Izimbangela, ukuxilongwa, kanye nokwelashwa kungahluka kubantu abadala
Nakuba i- hypertension ivame ukucatshangwa ngokuthi "isifo esidala," inani elikhulayo labantwana abasha kanye nezingane ezincane liwela ukugonywa kwegazi eliphezulu.
Intsha e-US manje isisindo esiningi futhi isebenzise kancane kunezizukulwane ezidlule. Ngenxa yalokho, izinga le-high blood pressure phakathi kwaleli qembu likhule ngokukhula okusheshayo.
Ngokusho kocwaningo olwanyatheliswa kuyi-Journal of Clinical Hypertension ka-Ephreli 2016, amaphesenti angaphezu kwesisodwa sezingane e-US phakathi kweminyaka engu-8 no-17 banomfutho wegazi ophezulu, kanti ngaphezulu kwamaphesenti ayisithupha (noma cishe eyodwa kweyodwa kwabayishumi) ukuphakama kwegazi okuphezulu okuphezulu okubonisa ukuthi unesandulela-ngculaza .
Lokhu kungaphansi kwezikhathi eziyisihlanu izinga elibonwe ngasekuqaleni kwawo-1980 kanye nasekuqaleni kwawo-1990.
Izimbangela Zokukhulelwa Kwesishukela Sezinsana
Kwake bekholelwa ukuthi ukucindezelwa kwegazi ephakeme kwentsha kwakuhlobene kakhulu nenkinga engaphansi kwenhliziyo noma izinso. Ucwaningo luye lwabonisa ukuthi lokhu akunjalo futhi ukuthi intsha namuhla ithuthukisa umfutho wegazi ophakeme cishe cishe ngokulingana nabantu abadala.
Amacala amaningi ahlukaniswa njenge- primary blood pressure , okusho ukuthi akuwona umphumela wesinye isimo sezempilo. Nakuba imbangela eyinhloko yomshuwalense ophezulu ongakacaciswanga ngokugcwele, ixhunyaniswe ngokuqinile nezimo zokuphila ezingaguquguquki ezifana nokukhuluphala ngokweqile nokunciphisa umzimba.
Ngenkathi abantu abaningi bathanda ukucabanga ngabasha njengenguqulo encane yabantu abadala, izinguquko zomzimba izingane ezithatha kuzo zibeka engozini eyingozi kakhulu. Ukushintsha kwamahomoni kanye nokukhula okusheshayo kungabangela ukwanda okwedlulele kwe-cholesterol namazinga egazi, okungenzeka kube nzima ukudla okunamafutha aphezulu, ukungabi nokuzivivinya nokubhema.
Ngenxa yalokho, ngisho noma ingane ingenayo ukubonakaliswa ngokomzimba kokukhuluphala, ukucindezeleka kwegazi nokufundwa kwe-cholesterol kungase kuwele ngaphakathi ebangeni elibonakala ngokubonakala kunabantwana abakhuluphele.
Ukuxilongwa
Ukubona ukucindezelwa kwegazi ephakeme kwentsha kunzima kakhulu kunabantu abadala. Ngabantu abadala, kunesethi ecacile yamanani ezinombolo ukuqondisa ukuxilongwa.
Lokhu akunjalo nakancane nentsha, ikakhulukazi ngoba ukucindezeleka kwegazi kubantu abangaphansi kweminyaka engama-20 abathwali izingozi zezempilo ezifana nalabo abangaphezu kuka-40 (njengokuhlasela kwenhliziyo noma isifo sohlangothi).
Ngenxa yalokho, ukuxilongwa kwentsha kusekelwe ezintweni ezinhlanu ezibalulekile:
- Ubudala
- Ubulili
- Ukuphakama
- Ukufundwa kwengcindezi ye-systolic (i-high pressure pressure blood pressure emele ukucindezelwa kwenhliziyo eyenziwa njengezivumelwano)
- I- diastolic blood pressure ukufunda (i-blood pressure pressure value emele ukucindezeleka lapho inhliziyo ikhulula)
Lezi zimiso ziqhathaniswa nabanye abafana noma amantombazane ukuze banqume ukuthi yikuphi ukuwa kwentsha nge-percentile ethile.
I-percentile ukufanisa phakathi kokubaluleka okubalulekile kanye nenani lonke leqembu. Uma kunjalo, uma ingcindezi yegazi yengane isendaweni ye-90th percentile, kusho ukuthi umfutho wegazi wakhe uphakeme kunamaphesenti angu-90 kuwo wonke umuntu iqembu.
I-Percentiles Yokucindezelwa Kwegazi
I-blood pressure percentiles yezingane, ekhishwe yi-American Heart Association, ingachazwa kabanzi kanje:
- Umfutho wegazi ovamile ingcindezi yegazi ewela ngaphansi kwe-90c percentile.
- Ukwelashwa ngokweqile kungumgogodla wegazi owela phakathi kwama-percentile angu-90 no-95th noma umfutho wegazi ongaphezu kuka-120/80 noma ngabe inani lalingaphansi kwe-90 percentile yobudala bakhe.
- Isigaba 1 somfutho wegazi ophezulu ingcindezi yegazi iwela phakathi kwe-95c percentile no-5.0 mmHg ngaphezulu kwe-99c percentile.
- Isigaba sesi-2 somfutho wegazi ophakeme ingcindezi yegazi engaphezu kwe-95th percentile kanye no-5.0 mmHg.
Uhlelo luyinkimbinkimbi kodwa luzicabangela izici ezingcono kangcono ukucindezela kwegazi lentsha.
Ngenkathi ukufundwa komfutho wegazi kungase kubonakale kuphezulu uma kubhekwa ngedwa, kungase kugcine kube ngokujwayelekile uma kulungiselelwe ukuphakama kwengane, ubudala, nobulili.
Ukuvimbela nokwelapha
Ngenxa yokuthi intsha enesifo sofuba ivame ukuhlupheka kakhulu izenzakalo zenhliziyo kamuva, ukungenelela kwangempela kuyisihluthulelo sokunciphisa ukucindezelwa kwegazi nokusekela ukulawula isikhathi eside.
Lokhu kufaka phakathi izinguquko ezinjalo zokuphila njenge:
- Ukudla ukudla okunempilo
- Ukugcina i-index ye-body mass index (BMI)
- Ukusebenzisa njalo
- Ukuyeka ugwayi
- Ukusebenzisa izidakamizwa nokuphuza utshwala
Izinketho zokwelashwa zingahluka kodwa ngokuvamile zigxila ekungeneni kokuphila ngaphambi kokuba imithi ibhekwe. Njengabantu abadala, noma yimuphi umfana onesigaba 2 somfutho wegazi ophezulu noma isifo sofuzo kumele anikezwe imishanguzo enamandla .
> Imithombo:
> Chuanwei, M .; I-Zhang, T .; kanye no-Xi, B. "Ukuvama kokucindezelwa kwegazi okweqile phakathi kwezingane zase-US, 2013-2014." J Clin Hyperten. 2016; 18 (10): 1071. I-DOI: 10.1111 / jch.12824.
> Riley, M. kanye noBluhm, B. "Ukucindezeleka Kwegazi Eliphezulu Ezinganeni Nezingane Zengane." Amer Fam Physician. 2012; 85 (7): 693-700. I-PMID: 22534345.