Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi)

Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi)

By Uhlaziyo lweMedia; Ukuhlaziywa ngu-Varixcare.cz. Igqityelwe ukuhlaziywa ngoJan 12, 2021.

Yintoni uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi)?

Ukupapashwa kwezeMpilo eHarvard

Uxinzelelo lwegazi lunamacandelo amabini:



  • Uxinzelelo lwe-Systolic lelona nani liphezulu. Imele uxinzelelo oluveliswa yintliziyo xa ibetha ukumpompa igazi kuwo wonke umzimba.



  • Uxinzelelo lwe-diastolic linani elisezantsi. Ibhekisa kuxinzelelo kwimithambo yegazi phakathi kokubetha kwentliziyo.

Uxinzelelo lwegazi lulinganiselwa kwiimilimitha zemekyuri (mm Hg). Ke uxinzelelo lwegazi luya kubonakaliswa, umzekelo, njenge-120/80 mm Hg.



Uxinzelelo lwegazi oluphezulu lufunyaniswa xa elinye okanye omabini la manani ephezulu kakhulu. Uxinzelelo lwegazi oluphezulu lukwabizwa ngokuba ngumfutho wegazi ophezulu.

Kumashumi eminyaka, uxinzelelo lwegazi oluphezulu lwaluchazwa njenge-140/90 mm Hg. Ngo-Novemba, i-2017, izikhokelo ezitsha zase-United States zehlisa umqobo wokufumanisa imeko. Ngokwezikhokelo ezitsha, nabani na ofunda i-130/80 mm Hg okanye ngaphezulu unexinzelelo lwegazi. Ngokusekwe kule nkcazo intsha, phantse isiqingatha samaMelika ngoku siwela kweli qela.

Uxinzelelo lwegazi ngoku luhlelwe ngolu hlobo lulandelayo:



Ngokwesiqhelo: Ngaphantsi kwe-120/80 mm Hg

Ukuphakama: 120/80 ukuya ku-129/79 mm Hg

Isigaba 1 soxinzelelo lwegazi: 130/80 ukuya kwi-139/89 mm Hg

Isigaba 2 soxinzelelo lwegazi: 140/90 mm Hg nangaphezulu

Nangona uxinzelelo lwegazi oluphezulu kunokubangela iimpawu ezinjengeentloko kunye nokubetha kwentliziyo, kuhlala kungabangi zimpawu kwaphela.

Ke kutheni uzikhathaza ngoxinzelelo lwegazi oluphezulu? Kuba nokuba uxinzelelo lwegazi oluphezulu alubangeli zimpawu, lunokwenzakalisa amalungu amaninzi ngokuthe cwaka, kubandakanya:

  • Ingqondo

  • Amehlo

  • Intliziyo

  • Izintso

  • Imithambo yegazi emzimbeni wonke

Awunakuwubona umonakalo oye wenziwa ngumfutho wegazi ophezulu emzimbeni wakho de ngokukhawuleza uhlaselwe sisifo esikhulu. Umzekelo, uxinzelelo lwegazi lonyusa umngcipheko wokuhlaselwa sisifo sentliziyo, ukubetha, kunye nokusilela kwezintso.

Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi)

Iimpawu

Ngokwesiqhelo, uxinzelelo lwegazi alubangeli ngqo iimpawu. Xa uxinzelelo lwegazi luphezulu kakhulu, kunokubangela:

  • Intloko ebuhlungu

  • Ukuba nesiyezi

  • Ukudinwa

  • Iyakhala ezindlebeni

Uxilongo

Ukuchongwa koxinzelelo lwegazi kuxhomekeke kufundo loxinzelelo lwegazi. Ke ngoko, kubalulekile ukuba uxinzelelo lwegazi lilinganiswe ngononophelo.

Unobangela isicaphucaphu ngaphandle kokugabha

Ukufumana imilinganiselo yoxinzelelo lwegazi oluchanekileyo:

  • Gwema oku kulandelayo kangangeyure enye ngaphambi kokuba uxinzelelo lwegazi lwakho luthathwe:

  • Ukuzilolonga kakhulu

  • Ukutshaya

  • Ukutya

  • Ukusela iziselo ezine-caffeine

  • Hlala phantsi ubuncinci imizuzu emihlanu ngaphambi kokuba kufundwe.

  • Musa ukuthetha ngelixa uxinzelelo lwegazi lilinganiswa.

  • Ukufundwa kabini kufuneka kurekhodwe kwaye kwenziwe i-avareji.

Ukuba uxinzelelo lwegazi luphezulu, ugqirha wakho kufuneka ahlole amehlo akho, intliziyo, kunye nenkqubo yovalo, ukukhangela ubungqina bomonakalo wegazi.

Ukuba abukho obo bungqina, kuya kufuneka ubuye ubuncinci ngaphezulu kwemilinganiselo yoxinzelelo lwegazi. Kuphela kuxa ugqirha ekufumanisa ukuba unexinzelelo. Kungenxa yokuba ufundo olunye oluphezulu lunokwenzeka nakubani na.

Ukuba ufunyaniswe unesifo soxinzelelo lwegazi, ezinye iimvavanyo ziya kujonga ukonakala komzimba. Olu vavanyo lunokubandakanya:

  • Uvavanyo lwegazi ukujonga ukusebenza kwezintso

  • I-electrocardiogram (EKG) yokukhangela:

    • Ukutyeba kwezihlunu zentliziyo

    • Isingqisho sentliziyo esingaqhelekanga

    • I-x-ray yesifuba ukujonga:

    • Ukwandiswa kwentliziyo

    • Ulwakhiwo lwamanzi emiphungeni ngenxa yokusilela kwentliziyo

Uthintelo

Ukuthintela uxinzelelo lwegazi oluphezulu:

  • Yenza umthambo rhoqo

  • Nciphisa ukungenisa kwakho ityuwa kunye neziselo ezinxilisayo

  • Yitya ukutya okunotye iziqhamo kunye nemifuno kunye namafutha asezantsi

  • Kuphephe ukutshaya

  • Gcina ubunzima bomzimba obunqwenelekayo

Uxinzelelo lwegazi lonyusa umngcipheko wokuhlaselwa sisifo sentliziyo kunye nokufa icala. Ke kubalulekile ukuba uhlengahlengise imeko yomngcipheko wesifo somthambo. Ukongeza kwezi zenzo zingasentla, kuya kufuneka:

  • Yeka ukutshaya

  • Nciphisa i-cholesterol yakho ephezulu ye-LDL (embi)

Unokwazi ukunyanga uxinzelelo lwegazi kunye notshintsho kwindlela yokuphila wedwa. Ukutshintsha nje into oyityayo noselayo kunokuhlisa uxinzelelo lwegazi ngamanqaku ayi-11, ngokokutsho koqikelelo oluthile.

Unyango

Uxinzelelo lwegazi oluphakamileyo. Ukuba uxinzelelo lwegazi luphakanyisiwe, oko kuthetha ukuba inani lokuqala (uxinzelelo lwegazi lwe-systolic) liwela ku-120 ukuya ku-129 ngelixa inani lesibini (uxinzelelo lwegazi diastolic) lihlala lingaphantsi kwe-80, amayeza awanconyelwa. Endaweni yoko, kuya kufuneka ujolise kwiinguqu kwindlela yokuphila esempilweni:

  • Ukutya okuphezulu kwiziqhamo kunye nemifuno

  • Ityuwa encinci kunye namafutha agcweleyo

  • Umsebenzi omninzi

  • Ukwehla kobunzima ukuba utyebe kakhulu

  • Ukunciphisa utywala kwixabiso eliphakathi

Isigaba 1 soxinzelelo lwegazi. Unenqanaba 1 loxinzelelo lwegazi ukuba uxinzelelo lwegazi lwe-systolic luyi-130 ukuya kwi-139, uxinzelelo lwakho lwe-diastolic ngama-80 ukuya kuma-89, okanye zombini. Nokuba uxinzelelo lwegazi lwakho luhamba ngaphezulu kwe-130, awusayi kuludinga unyango kwangoko. Ugqirha wakho unokucebisa uvavanyo lokutshintsha indlela ophila ngayo kuqala ukuba awunasifo sentliziyo kwaye unomngcipheko ophantsi wokukuhlakulela kule minyaka ilishumi izayo. Kodwa abantu abaninzi bafumanisa ukuba kufuneka bathathe uhlobo oluthile lwamayeza ukuze banciphise amanani oxinzelelo lwegazi ukuya kumanqanaba asempilweni.

Isigaba 2 soxinzelelo lwegazi. Unesigaba 2 soxinzelelo lwegazi ukuba uxinzelelo lwakho lwe-systolic ubuncinci yi-140 mm Hg, uxinzelelo lwakho lwe-diastolic ubuncinci yi-90 mm Hg, okanye zombini. Ukongeza kwiinguqulelo kwindlela yokuphila, kuya kufuneka ukuba uqale amayeza ukunciphisa uxinzelelo lwegazi. Oko akuthethi ukuba uyakuhlala ufuna unyango lweziyobisi. Ukuphulukana nobunzima, ukunciphisa uxinzelelo, ukutya okusempilweni, kunye nokwenza umthambo yonke imihla kunokubangela ukufundwa kwakho kuluhlu oluqhelekileyo. Kodwa nokuba usafuna amayeza, iinzame zakho zokuphila zikunceda ekuthinteleni ekufuneni iidosi eziphezulu kwixesha elizayo.

Amayeza okunyanga uxinzelelo kubandakanya:

  • Womchamo

  • Beta-iibhlokhi

  • I-ACE inhibitors

  • I-Angiotensin-receptor ibhlokhi

  • Iibhlokhi zesitayile seCalcium

  • Iibhlokhi zeAlfa

Abantu abanesifo seswekile, isifo sezintso okanye iingxaki zentliziyo basemngciphekweni omkhulu wokuba neengxaki zoxinzelelo lwegazi. Ngenxa yoko, bahlala bephathwa gadalala ngakumbi ngamayeza.

Xa ufuna ukubiza uNgcali

Abantu abadala kufuneka uvavanyo lwegazi lwabo lilinganiswe ubuncinci rhoqo kwiminyaka embalwa.

Ukuba uxinzelelo lwegazi ngu-120/80 mm Hg okanye ngaphezulu, cwangcisa ukuqeshwa rhoqo nogqirha wakho. Ngaba uxinzelelo lwegazi lubekwe esweni rhoqo. Kwaye ufumane iingcebiso malunga nokuguqula indlela ophila ngayo ukukhusela iingxaki ezizayo.

Ukuxela kwangaphambili

Ukuxelwa kwangaphambili koxinzelelo lwegazi kuxhomekeke:

  • Kude kube nini unayo

  • Inzima kangakanani

  • Ukuba unezinye iimeko (ezinjengesifo seswekile) ezonyusa umngcipheko weengxaki

Uxinzelelo lwexinzelelo kunokukhokelela kwisifo esibi nokuba awunazo iimpawu.

Xa uxinzelelo lwegazi oluphezulu luphathwa ngokufanelekileyo, isifo sisengcono kakhulu. Zombini ezi nguqulelo kwindlela yokuphila kunye namayeza anokulawula uxinzelelo lwegazi.

Izixhobo zangaphandle

Umbutho wentliziyo yaseMelika
http: //www.ameriunheheart.org/

Intliziyo kaZwelonke, iMiphunga, kunye neZiko leGazi (NHLBI)
http: //www.nhlbi.nih.gov /

Inkcukacha ezithe vetshe

Njalo qhagamshelana nomboneleli wakho wezempilo ukuqinisekisa ukuba ulwazi oluboniswe kweli phepha lisebenza kwiimeko zakho zobuqu.

Ukuzihlangula kwezonyango