Ukungaphumeleli ukulawula uxinzelelo lwegazi kakhulu ngenxa yesinye sezizathu
Ukuxinzeleleka kwengxinzelelo yegama eliqhelekileyo ligama elisetyenziselwa ukuchaza uxinzelelo lwegazi olungaphenduliyo kunyango. Ingxaki engabangela ukuxhalaba okukhulu kwabo bazama ukulawula uxinzelelo lwegazi kunye nokukhungatheka koogqirha abanezigulane zabo abazithathi iziyobisi njengoko zichazwe.
Iimbangela ze-Hypertension ezingapheliyo
Uxinzelelo lwexinzelelo oluchasiweyo luchazwa njengengcinezelo yegazi ehlala iphezulu ngaphezu kweenjongo ezijoliswe kuzo ngaphandle kokusetyenziswa kwezilwanyana eziphambili, unyango lwezonyango ezintathu.
Ngenxa yokuba ingozi yokunyanga ingozi ingaba nzima ukuyiphatha kwaye idla ngokufuna unyango oluninzi lwezonyango , ukuxhatshazwa akukwazi ukuvakaliswa ngokusemthethweni kude kubekho ixesha elinokuthi inhlanganisela yeziyobisi ezintathu ihluleka.
Kukho izinto ezininzi ezinokubangela ukuba uxinzelelo lwexinzelelo lwengxubevange. Ngelixa ezinye zixhamla kwizifo ezikhoyo okanye izifo, abanye bangabangela abantu abaphathwayo ngokwabo. Ugqirha uya kugxininisa kwizizathu ezintathu eziqhelekileyo xa uphando malunga nomngcipheko onganyangekiyo:
- Ukungahambi kakuhle okanye ukungahambisani
- Isondlo sesondlo sesibini, ngokuqhelekileyo ukusuka kwiingqungquthela ezingaphezu kwe-adrenal
- Ukugcinwa kwe-Fluid, kaninzi kubangelwa ukungaphumeleli kwezintso
Uphando luya kubandakanya iimvavanyo zegazi kunye nokucinga, ukuhlolwa ngokomzimba, nokuhlaziywa kokusetyenziswa kwamachiza okuzibiza ngokwaso (kubandakanywa amanani aphihliweyo, ishedyuli yokulandelela kunye nemiphumo emibi).
Ukujongana nokungahambisani noMonde
Isizathu esona siqhelo sokuxinzeleleka kwengcinezelo-kwaye kunzima kakhulu ukunyanga-yintoni oogqirha abhekisela kuyo njengengxaki yokungathobeli.
Le yilapho umntu engathathi imithi yakhe njengoko echazwe kwaye mhlawumbi weqa amayeza, ukungena ngokungahambisani, okanye ukufumana ikhefu elide kunyango.
Igama elithi "noncompliant" alisetyenziselwa ukubonisa ukuba umntu ufanele abe netyala. Kwiimeko ezininzi, kunokwenzeka ngenxa yeemeko ezingaphaya kolawulo lomntu olwenza unyango lungenakulungeleka okanye aluvumelekanga.
Injongo yoko ugqirha, ngoko, akuyikukhupha izilumkiso kodwa ukuchonga imingcipheko egcina loo mntu ukuba athathe iziyobisi njengoko kuchaziwe.
Ezi zithintelo zingabandakanya yonke into ekudandathekeni kunye nemicimbi yentsapho kwiingxaki ze- copay kunye ne- polypharmacy (ezininzi iziyobisi). Ngaphambi kokuba le micimbi ebalulekileyo iqwalaselwe kwaye isonjululwe, kusenokuba nzima ukufezekisa iinjongo zonyango.
Kwezinye iimeko, unontlalontle okanye umcebisi kufuneka ukuba angeniswe ukuze ancedise nayiphi na ingxaki yomzwelo umntu enokuba nayo. Ngamanye amaxesha, kuzakufuneka iinzame zokujongana neengxaki zeengxaki (kuquka ukulwa no-inshurensi okanye ukubhalisa kwiinkqubo zoncedo lweziyobisi ).
Ngamanye amaxesha, konke kuthatha yinguqu elula yamachiza ekunciphiseni iimpawu ezinokuthi, kuze kufike ngeli xesha, ziye zachazwa.
Ukunyanga Uxinzelelo lwe-Hypertension
Unyango lwe-hypertension engagxininiswa ngokuqhelekileyo ligxininise ekulungiseni iingxaki ezisisiseko, zombini kunye nokusebenza. Oku kungaquka:
- Ukulungiswa nokubeka iliso ngokunyanzeliswa kwezidakamizwa ngokuqhubekayo
- Ukufumana abahlobo okanye amalungu entsapho abanokukuncedisa ekuthathweni kweziyobisi
- Ukujongana nezinto zokuphila ezifana nokukhuluphala, utywala kunye netyuwa yokutya
- Ukuphepha okanye ukunciphisa ukusetyenziswa kwezidakamizwa ezichasayo (i-NSAID), i-aspirin kunye neTylenol (i-acetaminophen)
- Ukujolisa kunye nokunyanga izibini zesibini zogxininisa, kubandakanywa ne- apnea yokulala , izifo zesifo esingasasigxina , kunye ne- aldosteronism (i-hormone yokuvelisa ama-hormones)
Kwakhona kubalulekile ukuqinisekisa ukuba umxinzelelo ophezulu wokuxinzelela ingozi ayikho into. Oku kungabandakanya i- pseudohypertension (ukunyuswa kwengcinezelo yegazi ephakamileyo ngenxa yokubalwa kwemithambo yegazi) okanye i- white coat hypertension (i-high blood pressure eyenzeka kuphela kwiofisi yegqirha).
> Umthombo:
> Yaxley, J. kunye neThambar, S. "Uxinzelelo lwexinzelelo lwengqondo: indlela yokuphathwa kwabaphathi bokuqala." Umbhalo woNyango lwezeMpilo kunye noNonophelo lweMpilo. 2015; 4 (2): 193-199.