Nokuba sele kusetyenziswe zonke iintlobo ezintathu zamayeza, uxinzelelo lwegazi alusehli. Masithethe nge-Resistant Hypertension.

Ngaba ungumntu one-high blood pressure, okanye njengoko sonke sisazi, usela amayeza "oxinzelelo"? Usela onke amayeza anikwe ngugqirha ngexesha, kwaye ulawula ukutya kwakho kunye nokusela kwakho, kodwa ngalo lonke ixesha ujonga uxinzelelo lwakho lwegazi ekhaya, luhlala lungaphezulu kwe-140/90. Ngaba uzibuza nokuba kutheni oku kusenzeka? Mhlawumbi unayo into esithetha ngayo namhlanje, ebizwa ngokuba yi-'resistant hypertension' okanye i-resistant hypertension . Ungakhathazeki, siza kuthetha ngayo yonke into ngokulula.

Yintoni kanye kanye i-Resistant Hypertension?

Ngamafutshane, le yimeko apho uxinzelelo lwakho lwegazi oluphezulu "luchasana kakhulu" nonyango. Ngokwezonyango, ukuba uxinzelelo lwakho lwegazi luhlala lungaphezulu kwe -140/90 mmHg nangona ugqirha wakho ekunika amayeza amathathu okanye ngaphezulu okulawula uxinzelelo lwakho lwegazi oluphezulu, ngedosi ephezulu, ke loo meko ibizwa ngokuba yi-Resistant Hypertension.

Ezi ntlobo zintathu zamayeza zihlala ziquka:

• Uhlobo lwe-diuretic: Ezi zizinto esizibiza ngokuba 'ziipilisi zamanzi.' Zisebenza ngokubangela ukuba umzimba ukhuphe amanzi angaphezulu kunye netyuwa ngomchamo.
• Uhlobo lwe-calcium channel blocker: Ezi ziphumza imithambo yegazi kwaye zenze kube lula ukuhamba kwegazi.
• I-ACE inhibitor okanye i-ARB: Zombini ezi mithi (i-Angiotensin-Converting Enzyme inhibitor / i-Angiotensin II Receptor Blocker) zisebenza ngokuchaphazela imithambo yegazi kunye nokunciphisa uxinzelelo lwegazi.

Ukuba awukwazi ukulawula uxinzelelo lwakho lwegazi emva kweenyanga ezintandathu uthatha zonke ezi mithi zintathu ngedosi ephezulu, ugqirha wakho unokukrokrela ukuba une-hypertension enganyangekiyo.

Ixhaphake kangakanani le meko?

Uxinzelelo lwegazi oluphezulu sisifo esixhaphakileyo eSri Lanka nakwihlabathi liphela. Izifundo zifumanise ukuba malunga ne -10% ukuya kwi-12% yabantu abanoxinzelelo lwegazi oluphezulu banokuba nale meko, nto leyo ethetha ukuba esi ayisosifo singaqhelekanga.

Zithini iimpawu ze-Resistant Hypertension?

Eyona nto iyingozi apha kukuba uxinzelelo lwegazi oluphezulu "lubulala buthule." Abantu abaninzi ababonisi zimpawu. Abanye abantu abazi nokuba banoxinzelelo lwegazi oluphezulu kangangeminyaka. Kodwa xa lunganyangwa, lunokubangela umonakalo omkhulu emzimbeni.

Nangona kunjalo, abanye abantu banokufumana ezi mpawu zilandelayo:

• Intloko ebuhlungu
• Ukuqina kwesifuba okanye uxinzelelo
• Ubunzima bokuphefumla

Kutheni uxinzelelo lungenakulawuleka ngolu hlobo? Zithini izizathu?

Kukho izizathu ezahlukeneyo zoku. Masizihlukanise zibe ziinxalenye.

Ngubani osengozini enkulu yokuba noxinzelelo lwegazi oluxhathisayo?

Abantu abalandelayo basengozini enkulu yokuhlaselwa yile meko:

• Kwabo banesifo sezintso esinganyangekiyo
• Kwabo banesifo seswekile
• Kwabo banemvelaphi yase-Afrika-yaseMelika
• Kwabasetyhini (xa kuthelekiswa namadoda)

Ziziphi iingxaki ezinokwenzeka ngenxa yale meko?

Umntu onoxinzelelo lwegazi oluxhathisayo, olunzima ukululawula ngale ndlela, usemngciphekweni omkhulu wokufumana ezi zinto zilandelayo kunomntu onoxinzelelo lwegazi olulawulwa ngamayeza.

• Istroke
• Isifo sezintso
• Isifo sentliziyo kunye nokusilela kwentliziyo

Ngoko ke, akulunganga ukuyithatha lula le meko.

Ugqirha uyixilonga njani le nto?

Ukuze afumanise ukuba une-hypertension enganyangekiyo na, ugqirha wakho uza kujonga izinto ezahlukeneyo.

1. Buza ngembali yakho yezonyango kunye nendlela ophila ngayo.

Ugqirha angakubuza imibuzo efana nale:

• "Kudala kangakanani unengcinezelo?"
• "Wenzani xa ujonga uxinzelelo lwakho lwegazi ekhaya? Ngaba umatshini uwusebenzisa ngokuchanekileyo?"
• "Ngawaphi amayeza owasebenzisayo ngoku? (kuquka iivithamini kunye namayeza esintu). Ngaba uwasebenzisa amayeza akho njengoko eyalelwe ngugqirha wakho, ngexesha, kwaye ngokwemilinganiselo emiselweyo?"
• "Usebenzisa utywala okanye icuba?"
• "Ngaba uyarhona ebuthongweni bakho? Ngaba uziva ngathi uyafuthaniseka?"

2. Ukwenza uvavanyo lomzimba

Ngexesha lovavanyo, ugqirha uza kujonga oku kulandelayo ngokukodwa:

• Uvavanyo lwamehlo: Olu vavanyo lujonga umonakalo kwimithambo yegazi esweni ngenxa yoxinzelelo lwegazi oluphezulu. Oku kubizwa ngokuba yi-'Hypertensive Retinopathy'.
• Ukumamela imithambo yegazi emikhulu: Ukumamela isandi segazi elidlula kwimithambo yegazi emikhulu (umz., leyo isentanyeni okanye ezintsoni) ukuze kubonwe ukuba kukho isandi esingaqhelekanga (`bruit`). Oku kunokunika umbono wokuba imithambo yegazi inciphile na.

3. Uvavanyo lwelebhu kunye nezinye iimvavanyo

• Uvavanyo lomchamo:Jonga ukuba kukho iiproteni na kumchamo.
• Uvavanyo lwegazi: Jonga ukusebenza kwezintso (iCreatinine), amanqanaba eswekile (iGlucose), kunye nee-electrolytes ezifana ne-sodium kunye ne-potassium.
• Uvavanyo lweehomoni: Jonga iingxaki ekusebenzeni kwamadlala e-adrenal okanye kwi-thyroid gland.
• Iiskeni: Iiskeni ze-ultrasound kunye ne-CT zingenziwa ukujonga imeko yezintso kunye neendlala ze-adrenal.
• Uphononongo Lokulala: Ukuba ukrokrela ukuba une-sleep apnea, ungathunyelwa kwisifundo esikhethekileyo sokulala.

Iphathwa njani le nto?

Ungakhathazeki. Kukho unyango loku. Kukho iinxalenye ezimbini eziphambili.

1. Utshintsho kwindlela yokuphila

Ezi zezona zinto zibalulekileyo onokuzenza. Akuncedi ukusela amayeza nje ungazenzi ezi zinto.

• Ukulawula ityuwa: Nciphisa ukutya ityuwa ukuya kwi-2,400 milligrams (ngaphantsi kwethisipuni) ngosuku. Yeka ukuzisa ityuwa etafileni. Nciphisa ukutya okucutshungulweyo nokupakishwe kwiipakethe.
• Ukunciphisa utywala.
• Iipilisi zokunciphisa iintlungu: Musa ukuthatha amayeza afana ne-Ibuprofen kunye ne-Diclofenac ngaphandle kokubonisana nogqirha wakho. Ukuba kuyimfuneko, thetha nogqirha wakho malunga neyeza elifana ne-Paracetamol.
• Ukuzilolonga: Yenza umthambo, njengokuhamba ngeenyawo okanye ngebhayisekile, ubuncinane imizuzu engama-30 ngosuku, iintsuku eziliqela ngeveki.

2. Ukusebenzisa amayeza ngokuchanekileyo

Kulapho abantu abaninzi bephazama khona.

Ukuze amayeza asebenze, kufuneka athathwe yonke imihla, ngexesha elifanelekileyo, kwaye abe kwidosi efanelekileyo . Abanye abantu banobunzima bokuthatha amayeza abo ngenxa yeziphumo ebezingalindelekanga (umz., isiyezi, ukukhwehlela). Ukuba unengxaki enjalo, xelela ugqirha wakho. Angakunika elinye iyeza. Ungaze uyeke ukuthatha amayeza akho okanye utshintshe idosi ngaphandle kokubuza ugqirha wakho.

Ukuba uxinzelelo lwakho lwegazi alulawulwa nasemva kokuba uthathe amayeza akho ngokuchanekileyo, ugqirha wakho unokongeza iyeza lesine okanye lesihlanu. Umzekelo, iyeza lokukhupha isisu elibizwa ngokuba yiSpironolactone okanye i -beta-blocker .

Ufanele uye nini esibhedlele (ETU) ngoko nangoko?

Ngamanye amaxesha uxinzelelo lwegazi lunokunyuka kakhulu ngequbuliso. Oku kubizwa ngokuba yingxaki ye-hypertension . Le yimeko efuna unyango olungxamisekileyo.

Ukuba uxinzelelo lwakho lwegazi luphezulu kune- 180/120 mmHg kwaye uneempawu ezilandelayo, yiya kwigumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko:Yiya kwi- (ETU - Iyunithi yoNyango oluNgxamisekileyo) .

• Intloko ebuhlungu kakhulu
• Ukubetha kwentliziyo (ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza)
• Isiyezi
• Ubunzima bokuphefumla

Imibuzo omele uyibuze ugqirha wakho

Kubalulekile ukuba uyiqonde kakuhle imeko yakho. Ungathandabuzi ukubuza le mibuzo kwixesha elizayo xa ubona ugqirha wakho.

• "Gqirha, ngaba kufuneka nditshintshe amayeza am?"
• "Yeyiphi indibaniselwano yamayeza efanelekileyo kum?"
• "Ndifanele ndijonge uxinzelelo lwegazi lwam kangaphi ekhaya?"
• "Ndingabuya nini kwakhona kugqirha?"

Kuqhelekile ukuziva ukhathazekile xa usele amayeza amaninzi kodwa ungakhange ubone tshintsho. Nangona kunjalo, eyona nto ingcono onokuyenza kukuthetha ngokukhululekileyo nogqirha wakho uze ufumane izisombululo kwiingxaki zakho.