Ukulawula Ukucindezeleka Kwegazi Kuyisidingo Kubantu Abayisifo Sikashukela
Ukulawula ukucindezeleka kwegazi kuyinjongo ebalulekile yeziguli zesifo sikashukela. Izingozi ze- high blood pressure kubantu abanesifo sikashukela ziyingozi kakhulu kangangokuthi ezinye izifundo ziphakamise ukuthi ukucindezeleka kwegazi okulawulwa kahle kweziguli zesifo sikashukela kwenza kube nomthelela okhudlwana empilweni yesikhathi eside (ikhwalithi yokuphila, ubuningi bezinkinga, isikhathi sokuphila esiphezulu) kunegazi eliqinile ukulawula ushukela.
Nakuba lokho akusho ukuthi kufanele uzinaki imigomo yeshukela egazini lakho, liqinisa umbono wokuthi ukulawula ukucindezeleka kwegazi kuwumgomo obalulekile.
Izinhloso zokwelapha
Esikhathini sokushukela kwesifo sikashukela, umgomo wegazi ohlosiwe ungaphansi kuka 130/80. Isihloko sezingcindezi zegazi ezihloswe ngokucwaninga kahle, futhi izifundo eziningi eziningana ziye zabonisa ukuthi ukuthuthukiswa okuphawulekayo empilweni yesikhathi eside ye-cardiovascular and kidney akubonakali kuze kube yilapho ingcindezi yegazi iyancipha kuya kuleli zinga. Ngenxa yalesi sizathu, odokotela bavame ukufutheka kakhulu lapho behlela izinhlelo zokwelapha iziguli zesifo sikashukela.
Ezinye izifundo ziphakamisa ukuthi amaqembu athile weziguli zesifo sikashukela - njengalabo abanezinkinga zezinso eziphikisanayo - azuze kakhulu ekucindezelekeni kwegazi ngaphansi kuka-120/80. Idatha ibonise ukuthi ingozi yezinkinga zenhliziyo kanye nokulimala kwezinso okuqhubekayo kufinyelela ezindinganisweni eziphansi kakhulu ezilinganiselwe ngaphakathi kwalolu hlu.
Ngenxa yokuthi kunzima ukunciphisa ukucindezelwa kwegazi kule nqanaba, kuyinconywa evame ukugcinwa kuphela kweziguli ezithile.
Ukwelapha Okungeyona Imithi
Imikhombandlela esemthethweni ye-American Heart Association kanye ne-American Diabetes Association ithi ukucindezelwa kwegazi ku-130-139 / 80-89 kufanele kutholwe kuqala ngokukhetha okungezona "i-pharmacologic" (ayikho imithi).
Lezi zindlela zihlanganisa:
- Ukulahlekelwa kwesisindo
- Ukuvinjelwa kosawoti
- Izinguquko zokudla
- Ukuyeka ukubhema
- Ukunciphisa ukungenisa utshwala
Ezigulini ezingenaso isifo sikashukela, ukunamathela ngokuqinile kule migomo kaningi kuholela ekuhlahleni okukhulu kwegazi, okwanele ukuthi ukwelapha izidakamizwa kungadingeki. Nakuba okufanayo kungenzeka ngeziguli zesifo sikashukela, akuvamile, futhi ukwelashwa kwezidakamizwa kuvame ukudingeka. Lezi zinguquko zisafanele, kodwa, ngoba zandisa ukwelashwa kwezidakamizwa futhi ekugcineni ziholela ekulawuleni okungcono kwegazi.
Ukwelashwa Kwezidakamizwa
Ukwelashwa kwezidakamizwa kuyisinyathelo esidingekayo kweziguli eziningi ngesikhathi esifanele ngesikhathi sokwelashwa. Amanani amaningi ocwaningo ayenziwe ngomzamo wokunquma ukuthi iyiphi inhlanganisela yezidakamizwa noma izidakamizwa "engcono kakhulu" yokwelapha umfutho wegazi ophezulu ezigulini ezinesifo sikashukela. Nakuba imiphumela yokutadisha ihluka kancane, kukhona ukuvumelana okuseduze-yonke indawo ukuthi izidakamizwa ezingcono kakhulu ezingasetshenziswa ekusekeni kwesifo sikashukela yizi:
Lezi zidakamizwa ziqondisa ngqo ukukhathazeka okuhambisana nokucindezelwa kwegazi eliphezulu esimweni sesifo sikashukela kuhlanganise nokwandiswa kwevolumu , ukuqina komkhumbi wegazi, nokulimala kwezinso. Nakuba abanye odokotela beqala ukwelapha ngokuzama ukuzithelela ngokweqile, kuvame ukuqala nge-ACE Inhibitor.
Ekugcineni, inhlanganisela ethile ye-ACE Inhibitor / ARB ivame ukuphathwa kokhetho, nge-diuretic added uma kudingeka. Yize lokhu kuyindlela ejwayelekile kunazo zonke zokwelapha izidakamizwa, ezinye izidakamizwa zingafakwa phakathi kwezici ezithile zesiguli.
Uma udokotela wakho ekhetha ukuqala ukwelapha nge-diuretic, qaphela ukuthi lokhu akuyona into embi, futhi kukhona ubufakazi bokusekela lesi sinqumo ezinhlotsheni ezithile zeziguli. Kuzocaca masinyane ukuthi ngabe ukwelashwa kusebenza noma cha, futhi ukulungiswa kuzokwenziwa uma kunesidingo.
Ukunakekelwa Okulandelwayo
Kungakhathaliseki ukuthi ukwelashwa okwenziwe ngokuqondile, ukunakekelwa okufanele okulandelwayo kubalulekile ekuphatheni impumelelo yesikhathi eside yokwelashwa kwakho.
Ekuqaleni, cishe uzobona udokotela wakho nyangazonke, noma ngisho ne-bi-masonto onke, kuze kufike uhlelo olusebenzayo. Khona-ke, odokotela abaningi bazokucela ukuba ubuyele njalo njalo izinyanga ezintathu ngonyaka wokuqala. Lokhu kulandela okulandelayo kusetshenziselwa ukulandela ukuguqulwa komfutho wegazi nokubeka isisekelo semingcele ethile yemvelo njengamazinga e-electrolyte (i-potassium ne-sodium egazini) nokusebenza kwezinso.
Ngemuva konyaka wokuqala, udokotela wakho angakhetha ukushintshela ezinyangeni eziyisithupha zokuqashwa, noma angase afune ukuthi uqhubeke nesimiso sezinyanga ezintathu. Uma ucelwa ukuba uqhubeke nesimiso sezinyanga ezintathu, lokhu akuyona imbangela ye-alamu, kusho ukuthi isikhathi esengeziwe sidingeka ukuqinisekisa ukuthi konke kuhamba njengoba kuhlelwe. Inani elikhulayo labodokotela licela bonke abagulayo besifo sikashukela abanomfutho wegazi ophezulu ukuba bafike njalo ezinyangeni ezintathu. Ukugcina lezi zikhundla kubalulekile. Ukwelashwa kuphumelela kakhulu uma kuhlanganiswe nesimiso sokunakekelwa okufanele okulandelwayo.
Imithombo:
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Brenner, BM, Cooper, ME, de Zeeuw, D, et al. Imiphumela ye-losartan emiphumeleni ye-renal nemiphumela yezinhliziyo ezigulini ezine-type 2 yesifo sikashukela ne-nephropathy. N Engl J Med 2001; 345: 861.
Association of American Diabetes Association. Ukuphathwa kwe-Hypertension kubantu abadala abanesifo sikashukela. Ukunakekelwa yisifo sikashukela 2004; 27 (I-Suppl 1): S65.