INGCINDEZI NESIFO SIKASHUKELA: UBUDLELWANO PHAKATHI KOKUPHAKAMA NOKUNCIPHA KWENGCINDEZI YEGAZI NOSHUKELA WEGAZI

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Ake sibhekisise ukuthi kungani izifo ezinjayelekile neziyingozi njengokuthi umfutho wegazi ophakeme nesifo sikashukela zivela.

Ngokwezibalo, umfutho wegazi ophakeme phambi kwe-carbohydrate metabolism ephazamisekile cishe uphezulu kaningana kunobungozi bokuhlaselwa yisifo senhliziyo esibulalayo.

Noma ngabe ngale nhlanganisela, ukubukeka kokwehluleka kwezinso kungenzeka. Ingozi yokuthola izifo ezihambisana nomsebenzi obonakalayo yanda cishe kaningana. I-gangrene iyenzeka futhi, lapho ukunqunywa kwengalo kuvame ukukhonjiswa.

Ingcindezi ephansi ezigulini ezihlushwa uhlobo 1 nohlobo 2 lwesifo sikashukela kukhipha indlala yomoya-mpilo wezakhi zezicubu nokufa kwazo okuqhubekayo. Kubaluleke kakhulu ukuthi abantu abanjalo bahlale bebheka umfutho wegazi labo ngendlela efanayo noshukela wegazi labo.

Uma impilo yakho ejwayelekile iba mandundu, kufanele uthintane nodokotela wakho. Ingcindezi nesifo sikashukela - kukhona ubudlelwano noma cha? Impendulo itholakala kulesi sihloko.

Isifo sikashukela nengcindezelo: kukhona ubudlelwano?

Okwamanje, indlela ejwayelekile yokucindezela kwegazi yi-138/92 mm RT. Ubuciko.

Kepha uma izinkomba zi-overestimated kancane, khona-ke lokhu sekukhombisa ubukhona bezinqubo ezibucayi ze-pathological. Kulokhu, sikhuluma nge-hypertension ye-arterial.

Kubalulekile ukuqaphela ukuthi uma umuntu ngokwemigomo eba nomkhuba wokukhulisa noma wehlise ingcindezi, khona-ke izinkomba zingashintsha kakhulu ngezikhathi ezithile. Kuze kube manje, amanani afanele we-tonometer alandelayo: 121/8 mm Hg. Ubuciko.

Okubaluleke kakhulu isilinganiso esifanele sokucindezela. Ngisho nodokotela abavami ukucabanga ngakho. Uchwepheshe ungena, uphuthume i-cuff futhi ulinganise ingcindezi. Lokhu akulungile neze. Kubaluleke kakhulu ukuthi le nqubo yenziwa endaweni evuselelekayo.

Noma kunjalo, bonke odokotela bayazi ukuthi kukhona i- "white coat syndrome". Kuqukethe ukuthi imiphumela yokulinganisa umfutho wegazi ehhovisi likadokotela icishe ibe yi-35 mm RT. Ubuciko. ephakeme kunangesikhathi sokuzimisela ekhaya.

Lo mphumela uhlobene ngqo nengcindezi. Imvamisa, izikhungo ezahlukene zezokwelapha zivusa uvalo kumuntu.

Kepha kubantu abajwayela ukuzikhandla okumangazayo, isibonelo, abasubathi, ingcindezi ingancishiswa kancane. Ngokuvamile, amanani ayo acishe abe ngu-100/61 mm RT. Ubuciko.

Ngokuqondene noshukela wegazi, okwamanje, hhayi bonke odokotela abazokwazi ukuwuphendula kahle lo mbuzo, okuthi ngazo izinkomba ezithile, ukwephulwa kwe-carbohydrate metabolism kuqala. Okwesikhathi eside amanani afinyelela ku-6 ayizinkomba ezijwayelekile.

Kepha igebe phakathi kuka-6.1 no-7 lalithathwa njengesimo sangaphambi kwesifo sikashukela. Lokhu kukhombise ukuba khona kokwephulwa okukhulu kwe-carbohydrate metabolism.

Kepha phakathi kwezakhamizi zase-US, lezi zibalo zihlukile kancane. Kubo, isilinganiso somkhawulo kashukela wegazi ngu-5.7.

Kepha zonke ezinye izibalo zibonisa ukuba khona kwesimo se-prediabetes. Ngaleli zinga likashukela, umuntu ngokuzenzakalelayo usengozini. Kamuva, angathola isifo sikashukela. Phakathi kokunye, izifo ezinjenge-coronary atherossteosis, kanye nokuphazamiseka kokudla emzimbeni we-carbohydrate, kungamlinda.

Lokhu kusikisela ukuthi isiguli kumele sithathe izinyathelo ezifanele ngaso leso sikhathi. Uma ukugcwala kweglucose egazini kufinyelela uphawu lwe-7, khona-ke lokhu kubonisa ukuba khona kwesifo sikashukela. Kulokhu, i-pancreas ayenzi umsebenzi wayo.

Uma uma kudlula isivivinyo sesibili sikashukela, esilinganiswa esiswini esingenalutho, kabili ngokuphumula kosuku olulodwa, umphumela ukhombisa ukuqoqwa kwale nto elingana no-7, khona-ke lokhu kuyindlela yokuhlonza isifo sikashukela i-mellitus.

Kepha ukutholwa kwalesi sifo kweziguli kuyingozi eyandayo yokuthola noma yisiphi isifo esiyingozi sohlelo lwezinhliziyo.

Kubalulekile ukuqaphela ukuthi uhlobo 2 sikashukela yisifo esithinta cishe zonke izitho nezinhlelo zomzimba.

Amazinga kashukela wegazi akhuphukile anomthelela omubi kakhulu esimweni sohlelo lwezinzwa lomuntu. Kamuva, ubuchopho, inhliziyo, imithambo yegazi, imithambo kanye nama-capillaries nawo kuyahlupheka. Izinguquko ezithile ezingeni lamafutha ayingozi emzimbeni nazo ziyaqashelwa.

Uma une-cholesterol ephezulu egazini kanye nesisindo somzimba ngokweqile, udinga ukucabanga ngokujulile ngempilo yakho. Kulesi simo, amathuba wokuhlaselwa yisifo senhliziyo nesifo sohlangothi sikhuphuka amahlandla ambalwa.

Njengomthetho, ngokuvamile i-2 mellitus yesifo sikashukela esivame ukwenzeka ngasikhathi sinye nomfutho wegazi osuvele ukhona. Lezi zifo ziqinisa nje kuphela, zenze buthaka futhi zilimaze kakhulu izitho nezinhlelo zomzimba.

Ngamanye amagama, uma sekuyisikhathi eside uhlushwa umfutho wegazi ophakeme, khona-ke usengozini yokuhlaselwa yinhliziyo noma unhlangothi.

Kepha ngenkambo yesifo sikashukela sohlobo lwesibili esine-hypertension, amathuba okushaya kwenhliziyo cishe angama-20%.

Ushukela wegazi uyithinta kanjani i-tonometer?

Ukwanda kweglucose kunomthelela ongemuhle ekucindezelweni, okudala ukukhuphuka okuqhubekayo kwamanani omfutho wegazi.

Ubudlelwano obuphakathi kwe-hypertension kanye nesifo sikashukela buqinisekisiwe ngezifundo eziningi.

Njengoba wazi, i-hyperglycemia inomthelela ekunciphiseni kwemithambo yegazi. Kungakhuphula nomfutho wegazi.

Umfutho wegazi ophakeme ngohlobo 1 nohlobo 2 sikashukela

Cishe ikota yazo zonke iziguli ezinesifo sikashukela sohlobo 1 no-80% wabantu abanale hlobo 2 isifo banesifo somfutho wegazi ophakeme.

Kungani kungavuka?

Ukuba khona kwesifo sikashukela kukhulisa amathuba esifo senhliziyo nesemithambo.

Ukugula okufana nokushaywa unhlangothi, ukwehluleka kwezinso nezinye izifo kungavela.

I-Hypertension yandisa le ngozi.

Uma isifo sikashukela senzeka kanyekanye nge-hypertension, khona-ke lokhu kwandisa amathuba ezinkinga zezempilo ngokuzayo.

Izimpawu zomfutho wegazi ophakeme

Izimpawu zomfutho wegazi ophezulu:

hyperemia yobuso;
umuzwa ophikelelayo wokukhathazeka;
ukushaya kwenhliziyo
ukucindezela noma ukuhlikihla izinhlungu ebuchosheni;
tinnitus;
ubuthakathaka
isiyezi.

Ukwelashwa kwe-Hypertension

Ngaphambi kokwelapha isifo, kufanele uqonde ukuthi kwavelaphi.

Kubalulekile ukubonana nodokotela ozokwenza ukuhlolwa akhombe imbangela yalesi simo.

Njengomthetho, ukwelashwa kuqukethe ukuthatha amakhambi akhethekile anemiphumela enamandla ye-antihypertensive.

Umfutho wegazi ophansi kwabanesifo sikashukela

Ukwehlisa umfutho wegazi akubonakaliswa yizimpawu eziphawuliwe.

Izizathu ezingenzeka

Izimbangela ezingase zehlise umfutho wegazi yilezi ezilandelayo:

ukusweleka kwamavithamini;
ukuphazamiseka kokulala;
inqubo yokuvuvukala kumanyikwe;
i-vegetative-vascular dystonia;
I-pathologies ye-congenital yesistimu yezinzwa;
ukusetshenziswa isikhathi eside kwemithi ekhethekile enamandla
izifo zenhliziyo nezemithambo;
ithoni ebuthakathaka yemithambo, imithambo kanye nama-capillaries.

Izimpawu zokucindezela kwegazi okuphansi

I-Hypotension ibonakala ngezimpawu ezinjalo:

buthakathaka, ukushaya ngamandla okungabonakali;
ubuthakathaka
ukozela
ukuphefumula kanzima
izinyawo ezibandayo nezingalo;
i-hyperhidrosis;
umphumela wokucindezela komoya enhlalakahleni yesiguli.

Ukwelashwa kwe-Hypotension

Indlela engenabungozi kakhulu yokwandisa ingcindezi inkomishi yetiye elinamandla. Lapho kukhona ushukela, akunconywa ukuthi uphuze iziphuzo ezinoshukela.

Ngomfutho oncishisiwe ngemuva kwesizinda sokugcotshwa kweglucose egazini, kunconywa:

ukuphumula okuhle;
umsoco ofanele futhi olinganiselayo;
ukuthatha izakhiwo ezikhethekile zamavithamini;
ukuphuza uketshezi oluningi;
ukuthatha ishawa elihlukile ekuseni, futhi mhlawumbe ekuseni;
Ukuzivocavoca kwezitho zomzimba nezomzimba wonke.

Yini okufanele uyenze ngesifo se-hypertensive ekhaya?

Vele, odokotela abeze kwi-ambulensi kufanele babhekane nezimpawu zalesi simo.

Kepha kufanele ukwenze ngaphambi kokufika kochwepheshe?

Muhle uma udokotela ehlala eduzane. Kepha, uma ungekho udokotela ofanelekayo oseduzane, kufanele ukwazi ukunikeza usizo lokuqala esimweni esinjalo. Kubalulekile ukuthola izidakamizwa ezinjengeFurosemide, iDibazol, Magnesia, kanye nama-antispasmodics ahlukahlukene.

Inkinga ye-Hypertensive ayifaki ukwelashwa ekhaya. Kepha, lokhu kusebenza kuphela kulawo macala lapho lo mkhuba ungavuseli ukubonakala kwezinkinga.

Ukucindezelwa kwe-Intraocular and intracranial in diabetesics

Ingcindezi ye-Intraocular ivame ukuncipha ebukhoneni besifo sikashukela.

Kukhona amathuba ezimo ezifana ne-ketoacidosis ne-ketoacidotic coma.

Kepha ngokuqondene nengcindezi ye-intracranial, ingakhula ibekhona izinhlobo ezinzima zesifo sikashukela.

Izindlela zokuvimbela

Ukwanda noma ukuncipha kwengcindezi yegazi yisimo esiyingozi esingaba nomthelela ongemuhle kwikhwalithi yempilo.

Uma lesi sifo sivela ngokusemuva kokuphazamiseka kwe-carbohydrate metabolism, khona-ke amathuba ezinkinga ezinkulu akhula ngokuqinile.

Ukuvimbela ukucindezela kwesifo sikashukela, kuyadingeka ukuhola impilo enempilo.

Umfutho wegazi ophezulu uvame kakhulu ngaphambi kokuvela kokuphazamiseka ekusebenzeni kwamanyikwe.

Amavidiyo ahlobene

Mayelana nengcindezi yesifo sikashukela sohlobo 2 kuvidiyo:

Umthetho omkhulu wokugcina impilo yakho uvunyelwe ukubonwa yi-cardiologist kanye ne-endocrinologist. Kubalulekile futhi ukuhola impilo enempilo, ukunamathela ekudleni nasekuzivocavoca umzimba.

Lokhu kuzosiza ukulawula isisindo somzimba ukuze ugweme ukwenzeka kwesifo sikashukela kanye nomfutho wegazi ophakeme ngemuva kwalokho. Kubalulekile futhi ukuthatha ama-protein complexes azosiza ukugcwalisa ukuntuleka kwezakhi zomzimba.

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