Ngaba usela amayeza oxinzelelo lwakho lwegazi kodwa akalawulwa ngokufanelekileyo? Okanye ngaba unesifo soxinzelelo lwegazi oluphezulu nangona usemncinci? Usenokucinga ukuba yiloo nto ibangela uxinzelelo lwegazi oluphezulu. Kodwa ayizizo zonke izifo zoxinzelelo lwegazi oluphezulu ezinokuba nesizathu esithile. Ngamanye amaxesha, esinye isifo emzimbeni wethu, iyeza esilisebenzisayo, sinokuba sisizathu soxinzelelo lwegazi oluphezulu. Namhlanje, sithetha ngoxinzelelo lwegazi oluphezulu oluvela ngenxa yesizathu esithile, oko kukuthi, uxinzelelo lwegazi lwesibini .
Yintoni iHighertension yesibini?
Ngamafutshane, oku kubhekisa kuxinzelelo lwegazi oluphezulu olubangelwa sisizathu esithile esibonakalayo , njengesinye isifo emzimbeni wethu okanye amayeza esiwaselayo.
Uxinzelelo lwegazi oluqhelekileyo uninzi lwethu esilwaziyo, njengoko oogqirha besitsho, alunakufumaneka kwiPrimary Hypertension . Luphenjelelwa zizinto ezininzi ezifana nemfuza yethu, indlela esiphila ngayo, into esiyityayo, kunye nokungazilolongi. Kodwa kwi-'Secondary Hypertension', akunjalo, singakhomba umnwe wethu kuyo sithi, 'Ah... nasi isizathu soxinzelelo'.
Khawucinge nje. Amanzi aphuma kwimpompo yakho anciphile. Ujonga ukuba kukho amanzi etankini. Kukho amanzi. Ngoko ke yintoni ingxaki? Mhlawumbi kukho into ebambeke ngaphakathi kumbhobho wamanzi. Kunjalo ke ngale nto. Uxinzelelo luphezulu, kodwa isizathu saloo nto asikokuxinzelela ngokwako, kodwa yingxaki kwenye indawo emzimbeni.
Oogqirha babecinga ukuba yi-5% ukuya kwi-10% kuphela yabantu abanoxinzelelo lwegazi oluphezulu abanoxinzelelo lwegazi lwesibini. Kodwa uphando olutsha lubonisa ukuba eli nani linokuba phezulu kakhulu, kuba imeko idla ngokungachongwa kakuhle kwaye iphathwe njengoxinzelelo lwegazi oluqhelekileyo.
Zithini izizathu eziphambili ze-hypertension yesibini?
Ngoku usenokuba uzibuza ukuba zeziphi izifo ezinokubangela oku. Jonga olu luhlu. Ezi zezona zizathu zixhaphakileyo. Makhe sijonge nganye kwezi ngokweenkcukacha.
| Unobangela | Ingcaciso elula |
|---|---|
| I-Obstructive Sleep Apnea | Ngexesha lokulala, izihlunu zomqala ziyaphumla kwaye indlela yomoya iyavalwa, nto leyo ebangela ukuba ukuphefumla kuyeke okomzuzwana. Ngeli xesha, amanqanaba eoksijini emzimbeni ayancipha, nto leyo ebeka uxinzelelo olungakumbi entliziyweni. Njengoko oku kuqhubeka, uxinzelelo lwegazi luyanda. |
| I-Renal Artery Stenosis | Izintso sisitho esibalulekileyo esilawula uxinzelelo lwegazi emzimbeni wethu. Xa imithambo yegazi eyinikayo incipha, izintso azifumani gazi laneleyo. Izintso zicinga ukuba uxinzelelo lwegazi emzimbeni luphantsi, ngoko ke zikhupha iihomoni ezonyusa uxinzelelo. |
| Iingxaki zeHormonal | Umzekelo, kwiimeko ezifana nePrimary Aldosteronism (Conn's Syndrome) kunye neCushing Syndrome , iihomoni ezilawula ubungakanani betyuwa namanzi emzimbeni ziveliswa ngokugqithisileyo. Oku kubangela ukuba uxinzelelo lwegazi lunyuke. Uxinzelelo lunokutshintsha ngenxa yokwanda komsebenzi we-thyroid gland (Hyperthyroidism) okanye ukuncipha komsebenzi we-thyroid gland. |
| Isifo se-Renal Parenchymal | Izifo ezonakalisa izintso ngokwazo zenza zingakwazi ukulawula kakuhle ubungakanani bolwelo netyuwa emzimbeni, nto leyo enokubangela uxinzelelo lwegazi oluphezulu. |
| Amanye amayeza kunye nezinye izinto | Ezinye zezinto esizisebenzisayo, ezinje ngeepilisi zokunciphisa iintlungu, iipilisi zokulawula ukuzalwa, kunye namayeza omkhuhlane, zinokunyusa uxinzelelo lwegazi. Ukongeza, ukusetyenziswa kotywala ngokugqithisileyo, icuba, kunye nezinye iziyobisi nako kunokuba nefuthe. |
| Ezinye iintlobo zeethumba | Iithumba ezikhula kwi-adrenal glands, ezifana ne -pheochromocytoma kunye ne-paraganglioma, zivelisa iihomoni ezininzi kakhulu. Ezi homoni zinokubangela ukunyuka ngequbuliso kwesantya sentliziyo kunye noxinzelelo lwegazi. |
| Isifo sentliziyo esizalwa naso (Ukuhlanganiswa kwe-Aorta) | Oku kwenzeka xa i-aorta, umthambo wegazi oyintloko othwala igazi ukusuka entliziyweni ukuya emzimbeni, incipha. Oku kubangela ukuba intliziyo isebenze nzima ukupompa igazi kwindawo enciphileyo. Oku kwandisa uxinzelelo. |
Amayeza nezinye izinto ezinokunyusa uxinzelelo lwegazi
Amanye amayeza esiwasebenzisayo anokunyusa uxinzelelo lwethu lwegazi ngokungazi.
- Amanye amayeza omkhuhlane kunye ne-aleji (i-Decongestants)
- Iipilisi zokubulala iintlungu (ii-NSAID)
- Iipilisi zokulawula ukukhulelwa (Iipilisi zokuthintela ukukhulelwa ezithethwa ngomlomo)
- Ezinye izinto ezithintela uxinezeleko
- Ii-Corticosteroids - umz. i-prednisone
- Izinto ezithintela amasosha omzimba
- Amanye amayeza omhlaza
Okubaluleke kakhulu: Nokuba ukrokrela ukuba amayeza anikwe ngugqirha wakho abangela ukuba uxinzelelo lwakho lwegazi lunyuke, ungaze uyeke ukuwasela wedwa. Kubalulekile ukuthetha nogqirha wakho kuqala uze ufumane ingcebiso.
Ukongeza, ukusela utywala ngokugqithisileyo, ukusebenzisa i-nicotine, ezinye izongezo zemifuno , kunye nokusetyenziswa kweziyobisi ngokungekho mthethweni nazo zezona zinto ziphambili ezibangela uxinzelelo lwegazi oluphezulu.
Zithini iimpawu ze-hypertension yesibini?
Kwiimeko ezininzi, akukho zimpawu ezinxulumene 'noxinzelelo lwegazi lwesibini'. Oku kuthetha ukuba usenokungawuboni umahluko omkhulu kuxinzelelo lwakho lwegazi (ngaphandle kokuba luba phezulu ngendlela eyingozi). Nangona kunjalo, unokufumana iimpawu zesifo esibangela uxinzelelo lwegazi oluphezulu .
Umzekelo, ukuba uxinzelelo lwakho lwegazi lubangelwa yingxaki ye-thyroid, unokufumana iimpawu ezifana nokunyuka kwentliziyo, ukubila okugqithisileyo, kunye nokwehla kobunzima. Ngokufanayo, iimpawu ziya kwahluka ngokuxhomekeke kwisizathu esiyintloko.
Kunini apho ugqirha eqala ukurhanela khona oku?
Kukho izinto ezininzi ezinokubangela ukuba ugqirha wakho acinge ukuba une-hypertension yesibini. Ezi zibizwa ngokuba "ziimpawu ezibomvu" zemeko leyo.
- Ukuba uxinzelelo lwakho lwegazi luhlala luphantsi kolawulo kwaye lunyuka ngequbuliso.
- Ukuba umntu ongaphantsi kweminyaka engama-30 ubudala uba noxinzelelo lwegazi oluphezulu.
- Ukuba uxinzelelo lunyuka ngequbuliso ngendlela eyingozi (i-Hypertensive Crisis).
- Ukuba uxinzelelo lwakho lwegazi alunakulawulwa nangona usebenzisa amayeza amathathu okanye ngaphezulu (i-Resistant Hypertension).
Ukongeza koku,Ukuba uxinzelelo lwegazi lomntwana omncinci luyanda ngaphambi kokuba afikelele ekufikiseni, ngokuqinisekileyo loo nto yeyona nto iphambili esishukumisela ukuba sifune esinye isizathu.
Zithini iingozi ukuba azinyangwa?
Ukuba le meko ayinyangwa, uxinzelelo lwegazi oluphezulu oluhlala ixesha elide lunokonakalisa intliziyo, imithambo yegazi, ubuchopho kunye nezintso. Esi sisifo sentliziyo esibizwa ngokuba yi-hypertension .
Kwakhona, iingxaki zinokuvela kwimeko yezonyango ebangela uxinzelelo. Kodwa kukho icala elihle koku. Ukuchonga 'uxinzelelo lwegazi oluphezulu' kunokuba luphawu lokuqala lokuchonga esinye isifo esasifihliwe emzimbeni wakho. Ke ngoko, ukunyanga linyathelo elihle lokulawula isifo esisisiseko.
Oogqirha bayixilonga njani le sifo?
Ngenxa yokuba zininzi izizathu, ngamanye amaxesha kungathatha ixesha ukufikelela kwisifo esichanekileyo. Ugqirha usenokufuna ukuthintela ezinye izizathu aze aphande ezinye nzulu ngakumbi.
Inkqubo yovavanyo idla ngokuhamba ngolu hlobo:
1. Uvavanyo lokuqala: Okokuqala, ugqirha wakho uza kukuhlola ngokwasemzimbeni, akubuze ngembali yakho yezonyango, amayeza owaselayo, kunye nezongezo oziselayo. Uza kuthetha nangokutya kwakho, ityuwa oyityayo, kunye nokusela utywala.
2. Uvavanyo olusisiseko: Emva koko uvavanyo lwe-EKG (ECG) , kwenziwa uvavanyo olusisiseko lwegazi nomchamo .
3. Uvavanyo olukhethekileyo: Ukuba imbangela ayicacanga kwiimvavanyo zokuqala, kwenziwa olunye uvavanyo olukhethekileyo ngokuxhomekeke kwimeko yempilo ekrokrelwayo.
- I-Ultrasound yezintso
- I-CT Angiogram okanye i-MRA (iskeni ekhethekileyo ejonga imithambo yegazi)
- Isifundo sokulala okanye i-polysomnography
- Uvavanyo olongezelelekileyo lwegazi nomchamo ukujonga amanqanaba athile eehomoni
Iphathwa njani?
Unyango loku luxhomekeke ngokupheleleyo kwisizathu soxinzelelo. Akukho nyango lufanayo. Ugqirha wakho uza kuphuhlisa isicwangciso sonyango esifanelekileyo kuwe aze akuchazele sona.
Isicwangciso sakho sonyango singabandakanya:
- Ukuthatha amayeza okwehlisa uxinzelelo lwegazi.
- Ukuthatha amanye amayeza ukunyanga ingxaki ethile yempilo engabonakaliyo.
- Ukwenza utshintsho kwindlela yokutya (umz. ukunciphisa ityuwa).
- Ukunciphisa ukusetyenziswa kotywala.
- Ukuyeka ukutshaya ngokupheleleyo.
- Ukuzivocavoca umzimba rhoqo.
- Ukuba unengxaki yokuphefumla xa ulele, sebenzisa isixhobo esifana nomatshini we-CPAP .
- Kwezinye iimeko, utyando okanye ezinye iinkqubo zonyango zinokuba yimfuneko.
Ukunyanga le meko kunokuvelisa iziphumo ezilungileyo kakhulu. Nje ukuba unobangela unyangwe ngokufanelekileyo, uxinzelelo lwakho lwegazi lunokubuyela esiqhelweni. Ukuba uxinzelelo lwakho lwegazi luqhubeka luphezulu kancinci, kunokufuneka uqhubeke nokusela amayeza ukuze ululawule. Eyona nto ibalulekileyo kukufumana unobangela kwaye uwunyange ngokufanelekileyo.
Umyalezo Wokuya Ekhaya
- Ayizizo zonke iimeko zoxinzelelo lwegazi oluphezulu ezifanayo. Kusenokubakho isizathu esithile esibonakalayo soxinzelelo lwakho lwegazi.
- Ukuba uxinzelelo lwakho lwegazi alulawulwa ngamayeza, ukuba luqale usemncinci, okanye ukuba lunyuka ngequbuliso, qiniseka ukuba uthetha nogqirha wakho ngalo mba.
- Xa unobangela oyintloko unyangwa, uxinzelelo lunokulawulwa, kwaye ngamanye amaxesha lude lunyangeke ngokupheleleyo.
- Kuphephe ukuyeka amayeza owanikwe ngugqirha wedwa. Ukuba unemibuzo okanye iinkxalabo, thetha ngazo nogqirha wakho kuqala.
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