Labile Hypertension

-Delile

• Yini ebangela i-labile hypertension?
• Ziyini izimpawu ze-labile hypertension?
• Umfutho wegazi ophezulu weLabile vs.paroxysmal hypertension
• Izinketho zokwelashwa
• Ukuvimbela
• Izinkinga
• Umbono

Ukubuka konke

I-Labile isho ukuguqulwa kalula. Umfutho wegazi ophezulu elinye igama lomfutho wegazi ophakeme. Umfutho wegazi ophakeme weLabile wenzeka lapho umfutho wegazi womuntu uguquka kaningi noma ngokuzumayo usuka kokujwayelekile uye kumazinga aphezulu ngokungajwayelekile. Umfutho wegazi ophezulu weLabile uvame ukwenzeka phakathi nezimo ezicindezelayo.

Kujwayelekile ukuthi umfutho wegazi lakho ushintshe kancane usuku lonke. Ukuvivinya umzimba, ukudla usawoti, i-caffeine, utshwala, ukulala, kanye nengcindezi engokomzwelo konke kungathinta umfutho wegazi lakho. Ku-labile hypertension, lokhu kushintsha komfutho wegazi kukhulu kakhulu kunokujwayelekile.

Umfutho wegazi ophezulu, noma umfutho wegazi ophakeme, uchazwa ngokuthi unengcindezi yegazi engu-130/80 mm Hg nangaphezulu. Lokhu kufaka phakathi labo bantu abanokufunda okuphezulu (systolic) 130 nangaphezulu, noma noma yikuphi ukufunda okuphansi (diastolic) 80 nangaphezulu. Abantu abane-labile hypertension bazoba nesilinganiso somfutho wegazi esingu-130/80 mm Hg nangaphezulu isikhashana. Umfutho wegazi labo uzobuyela ebangeni elijwayelekile ngokuhamba kwesikhathi.

Yini ebangela i-labile hypertension?

Umfutho wegazi ophezulu weLabile uvame ukubangelwa yizimo ezikwenza ukhathazeke noma ucindezeleke. Isibonelo, ukukhathazeka abantu ababhekana nakho ngaphambi kokuhlinzwa. Ukudla ukudla okune-sodium eningi noma ukusebenzisa i-caffeine eningi nakho kungadala ukwanda kwesikhashana kwengcindezi yegazi ngaphezu kwamazinga ajwayelekile.

Abanye abantu bane-spike kumfutho wegazi kuphela lapho bevakashela udokotela ngoba bekhathazekile ngokuvakasha kwabo. Lolu hlobo lwe-labile hypertension luvame ukubizwa ngokuthi "white coat hypertension" noma "white coat syndrome."

Ziyini izimpawu ze-labile hypertension?

Akuwona wonke umuntu ozoba nezimpawu zomzimba ze-labile hypertension.

Uma unezimpawu zomzimba, zingabandakanya:

• ikhanda
• ukushaya kwenhliziyo
• ukuqhuma
• ukukhala ezindlebeni (tinnitus)

Umfutho wegazi ophezulu weLabile vs.paroxysmal hypertension

Umfutho wegazi ophezulu weLabile kanye nomfutho wegazi ophezulu we-paroxysmal zombili izimo lapho umfutho wegazi uguquguquka kakhulu phakathi kwamazinga ajwayelekile naphezulu.

Umfutho wegazi ophezulu we-paroxysmal kwesinye isikhathi uthathwa njengohlobo lwe-labile high blood pressure, kepha kunokwehluka okumbalwa okusemqoka phakathi kwale mibandela emibili:

Amaphesenti amancane, angaphansi kuka-2 kwangu-100, wamacala we-paroxysmal hypertension abangelwa isimila kuzindlala ze-adrenal. Lesi simila saziwa njenge-pheochromocytoma.

Izinketho zokwelashwa

Azikho izindlela ezibekiwe zokwelapha umfutho wegazi ophezulu we-labile. Udokotela wakho uzofuna ukuqapha ukucindezelwa kwegazi lakho kulo lonke usuku ukuze abone ukuthi kushintsha kangaki nokuthi kuphakama kangakanani.

Imithi esetshenziselwa ukwelapha umfutho wegazi, njenge-diuretics noma i-ACE inhibitors, kungenzeka ingasebenzi ekwelapheni umfutho wegazi ophezulu we-labile.

Esikhundleni salokho, udokotela wakho angakunikeza umuthi odingekayo wokulwa nokukhathazeka ukusiza ukuphatha ukukhathazeka nokucindezeleka okuhlobene nomcimbi. Izibonelo zemithi yokulwa nokukhathazeka esetshenziselwa kuphela ukwelashwa kwesikhashana kanye nesimo sokukhathazeka zifaka:

• i-alprazolam (Xanax)
• i-clonazepam (iKlonopin)
• i-diazepam (Valium)
• I-lorazepam (Ativan)

Ukwelashwa kwesikhathi eside kokukhathazeka okudinga imishanguzo yansuku zonke kuzofaka phakathi imithi eyaziwa njenge-SSRI, njenge-paroxetine (Paxil), i-sertraline (i-Zoloft), i-escitalopram (i-Lexapro) ne-citalopram (i-Celexa.)

Ama-beta-blocker yimithi esetshenziselwa ukwelapha ezinye izinhlobo ze-hypertension. Lokhu kungaba wusizo kuwo womabili umfutho wegazi ophakeme we-labile kanye ne-paroxysmal njengoba uhlangana nesistimu yezinzwa ezwelayo.

Kulezi zimo, ama-beta-blockers awasetshenziselwa ukwehlisa umfutho wegazi, kepha kunalokho ukunciphisa izimpawu ezihambisana nalezi zimo njengokushaywa, ukushaywa, noma ukuphathwa yikhanda. Zivame ukusetshenziswa ngokuhlanganiswa nemithi yokulwa nokukhathazeka. Izibonelo ze-beta-blockers ezisetshenziswa kakhulu zale mibandela zifaka:

• i-atenolol (Tenormin)
• i-bisoprolol (Zebeta)
• i-nadolol (Corgard)
• i-betaxolol (Kerlone)

Uma uhlangabezana ne-labile hypertension ngaphambi kokuhlinzwa noma inqubo yokwelashwa, le mithi unganikezwa yona ngaphambi nje kwenqubo.

Kungase kudingeke ukuthi uthenge umqaphi wegazi onembile ukuze uhlole umfutho wegazi lakho ngezikhathi ezithile ekhaya. Ungayithola esitolo sezinto zokwelashwa noma ekhemisi lendawo. Cela oxhumana naye esitolo noma usokhemisi ukuze uthole usizo lokuthola umshini ofanele ukuqinisekisa ukuthi uthola isilinganiso esifanele. Nayi inkomba yokuhlola umfutho wegazi lakho ekhaya.

Akunconyelwa ukuthi uhlole umfutho wegazi lakho nsuku zonke ngoba ukwenza njalo kungadala ukukhathazeka kakhulu ngomfutho wegazi lakho futhi kwenze inkinga ibe yimbi kakhulu.

Ukuvimbela

Ukuze uvikele iziqephu zesikhathi esizayo ze-labile hypertension, ungazama okulandelayo:

• yeka ukubhema
• Nciphisa ukudla kwakho usawoti
• nciphisa i-caffeine
• gwema utshwala
• phatha amazinga akho okucindezeleka; ukuzivocavoca umzimba, ukuzindla, ukuphefumula okujulile, i-yoga, noma ukubhucunga umzimba zonke izindlela ezifakazelwe zokunciphisa ukucindezeleka
• thatha imishanguzo elwa nokukhathazeka noma eminye imishanguzo kanye nezindlela zokwelashwa njengoba kushiwo ngudokotela wakho

Ehhovisi likadokotela, ungahle uthande ukucabanga ukuphumula nokuphefumulela phezulu isikhashana ngaphambi kokuba kukalwe umfutho wegazi lakho.

Izinkinga

Ukwanda kwesikhashana kwengcindezi yegazi kungabeka ubunzima enhliziyweni yakho nakwezinye izitho zomzimba. Uma lezi zingcwecwe zesikhashana zengcindezi yegazi zenzeka kaningi, zingadala ukulimala ezinso, emithanjeni yegazi, emehlweni nasenhliziyweni.

Ukushintshashintsha kwengcindezi yegazi kungaba yingozi ikakhulukazi kubantu abanezimo zenhliziyo noma zemithambo yegazi esivele ikhona, njenge-angina, i-aneurysm ye-cerebral, noma i-aortic aneurysm.

Esikhathini esedlule, ochwepheshe babekholelwa ukuthi i-labile hypertension ayithwali ukukhathazeka okuningi njengokuqina komfutho wegazi ophakeme noma "okulungisiwe". Okusanda kuvela kuveze ukuthi umfutho wegazi ophakeme ongasetshenziswanga ubeka engcupheni enkulu yesifo senhliziyo nokufa ngenxa yazo zonke izimbangela, uma kuqhathaniswa nalabo abakhona.

Kanye nesifo senhliziyo, ezinye izifundo zithole ukuthi abantu abane-hypertension ye-labile engalashwa basengozini enkulu yoku:

• ukulimala kwezinso
• I-TIA (ukuhlaselwa kwe-ischemic okudlulayo)
• unhlangothi

Umbono

Umfutho wegazi ophezulu weLabile ngokuvamile awubangeli izinkinga ezinkulu ngokushesha. Umfutho wegazi uqobo ubuyela emazingeni ajwayelekile kungakapheli isikhathi esifushane ngemuva kwesehlakalo esicindezelayo.

Abaphenyi manje bakholelwa ukuthi umfutho ophakeme we-labile ongalashwa ungadala izinkinga ngokuhamba kwesikhathi. Kunobufakazi obukhulayo bokuthi kungakhuphula ubungozi bomuntu bokushaywa unhlangothi, isifo senhliziyo, ezinye izinkinga zenhliziyo, nokunye ukulimala kwesitho ngokuhamba kwesikhathi uma kungalashwa.

Njengoba i-labile hypertension ivame ukubangelwa ukukhathazeka, kubalulekile ukuphatha ukukhathazeka kwakho ngemithi noma ngamasu okuphumula ukuze uvikele iziqephu ezizayo noma eziqhubekayo.