Lapho umuntu onesifo sikashukela enengcindezi engu-170 kuya kwengama-110, kusho ukuthini lokho? Lona ngumbuzo oyinhloko, ngoba ukwanda okunjalo kugcwele izinkinga eziningi. Isimo sidinga okulungile, futhi okubaluleke, isenzo esifike ngesikhathi sokunciphisa ushukela kanye ne-DD.
I-Hypertension “ingumbulali othuleyo,” njengoba ochwepheshe bezokwelapha besibiza ngalesi sifo, ngoba ukwanda komfutho wegazi ekuqaleni kwenzeka ngaphandle kwezimpawu, kuthi lapho kutholakele, kutholakale isitho okuhlosiwe kuso.
Umfutho wegazi we-170 nge-100 uvame ukuholela ekuhlaselweni kokuhlaselwa kwegazi elinamandla. Kuhambisana nokujuluka kokujuluka, ikhanda, isiguli sikhononda ngokushiswa okukhulu, isicanucanu, ukushaya kwenhliziyo okusheshayo, ukubonwa ngomzimba kanye nokunye ukubonakaliswa komtholampilo.
Cabanga ukuthi kungani umfutho wegazi ukhuphuka, futhi yini ebangela ukugxuma kwesifo sikashukela nesifo sikashukela kubantu abanesifo sikashukela? Yini okufanele uyenze ngezinombolo eziphezulu ku-tonometer?
Kusho ukuthini ukucindezela u-170 / 100-120?
Ngokujwayelekile, ochwepheshe bezokwelapha abasakwazi ngisho negama imbangela ngqo ethuthukisa umfutho wegazi ophakeme. Ukuzilolonga kukhombisa ukuthi kaningi ukuhlanganiswa kwezinto ezithile kunomthelela ongemuhle, ngenxa yalokho ukutholwa komfutho wegazi ophakeme ezigulini.
Imbangela esheshayo yokugxuma kumfutho wegazi ukulimala kwemithambo yegazi. Ngakho-ke, abantu abanesifo sikashukela i-mellitus, isifo sokuqina kwemithambo yegazi, kanye nezifo zenhliziyo basengozini yokuthola umfutho wegazi ophakeme.
Izici zesayensi yemvelo ziyabonakala ukuthi zenza njengabaphembeleli bokuphazamiseka emzimbeni womuntu. Iqembu lengcuphe lifaka ubulili obunamandla lapho uneminyaka engama-45-60, abesifazane besikhathi sezulu. I-prerequisite izinga eliphakeme lamazinga aphansi we-lipoprotein (i-cholesterol embi), indlela yokuphila yokuhlala phansi, isipiliyoni sokubhema okungenani iminyaka emihlanu, ukukhuluphala kwanoma iliphi ibanga.
Ekucindezelweni kuka-170 kuya ku-80, kutholakala isiqu sesibili se-hypertension. Ingozi yokuthola izinkinga ezigulini ifinyelela ku-15%. Ukunciphisa umfutho wegazi, odokotela batusa ukuthi abantu abanesifo sikashukela bavivinye umzimba futhi badle kahle. Uma le ndlela ingasizi, bese unikeza imithi esisiza izinkomba eziphansi.
Lapho i-HELL 175/135 - ubungozi bezinkinga buphakeme - bufika kuma-30%. Kuyadingeka ukuthatha izinyathelo eziphuthumayo okuhloswe ngazo ukuqinisa amanani. Sebenzisa imishanguzo ehlobene namaqembu ahlukahlukene emithi.
Uma isiguli sinomfutho wegazi ophakeme, kuyilapho kunezici ezimbalwa zobungozi, isibonelo, isifo sikashukela, ifa, ukubhema, khona-ke amathuba ezinkinga angaphezu kwama-30%.
Kuyadingeka ukuguqula ingcindezi ngokushesha okukhulu.
Yehlisa umfutho wegazi ngemithi
Ngakho-ke, ingcindezi ingu-170 kuya ku-90, okufanele ukwenze esimweni esinjalo? Awukwazi ukwethuka, ingcindezi nenjabulo kuzokwandisa kuphela amanani ku-tonometer. Okokuqala, udinga ukwehlisa umoya. Amakhambi esintu kulesi sithombe ngeke asize, udinga ukuthatha imishanguzo kadokotela ebekade ekuyalile. Amaphilisi asiza ukunciphisa amanani, athuthukise isimo sesifo sikashukela, futhi avikele nezinkinga.
Kulesi ngcindezi, akusizi ukufisa ngenani elijwayelekile le-120/80 mm Hg. Izinkomba zehla ngokushelela, Izinga le kwelitshe liyahluka: 130-140 (inani elingaphezulu) ne-80-90 (inkomba ephansi).
Ngesikhathi sokulashwa, inhlala-kahle yomuntu iyabhekwa. Uma izimpawu ezingezinhle zivezwa ezingeni le-140/90 mm Hg, khona-ke awukwazi ukwehlisa umfutho wegazi. Lapho isimo sisibi, kunezimpawu ze-GB, ukwelashwa kwe-antihypertensive kuyaqhubeka. Isiguli sibekwe amaphilisi okusetshenziswa ekhaya. Abesifazane ngesikhathi sokukhulelwa benengcindezi enjalo belashwa esibhedlela.
Ingcindezi 170 kuya ku-70, yini okufanele uyenze? Izinkomba ezinjalo, kuphela inani le-systolic lenyuswa, futhi ipharamitha ephansi, ngakolunye uhlangothi, iyancishiswa. Ukwehlisa isibalo esiphezulu, thatha abamelene ne-calcium - i-Nifedipine, i-Indapamide, i-Felodipine. Idosi yithebhulethi elilodwa.
Ekwelapheni i-hypertension, kusetshenziswa le mithi elandelayo:
- Ama-inhibitors e-ACE. Le mishanguzo inomthelela ekunciphiseni kwezindonga zemithambo yegazi, inciphisa ukuhamba kwegazi liye enhliziyweni, ngenxa yalokho umthwalo phezu kwalo uncipha;
- Ukunciphisa isilinganiso senhliziyo, ama-block anginotensin-2 blocker kufanele athathwe;
- Ama-blocker we-Ganglion aphazamisa ukuthambekisa isikhathi esithile, ayeke i-spasm yezindonga ze-vascular;
- Izidakamizwa ze-diuretic zisusa amanzi ngokweqile emzimbeni, zivikele ukukhula kwenkinga ye-hypertensive;
- Ama-Beta-blockers anciphisa ukufunwa kwe-oksijeni yomoya, anciphise izinga lokushaya kwenhliziyo kanye nenhliziyo.
Umfutho wegazi ophakeme welashwa ngokuphelele. Isifo sikashukela asidingi ukulawulwa hhayi ngeglucose kuphela, kepha nangoshukela osegazini. Izilinganiso zenziwa kaningana ngosuku. Umphumela uba ngcono ukurekhoda - lokhu kukuvumela ukuthi ulandelele amandla woshintsho kwizinkomba. Izinga okugxilwe kulo umfutho wegazi esigulini ngasinye lihlukile. Isibonelo, uma isiguli sine-135/85 ngaphambili, sazizwa simnandi, khona-ke lezi zinqubo ezinhle kuye. Kufanele futhi ucabangele iminyaka yomuntu - asebekhulile banejwayelekile ephakeme kunabantu abasha.
Amaphilisi kufanele aphuzwe isikhathi eside, noma ngabe umfutho wegazi ubuyile usujwayelekile. Ukuphazamiseka kwekhosi kuzoholela ekwandeni komfutho wegazi.
Unganciphisa kanjani umfutho wegazi ekhaya?
Izidakamizwa ze-antihypertensive zingahlanganiswa namakhambi abantu. Umuthi ohlukile uphakamisa ukusebenzisa amakhambi okwelapha, imikhiqizo yezinyosi. Yehlisa umfutho wegazi futhi uzinze ngezinga elijwayelekile usiza ijusi yezithelo zomlotha osentabeni omnyama.
Ikhulula imithambeka yemithambo yegazi, ithuthukise ukuqina kwawo. Ungaphuza ngesifo sikashukela - umthelela omuhle ku-glycemia. Thatha kathathu ngosuku, 50 ml. Inkambo yokwelashwa ingamaviki angama-2-3. Ngemuva kwekhefu lesonto, ungakuphindaphinda. Ukusetshenziswa kwezilonda zesisu, izinkinga ngepheshana lesisu akunconywa.
Lapho kunokukhuphuka okungafaniyo kwesilinganiso se-systolic kuya ku-170, kuyilapho inani eliphansi lingaphansi kwemikhawulo ejwayelekile noma likhuphuke kancane, ijusi le-hawthorn lisetshenziselwa ukwelashwa. Kuthuthukisa uhlelo lwenhliziyo, yehlise umfutho wegazi, ihlise imithambo yegazi, futhi yenyusele ukufakwa komoya-mpilo kuyi-myocardium. Phuza isipuni izikhathi ezintathu ngosuku kuze kube yilapho umfutho wegazi usujwayelekile.
Amaresiphi okusiza ukwehlisa umfutho wegazi ophezulu ekhaya:
- Uma igxuma ekucindezelweni kwegazi kubangelwa yingcindezi noma ukungezwani kwemizwa, khona-ke itiye elipholisayo lingaqalwa. Ku-250 ml engeza i-peppermint encane, shiya imizuzu eyi-10. Faka isipuni ½ soju, siphuze.
- Cindezela ujusi kusuka izaqathe. Faka isipuni sejusi legalikhi ku-250 ml wejusi, isiphuze ngasikhathi sinye. Phuza zonke izinsuku amasonto amabili.
Amakhambi e-Folk ayindlela eyengeziwe yokwelapha. Ngeke zikwazi ukufaka esikhundleni izidakamizwa ze-antihypertensive.
Izeluleko Zokulawula Umfutho wegazi ophezulu
I-Arterial hypertension yisifo esingamahlalakhona. Akunakwenzeka ukwelapha umuntu ngokuphelele, kepha ngosizo lwezidakamizwa ungavimba ingcindezi esezingeni elifanele. Uma kungalashwa, khona-ke imiphumela iba mibi - ukushaya kwenhliziyo, unhlangothi, ukhubazeka okubukwayo. Uma kungekho lusizo ngokumelene nesizinda senkinga yegazi elinamandla, kunengozi enkulu yokukhubazeka nokufa.
Isisekelo sokuvimbela i-spikes yengcindezi yegazi siyindlela yokuphila enempilo. Kuyadingeka ukucabanga kabusha ngokudla kwakho, ukusebenza ngokomzimba, ukuyeka ukubhema. Kubalulekile ukuqapha njalo isifo sikashukela ne-DD, izinga lokushaya kwenhliziyo. Imiphumela ibhalwe kudayari ye-hypertensive. Lokhu kukuvumela ukuthi uqaphele ukuguquguquka kwezinkomba, ngokukhula kwazo, ukunquma isizathu sokwanda.
Amathebulethi anqunywe ngudokotela kumele athathwe ngokuqinile kumthamo obekwe uchwepheshe. Awukwazi ukweqa ukuthatha imithi wedwa uma umfutho wegazi usubuyela kwesejwayelekile. Ukukhanselwa kuholela ekwandeni kwesifo sikashukela kanye ne-DD, esikhulisa inhlala-kahle yesiguli.
Amathiphu wesifo sikashukela esinezinga eliphakeme:
- Ukulawula isisindo ngoba ukukhulupha ngokweqile kuthinta kabi umfutho wegazi kanye noshukela emzimbeni. Uma unamaphawundi angeziwe, udinga ukwehlisa isisindo, uma kungenjalo ukugxuma ushukela wegazi kanye nokusebenza kwengcindezi yegazi akunakugwenywa;
- Faka ukudla okuqukethe i-potassium ne-magnesium eminingi kumenyu. Lawa amaminerali athuthukisa isimo semithambo yegazi, anciphise ama-spasms, abe nomthelela omuhle emsebenzini wesistimu yenhliziyo;
- Umsebenzi womzimba. Imithwalo kufanele ikhethwe ukuthi ingenzeka, kucatshangelwa ukondliwa, isimo esijwayelekile, nezinye izifo ku-anamnesis. Kuvunyelwe ukugibela ibhayisekili, ukubhukuda, ukuhamba amabanga amade, ukwenza i-aerobics. Ezemidlalo zivunyelwe kuphela nge-normalization yengcindezi. Ngesikhathi sokuqeqeshwa, udinga ukubhekisisa ukushaya kwenhliziyo yakho ngokucophelela. Inkomba efanelekile ingu-220 ubuncane beminyaka yomuntu;
- Yiyeke ngokuphelele imikhuba emibi - ukubhema, utshwala;
- Yehlisa ukungena kukasawoti ekudleni. Akukalulekanga ukwenqaba ngokuphelele, ngoba usawoti ungumthombo we-iodine, okudingekayo ekusebenzeni okuvamile kwe-yegilo yegilo;
- Thatha ama-vitamin complexes, izithasiselo zokudla. Basekela ukusebenza kwamasosha omzimba, baba nomphumela oqinisayo jikelele, futhi baba nemiphumela ezuzisayo emithanjeni yegazi nenhliziyo.
Ngokuncike kukho konke ukuncoma, i-prognosis iyathandeka. I-hypertension ye-arterial, ikakhulukazi, izinkomba zokucindezela kwegazi, ingalawulwa ngokugwema ukweqa. Ukwelapha kuyaqhubeka kukho konke impilo - yile ndlela kuphela engalondolozela impilo futhi iphile ize iguge kakhulu.
Ukuthi welapha kanjani i-hypertension kuchazwe kule vidiyo kule ndatshana.
