Ukuvinjelwa kosawoti Nge-hypertension

Uma une- hypertension (high blood pressure), kungenzeka ukuthi udokotela wakho uzokufuna ukuthi uhambe ekudleni kokunciphisa usawoti. Ukukhawulela usawoti (i-sodium chloride) kungadlala indima ebalulekile ekunciphiseni ukucindezelwa kwegazi.

Ukuzwela kosawoti

I-sodium ehlinzekwa ngasawoti edlalayo ibamba iqhaza elibalulekile ekulawuleni amazinga egazi legazi nokulondoloza ukulinganisela kwamanzi emzimbeni.

Abantu abaningi bangakwazi ukubhekana nokuhlukahluka okukhulu kakhulu usawoti wokudla - kusukela emazingeni aphansi kakhulu kuya emazingeni aphakeme kakhulu - ngaphandle kwezinkinga eziphawulekayo.

Nokho, abanye abantu bazoba nokuphakama kwegazi, kanye nokuqina "emithanjeni yabo yegazi," lapho befaka usawoti owedlayo kunokuba badinga. Laba bantu babizwa ngokuthi "usawoti ozwelayo."

Ingxenye enkulu kakhulu yabantu abanomfutho wegazi ophezulu kubonakala sengathi banomzwelo wosawoti.

Kungakhathaliseki ukuthi umuntu unomzwelo wosawoti noma awubonakali kuncike ezintweni eziningana, kufaka phakathi izakhi zofuzo, ubuhlanga (abantu abamnyama cishe bangaba nosawoti), umzimba omningi (abantu abangaphezu kwamandla omzimba banomthelela ophakeme wesikhumba usawoti), ukutholakala kwesifo se- metabolic syndrome (okwandisa ukuzwela usawoti), kanye namazinga wokuzivocavoca (ukuvivinya umzimba kunganciphisa ukuzwela usawoti).

Kungani Ukudla Okunciphisa Ukondliwa Kwezilonda

Ngenkathi kungekho ukuhlolwa okutholakala kalula kunganquma ukuthi ubani ongekho nosawoti ongenakuzwela, izincomo zamanje zikhona cishe wonke umuntu onomfutho wegazi ophezulu ozofakwa ekudleni okunomsoco.

Lesi sincomo senziwe ngezizathu ezintathu. Okokuqala, uma unesifo somfutho wegazi, amathuba okuba utholakala usawoti aphakeme kakhulu. Okwesibili, ngisho noma ungabheki ikakhulukazi usawoti, kungenzeka ukuthi okungenani kuncishiswe ukucindezeleka kwegazi ngokudla okunciphise uketshezi. Futhi okwesithathu, ukuvimbela usawoti ekudleni kwakho kungenza imishanguzo eminingi elwa ne-hypertensive iphumelele kakhulu.

Izincomo Ekunqandeni Kolwawoti

Zonke izingqungquthela ezinkulu zezobuchwepheshe eziye zalinganisa ngale ndaba zincoma ukudla okunomsoco owenzela usawoti kubantu abanesifo somfutho wegazi ophezulu.

Amalebula okudla awakhulumi okwamanje okuqukethwe kosawoti, kodwa esikhundleni salokhu abhala okuqukethwe okuse-sodium.

Ngakho-ke, iningi lemikhombandlela eshicilelwe yokwelapha umfutho wegazi ophezulu uncoma ukunciphisa ukudla kwe-sodium kuze kube yi-100 meq / ngosuku, noma ngisho nangaphansi. (I-44 meq ye-sodium ilingana nogremu owodwa.) Ukudla okuvamile kwe-American, ngokuphambene, kuhlanganisa kusuka ku-150 kuya ku-200 meq / ngosuku. Lokhu ukunciphisa okukhulu.

Ochwepheshe abaningi bancomeka nemikhawulo efanayo yosawoti kubantu abane- hypertension .

Ngaphezu kwalokho, njengoba usolwandle oluningi esithola usuku ngalunye luvela ekusetshenzisweni kokudla, ochwepheshe bezempilo bomphakathi (kanye nabanye) bayamelana nemithetho kahulumeni eyokwenza umkhawulo we-sodium osetshenziswe ekusetshenzisweni kokudla. Inhloso yabo ukunciphisa kakhulu uketshezi usawoti kuwo wonke umuntu. Ngenkathi izinhliziyo zabo zisendaweni efanele, kanti ngenkathi zingenza ingxabano efuna ukufeza lo mgomo, ukuphikisana okuncane kakhulu kuzungeze inqubomgomo evamile, ephethwe ngumthetho womthetho wesikasawoti.

Amathiphu Asebenzayo Wokunciphisa Ukutholakala Kokusawoti

Imithombo:

Adrogue, HJ, Madias, NE. I-sodium ne-potassium ku-pathogenesis ye-hypertension. N Engl J Med 2007; 356: 1966.

Weinberger, MH. Ukuzwela usawoti we-blood pressure kubantu. I-Hypertension 1996; 27: 481.

Kotchen TA, uCowley AW Jr, uFrohlich ED. Usawoti empilweni nasezifo - ukulinganisela okubucayi. N Engl J Med 2013; 368: 2531.

Choi HY, Park HC, Ha SK. Ukwethembeka kosawoti kanye ne-Hypertension: I-Paradigm Shift esuka e-Kidney Ukungasebenzi kuya ekusebenziseni kwe-Vascular Endothelial. I-Electrolyte Blood Press 2015; 13: 7.