Ingaba inani eliphezulu loxinzelelo lwakho lwegazi liphezulu kuphela? Ngaba elo liphezulu leSystolic Hypertension?

Ngaba wakha wajongwa uxinzelelo lwakho lwegazi kwaye inani eliphezulu kuphela liphezulu, kodwa inani elisezantsi liqhelekile? Mhlawumbi ugqirha ukuxelele oko. Oku kubizwa ngokuba yi-Isolated Systolic Hypertension. Abantu abaninzi abazi kangako ngale nto. Ngoko ke, masithethe ngayo ngokweenkcukacha namhlanje.

Yintoni i-Isolated Systolic Hypertension?

Ngamafutshane, oku kuxa inani eliphezulu loxinzelelo lwakho lwegazi, inani le-systolic , liphezulu kunenqanaba elicetyiswayo. Inani elisezantsi, inani le-diastolic, linokuba liqhelekileyo okanye liphantsi. Ukuchaneka, oku kuxa inani le-systolic liphezulu kune-130 millimeters ye-mercury (mmHg) kwaye inani le-diastolic liphantsi kune-90 millimeters ye-mercury. Ngokwesiqhelo, uxinzelelo lwegazi lomntu ophilileyo luphantsi kune-120/80 mmHg. Uyazi ukuba kuthetha ukuthini uxinzelelo lwe-systolic? Xa intliziyo yethu ibetha kwaye ipompa igazi emzimbeni wonke, elo gazi lifaka uxinzelelo kwiindonga zemithambo yethu yegazi. Uxinzelelo lwe-Diastolic lubhekisa kukumelana kwimithambo yegazi xa intliziyo iphumle kancinci, oko kukuthi, xa ingapompeli igazi.

Kuqheleke kangakanani oku? Ngaba kuyakhula njengoko iminyaka ikhula?

Le meko ixhaphakile ngokwenene, ingakumbi njengoko sikhula. Ngokwezibalo, malunga ne-15% yabantu abangaphezu kweminyaka engama-60 ubudala bane-Isolated Systolic Hypertension. Enyanisweni, olu lolona hlobo luqhelekileyo lwe-hypertension kubantu abangaphezu kweminyaka engama-70 ubudala. Ngoko ke kuyacaca ukuba le ngozi iyanda ngokukhula, akunjalo?

Ngaba i-Isolated Systolic Hypertension iyingozi?

Ewe, inokuba yingozi ukuba ayinyangwa ngokufanelekileyo. Ukuba ayinyangwa, njengezinye iintlobo zoxinzelelo lwegazi oluphezulu, inokonakalisa amalungu ahlukeneyo emzimbeni wakho. Khawucinge nje, yimbangela yesifo sentliziyo (oko kukuthi, izifo zentliziyo, imithambo yegazi engqondweni kunye nemithambo yegazi emikhulu emzimbeni wonke), ukufa, kwaneemeko ezinzulu ezifana nokungasebenzi kakuhle kwezintso. Ngoko ke le ayisiyonto yokuyithatha lula.

Ingaba le yimeko engxamisekileyo?

Uxinzelelo lwegazi oluzimeleyo lweSystolic alusoloko luyinto engxamisekileyo. Nangona kunjalo, ukuba umlinganiselo wakho we-systolic ngequbuliso unyuka ngaphezu kwe-180 mmHg, yingxaki engxamisekileyo. Oku sikubiza ngokuba 'yingxaki engxamisekileyo'. Ukuba oku kuyenzeka, kufuneka ufune unyango ngokukhawuleza.

Zithini iimpawu zoku?

Njengezinye iintlobo zoxinzelelo lwegazi oluphezulu, olu alubonisi zimpawu zibalulekileyo kwizigaba zokuqala.Abantu abaninzi abaqondi nokuba banale meko. Yiyo loo nto kubalulekile ukujonga uxinzelelo lwegazi rhoqo. Kodwa xa lunganyangwa ixesha elide luze luqale ukonakalisa amalungu omzimba wakho, kuvela ezinye iimpawu. Nazi:

• Iintlungu zesifuba.
• Ukuqhawukelwa ngumphefumlo .
• Intloko ebuhlungu rhoqo .
• Umbono ocacileyo kancinci.

Ukuba uneempawu ezinje, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Kutheni oku kusenzeka? Zithini izizathu?

Eyona nto iphambili kukuba imithambo yegazi yethu (imithambo yegazi) iyatshintsha njengoko sikhula.

Ukwaluphala kunye notshintsho kwimithambo yegazi

Njengoko sikhula, imithambo yethu iyaqina kwaye ayiguquguquki lula. Ayinwebeki kwaye ayinciphisi lula njengoko yayisenza xa sasisebancinci. Xa oku kusenzeka, uxinzelelo oludalwa xa intliziyo ipompa igazi, olubizwa ngokuba luxinzelelo lwe-systolic, luyanda. Kwangaxeshanye, imithambo ilahlekelwa bubuthambile bayo, ngoko uxinzelelo lwe-diastolic luyehla. Kufana nombhobho werabha omdala oqina kodwa onganwebeki lula.

Ezinye iimeko zonyango

Esinye isizathu yimeko ebizwa ngokuba yi-atherosclerosis. Oku kwenzeka xa izinto ezifana ne-calcium kunye ne-collagen zifakwa ngaphakathi kwimithambo yegazi, nto leyo ebangela ukuba zibe nzima kwaye zinciphe. Oku kulahlekelwa kukuqina kwemithambo yegazi kunokukhokelela kwi-systolic hypertension eyahlukileyo.

Zithini izinto ezibangela umngcipheko?

Kukho izinto ezininzi ezongeza umngcipheko kule meko. Nazi:

• Amanqanaba aphezulu e-cholesterol egazini.
• Ukuba nesifo seswekile .
• Ukuphila ubomi bokungahlali phantsi, ngaphandle kokuzilolonga. Khawucinge ngomntu osebenza kwindawo enye imini yonke.
• Isalathisi sobunzima bomzimba (i-BMI) engaphezulu kwama-30 ( ukutyeba kakhulu ).
• Ukusetyenziswa kweemveliso zecuba (ezifana neecuba, ii-beedis).
• Ukutya rhoqo ukutya okucutshungulweyo kunye nokutya okunetyuwa eninzi kunye neoyile, njengerayisi eqhotsiweyo, iisoseji, kunye nokutya okupakishwe kwiipakethe.

Ngaba abantu abaselula bangayihlakulela le nto?

Nangona oku kudla ngokuxhaphaka kubantu abadala, kunokwenzeka nakubantu abaselula abangaphantsi kweminyaka engama-40 ubudala.Kuye kwafunyaniswa ukuba le meko, i-Isolated Systolic Hypertension, iya isiba yinto eqhelekileyo. Akumangalisi na? Uninzi lwabantu abahlangabezana nale meko besebancinci:

• Isalathisi sobunzima bomzimba (i-BMI) singaphezulu kwama-30 (oko kuthetha ukutyeba kakhulu).
• Ikakhulu amadoda.
• Ukusebenzisa iimveliso zecuba.
• Ungabona nabantu abangenayo i-inshurensi yezempilo .

Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?

Njengoko besitshilo ngaphambili, ukuba oku akulawulwa ngendlela eyiyo, oko kukuthi, ukuba akunyangelwa, iingxaki eziyingozi zinokwenzeka. Nazi:

• Ukumelwa yintliziyo
• Ukuhlaselwa yintliziyo
• Istroke
• Isifo sezintso esingapheliyo
• Isifo semithambo yegazi ejikeleze umzimba - Oku kukuncitshiswa kwemithambo yegazi ehambisa igazi emilenzeni.
• I-Aneurysm - Oku kwenzeka xa umthambo wegazi ubuthathaka kwaye uvuthuluka njengebhaluni.

Uyibona njani le nto?

Ngaphambi kokuba uyifumanise le meko, ugqirha wakho uza kukubuza ngembali yosapho lwakho, ukutya kwakho, inqanaba lomsebenzi wakho, kunye nazo naziphi na ezinye iimeko zempilo onokuba nazo. Njengakwesiphi na isifo, ukubonwa kwangethuba yeyona ndlela ilungileyo yokulawula.

Luhlobo luni lovavanyo oluqhutywayo?

Ngaphambi kokuba ugqirha akwazi ukuxilonga ngokuqinisekileyo i-Isolated Systolic Hypertension, uza kujonga uxinzelelo lwakho lwegazi izihlandlo ezibini okanye ezithathu. Abayi kujonga kube kanye baze bathi. Ukongeza, banokwenza ezinye iimvavanyo ezininzi ukuze babone ukuba usengozini kangakanani yokuba nezifo zentliziyo. Umzekelo:

• Uvavanyo lwe-ECG (electrocardiogram - EKG). Olu lulinganisa umsebenzi wombane wentliziyo.
• Uvavanyo lwegazi. Ngokukodwa, iphaneli ye-lipid yokujonga amanqanaba e-cholesterol.

Ndingenza ntoni xa ndikule meko?

Ukuba ugqirha wakho ukuxelela ukuba une-Isolated Systolic Hypertension, eyona nto ibalulekileyo kukulandela imiyalelo yakhe ngokuchanekileyo. Musa ukoyika. Basenokukuxelela ukuba wenze utshintsho oluthile kwindlela yakho yemihla ngemihla, mhlawumbi ude uqale amayeza.

Iphathwa njani?

Xa unyanga oku, ugqirha wakho angakuxelela ukuba wenze utshintsho kwindlela ophila ngayo, kwaye ukuba kuyimfuneko, akuqalise ukusebenzisa amayeza okunciphisa uxinzelelo lwegazi.

Utshintsho kwindlela yokuphila

Nazi ezinye zezinto ezibaluleke kakhulu onokuzenza:

• Ukunciphisa ityuwa eyongezwa ekutyeni. Kucetyiswa ukuba ungatyi ngaphezu kwe-1.5 grams yetyuwa ngosuku.
• Ukulandela ukutya kwe-DASH.Esi sisicwangciso esikhethekileyo sokutya esinceda ekulawuleni uxinzelelo lwegazi oluphezulu.
• Ukutya iziqhamo nemifuno emitsha ngakumbi.
• Ukunciphisa ukutya kobisi okunamafutha amaninzi (umz. itshizi, ibhotolo).
• Ukunciphisa ukutya okunamafutha agcweleyo (umz. inyama ebomvu, ukutya okunamafutha).
• Ukunciphisa umzimba (ukuba utyebile kakhulu).
• Ukuzilolonga ngakumbi. Into efana nokuhamba ubuncinane imizuzu engama-30 ngosuku.
• Ukuba usela utywala, nciphisa.
• Ukulawula uxinzelelo. Ngamanye amaxesha ukucamngca okanye i-yoga kunokunceda.
• Ukuzama ukufumana i-potassium engakumbi ekutyeni (umz. iibhanana, iiorenji, ispinatshi)
• Ukuyeka ngokupheleleyo iimveliso zecuba.

Khawuthelekelele indlela ezi nguqu zincinci ezinokuba nefuthe elikhulu ngayo kubomi bakho bonke!

Amayeza

Ukongeza ekutshintsheni indlela yokuphila, oogqirha banika amayeza abizwa ngokuba yi- antihypertensive medication ukunyanga i-Isolated Systolic Hypertension. Amanye amayeza asetyenziswa kakhulu ngala:

• I-Diuretics: Ezi zibangela ukuba umzimba ukhuphe amanzi angaphezulu kunye netyuwa ngomchamo, nto leyo ehlisa uxinzelelo lwegazi.
• Izithinteli zemijelo yecalcium: Ezi ziphumza udonga lwemithambo yegazi, zenze ukuhamba kwegazi kube lula.
• Izithinteli ze-enzyme eziguqula i-angiotensin (i-ACE inhibitors): Ezi zikwalawula uxinzelelo lwegazi ngokunciphisa ukuxinana kwemithambo yegazi.
• Ii-Angiotensin II Receptor Blockers (ARBs): La mayeza asebenza ngendlela efanayo nee-ACE inhibitors.

Ugqirha wakho angakuqalisa ukusebenzisa elinye lamayeza amabini okuqala kolu luhlu. Emva koko, kuxhomekeke kwindlela umzimba wakho ophendula ngayo, banokongeza elinye okanye elinye iyeza lesithathu ukuba kuyimfuneko. Imithambo yegazi iyaqina njengoko ukhula, nto leyo eyenza kube nzima ukulawula uxinzelelo lwegazi oluphezulu. Nangona kunjalo, la mayeza okunciphisa uxinzelelo lwegazi anokunceda ukunciphisa ukuqina kwemithambo yakho ukuya kwinqanaba elithile.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Njengakweminye imithi, abanye abantu banokufumana iziphumo ezingezizo ezingezizo ezo zilungileyo kwezi ndlela zonyango. Asinguye wonke umntu oza kuzifumana, kodwa kulungile ukuzazi.

• Intloko ebuhlungu
• Isiyezi
• Umnqweno wokutya
• Ukukhwehlela okomileyo (ingakumbi okuvela kwi-ACE inhibitors)
• Ukulahleka kweenwele (okungafane kwenzeke)

Ukuba ufumana into efana nale, ungoyiki ukuxelela ugqirha wakho. Usenokukwazi ukutshintsha amayeza okanye ukunciphisa umthamo.

Yintoni enokwenziwa ukunciphisa lo mngcipheko?

Sonke siyaluphala. Ezinye zezinto ezihambisana nako zizinto ezinokubangela i-Isolated Systolic Hypertension. Nangona kunjalo, zininzi izinto onokuzenza ukunciphisa umngcipheko wakho wale meko. Ezi ziquka:

• Ukuba unesifo seswekile, silawule kakuhle.
• Ukuba une-cholesterol ephezulu, lawula loo nto.
• Zilolonge rhoqo. Ubuncinane iintsuku ezi-5 ngeveki, imizuzu engama-30 ngosuku.
• Gcina i-body mass index yakho (BMI) ingaphantsi kwama-30.
• Musa ukusebenzisa iimveliso zecuba.
• Nciphisa ukutya okucutshungulweyo kunye nokutya okunamafutha amaninzi netyuwa eninzi kangangoko. Ukutya okuphekiweyo ekhaya kokona kulungileyo.

Yintoni omele uyilindele xa uphila nale meko?

Eyona ndlela ilungileyo yonyango kukuqala kwangoko emva kokuba ufunyenwe unale meko, njengoko naluphi na uhlobo loxinzelelo lwegazi oluphezulu lunyusa umngcipheko wezinye iingxaki zempilo, ezifana nokuhlaselwa yintliziyo kunye nestroke.

Ngaba oku kunganyangeka?

Hayi, ayinakunyangwa ngokupheleleyo. Kodwa ungakhathazeki! Ungayilawula kwaye uphile ubomi obuqhelekileyo ngokwenza utshintsho kwindlela ophila ngayo kunye/okanye ngokuthatha amayeza achazwe ngugqirha wakho.

Le meko iza kuhlala ixesha elingakanani?

I-Isolated Systolic Hypertension yimeko engapheliyo, ehlala ixesha elide. Oku kuthetha ukuba kuya kufuneka uyinyamekele kwaye uyinyange ubomi bakho bonke. Uphando lubonise ukuba ukunyanga i-Isolated Systolic Hypertension ngokufanelekileyo kunokwenza umahluko omkhulu. Kunokunciphisa umngcipheko wesifo sentliziyo, istroke, kunye nokufa malunga ne-30%! Ayisiyonto inkulu leyo?

Ndingazinyamekela njani?

Ukuze ulawule le meko, kubalulekile ukusela amayeza akho kanye njengoko ugqirha wakho ekuyalele, ngexesha. Yenza umkhwa. Mhlawumbi ukubeka isikhumbuzo kwifowuni yakho kuya kunceda. Kwakhona, ukuzilolonga nokutya ukutya okunetyuwa encinci namafutha amaninzi kulungile kakhulu kuxinzelelo lwegazi kunye nempilo yentliziyo yakho.

Ndifanele ndimbone nini ugqirha?

Ukuba ugqirha wakho uqala ukusebenzisa amayeza ale meko, mhlawumbi uza kukucela ukuba ubuye emva kwenyanga. Kulapho aza kubona khona ukuba amayeza ayasebenza okanye abangela naziphi na iziphumo ebezingalindelekanga. Okwangoku, unokucelwa ukuba ujonge uxinzelelo lwakho lwegazi ekhaya kanye ngeveki, okanye rhoqo.Ukuba uqokelela ezo zibalo kangangenyanga uze uzibonise ugqirha wakho, kuya kuba lula kuye ukuqonda ukuba iyeza lisebenza kakuhle na. Kwakhona, ugqirha uya kujonga ukuba ixabiso lakho le-systolic kunye nexabiso lakho le-diastolic liyehla kakhulu na. Kuba ukuba ixabiso lakho le-diastolic liyehla kakhulu, oko kuthetha ukuba amalungu akho awafumani gazi laneleyo.

Ufanele ufune nini unyango olungxamisekileyo?

Ukuba unengxaki 'yoxinzelelo lwegazi' , oko kuthetha ukuba uxinzelelo lwakho lwegazi luyi-180/120 mmHg nangaphezulu, kufuneka ufune unyango olungxamisekileyo ngoko nangoko. Usenokuhlangabezana nezi mpawu:

• Iintlungu zesifuba
• Ubunzima bokuphefumla
• Isiyezi
• Intloko ebuhlungu kakhulu

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, kungcono ukubuza imibuzo efana nale:

• Kufuneka ndize kukubona kangaphi?
• Ndingayiqala njani inkqubo yokuzilolonga? Zeziphi iindlela zokuzilolonga ezifanelekileyo kum?
• Ngaba kufuneka ndithathe amayeza, okanye ngaba utshintsho kwindlela endiphila ngayo lwanele imeko yam?
• Zeziphi iziphumo ebezingalindelekanga endinokuzilindela kweli yeza?
• Zeziphi izinto ekufuneka ndizixhalabele xa ndijonga uxinzelelo lwegazi ekhaya?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuba une-Isolated Systolic Hypertension, awuwedwa. Abantu abaninzi banale meko yoxinzelelo lwegazi oluphezulu. Ungakhathazeki. Kukho utshintsho oluninzi kwindlela yokuphila olunokukunceda. Ungalwenza ngokwakho olo tshintsho. Ukuba kuyimfuneko, kukwakho namayeza.

Ukulawula le meko kutyalo-mali olukhulu kwimpilo yakho yexesha elizayo. Ubani wakho wexesha elizayo uza kukubulela ngayo!

Ngoko ke, lumkele uxinzelelo lwakho lwegazi, luhlolwe rhoqo, kwaye ulandele imiyalelo kagqirha wakho. Emva koko ungaphila ubomi obusempilweni nobonwabisayo.

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Uxinzelelo lwegazi oluzimeleyo lweSystolic , Uxinzelelo lwegazi, iSystolic, iDiastolic, uxinzelelo lwegazi, Impilo yentliziyo, eSri Lanka