Uma uya kudokotela, nakanjani uyahlolwa umfutho wegazi lakho, akunjalo? Bafaka i-cuff engalweni yakho, bayipompe, bese befunda. Kodwa cabanga ngakho, ingabe ukufunda okufundayo ngaleso sikhathi kungakunikeza isithombe esiphelele salokho okwenzekayo emzimbeni wakho? Mhlawumbe akunjalo. Yilapho udokotela wakho ekutshela khona ngendlela ekhethekile yokuhlola umfutho wegazi lakho amahora angama-24 ngosuku. Yilokho esikhuluma ngakho namuhla.
Kalula nje, kuyini ukuqapha umfutho wegazi ohamba kancane?
Kulula kakhulu. Kuhilela ukulinganisa njalo umfutho wegazi lakho amahora angama-24, ngenkathi uqhubeka nemisebenzi yakho evamile yansuku zonke. Kudinga futhi ukufundwa ngenkathi ulele. Kusebenzisa umshini omncane. I-cuff ibekwa ingalweni yakho engenhla, futhi ixhunywe emshinini omncane olingana nomsakazo ongawugqoka okhalweni lwakho ngepayipi elincane.
Ngokuvamile, udokotela wakho uzohlola umfutho wegazi lakho kanye noma kabili ngosuku. Kodwa ngale ndlela, bathatha ukufundwa izikhathi eziningi phakathi nosuku. Ukuze kube sobala, ibhande lizoqina ngokuzenzakalelayo futhi lilinganise umfutho wegazi lakho njalo ngemizuzu eyi-15-30 emini kanye ngehora ebusuku ngenkathi ulele . Akukhona lokho kuphela, kungalinganisa nokushaya kwenhliziyo yakho. Ekupheleni kosuku, esebenzisa zonke lezi zibalo, udokotela uzokwazi ukuthola umbono ocacile womfutho wegazi lakho.
Kungani senza isivivinyo esinjengalesi? Yini esingayifunda kuso?
Kungase kube nezizathu eziningana zokuthi kungani udokotela angase akucele ukuthi wenze lolu vivinyo.
- Qiniseka ukuthi une-high blood pressure ngempela: Ngezinye izikhathi, i-blood pressure yakho ingaba phezulu kancane ngokuya kudokotela. Le ndlela ikuvumela ukuthi ubone ukuthi i-blood pressure yakho injani usuku lonke futhi unqume ukuthi une-high blood pressure ngempela (hypertension).
- Qaphela indlela umfutho wegazi lakho oshintsha ngayo ngezikhathi ezahlukene zosuku: Umfutho wegazi lakho uyashintsha lapho usebenza, uphumula, futhi ulele. Kumuntu ophilile, umfutho wegazi uvame ukwehla ngo-10% kuya ku-20% ebusuku lapho belele. Kodwa kwabanye abantu, akunjalo. Lokhu kungakusiza ukuthi ubone amaphethini.
- Hlola ukuthi imithi yakho yomfutho wegazi isebenza kahle yini: Uma usuvele uthatha imithi yomfutho wegazi, lokhu kuzokusiza wazi ngokuqinisekile ukuthi imithi yakho ilawula umfutho wegazi lakho kahle yini esikhathini samahora angama-24. Lokhu kungasiza udokotela wakho ukuthi anqume ukuthi udinga ukushintsha isikhathi somuthi wakho, ukushintsha umthamo, noma ukufaka omunye umuthi.
- Thola ukuthi kukhona yini umehluko ekucindezelweni kwegazi lakho phakathi kwehhovisi likadokotela nasekhaya: Lokhu kubaluleke kakhulu. Lo mehluko ungakunikeza nombono wokuthi ngabe usengozini yokuthola isifo senhliziyo.
Amaphethini ahlukahlukene okucindezela angatholakala kusetshenziswa le ndlela.
Lokhu kuhlolwa kungakhomba izimo eziningana ezahlukene zokucindezela. Ukuze uziqonde kalula, bheka ithebula elingezansi.
| Uhlobo lokucindezela | Kalula nje, kuyini? |
|---|---|
| Umfutho wegazi ophezulu wejazi elimhlophe | Lena inkinga abantu abaningi abanayo. Lapho bebona udokotela noma beya esibhedlela, umfutho wegazi wabo ukhuphuka ngenxa yokwesaba nokukhathazeka okuncane. Kodwa uma besekhaya, umfutho wegazi wabo uba sezingeni elijwayelekile. |
| Umfutho wegazi ophakeme oqhubekayo | Lokhu kusho ukuthi ingcindezi ihlala iphezulu, ngisho nasekhaya, njengoba nje udokotela eshilo. Lesi simo sidinga ukwelashwa nakanjani. |
| Umfutho wegazi ophakeme ofihliwe | Lokhu kungolunye uhlangothi. Dokotela, umfutho wegazi wakho ujwayelekile. Kodwa ekhaya, empilweni yakho evamile, umfutho wegazi wakho uyakhuphuka. Lokhu kuyethusa kancane, ngoba kuyinkinga efihliwe engatholakali kalula. |
| Umfutho wegazi ophezulu ebusuku | Ngokuvamile, umfutho wegazi kufanele wehle ebusuku. Kodwa-ke, kubantu abanalesi simo, umfutho wegazi wabo uyanda ngenkathi belele ebusuku. Lokhu kuvame ukubonakala kubantu abanesifo sikashukela kanye nesifo sezinso. |
Ubani ofuna ukwenza lolu vivinyo?
Udokotela wakho angase akucele ukuthi wenze lokhu kuhlolwa uma unezinye zezimo ezilandelayo.
- Kulabo abangakaqali imithi, yize isilinganiso sikadokotela somfutho wegazi sibonisa ukuthi iphezulu.
- Kulabo abafuna ukushintsha imithi yabo yamanje yomfutho wegazi.
- Kulabo umfutho wegazi wabo ongakalawulwa kahle naphezu kokuthatha imithi.
- Kulabo abasebenzisa eminye imithi engathinta umfutho wegazi.
- Uma uzizwa unesizungu noma unesifo somfutho wegazi esiphansi (i-hypotension).
- Kulabo abanomfutho wegazi ophezulu ngesikhathi sokukhulelwa.
Uzilungiselela kanjani ngaphambi kokuhlolwa?
Lokhu akudingi ukulungiselela okuningi, kodwa kudingeka uqaphele ngezinto ezimbalwa.
Izinto okufanele zenziwe
- Khetha usuku olujwayelekile lokuhlolwa kwakho: Khetha usuku olusondelene kakhulu nomkhuba wakho ojwayelekile ngangokunokwenzeka. Usuku olujwayelekile lapho uya emsebenzini lungcono kakhulu, kunokuba kube yimpelasonto.
- Gcina idayari: Udokotela wakho uzokutshela ukuthi ubhale phansi konke okwenzayo emahoreni angama-24 edlule. Isibonelo, isikhathi ovuke ngaso ekuseni, isikhathi ophuze ngaso umuthi wakho, isikhathi odle ngaso, isikhathi ozivivinye ngaso, kanye nesikhathi olele ngaso. Futhi, uma uzizwa unesiyezi noma unenkinga yokuphefumula, kubhale phansi kanye nesikhathi.
Izinto okungafanele zenziwe
- Ukuzivocavoca okunzima kakhulu: Kulungile ukwenza imisebenzi evamile, kodwa gwema ukuzivocavoca okujulukayo nokunzima ngalolu suku.
- Ukugeza noma ukubhukuda: Le divayisi ayivimbeli manzi, ngakho awukwazi ukugeza noma ukubhukuda amahora angama-24.
- Ukususa umshini: Ungalokothi ususe umshini noma ibhande engalweni yakho ngaphandle kweseluleko sikadokotela wakho.
Ngikwenza kanjani lokhu? Kwenzekani ngosuku lokuhlolwa?
Okokuqala, uzonikezwa isikhathi sokuhlangana nodokotela. Uma uhamba,
1. I-cuff izobekwa ingalo yakho bese umshini unamathiselwa kuwe.
2. Ichaza konke mayelana nendlela esebenza ngayo, okufanele ukwenze, nokuthi yini okungafanele ukwenze.
3. Ngemuva kwalokho ungaya ekhaya. Umshini unamathele emzimbeni wakho.
Nakhu okwenzekayo ngemva kokubuyela ekhaya:
- Ibhande lesihlakala liyaqina ngokuzenzakalelayo: Njengoba kushiwo ngaphambili, ibhande lesihlakala liyaqina ngesikhathi esifanele futhi ingcindezi iyalinganiswa. Ngaleso sikhathi, uzozwa ukuqina okuncane engalweni yakho. Izonyamalala ngemva kwemizuzwana embalwa. Into ebaluleke kakhulu ukugcina ingalo yakho iqondile futhi ungayinyakazisi ngangokunokwenzeka lapho ibhande liqina. Kulapho kuphela lapho ungathola khona ukufundwa okunembile.
- Ukulala kwakho kungase kuphazamiseke kancane ebusuku: Ungavuka kanye ngehora ebusuku lapho ibhande libhajwa. Lokhu kuyinto evamile. Ungakhathazeki ngakho. Zama ukungakunaki ngangokunokwenzeka bese ubuyela ebuthongweni.
- Hlala ujwayelekile: Yenza imisebenzi yakho yansuku zonke njengenjwayelo. Gcina idayari njengoba kuyalelwe udokotela wakho.
Into ebaluleke kakhulu ukubuza udokotela wakho mayelana nokuthatha imithi yakho phakathi nalolu vivinyo bese ulandela imiyalelo yakhe ngqo.
Yiziphi izinzuzo kanye nokungalungi kwale ndlela?
Njenganoma yini, lokhu kungaba nezinzuzo zako kanye nezinkinga ezincane.
Izinzuzo
- Thola isithombe esinembile kakhulu sokucindezeleka kwakho: Ukufundwa okuthathwe usuku lonke kungakunikeza umbono ocacile ngesimo sakho sangempela, kunokusibheka nje ngesikhathi esisodwa.
- Ungaqinisekisa ukuthi une-"white coat syndrome": Lokhu kungakuvimbela ekutheni uphuze imithi yomfutho wegazi ngokungadingekile.
- Umfutho wegazi ophakeme ungatholakala: Ukuhlonza lokhu kungasiza ekuvikeleni ekuhlaselweni yinhliziyo kanye nesifo sohlangothi esikhathini esizayo.
- Kuwusizo olukhulu ekuhleleni ukwelashwa: Lokhu kusiza udokotela ukuqinisekisa ukuthi imithi oyinikwayo ifanelekile, umthamo ulungile, futhi ukukunikeza ukwelashwa okufanele kakhulu.
Ukungalungi
- Ubuhlungu obuncane engalweni: Ingalo engenhla ingase ibe buhlungu kancane ngoba ibhande lihlala libambeka.
- Ukuphazamiseka kokulala: Ukuthatha ukufundwa ebusuku kungaphazamisa ukulala.
- Ukucasuka okuncane kwesikhumba: Akuvamile ukuthi abanye abantu babe nokuqubuka okuncane lapho ibhande ligqokwe khona. Lokhu kuvame ukuzixazulula ngokwako.
Yini ekhona embikweni engiwutholayo?
Ngemva kwamahora angama-24, udinga ukubuyisela umshini. Udokotela uzobe esefaka idatha kukhompyutha bese eyihlaziya. Umbiko wakho uzoqukatha ulwazi olufana nalolu.
- Isilinganiso somfutho wegazi samahora angama-24: Inani elimaphakathi losuku lonke.
- Umfutho wegazi ojwayelekile emini: Inani elimaphakathi uma uvukile.
- Umfutho wegazi ojwayelekile ebusuku: Inani elimaphakathi ngenkathi ulele.
- Ukucwilisa ebusuku: Inani lengcindezi elehla ngalo ebusuku uma liqhathaniswa nelasemini.
Ngokuvamile, amazinga anempilo yilawa:
- Isilinganiso samahora angama-24: 125/75 mmHg noma ngaphansi.
- Emini: 130/80 mmHg noma ngaphansi.
- Ebusuku: 110/65 mmHg noma ngaphansi.
- Ukwehla ebusuku: Ukwehla phakathi kuka-10% no-20%.
Ngokusekelwe emiphumeleni yakho, udokotela wakho uzokunikeza ukwelashwa okudingekayo, izinguquko zendlela yokuphila, kanye neseluleko.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqapha Umfutho Wegazi Ohamba Ngayo Amahora Angama-24 kuyindlela ebaluleke kakhulu enganikeza isithombe esicacile nesinembile somfutho wegazi lakho.
- Kungase kube nokungakhululeki okuncane (izandla ezibuhlungu, ukuphazamiseka kokulala) ngosuku lokuhlolwa, kodwa akuyona into enkulu uma kuqhathaniswa nezinzuzo.
- Lokhu kusiza ukuyeka ukuthatha imithi engadingekile ngenxa yezimo ezifana "ne-white coat hypertension" (umfutho wegazi ophakeme uma ubona udokotela).
- Lokhu kusiza ukuhlonza izinkinga ezifihliwe zokucindezeleka nokuvikela ezifweni ezinkulu ezingase zivele esikhathini esizayo.
- Landela imiyalelo kadokotela wakho ngqo lapho wenza lolu vivinyo. Uma unezinkinga, mshayele ucingo.
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