Mhlawumbi ukhe wazibona ezi matshini zincinci kwiikhemesti okanye kwiivenkile ezikwi-intanethi onokuzifaka esihlahleni sakho ukuze ujonge uxinzelelo lwakho lwegazi. Zifana newotshi kwaye zibonakala zilula kakhulu ukuzisebenzisa. Kodwa xa uzibona, mhlawumbi uyazibuza, "Ngaba indlela ezibhalwe ngayo ichanekile ngokwenene?", "Ngaba oku kungcono kunomatshini omkhulu owubeka engalweni yakho engaphezulu?", "Ngaba oku kulungile kum?" Ke namhlanje, masithethe ngayo yonke into ekufuneka uyazi ngezi zixhobo zokujonga uxinzelelo lwegazi esihlahleni.
Yintoni le sibonisi soxinzelelo lwegazi esihlahleni?
Ngamafutshane, esi sisixhobo esikuvumela ukuba ulinganise uxinzelelo lwakho lwegazi (BP) ekhaya. Uninzi lwazo lune-cuff oyisonga esihlahleni sakho. Le cuff iqhagamshelwe kwisikrini sedijithali esibonisa ukufundwa koxinzelelo lwakho.
Kukho ezinye iimonitha ezikhoyo ngoku ezinokunxitywa njengewotshi ebukhali. Ezi zixhobo zinokulandelelwa kungekuphela nje uxinzelelo lwegazi lakho, kodwa nolunye ulwazi, olufana nokuba wenze umthambo ongakanani kunye nendlela olele ngayo.
Eyona nzuzo iphambili yesixhobo esifana nesi kukuba sikuvumela ukuba ufumane umbono wokuba uxinzelelo lwakho lwegazi lutshintsha njani ngexesha lemisebenzi yakho yemihla ngemihla. Oku kuthetha ukuba endaweni yokulujonga kuphela xa uya kugqirha, kunceda wena nogqirha wakho ukuba niqonde ngcono ukuba uxinzelelo lwakho lwegazi lunjani ekhaya nasemsebenzini.
Nangona kunjalo, kukho into enye ebalulekileyo ekufuneka uyikhumbule apha. Iimonitha ezisekwe esinqeni zihlala zithathwa njengezingachanekanga kangako kuneemonitha zengalo ephezulu. Ke ngoko, oogqirha bacebisa kuphela kwiimeko ezithile ezikhethekileyo.
Yintoni umahluko phakathi kokujonga ingalo engentla nokujonga esihlahleni?
Zombini ezi ntlobo zeemonitha zilinganisa uxinzelelo lwegazi elihamba ngemithambo yegazi emzimbeni wethu ongaphezulu. Nangona kunjalo, olu vavanyo luthathwa kwiindawo ezimbini ezahlukeneyo. Lo mahluko unokubangela umahluko kwiziphumo. Masiwuqonde ngokucacileyo lo mahluko.
| Isizathu sotshintsho | Iliso lengalo ephezulu | Isixhobo sokuJonga iSinqe |
|---|---|---|
| Indawo apho kuthathwa khona umlinganiselo | Umlinganiselo uthathwa kwi-brachial artery, ekwingalo engasentla, ngaphezulu nje kwengqiniba. Kulapho ugqirha axilonga khona ekliniki. | Umlinganiselo uthathwa kwi-radial artery, ekwisandla. Le artery ikwindawo engaphezulu kakhulu kunesikhumba. |
| Ukuchaneka | Le yindlela echanekileyo necetyiswayo kwisayensi yezonyango. Ibizwa ngokuba "ngumgangatho wegolide." | Ukuba uyisebenzisa kwindawo eyiyo kanye, ungafumana iziphumo ezichanekileyo. Kodwa ukuba indawo ayilunganga kangako, iziphumo zinokuba zingalunganga ngokupheleleyo. |
| Utshintsho olunokwenzeka kwixabiso loxinzelelo | Oku kuthembekile ngakumbi kuba ixabiso elifunyenweyo lifana noxinzelelo olukwimithambo emikhulu ekufutshane nentliziyo. | Ngenxa yokuba ilinganiswa kumthambo omncinci, kude nentliziyo, uxinzelelo apha lunokwahluka kancinci kunolwasengalweni engentla. Ezinye izifundo zibonise ukuba ixabiso eliphezulu (i-systolic) linokuba phezulu kancinci esihlahleni. |
Ngenxa yezi zizathu, kubalulekile ukusebenzisa isixhobo sasekhaya phantsi kwesikhokelo sikagqirha wakho , nokuba sisixhobo sasekhaya. Oku kuya kuvumela ugqirha wakho ukuba aqonde umahluko phakathi kokufundwa okwenziwa ekhaya nokufundwa okwenziwa ekliniki aze enze ngokufanelekileyo.
Ngoko ke, ngubani ngokwenene ofuna isixhobo sokubona esixhonywe esihlahleni?
Ukuba ugqirha wakho ukuxelela ukuba ujonge uxinzelelo lwegazi lakho ekhaya, kunokubakho izizathu ezininzi zokwenza njalo. Ngokwesiqhelo, isixhobo sokujonga ingalo ephezulu yinto yokuqala abayicebisayo. Nangona kunjalo, kwezinye iimeko ezikhethekileyo, isixhobo sokujonga esihlahleni sinokuba sesona sifanelekileyo.
Kutheni undixelela ukuba ndijonge uxinzelelo lwegazi ekhaya?
- Ukuba ufunyenwe une-high blood pressure (i-Hypertension) okanye i-low blood pressure (i-Hypotension) .
- Ukuba unezinto ezinokubangela uxinzelelo lwegazi oluphezulu.
- Ukuba uqalile unyango olutsha loxinzelelo lwegazi lakho, jonga ukuba lusebenza kangakanani.
- Ukuba ukhulelwe.
- Une "White Coat Hypertension"Ukuba ugqirha ukrokrela ukuba unayo. Oko kuthetha ukuba uxinzelelo lwakho lwegazi luyanda kuphela xa ubona ugqirha okanye usiya esibhedlele, kodwa kuyinto eqhelekileyo ekhaya.
- Ukuba ukrokrela ukuba "une-masked hypertension" , oko kukuthi, uxinzelelo lwakho lwegazi luqhelekile eofisini kagqirha, kodwa luphezulu ekhaya.
Kuzo naziphi na iimeko ezingentla, ukhetho lokuqala loogqirha yisixhobo sokujonga ingalo ephezulu.
Ngoko ke, ngubani ofanelekileyo kwisikrini sesandla?
- Ukuba unengxaki yokufumana i-cuff elingana kakuhle nengalo yakho engasentla (umzekelo, ukuba umkhulu kakhulu okanye ubhityile kakhulu).
- Ukuba unesifo okanye ingxaki ethile eyenza kube buhlungu ukulinganisa uxinzelelo lwegazi lwengalo yakho engentla.
Kwimeko enjalo, ukusebenzisa isixhobo sokujonga esinqeni kunokuba luncedo ngakumbi. Nangona kunjalo, isigqibo sokugqibela sokuba loluphi uhlobo olufanelekileyo kuwe kufuneka senziwe kuphela emva kokuxoxa ngaso nogqirha wakho.
Uyisebenzisa njani le matshini ngokufanelekileyo?
Ukuze ufumane iziphumo ezichanekileyo kwisikrini sesandla, kubalulekile ukuyisebenzisa kanye njengoko kufanele . Kwanempazamo encinci inokutshintsha ngokupheleleyo indlela efundwa ngayo.
Ukuba uthenga isixhobo esitsha, eyona nto ingcono onokuyenza kukusithatha nawe kwixesha elizayo xa ubona ugqirha wakho. Ngale ndlela, ugqirha wakho unokuthelekisa ukufundwa kwesixhobo sekliniki kunye nokufundwa kwesixhobo sakho ukuze ufumane umbono wokuchaneka kwaso. Ungaziqhelanisa nendawo echanekileyo ekufuneka uyisebenzise ngoko nangoko.
Xa ulinganisa uxinzelelo lwegazi ekhaya, landela la manyathelo.
| Inkqubo echanekileyo ekufuneka ilandelwe ngaphambi nangexesha lokulinganisa uxinzelelo lwegazi | |
|---|---|
| Inyathelo 1: Ukulungiselela | |
| Yehlisa umoya. | Ziphephe ikofu, iimveliso zecuba, kwaye uzilolonge imizuzu engama-30 ngaphambi kokuba uthathe uxinzelelo lwegazi. Yiya kwigumbi lokuhlambela uhlale phantsi uzole ubuncinane imizuzu emi-5 ngaphambi kokuba uthathe uxinzelelo lwegazi. |
| Hlala ngokuchanekileyo. | Hlala esitulweni, umqolo wakho uthe tye neenyawo zakho zithe tyaba phantsi. Beka umphezulu othe tyaba, njengetafile, phambi kwakho. |
| Inyathelo lesi-2: Ukufumana Umlinganiselo | |
| Nxiba isixhobo. | Faka isiciko sesixhobo esihlahleni sakho, uqiniseke ukuba asiqini kakhulu kwaye asikhululekanga kakhulu. |
| Indawo yesandla (oku kubaluleke kakhulu) | Beka ingqiniba yakho etafileni. Emva koko, goba ingalo yakho kancinci, ubeke isandla sakho esifubeni sakho, kwinqanaba elifanayo nentliziyo yakho . |
| Thatha umlinganiselo. | Thatha umlinganiselo ngelixa uphumle kule ndawo, ungathethi okanye ushukume. |
Izinto ongafanele uzenze xa uthatha umlinganiselo:
* Gcina isandla sakho siphezulu okanye singaphantsi kwenqanaba lentliziyo.
* Ukubeka isandla sakho etafileni okanye emathangeni akho.
* Ukugcina isandla sakho siphantsi.
Ukugcina le ndlela yokuma ngokuchanekileyo yimfihlo yokufumana iziphumo ezilungileyo.
Ukubaluleka kokugcina incwadi yengxelo yoxinzelelo
Umatshini wakho usenokuba nezinto ezindala ezigciniweyo kwimemori. Nangona kunjalo, kubaluleke kakhulu ukubhala phantsi zonke ezo zinto encwadini. Ngale ndlela, kuya kuba lula ukubonisa ugqirha.
Bhala oku kulandelayo kwincwadi yakho yengxelo:
- Umhla kunye nexesha elithatyathwe ngalo umlinganiselo ngamnye.
- Ngokwesiqhelo, ugqirha wakho uya kukuxelela ukuba uthabathe izifundo zakho kabini ngemini (ngaphambi kwesidlo sakusasa nangaphambi kokulala). Ngalo lonke ixesha, thatha izifundo ezimbini ezishiyanayo malunga nomzuzu. Oko kuthetha ukuba izifundo ezine ngosuku ziya kubhalwa encwadini.
- Ukuba kukho into ekhethekileyo ngaloo mini, yibhale phantsi ngokufutshane. Umzekelo, "Ndiziva ndidiniwe kakhulu namhlanje," "Andilalanga kakuhle izolo ebusuku," okanye "Ndiziva ndigula kancinci." Ugqirha wakho angakucela ukuba ubhale phantsi amaxesha owasela ngawo amayeza akho.
Ufanele ufune nini ingcebiso kagqirha?
Ukujonga nje uxinzelelo lwegazi ekhaya akuyi kulungisa yonke into. Luncedo nje kunyango lwezonyango. Ngoko ke, funa ingcebiso kagqirha ngokukhawuleza kwiimeko ezinje.
| Ingxamiseko! Fowunela u-1990 ngoko nangoko okanye uye kwi-ETU (iYunithi yoNyango oluNgxamisekileyo) | |
|---|---|
| Ingxaki yoxinzelelo lwegazi | Ukuba uxinzelelo lwakho lwegazi lunyuka ngequbuliso luye kwi -180/120 mmHg nangaphezulu , luhamba neempawu ezifana nentloko ebuhlungu, isiyezi, iintlungu zesifuba, kunye nobunzima bokuphefumla, le yingxamiseko yezonyango. |
| Thetha nogqirha wakho. | |
| Ukufunda okungaqhelekanga | Ukuba uxinzelelo lwakho lwegazi luqhubeka luphezulu okanye luphantsi kunesiqhelo kuwe kangangeentsuku ezininzi. |
| Imibuzo malunga nesixhobo | Ukuba unengxaki yokusebenzisa isikrini sakho sasekhaya okanye unamathandabuzo malunga nokuchaneka kwaso. |
| Ukuba awuqondi ixabiso | Ukuba unemibuzo malunga nokuba ziintoni ixabiso eliqhelekileyo, lithini ixabiso eliphezulu neliphantsi. |
Umyalezo Wokuya Ekhaya
- Ngaphambi kokuba uthenge isixhobo sokujonga uxinzelelo lwegazi esihlahleni , qiniseka ukuba udibana nogqirha wakho . Nguye oza kugqiba ukuba loluphi uhlobo olulungele wena.
- Ngokweengcebiso zonyango, isixhobo sokubona iingalo eziphezulu sisoloko sichanekile ngakumbi. Nangona kunjalo, kwezinye iimeko ezikhethekileyo (umz., kwabo i-arm cuff yabo ingangeni kakuhle), isixhobo sokubona iingalo singaba sifanelekile.
- Ukuze ufumane uhlalutyo oluchanekileyo, kubalulekile ukuba uhlale ugcina isandla sakho sikwinqanaba lentliziyo xa uthatha umlinganiselo. Le yeyona nto ibalulekileyo.
- Bhala phantsi imilinganiselo oyithathayo kwincwadi yeziganeko uze uyiphathe ukuze uxoxe nogqirha wakho ngalo lonke ixesha xa umbona.
- Izixhobo zokujonga uxinzelelo lwegazi ekhaya azithathi indawo yeengcebiso zonyango kunye novavanyo lweklinikhi. Ziluncedo kuphela ekulawuleni impilo yakho.
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