Ngaba kuyinyaniso ukuba ukunciphisa uxinzelelo lwegazi lwakho kunokuphucula isimo senhliziyo yakho, kwaye ukuba kunjalo, luhlobo luni lwamachiza oxinzelelo lwegazi olufanele ukuba lube nalo?
I-Diastolic Dysfunction kunye ne-Hypertension
Ukukhubazeka kwe-Diastolic yindlela yesifo senhliziyo apho intliziyo yenhliziyo iba "yomelele," eyanciphisa amandla entliziyo ukuzalisa igazi phakathi kweentliziyo.
I-Diastolic i-dysfunction idibene neemeko ezininzi kuquka ukuxinzelela komfutho wegazi , i- hypertrophic cardiomyopathy , i- aortic stenosis , i- coronary artery disease , isifo sikashukela , ukukhuluphala, kunye nokuphila komzimba. Ukuba i-diastolic i-dysfunction iba nzima ngokwaneleyo, ukungaphumeleli kwintliziyo kungahlakulela ekugqibeleni.
Abantu abanomfutho wegazi ophezulu banokuthi bahlakulele ukuqina kwenhliziyo - imeko ebizwa ngokuthi "hypertrophy" - ekhokelela kwi-diastolic ukungasebenzi. Ngapha koko, njengoko ugqirha wakho ekuxelele, unyango lwe-hypertension luye lwaboniswa ukunciphisa umngcipheko wokuphuhliswa kwentliziyo kwi-diastolic ukungasebenzi.
Enyanisweni, ezinye iziyobisi ezisetyenziselwa ukunyanga ingozi yexinzelelo ziye zaboniswa ukuba zibuyele ngokuthe ngqo kwi-hypertrophy ye-muscle ye-heart, kwaye iguqule i-diastolic ukungasebenzi.
Ziziphi izidakamizwa ezikhuselekileyo ezinokuthi "zilungele" kwiDysfunction Dysfunction?
Kukho ezininzi, ezininzi izidakamizwa ukuba zikhethwe ekuphepheni umfutho wexinzelelo , kwaye akuzona zonke eziphumelelayo ngokufanelekileyo ekuphuculeni ukungasebenzi kwe-diastolic.
Uninzi lwezilingo zonyango luye lwaqhutywa malunga neminyaka ukufumana ukuba imishanguzo yokulwa ne-antihypertensive iyakwenza njani ukuphelisa i-hypertrophy, kwaye ngoko ke, ukunciphisa ukungasebenzi kwe-diastolic:
Uhlalutyo lweemeta olubandakanya izilingo ezingama-80 lwezonyango luhlanganiswe neziphumo zale migudu. Nangona zonke iindidi eziphambili zonyango ezisetyenziselwa ukunyanga ingozi yexinzelelo zengqondo zisebenzisekile ekunciphiseni i-hypertrophy ye-cardia, iiklasi ezona zinempumelelo kakhulu kule nkalo zi:
Izidakamizwa kulezi zigaba zanciphisa i-hypertrophy ye-car phakathi kwama-10 ukuya kuma-13%. Ngoko, ngokusekelwe kwinani elikhulu leencwadi ezipapashiweyo, ezi zigaba ezintathu zonyango ziphumelele ngokutsha ekuguquleni imeko ekhokelela ekusebenziseni i-diastolic ukungasebenzi. I-Diuretics kunye ne- beta blockers - ezinye iindidi ezimbini ezibalulekileyo zonyango eziqhelekileyo ezisetyenziselwa ukunyanga ingozi yexinzelelo - nazo zivame ukuguqula i-hypertrophy, kodwa kwinqanaba eliphantsi.
Nangona ezi ziphumo ziyamangalisa, simele siqaphele ukuba ezi zifundo zingacwangciswanga ukuba zifumene nantoni na ukungafani kwiziphumo zekliniki phakathi kwezi ziyobisi - nje ukungafani kwimiphumo yabo kwi-hypertrophy. Kucatshangwa, kodwa kungengqiniswanga, ukuba ukunciphisa intliziyo yokuxhamla komzimba kubantu abane-diastolic ukungasebenzi kuya kubangela iziphumo ezingcono.
Ngaphantsi
Ukukhubazeka kwe-Diastolic yimeko ebalulekileyo engakhokelela ekusileleni kwintliziyo. Ngenxa yokuba uxinzelelo lwentliziyo (kunye nokukhuluphala, ukuhlala kwimizimba kunye nezinye izinto) zidla ngokuvelisa i-diastolic ukungasebenzi, ukunyanga ngempumelelo ingozi yexinzelelo ingaphinda iguqule i-diastolic ukungasebenzi. Inyaniso yokuba izidakamizwa ezithile ezichasayo zingcono kakhulu ekuguquleni i-hypertrophy ngaphezu kwezinye izinto oogqirha kufuneka baziqwalasele xa bechaza unyango lwegazi.
Ngoko ugqirha wakho ubonakala ekunika ngcebiso efanelekileyo yonyango, kwaye kufuneka usebenze naye ukuze ufumane uxinzelelo lwegazi phantsi kolawulo. Nangona kunjalo, gcinani engqondweni ukuba ukuphathwa ngenyameko yengozi yinto ebalulekileyo. Ukuba oku kungenziwa ngamachiza angcono ekunciphiseni i-hypertrophy, enkulu. Kodwa ukuba akunjalo, oko kubaluleke kakhulu kukufumana ulawulo lwexinzelelo lwegazi lakho, nangona isiphi isiyobisi okanye iziyobisi zihamba phambili kwaye zilungelelaniswe kwiimeko zakho.
> Imithombo:
> Davis BR, Kostis JB, Simpson LM, et al. Inyibiliko yeNtliziyo kunye neNgqimba ye-Ejection ye-Ejection eViweyo kunye neNcitshiswe kwi-Anti-typertensive and Lipid-Treating Treatment. Uhambo luka-2008; 118: 2259.
> Klingbeil AU, Schneider M, Martus P, et al. Uhlalutyo lweMeta lweeMiphumo zonyango kwiMisa ye-Ventricular yasekhohlo kwi-Hypertension eyimfuneko. Ngomhla wama-2003; 115: 41.
> Schwartzenberg S, Redfield MM, ukusuka ku-AM, et al. Imiphumo yeVasodilation In Heart Failure ne-Preserved or Reduced Ejection Fraction Implications ye-Pathophysiologies eyahlukileyo ekuphenduleni kwiNyango. J Am Coll Cardiol 2012; 59: 442.