Ingaba uxinzelelo lwakho lwegazi luyanyuka xa ubona ugqirha? Oku kubizwa ngokuba yi-"White Coat Syndrome"!

Ngaba wakha waya kugqirha waza wahlolwa uxinzelelo lwakho lwegazi waza wafumanisa ukuba luphezulu kakhulu kunokuba lwalunjalo ekhaya? Ngamanye amaxesha unokucinga, 'Owu, ndinoxinzelelo lwegazi oluphezulu?' Kodwa xa ufika ekhaya uze uhlolwe kwakhona, uxinzelelo lwakho lwegazi luqhelekile. Yiloo nto siza kuthetha ngayo, ebizwa ngokuba yi-"White Coat Syndrome." Namhlanje, siza kuthetha ngokuba yintoni kanye kanye, kutheni isenzeka, ingaba iyingozi, kwaye yintoni esinokuyenza ngayo.

Yintoni i-"White Coat Syndrome"?

Ngamafutshane, "i-white coat syndrome" kuxa usiya kugqirha, okanye esibhedlele, uxinzelelo lwakho lwegazi, okanye uxinzelelo lwegazi, luphezulu kunesiqhelo. Kodwa okumangalisayo kukuba, ukuba ulinganisa uxinzelelo lwakho ekhaya, lukwimida eqhelekileyo. Uxinzelelo lwegazi oluqhelekileyo luxinzelelo lwe-systolic olungaphantsi kwe-120 millimeters ye-mercury (mmHg) kunye noxinzelelo lwe-diastolic olungaphantsi kwe-80 millimeters ye-mercury . Khawuthelekelele, uxinzelelo lwakho lunyuka phambi kogqirha kuphela, kodwa ekhaya luqhelekile!

Le yinto ekufuneka ucinge ngayo, kuba uphando lufumanise ukuba malunga ne-5% yabantu abane-"white coat syndrome" bakhula noxinzelelo lwegazi oluphezulu, okanye uxinzelelo lwegazi oluphezulu, minyaka le .

Kubalulekile ukuba uhlolwe uxinzelelo lwakho lwegazi ngokuchanekileyo. Oku kungenxa yokuba lunokumisela ukuba uyaludinga na unyango okanye ukuba lungakanani unyango omawuluthathe. Khawuthelekelele ukuba uxinzelelo lwakho lwegazi lunyuke kuphela eofisini kagqirha, ngoko ke unikwe unyango obungaludingi ngokwenene, okanye idosi ephezulu kunokuba bekufanele ukuba uluthathe. Kwakhona, ukuba sele usela unyango loxinzelelo lwakho lwegazi, ugqirha wakho unokucinga ukuba unyango lwakho alusebenzi, kwaye ingxaki yi-"white coat syndrome."

Ingaba le "white coat syndrome" iyinyani? Ngaba bubuxoki?

Ewe, le yimeko yokwenyani . Le asiyontsomi nje okanye intsomi. Abaphandi benze uphando oluninzi ngale nto baza babhala phantsi iziphumo zabo. Ngoko ke le yinto eyamkelweyo ngokwesayensi.

Ngaba i-"white coat syndrome" iyingozi?

Le yinto ekufuneka uyicinge. Inokuba yingozi ngamanye amaxesha. Abantu abane-"white coat syndrome" banokuba noxinzelelo lwegazi oluphezulu kancinci kunabantu abangenaso esi sifo. Ngokukodwa, uphando lubonise ukuba abantu abaneminyaka engaphezu kwama-60 ubudala kunye namaqela asengozini enkulu (oko kukuthi abo bakhe bahlaselwa yintliziyo ngaphambili, abanesifo seswekile, okanye ezinye izinto ezibangela umngcipheko wesifo sentliziyo) banamathuba aphindwe kabini okufumana isifo sentliziyo ngesi sifo kunabo bakwiqela elisengozini encinci.

Nangona kunjalo, kusenokwenzeka ukuba olu mngcipheko wonyukayo awubangelwa "yi-white coat hypertension" kuphela, kodwa kungenxa yezinto ezibangela umngcipheko ezikhankanyiweyo ngaphambili. Yiyo loo nto kubalulekile ukuthetha nogqirha ngale nto.

Ngubani onokuthi abe nesifo "se-white coat syndrome"?

Nangona le meko inokuvela nakubani na, abanye abantu banamathuba amaninzi okuba nayo. Nazi:

• Abantu abangaphezu kweminyaka engama-50 ubudala.
• Abafazi (abafazi).
• Abantu abasandula kufunyaniswa ukuba bane-high blood pressure.
• Abantu abatyebe kakhulu.
• Abantu abangazisebenzisiyo iimveliso zecuba (oku kusenokuba yinto emangalisa kancinci, kodwa uphando lubonisa oko).

Ixhaphake kangakanani "i-white coat hypertension"?

Le meko, ebizwa ngokuba yi-"white coat hypertension," ichaphazela phakathi kwe-15% kunye ne-30% yabantu abanoxinzelelo lwegazi oluphezulu. Oko kuthetha ukuba malunga nomntu omnye kwabathathu abanoxinzelelo lwegazi oluphezulu unokuba nalo. Ayipheleli apho, kodwa inokuvela nakubantu abangenalo uxinzelelo lwegazi oluphezulu.

Zithini iimpawu ze-"white coat syndrome"?

Ukuba une "i-white coat hypertension," ungaziva unexhala kwaye woyika xa usiya kugqirha. Njengokuxhalaba kancinci. Olu valo lunokwanda xa usiya kwigumbi lovavanyo, ingakumbi xa uxinzelelo lwakho lwegazi lulinganiswa. Abanye abantu banokubila kwaye babe nesantya sentliziyo esonyukayo.

I-"white coat syndrome" iyichaphazela njani umzimba wakho?

Oku akukokoyika ugqirha nje kuphela. Ukuba "i-white coat syndrome" iqhubeka ixesha elide, inokunxulunyaniswa nezi zinto zilandelayo:

• Imithambo yakho isenokuba lukhuni.
• Umsebenzi wemithambo yegazi usenokuphazamiseka.
• Umngcipheko wokufa onxulumene nesifo sentliziyo (ukufa ngemithambo yegazi) unokwanda.
• Umngcipheko we-hypertrophy ye-ventricular yasekhohlo unokwanda.
• Umngcipheko wokuba nesifo seswekile okanye uxinzelelo lwegazi oluphezulu unokwanda.

Oko kuthethiweyo, oku akuyonto yokuyithatha lula. Kubalulekile ukukhumbula ukuba nokuba uxinzelelo lwakho lwegazi lunyuka phambi kogqirha, lunokuba nemiphumo ehlala ixesha elide emzimbeni wakho.

Kutheni le nto isenzeka le "white coat syndrome"? Yintoni imbangela?

Khawuthelekelele, uza kubona ugqirha, uze ube novalo kancinci, unomdla kancinci, ungathi, 'Uxinzelelo lwam lwegazi luza kuba njani? Kuthekani ukuba luphezulu?' Ngelo xesha, umzimba wakho, ngenxa yokuxhalabela isiphumo, unokusabela ngokuzenzekelayo . Kufana nokuba xa sibona ingozi, umzimba wethu uzilungiselela "ukulwa okanye ukubaleka." Ukuya eofisini kagqirha, ukungena kwigumbi lovavanyo, kwaye ekugqibeleni ukuba uxinzelelo lwakho lwegazi luhlolwe konke oku kunokubangela le mpendulo.

Kwakhona, uxinzelelo lwethu lwegazi aluhlali lufana imini yonke. Kuqhelekile ukuba lutshintshe ngezinto ezifana nezi:

• Ixesha lemini (linokwahluka phakathi kokusa, emva kwemini, nobusuku).
• Nokuba uphumle okanye awuphumlanga ngaphambi kokuba ulinganise uxinzelelo lwakho lwegazi.
• Ubungakanani bengxolo engcolisayo kwindawo okuyo.
• Imeko yakho yengqondo (nokuba wonwabile, ulusizi, okanye uyoyika).

Ungayiqaphela njani "i-white coat syndrome"?

Ugqirha wakho uya kukwazi ukukuqonda oku ukuba uxinzelelo lwakho lwegazi luphezulu kunesiqhelo (140 mmHg okanye ngaphezulu kwi-systolic kunye/okanye i-90 mmHg okanye ngaphezulu kwi-diastolic) ubuncinane kathathu ngexesha lotyelelo lwakho. Nangona kunjalo, kufuneka ujonge uxinzelelo lwakho lwegazi ngokujonga uxinzelelo lwegazi oluhambayo iiyure ezingama-24 okanye ukujonga uxinzelelo lwegazi ekhaya.

Ngokuqhelekileyo, ukuba uxinzelelo lwakho lwegazi lungaphantsi kwe-135/85 mmHg ngexesha lokuhlolwa iiyure ezingama-24 (ekhaya), kodwa luphezulu kune-140/90 mmHg xa ugqirha elujonga, ngoko kukho i-"white coat syndrome".

I-Ambulatory Blood Pressure Monitoring (ABPM) sisixhobo esincinci osinxiba engalweni okanye esihlahleni sakho iiyure ezingama-24 ngosuku. Silinganisa kwaye sirekhode uxinzelelo lwakho lwegazi ngokuzenzekelayo imini yonke, ngelixa usebenza kwaye ulele. Le yindlela onokuthi wazi ngayo ukuba uxinzelelo lwakho lwegazi lunjani ekhaya.

Ingaba le "i-white coat syndrome" iyaphela?

Ngokwesiqhelo, le meko inokuhlala iminyaka . Nokuba ubona ugqirha omnye minyaka le, nokuba unobuhlobo kwaye ukhululekile kangakanani na kuloo gqirha, oku kusenokwenzeka ukuba kuqhubeke. Oku kuthetha ukuba oku akukoyiki nje ugqirha , kodwa yinto enzima ngakumbi.

Inyangwa njani "i-white coat syndrome"?

Ugqirha wakho mhlawumbi uza kukuxelela ukuba ujonge uxinzelelo lwakho lwegazi rhoqo ekhaya. Oku kuya kukunceda ubone ukuba unesifo soxinzelelo lwegazi esiphakamileyo ngokwenene na. Ungathenga isixhobo sokujonga uxinzelelo lwegazi oluzenzekelayo ukuze ulusebenzise ekhaya. Okanye, amanye amakhemesti aneemishini ezilinganisa uxinzelelo lwakho lwegazi, akunjalo? Ungazisebenzisa nezo.

Ukongeza, ugqirha wakho angakuxelela ukuba wenze utshintsho oluthile kwindlela ophila ngayo , olufana nolu:

• Zilolonge rhoqo. Into efana nokuhamba ubuncinane imizuzu engama-30 ngosuku.
• Ukunciphisa umzimba . Kubalulekile ukugcina ubunzima obufanele ubude bakho.
• Nciphisa umlinganiselo wetyuwa oyityayo . Nciphisa umlinganiselo wetyuwa oyityayo, njengeepickles, intlanzi eyomisiweyo, kunye neesoseji.
• Ukuphepha ukusebenzisa iimveliso zecuba .

Nangona kunjalo, ukuba unezinye izinto ezibangela umngcipheko wentliziyo, ezifana nokutyeba kakhulu nokutshaya, ugqirha wakho angakuxelela ukuba uqalise ukuthatha amayeza okunciphisa uxinzelelo lwegazi, abizwa ngokuba "yi-antihypertensive."

Yintoni enokwenziwa ukususa, okanye ukunciphisa, "i-white coat syndrome"?

Ukuba unako, zama ukuhlala uzolile kwaye uphumle xa usiya kugqirha. Oku kuya kukunceda ukuba uxinzelelo lwakho lwegazi lufikelele kwinqanaba olinalo ekhaya. Jonga ukuba la macebiso ayakunceda na:

• Yakha ubudlelwane obuhle nogqirha wakho. Oku kuya kukunceda uzive ukhululekile ukuthetha naye. Ukuba awukhululekanga ngugqirha wakho wangoku, zama ukufumana omnye ugqirha.
• Bhala phantsi imibuzo embalwa ofuna ukuyibuza uze uhambe nayo. Emva koko akuyi kufuneka ukhathazeke ngokucinga, "Owu, ndilibele ukubuza loo nto."
• Zinike ixesha elingakumbi ngaphambi kokuba uye kwi-aphoyintimenti yakho. Paka imoto yakho, uhambe ungenaxhala, kwaye uya kuziva ukhululekile.
• Kuphephe ukutshaya, ukusela ikofu, okanye ukuzilolonga kangangesiqingatha seyure ngaphambi kwentlanganiso yakho. Oku kunokunyusa uxinzelelo lwegazi okwethutyana.

Amayeza e-"White Coat Syndrome" kunye nemiphumo yawo emibi

Oogqirha badla ngokukunika amayeza e-"white coat syndrome" kuphela ukuba unezinye izinto ezibangela isifo sentliziyo. Kwiimeko ezininzi, unyango lubandakanya utshintsho kwindlela ophila ngayo , njengokunciphisa umzimba kunye nokunciphisa ityuwa ekutyeni kwakho. Nangona kunjalo, abantu abasengozini enkulu yesifo sentliziyo banokufuna ukuthatha amayeza okunciphisa uxinzelelo lwegazi ("i-antihypertensive").

Njengayo nayiphi na imithi, amayeza oxinzelelo lwegazi anokubangela iziphumo ebezingalindelekanga ezincinci kwabanye abantu. Ayingabo bonke abantu abawafumanayo, kodwa abanye abantu banokufumana izinto ezifana nezi:

• Ndiziva ndinesizungu.
• Intloko ebuhlungu.
• Ndiziva ngathi ndikhathazekile sisisu.

Ukuba oku kuyenzeka, xelela ugqirha wakho. Usenokukwazi ukutshintsha amayeza okanye ukulungisa umthamo wawo.

Ungayinciphisa njani ingozi ye-"white coat syndrome"?

Ngokuthetha nogqirha wakho uze uchaze izinto ezikuxhalabisayo , unganciphisa kakhulu uloyiko lwakho kunye nexhala. Oku kunokunciphisa nomngcipheko wokuba "ne-white coat hypertension."

Ukuba ndinesifo "se-white coat syndrome", ndimele ndilindele ntoni?

Izifundo zibonisa ukuba abantu abane-"white coat hypertension" basengozini enkulu yokuba neengxaki zentliziyo kunabo bane-blood pressure eqhelekileyo. Oku kuthetha ukuba asiyonto onokungayinaki nje xa usiya eofisini kagqirha. Nangona kunjalo, eyona nto ibalulekileyo kukujonga uxinzelelo lwakho lwegazi ekhaya nokwenza utshintsho kwindlela ophila ngayo olucetyiswa ngugqirha wakho. Ukuba kuyimfuneko, kubalulekile nokuthatha amayeza akho amiselweyo kanye njengoko echazwe ngugqirha.

Ndingazinyamekela njani?

• Jonga uxinzelelo lwakho lwegazi rhoqo ekhaya. Oku kuya kukunceda ubone ukuba uxinzelelo lwakho lwegazi lukwimida eqhelekileyo na.
• Ukuba uxinzelelo lwakho lwegazi luhlala luphezulu nangona ulujonga ekhaya, qiniseka ukuba ubona ugqirha wakho. Ngale ndlela, unokufumanisa ukuba uxinzelelo lwakho lwegazi luphezulu ngokwenene na.

Ndingayibuza yiphi imibuzo ugqirha?

Xa usiya kugqirha, ungalibali ukubuza imibuzo efana nale. Ngale ndlela, ungayiqonda ngcono le nto.

• "Gqirha, kufuneka ndihlole uxinzelelo lwegazi lam kangaphi ekhaya?"
• "Ndingayilinganisa njani ngokuchanekileyo uxinzelelo lwegazi lam ekhaya? Ngaba ikho indlela efanelekileyo yokwenza oko?"
• "Ukuba ndizisa isixhobo sam sokujonga uxinzelelo lwegazi ekhaya, ngaba ugqirha angasijonga ukuba sichanekile na?"

Ukubuza imibuzo efana nale kuya kukunika amandla amaninzi, kwaye kuya kunceda ugqirha ukuba ayiqonde ngcono imeko yakho.

Ngoko ke, zeziphi izinto ekufuneka sizikhumbule kuzo zonke ezi zinto? (Umyalezo Wokubuyela Ekhaya)

Xa ugqirha elinganisa uxinzelelo lwakho lwegazi aze athi luphezulu, ungaziva ungakhululekanga kwaye woyike kancinci. Yinto eqhelekileyo leyo. Nangona kunjalo, akuthethi ukuba uxinzelelo lwakho lwegazi luphezulu. Mhlawumbi uxhalabile okanye uyoyika kuba useofisini kagqirha. Oko kubizwa ngokuba yi-"White Coat Syndrome."

Eyona nto ibalulekileyo kukujonga uxinzelelo lwakho lwegazi rhoqo ekhaya. Lujonge kwikhemesti okanye ngesixhobo sokujonga ekhaya. Ukuba amaxabiso asekhaya aqhelekile, xelela ugqirha wakho. Emva koko unokuhlaziya iirekhodi zakho. Kwakhona, ukuba uxinzelelo lusephezulu xa ulujonga ekhaya, ngokuqinisekileyo kufuneka uxelele ugqirha wakho . Kuba oko kuthetha ukuba usenokuba noxinzelelo lwegazi oluphezulu. Indlela ekuphela kwayo yokwazi kakuhle ukuba imeko injani kukujonga uxinzelelo lwakho lwegazi rhoqo kwaye uthethe nogqirha wakho ngalo. Ungakhathazeki, ukuba uyazi oku kwaye ukulawule ngokufanelekileyo, unokuhlala usempilweni!

I- White coat syndrome, uxinzelelo lwegazi oluphezulu, uxinzelelo lwegazi, ugqirha, ixhala, isifo sentliziyo, uxinzelelo lwegazi