Kwabaninzi bethu, 'uxinzelelo' okanye uxinzelelo lwegazi oluphezulu luye lwaba yinto eqhelekileyo. Kodwa ubusazi na ukuba ukuba olu xinzelelo alulawulwa ngokufanelekileyo, lunokubangela umonakalo omkhulu kancinci kwiintliziyo zethu kule minyaka idlulileyo? Ngale ndlela, ngokwezonyango sibiza 'iSifo seNtliziyo esiHlengahlengayo' njengengqokelela yeemeko zentliziyo ezibangelwa luxinzelelo lwegazi oluphezulu olungalawulekiyo.
Ngamafutshane, yintoni 'isifo sentliziyo esibangelwa yi-hypertension'?
Khawuthelekelele ukuba uxinzelelo olukwimibhobho yepompo yamanzi ekhayeni lakho luphezulu kakhulu. Kwenzeka ntoni ke ngoko? Ipompo kufuneka isebenze nzima ukupompa amanzi. Ekuhambeni kwexesha, ipompo iba buthathaka kwaye imibhobho ingonakala. Iintliziyo zethu zinjalo kanye.
Xa uxinzelelo lwegazi luphezulu (ngesiqhelo lungaphezulu kwe-120/80 mmHg) ixesha elide, intliziyo yethu kufuneka isebenze nzima ukupompa igazi emzimbeni. Olu xinzelelo longezelelweyo lunokubangela ukuba izihlunu zentliziyo ziqine kwaye zibe buthathaka ngokuhamba kwexesha. Ekugqibeleni, oku kunokukhokelela kwimeko enzima efana nokusilela kwentliziyo.
Ngokufanayo, uxinzelelo lwegazi oluphezulu luyenza lukhuni imibhobho yegazi yethu. Xa i-cholesterol iqala ukuqokelelana ngaphakathi kwemibhobho yegazi etyebileyo, imeko iba mandundu nangakumbi. Emva koko umngcipheko wokuhlaselwa yintliziyo kunye nestroke uyanda kakhulu.
Khumbula, uxinzelelo lwegazi oluphezulu alubonisi zimpawu kwasekuqaleni. Yiyo loo nto silubiza ngokuba 'ngumbulali othuleyo'.
Ziziphi iintlobo eziphambili zale meko?
Kukho iindlela ezimbini eziphambili ezichaphazela ngazo intliziyo uxinzelelo lwegazi oluphezulu.
1. Isifo seMitha yeCoronary: Oku kwenzeka xa i-cholesterol kunye nezinye izinto ziqokelelana ngaphakathi kwemithambo yegazi ephambili ehambisa igazi entliziyweni (imithambo ye-coronary) (esiyibiza ngokuba yi-"Atherosclerosis``), nto leyo enciphisa imithambo yegazi. Oku kunciphisa ubungakanani beoksijini kunye nezondlo ezifunekayo entliziyweni.
2. I-Left Ventricular Hypertrophy: I- left ventricle yeyona ndawo iphambili yokupompa igazi entliziyweni. Njengoko izama ukupompa igazi ngokuchasene noxinzelelo oluphezulu ixesha elide, izihlunu ezikule ndawo ziyaqina. Kanye njengokuba izihlunu zomntu ophakamisa iintsimbi zikhula. Kodwa oku akulunganga entliziyweni. Oku kunokukhokelela ekusebenzeni kakubi kwentliziyo.
Zeziphi ezinye iingxaki ezinokubangela oku?
Ukuba asinyangwa, isifo sentliziyo esinoxinzelelo lwegazi singakhokelela kwezinye iingxaki zempilo ezinzulu. Makhe sijonge le theyibhile ingezantsi.
| Ingxaki | Ingcaciso elula |
|---|---|
| Ukumelwa yintliziyo | Intliziyo ayikwazi ukupompa igazi elaneleyo emzimbeni. |
| Ukungahambi kakuhle kwentliziyo (i-Arrhythmia) | Ukubetha kwentliziyo okungaqhelekanga. Umzekelo, `(Atrial Fibrillation)`. |
| Istroke | Ukuhamba kwegazi okuphazamisekileyo ukuya engqondweni. |
| Isifo sentliziyo se-Ischemic | Iimeko ezibangelwa kukuncipha komthamo wegazi elithunyelwa entliziyweni. |
| Ukufa Ngesiquphe Kwentliziyo | Ukuyeka ngequbuliso ukusebenza kwentliziyo. |
| Isifo sezintso esingapheliyo | Ukonakala kwezintso ngenxa yoxinzelelo lwegazi oluphezulu. |
Ngubani osengozini enkulu?
Jonga la manqaku ukuze ubone ukuba usemngciphekweni na.
- Ukuba une- high blood pressure .
- Ukuba ungumntu ongawulolongi umzimba .
- Ukuba unesifo seswekile .
- Ukuba inqanaba le-cholesterol egazini liphezulu .
- Ukuba uneminyaka engaphezu kwama-45 ubudala.
- Ukuba utyebile kakhulu (utyebile kakhulu).
- Ukuba utshaya okanye usebenzisa ezinye iimveliso zecuba.
- Ukuba wongeza ityuwa eninzi ekutyeni kwakho.
- Ukuba usela utywala .
Ukuba enye okanye ezingaphezulu kwezi zinto ziyasebenza kuwe, ngokuqinisekileyo kufuneka uyikhathalele ngakumbi impilo yakho.
Zithini iimpawu zoku?
Eyona ngxaki inkulu apha kukuba, njengoxinzelelo lwegazi oluphezulu, isifo sentliziyo esinoxinzelelo lwegazi oluphezulu sisenokungabi nazimpawu kwasekuqaleni. Iimpawu ziqala ukubonakala emva kokuba intliziyo yonakele ngandlela ithile.
Ezi ziimpawu ezinokubonakala:
- Iintlungu zesifuba
- Ukuqhawukelwa ngumphefumlo
- Ukubetha kwentliziyo (ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza)
- Isiyezi
- Ukuquleka
- Iimpawu zestroke (umz., ukugoba komlomo, ukulahlekelwa lilungu lomzimba)
- Ukufa Ngesiquphe Kwentliziyo
Ukuba ufumana naziphi na kwezi mpawu, kubaluleke kakhulu ukufuna iingcebiso zonyango ngokukhawuleza .
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, uza kuqala akubuze imibuzo embalwa.
- Imbali yakho yezonyango.
- Ngaba kukho umntu onesifo sentliziyo kusapho lwakho?
- Emva koko uza kuhlolwa ngokwasemzimbeni.
Ukongeza, kucetyiswa uvavanyo oluninzi ukuqinisekisa imeko kunye nokuvavanya umonakalo entliziyweni.
- Uvavanyo lwegazi: Jonga izinto ezifana ne-cholesterol kunye namanqanaba eswekile.
- Uvavanyo lomchamo: Jonga ukusebenza kwezintso.
- Uvavanyo lwe-ECG (i-Electrocardiogram): Jonga umsebenzi wombane wentliziyo.
- I-Echocardiogram: Jonga ulwakhiwo lwentliziyo, ubukhulu bemisipha, kunye nendlela epompa ngayo igazi.
Iphathwa njani? Kwaye simele senze ntoni?
Injongo ephambili yonyango kukulawula uxinzelelo lwegazi lwakho kunye nokuthintela umonakalo osele wenziwe entliziyweni yakho ukuba ungabi mbi. Zimbini iindlela eziphambili zokwenza oku.
1. Utshintsho kwindlela yokuphila
Le yeyona nxalenye ibalulekileyo. Kunye nokusela amayeza, kubalulekile ukutshintsha indlela ophila ngayo ibe yesempilweni.
- Yeka ukutshaya nokusela utywala: Zombini ezi zinto zonakalisa ngqo intliziyo kunye nemithambo yegazi.
- Ukuzilolonga: Zilolonge, njengokuhamba okanye ukubaleka, ubuncinane imizuzu engama-30 ngosuku.
- Lawula ityuwa: Nciphisa ubungakanani betyuwa eyongezwa ekutyeni. Ziphephe izinto ezifana neepickles, iziqhamo ezomisiweyo, iisosi, kunye neencasa zokwenziwa.
- Ukutya okunempilo: Yitya imifuno emininzi, iziqhamo, iimbotyi, kunye nokutya okunefayibha eninzi. Nciphisa ukutya okuneoyile eninzi, iswekile, kunye nomgubo.
- Lawula ubunzima bakho: Zama ukugcina ubunzima bakho bufanelekile ubude bakho.
2. Amayeza (amayeza)
Kunye notshintsho kwindlela ophila ngayo, ugqirha wakho uya kukunika amayeza okulawula uxinzelelo lwakho lwegazi. Kukho iintlobo ezahlukeneyo zamayeza, afana ne-diuretics, i-beta-blockers, kunye ne-ACE inhibitors.
Eyona nto ibalulekileyo kukuba ungaze uyeke ukuthatha amayeza anikwe ngugqirha wakho, ngedosi efanelekileyo, ngexesha elifanelekileyo . Ukuba unengxaki ngesiphumo esibi, thetha nogqirha wakho uze uyisombulule. Ungaze uyeke ukuwathatha wedwa amayeza akho.
Umyalezo Wokuya Ekhaya
- Uxinzelelo lwegazi oluphezulu 'lungumbulali othuleyo.' Nokuba akukho zimpawu, lunokubangela umonakalo wexesha elide entliziyweni yakho.
- Jonga uxinzelelo lwakho lwegazi rhoqo. Ukuba ungaphezulu kweminyaka eli-18, licebo elihle ukuba luhlolwe ubuncinane kanye ngonyaka.
- Indlela yokuphila esempilweni (ukutya okunempilo, ukuzilolonga, kunye nokuphepha ukutshaya notywala) kubalulekile kwimpilo yentliziyo.
- Sela amayeza kanye njengoko ugqirha wakho ekuyalele, ngexesha elifanelekileyo, nangedosi efanelekileyo. Ungaze uyeke okanye utshintshe amayeza akho wedwa.
- Intliziyo yakho luxanduva lwakho. Yinyamekele. Ukuba uneengxaki, bona ugqirha kwaye ufumane ingcebiso.
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