Umlinganiselo wexinzelelo lwegazi (ABPM) uhambelana nokulinganiswa kwengcinezelo yegazi ngaphezu kweeyure ezingama-24 ukuya kuma-48, usebenzisa i -monitor ye-digital digital pressure monitor . Isiqhelo sisoloko sifakwe kwikliniki yakho yangasese okanye kwisibhedlele sonyango esibhedlele esibhedlele kwaye kubonakala ngathi isitya somfutho wegazi oqhotyoshelweyo kwisixhobo esincinci esithwala ibhanti yakho ngosuku olulandelayo.
Lo matshini uza kuphakamisa ukunyuka kwamaxabiso kwikhofu rhoqo kwixesha eli-15 ukuya kwi-20 ngemizuzu emini ngemini yokulinganisa i-blood pressure yakho, kunye ne-30 ukuya kweyimizuzu engama-60 ngelixa ulala. Iya kugcina ukufundwa kwakho, okuya kulandelwa ukuhlalutya xa ubuya umlenze ngosuku olulandelayo.
Umyinge wemini, ubusuku, kunye neengcinezelo zeeyure ezingama-24 zibalwe yikhompyutha. Unokufumana kwakhona inani lenani eliphezulu lokunyanga kwegazi ngexesha lexesha lokubeka iliso. Olunye ulwazi olufunyenwe kule data lusetyenziselwa ukukunceda ukubeka ingozi yakho ye-cardiovascular and risk of progression ukuya kwisigxina sesigxina (isifo) isifo, ingxaki yoxinzelelo lwengqondo.
Kutheni iDokotela endiyayikhuthaza i-ABPM?
Ukujongana nokunyanzeliswa kwengcinezelo yegazi kunokunquma ukuba uxinzelelo lwegazi lufana nani phantsi kweemeko eziqhelekileyo ngexesha lomhla. Unokubona ngokukhethekileyo "iingubo ezimhlophe zegazi," ebhekisela ekufundeni okuphezulu kuphela kwiofisi yegqirha.
Oku kungaba ngumphumo wokuxhalaba okanye nokuba kwenzeke emva kokuba ujikeleze ngokukhawuleza ukuya kwindawo yakho yokuqeshwa.
Nge-ABPM, iingubo ezimhlophe zengubo yexinzelelo zengxowanxu ayikho nto. Ezinye izigulane zinobungqina benkxalabo yexinzelelo lwegazi kodwa zineemvavanyo eziqhelekileyo zee-ofisi malunga nexesha. Ezi zi gulane ziye "zalisa ingcinezelo yomshushu," ehambelana nobungozi obukhulu beengxaki zempilo ngenxa yesifo senhliziyo.
Ukuba ugqirha wakho ugxeka ukuba unesizathu sokufumana iziqulatho zengxakeko yempuphu ngexesha lemihla, ngoko i-ABPM yindlela efanelekileyo yokuhlola loo nto. Ngokufanayo, ukuba sele usele unyango lwexinzelelo lwegazi eliphezulu kodwa ngamanye amaxesha ufumana iimpawu zengcinezelo yegazi ephantsi, njengesixinzelelo okanye ukukhanya okuphezulu, i-ABPM iya kuba luncedo ekuhloleni iimpawu zakho.
Kwezinye iimeko, ugqirha wakho unokufuna ukuqiniseka ukuba irejimen yakho isebenza kulo lonke usuku. Uninzi lwabantu banomtsalane wexinzelelo lwegazi ebusuku, kodwa xa loo nto ingenzeki, inxulumene neengxaki ezinengqondo zengqondo, kuquka ukunyuka okwandisiweyo kwe-ventricle yekhohlo yentliziyo kunye nokungaphumeleli kwentliziyo. Ubushushu bexinzelelo obusenyongweni bubungcono bokufa kwabantu ngenxa yesifo senhliziyo xa kuqhathaniswa noxinzelelo lwegazi, kwaye luyakwazi ukuchongwa nge-ABPM.
Ngaba Wonke umntu kufuneka aphumelele ukunyanzeliswa kwegazi?
Ezinye iingcali zaseUnited States zincoma ukusebenzisa i-ABPM ukuqinisekisa ukuxilongwa ngokutsha kwengcinezelo yegazi xa ukufundwa okuphakamileyo kwenzeka kwiofisi yegqirha okanye kwiklinikhi yokugula. Elinye iqela leengcali elenza le ngcebiso yi-United States yokuSebenza kweeNkonzo zoLondolozo, olukhulula yonke ingozi kunye neenzuzo zamanyathelo okunakekelwa kwezempilo ngaphambi kokuba wenze isinconywa.
I-USPSTF isekelwe esi sincomo ngobungqina obubonisa umngcipheko weziganeko zomoya kunye neentsimbi ezibulalayo kunye nezibetho ezinxulumene kakhulu nezixinzelelo eziphezulu zegazi. Amanye amaqela azange enze isincomo esifanayo kwiimeko eziqhelekileyo zengcinezelo ephezulu yegazi, ngokukodwa kuba i-ABPM ayilungelekanga kwaye iyabiza kakhulu xa kuthelekiswa nemilinganiselo yempembelelo yegazi ye-ofisi.
Kwezinye iimeko, oogqirha baya kucela izigulane zabo ukuba zenze umlinganiselo wenyxwaxheba lwegazi ekhaya njengenye indlela yokujonga iliso lwexinzelelo lwegazi. Kukho iindidi ezininzi apho iingcali zivuma ukuba kufuneka zikhuphe i-ABPM, kuquka i- white coat hypertension kunye nomfutho wegazi ophezulu ongaphuculanga ngamayeza anyukile.
Ngaba iziphumo ze-ABPM zitshintsha unyango lwam?
Xa zisetyenziselwa izizathu ezikhankanywe ngasentla, uphando oluthile lufumene ukuba i-ABPM ibangele utshintsho kunyango lwegazi lokusingqongileyo kwisigidi sazo zonke izigulane ezivivinywe, okubangele ukuphucula ukulawula uxinzelelo lwegazi. Utshintsho ngexesha lokuxilongwa kwegazi lwezonyango lingabangela ukuphuculwa okubalulekileyo emva kwe-ABPM kubantu abanokufumana imishanguzo yexesha elilodwa kungenakusebenza ngeeyure ezingama-24 ezipheleleyo.
Ukufumana iziphumo ezichanekileyo
Kukho izinto ezininzi omele uyenze ukuqinisekisa ukuba uvavanyo lwakho luchanekile kwaye lubonakalisa uxinzelelo lwegazi lwakho kwimihla ngemihla. Xa umatshini ulungiselela ukuthatha umlinganiselo wengcinezelo yegazi, uyakuva i-beep. Xa kwenzeka, hlala phantsi ukuba unako, ukugcina uxinzelelo lwegazi kwizinga elifanayo nentliziyo yakho.
Qinisekisa ukuba ityhubhu phakathi kwe-cuff kunye nomshini akukhatywanga okanye iphosakele kwaye uzama ukugcina ingalo yakho isoloko kwaye ihlale iqinile xa umatshini ethatha umlinganiselo. Ugqirha uya kukucela ukuba ugcine uhlobo oluthile lwedayari okanye irekhodi yemisebenzi yakho ngaphambi kokufundwa kwengcinezelo yegazi, ngoko emva kokuba umatshini uqedele umlinganiselo, bhala ukungena kwakho. Kufuneka uqaphele ixesha lakho lokulala, ixesha lokuvuswa, kunye namaxesha amayeza.
Ngaphantsi
Ukuhlolwa kweengcinezelo zengcinezelo yegazi kunika ubungakanani obuchanekileyo bexinzelelo lwegazi kulo lonke ixesha lakho imini nobusuku. Nangona uninzi lweengcali zivuma ukuba yindlela efanelekileyo yokuphonononga iingxaki ezithile zeengxaki zengcinezelo yegazi ezingenakubonakala kwiofisi yakho yegqirha, imilinganiselo yekhaya yexinzelelo yegazi inikezela ngolwazi olufanayo kwaye lunokwanela ukuvavanya uxinzelelo lwegazi. Ugqirha wakho uya kukuxelela ukuba uvavanyo lokunyanzeliswa kwengcinezelo lwegazi kufuneka luqwalaselwe, ngokusekelwe ekuhloleni kwakho unyango kunye nenkcazo yakhe.
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