Ukwanda kwexesha elifutshane akuyona into engenakonakalisa njengokuba kukholwa
Akuqhelekanga ukuba ube negazi eliqhelekileyo lokufunda ekhaya ekufumaneni ukuba kufundwa ngokukhawuleza xa ukhona kwiofisi yegqirha.
Isiqalo sakho sokuqala sinokuthi uphonse itekisi yendlu uze uqalise unyango olusenyongweni, kodwa into enokuhlangabezana nayo yimeko eyaziwa njengengubo emhlophe yengozi yokuxinzelela .
Ukuhlengahlengisa i-White Coat Hypertension
Iingubo ezimhlophe zengxowankulu yegazi (WCH) yayisetyenziswa njengesiqhelo esingaphansi kwexesha elide kwaye esingenakubungozi esaliswe ngumxinzelelo wokutyelela ugqirha.
Uphando ngoku uphakamisa ukuba oku akunjalo.
I-WCH ibangelwa ukukhululwa kwama-hormone anxulumene noxinzelelo olunjenge-adrenaline, i-cortisol, i-epinephrin, ne-norepinephrine. Lawa awona mahomoni asebenzayo kwinkqubo yesantya evelwano kwaye avuselele oko kuthiwa "ukulwa okanye ukundiza" impendulo. Uxinzelelo lwegazi oluphakamileyo luyingenye yeziphumo ezibi.
Nangona kubonakala kunengqiqo ukubonisa ukuba ukuba kwiofisi yegqirha kuyimfuneko yokuxinezeleka, yintoni abaphandi abaye bayifumana kukuba abantu abane-WCH banomdla ofanayo nakwezinye iimeko ezingaxinzelelekanga. Ezi zingabandakanya iintlanganiso zezoshishino, ukubandakanyeka kwezentlalo, ukubambelela kwi-traffic, okanye nokujongana neendaba zasebusuku.
Oko uphando lubonakalise ukuba iipikithi eziphindaphindiweyo kwixinzelelo legazi zaziba nemiphumo emibi kwimpilo ye-cardiovascular as persistence high blood pressure, okwandisa ingozi yokuhlaselwa yintliziyo, ukuphazamiseka, kunye nokuhluleka kwentliziyo.
Iinkcazo ezinokwenzeka
Elinye iqela lophando lwezenzululwazi lifumene ukuba abantu abane-WCH baya kubakho ukunyuka kwenycinezelo yegazi xa belele. Ngokuqhelekileyo, uxinzelelo luya kulindeleka ukuba ludibanise ebusuku, kodwa ngenxa yesizathu esithile, oku kungenzeki kakhulu kulabo abane-WCH.
Kuye kucetyiswa ukuba inkqubo ye- endocrine yala bantu iyakwazi ukunyanzeliswa kwaye ikwazi ukukhupha i-hormone yokuxinwa kunye nokunyanzeliswa okuncinci njengokungathi "kuphazamisekile."
Iipikisi ezingavumelekanga zingaphakamisa ukuphazamiseka kwengxaki engaphendulwanga eyaziwayo kwandisa umngcipheko wokuhlaselwa kwentliziyo. Ngokuchasene nengxaki yokukhathazeka jikelele (i-GAD) ebonisa ukuxhalaba okuqhubekayo, kukho iindidi ezininzi apho ixhala libangelwa ziziganeko ezithile okanye imeko.
I-disadvantaged disorder disorder (SAD) ngumnye umzekelo apho umntu unokuhle ekhaya kodwa anqobe ngokuxhalaba xa ephuma ekhaya.
Ukulawula i-White Coat Hypertension
Ukuba uye wafumanisa ukuba u-WCH, ugqirha wakho unokuncoma ukunyanzeliswa kwengcinezelo yegazi (ABPM) ukulandelela nokurekhoda uxinzelelo lwegazi malunga newashi. Oku kunokunceda ugqirha wakho ukuba ahlole ukuba kaninzi kwaye kunzima kangakanani le mihluko.
Ukuba i-ABPM ayilunconywanga, usenokukwazi ukufunda ngokuchanekileyo kwiofisi yegqirha xa ufika kusasa uze uhlale uzinzile ubuncinane imizuzu eyi-10. Ukuba ukufundwa kuyimida okanye kungagqibekanga, ugqirha wakho unokubonisa indlela yokulinda nokulinda.
Nangona kunjalo, ukuba iziphakamiso ziphathelele, ugqirha wakho unokuncoma unyango olungapheliyo lwe-hypertensive . Utshintsho ekudleni, ekusebenziseni nasekulawuleni uxinzelelo (kuquka i-yoga kunye nokucamngca) unokukwaziswa kwakhona. Ukuba ukuxhalabisa kubangela ukuba iziphumo ezibi, ungathunyelwa kwintliziyo yengqondo.
> Imithombo:
> Huang, Y .; Huang, W .; Mai, Y. et al. "I-white-coat hypertension iyingozi yentsholongwane yomzimba kunye nokufa kwabantu bonke." J Hypertens. 2017; 35 (4): 677-88. INGXELO: 10.1097 / HJH.0000000000001226.
> Maseko, J .; Woodiwiss, A .; Libhaber, C. et al. "Ubudlelwane phakathi kweempuphu ezimhlophe kunye neenkomfa ezisekhohlo zentsholongwane okanye ubunzima bomzimba: indima yesondlo soxinzelelo lwegazi." Am J Hypertens. 2013; 26 (11): 1287-94. INGXELO: 10.1093 / ajh / hpt108.