Isicwangciso sokunciphisa uxinzelelo lwegazi
Uxinzelelo oluphezulu lwegazi luyingozi ebalulekileyo yezifo ezahlukahlukeneyo, kuquka ukuhlaselwa kwintliziyo, ukuphazamiseka kwentliziyo, ukungaphumeleli kwentliziyo kunye nesifo sesifo. Kukho iinketho ezininzi xa kufikelele ekuphatheni uxinzelelo lwegazi oluphezulu. Amachiza, ukuguquka kwendlela yokuphila, kunye nezinye iindlela zokungenelela zonke zisetyenziselwa ukudibanisa, ngokuxhomekeke kwiimfuno ezizodwa zesigulane ngasinye.
UkuPhathwa kwaBantu ngabanye kwiNdidi zeeNkundla
Nangona iinjongo zokunyanga kwengcinezelo yegazi zihlala zinciphisa uxinzelelo lwegazi, iinombolo ezithile ezijoliswe kuyo kunye nendlela oya kuzifikelela ngayo ziyahlukahluka kuxhomekeke kwinkimbinkimbi kunye nengcinezelo yegazi ephezulu .
Izigulane ezingenakunzima azikho izifo ezingundoqo ezibangelwa uxinzelelo lwegazi oluphezulu kwaye azizange ziphuhlise naziphi na iingxaki zomzimba ngenxa yesigxina soxinzelelo lwegazi; Izigulane ezinzima zikhona ezinye izifo ezikhoyo ngaphezu kokunyuka kwengcinezelo yegazi. Ngokomzekelo, unyango lwegazi lokugonywa kwisigulane nesifo sikashukela sinokubandakanya umgaqo-nkqubo wonyango ohlukeneyo kunye noxinzelelo lwengcinezelo yegazi.
Iinjongo zezigulane ezingekho nzima
Unyango lwezigulane ezingaxakekanga lujolise ekunciphiseni uxinzelelo lwegazi kunye nokuphepha iingxaki zexesha elide. Iinjongo ezithile zengcinezelo yegazi zi:
- Uxinzelelo lwe-Systolic <140
- Uxinzelelo lwe-Diastolic <90
Ngoko, uxinzelelo lwegazi lwe-138/87 luya kuqwalaselwa ngaphakathi kwinqanaba leenjongo kodwa u-138/91 akayi kuthatha.
Iinjongo zezigulane ezinzima
Izigulane eziyinkimbinkimbi zifuna unyango lwexinzelelo oluphezulu lwegazi kunye nezinye izifo ezikhoyo. Ezinye izifo eziqhelekileyo ezihlala kunye negazi eliphezulu ziquka:
- Sikashukela
- Izifo zeengxaki
- Ukuphazamiseka Kweentliziyo okanye Izifo
Iinjongo ezithile zeengcinezelo zegazi kwizigulane eziyinkimbinkimbi zezi:
- Uxinzelelo lwe-Systolic <130
- Uxinzelelo lwe-Diastolic <85
Ngoko, i-129/84 yayiza kubakho kwiithagethi kodwa i-130/83 ayiyi kuba.
Ukunyanga Uxinzelelo lwegazi
Ukwenza utshintsho lwezinto zokuphila kunokuba yinto ebalulekileyo yiphina isicwangciso sonyango lokunciphisa uxinzelelo lwegazi.
Kwiimeko ezininzi, ukuguquka kwendlela yokuphila yodwa yonyango olufunekayo. Nangona ungenayo ingcinezelo yegazi ephezulu, i-American Heart Association incoma ukuba wenze utshintsho olubalulekileyo ukukhusela uxinzelelo lwegazi kunye nesifo senhliziyo:
- Yehla emzimbeni
- Yeka ukutshaya (okanye bhetele kodwa, ungaze uqale)
- Yidla ukutya okunesondlo esineziqhamo, imifuno, kunye nemveliso yamachiza ephantsi kunye neoli ephantsi
- Ukunciphisa i-sodium intake engabi ngaphezu kwama-2 300 milligrams ngosuku
- Ukuthatha inxaxheba kwisenzo somzimba esisebenzayo rhoqo ubuncinane imizuzu engama-30 ngosuku, iintsuku ezininzi zeveki
- Umlinganiselo wokusela utywala ungabi ngaphezu kwezizibini ezimbini zokuphuza ngamadoda kunye nokusela olunye ngosuku kwabafazi
Amachiza anokuba yinxalenye ebalulekileyo yamalungiselelo amaninzi enyango yokunciphisa uxinzelelo lwegazi, ngakumbi kwizigulana ezifuna ukufezekiswa kuncitshiswa okukhulu. Iziyobisi ukwenzela ukunyanga uxinzelelo lwegazi zingabandakanya:
- I-angiotensin-yokuguqula i-enzyme (ACE) inhibitors
- I-Angiotensin II i-receiver blockers (ARBs)
- Diuretics (iipilisi zamanzi)
- Beta-blockers
- Abagcini bezithuthi zeCalcium
- I-Alpha-blockers
- I-Alpha-agonists
- Renin inhibitors
Ukujongana Neenjongo
Ngethuba lokunyanga, uxinzelelo lwegazi kufuneka luhlolwe rhoqo ukuqinisekisa ukuphumelela kwekhosi ekhoyo yangoku. Kuqhelekile ukuba izigulane zibe neengcinezelo zegazi nganye kwiinyanga ezili-1-6 kuye ngokuthi:
- Ukutshatyalaliswa kwonyango
- Iirekhodi zangaphambili zempumelelo okanye ukungaphumeleli kunyango
- Uxinzelelo lwegazi njengoko kubhalwe kwiinyanga ezi-3 zangaphambili