Ingabe inani eliphezulu lomfutho wegazi lakho liphezulu kuphela? Ingabe yilelo Hlelo Lokucindezelwa Kwegazi Okuzimele?

Wake wahlolwa umfutho wegazi lakho futhi inombolo ephezulu kuphela ephezulu, kodwa inombolo engezansi ijwayelekile? Mhlawumbe udokotela ukutshelile lokho. Yilokhu esikubiza ngokuthi i-Isolated Systolic Hypertension. Abantu abaningi abazi okuningi ngalokhu. Ngakho-ke, ake sixoxe ngakho ngokuningiliziwe namuhla.

Kuyini i-Isolated Systolic Hypertension?

Kalula nje, lokhu kwenzeka lapho inani eliphezulu lomfutho wegazi lakho, inombolo ye-systolic , liphezulu kunezinga elinconywayo. Inombolo engezansi, inombolo ye-diastolic, ingaba evamile noma ephansi. Ukuze kube sobala, lokhu kwenzeka lapho inani le-systolic liphakeme kune-130 millimeters ye-mercury (mmHg) kanti inombolo ye-diastolic iphansi kune-90 millimeters ye-mercury. Ngokuvamile, umfutho wegazi womuntu ophilile uphansi kune-120/80 mmHg. Uyazi ukuthi kusho ukuthini umfutho wegazi we-systolic? Lapho inhliziyo yethu ishaya futhi ipompa igazi emzimbeni wonke, lelo gazi licindezela izindonga zemithambo yegazi yethu. Umfutho wegazi we-Diastolic ubhekisela ekumelaneni emithanjeni yegazi lapho inhliziyo iphumule kancane, okungukuthi, lapho ingapompi igazi.

Kuvamile kangakanani lokhu? Ingabe kuyakhula njengoba iminyaka ikhula?

Lesi simo empeleni sivamile, ikakhulukazi njengoba sikhula. Ngokwezibalo, cishe abantu abangu-15% abangaphezu kweminyaka engu-60 bane-Isolated Systolic Hypertension. Eqinisweni, lolu uhlobo oluvame kakhulu lwe-hypertension kubantu abangaphezu kweminyaka engu-70. Ngakho-ke kusobala ukuthi le ngozi iyanda ngokuguga, akunjalo?

Ingabe Ukucindezeleka Kwegazi Okuhlukile Kwe-Systolic Kuyingozi?

Yebo, kungaba yingozi uma kungelashwa ngendlela efanele. Uma kungelashwa, njengezinye izinhlobo zomfutho wegazi ophakeme, kungalimaza izitho ezahlukene zomzimba wakho. Cabanga nje, kuyisici esiyingozi sesifo senhliziyo (okungukuthi izifo zenhliziyo, imithambo yegazi ebuchosheni kanye nemithambo yegazi emikhulu emzimbeni wonke), ukufa, ngisho nezimo ezingathi sína njengokwehluleka kwezinso. Ngakho-ke lokhu akuyona into okufanele ithathwe kalula.

Ingabe lokhu kuyisimo esiphuthumayo?

Umfutho wegazi ophezulu we-Systolic ohlukanisiwe ngokuvamile awuyona into ephuthumayo. Kodwa-ke, uma ukufundwa kwe-systolic yakho kukhuphuka ngokuzumayo ngaphezu kuka-180 mmHg, kuyisimo esiphuthumayo. Lokhu sikubiza ngokuthi 'inkinga yomfutho wegazi ophezulu'. Uma lokhu kwenzeka, kufanele ufune usizo lwezokwelapha ngokushesha.

Ziyini izimpawu zalokhu?

Njengezinye izinhlobo zomfutho wegazi ophakeme, lesi asibonisi izimpawu ezinkulu ezigabeni zokuqala.Abantu abaningi abaqapheli nokuthi banalesi simo. Yingakho kubalulekile ukuhlola umfutho wegazi lakho njalo. Kodwa uma ungelashwa isikhathi eside futhi uqala ukulimaza izitho zomzimba wakho, kuvela ezinye izimpawu. Lezi yizi:

• Ubuhlungu besifuba.
• Ukuphelelwa umoya .
• Ubuhlungu bekhanda obuhlala bukhona .
• Umbono ocacile kancane.

Uma unezimpawu ezinjengalezi, kufanele nakanjani ubonane nodokotela.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Isizathu esiyinhloko salokhu ukuthi imithambo yegazi yethu (imithambo yegazi) iyashintsha njengoba siguga.

Ukuguga kanye nezinguquko emithanjeni yegazi

Njengoba sikhula, imithambo yethu iba lukhuni futhi ingaguquguquki kalula. Ayinwebeki futhi ayinciphi kalula njengoba yayinjalo ngesikhathi sisebancane. Uma lokhu kwenzeka, ingcindezi edalwa lapho inhliziyo ipompa igazi, ebizwa ngokuthi ingcindezi ye-systolic, iyanda. Ngesikhathi esifanayo, imithambo ilahlekelwa ukunwebeka kwayo, ngakho ingcindezi ye-diastolic iyehla. Kufana nepayipi elidala lerabha eliqina kodwa elinganwebeki kalula.

Ezinye izimo zezokwelapha

Esinye isizathu yisimo esibizwa ngokuthi i-atherosclerosis. Lokhu kwenzeka lapho izinto ezifana ne-calcium ne-collagen zifakwa ngaphakathi kwemithambo yegazi, okubangela ukuba iqine futhi ibe mincane. Lokhu kulahlekelwa ukunwebeka kwemithambo yegazi kungaholela ekucindezelekeni kwegazi okungavamile kwe-systolic.

Yiziphi izinto ezibangela ingozi?

Kunezinto eziningana ezinezela izingozi ezengeziwe kulesi simo. Lezi yizi:

• Amazinga aphezulu e -cholesterol egazini.
• Ukuba nesifo sikashukela .
• Ukuphila impilo yokuhlala phansi, ngaphandle kokuzilolonga. Cabanga ngomuntu osebenza endaweni eyodwa usuku lonke.
• Inkomba yesisindo somzimba (i-BMI) engaphezu kwama-30 ( ukukhuluphala ).
• Ukusetshenziswa kwemikhiqizo kagwayi (njengogwayi, ama-beedis).
• Ukudla njalo ukudla okucutshunguliwe kanye nokudla okunosawoti namafutha amaningi, njengelayisi elithosiwe, amasoseji, kanye nokudla okupakishwe emaphaketheni.

Ingabe intsha ingakwazi ukukuthuthukisa lokhu?

Nakuba lokhu kuvame kakhulu kubantu abadala, kungenzeka nakwabasha abangaphansi kweminyaka engama-40 ubudala.Sekutholakale ukuthi lesi simo, i-Isolated Systolic Hypertension, siya ngokuya sivame kakhulu. Akumangazi yini? Iningi labantu ababhekana nalesi simo besebancane:

• Inkomba yesisindo somzimba (i-BMI) ingaphezu kuka-30 (okusho ukukhuluphala).
• Iningi lamadoda.
• Ukusebenzisa imikhiqizo kagwayi.
• Ungabona nabantu abangenawo umshwalense wezempilo .

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Njengoba sesishilo ngaphambili, uma lokhu kungaphathwa kahle, okungukuthi, uma kungelashwa, kungavela izinkinga eziyingozi. Lezi yizi:

• Ukwehluleka kwenhliziyo
• Isifo senhliziyo
• Isifo sohlangothi
• Isifo sezinso esingamahlalakhona
• Isifo semithambo yegazi engaphandle - Lokhu kungukuncipha kwemithambo yegazi ehambisa igazi ezithweni.
• I-Aneurysm - Lokhu kwenzeka lapho umthambo wegazi uba buthakathaka futhi uvuvukala njengebhaluni.

Ukubona kanjani lokhu?

Ngaphambi kokuxilonga lesi simo, udokotela wakho uzokubuza ngomlando womndeni wakho, ukudla kwakho, izinga lomsebenzi wakho, kanye nanoma yiziphi ezinye izimo zezokwelapha ongase ube nazo. Njenganoma yisiphi isifo, ukutholakala kusenesikhathi kuyindlela engcono kakhulu yokusiphatha.

Hlobo luni lokuhlolwa okwenziwayo?

Ngaphambi kokuba udokotela akwazi ukuxilonga ngokuphelele i-Isolated Systolic Hypertension, uzohlola umfutho wegazi wakho izikhathi ezimbili noma ezintathu. Ngeke nje awuhlole kanye bese ethi. Ngaphezu kwalokho, bangenza ezinye izivivinyo eziningana ukuze babone ukuthi usengozini engakanani yokuthola izifo zenhliziyo nemithambo yegazi. Isibonelo:

• Ukuhlolwa kwe-ECG (Electrocardiogram - EKG). Lokhu kuhlola ukusebenza kukagesi kwenhliziyo.
• Ukuhlolwa kwegazi. Ngokukhethekile, iphaneli yamafutha ukuhlola amazinga e-cholesterol.

Yini okufanele ngiyenze uma ngikulesi simo?

Uma udokotela wakho ekutshela ukuthi une-Isolated Systolic Hypertension, into ebaluleke kakhulu ukulandela imiyalelo yakhe ngqo. Ungesabi. Cishe bazokutshela ukuthi wenze izinguquko ezithile endleleni yakho yansuku zonke, futhi mhlawumbe uqale ngisho nokwelapha ngemithi.

Iphathwa kanjani?

Uma welapha lokhu, udokotela wakho angakutshela ukuthi wenze izinguquko endleleni yokuphila futhi, uma kudingeka, akuqalise ngemithi (imithi yokwehlisa umfutho wegazi).

Izinguquko zendlela yokuphila

Lezi ezinye zezinto ezibaluleke kakhulu ongazenza:

• Ukunciphisa inani likasawoti elifakwa ekudleni. Kunconywa ukuthi ungadli ngaphezu kwamagremu angu-1.5 kasawoti ngosuku.
• Ukulandela ukudla kwe-DASH.Lolu uhlelo lokudla olukhethekile olusiza ukulawula umfutho wegazi ophakeme.
• Ukudla izithelo nemifino emisha kakhulu.
• Ukunciphisa ukudla kobisi okunamafutha amaningi (isib. ushizi, ibhotela).
• Ukunciphisa ukudla okunamafutha agcwele (isib. inyama ebomvu, ukudla okunamafutha).
• Ukwehlisa isisindo (uma ukhuluphele kakhulu).
• Ukuzivocavoca umzimba okwengeziwe. Okufana nokuhamba okungenani imizuzu engama-30 ngosuku.
• Uma uphuza utshwala, bunciphise.
• Ukulawula ukucindezeleka. Ngezinye izikhathi ukuzindla noma i-yoga kungasiza.
• Ukuzama ukuthola i-potassium eningi ekudleni (isib. ubhanana, amawolintshi, isipinashi)
• Ukuyeka ngokuphelele imikhiqizo kagwayi.

Cabanga ukuthi lezi zinguquko ezincane zingaba nomthelela omkhulu kangakanani empilweni yakho yonke!

Imithi

Ngaphezu kokushintsha indlela yokuphila, odokotela banikeza imithi ebizwa ngokuthi imithi yokwehlisa umfutho wegazi ukuze yelaphe i-Isolated Systolic Hypertension. Eminye yemithi evame ukusetshenziswa yile:

• Ama-diuretics: Lokhu kubangela ukuthi umzimba ukhiphe amanzi nosawoti omningi ngomchamo, okwehlisa umfutho wegazi.
• Ama-calcium channel blockers: Lawa aphumuza izindonga zemithambo yegazi, okwenza ukugeleza kwegazi kube lula.
• Ama-enzyme inhibitors aguqula i-angiotensin (i-ACE inhibitors): Lawa alawula nomfutho wegazi ngokunciphisa ukuminyana kwemithambo yegazi.
• Ama-Angiotensin II Receptor Blockers (ARBs): Le mithi isebenza ngendlela efanayo nama-ACE inhibitors.

Udokotela wakho angase akuqalise komunye wemithi emibili yokuqala kulolu hlu. Bese kuthi, kuye ngokuthi umzimba wakho usabela kanjani, angase afake omunye umuthi wesibili noma wesithathu uma kudingeka. Imithambo yegazi iba lukhuni njengoba ukhula, okwenza kube nzima ukulawula umfutho wegazi ophakeme. Kodwa-ke, le mithi yokunciphisa umfutho wegazi ingasiza ekunciphiseni ukuqina kwemithambo yakho ngezinga elithile.

Ingabe ikhona imiphumela emibi yokwelashwa?

Njenganoma yimuphi umuthi, abanye abantu bangase babe nemiphumela emibi emincane evela kulezi zindlela zokwelapha. Akuwona wonke umuntu ozobhekana nazo, kodwa kuhle ukuzazi.

• Ikhanda elibuhlungu
• Isiyezi
• Isifiso sokudla
• Ukukhwehlela okomile (ikakhulukazi okuvela kuma-ACE inhibitors)
• Ukulahlekelwa izinwele (okungavamile)

Uma uhlangabezana nanoma yini efana nale, ungesabi ukutshela udokotela wakho. Angase akwazi ukushintsha umuthi noma anciphise umthamo.

Yini engenziwa ukunciphisa le ngozi?

Sonke siyaguga. Ezinye zezinto ezihambisana nakho ziyizici ezingaholela ku-Isolated Systolic Hypertension. Kodwa-ke, kunezinto eziningi ongazenza ukuze unciphise ingozi yakho yalesi simo. Lezi zifaka:

• Uma unesifo sikashukela, silawule kahle.
• Uma une-cholesterol ephezulu, lawula nalokho.
• Vivinya umzimba njalo. Okungenani izinsuku ezi-5 ngesonto, imizuzu engama-30 ngosuku.
• Gcina inkomba yakho yesisindo somzimba (i-BMI) ingaphansi kwama-30.
• Ungasebenzisi imikhiqizo kagwayi.
• Nciphisa ukudla okucutshunguliwe kanye nokudla okunamafutha amaningi nosawoti ngangokunokwenzeka. Ukudla okuphekwe ekhaya kungcono kakhulu.

Yini okufanele uyilindele uma uphila nalesi simo?

Ukwelashwa okungcono kakhulu ukuqala ngokushesha nje lapho utholakala unalesi simo, njengoba noma yiluphi uhlobo lomfutho wegazi ophakeme lwandisa ingozi yezinye izinkinga zempilo, njengokuhlaselwa yinhliziyo kanye nesifo sohlangothi.

Ingabe lokhu kungelapheka?

Cha, ayinakwelapheka ngokuphelele. Kodwa ungakhathazeki! Ungakuphatha futhi uphile impilo ejwayelekile ngokwenza izinguquko endleleni yokuphila kanye/noma ngokuthatha imithi kadokotela wakho.

Lesi simo sizohlala isikhathi esingakanani?

I-Isolated Systolic Hypertension yisimo esingapheli, sesikhathi eside. Lokhu kusho ukuthi kuzodingeka usinakekele futhi usiphathe impilo yakho yonke. Ucwaningo lukhombisile ukuthi ukwelapha i-Isolated Systolic Hypertension ngendlela efanele kungenza umehluko omkhulu. Kunganciphisa ingozi yesifo senhliziyo, isifo sohlangothi, kanye nokufa cishe ngo-30%! Akuyona yini into enkulu leyo?

Ngizinakekela kanjani?

Ukuze ulawule lesi simo, kubalulekile ukuphuza imithi yakho njengoba nje udokotela wakho ekuyalele, ngesikhathi. Kwenze umkhuba. Mhlawumbe ukubeka isikhumbuzi efonini yakho kuzosiza. Futhi, ukuzivocavoca nokudla ukudla okunosawoti omncane namafutha kuhle kakhulu ekucindezelekeni kwegazi lakho kanye nempilo yenhliziyo.

Kufanele ngimbone nini udokotela?

Uma udokotela wakho eqala ukusebenzisa imithi yalesi simo, cishe uzokucela ukuthi ubuye cishe ngenyanga. Yilapho ezokwazi ukubona khona ukuthi imithi iyasebenza noma ibangela noma yimiphi imiphumela emibi ekhathazayo. Okwamanje, ungase ucelwe ukuthi uhlole umfutho wegazi lakho ekhaya kanye ngesonto, noma kaningi.Uma uqoqa lezo zibalo cishe inyanga bese uzibonisa udokotela wakho, kuzoba lula ngaye ukuqonda ukuthi umuthi usebenza kahle yini. Futhi, udokotela uzobheka ukuthi inani lakho le-systolic kanye nenani lakho le-diastolic lehla kakhulu yini. Ngoba uma inani lakho le-diastolic lehla kakhulu, kungase kusho ukuthi izitho zakho zomzimba azitholi igazi elanele.

Kufanele ufune nini ukwelashwa okuphuthumayo?

Uma unesifo 'somfutho wegazi ophakeme' , okusho ukuthi umfutho wegazi wakho ungu-180/120 mmHg noma ngaphezulu, kufanele ufune usizo lwezokwelapha oluphuthumayo ngokushesha. Ungase ube nalezi zimpawu:

• Ubuhlungu besifuba
• Ubunzima bokuphefumula
• Isiyezi
• Ikhanda elibuhlungu kakhulu

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza imibuzo efana nale:

• Kukangaki ngidinga ukuza kuwe?
• Ngingaqala kanjani uhlelo lokuzivocavoca? Yimiphi imithambo efanele mina?
• Ingabe ngidinga ukuthatha imithi, noma ingabe izinguquko zendlela yokuphila zanele isimo sami?
• Yimiphi imiphumela emibi engingayilindela kulo muthi?
• Yiziphi izindinganiso okufanele ngikhathazeke ngazo lapho ngihlola umfutho wegazi lami ekhaya?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Uma une-Isolated Systolic Hypertension, awuwedwa. Abantu abaningi banalesi simo somfutho wegazi ophakeme. Ungakhathazeki. Kunezinguquko eziningi zendlela yokuphila ezingakusiza. Ungazenza wena lezo zinguquko. Uma kudingeka, kukhona nemithi.

Ukuphatha lesi simo kuyindlela enhle yokutshala imali empilweni yakho yesikhathi esizayo. Uzokubonga ngalokho!

Ngakho-ke, nakekela umfutho wegazi lakho, uhlolwe njalo, bese ulandela imiyalelo kadokotela wakho. Khona-ke ungaphila impilo enempilo nejabulisayo.

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Umfutho wegazi ophezulu we-Systolic ohlukanisiwe, Umfutho wegazi, i-Systolic, i-Diastolic, umfutho wegazi ophezulu, Impilo yenhliziyo, eSri Lanka