Ukuthola Imithi Yokucindezeleka Yegazi Isebenza Kuwe
Akukho ukuvumelana mayelana nokuthi imithi kufanele inikezwe kuqala uma othile eqala ukwelashwa nge-hypertension. Kunezinketho ezine ezinkulu ezivunyelwene ngazo ngokujwayelekile. Lezi zihlanganisa izigaba ezilandelayo zezidakamizwa:
- I-Angiotensin-yokuguqula i-enzyme inhibitors noma i-angiotensin II receptor blockers (i-ACE inhibitors nama-ARB)
- Abavimbela isiteshi se-Calcium
- Abavimba be-Beta
- Thiazide diuretics
Iyiphi Iklasi Lezidakamizwa Elisebenza Kakhulu?
Nakuba isigaba esisodwa sezidakamizwa singakhethi komunye kunoma yikuphi abantu, kunemibono ehlukile eyenza ukushintshashintsha kokunciphisa kwegazi. Umgomo wokwelashwa lapho ukwelapha umfutho wegazi ophakeme kufanele ube yiphonsela engaphansi kuka 140/90 mm Hg kubantu abangaphansi kweminyaka engama-60 ubudala. Ngaphezulu kweminyaka engama-60, okuhloswe yi-blood pressure ngaphansi kuka-150/90 mm Hg. Uma uneminyaka engaphezulu kwengu-60, ungazama ukufeza injongo ephansi, kodwa usengozini yemiphumela emibi kakhulu, njengesizungu.
Iminyaka yobudala kanye nemigomo yokuzikhethela Ukwelashwa kokuqala kwe-antihypertension Treatment
Kunezici ezihlukahlukene ezithinta amathuba okuphendula okuhle, kufaka phakathi iminyaka nobuhlanga. Iziguli ezincane zithola impendulo engcono kunazo zonke kuma-ACE inhibitors nama-ARB, kanye nama- block blockers . Abavimbela i-Beta abavame ukusetshenziselwa ukuqala ukwelashwa komfutho wegazi ophezulu, noma kunjalo, ngoba ubufakazi bubonisa ukuthi abanikeli ukuvikelwa okuningi ngokumelene nokushaywa njengenye yokukhetha okukhona.
Ngenxa yalokho, iziguli ezincane zizoqala ukwelashwa kwe-pharmacologic we-high blood pressure nge-ACE inhibitor noma i-ARB. Lokhu kusekelwa ubufakazi obuvela ekutadisheni abantu abasha abanesifo somfutho wegazi ophezulu abaphathwa ngamakilasi ahlukene.
Abantu abamnyama nabantu asebekhulile kubonakala bezuza ukulawula okungcono kokuqala kwengcindezi yegazi kusuka kwi- thiazide diuretic noma i-calcium channel blocker, ngakho odokotela bavame ukukhetha ukuqala ukwelashwa ngale mithi.
Kodwa-ke, ama-inhibitors e-ACE nama-ARB asetshenziselwa ukuphatha iziguli ezinokuhluleka kwenhliziyo, umlando we-heart attack, nesifo sezinso ezingapheli, ngakho-ke uma enye yalezi zimo ikhona kumuntu omdala noma umuntu omnyama, i-ACE inhibitor noma futhi i-ARB ingase ibe ukukhetha kokuqala imishanguzo ye-antihypertensive.
Engeza i-Drug entsha noma Ushintshe Odala?
Kuyinto nje yokuthi wonke umuntu ngeke aphendule kuyo yonke imithi yegazi. Uma uqala umuthi omusha nomthamo wakho ukwanele, kodwa awukakwazi ukunciphisa ukucindezela kwegazi ngokuphepha, yini okufanele uyenze? I-Joint National Committee ikhuthaza ukuphoqa umthamo ukuze uthole inani eliphakanyisiwe noma ukwengeza umuthi wesibili. Uma ukwandisa umthamo wemithi eminingi yegazi, impendulo iqala ukunciphisa. Imiphumela emibi iphinda ikhule
Kukhona enye indlela: abanye ochwepheshe batusa ukushintshela kumuthi omusha uma owokuqala engasebenzi. Uma ungazange uphendule kumuthi owodwa, kufanele wazi ukuthi unamaphesenti angu-50 amathuba okuthola umfutho wegazi ovamile kwenye uhlobo lomuthi. Leli qhinga libizwa ngokuthi "i-monotherapy elandelanayo." Uma umuthi wesibili ungasebenzi, isidakamizwa sesithathu singavumela iziguli ezingama-80% ukufeza ukucindezelwa kwegazi.
Abanye abantu badinga okungaphezu kweyodwa imithi yokulawula ukucindezeleka
Ngokuvamile, ukunciphisa kwengcindezi yegazi kune-20/10 mm Hg akunakulindelwa ukwelashwa ngomuthi owodwa, ngakho-ke abantu abanomfutho wegazi ophezulu kakhulu bangadinga imithi emibili yokulawula umfutho wegazi osanda kutholakala. Kukhona izidakamizwa eziningana ezihlanganiswa udokotela wakho angabeka zona, futhi uma ingcindezi yakho yegazi iphezulu kakhulu ekuqaleni, lokhu kungakuvumela ukuba ufinyelele umgomo wegazi ohlose ngesikhathi esifanele.
Ukudla nokuzivocavoca kungathinta impendulo yakho
Uma une-high blood pressure, kungenzeka ukuthi udokotela wakho usuvele ephakamisa izinguquko zokuphila.
Kubalulekile ukuqhubeka nokuzivocavoca njalo nokugwema ukudla okusawoti, ngisho nalapho uqala imithi. Ukubhema nokuntuleka kokulala kungenza kube nzima ukulawula ukucindezeleka kwegazi eliphezulu.