Ukuxilongwa kwegazi

Ngaba Unomkhuhlane Wexinzelelo?

Uxinzelelo oluphezulu ( uxinzelelo oluphezulu lwegazi) ukuxilongwa ngxaki enkulu, kuba ukuba ingaphatywa kakubi kungakhokelela ekuhlaselweni kwentliziyo, isifo, isifo sesifo kunye nezinye izifo zonyango. Ngoko, kubalulekile ukufumana ukuxilongwa ngokufanelekileyo.

Kodwa ukufumana ukuxilongwa ngokufanelekileyo akunjalo ngokuthe ngqo njengoko unokucinga. Ugqirha wakho uya kukuxelela ukuba uxinzelelo lwegazi luneli nani elithile (njengokuthi, "Uxinzelelo lwegazi ngu-115/70"), kwaye le nombolo iya kubhalwa kwitshathi njengoko i-Blood Pressure - njengexabiso elithile njengexabiso lakho okanye ukuphakama.

Kodwa inyaniso kukuba uxinzelelo lwegazi lwalo aluyixabiso elithile; lonke uluhlu lwexabiso. Uxinzelelo lwegazi luyaguquka ukususela ngomzuzu ukuya kumzuzu ngelixa lemihla, ngokutsho kweemfuno zakho ezisisiseko ze-cardiovascular. Ngoko uxinzelelo lwegazi lwakho lushintsha ekuphenduleni kwinqanaba lomsebenzi wakho, isimo se-fluid, izinga lokuxhalaba kunye nezinye ezininzi izinto eziguqukayo.

Oku kuthetha ukuba xa ugqirha elinganisa uxinzelelo lwegazi, imilinganiselo mayiyenze phantsi kweemeko ezithile, ezilawulwayo nezizaliswayo. Ukuthetha ngokuthe ngqo, oku kuthetha ukulinganisa uxinzelelo lwegazi phantsi kwimeko "yokuphumla okuphumlileyo."

Ukunyaniseka kwegazi

Kubalulekile ukuba ugqirha wakho aqiniseke ukuba umlinganiselo wexinzelelo wegazi yena ubhalisayo ubonakalisa "ukuphumla" kweengcinezelo zegazi. Izikhokelo zokufumana umlinganiselo wexinzelelo lwegazi ziye zachazwa:

Uxinzelelo lwegazi kufuneka lubhalwe kwindawo ekhulileyo, efudumalayo, emva kokuba uhlezi ngokuzenzekelayo ubuncinci imizuzu emihlanu, kunye neenyawo zakho zisekelwa.

Akufanele usebenzise i-caffeine okanye iimveliso zecuba iminyaka engama-30. Ugqirha kufuneka athathe ubuncinane ukufundwa kwengcinezelo yegazi ezimbini, okungenani ubuncinci imizuzu emihlanu, kwaye ukuba ukufundwa kuyahluka malunga no-5 mmHg, kufuneka kwenziwe ukufundwa okuqhubekayo baze bavumelane.

Ukusebenzisa le ndlela yokulinganisa uxinzelelo lwegazi, ukuxilongwa kwengozi yempembelelo kufuneka kufuna ubuncinane ukufundwa kwengcinezelo yegazi ephakamileyo, kuthathwe ubuncinane iiveki enye.

Kwezinye iimeko, endaweni yokuzama ukufezekisa umlinganiselo wokhuseleko lwegazi kwiofisi yonyango, kungenokuba luncedo ukusebenzisa ukunyanzeliswa kwengcinezelo yegazi (ABPM), eyindlela yokurekhoda ukuxinzelelwa kwegazi ezininzi kwi-24 ukuya kwi-48- kwiyure.

• Funda malunga ne-ABPM.

Kuye kwagqithwa kwiminyaka yamuva ukuba abantu balinganise uxinzelelo lwegazi labo ekhaya. Oku kubizwa ngokuba yi-home blood pressure monitor (HBPM). I-HBPM sele ilula kwaye ichaneke ngakumbi kwiminyaka yamuva nje, kwaye ngoku iyindlela efanelekileyo yokuxilonga ukunyuswa kwegazi, kunye nokunceda ukulawula uxinzelelo lwengqondo xa ifunyenwe.

• Funda ngeHBPM.

Uphi Ixinzelelo Lokuxilongwa?

Xa uxinzelelo lwegazi lugqithwe ngokuchanekileyo, ugqirha wakho uya kubeka iziphumo, kuxhomekeke kwi- systolic yakho ne-diastolic yexabiso legazi , ngale ndlela:

• Uxinzelelo lwegazi oluqhelekileyo: i- systolic ngaphantsi kwe-120 mmHg, kunye ne-diastolic ngaphantsi kwe-80 mmHg
• Uxinzelelo lwe-hypertension: systolic 140 okanye ngaphezulu, OKANYE i-diastolic 90 okanye ngaphezulu
• "Ukunyanzeliswa kwegazi:" uxinzelelo lwegazi lufundwa phakathi kwezinto eziqhelekileyo kunye neendawo eziphezulu zegazi.

Udidi lwexinzelelo lwengqondo luye lwahlukana ngokwamaqela "amabini," ngokusekelwe kwinqanaba legazi eliphezulu :

• Isigaba 1 somfutho wegazi ophezulu: i- systolic ayikho ngaphaya kwe-159 mmHg, kwaye i-diastolic ingaphezulu kwe-99 mmHg

• Isigaba sesi-2 soxinzelelo lwegazi: i- systolic enkulu kune-159 mmHg, OKANYE i-diastolic ingaphezu kwe-99 mmHg

Uninzi lwabantu abanexinzelelo lwengqondo oluphezulu luye lwaphakanyiswa kwiingcinezelo ze -systolic kunye ne- diastolic , kodwa ukuphakama okuqhubekayo kwinto enye kubonisa ukuxilongwa kwegazi.

Ukuba unengcinezelo yokhuseleko, ngokubanzi injongo yonyango ukubuyisela uxinzelelo lwegazi ukuya ngaphantsi kwe-140/90. Ukuba unesifo senhliziyo, isifo sikashukela, okanye isifo sezintso , nangona kunjalo, unyango luba lukhuni; Injongo ngokuqhelekileyo ukubuyisela uxinzelelo lwegazi ukuya ngaphantsi kwe-120/80.

• Funda ngo kunyango lwegazi.

Ukuba unesifo sengqondo sokuphelelwa yinyango, unokuthi unokuphucula umfutho wexinzelelo lwangempela kwiminyaka embalwa.

Umele uthethe ugqirha wakho malunga namanyathelo angenayo imithi yokunciphisa uxinzelelo lwegazi, kwaye kufuneka uqiniseke ukuba uxinzelelo lwegazi lwakho luhlolisiswe rhoqo kwiinyanga ezintandathu ukuya kwezi-12.

• Funda malunga ne-hypertension.

Kuthiwani Ngokuphathelele "Ingubo Emhlophe Yogxininisa"?

Ezinye izigulane ziza kuphakamisa ukunyamezela kwegazi kwiofisi yegqirha, kodwa ziya kuba neempembelelo zokuphumula kwegazi ngezinye izihlandlo. Le pateni ibizwa ngokuba "yengubo emhlophe yengozi yokugxininisa."

• Funda ngeengubo ezimhlophe zengcinezelo.

Kuthiwani Ngokuphathelele "Okubi" okanye "Ukukhawuleza" Ukunyaniseka Kwengqondo?

I-"vulignant" yomshurensi ikhoyo xa i-diastolic yegazi iphezulu kakhulu, ngokuqhelekileyo i-120 mmHg okanye iphezulu, kwaye ngaphezu koko kukho imiqondiso yemonakalo yecimbi yegazi elibangelwa ngumfutho wegazi ophezulu. Ngokuqhelekileyo, umonakalo wezazi zegazi kwiingozi ezibangelwa yingozi yegazi kunokufunyanwa ngokuhlolisisa imithambo yegazi kweso, ngokusebenzisa i- ophthalmoscope . Ingozi ephezulu yengozi yingozi yonyango , kuba ihlala ibangela ukulimala okukhulu kwenhliziyo, ingqondo, iintso kunye namehlo. Kudinga ukulaliswa kwezibhedlele ngokukhawuleza kwaye unyango olunefuthe ukuze ufumane uxinzelelo lwegazi phantsi kokulawula ngokukhawuleza.

• Funda malunga negazi elibi kakhulu.

"Ngokukhawuleza" uxinzelelo lwegazi lukhoyo xa uxinzelelo lwegazi lwe-diastolic luyi-120 mmHg okanye ngaphezulu, kodwa akukho bungqina bokuba umonakalo omkhulu wendiza yegazi. Izigulane ezinexinzelelo lwengcinezelo ngokukhawuleza kufuneka ziqaliswe kunyango olunefuthe lokunyusa ingozi, kodwa ngokuqhelekileyo akudingeki ukuba zibhedlele.

• Funda kabanzi malunga negazi, ukuvavanya nokunyango.

_Imithombo:

_{Chobanian, AV, Bakris, GL, Black, HR, Cushman, WC. Ingxelo Yesixhenxe yeKomiti yeSizwe yoNxibelelwano yokuThusela, ukuThengwa, ukuVavanywa nokuPhathwa koPhulo oluPhezulu lweGesi: I-JNC 7 Report. JAMA 2003; 289: 2560.}

_{# Staessen, JA, Wang, J, Bianchi, G, Birkenhager, WH. Umxinzelelo ophezulu. Lancet 2003; 361: 1629.}