Umfutho wegazi uluhlobo lokucindezelwa kwe-intravascular, ngenxa yokuthi okwenzeka ngayo umkhuba wokumelana kwe-intravascular, lapho igazi ligeleza kuzo zonke izakhi zomzimba futhi linikeze ukondleka nokunikezwa komoya-mpilo.
Izinga lokucindezela kwegazi lishintsha ngasikhathi sinye kanye nezinguquko ezimweni ezinjengokuthi inani lengxenye yegazi, inani lezakhi ezibunjiwe, isilinganiso sazo, ukumelana kodonga lwe-vascular, imvamisa yokuqothuka kwe-myocardial, ingcindezi emithanjeni yomzimba, kanye nobubanzi bokukhanya kwangaphakathi komkhumbi. Ukulawulwa kwengcindezi yegazi kwenziwa ezingeni lesistimu yezinzwa ephakathi nendawo nehlazisayo.
Umfutho wegazi we-arterial ungaba izinhlobo eziningi:
- kubalulekile, okusemqoka, kuvela ngemuva kwempilo "ephelele";
- okwesibili, kukhula kungqubuzana nesizinda se-organic noma esebenzayo yokusebenza kwanoma isiphi isitho;
- Umthambo wethambo lomthambo utholakala kwabesifazane abakhulelwe kuphela.
Ngesikhathi sokukhiqizwa kwe-ventricle yangakwesobunxele, igazi likhishwa lingene kwi-aorta. Le nkathi ibonakala ngezinombolo eziphakeme kakhulu zomfutho wegazi. Lesi sikhathi sihambelana nesigaba se-systolic sokulinganiswa kwengcindezi. Ngemuva kwe-systole, isigaba se-diastolic siqala, ngalesi sikhathi ingcindezi yincane kunazo zonke.
Lapho ukude ibanga kusuka kumisipha yenhliziyo, kuba buthaka ukuhanjiswa kwegazi endaweni. Lokhu kungenxa yamandla omhlaba adonsela phansi. Ingcindezi efanele isiguli ingu-120/80 mm Hg. Uma izinombolo zedlula i-140/99, ukuxilongwa kwe-hypertension ye-arterial kwenziwa njalo futhi lonke uhla lwezinqubo zokuxilonga luyenziwa ukuthola imbangela yokwanda kwengcindezi yegazi.
Emzimbeni ophilile, izinqubo eziguqukayo zilinganisela ushintsho olungazelelwe emvelweni: gxuma ekucindezelweni komoya, ushintsho lokushisa, izinga lokuphefumula komoya. Ukugxuma komzimba ekucindezelweni kwegazi kuvunyelwe ngesikhathi sokuzivocavoca okukhulu komzimba, ukukhula okukhulu ebusheni.
Ngeshwa, ezigulini ezinomfutho wegazi ophezulu, izinkomba zezinqubo ezivumelanayo ziyancishiswa. Kulokhu, ukuzivocavoca okukhulu, isimo sezulu esicasulayo nesishubile, kungenzeka ukuthi kubangele izinkinga eziningi zezempilo. Ngalezo zinguquko, ukuvela okungathi sína kwegazi okunamandla kungenzeka, noma okuphambene nalokho, ukuguqukela esimweni se-hypotension. Kubalulekile ukunquma kahle ukuthi ungasithola kanjani isimo sezulu esihle kakhulu seziguli ezinesifo somfutho ezweni lakho.
Umphumela wesimo sezulu umfutho wegazi
Ngokusho kocwaningo lwakamuva, indawo yesimo sezulu inomphumela okhethekile esimweni sempilo sama-cores nama-hypertensives.
Ngaphezu kwalokho, emakhoneni ahlukene oMhlaba, izehlakalo ezihlukile nokwanda kwama-pathologies ohlelo lwenhliziyo.
Eminye imininingwane ye-static inikezwe ngezansi:
- Izakhamizi zezindawo ezishisayo nezindawo ezishisayo zezulu, yize kunokushisa okuphezulu kakhulu komoya, umswakama ophezulu, azithinteki kakhulu ezimweni zokuphazamiseka kwegazi okuphezulu. Lokhu mhlawumbe akubangelwa kuphela izinkomba zokushisa zaphakathi nonyaka, kodwa futhi nendlela yempilo.
- Izakhamizi zase-Europe kanye namazwe e-CIS zithambekele kakhulu ezifweni zenhliziyo.
- Iqiniso elithandekayo ukuthi i-East Africa ithambekele kakhulu kwi-BP ephezulu kuneNtshonalanga. Lokhu mhlawumbe kubangelwa ubujamo bomswakama ngesifunda.
Ngaphezu kwalokho, iziguli ezinomfutho wegazi ophakeme zizwela kakhulu ushintsho emazingeni okucindezela komoya. Okubaluleke kakhulu nengcindezi emithanjeni yomzimba (isisu nokugcwala). Ukucindezela okwandayo kubo, okuvame kakhulu ngama-pathologies athile, kuthinta ngokuqondile ukwanda kwengcindezi yegazi
Lapho ukhetha indawo yokuhlala isiguli enesifo esifanayo senhliziyo, umuntu kufanele aqonde ukuthi iyini indawo "enhle" yemithambo yegazi.
Ukuphila nokukhetha indawo yokuhlala isiguli enomfutho wegazi eliqhakazekile kufanele kususelwe kulezi zincomo ezilandelayo:
- kufanelekile ukukhumbula izici ezithinta inani leengcindezi zegazi - ukuphefumula, umswakama ohlobene, izinsuku ezinelanga, izinga lokushisa nokucindezela komoya;
- kubalulekile ukucubungula ukwehla okujwayelekile kwengcindezi yansuku zonke, isivinini somoya, izinga lokushisa kanye nomswakama;
- ama-hypertonics azoba muhle lapho isimo sezulu silinganiswa kakhulu;
- izindawo ezishisa ngokweqile noma eziqine kakhulu zezimo zezulu ezishisayo zizothinta kabi inani lamandla egazi;
- ukusondela olwandle kuthuthukisa inhlala-kahle nokulindelwa kwempilo kweziguli;
- ihlathi likaphayini eliseduze nalo linomphumela omuhle kakhulu esimweni sesiguli.
Izindawo eziphakeme njalo azihlali zinomphumela omuhle ezigulini ezinomfutho wegazi ophakeme; kunalokho, kufanelekile kubantu abanokukhuluphala nabanesifo sikashukela.
Isimo sezulu esihle kwiziguli ezinomfutho wegazi ophakeme
Lapho ukhetha lapho kungcono khona ukuhlala noma uphumule eRussia kwiziguli ezinesifo somfutho wegazi kanye nezinye iziguli ezinesifo senhliziyo, kufanele uqale uthole izeluleko kudokotela wakho futhi uqonde i-algorithm yokukhetha indawo enjalo.
Qiniseka ukuthi ulalela izincomo ezichazwe esigabeni esedlule.
Ngisho ne-novice cardiologist izokweluleka isiguli sayo ukuthi sigweme izindawo, ngokushintshwa okubucayi kwezimo zezulu. Inketho enhle kakhulu yokuzilibazisa i-Anapa, kodwa empilweni isimo sezulu esihle kunazo zonke seziguli ezinomfutho wegazi ophakeme eRussia sisenyakatho.
Ngaphezu kwalokho, izinkomba zomswakama kanye nokushisa okuphakathi konyaka kufanele kubhekwe. Umswakama ohlobene kufanele ube sebangeni ukusuka kumaphesenti angama-40 kuye kwangama-60, futhi izinga lokushisa akufanele lidlule degrees ezingama-22-23. Kulokhu, odokotela bancoma ukuthi iziguli ezinomfutho wegazi ophakeme ziphumule engxenyeni eseningizimu yeRussia ngezikhathi ezingashisi zonyaka.
Kubalulekile ukubheka ukuthi izinga eliphezulu lomswakama lithinta kabi ukusebenza kwesistimu yenhliziyo nokuphefumula. Isifunda esifaneleke kakhulu - indawo egcwele izihlahla zeConiferous.
Kubalulekile ukuthi isiguli "singanqamuki" imingcele yezindawo ezihlukene zezwe izikhathi ezingaphezu kwesisodwa isizini. Ukushintshwa okubukhali kokushisa nokubanda ngosuku lokuqala kungaholela ekucindezelweni kokuxineka nezinkinga ezahlukahlukene.
Izimo zesimo sezulu ezindaweni eziphakeme zaseningizimu yeRussia zinomphumela omuhle kakhulu esimweni senhliziyo, ngenxa yokuhlanganiswa kwezimo zezulu ezifudumele, umoya omswakama onesizotha, ukuntuleka kwemvula enamandla, umoya ohlanzekile kanye nokungabikho kwezinguquko zesimo sezulu esibi.
Izici zokuzijabulisa ezindaweni zokuzijabulisa
Ubuningi bezikhala eziluhlaza, ikakhulukazi emahlathini, buthinta kakhulu isimo sodonga lwe-vascular. Lokhu akubangelwa izinqubo zokuhlanza ezinamandla kuphela, kodwa futhi nokufakwa kwe-phytoncides ethile yegxolo namaqabunga (izinaliti) zezihlahla emoyeni.
Kungcono ukuthi iziguli ezinomfutho wegazi ophakeme zichithe amaholide azo ezindaweni zokuzithokozisa, njengama-sanatorium ezokwelashwa nokuvimbela. Lokhu kungenxa yokuthi isiguli siyohlala siphethwe udokotela.
Ukwelashwa ezikhungweni zokuzijabulisa akuhlanganisi ukuphumula nje kuphela, kepha futhi nezinqubo eziningi ezithinta inzuzo ngokuhlelayo kohlelo lwezinhliziyo:
- amabhathi okugeza nge-radon, amapharele, i-hydrogen sulfide, iodine;
- ukudla kokudla, ungalandela ukudla okungenawo ushukela;
- imodi yokulala efanele;
- izivivinyo zokuzivocavoca umzimba;
- i-electrotherapy;
- kinesitherapy;
- isifundo se-massage;
- ukwelashwa ngodaka;
- i-aerobics yamanzi;
- izimayini zikasawoti;
Eholidini, kufanele wenze ukuhamba okuningi emoyeni omusha. Udokotela ohambela isiguli uthumela isiguli esikhungweni sezokwelashwa ngemuva kokuhlola zonke izinkomba zakhe zezempilo.
Ngaphambi kokuya eholidini, iziguli kufanele zinqunywe:
- Ucwaningo lomtholampilo olujwayelekile lomchamo negazi.
- I-Electrocardiogram.
- Njengoba kudingeka, i-ultrasound yenhliziyo nemithambo yegazi.
- I-Ultrasound yesibeletho sesisu.
- Ukuhlolwa kwegazi ushukela onomthwalo.
Kuyaqapheleka ukuthi ezigabeni zakamuva zenqubo ye-pathological, ukwelashwa kwe-sanatorium e-sanatoria kunomthelela emiphumeleni esheshayo nephumelelayo ngisho nangaphandle kokuxhuma ukwelashwa kwe-pharmacological. Njengoba ukuphumula okuphelele kusuka ezintweni ezingezinhle zomzimba nezengqondo, indawo yokuphumula, kanye nemicabango emihle nesizinda esihle esingokomzwelo, kunomthelela ekuvuselelweni okuphelele komzimba nokunxephezelwa kwe-pathologies yenhliziyo nokucindezelwa.
Ngokwakho konke ukuhlakanipha okwaziwayo, isifo singcono futhi sishibhile ukusivimba kunokuselapha. Ukuphumula okugcwele konyaka, ukugcina impilo inempilo, ukudla okulinganiselayo kuyisihluthulelo sempilo ephelele yohlelo lwezinhliziyo.
Amaqiniso athakazelayo nge-hypertension anikezwa kuvidiyo kule ndatshana.
