Ngokwezibalo ezitholwe njengomphumela wokucubungula imininingwane yezokwelapha ejwayelekile, i-arterial hypertension (AH) ku-mellitus yesifo sikashukela kwenzeka kaningi njengakwamanye amacala.
Isizathu salokhu izinga eliphakeme kashukela wegazi, oluthinta kabi imithambo yegazi nenhliziyo.
Umfutho wegazi ophakeme nesifo sikashukela ngenxa yemvelo yabo bayaqinisana, okungaholela ekukhubazekeni nasekufeni. Uma kutholakala isifo sikashukela, kuyadingeka ukulawula umfutho wegazi bese uqala ukwelashwa nge-hypertension ngokushesha ngemuva kokutholwa kwaso.
Imigomo yokwelashwa kwe-hypertension kuhlobo lwesifo sikashukela uhlobo 1 no-2
Ngaphambi kokwenza izinqumo eziyisisekelo maqondana nokwelashwa, kubalulekile ukuzicacisela ngokwakho ukuthi yiziphi izinkomba ezithile eziyimpawu ezesabekayo ezibonisa isidingo esisheshayo sokwelashwa okuphuthumayo.
Uma izinga lomfutho wegazi lingaphezu kwe-130/85 mm RT. Ubuciko., Kufanele buphapheme. Izinkomba ezinjalo ziyesabisa.
Ukwelashwa kwe-hypertension kushukela kususelwa kunqubo ehlanganisiwe, ingxenye eyisisekelo yayo inikelwe emithini. Ukwelashwa kwe-hypertension kuma-diabetes, kusetshenziswa izidakamizwa ezinomphumela omnene ezinso. Iziguli zinqunywe i-thiazide diuretics, i-calcium blockers, kanye nemithi evela kwamanye amaqembu ezidakamizwa.
Kunoma ikuphi, umuthi wesiguli ngasinye ukhethwa ngudokotela oya kuye ngokusho kwesimo sempilo kanye nemiphumela yokuhlolwa kwesiguli. Ezinsukwini zokuqala zokwelashwa, umuntu onesifo sikashukela kufanele alawule isimo sakhe futhi, uma kwenzeka imiphumela emibi, ngokushesha azise uchwepheshe.
Uhlu lwe-New Antihypertensive Medicines for Diabetesics
Ukwelashwa kwengcindezi kushukela akulula ukuthi ukhethe. Ngenxa yokwephulwa kwe-carbohydrate metabolism, akuzona zonke izidakamizwa ezifanele ukusetshenziswa.
Isiguli singabelwa njengethuluzi elihlukile, noma inkimbinkimbi yezidakamizwa. Konke kuzoncika kuhlobo kanye nobunzima besifo sikashukela, kanye nokugula okufana nakho kanye nezimpawu zemvelo zomzimba.
Ama-blocker e-Beta
Ama-Beta-blockers ayiqoqo lezidakamizwa isenzo sawo esenzelwe ukunciphisa ukubonwa kwama-receptors kwenhliziyo nemithambo yegazi ku-adrenaline nezinye izinto ezidala ukwanda kwesisindo sohlelo lwezinhliziyo.
Amapilisi eNebile
Ama-blocker e-Beta asiza ukunciphisa ukukhathazeka kwenhliziyo. Okuwusizo kakhulu izidakamizwa ezivela kuleli qembu ezinezakhi ze-vasodilating. Lokhu kufaka i-Trandat, Dilatrend, Nebile.
Eshibhile kakhulu yi-Atenolol. Le mishanguzo ayithinti ushukela futhi ayifaki sandla ekuzuzeni isisindo. Ngaphezu kwalokho, imithi nayo inengxenye ekwandeni kwemikhumbi emincane.
Ama-inhibitors e-ACE
Ama-inhibitors e-ACE noma ama-angiotensin-aguqula ama-enzyme izidakamizwa izidakamizwa okumele zibe khona kwikhabethe lezokwelapha laso sonke isifo sikashukela. Abagcini nje ngokuvusa i-vasodilation, kodwa futhi basusa amanzi ngokweqile kanye ne-sodium eyingozi emzimbeni.
Amacwecwe eRenitek
Lo mphumela utholakala ngenxa yokuvinjwa kwe-enzyme okuyingozi kwizindlala ze-adrenal (angiotensin-2). Ngaphezu kokunciphisa umfutho wegazi, ukusetshenziswa kwesidakamizwa isikhathi eside kuzosiza nokuthi kunciphise ukumelana ne-tisulin insulin.
Phakathi kwezidakamizwa zaleli qembu kubalwa iRenitek, Prestarium, Akkupro nezinye izindlela. Ama-inhibitors e-ACE asiza ukunciphisa ingozi yokushaywa yimizwa nokuhlaselwa yinhliziyo.
Izidakamizwa ze-diuretic
Ku-mellitus yesifo sikashukela, ama-diuretics awabekelwe njengezidakamizwa ezihlukile, kepha njengokwengeza ekwelapheni okuyinkimbinkimbi. Ama-diuretics afaka iHypothiazide, i-Indapamide, i-Arifon Retard, nabanye.
Amatafula we-Indapamide
Ukuzemukela ngokwakho imali edlulisiwe akuvunyelwe. Ukusetshenziswa isikhathi eside futhi njalo kwamathebhulethi avela kuleli qembu kungakha i-hyperglycemia, kubangele ukwanda kwe-cholesterol, futhi kuvimbele nomsebenzi wezinso.
AmaSartani
Ama-ARBs (ama-angiotensin-2 receptor blockers) noma ama-sartan asetshenziswa lapho i-ACE inhibitors ibanga imiphumela emibi.Izidakamizwa ezivela kuleli qembu azivimbi ukukhiqizwa kwe-angiotensin-2, kepha susa ukuzwela kwenhliziyo nemithambo yegazi kule nto.
Ngokungafani nama-inhibitors e-ACE, ama-sartan anokuphambana okumbalwa, futhi athuthukise ukusebenza kwezinso, avimbele ukukhula kwesifo sikashukela sohlobo 2, futhi futhi ahlanganiswe ngokuphelele nama-diuretics.
I-Slow Calcium Channel blockers
Njengoba wazi, i-calcium inomthelela ekunciphiseni kwemithambo yegazi, engamukeleki kwabanesifo sikashukela, abanemikhumbi yabo esivele benenkinga yokuthola ushukela. Ama-calcium calcium blockers, abangela umuthi, ahlinzeka ukwehla kwengcindezi yegazi.
Amathebhulethi eVerapamil
Kulezi zibhebhe kubalwa: iBarizin, iNimotop, iCorffar, iVerapamil nezinye izidakamizwa. Ama-blocker aleli qembu ahlanganiswe ngokuphelele nabakwa-beta-blockers, ahlinzeka ngomphumela omuhle kakhulu wokwelapha.
Izimiso zokwelapha ezihlanganisiwe ze-hypertension
Ezimweni eziningi, kunzima kakhulu ukunciphisa umfutho wegazi ophakeme ube ngamazinga ajwayelekile ngomuthi owodwa nje.Ngakho-ke, iziguli ziphoqelelwa ukuthatha izidakamizwa ezi-2-3 ngasikhathi sinye, ezincike ezintweni ezihlukile ezisebenzayo.
Ukwelashwa kwezidakamizwa okuhlanganisiwe kungaba yi-analogue enhle kakhulu lapho isiguli sinqunywe umuthi owodwa, ohlanganisa izithako eziningana.
Ukwelashwa okunjalo kunenzuzo enkulu emzimbeni, ngoba kulokhu isiguli sithatha izinto ezisebenzayo emithanjeni ephansi, kanti iphilisi elithathwa kanye kanye liqala izindlela eziningana ezidingekayo zokuthuthukisa isimo sesiguli.
Ukudla ngokumelene nomfutho wegazi ophakeme
Ukuze ulondoloze ushukela ezingeni elifanele, kanye nokwenza ijubane libe yingcindezi yegazi, udinga ukudla kahle. Ngaphandle kokudla, ngeke kwenzeke ukufeza umphumela oyifunayo.
Ukudla komfutho wegazi nesifo sikashukela kusho ukuhambisana nale mithetho elandelayo:
- umsoco kufanele ulinganiselwe. Ukukhishwa ngokuphelele kwezinye izinto ekudleni (amaprotheni, amafutha, ama-carbohydrate) akwamukeleki. Ngasikhathi sinye, inani lama-carbohydrate ekudleni kufanele libe lincane;
- kuyadingeka ukunciphisa inani likasawoti, amafutha wezilwane nama-carbohydrate alula;
- kuyadingeka ukugcwalisa lokhu kudla ngokudla okune-magnesium, potassium, amavithamini B, C, P. Ukufakwa okuphoqelekile kokudla kwasolwandle nokudla okusekwe ezitshalweni ekudleni;
- ukudla kufanele kube okuthambile. Yidla izikhathi ezingama-4-6 ngosuku ngezinxenye ezincane. 2 amahora ngaphambi kokulala, kuyalulekwa ukwenqaba ukudla;
- kwimenyu yabantu abanesifo sikashukela abahlushwa umfutho wegazi ophezulu, imifino nezithelo kufanele kube khona ngobukhulu obuningi;
- izitsha zenyama ezinamafutha ekudleni kumele kungabandakanywa, kufakwe endaweni yazo inkukhu noma ikalikuni. Kuyadingeka futhi ukulahla ukudla okuthosiwe, ukhukhamba nezinongo.
Ukuhambisana nale mithetho engenhla kuzosiza ekuqiniseni isimo sempilo futhi kususwe nezimpawu eziningi ezingemnandi ezidala impilo yesiguli.
Ungawalapha kanjani amakhambi esifo somfutho wegazi ophakeme?
Amakhambi e-Folk nawo angaba abasizi abahle kwabanesifo sikashukela ngokuthuthukisa umfutho wegazi ophakeme.
Ukupheka okulandelayo kunganciphisa ingcindezi:
- Inombolo yeresiphi. Ngokulingana okulinganayo, amaqabunga omisiwe wesinamoni, i-hawthorn, i-chamomile, ama-viburnum namaqabunga e-currant ahlanganiswe. 2 tbsp. l uthele u-0.5 l wamanzi abilayo kule ngxube bese uvumela itiye liphuze. Phuza ezingxenyeni ezincane usuku lonke. Phuza okungaphezu kwamalitha ayi-0,5 wetiyi ngosuku akunconywa;
- Inombolo yeresiphi 2. Amajikijolo amasha we-hawthorn adla nsuku zonke izikhathi eziyi-100 g ngosuku. Lezi zithelo azizosiza kuphela ukwehlisa umfutho wegazi, kepha futhi ziqede ne-hyperglycemia.
Ungakhulisa kanjani umfutho wegazi kushukela?
Kwezinye izimo, abanesifo sikashukela nabo bahlushwa umfutho wegazi ophansi. Lokhu kungenxa yokuthi kulezi ziguli kukhona ukwephulwa kohlelo lwezinzwa oluzimele, oluthinta kabi amandla okusebenza kwemikhumbi.
Ungangezela umfutho wegazi ngokuphuza inkomishi yetiye eliluhlaza ekuseni nocezu lweshizi olunosawoti.
Ungathatha ne-1/2 ithebhulethi ye-ascorbic acid noma uphuze amaconsi ambalwa we-Eleutherococcus oncibilikisiwe engxenyeni yengilazi yamanzi.
Amavidiyo ahlobene
Ekwelashweni kwezokwelapha kwe-hypertension kuhlobo lwesifo sikashukela uhlobo 1 no-2 kule vidiyo:
Ukuqapha njalo kwengcindezi yegazi kuvumela isiguli ukuthi sigweme ukwakhiwa kwe-pathology eyengeziwe, ngaleyo ndlela sithuthukise isimo sabo. Ngakho-ke, ukubheka nsuku zonke izinga loshukela egazini, futhi ungakhohlwa ukukala umfutho wegazi!
