Ukuhluleka ukulawula ukucindezeleka kwegazi ikakhulukazi ngenxa yesinye sezizathu
Umfutho wegazi ophakeme unesigama esetshenziselwa ukuchaza umfutho wegazi ophezulu ongaphenduli ekwelapheni. Kuyinkinga engabangela ukukhathazeka ngokweqile kulabo abazama ukulawula ukucindezeleka kwegazi kanye nokukhungatheka odokotela abagula iziguli zabo njengoba kunqunywe.
Izimbangela Ze-Hypertension Enqabelayo
Umfutho wegazi ophikisanayo uchazwa njengengcindezi yegazi ehlala kahle ngaphezu kwezinhloso ezibhekiswe kulo naphezu kokusetshenziswa kwemithi emihle yokwelapha emithathu.
Ngenxa yokuthi ukucindezeleka komzimba kungaba nzima ukuphatha futhi ngokuvamile kudinga ukwelapha okuningi kwezidakamizwa , ukumelana akukwazi ukumenyezelwa ngokomthetho kuze kube yilapho isikhathi esinjalo sokuhlanganiswa kwezidakamizwa ezintathu.
Kunezinto eziningi ezingabangela ukucindezeleka okunamandla. Nakuba ezinye zingase zihlotshaniswe nezifo noma izifo ezikhona, abanye bangabangwa abantu abaphathwayo ngokwabo. Udokotela ngokuvamile uzogxila kulezi zimbangela ezintathu ezivame kakhulu uma uphenya ngokucindezeleka okunamandla:
- Ukulingana okungalungile noma okungavumelani
- I-high blood pressure , ngokuvamile ivela ezigulini ezingaphezu kakhudlwana
- Ukugcinwa kwe-Fluid, ngokuvamile kuvame ukuhluleka kwezinso
Ukuphenya kuzovame ukubandakanya ukuhlolwa kwegazi nokucabanga, ukuhlola ngokomzimba, nokubuyekezwa kokusetshenziswa komuntu okukhulunywa ngaye ngemithi (kubandakanya ukulinganiselwa okungekho, isimiso sokulinda, nemiphumela emibi).
Ukubhekisana nokungahambisani nokubekezela
Isizathu esivame kakhulu somshanguzo wokucindezeleka-futhi okunzima kakhulu ukwelapha-yilokho odokotela abakubhekisela njengokungahambisani nesiguli.
Yilapho umuntu engathathi imithi yakhe njengoba kunqunywe futhi mhlawumbe weqa ukulinganisa, ukwehlisa ngokungahambisani, noma ukubhekana nezikhala eside ekwelapheni.
Igama elithi "noncompliant" alisho ukuthi lisho ukuthi lo muntu ngempela uyasola. Ezimweni eziningi, kungase kube ngenxa yezimo ezingaphezu kokulawula komuntu okwenza ukwelashwa kungenzeki noma kungenakubekezelelwa.
Ngakho-ke, umgomo kadokotela awukwenzi ukunikeza izixwayiso kodwa ukukhomba izithiyo ezigcina lowo muntu ekuthathweni kwezidakamizwa njengoba kunqunywe.
Lezi zithiyo zingabandakanya konke kusuka ekucindezelekeni nasezinkingeni zomndeni kuya ezinkingeni ze-copay kanye ne- polypharmacy (izidakamizwa eziningi kakhulu). Kuze kube yilapho lezi zindaba eziyisisekelo zibhekiswe futhi zixazululwe, kungase kube nzima ukufeza imigomo yokwelapha.
Kwezinye izimo, isisebenzi senhlalakahle noma umeluleki kungase kudingeke ukuba kungeniswe ukuze kusize nganoma yiziphi izinkinga zomzwelo umuntu angase abe nazo. Ngezinye izikhathi, kuzodingeka kwenziwe imizamo yokulungisa ukukhathazeka kwemithi (okubandakanya umshwalense wokulwa noma ukubhalisela izinhlelo zokusiza izidakamizwa ).
Ngezinye izikhathi, konke kuthatha ukushintsha kwemithi yokwelapha ukuze unciphise izimpawu ezingase zingabika, kuze kube manje.
Ukwelapha Umfutho Wegazi Ophakeme
Ukwelashwa kwesifo somfutho wegazi ophikisayo ngokuvamile kugxile ekulungiseni izinkinga ezingaphansi, kokubili ngokomzimba nokusebenza. Lokhu kungahlanganisa:
- Ukulungisa nokuqapha ukunamathela kwezidakamizwa njalo
- Ukuthola abangani noma amalungu omndeni angasiza ngokuthatha izidakamizwa nsuku zonke
- Ukukhuluma ngezici zokuphila ezifana nokukhuluphala, utshwala, nosawoti wokudla
- Ukugwema noma ukunciphisa ukusetshenziswa kwezidakamizwa ezingekho ukuvuvukala (ama-NSAID), i-aspirin, ne-Tylenol (i-acetaminophen)
- Ukubhekisisa nokuphatha izimbangela zesibindi somfutho wegazi ophezulu, kuhlanganise ne- apnea yokulala , isifo esingenasifo sezinso , kanye ne- aldosteronism (ukukhiqizwa kwamahomoni amaningi ngokweqile)
Kubalulekile nokuqinisekisa ukuthi ukucindezeleka komuthi akulona okunye. Lokhu kungabandakanya ukuhlaselwa kwegazi (ukucindezelwa kwegazi okungamanga ngenxa yokubalwa kwemithambo yegazi) noma i- white coat hypertension (high blood pressure eyenzeka kuphela ehhovisi likadokotela).
> Umthombo:
> Yaxley, J. noThambar, S. "Umfutho wegazi ophezulu: indlela yokuphatha ekunakekelweni okuyinhloko." Journal of Medicine Family and Care Primary. 2015; 4 (2): 193-199.