Izimpawu zomfutho wegazi ophezulu emadodeni kusuka eminyakeni engama-40 kuye kwengama-60

I-Hypertension ngemuva kweminyaka engama-50 itholakala ngokulinganayo kwabesilisa nakwabesifazane. Kodwa-ke, uma ubulili obuthakathaka balesi sifo buba khona ezimweni eziningi ezifikayo, khona-ke izimpawu zomfutho wegazi ophezulu emadodeni zivele ngokushesha ngokwanele. Futhi lokhu kungokwemvelo.

Iqiniso ngukuthi ubulili obunamandla buba nokuzikhandla okukhulu ngokomzimba, okuvame ukuhlotshaniswa nemisebenzi yobungcweti noma imisebenzi ejimini. Abesilisa bavame ukuphuza utshwala, babheme kakhulu, futhi ekugcineni, abayinaki kangako impilo yabo.

Imvamisa indoda ayikunaki ukuwohloka kwempilo, okuholela enkingeni yomfutho wegazi ophakeme kanye nokulaliswa esibhedlela okulandelayo. Ngakho-ke, kakade esikhungweni sezokwelapha, umfutho wegazi ophakeme uyatholakala.

Cabanga ukuthi yikuphi ukucindezela okujwayelekile kuma-50 kowesilisa? Kungani inkomba ye-arterial ikhula, futhi yikuphi ukwelashwa?

Ukucindezela okujwayelekile kwabesilisa

Ngokwemininingwane yezokwelapha, umfutho wegazi ophelele ungama-120 (inani le-systolic) ngama-80 (isibonakaliso se-diastolic) samamilimitha we-mercury. Kodwa ipharamitha enjalo iyindlela ekahle, engahlangani kakhulu ekuhlanganyeleni kwezokwelapha. Kufanele futhi kukhunjulwe ukuthi njengoba iminyaka ihamba, ingcindezi iyakhula - uma indoda ikhula, iba yiyona ndlela ejwayelekile kuye.

Lapho umuntu onesifo sikashukela esene-AD 130 ka-80-85, leli nani lizobhekwa njengento evamile, kepha sekuvele ukuthambekela kokukhuphuka, ngakho-ke, lesi sikhombisi sibhekwa njalo kanye ne-glucose egazini. Ngamanani ayi-140 kuye kwangama-90, bakhuluma ngezinga lokuqala lomfutho wegazi ophakeme. Izimpawu ezikulesi sigaba azitholakali ngaso sonke isikhathi. Isiguli sidinga ukuhlolwa ukuze sikhubazeke ekusebenzeni kwezitho okuqondiwe.

Kungakhathalekile iminyaka yobudala, ngokucindezela kwabangu-150 kwabangu-100 nangaphezulu, kutholakala ukuthi umfutho wegazi ophakeme Ezinye iziguli ezinalezi zinani ziba nenkinga yokuqina komfutho, ebonakala ngesithombe esibanzi somtholampilo. Kukhona ingozi empilweni nasempilweni.

Kwabesilisa abaphilile abahola indlela efanele yokuphila - ukuphuza utshwala obuncane, ukondleka okufanele, ukungabikho kwezifo ezingamahlalakhona, njll., Ingcindezi iqala ukukhuphuka eneminyaka engama-50-60. Le yinqubo yemvelo ngokuphelele, ngoba ngokuhamba kweminyaka, isimo semithambo yegazi, ukusebenza kwenhliziyo kuyawohloka.

Imvamisa yabafana abaneminyaka engu-18 ubudala kanye nabesilisa abadala ihlukile, ngoba yenzelwa isimo semithambo yegazi. Ngokuya ngeminyaka, amanani ajwayelekile alethwa etafuleni:

Lapho umfutho eminyakeni engama-50 ukhuphuka ufike ku-140/90, kuyilapho kungekho zimpawu, khona-ke lokhu kungukuhluka kwesimo okungekho okudinga ukwelashwa.

Lapho inkomba ingu-160/1100 nangaphezulu, bakhuluma nge-hypertension ye-arterial, kunikezwa izidakamizwa ezisiza ukwehla kwegazi.

Kungani umfutho wegazi uphakama?

Eminyakeni engamashumi amahlanu noma amashumi ayisithupha, ukwanda kwamapharamitha we-arterial akubangelwa kuphela yizizathu ezihlobene nobudala, kodwa futhi nakwezinye izinto. Udinga ukujwayelana nabo ukuze ubakhiphe empilweni yakho ngesikhathi. Imvamisa, umfutho wegazi ophakeme uhlotshaniswa nokungondleki.

Ubulili obuqine budla eminye imikhiqizo yenyama, buvama ukungakunaki ukupheka, ngenxa yalokho kudla i-pizza, i-pasta, amasangweji nokunye ukudla okungenamsoco. Imvamisa amadoda aphuza ubhiya, futhi ngisho nenhlanzi. Ukudla okunjalo kuthuthukisa ukubonwa kukasawoti emzimbeni, ukunqwabelana koketshezi ngokweqile, okuholela ekukhuleni kwesisindo somzimba, ukuvuvukala, ushintsho lwe-atherosselotic kanye nomfutho wegazi ophakeme.

Isifo sikashukela i-mellitus kanye ne-hypertension kuvame ukutholakala kumuntu oyedwa. Isizathu salokhu silula - isimo semikhumbi. Isifo sikashukela siholela ekunciphiseni kwe-elasticity and elasticity of the vascular wall, impaired flow kwegazi, okuthinta ngokushesha umfutho wegazi.

Ingcindezi ingakhula ngenxa yokuzivocavoca ngokweqile. Ngasikhathi sinye kanye nokwanda komfutho wegazi, kukhuphuka izinga lokushaya kwenhliziyo. Lokhu kuyinto eyejwayelekile, yinto yesikhashana. Esikhathini esifushane, isimo siyabonakala.

Ingcindezi yegazi ingakhuphuka ngenxa yalezi zizathu ezilandelayo:

• Ukusetshenziswa isikhathi eside kwezidakamizwa ezithile. Iziguli eziningi aziyi kudokotela kuze kube ezokugcina, zizenzela ngokwazo. Kodwa imithi ayiphathi nje kuphela, kepha futhi iholela ekwakhiweni kwemiphumela emibi. Isibonelo, amaconsi alula emakhaleni angadala i-hypertension, akhulise umfutho wamehlo futhi aholele kwimiphumela yezempilo enkulu;
• I-Pathology yesistimu ye-musculoskeletal, izifo zomgogodla zingaholela ekugxumeni ekucindezelweni kwegazi;
• Ukuphuza ngokweqile. Njengoba wazi, ngemuva kokuphuza utshwala ekuseni, ikhanda lami libuhlungu. Kuyinto ikhanda elikhombisa ukwanda kwengcindezi yegazi. Ngaphezu kwalokho, i-hangover iyasithinta kabi isimo sezinso, ukuvuvukala kwakheka ngenxa yokuqunjelwa uketshezi.

Izici ezingaba ingozi yomfutho wegazi ophezulu kushukela: ukuntuleka kokuzivocavoca, ukukhuluphala, ukusebenza emsebenzini oyingozi, ukubhema, ubudala, ukubekeka phambili kofuzo.

Ukubonakaliswa kwemitholampilo kwe-hypertension

Umtholampilo we-hypertension ngokumelene nesifo sikashukela uhlukahlukene. Kepha kubonakala kuphela emacaleni athuthukile, lapho ingcindezi ephezulu yanele. Abantu bakhuluma nge-hypertension ngokuthi "umbulali othule." Futhi leli ibinzana elinengqondo.

Ekuqaleni, lapho umfutho wegazi uqala ukwanda, isiguli asiboni lutho. Ngaphezu kwalokho, kuzuba kubhekwa ngokungalingani, isimo asihlali siba sibi kakhulu. Noma kubonakaliswa izimpawu ezingezinhle, zivame ukubangelwa ukuntuleka kokulala, ukukhathala, nezinye izimbangela. Ngokwezibalo, izimpawu zokuqala zomfutho wegazi ophakeme emadodeni zivela eminyakeni yobudala engama-40-45, uma zibhema ziphuze utshwala. Abalandeli bokuphila impilo enempilo - eminyakeni engama-50-60.

Izimpawu zokucindezela kwegazi eliphezulu kowesilisa zivela ngemuva kwamanani abucayi kulesi siguli esithile. Kuyaphawuleka ukuthi izinkomba zomkhawulo walowo nalowo zihlukile, ngoba umzimba unamandla okujwayela ukugxuma ekucindezelweni kwegazi.

Ngokukhula komfutho wegazi, lo mtholampilo olandelayo uyabonakala:

1. Ukuhlaselwa ukwethuka, ukukhathazeka okungenasisekelo.
2. Ukushaya kwenhliziyo okuhlala njalo.
3. Tinnitus, umuzwa omangele.
4. Ukulimazeka kokubonakalayo. Lolu phawu lubucayi ikakhulukazi lapho luhamba, ngokwesibonelo, ukuthambekela phambili.
5. Inhloko enesiyezi futhi ebuhlungu.
6. Izindawo zokucanuzelelwa kwenhliziyo.
7. Kukhulisa umjuluko.
8. Ubuhlungu esifubeni.
9. Ingono yemithambo yesikhashana.

Izimpawu zingabonakala ngokuhlukile, konke ngesikhathi esisodwa kuyaqabukela kukhula. Izimpawu zivame ukuqina ngemuva kokusebenza ngokomzimba, ubunzima bezinzwa, ukuntuleka kokulala, ngokubhekene nesizinda sokukhathala ngokweqile, ne-hangover. Kwesinye isikhathi isithombe senezelwa ukugcwala, ukushoda komoya, ubunzima bokuphefumula. Kulokhu, usizo lodokotela luyadingeka.

Ngokukhula kwenkinga ye-hypertgency, isiguli simbozwa umjuluko obandayo nowe-profuse, kuvela izimpawu zenjabulo enamandla. Indoda ingakhuluma njalo, noma okuphambene nalokho, iwele ekudumeni.

Ku-mellitus yesifo sikashukela, ukubonakaliswa komtholampilo kwe-GB kunikezwa ngezimpawu zoshukela wegazi ophakeme, okulimaza kakhulu inhlala-kahle yempilo yonke.

Kufanele kukhunjulwe ukuthi wonke umuntu onesifo sikashukela usengozini ye-hypertension.

Ukwelashwa ngezidakamizwa

Ngokuphambuka okuncane kwezinkomba kusuka kokujwayelekile, iziguli ezinomfutho ophakeme zinconywa ukuguqulwa kwendlela yokuphila. Kuyadingeka ukunciphisa ukusetshenziswa kotshwala, usawoti wethebula, ukukhipha imikhiqizo ekhuthaza ukugcinwa kwamanzi. Lapho kutholakala ukuthi i-2nd ne-3rd degree ye-hypertension isifo sikashukela, kunqunywa imithi ene-antihypertensive.

Kunamaqembu ambalwa emithi asiza ukunciphisa umfutho wegazi kwabanesifo sikashukela. Kepha bayehluka esenzweni sabo semithi. Izidakamizwa ze-diuretic zivame ukufakwa kuhlobo lokwelashwa. Le mishanguzo inyusa inani lamanzi akhishwa kanye nomchamo, ngenxa yalokho umthamo wawo egazini wehla.

Abamelene neCalcium yiqembu lezidakamizwa ezivimbela iziteshi ze-calcium, ngakho-ke udonga lwe-vascular alunqamuleli. Kukhona ukwanda kwe-lumen ye-vascular, ukuhamba kwegazi kanye nemingcele ye-arterial are modified. Leli qembu lezidakamizwa livame ukunqunyelwa, ngoba linokuphikisana okumbalwa, akuvamile ukuthi kuholele ekuthuthukiseni imiphumela emibi.

Ukwelashwa kwe-hypertension kusetshenziswa i-mellitus yesifo sikashukela:

• Ama-inhibitors e-ACE;
• Abaphikisi be-Angiotensin;
• Ama-blocker e-Adrenergic.

Ukwelashwa kunqunywa ngakunye. Imvamisa ebekelwa izidakamizwa eziningana ze-antihypertensive zezindlela ezihlukile zomsebenzi. Ngendlela ebabazekayo yomfutho wegazi ophakeme, ukwelashwa okungafuneki kuyadingeka.

Ukucindezela kwegazi okuqondisiwe kushukela sikhulu kuno-140 nge-90 mmHg.

Ukuvimbela Ukucindezela Okuphezulu Kwabesilisa

Isifo sikashukela yisifo esingelapheki esandisa ingozi yokuba namanye ama-pathologies - umfutho wegazi ophakeme, isifo sokuqina kwemithambo yegazi. Ukunyusa umfutho wegazi kuhlale kudinga isenzo okuhloswe ngaso ukwehlisa. Njengesinyathelo sokuvimbela, kunconywa ukuthi ushintshe indlela odla ngayo.

Iziguli zidinga ukunciphisa ukungenisa usawoti kuya kumagremu amahlanu ngosuku. Ukudla kunosawoti kuphela ngaphambi kokukusebenzisa, hhayi ngesikhathi sokupheka. Imikhiqizo efana ne-ketchup, imayonnaise, amasoseji, ingulube enamafutha, i-offal, i-margarine ayifakiwe kwimenyu. Awukwazi ukudla ama-khekhe amasha, amaswidi, u-ayisikhilimu. Ukusuka kokuphuza utshwala kwama-compotes, ama-juices, amanzi amaminerali kuvunyelwe.

Ukudambisa ingcindezi, ukusebenza ngokomzimba kuyadingeka futhi. Ukuzikhethela komdlalo kunqunywa ngawodwana. Cabanga ngeminyaka yendoda, umfutho wegazi, ukuba khona / ukungabikho kwezimpawu zesifo, umlando ojwayelekile.

Izindlela zokuvimbela:

1. Ukuqapha okuqhubekayo komfutho wegazi noshukela wegazi.
2. I-Naturalization yesisindo.
3. Ukwenqaba utshwala, ukubhema, kufaka phakathi i-hookah.
4. Ukukhishwa kwezimo ezicindezelayo, ukungezwani kwemizwa.
5. Lala okungenani amahora ayisishiyagalombili ngosuku.
6. Faka isikhalo kudokotela ngokuwohloka kwenempilo.

Lapho izindlela zokuvimbela zingasizi ukuqinisa umfutho wegazi, kudalwa imishanguzo ye-antihypertensive. I-Hypertension akusona isigwebo. Ukushintsha indlela yokuphila kanye nokulandela zonke izincomo zikadokotela kukuvumela ukuthi uphile impilo ephelele yomuntu ojwayelekile.

Unganciphisa kanjani ingcindezi ekhaya echazwe kule vidiyo kule ndima.