Izimpawu Zokucindezela Kwegazi Eliphezulu
-Delile
- Umfutho wegazi ophezulu
- Izimpawu ezingavamile nezimpawu eziphuthumayo
- Umfutho wegazi ophakeme ngesikhathi sokukhulelwa
- Izinkinga nezingozi zomfutho wegazi ophakeme
- Ukwelashwa komfutho wegazi ophakeme
- Izinguquko zokudla
- Ukuzivocavoca umzimba
- Imithi
- Lapho uzobona udokotela wakho ngomfutho wegazi ophakeme
- Umbono womfutho wegazi ophakeme
Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.
Umfutho wegazi ophezulu
Umfutho wegazi ophakeme uvame ukuhlotshaniswa nezimpawu ezimbalwa noma cha. Abantu abaningi banayo iminyaka bengazi.
Kodwa-ke, ukuthi umfutho wegazi ophakeme uvame ukungabi nazimpawu akusho ukuthi akunangozi. Eqinisweni, umfutho wegazi ophakeme ongalawulwa, noma umfutho wegazi ophakeme, udala imithambo yegazi, ikakhulukazi leyo esezinso nasesweni. Umfutho wegazi ophakeme ubuye ubungozi bokushaywa unhlangothi, isifo senhliziyo, nezinye izinkinga zenhliziyo.
Umfutho wegazi ophakeme imvamisa isimo esingelapheki. Kunezigaba ezimbili ezinkulu zomfutho wegazi ophakeme: umfutho wegazi ophezulu wesibili kanye nomfutho wegazi ophakeme oyinhloko. Iningi labantu linomfutho wegazi ophakeme, uma kungenjalo waziwa njenge-hypertension ebalulekile.
- Umfutho wegazi ophezulu wesibili umfutho wegazi ophakeme okungumphumela oqondile wesimo sempilo esihlukile.
- Umfutho wegazi ophakeme umfutho wegazi ophezulu ongabangelwa imbangela ethile. Esikhundleni salokho, ikhula kancane kancane ngokuhamba kwesikhathi. Amacala amaningi anjalo abangelwa yizici zofuzo.
Imvamisa, okuwukuphela kwendlela yokwazi ukuthi une-hypertension wukuhlolelwa umfutho wegazi.
Izimpawu ezingavamile nezimpawu eziphuthumayo
Ngokuvamile, abantu abane-high blood pressure bangaba nezimpawu ezifana nalezi:
- ikhanda elibuhlungu
- iziphonso ezinesiyezi
- ukuphuma kwamakhala
Lapho izimpawu zenzeka, imvamisa kuphela lapho umfutho wegazi ukhuphuka ngokungazelelwe futhi ngokweqile ngokwanele ukuthi ungabhekwa njengesimo esiphuthumayo sezokwelapha. Lokhu kubizwa ngokuthi yi-hypertensive crisis.
Inkinga yomfutho wegazi ophezulu ichazwa njengokufundwa kwengcindezi yegazi ngama-milligram ayi-180 e-mercury (mm Hg) noma ngaphezulu kwengcindezi ye-systolic (inombolo yokuqala) noma 120 noma ngaphezulu kwengcindezi ye-diastolic (inombolo yesibili). Ngokuvamile kubangelwa ukweqa imishanguzo noma umfutho wegazi ophezulu wesibili.
Uma uhlola umfutho wegazi lakho bese ufundwa uphakeme kangako, linda imizuzu embalwa bese uphinde uhlole ukuze uqiniseke ukuthi ukufunda kokuqala bekuqondile. Ezinye izimpawu zesifo esibucayi kakhulu zingafaka:
- ubuhlungu obukhulu bekhanda noma i-migraine
- ukukhathazeka okukhulu
- ubuhlungu besifuba
- umbono uyashintsha
- ukuphelelwa umoya
- ekhaleni
Ngemuva kokulinda imizuzu embalwa, uma ukufundwa kwengcindezi yegazi yesibili kuseseyi-180 noma ngaphezulu, ungalindi ukubona ukuthi umfutho wegazi wehla ngokwawo. Shayela ku-911 noma abezimo eziphuthumayo zendawo yangakini ngokushesha.
Isimo esibucayi se-hypertensive singaholela ezinkingeni ezinzima, kufaka phakathi:
- uketshezi emaphashini
- ukuvuvukala kobuchopho noma ukopha
- ukudabuka ku-aorta, umthambo omkhulu womzimba
- unhlangothi
- ukuquleka kwabesifazane abakhulelwe abane-eclampsia
Umfutho wegazi ophakeme ngesikhathi sokukhulelwa
Kwezinye izimo, umfutho wegazi ophakeme ungenzeka ngesikhathi sokukhulelwa. Kunezinhlobo eziningana zokuphazamiseka kwengcindezi ephezulu yegazi lapho ukhulelwe. Izimbangela zingaba ngenxa yezici eziningi, kufaka phakathi:
- ukukhuluphala ngokweqile
- umfutho wegazi ophezulu
- isifo sikashukela
- isifo sezinso
- lupus
- in vitro fertilization (IVF) nolunye usizo oluhlobene nokukhulelwa
- ukuba ngumuntu osemusha noma ukuba ngaphezu kweminyaka engama-40 ubudala
- ukuphatha izingane ezingaphezu kweyodwa (isb., amawele)
- okokuqala ukukhulelwa
Uma umfutho wegazi ophakeme uvela ngesikhathi sokukhulelwa ngemuva kwamasonto angama-20, kungahle kuvele isimo esaziwa nge-preeclampsia. I-preeclampsia enamandla ingadala ukulimala ezithweni nasebuchosheni, okungaletha ukuquleka okusongela impilo okwaziwa nge-eclampsia.
Izimpawu nezimpawu ze-preeclampsia zifaka phakathi amaprotheni kumasampula womchamo, ikhanda elibuhlungu nokushintsha kombono. Ezinye izimpawu ubuhlungu besisu nokuvuvukala ngokweqile kwezandla nezinyawo.
Umfutho wegazi ophakeme ngesikhathi sokukhulelwa kungadala ukuzalwa ngaphambi kwesikhathi noma ukutholakala kokuqala kweplasenta. Kungadinga nokulethwa ngokuhlinzwa.
Ezimweni eziningi, umfutho wegazi uzobuyela kokujwayelekile ngemuva kokubeletha.
Izinkinga nezingozi zomfutho wegazi ophakeme
Ngokuhamba kwesikhathi, umfutho wegazi ophezulu ongalashwa ungadala isifo senhliziyo kanye nezinkinga ezihlobene nokuhlaselwa yisifo senhliziyo, isifo sohlangothi nokuhluleka kwenhliziyo.
Ezinye izinkinga ezingaba khona yilezi:
- ukulahleka kombono
- ukulimala kwezinso
- ukungasebenzi kahle kwe-erectile (ED)
- ukwanda ketshezi emaphashini
- ukulahleka kwememori
Ukwelashwa komfutho wegazi ophakeme
Kunezinhlobo zokwelashwa komfutho wegazi ophakeme, kusuka ekushintsheni kwendlela yokuphila kuye ekunciphiseni isisindo kuya emithini. Odokotela bazonquma uhlelo ngokuya ngezinga lakho lomfutho wegazi ophakeme nembangela yakho.
Izinguquko zokudla
Ukudla okunempilo kuyindlela ephumelelayo yokusiza ukwehlisa umfutho wegazi ophakeme, ikakhulukazi uma uphakanyiswe kancane. Kuyaye kunconywe ukuthi kudliwe ukudla okune-sodium nosawoti omningi, kanye ne-potassium eningi.
Izindlela Zokudla Ezimisa Ukumiswa Komfutho Wegazi (DASH) yisibonelo esisodwa sohlelo lokudla olunqunywe odokotela ukugcina umfutho wegazi ulungile. Ukugxila kukudla okune-sodium ephansi ne-cholesterol enezithelo, imifino, nezinhlamvu ezigcwele.
Okunye ukudla okunempilo yenhliziyo kufaka:
- ama-apula, ubhanana namawolintshi
- i-broccoli kanye ne-izaqathe
- irayisi elinsundu ne-pasta ekolweni ephelele
- imidumba
- izinhlanzi ezicebile ngamafutha omega-3 anamafutha
Ukudla okufanele kukhawulwe yile:
- ukudla neziphuzo ezinoshukela omningi
- inyama ebomvu
- amafutha noswidi
Kuphakanyiswa futhi ukuthi ungaphuzi utshwala obuningi ngenkathi uzama ukuphatha umfutho wegazi ophezulu. Abesilisa akufanele babe neziphuzo ezingaphezu kwezimbili ngosuku. Abesifazane akufanele baphuze okungaphezu kwesisodwa.
Ukuzivocavoca umzimba
Ukuzivocavoca umzimba kungenye inguquko ebalulekile yokuphila ekulawuleni umfutho wegazi ophezulu. Ukwenza i-aerobics ne-cardio imizuzu engama-30 ngomgomo kahlanu ngesonto kuyindlela elula yokwengeza esimisweni senhliziyo esinempilo. Lokhu kuzivocavoca umzimba kuzokwenza ukuthi igazi limpompe.
Ngokudla kahle nokuzivocavoca umzimba kuza nesisindo esinempilo. Ukuphathwa kwesisindo esifanele kusiza ukwehlisa i-cholesterol nomfutho wegazi ophezulu. Ezinye izingozi ezibangelwa ukukhuluphala ngokweqile nazo ziyancipha.
Enye indlela yokwelapha umfutho wegazi ophakeme ukuzama ukuphatha nokunciphisa ukucindezeleka. Ukucindezeleka kuzokhuphula umfutho wegazi. Zama izindlela ezahlukahlukene zokukhululeka kwengcindezi njengokuzivocavoca umzimba, ukuzindla, noma umculo.
Imithi
Kunemithi ehlukahlukene engasetshenziswa ukwelapha umfutho wegazi ophakeme uma ukuguquka kwendlela yokuphila kukodwa kungasizi. Amacala amaningi azodinga imithi emibili ehlukene.
isisu | Ebizwa nangokuthi amaphilisi amanzi noma oketshezi, i-diuretics igeza uketshezi oluningi ne-sodium emzimbeni. Lezi zivame ukusetshenziswa nelinye iphilisi. |
beta-blocker | Ama-beta blockers anciphisa ukushaya kwenhliziyo. Lokhu kusiza ukugeleza kwegazi okuncane ngemithambo yegazi. |
abavimba isiteshi se-calcium | Ama-block channel e-calcium avimbela imithambo yegazi ngokuvimba i-calcium ukuthi ingene ngaphakathi kwamaseli. |
ama-angiotensin-converting enzyme (ACE) inhibitors | Ama-ACE inhibitors avimba ama-hormone anyusa umfutho wegazi. |
ama-alpha blocker nama-ejenti abamba abaphakathi | Ama-alpha blocker akhulula imithambo yegazi futhi avimbe ama-hormone aqinisa imithambo yegazi. Ama-agent asebenzayo aphakathi enza uhlelo lwezinzwa lwehlise amasiginali wezinzwa anciphisa imithambo yegazi. |
Lapho uzobona udokotela wakho ngomfutho wegazi ophakeme
Shayela udokotela wakho uma kukhona okunye kwalokhu kulapha okungasebenzi ukwehlisa umfutho wegazi ophakeme. Kungathatha kuze kube amasonto amabili ukuthi umuthi omusha usebenze ngokugcwele. Alukho ushintsho kwingcindezi yakho yegazi olungasho ukuthi kudingeka olunye ukwelashwa, noma kungaba umphumela wenye inkinga eyenzeka ngomfutho wegazi ophakeme.
Kufanele futhi ushayele udokotela wakho uma uhlangabezana:
- ukungaboni kahle
- ikhanda
- ukukhathala
- isicanucanu
- ukudideka
- ukuphelelwa umoya
- ubuhlungu besifuba
Lezi futhi zingaba yizimpawu zokunye okuthile noma umphumela ohlangothini womuthi. Kulesi simo, omunye umuthi ungadinga ukuthi unikezwe ukuze ungene esikhundleni salowo odala ukungaphatheki kahle.
Umbono womfutho wegazi ophakeme
Uma une-high blood pressure, kulindeleke ukuthi uyiqaphe futhi uyelaphe impilo yakho yonke. Kukhona ithuba lokuthi umfutho wegazi ophakeme ubuyele kokujwayelekile ngezinguquko zendlela yokuphila, kodwa kuyinselele. Kokubili ukuguqulwa kwendlela yokuphila nemithi kuyadingeka ukuze kugcinwe umfutho wegazi. Ukwelashwa kuzophinde kwehlise kakhulu amathuba okuhlaselwa yisifo senhliziyo, isifo sohlangothi, nezinye izinkinga ezihlobene nezifo zenhliziyo.
Ngokubhekisisa nokuqapha okufanele, ungaphila impilo enempilo.