Ukuqapha kwengcindezi yekhaya (i-HBPM) kubhekisela kumkhuba wokucela iziguli ukuba zilinganise ukucindezelwa kwegazi labo ekhaya, ukuthi zibone ukuthi ingabe i-hypertension ikhona noma ukusiza ekulawuleni umfutho wegazi ophezulu ngemva kokuba itholakale. I-HBPM iyenzeka eminyakeni embalwa edlule, manje engabizi kakhulu ($ 40 - $ 50), kulula ukuyisebenzisa, amadivaysi e-blood pressure kagesi atholakala kalula, futhi ukunemba kwabo kulungile kakhulu.
Kungani i-HBPM?
Izilinganiso zegazi ezenziwe ehhovisi likadokotela zivame ukusiza kakhulu kunalokho okukholelwa ngaphambilini. Mhlawumbe ngenxa yokucindezeleka kwesiguli lapho ehhovisi likadokotela, noma (ngaphezulu) ngenxa yemvelo ehlosiwe etholakala emahhovisi amaningi odokotela namuhla, ngokuvamile kuvame iziguli ukuba zithole isimo 'sokuphumula okuthula' okudingekayo inembile yengcindezi yegazi. Ngenxa yalokho, izindinganiso zegazi ezitholakala ehhovisi zivame kakhulu "ngokungekho emthethweni" ziphakanyisiwe. Ingozi yukuthi Isiteji I-hypertension ingatholakala uma ingekho.
- Funda mayelana nokuxilongwa komfutho wegazi ophezulu.
- Funda mayelana "negazi eliphakeme legazi eliphakeme."
Leli qiniso manje seliyaziwa yizazi eziningi, futhi ngokufanayo, ngoDisemba 2014, i-United States Preventive Services Task Force (USPSTF) ikhishwe izincomo ezintsha zokubhaliswa ekuxilongweni komfutho wegazi ophakeme, ekhuthaza odokotela ukuthi bangabanciki njalo ngezilinganiso zehhovisi ukuze bahlolwe .
Esikhundleni salokho, kusho i-USPSTF, odokotela kufanele basebenzise ukuqapha ukucindezelwa kwegazi (ABPM) ukuqinisekisa ukuxilongwa ngaphambi kokwenza isiguli impilo yokwelapha yonke i-antihypertensive.
I-ABPM ibhala izingcindezi eziningi zegazi ezilinganisweni phakathi nesikhathi samahora angu-24 (noma ama-48).
Nge-ABPM, yi- average blood pressure ngaphezu kwosuku lonke olubalulekile. Lelizinga eliphakeme lokucindezela kwegazi lisetshenziselwa ukunquma ukuthi ingabe isifo somfutho wegazi ukhona. I-ABPM ikhumbula ukuthi umfutho wegazi uvame ukushintsha kakhulu . I-ABPM isiqinisekisile ukuthi iyithuluzi eliphumelelayo lokuthola ukutholakala noma ukungabikho komfutho wegazi ophezulu, ngokunembile kunokuba kungenziwa ngokuvamile ehhovisi likadokotela. Kodwa-ke, i-ABPM iyanzima kakhulu futhi iyabiza ukuyisebenzisa, futhi, okubaluleke nakakhulu, i-ABPM ayizange ibe yinto evamile yohlelo lwadokotela abaningi. Kungenzeka kube nokuncipha okuphawulekayo - uma kungenjalo ukuphikiswa - okuyingxenye odokotela nabakhokhi ekutholeni ukwandiswa kwe-ABPM.
Lokhu Kuphi lapho i-HBPM ifika khona
Ukuqapha kwengcindezi yasekhaya ekhaya, ngokushoyo, akukwazi ukunikeza izilinganiso eziningi zegazi ezingaphezu kwengu-24 njenge-ABPM. Kodwa inganikeza izilinganiso eziningana ngosuku - kanti lezo zingqinamba zingenziwa ziqhubeke izinsuku ezimbalwa, noma ngisho namasonto amaningana. Ngakho-ke, njengo-ABPM, i-HBPM ivumela ukukala kwesilinganiso se "isilinganiso" segazi esikhathini eside.
Ngenkathi i-HBPM ingazange ihlolwe ngezifundo zemitholampilo njengoba iqine njengoba ine-ABPM, ucwaningo luye lwabonisa ukuthi izindinganiso zomshuwalense wegazi ezitholakale ngeHBPM zihambisana kahle namanani atholakale ne-ABPM - futhi enembile kunemilinganiselo yegazi eyenziwe ehhovisi likadokotela.
Ngakho-ke, kuyilapho i-HBPM engeyona ingxenye esemthethweni yezincomo ze-USPSTF, i-USPSTF ibonisa ngokuqinile ukuthi i-HBPM ingase ishintshe ngokufanelekile ku-ABPM - kungcono kunoma yikuphi, kunokulinganisa ukucindezelwa kwegazi ehhovisi likadokotela.
I-HBPM Yenze Kanjani?
Ukuze uthole isilinganiso somshini wegazi we-HBPM, kuvame ukuphakanyiswa ukuthi isiguli (uma uhlezi ngokuthula) kufanele uthathe izilinganiso ezimbili zomshuwalense wegazi eyodwa noma emibili eceleni, kokubili ekuseni nakusihlwa, okwezinguquko ezine zegazi izilinganiso ngosuku. Lokhu kufanele kwenziwe ngezinsuku ezintathu kuya kweziyisikhombisa ezilandelanayo. Izilinganiso ezine ezitholakalayo ngosuku lokuqala zixoshwa (ukuvumela i-curve yokufunda, nokuthi kungenzeka yini ama-jitters ngosuku lokuqala), futhi zonke ezinye izilinganiso ze-blood pressure zilinganiselwe ndawonye.
Umphumela ukukala kwesilinganiso segazi esiphezulu.
I-HBPM Isilinganiso Sokucindezelwa Kwegazi Sichazwa Kanjani?
I-hypertension ivame ukutholakala ukuthi uma i-blood pressure ejwayelekile etholakala nge-HBPM ingaphezu kuka-135 mm Hg systolic, noma ngaphezulu kuka-80 mm Hg diastolic.
I-HBPM Isetshenziswa Kakhulu Kangakanani?
I-HBPM ingabuye ibe usizo kakhulu ezigulini ezitholakale zitholakale zine-hypertension. Ngokulandela ukucindezelwa kwegazi nge-HBPM, ngokwenza esinye isilinganiso sesilinganiso segazi njalo njalo ezinyangeni ezimbalwa, kuyindlela enhle kakhulu yokuhlola ukwanela ukwelashwa kwama-antihypertensive. Ucwaningo luye lwabonisa ukuthi iziguli ezinomsoco osebenzisa i-HBPM ukuqapha ukwelashwa kwazo zivame ukufeza ukulawulwa kwengcindezi engcono kakhulu kwegazi kuneziguli ezilandelwa kuphela "ngokujwayelekile" (okungukuthi, ehhovisi) ukuqapha kwengcindezi yegazi.
Yeka ukuthi kunzima kangakanani i-HBPM?
I-HBPM ayinzima nakakhulu kubantu abaningi. Ngamanje amadivaysi e-blood pressure asekhaya atholakalayo okwamanje, cishe noma ubani angafundiswa kalula ukwenza i-HBPM.
Ngaphansi
Njengoba kunikezwe ukuqaphela okuqhubekayo ukuthi izilinganiso ze-e-blood pressure zingase zibe yinkinga, futhi zanikezwa isimo esibucayi kanye nezindleko ze-ABPM njengengxenye yokufaka ama-office-measure, kubonakala sengathi esikhathini esizayo madokotela abaningi kanye neziguli bayokwamukela i-HBPM njenge indlela ekhethiwe yokuqinisekisa ukuxilongwa kwesifo sofuba, nokusiza nabaphathi be-hypertension. Uma une-hypertension, noma uma udokotela wakho ecabanga ukuthi unayo, i-HBPM yinto ongase ufune ukuxoxa ngayo naye.
Imithombo
I-Verberk WJ, iKroon AA, iKessels AG, kaLeeuw PW. Isilinganiso sekhaya segazi: ukubuyekezwa okuhlelekile. J Am Coll Cardiol 2005; 46: 743.
Asayama K, Ohkubo T, Kikuya M, et al. Ukubikezelwa kokushaywa yisilinganiso sokuzivocavoca kwengcindezi yegazi ekhaya uma kuqhathaniswa nokuhlolwa kwesisindo somzimba wegazi ngokuhambisana neKomiti Yezizwe Ezihlangene 7: isifundo se-Ohasama. Isibhamu 2004; 35: 2356.
U-Niiranen TJ, uHänninen MR, uJohansson J, et al. Ukucindezelwa kwegazi okwekhaya-ekhaya kuyingozi kakhulu yokwelapha kwengqondo kunokuba i-office pressure ye-blood: isifundo sekhaya se-Finn. I-hypertension ka-2010; 55: 1346.