Abesifazane abane-polycystic ovary syndrome (i-PCOS) bangakwazi ukwengeza umfutho wegazi ophakeme ohlwini olude lwezinkinga zemethamo ezinengozi enkulu. Ebhekwa ngokuthi "umbulali othulile" ngenxa yezibonakaliso zayo eziningi ezingekho, ukushisa komfutho wegazi (umfutho wegazi ophezulu) yisimo esingathathwa kalula.
Idatha etholakala eDallas Heart Study yabonisa ukuthi lapho abesifazane abane-PCOS beqhathaniswa nabesifazane ngaphandle kwesimo, labo abane-PCOS babonisa ukuphakama okuphezulu kwegazi eliphezulu, kungakhathaliseki ukuthi ubuhlanga noma ubuhlanga.
Uma kungalawulwa, umfutho wegazi ophezulu ungaphazamisa imithwalo yegazi nezitho. Izinkinga zokucindezeleka kwegazi zihlanganisa izinkinga zombono, ukulimala kwezinso, noma ukuhlasela kwenhliziyo noma isifo sohlangothi. Ukwazi nokunciphisa izingozi zakho (bheka ngezansi), kungakusiza ukunciphisa ingozi yakho.
Izingozi Zengozi Ye-High Blood Pressure
Kunezici eziningi ezingozi zokuba nomfutho wegazi ophezulu. Lokhu kufaka:
- Ukudla ukudla okune- sodium (usawoti)
- Ukubhema
- Ukungabi nomsebenzi womzimba
- Ukuba ngokweqile
- Ukukhula kweminyaka
- U-African American
- Ukucindezeleka
- Ukuphikiswa kwe-insulin
- Umlando womndeni
- Ukucindezeleka
- Ukuphuza utshwala ngokweqile
- Ukuba nezinye izimo zezokwelapha ezifana ne-cholesterol ephezulu noma uhlobo lwesifo sikashukela
Ukulinganisa Ukucindezelwa Kwegazi
Umfutho wegazi ulinganiswa ngokusebenzisa i- blood pressure cuff . Umhlinzeki wezempilo oqeqeshwe uzosebenzisa futhi i-stethoscope ukucacisa ukufundwa kwegazi ezimbili ezihlukene. Owokuqala ulalele inombolo "phezulu," noma i-systolic.
Lokhu kubonisa inhliziyo yakho ibetha. Inombolo yesibili ukufundwa kwe-diastolic noma "inombolo ephansi," okuchaza ukucindezelwa kwegazi lapho inhliziyo ihlala phakathi kwezingoma. Idivayisi ye-elektroniki ingasetshenziswa futhi ekhaya ukuqapha ukucindezelwa kwegazi.
Uma isilinganiso sifunda i-diostolic engu-110 systolic ne-70, uzozwa "110 kuka 70" noma ubhale "110/70 mmHg."
Ukuqaphela ukushisa kwegazi
Amazinga e-blood pressure (systolic kanye ne-diastolic) anquma ukuthi unegazi elivamile noma eliphakeme. Nazi amazinga we-cutoff ngokwesikhungo sokulawulwa kwezifo:
Okuvamile:
I-Systolic: ngaphansi kuka-120 mmHg
I-Diastolic: ngaphansi kuka-80mmHg
Esemngeni (ukucindezeleka ngokweqile):
I-Systolic: 120-139 mmHg
I-Diastolic: 80-89 mmHg
Umfutho wegazi ophezulu:
I-Systolic: 140 mmHg noma ngaphezulu
I-Diastolic: 90 mmHg noma ngaphezulu
Ukucindezelwa kwegazi okufundiwe okukhulu kune-180/10 kubhekwa njengengozi enkulu yegazi , okudinga ukwelashwa.
Ukuvimbela Ukucindezelwa Kwegazi Eliphakeme
Ukuvimbela umfutho wegazi ophezulu kuqala ngokuphila ngendlela enempilo. Ukugcina isisindo sakho, ngokulandela ukudla okunempilo, nokuzijwayeza njalo yizo zonke izenzo ongazithatha manje ukuze unciphise amathuba okuba nomfutho wegazi ophezulu.
Ukwelapha Ukucindezelwa Kwegazi Eliphakeme
Okudlayo kudlala indima ebalulekile ekulawuleni umfutho wegazi lakho. Ukulahlekelwa isisindo, ukunciphisa utshwala nokwenyuka kokuzivocavoca yizinguquko zokuphila ezinganciphisa ukucindezelwa kwegazi. Ngaphezu kwalokho, nanka izinguquko ezithile ongazenza ekudleni kwakho ukunciphisa ukucindezelwa kwegazi.
Yidla Ngaphansi Kokusawoti
Abaningi baseMelika badla indlela ye-sodium engaphezu kwalokho okuphakanyisiwe. Abantu baseMelika kumele badle okungaphezu kuka-1,500 mg ngosuku (okungaphezu nje kwesigamu se-teaspoon kasawoti!) Ngokusho kwe-American Heart Association.
Akuyona into engavamile yokudla kokudlela ukuze iqukethe i-sodium eyizinsuku.
Ngaphandle kokudla ngaphandle, imithombo eyinhloko ye-sodium yila ukudla okulungiselelwe, ukudla okufriziwe, ukudla okusemathinini, futhi-ke, usebenzisa umdwebo wasawoti. Ukufunda amalebula okudla nokupheka ukudla okunye ekhaya lapho ulawula khona inani lasawoti kungenza umehluko.
Engeza izithelo eziningi nemifino
Yebo, kunesizathu sokudla izithelo nemifino yakho: basiza ukucindezela kwegazi. Izithelo nemifino ziqukethe izakhi ezifana ne- magnesium , calcium, ne-potassium, ezisebenza ukulwa nemiphumela ye-sodium ephezulu emzimbeni wethu.
I-DASH (Ukudla Kwemithi Yokumisa Ukucindezeleka) Ukudla kuwubufakazi bokuthi izithelo nemifino kusiza ukunciphisa ukucindezelwa kwegazi kwabesifazane abane-PCOS.
Abesifazane abane-PCOS abalandela ukudla kwe- DASH babona ukuthuthukiswa okukhulu kwegazi labo, kanye nokulahlekelwa kwamafutha emzimbeni. Ukuthuthukiswa okuphawulekayo ekunqandeni kwe-insulin kanye namamaki okuvuvukala nakho kwaboniswa.
Ukudla kwe-DASH kuncoma ama-4 kuya ku-5 ama-servings ngosuku ngalokhu kokubili izithelo nemifino.
Ugcizelela amantongomane, imbewu, nemifino
Ukudla kwe-DASH kuyisitshalo esekelwe ngokugcizelela ekufakeni ama-4 kuya ku-5 ama-servings ngeviki lezinhlobo ezihlukahlukene zamantongomane , imbewu, kanye ne-legumes (i-lentils nama-peas). Ukudla lokhu akukona kuphela ukunikeza umthombo omuhle we-fiber, kodwa futhi kune-magnesium ne-potassium ukuze kuphume ukucindezeleka kwegazi.
Ungakhohlwa I-Fat!
Ama-acids ama-omega-3 afana nalawo athola izinhlanzi ezinamafutha, amantongomane, ama-avocado, namafutha omnqumo anethonya lokunciphisa igazi. Ucwaningo olunyatheliswa kuyi- American Journal of Hypertension luqhathanisa nokudla kwamafutha omnqumo e-polyphenol ocebile ekudleni okungenalo i-polyphenols nemiphumela yayo ekucindezelweni kwegazi kwabesifazane abasebasha. Ngemuva kwezinyanga ezine, iqembu lamafutha omnqumo lahlanganiswa nokuncipha kwe-systolic ne-diastolic yegazi.
Imithi Yokuphatha Ukucindezeleka Kwegazi Eliphakeme
Uma ukudla nokungenelela ngendlela yokuphila akuphumelelanga, noma uma usenokucindezelwa kwegazi eliphezulu, udokotela wakho angakhipha imishanguzo elwa ne-hypertensive ukukusiza ukuyilawula.
Izinhlobo eziningi zemithi zingasetshenziswa kuhlanganise nezama-diuretics, izivimbela ze-calcium, i-ACE inhibitors, noma i-blocka blockers.
I-Diuretics
I-Diuretics iyanqanda uketshezi okwedlulele namanzi emzimbeni, okusiza ukuncipha kwengcindezi yegazi. I-spironolactone, isibonelo, i-diurétic-sparing diuretic evame ukusetshenziswa kwabesifazane abane-PCOS. Akukhona nje kuphela ukuthi i- spironolactone ingaphansi kwegazi kodwa ingasiza nangezimpawu ezingafuneki ze-hirsutism ezifana nokukhula ngokweqile kwezinwele nokulahlekelwa izinwele.
B Blockers
Abavimbela i-Beta bavimbela i-adrenaline hormone epinephrine ukunciphisa izinga lakho lenhliziyo.
ACE Inhibitors
Ama-inhibitors e-ACE aphumula imithwalo yakho yegazi ukuze inhliziyo ingabi nokusebenza kanzima ukupompa igazi ngezitsha ezincane.
Ama-blockers wesiteshi se-Calcium
Umzila we-calcium uvimbela ukucindezela kwegazi okuphansi ngokuvimbela i-calcium ukungena enhliziyweni nemithambo yegazi encane, eyanciphisa inani lempi umzimba ongawukhiqiza uma uthola isivumelwano.
Ngenxa yokuthi awukwazi ukuthi unomfutho wegazi ophezulu noma cha, kubalulekile ukuthi ulandele umhlinzeki wakho wezokwelapha ekuhloliseni unyaka wonke. Ukusebenzisa amathiphu wokuphila ngenhla kungasiza ekuvimbeleni nasekuphepheni umfutho wegazi ophezulu.
> Imithombo
> Asemi Z, Esmaillzadeh A. DASH Ukudla, Ukuphikiswa Kwe-Insulin, neSerum hs-CRP ku-Polycystic Ovary Syndrome: Isivivinyo Sokulawulwa Kwemithi Elawulwa Ngalokhu. I-Horm Metab Res. 2014.
> Isikhungo Sokulawula Izifo Ukulinganisa Ukucindezeleka Kwegazi. Kufinyelelwe ku-2/22/17: https://www.cdc.gov/bloodpressure/measure.htm
> Chang AY, Oshiro J, Ayers C, RJ Aucs.Ukuhluka kobuhlanga / ubuhlanga ezinkingeni zempilo yengqondo e-polycystic ovary syndrome, i-Dallas Heart Study. I-Clin Endocrinol (i-Oxf). 2016 Jul; 85 (1): 92-9.
> Moreno-Luna R, uMuñoz-Hernandez R, uMeranda ML. I-Olive oil polyphenols inciphisa ukucindezeleka kwegazi futhi yenze ngcono umsebenzi wokugcina ekugcineni kwabesifazane abasebasha abane-hypertension emincane. Am J Hypertens. 2012 Dec; 25 (12): 1299-304.