Ukucindezela kwegazi okuyi-160 kuye kwayi-100 akulona inani elijwayelekile. Ngomfutho wegazi onjalo, impilo iyaqina, kunokuphazamiseka ekusebenzeni kwezitho zangaphakathi - izinso, isibindi, ubuchopho, inhliziyo. Okujwayelekile kubhekwa njenge-HELL 120/80, kwezinye izimo ukuphambuka okufika ku-139/8 kuyavunyelwa, inqobo nje uma isiguli singenazimpawu.
Ngezinkomba ze-160 kuye ku-110, bakhuluma nge-hypertension ye-degree yesibili. Kuyadingeka ukusungula izizathu ezingadala ukwanda kwe-pathological kwengcindezi yegazi. Ukwelashwa kuqukethe ukusetshenziswa kwezidakamizwa ze-antihypertensive, ngaphezu kwalokho, udinga ukushintsha indlela yakho yokuphila.
Injabulo, ukuphuza utshwala, ukucindezela kakhulu, nezinye izinto kungavusa umfutho onamandla womfutho wegazi. Ngesikhathi sokukhulelwa, lapho umfutho wegazi ungama-160/10, ukulaliswa esibhedlela kuyadingeka, ngoba kukhona usongo empilweni yengane.
Cabanga ngengozi yokucindezelwa okungu-160 kuye ku-120 mm Hg, nokuthi ungakwehlisa kanjani inani eliphakeme lamathebulethi namakhambi abantu?
160/100 umfutho wegazi, kusho ukuthini?
Ngomfutho wegazi kushiwo umthwalo igazi elisebenza ngalo ezindongeni ze-vascular. Uma umuntu onesifo sikashukela enomfutho wegazi we-160/2020, lokhu kuba yi-hypertension ye-arterial yesigaba sesibili; lapho i-160 / 80-90 - ukwanda okuhlukile kwesilinganiso se-systolic. Lapho amanani akwi-tonometer enyuka emananini anjalo, isiguli sivame ukubonisa izimpawu.
Banamandla kakhulu emadodeni. Lokhu kungenxa yendlela abaphila ngayo - bavame ukuphuza utshwala, ukubhema kakhulu, ukuzwa ukuzikhandla ngokweqile emsebenzini noma ukuzivocavoca umzimba kuze kube ukukhathala ejimini.
Ezinye iziguli ezinengcindezi ye-160/2020 ziba nenkinga ye-hypertensive - isimo se-pathological esiholela emiphumeleni emibi kakhulu futhi engenakuphikiswa ehambisana nomsebenzi wezitho ezihlosiwe. I-Hell kufanele yehliswe, kepha kancane kancane. Ukwehla okubukhali kuholela ezinkingeni.
Ngomfutho wegazi we-160/20, kuboniswa lezi zimpawu ezilandelayo:
- Inhloko enesiyezi futhi ebuhlungu;
- Ukukhala ezindlebeni;
- Ubomvu besikhumba, ikakhulukazi ebusweni;
- Ukuphefumula, ukuphefumula kanzima;
- Ukukhathazeka, ukuhlaselwa ukwethuka;
- Ukushaya kwenhliziyo okusheshayo;
- I-Palpitations
- Ubuhlungu endaweni yesifuba.
Ukucindezela kuka-160 kuye kwabangu-110 kwabanesifo sikashukela kuyingozi enkulu. Imithambo yegazi, imithambo kanye nama-capillaries ayathinteka ikakhulukazi. Ukuqina / ukuqina kwabo kuyancipha, ukuqina kwe-lumen, okuphazamisa ukuhamba kwegazi emzimbeni. Uma ungathathi izinyathelo ezihlose ukunciphisa, khona-ke i-tis necrosis iyatholakala.
Umfutho wegazi ophakeme ungaholela ezinkingeni ngezinso nangamehlo, usongele ukuqunjelwa kwe-myocardial kanye nesifo sohlangothi.
Kungani umfutho wegazi ukhuphukela ku-160/10?
Ukuthuthukiswa komfutho wegazi ophakeme kushukela kungenxa yokuphazamiseka okuthile kohlelo lwezinzwa oluphakathi. Abesilisa banobungozi obukhulu be-hypertension kusuka eminyakeni engamashumi amathathu kuya kwamashumi ayisithupha, kanti abesifazane bane-menopause. Isici esivelele ekuqaleni kwesifo ukuqunjelwa kofuzo.
Ezigulini ezinjalo, kubonwa ukwanda okuvulekile kwezingqimba zamaseli, okuholela ekwandeni kwe-pathological kuzinkomba ku-tonometer. Izimbangela zesifo zihlukaniswe i-organic - zihambisana ne-pathologies engapheli kanye nezinto zangaphandle.
Izici ezicasulayo zemvelo yangaphandle zifaka ukucindezela okungapheli, ukukhathazeka, kanye nenjabulo. Lapho umzimba ungaphansi kwengcindezi, kukhona ukwanda kokuxineka kwe-adrenaline - i-hormone ekhulisa umthamo wokuphuma kwenhliziyo kanye nenhliziyo. Uma kukhona ifa elisindayo noma isifo sikashukela, khona-ke lokhu kuthuthukisa ukuthuthukiswa komfutho wegazi ophakeme.
Izimbangela eziqondile ze-GB zifaka:
- Izifo ze-CNS.
- Ukuphazamiseka kokushintshana kwe-ion ezingeni lamaselula (amazinga andayo e-potassium ne-sodium egazini).
- Ukwephulwa kwezinqubo ze-metabolic (ngokwesibonelo, ngesifo sikashukela).
- Izinguquko zemithambo ye-atherossteotic.
Nge-atherossteosis, ama-atherosulinotic plaque afakwa ngaphakathi kwemithambo yegazi - ukwakheka kwamafutha okuphazamisa ukuhamba kwegazi okugcwele, kuholele ekuqhekekeni nasezinkingeni ezinkulu.
Izici ezengeziwe zobungozi besifo:
- Iminyaka
- Isisindo esiningi;
- I-Hypodynamia;
- Ukubhema
- Ukusetshenziswa kabi kotshwala;
- Ukudla usawoti ngokweqile.
Ukusetshenziswa isikhathi eside kwezidakamizwa kungaholela ekuthuthukisweni komfutho wegazi ophezulu kushukela. Lawa ngamaphilisi okucindezela iphango (lokhu kuyiqiniso ikakhulukazi kwabesifazane abafuna ukunciphisa umzimba ngaphandle kokwenza lutho), izidakamizwa ezilwa nokuvuvukala, izindlela zokuvimbela ukuphathwa komlomo, i-glucocorticosteroids.
Ungasheshisa kanjani ukucindezela?
Uma ingcindezi ingu-160 kuye ku-80, kuyadingeka-ke ukunciphisa inani le-systolic okungenani i-15-20%. Ngokufanelekile, udinga ukwehlisa ube ngu-120 ngu-80, kepha kungancishiselwa ku-130/80. Ngaleli nani, umehluko we-ishayela cishe uvamile.
Ithebhulethi yeNifedipine izosiza ukunciphisa ushukela. Ibekwa ngaphansi kolimi futhi imunca. Ungayithatha kuphela uma umuntu onesifo sikashukela ngaphambilini wasebenzisa umuthi ukwenza umfutho wegazi ube ngokwejwayelekile Ithuluzi elingelabo abamelene ne-calcium.
Ngemuva kokuthatha umuthi, umfutho wegazi kufanele uguqule ngaphakathi kwemizuzu engama-30 kuya kwengama-40. Uma lokhu kungenzeki, ungaphuza elinye iphilisi. Ngemuva kwalokho amanani ku-tonometer abhekwa njalo. Umuthi usiza kahle, kepha une-minus ebalulekile - kwesinye isikhathi wehlisa kakhulu ushukela kanye ne-DD, obangela ukonakala enhlalakahleni.
I-Contraindication Nifedipine:
- I-infraction ye-myocardial esebenzayo.
- I-Hypotension.
- Ukwethuka kwe-Cardiogenic.
- I-Sick sinus syndrome.
- Ukwehluleka kwenhliziyo (okungaxhunyiwe).
- I-Stenosis ye-aortic valve yenhliziyo.
Kuthathwe ngokucophelela ukuguga - eneminyaka engamashumi ayisithupha nangaphezulu, ngezinkinga nezinso nesibindi, ngokumelene nesizinda segazi elinobungozi. Ngesifo sikashukela, amaphilisi angathathwa. I-Nifedipine yisinyathelo esiphuthumayo sokunciphisa umfutho wegazi. Akunakwenzeka ukwamukela njalo. Enye indlela, ungasebenzisa amaphilisi: I-Propranolol, i-Kaptopres, iKapoten, i-Captopril.
I-Captopril yisidakamizwa esisebenzayo esenza ukuthi umfutho wegazi usheshe usheshe.
Imvamisa, i-Captopril ithathwa njengesifo esinegazi noma ukwanda okukhulu kwesifo sikashukela kanye ne-DD. Ithebhulethi ifakwa ngaphansi kolimi, igcinwe kuze kube yilapho ichithwa ngokuphelele - lokhu kunikeza umphumela osheshayo.
Ukwelashwa kwezidakamizwa kwegazi elinamandla
Ukucindezela kwe-160/10 mmHg akulona inani elijwayelekile. Imithi enomphumela osheshayo, ochazwe ngenhla, isiza ekunciphiseni nasekuqiniseni izinkomba amahora angama-12-24, akusekho okunye. Ukuze umfutho wegazi ungabe usanda, ukusetshenziswa kwezidakamizwa ngokuqhubekayo kuyadingeka.
Ngokuqina kwe-2nd degree, isiguli sidinga ukulungiswa kwendlela yokuphila kanye nokusebenzisa amaphilisi. Odokotela banquma ngemithi emibili noma ngaphezulu eyamaqembu ehlukene ekhemisi.
Uma kutholakale ukuthi imbangela yokugxuma kumfutho wegazi yi-pathologies yezinso, khona-ke izidakamizwa ezihlose ukubuyisa ukusebenza kwalokhu ziyanconywa ngokungeziwe. Amaqembu emithi yezidakamizwa afakiwe ohlotsheni lokwelashwa ngezidakamizwa:
- Abaphikisi beCalcium babhekelwa kwabanesifo sikashukela uma ukwanda kwengcindezi yegazi kuhlangene nezifo zohlelo lwethambo;
- Ama-inhibitors e-eniotensin-aguqula i-enzyme abamba iqhaza ekwandeni kwemithambo yegazi, ehlisa inani le-systolic ne-diastolic;
- Ngenxa ye-beta-blockers, kungenzeka ukwandisa imithambo yegazi - indlela yokusebenza isebenza yehlukile kuthonya lama-inhibitors e-ACE, umthwalo osenhliziyweni uyancishiswa;
- Amaphilisi we-diuretic asusa amanzi amaningi emzimbeni, esiza ukunciphisa umfutho wegazi.
Ngesikhathi sokulashwa, ukuqashwa njalo kwesifo sikashukela ne-DD kuyadingeka. Uma umfutho wegazi ukhuphuka, khona-ke irejimeni yokwelashwa iyashintshwa - lokhu kwenziwa ngudokotela.
Ukwelashwa okuhlukile komfutho wegazi ophakeme
Kanye nemithi, amakhambi esintu angasetshenziswa. Ukuhlanganiswa kwesinamoni nge kefir kusiza ukwehlisa ingcindezi ephezulu. Ku-250 ml ye-kefir enamafutha aphansi engeza isipuni sezinongo, hlanganisa. Phuza ngokuhamba okukodwa. Phuza nsuku zonke amaviki angama-2-3.
Ulamula, uju kanye negalikhi kusiza ukudambisa ingcindezi. Gaya ama-clove amahlanu egalikhi, usonta ulamula ambalwa ku-grinder yenyama. Hlanganisa konke, engeza uju oluncane. Beka endaweni emnyama izinsuku eziyi-7. Thatha isipuni ekuseni. Gcina “umuthi” esiqandisini.
Ijusi leBeetroot ngokufakwa noju lusiza ukunciphisa umfutho wegazi. Ku-100 ml yesiphuzo engeza u-½ uju, uxove. Thatha izikhathi ezi-1-2. Esikhathini sikashukela, qaphela ukuthi ungavuseleli ukwanda koshukela wegazi.
Shintsha izindlela zokupheka ukusiza ukuguqula ushukela kanye ne-DD:
- Thatha u-70 g wezimpande ze-elecampane ezichotshoziwe, u-30 ml wezinyosi, 50 g wama-oats (angabanjiswa kuphela). Hlambulula i-oats ngokuphelele, uthele u-5000 ml wamanzi, ulethe ku-thumba ngaphezulu kokushisa okuphansi, shiya amahora amahlanu. Umhluzi we-oatmeal uthululwa ezimpandeni ezichotshoziwe ze-elecampane, uphinde ubuye ubiliswe, kubekwa ihora. Faka uju. Thatha i-100 ml kathathu ngosuku. Isikhathi senkambo yokwelapha singamaviki ama-3.
- Ukunciphisa ingcindezi kusiza ujusi we-beetroot ne-hawthorn. Thatha isipuni kathathu ngosuku. Ukwelapha kuthatha amasonto amabili.
Ukwelashwa kwe-hypertension ku-mellitus yesifo sikashukela kunobunzima obuthile, ngoba izifo ezimbili zinezinkinga eziningi. Ukuze ulondoloze umfutho wegazi ojwayelekile noshukela wegazi, kufanele ulandele zonke izincomo zikadokotela futhi udle ngokulungile.
Ungamisa kanjani umfutho wegazi uzotshela ochwepheshe kuvidiyo ekulesi sihloko.
