Xa usiya kugqirha, mhlawumbi ukhe wambona umongikazi okanye ugqirha ebeka ibhande engalweni yakho, eyipompa, aze ajonge imitha, akunjalo? Loo 'nguxinzelelo' lwakho, okanye njengoko silubiza ngokwezonyango, uxinzelelo lwakho lwegazi. Asingomanani amabini kuphela, yinto ebaluleke kakhulu ethetha lukhulu ngempilo yomzimba wakho wonke. Ngoko masithethe ngale nto kwasekuqaleni.
Yintoni uxinzelelo lwegazi nje?
Cinga ngemithambo yegazi emzimbeni wakho njengenkqubo yemibhobho ethwala amanzi. Intliziyo yinjini epompa amanzi ngayo. Ngoko ke, ngalo lonke ixesha intliziyo ibetha, ityhala igazi liye kwimithambo yegazi ephambili emzimbeni wakho. Siyibiza ngokuba yi-aorta. Ngale ndlela, intliziyo ipompa igazi malunga namaxesha angama-60-100 ngomzuzu, iiyure ezingama-24 ngosuku.
Uxinzelelo lwegazi luxinzelelo olukhutshwa yintliziyo yakho kwiindonga zemithambo yegazi yakho. Le mithambo yegazi ithwala ioksijini kunye nezondlo kuyo yonke indawo yomzimba wakho, kuwo onke amalungu omzimba.
Kodwa olu xinzelelo lwegazi alusoloko lufana. Luyatshintsha kuxhomekeke kwinto oyenzayo.
- Uxinzelelo lwakho lwegazi luyanyuka xa uzilolonga, ukhwela izinyuko, okanye ubaleka emva kwebhasi.
- Ingakhula naxa wonwabile okanye uxhalabile.
- Xa ulele, uzolile kwaye uphumle, uxinzelelo lwakho lwegazi luyehla.
- Kwakhona, amanye amayeza owasebenzisayo, indlela oma ngayo (ukuma, ukuhlala phantsi, ukulala phantsi), kunye nobudala bunokutshintsha olu xinzelelo.
Kutheni uxinzelelo lwegazi lubalulekile kuthi?
Sithetha kakhulu ngoxinzelelo lwegazi kuba lunokuba nefuthe elikhulu kwimpilo yakho. Ngamafutshane, lufana nevalvu yokuphefumla. Ukuba uyalulawula, uya kuba sempilweni, kodwa ukuba uyaphulukana nolawulo lwalo, lunokubangela iingxaki ezinkulu.
- Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu): Oku sikubiza ngokuba 'luxinzelelo lwegazi oluphezulu'. Oku kuyingozi enkulu yokuhlaselwa sisifo sentliziyo. Oku kuthetha ukuba kukho ithuba elikhulu lokuhlaselwa zizifo ezinzulu ezifana nokuhlaselwa sisifo sentliziyo kunye nestroke. Ngamanye amaxesha uxinzelelo lwegazi lunokuba phezulu kakhulu. Silubiza ngokuba 'lungxamiseko oluphezulu'. Olu lungxamiseko olunokuba yingozi nakubomi.
- Uxinzelelo lwegazi oluphantsi: Le yimeko ebizwa ngokuba yi-'low blood pressure '. Oku kunokukwenza uzive unesizungu, amehlo akho anokuba luhlaza okwesibhakabhaka, kwaye ungalahlekelwa zingqondo uze uwe . Ukuba uyawa, usenokuba nezinye iingozi, ezifana nokubetheka entloko. Ukuba uxinzelelo lwakho lwegazi luyehla kakhulu, inani legazi elihamba liye kwizitho zakho ezibalulekileyo, ezifana nengqondo yakho kunye nezintso, linokwehla, kwaye usenokuba nesifo esisongela ubomi esibizwa ngokuba yi-'shock.'
Ixesha elininzi, asiziva nokuba uxinzelelo lwethu lwegazi luphezulu okanye luphantsi. Yiyo loo nto abanye abantu belubiza ngokuba 'lutshaba oluthuleyo.' Eyona ndlela yokwazi ngokuqinisekileyo kukululinganisa ngokuchanekileyo.
Oku kudla ngokwenziwa xa undwendwela ugqirha wakho. Ungakujonga oku ekhaya usebenzisa isixhobo sokujonga uxinzelelo lwegazi (umatshini weBP). Nangona kunjalo, kubalulekile ukukhumbula ukuba nokuba ujonge ekhaya, akuthathi indawo yokubona ugqirha .
Ufanele ujonge nini uxinzelelo lwakho lwegazi?
Kubalulekile ukuba ugqirha wakho wosapho ahlole uxinzelelo lwakho lwegazi ubuncinane kanye ngonyaka . Ukuba ugqirha wakho unenkxalabo malunga namanqanaba akho oxinzelelo lwegazi, okanye ukuba unyanga omnye umntu, banokukucela ukuba uhlole rhoqo ukuze babone ukuba unyango lwakho lusebenza kakuhle kangakanani na.
Ngamanye amaxesha ugqirha wakho unokukucela ukuba ujonge uxinzelelo lwakho lwegazi ekhaya, nokuba yimihla ngemihla okanye kube kanye ngeveki. Abanye abantu banovavanyo lokujonga uxinzelelo lwegazi olusebenza iiyure ezingama-24. Oku kunokulandelela uxinzelelo lwakho lwegazi imini yonke, nokuba ulele.
Khawucinge nje, abanye abantu banokunyuka kancinci koxinzelelo lwegazi ngenxa yoloyiko kunye nexhala abanalo xa bebona ugqirha okanye besiya esibhedlele. Siyibiza ngokuba yi-"White coat syndrome". Uvavanyo lweeyure ezingama-24 lukwanceda ekuchongeni ngokuchanekileyo ezo meko.
Lusebenza njani olu vavanyo loxinzelelo lwegazi?
Xa ulinganisa uxinzelelo lwakho lwegazi, ufumana amanani amabini. Umzekelo, 120/80. Athetha ukuthini la manani mabini?
- Inani eliphezulu (uxinzelelo lwegazi lweSystolic): Olu luxinzelelo olungaphakathi kwimithambo yegazi yakho xa intliziyo yakho ibetha kwaye ipompa igazi emithanjeni yakho. Eli liphezulu kula manani mabini.
- Inombolo esezantsi (uxinzelelo lwegazi lwe-Diastolic): Olu luxinzelelo olungaphakathi kwimithambo yegazi xa intliziyo iphumla phakathi kokubetha. Eli linani eliphantsi.
Kukho iindlela ezimbini eziphambili ugqirha alinganisa ngazo oku:
1. Ngesandla: Le ndlela isebenzisa i-cuff kunye ne-gauge ebonisa uxinzelelo. Ugqirha usonga i-cuff engalweni yakho, ayipompe, aze ayivuthele. Emva koko, esebenzisa i-stethoscope, ugqirha ukhulula umoya kancinci kancinci ngelixa ephulaphule isandi segazi elihamba engalweni yakho.
2. Indlela ezenzekelayo: Le ndlela isebenzisa isixhobo se-elektroniki (umatshini we-BP). Oku kuyayifutha kwaye kuyikhuphe i-cuff ngokuzenzekelayo. Ukufundwa koxinzelelo lwegazi lakho kuboniswa ngokucacileyo kwisikrini sedijithali. Le ndlela ayifuni i-stethoscope.
Ungazilungiselela njani ngaphambi kokulinganisa uxinzelelo lwegazi?
Ukuze ufumane ixabiso elichanekileyo kangangoko, yenza ezi zinto.
- Kuphephe ukutshaya, ukuzilolonga, nokusela iziselo ezine-caffeine ezifana nekofu/iti imizuzu engama-30 ngaphambi kokuba ulinganise uxinzelelo lwakho lwegazi.
- Yiya kwigumbi lokuhlambela ngaphambi koko. Nokuba isinyi sigcwele, kunokubakho utshintsho oluncinci kuxinzelelo.
- Hlala phantsi uthule ungathethi ubuncinane imizuzu emi-5 ngaphambi kokuba uthathe umlinganiselo.
- Ukuba unxibe ihempe enemikhono emifutshane, ugqirha angakufaka ibhande esandleni sakho ngokulula.
Amanqanaba oxinzelelo lwegazi kunye nentsingiselo yawo
Wakuba ufundile uxinzelelo lwakho lwegazi, kubalulekile ukwazi ukuba lukwinqanaba elingakanani. Le yindlela amanqanaba oxinzelelo lwegazi kubantu abadala adla ngokuhlelwa ngayo.
| Inqanaba loxinzelelo (Udidi) | I-Systolic mm Hg | KUNYE/OKANYE | Ixabiso eliphantsi (i-Diastolic mm Hg) |
|---|---|---|---|
| Inqanaba elisempilweni (Eliqhelekileyo) | Ngaphantsi kwe-120 | kwaye | Ngaphantsi kwama-80 |
| Iphakame kancinci | Phakathi kwe-120 - 129 | kwaye | Ngaphantsi kwama-80 |
| Uxinzelelo lwegazi oluphezulu - Inqanaba loku-1 | Phakathi kwe-130 - 139 | Okanye | Phakathi kweminyaka engama-80 ukuya kwengama-89 |
| Uxinzelelo lwegazi oluphezulu - Inqanaba lesi-2 | 140 nangaphezulu | Okanye | 90 nangaphezulu |
| Ingxaki yeHypertensive - Funa uncedo lwezonyango ngokukhawuleza! | Ngaphezulu kwe-180 | kunye/okanye | Ngaphezulu kwe-120 |
Kubalulekile: Ukuba amaxabiso akho aphezulu naphantsi awela kwiindidi ezimbini, ugqirha wakho uya kuqwalasela udidi oluphezulu. Umzekelo, ukuba uxinzelelo lwakho lwegazi luyi-132/78, luwela kudidi 'loxinzelelo lwegazi oluphezulu - iSigaba 1'.
Uxinzelelo lwegazi oluphantsi (Hypotension) ludla ngokuchazwa njengomlinganiselo ongaphantsi kwama-90/60. Nangona kunjalo, abanye abantu banokuba noxinzelelo lwegazi oluphantsi kancinci ngaphandle kweengxaki. Nangona kunjalo, kufuneka ukhathazeke kuphela xa kukho iimpawu ezifana nesiyezi.
Ufanele uye nini kugqirha?
Kukho amaxesha apho kufuneka ukhathazeke ngoxinzelelo lwakho lwegazi. Ngamanye amaxesha ungathetha nogqirha wakho, kodwa ngamanye amaxesha kufuneka ufune unyango ngoko nangoko.
| Amathuba | Kwenziwe ntoni |
|---|---|
| Kwimeko enjalo, thetha nogqirha wakho. | |
| Ukuba umlinganiselo woxinzelelo lwegazi lwakho ekhaya uhlala uphezulu okanye uphantsi. | Thetha nogqirha wakho ngale milinganiselo. Kusenokufuneka utshintshe umthamo wamayeza akho okanye uqalise unyango olutsha. |
| Ukuba uziva unesizungu, amehlo akho ajika abe luhlaza okwesibhakabhaka, okanye uziva unesizungu (ezi zisenokuba ziimpawu zoxinzelelo lwegazi oluphantsi). | Hlala phantsi okanye ulale phantsi ngoko nangoko. Emva koko yazisa ugqirha. |
| Ukuba unemibuzo malunga noxinzelelo lwakho lwegazi okanye unyango. | Ungaze uqikelele. Cela ugqirha wakho ngqo ukuze asuse amathandabuzo akho. |
| Kwimeko enjalo, yiya kwi-ETU (iYunithi yoNyango oluNgxamisekileyo) ngoko nangoko! | |
| Ukuba uxinzelelo lwakho lwegazi luyi-180/120 nangaphezulu, kwaye ufumana iimpawu ezifana neentlungu zesifuba, ubunzima bokuphefumla, intloko ebuhlungu kakhulu, kunye nokungaboni kakuhle. | Le yimeko engxamisekileyo ebizwa ngokuba yi-"Hypertensive crisis." Yiya kwi -ETU (iYunithi yoNyango oluNgxamisekileyo) yesibhedlele esikufutshane ngoko nangoko. |
| Ukuba uxinzelelo luyehla uze ulahlekelwe zingqondo, yiwa uze ubetheke entloko, okanye ukuba ubonisa iimpawu zokothuka, ezifana nokuba umzimba wakho ubanda, ubila, kwaye uphefumla ngokukhawuleza. | Nale yimeko engxamisekileyo. Kufuneka umse kwi -ETU ngoko nangoko. |
Uxinzelelo lwakho lwegazi linani elibaluleke kakhulu eliza kuhlolwa ngugqirha wakho kangangeminyaka. Nokuba uzive uphilile kwaye ungenangxaki, uxinzelelo lwakho lwangaphakathi lusenokuba phezulu. Ngoko ke ukulujonga rhoqo yindlela ekuphela kwayo yokwazi ukuba ukwinqanaba elisempilweni.
Umyalezo Wokuya Ekhaya
- Uxinzelelo lwegazi lubaluleke kakhulu ekulinganiseni impilo yakho iyonke. Asikuko nje amanani amabini.
- Ixesha elininzi, uxinzelelo lwegazi oluphezulu (iHypertension) alunazo iimpawu ezithile. Ngoko ke usenokungaziboni. Eyona ndlela yokwazi kukuba uhlolwe rhoqo.
- Yazi ukufundwa koxinzelelo lwegazi lakho kunye nokuba kuthetha ukuthini. Ukufundwa okunempilo kungaphantsi kwe-120/80.
- Ukuba ugqirha wakho ukuxelela ukuba une-high blood pressure, kubalulekile ukuba uthathe amayeza awabhalele wona ngqo kwaye wenze utshintsho kwindlela ophila ngayo (ukutya, umthambo).
- Ungaze ungazihoyi iimpawu ezilumkisayo zoxinzelelo lwegazi oluphezulu kakhulu okanye oluphantsi kakhulu. Funa uncedo lwezonyango ngokukhawuleza ukuba kuyimfuneko.
- Ukuba wena nogqirha wakho nisebenza njengeqela kwaye nilawula uxinzelelo lwegazi, ninokuzikhusela kwizifo ezinzulu ezifana nesifo sentliziyo.
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