Ukulungiselela Ukuvivinywa Kwegazi Elixilisayo

Isilinganiso somfutho wegazi (ABPM) sibhekisela ekulinganisweni kwengcindezi yakho yegazi ngaphezulu kwamahora angu-24 kuya kwangu-48, usebenzisa i- digital digital pressure monitor monitor . Ukuqapha ngokuvamile kuvunyelwe emtholampilo wangakini noma kumnyango wesifo esibhedlela, futhi kubonakala sengathi i-voltage yegazi ejwayelekile ehlanganiswe nedivaysi elincane eligqokelwe ibhande lakho ngosuku olulandelayo.

Lo mshini uzothuthukisa ukukhuphuka kwe-cuff ngezikhathi ezithile ngezikhathi ezinemizuzu engu-15 kuya kwangu-20 ngesikhathi semini yokulinganisa kwe-blood pressure yakho, futhi phakathi kwamaminithi angu-30 kuya kwangu-60 ngesikhathi ulala. Izogcina ukufundwa kwakho, okuzobuyiswa ukuhlaziywa uma ubuyela umqashi ngosuku olulandelayo.

Isilinganiso semini, ubusika, nokucindezelwa kwehora lamahora angu-24 kubalwa ikhompyutha. Ungathola futhi inani lenani eliphakeme lokucindezela kwegazi ngesikhathi sokuqapha. Olunye ulwazi olutholakala kulolu datha lusetshenziselwa ukusiza ukunquma ingozi yakho yengqondo kanye nengozi yokuqhubekela phambili ekugcineni kwesifo se-kidal (isifo) sezinso, isifo se-hypertension.

Kungani uDokotela wami angangikhuthaza i-ABPM?

Ukuqapha kwengcindezi yegazi kunganquma ukuthi ingcindezi yakho yegazi ingakanani ngaphansi kwezimo ezivamile phakathi nosuku. Ungabhekana ikakhulukazi "negazi elimhlophe," elibhekisela ekufundeni okuphakeme kuphela ehhovisi likadokotela.

Lokhu kungaba umphumela wokukhathazeka noma kwenzeka ngisho ngemuva kokugijimela nxazonke ukuze uthole ukuqokwa kwakho.

Nge-ABPM, ukugcoba kwegazi elimhlophe akuyona inkinga. Ezinye iziguli zinobufakazi bezinkinga zomfutho wegazi ophezulu kodwa zinezilinganiso ezijwayelekile zehhovisi ngokuhamba kwesikhathi. Lezi ziguli kungenzeka "zifihlile umfutho wegazi ophezulu," ezihlobene nengozi eyengeziwe yezinkinga zempilo ngenxa yesifo senhliziyo.

Uma udokotela wakho esolwa ukuthi unesizathu sokuzwa iziqephu zengcindezi yomshuwalense ngezikhathi ezithile emini, i-ABPM yindlela engcono kakhulu yokuhlola lokho kungenzeka. Ngokufanayo, uma usuvele uthatha imithi yokucindezela kwegazi kodwa ngezinye izikhathi ubona izimpawu zokucindezeleka kwegazi eliphansi, njengesizungu noma ukukhanya okulula, i-ABPM iyoba usizo ekuhloleni izimpawu zakho.

Kwezinye izimo, udokotela wakho angase afune ukuqiniseka ukuthi irejista yakho isebenza usuku lonke. Iningi labantu linomthelela wokucindezeleka kwegazi ebusuku, kodwa uma lokho kungenzeki, kuhlotshaniswa nezinkinga ezinkulu zenhliziyo, kufaka phakathi usayizi owandayo we-ventricle engakwesokunxele senhliziyo nokuhluleka kwenhliziyo. Ukucindezeleka kwebusuku kungcono ukuhleleka kokufa ngenxa yesifo senhliziyo njengoba kuqhathaniswa nomfutho wegazi wansuku zonke, futhi ungabonakala nge-ABPM.

Ingabe Wonke Umuntu Kufanele Ahlaselwe Isisindo Sokucindezelwa Kwegazi?

Abanye ochwepheshe e-United States batusa ukusetshenziswa kwe-ABPM ukuqinisekisa ukuxilongwa okusha kwegazi eliphezulu uma kufundwa okuphakeme kwenzeka ehhovisi likadokotela noma emtholampilo ongaphili. Iqembu elilodwa lobuchwepheshe elenza lokhu kunconywa yi-United States Preventive Services Task Force, okuyinto enzima zonke izingozi kanye nezinzuzo ezingenayo izinyathelo zokunakekelwa kwezempilo ngaphambi kokuba wenze izincomo.

I-USPSTF isekelwe lesi sincomo ebufakazini obonisa ukuthi ubungozi bokuvulwa kwezinhlekelele zempilo nezesifo esingenabuhlungu buhambisana kakhulu nezicindezelo zegazi ezihamba phambili. Amanye amaqembu azange enze izincomo ezifanayo ezimweni ezivamile zomsindo wegazi ongenalutho, ikakhulukazi ngoba i-ABPM ayilula futhi iyabiza kakhulu uma kuqhathaniswa nezilinganiso zendabuko yegazi ehhovisi.

Kwezinye izimo, odokotela bazocela iziguli zabo ukuba zenze izinga lokucindezela kwegazi ekhaya njengenye indlela yokuqapha kwengcindezi yegazi. Kunezimo eziningana lapho ochwepheshe abaningi bevumelana kufanele bavuselele i-ABPM, kuhlanganise negazi eliphakeme legazi eliphakeme kanye nomfutho wegazi ophezulu ongathuthuki ngemithi eyanda.

Ingabe imiphumela ye-ABPM izoshintsha ukwelashwa kwami?

Uma isetshenziselwa izizathu ezishiwo ngenhla, isifundo esisodwa sathola ukuthi i-ABPM ibangele ushintsho ekwelapheni kwe-hypertension cishe isigamu sazo zonke iziguli ezivivinywe, okuholela ekuthuthukiseni ukulawulwa kwengcindezi yegazi. Ukushintsha esikhathini sokuphuza imithi ye-blood pressure kungase kuholele ekuthuthukiseni okukhulu emva kwe-ABPM kubantu abanemithi yabo yansuku zonke engase ingasebenzi ngamahora angu-24 agcwele.

Ukuthola Imiphumela Enembile Kakhulu

Kukhona izinto eziningana okufanele uyenze ukuqinisekisa ukuthi ukuhlolwa kwakho kunembile futhi kubonakalisa ukucindezelwa kwegazi lakho usuku lonke. Lapho umshini ulungiselela ukuthatha isilinganiso se-blood pressure yakho, uzozwa i-beep. Uma lokhu kwenzeka, hlala phansi uma ungakwazi, ukugcina ingcindezi yegazi ezingeni elifanayo nenhliziyo yakho.

Qinisekisa ukuthi ithubhu ephakathi kwe-cuff nomshini ayiklanywanga noma iphikisiwe bese uzama ukugcina ingalo yakho isalokhu futhi iminyene ngenkathi umshini uthatha isilinganiso. Udokotela wakho uzokucela ukuthi ugcine uhlobo oluthile lwedayari noma irekhodi lemisebenzi yakho ngaphambi kokufunda kwegazi ngalinye, ngakho-ke ngemuva kokuba umshini uqedele ukulinganisa, bhala ukungena kwakho. Kumele futhi uqaphele isikhathi sakho sokulala, isikhathi sokuvuka, kanye nezikhathi zokwelapha.

Okubalulekile

Ukuqapha kwengcindezi yegazi kuhlinzeka ngesilinganiso esinembile somfutho wegazi lakho kulo lonke usuku nosuku lwakho. Nakuba ochwepheshe abaningi bevuma ukuthi kuyindlela engcono kakhulu yokuhlola izinkinga ezithile zengcindezi yegazi ezingase zingabonakali ehhovisi likadokotela wakho, izindinganiso zekhaya ezijwayelekile zomshuwalense wegazi zihlinzeke ngolwazi olufanayo futhi lunganele ukuhlola ukucindezelwa kwegazi lakho. Udokotela wakho uzokutshela ukuthi ukubhekwa kwengcindezi yegazi kufanele kucatshangelwe, ngokusekelwe ekuhloleni kwakho kwezokwelapha kanye nokwakheka komtholampilo.

> Imithombo:

> Diaz KM, Tanner RM, Falzon L, et al. Ukungahambelani Ukuvakashelwa Kokucindezelwa Kwegazi Nezifo Zenhliziyo Nezifo Zonke Zokufa: Ukubuyekezwa Okuhlelekile kanye nokuhlaziywa kwe-Meta-Analysis. > Ukucindezeleka . 2014; 64 (5): 965-982. i-doi: 10.1161 / HYPERTENSIONAHA.114.03903.

> Stevens SL, Wood S, uKoshiaris C, et al. Ukuhluka kwengcindezi yegazi kanye nesifo senhliziyo: ukubuyekezwa okuhlelekile nokuhlaziywa kwemeta. I-BMJ . 2016; 354: i4098. i-doi: 10.1136 / bmj.i4098.

> Isitatimende Sokuncoma Sokugcina: Ukucindezelwa Kwegazi Eliphezulu Kwabantu Abadala: Ukuhlola - US Force Prevention Services Task Force. (2015, Okthoba). Ibuyiswe ngoJanuwari 9, 2017, kusukela ku-https: //www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/high-blood-pressure-in-adults-screening

> James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, Lackland DT, LeFevre ML, MacKenzie TD, Ogedegbe O, Smith SC, Svetkey LP, Taler SJ, Townsend RR, Wright JT, Narva AS , I-Ortiz E. 2014 Isiqondiso Esisekelwe EmiBhalweni Yokuphathwa Kokucindezelwa Kwegazi Eliphezulu Kwabantu AbadalaBika Kuvela Kumalungu Amalungu Esikhundla Aqokwe Ikomidi Lezizwe Eziyisishiyagalombili (JNC 8). I-JAMA. 2014; 311 (5): 507-520. i-doi: 10.1001 / jama.2013.284427

> Staessen JA, Byttebier G, Buntinx F, Celis H, O'Brien ET, Fagard R. Antihypertensive Treatment Ngokusekelwe Ngokuvamile noma Ambulatory Blood Pressure MeasurementA Uhlolo oluhleliwe oluhleliwe. I-JAMA. 1997; 278 (13): 1065-1072. i-doi: 10.1001 / jama.1997.03550130039034