Ingabe kufanele uhlole umfutho wegazi lakho usuku lonke? Konke mayelana nokuqapha umfutho wegazi ohamba amahora angama-24!

Wake waya kudokotela wabe esehlolwa umfutho wegazi wakho wathi, "O, umfutho wegazi wami ubonakala uphezulu kancane"? Ngaleso sikhathi, ungase ucabange, "O, ngiwuhlole ekhaya, kodwa awuphezulu kangako." Yilapho indlela ekhethekile esizokhuluma ngayo ingasisiza khona. Lokhu kubizwa ngokuthi ukuqapha umfutho wegazi amahora angama-24, noma ngesiNgisi , ukuqapha umfutho wegazi ohambayo . Ake sibone ukuthi kuyini, kwenziwa kanjani, nokuthi kubaluleke kubani.

Kuyini lokhu ngokuhlola umfutho wegazi lakho usuku lonke?

Kalula nje, lena indlela yokulinganisa njalo umfutho wegazi lakho, noma umfutho wegazi, esikhathini samahora angama-24, ngenkathi usebenza ngokujwayelekile, ulele, futhi ngaso sonke isikhathi. Umfutho wegazi ophakeme uwukuthi lapho inani eliphezulu lomfutho wegazi lakho, noma umfutho we-systolic , lingu-130 mmHg noma ngaphezulu, kanye/noma inombolo engezansi, noma umfutho we-diastolic , ingu-80 mmHg noma ngaphezulu.

Ngokuvamile, uhlolwa umfutho wegazi kuphela uma uya kudokotela. Lokhu kwenziwa kusetshenziswa umshini obizwa ngokuthi i-sphygmomanometer oxhunywe engalweni yakho bese ucindezelwa. Kodwa kule ndlela yokuhamba, ugqoka i-cuff engalweni yakho kanye nedivayisi encane exhunywe ebhandeni noma esinqeni amahora angama-24 ngosuku. Le divayisi ilinganisa umfutho wegazi lakho njalo ngemizuzu eyi-15-30 emini kanye nemizuzu engama-60 ebusuku. Ingalinganisa futhi ukushaya kwenhliziyo yakho, okuyisilinganiso senhliziyo yakho esishaya ngokushesha. Udokotela usebenzisa le datha ukuthola ukuthi isilinganiso somfutho wegazi wakho singakanani phakathi namahora angama-24, izinguquko zomfutho wegazi, kanye nezinguquko zokushaya kwenhliziyo.

Kungani usebenzisa le ndlela?

Kunezizathu eziningi ezenza odokotela basebenzise le ndlela. Ake sibheke ezinye zezizathu eziyinhloko:

• Qinisekisa isimo somfutho wegazi ophezulu: Ngezinye izikhathi, udokotela kuphela ongaxilonga umfutho wegazi ophezulu. Ngale ndlela, ungazi ngokuqinisekile ukuthi unengcindezi yegazi ephezulu ngempela.
• Bona ukuthi umfutho wegazi lakho ushintsha kanjani ngemisebenzi yakho yansuku zonke kanye nokulala: Ngokuvamile, lapho silala, inani eliphezulu (i-systolic) lomfutho wegazi lehla cishe ngo-10% - 20%. Kodwa lokhu akwenzeki kuwo wonke umuntu. Kwabanye, kungase kuhlale kufana noma kukhuphuke.
• Hlola ukuthi imithi yakho yomfutho wegazi isebenza kahle yini: Imithi yakho yomfutho wegazi kungenzeka ingalawuli umfutho wegazi usuku lonke. Udokotela wakho angase akwazi ukulungisa umthamo, ashintshe isikhathi osithathayo, noma akunike omunye umuthi wokulawula umfutho wegazi lakho.
• Hlukanisa phakathi kwengcindezi ehlolwa udokotela kanye nengcindezi onayo ekhaya:Lezi zinguquko zingakunikeza umbono othile ngengozi yakho yokuthola isifo senhliziyo .

Le ndlela yokuqapha umfutho wegazi eqondiswayo ingathola izinguquko ezingavamile emcindezelweni wegazi ezingase zingatholakali ngezinye izindlela.

Ukuhlonza amaphethini ahlukene okucindezela

Esebenzisa le ndlela, udokotela angabona amaphethini ahlukene okucindezela. Ake sibone ukuthi ayini.

Kuyini 'i-White Coat Hypertension'?

Cabanga nje, kunabantu abathile abanomfutho wegazi ojwayelekile ekhaya, kodwa uma beya kudokotela noma esibhedlela, umfutho wegazi wabo uyakhuphuka. Kufana nokuthi uma ubona uboya obumhlophe bukadokotela, umfutho wegazi wakho uyakhuphuka. Yingakho kubizwa ngokuthi 'i-White Coat Hypertension' noma 'i-White Coat Syndrome'. Ngenxa yalokhu, ngisho nomuntu ongenawo umfutho wegazi empeleni angacabanga ngephutha ukuthi unomfutho wegazi. Phakathi kuka-10% no-30% wabantu ababonisa umfutho wegazi ophezulu ehhovisi likadokotela bangase babe nalesi simo.

Iziqondiso zamanje azincomi imithi uma umfutho wegazi wakho ujwayelekile ngaphandle kwehhovisi likadokotela wakho usebenzisa le ndlela yokulaliswa esibhedlela. Kodwa-ke, kudingeka ucwaningo olwengeziwe ngalolu daba. Ngenxa yokuthi 'umfutho wegazi ophakeme' ungase ube uphawu lokuqala lwenkinga yomfutho wegazi, kubalulekile ukuthi wena nodokotela wakho nikwazi lokhu.

Umfutho wegazi ophakeme oqhubekayo

Lokhu kusho ukuthi umfutho wegazi lakho uphakeme kungakhathaliseki ukuthi usehhovisi likadokotela, ekhaya, noma kuphi lapho ukhona. Ucwaningo lukhombisile ukuthi lesi simo sandisa ingozi yokulimala kwenhliziyo nezinso , kanye nezimo ezifana nesifo sohlangothi .

'Ukucindezeleka Okufihliwe'

Lokhu kwenzeka lapho umfutho wegazi lakho ujwayelekile uma ubona udokotela wakho, kodwa uphakeme uma uwuhlola ekhaya noma ngesinye isikhathi. Kufana nokuthi umfutho wegazi ufihliwe . Lesi simo singathinta abantu abadala abangafika ku-30% abanomfutho wegazi ojwayelekile kudokotela wabo. Uma unesifo sezinso , isifo sikashukela , noma i-obstructive sleep apnea , usengozini enkulu yokuthola 'umfutho wegazi ophakeme'.

Umfutho wegazi ophezulu ebusuku - Umfutho wegazi ophezulu ebusuku

Lokhu kusho ukuthi umfutho wegazi lakho uyanda ngenkathi ulele. Lesi simo sithinta cishe abantu ababili kwabayi-10 abamhlophe kanye nabantu abane kwabayi-10 abamnyama. Sivame kakhulu kubantu abanesifo sikashukela kanye nesifo sezinso. Ucwaningo luyaqhubeka ukuthola ukuthi ukwanda komfutho wegazi ebusuku kungathinta kanjani isifo senhliziyo.

Ngubani ofaneleka kakhulu ngale ndlela?

Le ndlela yokuqapha umfutho wegazi ohambahambayo ingaba usizo kubantu abaningi. Udokotela wakho angase ayincome le ndlela ezimweni ezilandelayo:

• Ngokusho kokufundwa okuthathwe ehhovisi likadokotela, unengcindezi yegazi ephezulu, kodwa awukaqali ukuthatha imithi.
• Uma udinga ukushintsha imithi yakho yomfutho wegazi.
• Uma umfutho wegazi wakho usaphezulu naphezu kokuthatha imithi.
• Uma uthatha eminye imithi engase ithinte umfutho wegazi lakho.
• Uma uvame ukuzizwa unesizungu noma unesifo somfutho wegazi ophansi (i-hypotension) .
• Uma unomfutho wegazi ophezulu ngesikhathi sokukhulelwa.

Ingabe ukufundwa kwalo mshini kunembile?

Yebo, impela. Le ndlela yokuqapha umfutho wegazi eqondile iyindlela enembile kakhulu futhi ephumelelayo yokukala umfutho wegazi lakho. Inikeza udokotela inani elingcono ledatha kunokuba uye kudokotela bese uhlola umfutho wegazi lakho ngaleso sikhathi kuphela. Ngoba ilinganisa umfutho wegazi lakho kanye nokushaya kwenhliziyo njalo phakathi namahora angama-24.

Ukulungiselela kanjani lokhu?

Udokotela wakho uzokutshela ukuthi ungakulungiselela kanjani lokhu, kodwa ngokuvamile, khumbula lezi zinto:

• Khetha usuku kulawa mahora angu-24 oluhambisana nesimiso sakho esivamile . Mhlawumbe usuku lwesonto lungcono kunempelasonto.
• Hlela ukubhala phansi konke okwenzayo phakathi nala mahora angama-24, okuhlanganisa nesikhathi ovuka ngaso, isikhathi olala ngaso, isikhathi ophuza ngaso imithi yakho, isikhathi odla ngaso, njll. Futhi, bhala phansi noma yiziphi izimpawu ozizwayo (isib. isiyezi, ukuphelelwa umoya).

Kukhona nezinto okungafanele uzenze phakathi nalezi amahora angama-24:

• Ungenzi umsebenzi onzima womzimba.
• Ungahambi uyogeza noma uyobhukuda.
• Ungasusi noma iyiphi ingxenye yedivayisi ngaphandle kokubuza udokotela wakho.

Ukwenza kanjani lokhu?

Nakuba lokhu kuqapha umfutho wegazi ojwayelekile kwenziwa ngaphandle kwehhovisi likadokotela, kusadingeka ukuthi uye kudokotela ukuze uqale. Yilapho uthola khona la madivayisi nemiyalelo.

Kwenzekani uma uya kudokotela?

• Uthola imishini: Lokhu kufaka phakathi idivayisi efana nomsakazo omncane kanye ne-cuff. Idivayisi encane ixhunywe ebhandeni noma ebhandeni. I-cuff kanye nedivayisi kuxhunywe ngepayipi.
• Udokotela uzonamathisela ibhande engalweni yakho bese elungisa idivayisi: Uma konke sekufakiwe kahle, udokotela uzoqala ukurekhoda idatha.
• Uzothola imiyalelo: Udokotela uzokunikeza imiyalelo ecacile. Kufanele uyilandele kahle. Buza noma yimiphi imibuzo ongase ube nayo ngaphambi kokuphuma ehhovisi. Le divayisi izonamathiselwa emzimbeni wakho uma uhamba. Udokotela uzokutshela nokuthi uyisuse nini nokuthi uyibuyise nini.

Kwenzekani ngemva kokufika ekhaya?

• I-cuff engalweni yakho ivuvukala ngesikhathi esifanele:Lokhu kungenzeka njalo ngemizuzu eyi-15-30 emini, kanye njalo ngemizuzu engama-60 ebusuku. Ibhande liyakhukhumala uma idivayisi ilinganisa umfutho wakho. Uzolizwa licindezela ingalo yakho. Lihlala isikhathi esifushane kuphela. Ungathola ukufundwa okunembile ngokubamba ingalo yakho ingashukumi phakathi naleso sikhathi .
• Ubuthongo bungase buphazamiseke: Ungavuka ngesikhathi sokulinganisa umfutho wegazi ebusuku. Lokhu kuvamile. Kodwa zama ukungakunaki ngangokunokwenzeka bese ubuyela ebuthongweni.
• Qhubeka nomkhuba wakho ojwayelekile: Yenza konke okunye njengoba ubuvame ukwenza, ngaphandle kokugeza, ukubhukuda, kanye nokuzivocavoca okunzima. Gcina idayari njengoba udokotela wakho ekutshela.
• Thatha imithi yakho njengoba kuyalelwe udokotela wakho: Buza udokotela wakho ukuthi kufanele yini uqhubeke nokuthatha imithi yakho phakathi nalesi silinganiso somfutho wegazi. Landela leyo miyalelo kahle.

Ulala kanjani nge-blood pressure monitor?

Yiqiniso, ungase ube nenkinga encane yokulala. Ngoba awujwayele ukulala unebhande engalweni yakho. Kodwa zama ukuphumula ngangokunokwenzeka. Yenza ezinye izinto ezizokwenza ulale kalula. Isibonelo:

• Bhala ingoma elula.
• Vala amafasitela bese uvimba ukukhanya okukhanyayo.
• Gcina igumbi lisezingeni lokushisa elikhululekile kuwe (hhayi elishisa kakhulu noma elibandayo kakhulu).

Buza udokotela wakho ukuthi ungenza noma yiziphi izinguquko kudivayisi yakho ngenkathi ulele. Isibonelo, uma ungasusa ibhande elisesinqeni sakho bese uligcina eduze komcamelo wakho. Kodwa kuphela uma udokotela wakho ekuyala. Uma unebhande lesihlakala, kungcono ukungalisusi kuze kube yilesi sikhathi. Khuluma nodokotela wakho ngalokho ongakwenza ukuze uthole ubuthongo obuhle.

Yiziphi izinzuzo zalokhu?

Le ndlela yokuqapha umfutho wegazi ohambayo iyithuluzi eliwusizo kakhulu elikusiza ukuthi uthole ukwelashwa okufanele. Ezinye zezinzuzo zale ndlela yilezi:

• Ungalinganisa umfutho wegazi lakho ngokunembile: Le ndlela ilinganisa umfutho wegazi lakho usuku lonke, hhayi kanye noma kabili. Njengoba umfutho wegazi uvame ukushintsha kuye ngesikhathi sosuku nokuthi wenzani, lena yindlela kuphela yokulinganisa umfutho wegazi lakho ngokunembile kanye namaphethini alo.
• Ungabona ngokuqinisekile ukuthi une-'White Coat Syndrome': Uma umfutho wegazi wakho ukhuphuka kuphela uma usesibhedlela, kusho ukuthi une-'White Coat Syndrome.' Ukwazi lokho kungakusiza ugweme ukuthatha imithi engadingekile.
• Ungathola ukuthi une-'masked hypertension': Uma umfutho wegazi wakho uphansi uma ubona udokotela wakho, kodwa uphezulu ngezinye izikhathi, kusho ukuthi umfutho wegazi wakho ojwayelekile "ufihliwe." Lokhu kuyisici esiyingozi sesifo senhliziyo ebesingabonakala. Ezimweni ezinjalo, udokotela wakho angakunikeza imithi yokwehlisa umfutho wegazi wakho, kanye nokunciphisa ingozi yezinkinga ezifana nesifo sohlangothi.
• Uhlelo lwakho lokwelashwa luzoqondiswa yilokhu:Lokhu kuqapha kusiza ekuhloleni ukuthi usabela kanjani emithini yesikhathi eside yomfutho wegazi ophakeme. Udokotela wakho angalungisa uhlelo lwakho lokwelashwa njengoba kudingeka.

Ingabe kukhona okungalungile?

Nakuba le ndlela yokulinganisa umfutho wegazi ingahlaseli futhi ingabangeli monakalo emzimbeni , ingaba yinkinga kwabanye abantu. Okubi kuhlanganisa:

• Ubuhlungu bengalo: Ingalo engenhla ingaba buhlungu ngoba ibhande lihlala livuvukele.
• Ukuphazamiseka kokulala: Ukulinganisa umfutho wegazi ebusuku kungaphazamisa ukulala.
• Ukungezwani nesikhumba: Ibhande lingabangela ukuqubuka okuncane kwesikhumba. Lokhu kuvame ukuziphelela.
• Izindleko: Ezinye izinkampani zomshuwalense zikhokhela kuphela la madivayisi okuhamba ezimweni ezikhethekile. Isibonelo, uma udokotela wakho esola ukuthi une-'white coat syndrome' noma 'i-masked hypertension.' Buza udokotela wakho ukuthi kuzokubiza malini.

Imiphumela itholakala kanjani? Bathini?

Udokotela wakho uzolanda idatha kusuka kudivayisi ayiyise kukhompyutha, ezohlaziya ukufundwa kwengcindezi yakho. Udokotela uzobe esekhuluma nawe ngemiphumela nokuthi isho ukuthini kuwe.

Nansi eminye yemiphumela udokotela angaxoxa ngayo nawe:

• Isilinganiso somfutho wegazi samahora angama-24: Lesi yisilinganiso somfutho wegazi wakho phakathi nesikhathi sonke sokubuka.
• Umfutho wegazi emini: Lokhu umfutho wegazi ojwayelekile ngesikhathi sokuvuka kwakho.
• Umfutho wegazi ebusuku: Lokhu kuyingcindezi yakho evamile phakathi namahora olele ngawo.
• Amaphethini okucwilisa ebusuku: Lona umehluko phakathi kwengcindezi yakho yasemini kanye nengcindezi yakho yasebusuku. Ukufundwa kwasebusuku kufanele kube phansi.

Yiziphi izindinganiso ezinhle zomfutho wegazi ohambayo?

Okulandelayo kubhekwa njengezindinganiso ezijwayelekile (ezinhle) zokuqapha umfutho wegazi ohambayo:

• Isilinganiso samahora angama-24: 125/75 mmHg noma ngaphansi.
• I-BP yasemini: 130/80 mmHg noma ngaphansi.
• Ingcindezi Yasebusuku: 110/65 mmHg.
• Amaphethini okucwilisa ebusuku: Ukwehla kwengcindezi ephakathi kuka-10% no-20%.

Udokotela uzokutshela ukuthi ungalindela ukubona nini imiphumela. Bazoxoxa nawe ngemiphumela futhi bakutshele ukuthi yini okufanele uyenze ngokulandelayo, isibonelo, uma kudingeka bashintshe imithi yakho.

Kunini lapho kudingeka ushayele khona udokotela ucingo?

Ngesikhathi ubheka lesi sikhathi samahora angama-24, shayela udokotela wakho ngezikhathi ezinjengalezi:

• Uma kunenkinga yobuchwepheshe ngedivayisi.
• Uma unemibuzo mayelana nokuthi yini okufanele uyenze noma okungafanele uyenze phakathi nalesi sikhathi sokubuka.

Kungakhathaliseki ukuthi uzitshela kangaki ukuthi "yehlisa umoya, yehlisa umoya," ungase uzizwe ukhathazekile futhi ukhathazekile kancane lapho udokotela ebeka i-blood pressure cuff engalweni yakho. Lokho kujwayelekile, futhi kunzima ukuhlala uzolile. Uma kunjalo, lolu hlelo lokuqapha umfutho wegazi oluhambayo lungakusiza. Le divayisi iqapha umfutho wegazi wakho ngenkathi uqhubeka nomsebenzi wakho wansuku zonke. Ingakukhombisa ukuthi ukufundwa komfutho wegazi ophezulu udokotela wakho akubonisayo kujwayelekile yini emzimbeni wakho.

Ngaphezu kokuthola 'i-white coat syndrome,' le ndlela ingasiza udokotela wakho ukuthi axilonge futhi elaphe ezinye izinkinga eziningi zomfutho wegazi. Khuluma nodokotela wakho ngokuthi lokhu kuhlolwa komfutho wegazi okuphuthumayo kungakusiza kanjani nokuthi yini ongayifunda emiphumeleni.

Izinto ezibaluleke kakhulu okufanele uzikhumbule

Ukuqapha Umfutho Wegazi Ohamba Ngaphakathi (i-ABPM) kuyindlela ewusizo yokuthola isithombe esinembile somfutho wegazi lakho. Kungakusiza ukuthi unqume ukuthi une-'white coat hypertension', ephezulu kuphela ehhovisi likadokotela, 'i-masked hypertension', ephezulu ekhaya ngaphandle kokuba khona kukadokotela, noma 'i-sustained hypertension', eqhubekayo ngempela. Kungakutshela okuningi ngokuthi imithi yakho yomfutho wegazi isebenza kahle yini, ukuthi yisiphi isikhathi sosuku umfutho wegazi wakho uphakeme kakhulu, nokuthi uyehla yini ebusuku. Ngakho-ke uma udokotela wakho encoma lokhu kuhlolwa, ungesabi ukukwenza. Kubaluleke kakhulu empilweni yenhliziyo yakho!

Umfutho wegazi ophakeme , ukuqapha umfutho wegazi, umfutho wegazi ophakeme usuku lonke, umfutho wegazi ophakeme, umfutho wegazi ophakeme, isifo senhliziyo, ukuhlolwa komfutho wegazi