Ingabe unesifo sikashukela? Uma kunjalo, kumelwe ukuthi uke wabona udokotela wakho njalo ehlola umfutho wegazi lakho. 'Kungani belinganisa umfutho wegazi lakho uma uthatha umuthi kashukela?' Ungase uzibuze. Eqinisweni, isifo sikashukela kanye nomfutho wegazi ophezulu (`(Umfutho wegazi ophakeme)`) kufana nezinhlangothi ezimbili zohlamvu lwemali olufanayo. Uma uqonda ubudlelwano phakathi kwalokhu okubili, ungagwema izinkinga eziningi ezinkulu zempilo njengokuhlaselwa yinhliziyo kanye nohlangothi.
Kungani kukhona ukuxhumana okunamandla kangaka phakathi kwesifo sikashukela nomfutho wegazi?
Kalula nje, isifo sikashukela yisimo esilimaza kancane kancane imithambo yegazi (imithambo yegazi) emzimbeni wethu. Lapho amazinga kashukela egazini ephezulu ngokuhamba kwesikhathi, izindonga zemithambo yegazi yethu ziqala ukonakala. Zilahlekelwa ukuqina kwazo futhi zibe zijiyile kancane.
Cabanga ukuthi lapho ukungcola kwakheka ngaphakathi kwepayipi lamanzi, ukugeleza kwamanzi kuyancishiswa, futhi ingcindezi ngaphakathi kwepayipi iyanda, akunjalo? Yilokho okwenzeka emithanjeni yethu yegazi. Lezi zindonga zemithambo yegazi ezonakele cishe zizoba namafutha kanye ne-cholesterol. Kwezokwelapha, lokhu sikubiza ngokuthi "i-Atherosclerosis." Uma imithambo yegazi imincane, inhliziyo kufanele isebenze kanzima ukupompa igazi. Lokhu kwandisa ingcindezi ngaphakathi kwemithambo yegazi. Yilokho esikubiza ngokuthi ingcindezi ephezulu yegazi noma "ingcindezi ephezulu yegazi."
Ngale ndlela, njengoba nje isifo sikashukela sandisa umfutho wegazi, izinkinga zesifo sikashukela ziba zimbi kakhulu ngenxa yokwanda komfutho wegazi. Ikakhulukazi, ukulimala kwamehlo (i-Diabetic Retinopathy) kanye nokulimala kwezinso (i-Diabetic Nephropathy) okubangelwa isifo sikashukela kungenziwa kube kubi kakhulu ngenxa yokuphakama komfutho wegazi.
Yiziphi izingozi uma laba ababili behlangene?
Umuntu onesifo sikashukela kanye nomfutho wegazi ophezulu unamathuba aphindwe kahlanu okuthola izifo ezithile kunomuntu ojwayelekile. Ake sibheke ukuthi ziyini lezo.
| Ingozi/Inkinga | Incazelo elula |
|---|---|
| Isifo Semithambo Yenhliziyo | Ukuncipha noma ukuvaleka kwemithambo yegazi ehambisa igazi enhliziyweni. Lokhu kungaholela ekuhlaselweni yinhliziyo . |
| Isifo sohlangothi | Umthambo wegazi othwala igazi uliyise ebuchosheni uyavaleka noma uqhume, okubangela umonakalo ezingxenyeni zobuchopho. |
| Isifo Semithambo Yegazi Engaphandle | Ukuncipha kwemithambo yegazi, ikakhulukazi emilenzeni nasezinyaweni, kungabangela ubuhlungu emilenzeni lapho uhamba kanye nokuphola kancane kwamanxeba. |
| Ukwehluleka Kwenhliziyo | Ngenxa yokuthi inhliziyo kufanele isebenze kanzima ngokuhamba kwesikhathi, imisipha yenhliziyo iba buthakathaka futhi ingakwazi ukupompa igazi elanele emzimbeni. |
| Ukwehluleka Kwezinso | Isifo sikashukela kanye nomfutho wegazi ophezulu kuyizimbangela ezimbili eziyinhloko zokulimala kwezinso. Ngokuhamba kwesikhathi, ukusebenza kwezinso kungalahleka ngokuphelele. |
Abanye abantu bacabanga ukuthi uma ingcindezi iphezulu kancane, kulungile. Kodwa noma ngabe iphakathi kuka-120/80 no-129/80, isayingozi. Lokho kusho ukuthi umzimba wakho ukunika isixwayiso.
Ngakho-ke umfutho wegazi lami kufanele ube yini?
Nakuba lokhu kungahluka kancane kumuntu nomuntu, umgomo ojwayelekile womuntu onesifo sikashukela ukugcina umfutho wegazi lakhe ungaphansi kuka-130/80 mmHg . Udokotela wakho angase alungise lo mgomo ngokusekelwe esimweni sakho.
Bheka manje, uma ulinganisa ingcindezi, kunezindinganiso ezimbili, akunjalo?
- Inombolo ephezulu (Umfutho we-Systolic): Lena ingcindezi ephezulu ngaphakathi kwemithambo yegazi lapho inhliziyo ishaya futhi ipompa igazi emithanjeni yegazi.
- Umfutho we-Diastolic: Lokhu umfutho ophansi kakhulu emithanjeni lapho inhliziyo iphumula phakathi kokushaya.
Khumbula, ukuze kuvinjelwe izinkinga zesifo sikashukela, kubaluleke kakhulu ukulawula ushukela wegazi kanye nomfutho wegazi.
Wazi kanjani ukuthi umfutho wegazi wakho uphakeme? Ingabe zikhona izimpawu?
Lena yinto eyingozi kakhulu. Umfutho wegazi ophakeme uvame ukungabi nazimpawu.Yingakho sikubiza ngokuthi 'Umbulali Othule'. Ungaba nomfutho wegazi ophakeme ngendlela eyingozi ngaphandle kwezimpawu. Okuwukuphela kwendlela yokwazi ngokuqinisekile ukuthi uhlolwe njalo umfutho wegazi . Yingakho umfutho wegazi wakho uhlolwa njalo uma ubona udokotela wakho. Udokotela wakho angase futhi akuncome ukuthi uhlole umfutho wegazi lakho ekhaya.
Kulungile, yini engingayenza ukuze ngilawule lokhu?
Izindaba ezinhle ukuthi izinto eziningi ozenzayo ukulawula isifo sikashukela sakho zizosiza nasekulawuleni umfutho wegazi lakho. Lokho kusho ukuthi ungabulala izinyoni ezimbili ngetshe elilodwa.
| Okufanele ngikwenze | Kungani lokho kubalulekile? |
|---|---|
| Yidla ukudla okunempilo . | Yidla imifino eminingi, izithelo, ubhontshisi, kanye nokusanhlamvu okuphelele. Nciphisa ukudla okunamafutha amaningi, ushukela, ufulawa kanye nosawoti. |
| Nciphisa ukusetshenziswa kukasawoti . | Usawoti ubangela ukugcinwa kwamanzi emzimbeni futhi ukhuphula umfutho wegazi. Nciphisa inani likasawoti elifakwa ekudleni nasekudleni okucutshungulwe ngosawoti omningi. |
| Ukuzivocavoca umzimba . | Yenza ukuzivocavoca okulula, njengokuhamba ngokushesha imizuzu engama-30 ngosuku, okungenani izinsuku ezi-5 ngesonto. Lokhu kuzoqinisa inhliziyo yakho. |
| Gcina isisindo esinempilo . | Ukukhuluphala ngokweqile kubeka inhliziyo enkingeni eyengeziwe. Ukwehlisa isisindo kungasiza kakhulu ekunciphiseni umfutho wegazi. |
| Yeka ukubhema . | Ukubhema kuyimbangela enkulu yokulimaza imithambo yegazi. Uma uyeka, inhliziyo yakho izokubonga. |
| Nciphisa ukusetshenziswa kotshwala . | Ukuphuza utshwala ngokweqile kungakhuphula umfutho wegazi. |
| Landela iseluleko sezokwelapha . | Yiya emitholampilo ngezinsuku ezihleliwe. Thatha imithi oyinikezwe udokotela ngesikhathi. |
Ake sifunde kancane ngemithi? (Ukwelashwa)
Uma izinguquko zendlela yokuphila zodwa zingalawuli umfutho wegazi lakho, udokotela wakho angase akunike imithi. Odokotela baqaphela kakhulu lapho benikeza abantu abanesifo sikashukela imithi yomfutho wegazi.
Ukukhetha kokuqala kwemithi kuvame ukuba yi -`(ACE inhibitors)` (`(Angiotensin-Converting Enzyme inhibitors)`) kanye ne -`(ARBs)` (`(Angiotensin II Receptor Blockers)`). Lokhu kungenxa yokuthi, ngaphezu kokulawula umfutho wegazi, le mithi isiza nokuvimbela noma ukulawula ukulimala kwezinso okubangelwa isifo sikashukela.
Ngaphezu kwalokho, kusetshenziswa neminye imithi, njenge-"diuretics", esivame ukuyibiza ngokuthi "amaphilisi amanzi" asusa uketshezi olungadingekile emzimbeni futhi anciphise umfutho wegazi.
Into okufanele uyikhumbule!
Eminye imithi yokucindezela kwegazi ingathinta amazinga kashukela egazini kanye ne-cholesterol. Amanye amadoda angase abe nezimo ezifana nokungasebenzi kahle kwe-erectile. Ngakho-ke ungesabi ukukhuluma ngokukhululekile nodokotela wakho ngemithi oyithathayo kanye nemiphumela yayo emibi. Uma unenkinga, udokotela wakho angakunikeza eminye imithi efanele wena.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikashukela kanye nomfutho wegazi ophezulu yizifo ezimbili ezihambisanayo futhi ezingabangela izinkinga eziyingozi kakhulu.
- Umfutho wegazi ophakeme uvame ukungabi nazimpawu, ngakho-ke kubalulekile ukuthi uhlolwe njalo umfutho wegazi lakho.
- Umfutho wegazi ohlosiwe kumuntu onesifo sikashukela uvame ukuba ngaphansi kuka-130/80 mmHg.
- Izinguquko zendlela yokuphila ezifana nokudla okunempilo, ukuvivinya umzimba, ukuyeka ukubhema, kanye nokunciphisa usawoti ekudleni kuyisisekelo sokulawula.
- Phuza imithi udokotela wakho ayinikezayo njengoba eyalelwe, ngezikhathi ezibekiwe. Khuluma nodokotela wakho nganoma yiziphi izinkinga noma imiphumela emibi.
- Njengoba nje ukulawula ushukela egazini kubalulekile ekuvikeleni ezimweni ezibucayi njengokuhlaselwa yinhliziyo, isifo sohlangothi, kanye nesifo sezinso, ukulawula umfutho wegazi nakho kubalulekile.
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