Uhlobo oluthile lwexinzelelo lwegazi ngalo lonke usuku luqhelekile, ngokukodwa njengempendulo kwiinguqu ezincinci zobomi bemihla ngemihla njengokuxinzelela, ukuzivocavoca okanye indlela olala ngayo ngobusuku obuphambili. Kodwa ukuguqulwa okuqhubekayo rhoqo kwiindlela ezininzi zokutyelela ugqirha kungabonisa ingxaki engundoqo.
Enyanisweni, uphando lufumene ukuba ukutyelela okuphezulu-ukutyelela ukutshintsha kwimixinzelelo yegazi kudibene nomngcipheko ophezulu wesifo senhliziyo kunye nezobangela ukufa.
Ukwazi Njani Ukuba uxinzelelo lweGazi luyahlukana
Okokuqala, kubalulekile ukuqinisekisa ukuba uxinzelelo lwegazi luya kutshintsha. Ukuba wenze izilinganiso ngokwakho usebenzisa izixhobo zokujonga ikhaya okanye oomatshini abaqhelekileyo kwiivenkile zokutya kunye nee-pharmacy, utshintsho ozibonayo lungenakudityaniswa neephene okanye ukutshintsha kwenkqubo yokulinganisa ngokwayo.
Nangona ukuhlolwa kweengcinezelo zegazi ekhaya kungaba yindlela esebenzayo kwaye iluncedo kwezinye iimeko, udinga uqeqesho olufanelekileyo ukuqinisekisa ukuba usebenzisa ubuchule obuchanekileyo , njengoko wenza umyinge ngaphandle kokuba lo qeqesho luchaze ukuhluka okubonayo. Oomatshini bokuthengisa izidakamizwa-uhlobo olufuna ukuba uhlale esihlalweni kwaye ubeke ingalo yakho ngesikhephe-ziyaziwayo ngokuba zilungelelaniswe kwaye zichanekanga.
Ukuthintela ukufunda okungahambi kakuhle, kukulungele ukuzisa i-home pressure yakho yokujonga ukucatshungulwa kwegazi kunye nokuqhathanisa nokufundwa kwiofisi yakho yogqirha.
Ngenye indlela, abanye oogqirha bancoma ukunyanzeliswa kwengcinezelo yengcinezelo yegazi apho idivayisi ifakwa ngumntu ekhaya. Izixhobo zilinganisa uxinzelelo lwegazi ngaphezulu kwimizuzu emibili ukuya kweyimizuzu yonke imizuzu engama-15 ukuya kweyama-20 ngelilanga kunye nemizuzu engama-30 ukuya kwimizuzu engama-60 ebusuku. Oku kubiza kakhulu kwaye akusoloko kukhoyo, ngoko ke iimvavanyo zengcinezelo yegazi zasekhaya ziyimpawu ezifanelekileyo.
Yintoni Ebangelwa Ukunyanzeliswa Kwegazi?
Iingcali zihlola ukuba kutheni uxinzelelo lwegazi luguqukile ukusuka ekutyeleleni. Kungenzeka ukuba abantu abaneengcinezelo zegazi eziguquguqukayo baneengxaki zengxube yegazi kunye nokuba ukufundwa kwabo okungafaniyo kusebenza njengomakishi okanye inkcazelo yokuba basengozini enkulu yokuhlaselwa yintliziyo okanye ukubetha.
Inqabile kakhulu, ukunyuka kwengcinezelo yegazi kungakho ngenxa ye- pheochromocytoma- ngokuqhelekileyo isifo esibi kakhulu kwi-adrenal gland. Oku kuyinto engaqhelekanga.
Ingubo Emhlophe Yogxininisa ne-Masked Hypertension
Kubalulekile ukuhlukanisa ukunyuka kweengcinezelo zegazi ezivela kwiziganeko ezimbini ezibizwa ngokuba ngumhlophe wengubo emhlophe kunye negazi eliphezulu.
Kwiimeko eziphezulu zengubo yegazi , ingcinezelo yegazi ithathwa ngokuba "phezulu" kwiofisi yegqirha, kodwa iqhelekileyo xa ihlala ekhaya. Olu xinzelelo lwegazi lubangelwa uxinzelelo lokuba kwiofisi yegqirha, yingakho umongikazi uya kulinda umntu ukuba aphumle ngokukhululekile imizuzu emihlanu ngaphambi kokufunda. Ukongezelela, kukwacetyiswa ukuba uvavanyo lwegazi ezimbini lufundwa kwaye luphindaphindiwe ukuba kukho ummahluko ongaphezu kwama-5 mmHg.
Ixinzelelo lexinzelelo lwengcinezelo lugqithiseleyo kwaye lwenzeka xa ugqirha a tyelela iingcinezelo zegazi ziqhelekileyo kodwa i-ofisi efunyenwe ngaphandle kwegqirha iphezulu.
Ukujongisa le micimbi, ugqirha unokuncoma ukubeka esweni okanye ukunyanzeliswa kwengcinezelo yegazi. Ukubeka esweni kwangekhaya kungaphakanyiswa ukuba:
- Ukuqhubeka kwengcinezelo yegazi xa kufundwa unyango
- Ukunyanzelwa kwengcinezelo yegazi xa ufumana unyango lwegazi oluphezulu
Ngaba Unomkhuhlane Wexinzelelo?
Ukuba uyaphawula ukuba uxinzelelo lwegazi oluphezulu lufundwa ngaphakathi kwiindawo eziqhelekileyo, kunokwenzeka ukuba unesifo sengxinzelelo kodwa ungafumananga ukuba unayo. Iingcali azizi kakuhle ukuba i-primary blood pressure iqala njani, kodwa ikholelwa ukuba iquka intsebenziswano edibeneyo phakathi kweentsholongwane zomntu kunye nemeko yazo echaphazela intliziyo kunye nemisebenzi yengqondo.
Oko kuthethwa, kukho izinto ezinobungozi obucacileyo okanye izinto ezinyusela ithuba lomntu lokuphuhlisa umfutho wegazi ophezulu njengokuba:
- Ubudala (amathuba okuphuhlisa umfutho wegazi ophezulu anyukisayo abadala)
- Imbali yentsapho
- Ukunyanya
- Ukutya okuphezulu kwesodium
- Indlela yokuphila
- Ukusela ngokweqile utywala
- Ukuba nezinye iingxaki zonyango ezifana neswekile okanye i-cholesterol ephezulu
Isondlo sexinzelelo sekondari sinokuvela, nayo. Ixinzelelo lentsholongwane lithetha ukuba umfutho wegazi ophezulu uvela kwenye ingxaki emzimbeni okanye ngenxa yokuthatha unyango. Imizekelo yesondlo soxinzelelo lwangaphakathi iquka:
- Ukukhubazeka kokulala kokugula
- Ukusetyenziswa kwamagqirha (umzekelo, ii-NSAID kunye nezidakamizwa ezithile)
- Ezinye iingxaki ze-endocrine kunye ne-hormone (umzekelo, hyperthyroidism )
ILizwi
Ukuba unesiqinisekiso sokuba imilinganiselo ichanekile kwaye ukunyanzezela kwegazi kuyenzeka nangona ukhululekile, uphumule kakuhle, kwaye ungenaso isizathu esinokubangela ukuba utshintshe utshintsho, hamba ubone ugqirha. Iindaba ezilungileyo kukuba ngokubeka iliso olufanelekileyo, ukuziphatha ngendlela enempilo, kunye neyeza (ukuba kuyimfuneko), unokufumana ukulawula intliziyo yakho.
> Imithombo:
> Basile J, Block MJ. Ubume benkcazo ye-Hypertension kubantu abadala. Ku: U-UpToDate, i-Bakris GL, i-Kaplan NM (i-Eds), i-UpToDate, i-Waltham, i-MA.
> Muntner P et al. Ukungahambelani nokuTshintsheka kweGesi kunye neCoronary Heart Heart, Stroke, Ukungaphumeleli kwintliziyo kunye nokufa: iCandelo loFundo. Ann Intern Med . 2015 Sep 1; 163 (5): 329-38.
> Nagai M, Hoshide S, Ishikawa J, Shimada K, Kario K. Ukutyelela-Ukutyelela Ukunyanzeliswa Kwengcinezelo Yegazi: Iimitsha Ezizimeleyo Ezizimeleyo zeCarotid Artery Imilinganiselo Ekhulile KwiNgcipheko Ephezulu Yesifo Sengqondo. J Am Soc Hypertens . Ngo-2011 ngoMeyi-Juni; 5 (3): 184-92.
> Wang J, Shi X, Ma C, et al. Ukutyelela-Ukutyelela i-Blood Pressure Variability yinto engumngcipheko woMntu woMntu kunye neZifo zeCardiovascular. Umbhalo we-Hypertension . 2017; 35 (1): 10-17. i-doi: 10.1097 / hjh.0000000000001159.