Ngaba unesifo seswekile? Ukuba kunjalo, kufuneka ukuba uye wabona ugqirha wakho rhoqo ejonga uxinzelelo lwakho lwegazi. 'Kutheni belinganisa uxinzelelo lwakho lwegazi xa usela amayeza eswekile?' Usenokuba uzibuza. Enyanisweni, isifo seswekile kunye noxinzelelo lwegazi oluphezulu (`(uxinzelelo lwegazi oluphezulu)`) zifana namacala amabini eengqekembe ezifanayo. Ukuba uyayiqonda indlela ezi zinto zimbini ezidibene ngayo, ungaphepha iingxaki ezininzi zempilo ezifana nokuhlaselwa yintliziyo kunye nokubetha kwentliziyo.
Kutheni kukho unxibelelwano oluqinileyo phakathi kwesifo seswekile kunye noxinzelelo lwegazi?
Ngamafutshane, isifo seswekile sisifo esonakalisa imithambo yegazi (imithambo yegazi) emzimbeni wethu kancinci kancinci. Xa amanqanaba eswekile egazini ephezulu ngokuhamba kwexesha, iindonga zemithambo yegazi yethu ziqala ukonakala. Ziyaphelelwa bubuthambile bazo kwaye zibe nkulu kancinci.
Khawucinge nje ukuba xa ukungcola kwakheka ngaphakathi kombhobho wamanzi, ukuhamba kwamanzi kuyancitshiswa, kwaye uxinzelelo ngaphakathi kombhobho luyanda, akunjalo? Yiloo nto eyenzekayo kwimithambo yethu yegazi. Ezi ndonga zemithambo yegazi ezonakeleyo zinamathuba amaninzi okuba namafutha kunye ne-cholesterol. Kwizonyango, sibiza oku ngokuthi "i-Atherosclerosis." Xa imithambo yegazi incipha, intliziyo kufuneka isebenze nzima ukupompa igazi. Oku kwandisa uxinzelelo ngaphakathi kwimithambo yegazi. Yiloo nto siyibiza ngokuba luxinzelelo lwegazi oluphezulu okanye "uxinzelelo lwegazi oluphezulu."
Ngale ndlela, kanye njengokuba isifo seswekile sinyusa uxinzelelo lwegazi, iingxaki zesifo seswekile ziba nzima ngakumbi ngenxa yokunyuka koxinzelelo lwegazi. Ngokukodwa, umonakalo emehlweni (i-Diabetic Retinopathy) kunye nomonakalo kwizintso (i-Diabetic Nephropathy) obangelwa sisifo seswekile unokwenziwa mandundu luxinzelelo lwegazi oluphezulu.
Zithini iingozi ukuba aba babini bakunye?
Umntu onesifo seswekile kunye noxinzelelo lwegazi oluphezulu unamathuba aphindwe kahlanu okufumana izifo ezithile kunomntu oqhelekileyo. Makhe sijonge ukuba zeziphi ezo.
| Umngcipheko/Ingxaki | Ingcaciso elula |
|---|---|
| Isifo seMitha yeCoronary | Ukuncitshiswa okanye ukuvaleka kwemithambo yegazi ehambisa igazi entliziyweni. Oku kunokukhokelela ekuhlaselweni yintliziyo . |
| Istroke | Umthambo wegazi othwala igazi usiya engqondweni uyavaleka okanye uqhume, nto leyo ebangela umonakalo kwiindawo ezithile zobuchopho. |
| Isifo seMithambo yePheripheral | Ukuncitshiswa kwemithambo yegazi, ingakumbi emilenzeni nasezinyaweni, kunokubangela iintlungu emilenzeni xa uhamba kunye nokuphola kancinci kwamanxeba. |
| Ukumelwa yintliziyo | Ngenxa yokuba intliziyo kufuneka isebenze nzima kakhulu ngokuhamba kwexesha, izihlunu zentliziyo ziba buthathaka kwaye zingakwazi ukupompa igazi elaneleyo emzimbeni. |
| Ukusilela Kwezintso | Isifo seswekile kunye noxinzelelo lwegazi oluphezulu zezona zinto zimbini ziphambili ezibangela umonakalo kwizintso. Ekuhambeni kwexesha, ukusebenza kwezintso kunokulahleka ngokupheleleyo. |
Abanye abantu bacinga ukuba ukuba uxinzelelo luphezulu kancinci, kulungile. Kodwa nokuba luphakathi kwe-120/80 kunye ne-129/80, luseyingozi. Oko kuthetha ukuba umzimba wakho ukunika isilumkiso.
Ngoko ke kufuneka uxinzelelo lwam lwegazi lube njani?
Nangona oku kunokwahluka kancinci kumntu nomntu, injongo eqhelekileyo yomntu onesifo seswekile kukugcina uxinzelelo lwegazi lakhe lungaphantsi kwe-130/80 mmHg . Ugqirha wakho unokulungisa le njongo ngokusekelwe kwimeko yakho.
Ngoku khangela, xa ulinganisa uxinzelelo, kukho amaxabiso amabini, akunjalo?
- Inombolo ephezulu (Uxinzelelo lweSystolic): Olu luxinzelelo oluphezulu ngaphakathi kwimithambo yegazi xa intliziyo ibetha kwaye ipompa igazi kwimithambo yegazi.
- Uxinzelelo lwe-Diastolic: Olu lolona xinzelelo luphantsi kwimithambo yegazi xa intliziyo iphumla phakathi kokubetha.
Khumbula, ukuze kuthintelwe iingxaki zesifo seswekile, kubaluleke kakhulu ukulawula iswekile yegazi kunye noxinzelelo lwegazi.
Uyazi njani ukuba uxinzelelo lwakho lwegazi luphezulu? Ngaba kukho naziphi na iimpawu?
Le yeyona nto iyingozi kakhulu. Uxinzelelo lwegazi oluphezulu ludla ngokungabonisi zimpawu.Yiyo loo nto siyibiza ngokuba yi-'Silent Killer'. Unokuba noxinzelelo lwegazi oluphezulu ngendlela eyingozi ngaphandle kweempawu. Eyona ndlela yokwazi ngokuqinisekileyo kukuba uhlolwe uxinzelelo lwegazi rhoqo . Yiyo loo nto uxinzelelo lwegazi lwakho luhlolwa rhoqo xa ubona ugqirha wakho. Ugqirha wakho unokucebisa ukuba uhlolwe uxinzelelo lwegazi lwakho ekhaya.
Kulungile, ndingenza ntoni ke ukuze ndilawule oku?
Iindaba ezimnandi zezokuba izinto ezininzi ozenzayo ukulawula isifo sakho seswekile ziya kunceda ukulawula uxinzelelo lwakho lwegazi. Oko kuthetha ukuba ungabulala iintaka ezimbini ngelitye elinye.
| Kwenziwe ntoni | Kutheni oko kubalulekile? |
|---|---|
| Yitya ukutya okunempilo . | Yitya imifuno, iziqhamo, iimbotyi, kunye neenkozo ezipheleleyo. Nciphisa ukutya okuneoyile eninzi, iswekile, umgubo kunye netyuwa. |
| Nciphisa ukusetyenziswa kwetyuwa . | Ityuwa ibangela ukugcinwa kwamanzi emzimbeni kwaye yonyusa uxinzelelo lwegazi. Nciphisa ubungakanani betyuwa eyongezwa ekutyeni nasekutyeni okucutshungulwayo okunetyuwa eninzi. |
| Ukuzilolonga . | Yenza umthambo olula, njengokuhamba ngokukhawuleza imizuzu engama-30 ngosuku, ubuncinane iintsuku ezi-5 ngeveki. Oku kuya kuyiqinisa intliziyo yakho. |
| Gcina ubunzima bakho busempilweni . | Ukutyeba kakhulu kubeka uxinzelelo olungakumbi entliziyweni. Ukunciphisa umzimba kunokunceda kakhulu ekunciphiseni uxinzelelo lwegazi. |
| Yeka ukutshaya . | Ukutshaya yeyona nto ibangela umonakalo omkhulu kwimithambo yegazi. Ukuba uyayeka, intliziyo yakho iya kukubulela. |
| Nciphisa ukusetyenziswa kotywala . | Ukusela utywala kakhulu kunokunyusa uxinzelelo lwegazi. |
| Landela iingcebiso zonyango . | Yiya kwiikliniki ngemihla ebekiweyo. Thatha amayeza owanikwe ngugqirha ngexesha. |
Masifunde kancinci ngamayeza? (Unyango)
Ukuba utshintsho kwindlela ophila ngayo lodwa aluyilawuli uxinzelelo lwakho lwegazi, ugqirha wakho unokukunika amayeza. Oogqirha balumka ngakumbi xa benika abantu abanesifo seswekile amayeza oxinzelelo lwegazi.
Ukhetho lokuqala lwamayeza ludla ngokuba yi -`(ACE inhibitors)` (`(Angiotensin-Converting Enzyme inhibitors)`) kunye ne -`(ARBs)` (`(Angiotensin II Receptor Blockers)`). Oku kungenxa yokuba, ukongeza ekulawuleni uxinzelelo lwegazi, la mayeza akwanceda ekuthinteleni okanye ekulawuleni umonakalo wezintso obangelwa sisifo seswekile.
Ukongeza, kusetyenziswa namanye amayeza, anjenge-"diuretics", esiwabiza ngokuba "ziipilisi zamanzi" ezisusa ulwelo olungeyomfuneko emzimbeni kwaye zinciphise uxinzelelo lwegazi.
Into ekufuneka uyikhumbule!
Amanye amayeza oxinzelelo lwegazi anokuchaphazela amanqanaba eswekile yegazi kunye ne-cholesterol. Amanye amadoda anokuba neengxaki ezifana nokungasebenzi kakuhle kwe-erectile. Ngoko ke ungoyiki ukuthetha ngokukhululekileyo nogqirha wakho malunga namayeza owasebenzisayo kunye nemiphumo yawo. Ukuba unengxaki, ugqirha wakho unokukunika elinye iyeza elifanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- Isifo seswekile kunye noxinzelelo lwegazi oluphezulu zizifo ezimbini ezihamba kunye kwaye zinokubangela iingxaki eziyingozi kakhulu.
- Uxinzelelo lwegazi oluphezulu alusoloko luneempawu, ngoko ke kubalulekile ukuba uhlolwe uxinzelelo lwakho lwegazi rhoqo.
- Uxinzelelo lwegazi olujoliswe kumntu onesifo seswekile ludla ngokuba ngaphantsi kwe-130/80 mmHg.
- Utshintsho kwindlela yokuphila efana nokutya okunempilo, ukuzilolonga, ukuyeka ukutshaya, kunye nokunciphisa ukutya ityuwa sisiseko solawulo.
- Sela amayeza anikwe ngugqirha wakho njengoko eyalelwe, ngamaxesha amiselweyo. Thetha nogqirha wakho malunga nazo naziphi na iingxaki okanye iziphumo ebezingalindelekanga.
- Njengokuba ukulawula iswekile egazini kubalulekile ekukhuseleni kwiimeko ezinzulu ezifana nokuhlaselwa yintliziyo, isifo sohlangothi, kunye nesifo sezintso, ukulawula uxinzelelo lwegazi nako kubalulekile.
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