi le-blood pressure lokurekhoda liyi-value elilodwa elihloswe ukubonisa ukucindezeleka kwegazi ngesikhathi sokuphumula okuthule (okuchaza ukuthi kungani, kunikezwe imvelo enobungozi bamahhovisi odokotela abaningi kulezi zinsuku, ukufundwa kungase kungabi njalo ngokunembile).
I-ABPM, ngokuphambene nalokho, inikeza izingcindezi zegazi ezitholakala ngezimo ezahlukene nemisebenzi - kusukela ekugijimeleni ukuyobamba ibhasi ukuze ulale. Futhi kuvamile ukuba umfutho wegazi lomuntu uguquke kakhulu emisebenzini yosuku.
Ngakho-ke, ngokungafani nokucindezelwa kwegazi ungena ehhovisi likadokotela, i-ABPM ayinikezi inani elilodwa le- systolic ne-diastolic yegazi , kodwa izinamba eziningi (ngokuvamile) ezihlukahluka kakhulu.
Ukusebenzisa i-ABPM ukuxilonga umfutho wegazi ophezulu, ngakho-ke kudinga indlela ehlukile.
Inqubo evame ukusetshenziselwa ukuhlola imiphumela ye-ABPM ukukala ukucindezelwa kwegazi le-systolic ne-diastolic yesiguli isikhathi esingamahora angu-24, kanye namahora lapho isiguli siphapheme futhi silele.
I-hypertension ngokuvamile ihlolwe ukuthi uma izinga legazi eliphakeme lidlula enye yamagugu alandelayo:
- Isilinganiso samahora angu-24: i- systolic engaphezu kuka 135 mmHg, noma i-diastolic engaphezu kwe-80 mmHg.
- Isilinganiso samahora "aphapheme": i- systolic engaphezu kwe-140 mmHg, noma i-diastolic ngaphezu kwe-90 mmHg.
- Isilinganiso sehora "zokulala": i- systolic ngenhla engu-124 mmHg, noma i-diastolic ingaphezu kuka-75 mmHg.
Ngabe i-ABPM isetshenziswa nini?
I-ABPM iye yaba usizo ekuhloleni iziguli ezinegazi eliphakeme legazi eliphakeme, ivumela odokotela bazo ukuba banqume ukuthi ukuphakama kwengcindezi ye-blood office kubonisa isimo "sokungalali" (okungukuthi, isimo sokukhathazeka), noma ngabe i-office ephezulu Ukufundwa empeleni kukhombisa ukuthi ukucindezeleka kweqiniso kukhona.
I-ABPM ibuye isebenzise ezimweni lapho kunzima khona ukuhlola ukusebenza komuthi wokwelashwa okunamandla kakhulu, noma lapho isiguli esolwa ukuthi sinokuguquguquka okungavamile ngokweqile egazini legazi okwenza kube nzima ukuhlolisisa nokuphatha umfutho wegazi ophezulu. I-ABPM ingasiza ekuxilongweni nasekwelapheni kwezinhlobo ezithile ze- dysautonomia , ikakhulukazi uma izigameko zokucindezeleka kwegazi eziphansi kakhulu zisolakala.
Ingxabano ingenziwa ngisho nokuthi i-ABPM kufanele ibe yindinganiso yokuhlola nokwelapha isifo somfutho wegazi ophezulu, ngoba ukuthola izilinganiso zokucindezela kwegazi okunembile ehhovisi likadokotela kungaba nzima.
Eqinisweni, ngoDisemba, 2014 i-United States Preventive Services Task Force (USPSTF) yakhipha isitatimende esibhalwe phansi sincoma ukuthi i-ABPM isetshenziswe njenge "standard standard" yokuqinisekisa ukuxilongwa kwe-hypertension ehhovisi likadokotela. Okusho ukuthi i-USPSTF incoma ukuthi i-ABPM ibe yinto evame ukusetshenziswa kakhulu kunanamuhla.
Lokhu kunconywa kungenzeka kube yingxabano, ngoba i-ABPM iyanzima kakhulu futhi iyabiza (ukubiza amadola angamakhulu ambalwa ukuhlolwa kosuku olulodwa noma amabili). Kodwa-ke, kwenza umqondo omuhle wezokwelapha, futhi uma uvimbela ukwedlulela ngokweqile kwegazi elimhlophe lingase ligcine imali yokunakekelwa kwezempilo.
Olunye uhlobo lwe-out-of-office ye-blood measurement measurement, okuyinto evame kakhulu ukuthi i-ABPM, ukuqapha ukucindezelwa kwegazi (HBPM). Ungafunda konke mayelana ne-HBPM lapha.
Imithombo:
Myers, MG. Ukuqapha ukucindezelwa kwegazi okwenziwe umkhuba wokwelapha njalo. I-Hypertension 2005; 45: 483.