Wake wahlola umfutho wegazi lakho, noma "umfutho wegazi" njengoba sonke sikubiza kanjalo, wabheka izinombolo eziphezulu nezingezansi kuphela embikweni? Abantu abaningi bayakwenza lokho. Kodwa bewazi ukuthi "umehluko" noma igebe phakathi kwalezo zinombolo ezimbili lisinika nezinkomba ezibaluleke kakhulu mayelana nempilo yenhliziyo yakho nemithambo yegazi? Lelo gebe yilokho esikubiza ngokuthi "Umfutho Wegazi" kwezokwelapha. Kungenzeka ukuthi awukaze uzwe leli gama ngaphambili. Kodwa ungakhathazeki, kulula kakhulu. Namuhla sizokhuluma ngakho konke ngokucacile, njengokungathi sikhuluma nomngane.
Kalula nje, kuyini ukucindezeleka kwe-pulse?
Umfutho wegazi umehluko phakathi kokufundwa okubili lapho ulinganisa umfutho wegazi lakho. Kulula kakhulu.
Uma ulinganisa ingcindezi yakho, uthola izinombolo ezimbili, akunjalo?
1. Inombolo ephezulu: Lokhu kubizwa ngokuthi ingcindezi ye-systolic. Lokhu kulinganisa ingcindezi ephezulu ngaphakathi kwemithambo yegazi yakho lapho inhliziyo yakho ishaya futhi ipompa igazi emzimbeni wakho.
2. Inombolo engezansi: Lokhu kubizwa ngokuthi ingcindezi ye-diastolic. Lokhu kulinganisa ingcindezi encane ngaphakathi kwemithambo yegazi lapho inhliziyo isiqedile ukushaya futhi iphumula isikhashana ukuze igcwale igazi futhi.
Umfutho wokushaya kwenhliziyo utholakala kanje: Susa inombolo engezansi (i-Diastolic) enombolweni ephezulu (i-Systolic).
Cabanga ukuthi umfutho wegazi wakho u-120/80 mmHg. (i-mmHg iyiyunithi yokulinganisa umfutho wegazi).
Khona-ke umfutho wakho wokushaya kwenhliziyo uzoba: 120 - 80 = 40 mmHg .
Ingcindezi evamile yokushaya kwenhliziyo yomuntu omdala onempilo icishe ibe ngu -40 mmHg . Kujwayelekile ukuthi leli nani likhuphuke kancane njengoba sikhula. Kodwa-ke, ngezinye izikhathi, inani eliphakeme kakhulu noma eliphansi kakhulu lingaba uphawu lwenkinga ohlelweni lwakho lwenhliziyo ngaphambi kokuba kuvele izimpawu.
Kodwa khumbula into eyodwa. Lokhu kucindezela kwe-pulse kuyindlela eyodwa kuphela yokulinganisa impilo yakho. Udokotela wakho uzobheka ezinye izinto eziningi ezinjengalezi lapho enza isinqumo ngempilo yakho. Ngakho ungakhathazeki ngokungadingekile ngokucabanga ngenani elilodwa nje.
Kungani umfutho wegazi lami ushintsha uma ngihlola umfutho wegazi wami njalo ngemizuzu embalwa?
Lena inkinga abantu abaningi abanayo. Yebo, kuyinto evamile ukuthi umfutho wegazi lakho kanye nomfutho wegazi wakho kushintshe kancane kusukela ngesikhathi kuya kwesinye. Asikho isidingo sokukhathazeka ngayo.
Cabanga ngakho, uma uphefumula, uma ushintsha indawo yakho, futhi kuye ngesikhathi sosuku, inani legazi inhliziyo yakho elimpompayo liyashintsha kancane. Lokhu kubangela izinguquko ezincane ekucindezelweni, cishe kusuka ku-5 mmHg kuya ku-10 mmHg. Yingakho ukucindezeleka kwe-pulse nakho kubonakala kushintsha kancane. Akuyona inkinga enkulu. Kudingeka sikhathazeke kuphela uma leli nani liqhubeka nokungajwayelekile.
Kusho ukuthini ukuthi "umfutho wegazi ophakeme"?
Umfutho wegazi obanzi uwukuthi lapho igebe phakathi kwenombolo ephezulu nenombolo engezansi yomfutho wegazi lakho "libanzi" kakhulu. Kalula nje, yilapho umfutho wegazi lakho uhlala uphakeme kunenani elifana no-50 mmHg noma u-60 mmHg.
Cabanga ukuthi umfutho wegazi womuntu u-140/80 mmHg.
Bese kuthi i-Pulse Pressure = 140 - 80 = 60 mmHg. Lokhu kuphakeme kunenani elijwayelekile.
Kungani lokhu kwenzeka?
Njengoba sikhula, ukuguquguquka kwemithambo yegazi yethu kuncipha kancane kancane, futhi iba "lukhuni". Kufana nepayipi elisha lerabha eliqina ngokuhamba kwesikhathi futhi lingasagobeki. Lesi simo sibizwa ngokuthi i-atherosclerosis . Abantu abanesifo sikashukela nesifo sezinso nabo bangaba nemithambo yegazi yabo eqina ngokushesha.
Uma imithambo yegazi iba lukhuni, imithambo yegazi ayivumeli ukucindezeleka ukuthi kukhishwe lapho inhliziyo ishaya futhi ipompa igazi (i-Systolic). Ngakho-ke, inani eliphezulu liyanda kakhulu. Ngokufanayo, lapho inhliziyo iphumula (i-Diastolic), ukucindezeleka kwehla ngokushesha ngenxa yemithambo yegazi eqinile. Ngakho-ke, inani eliphansi liyancipha. Bese kuba khona igebe phakathi kwenombolo ephezulu nenombolo engezansi eliba likhulu.
Yiziphi izingozi zomfutho wegazi ophezulu?
Ukucindezeleka kwenhliziyo okuqhubekayo kumuntu ongasebenzi kahle ngokomzimba kungaba uphawu lwezinkinga zempilo zesikhathi esizayo.
- Ingozi yesifo senhliziyo iyanda.
- Ingozi yokushaywa yisifo sohlangothi iyanda.
- Ukungalingani kwesigqi senhliziyo (i-arrhythmia) kungenzeka.
- Abantu abanezifo ezifana nesifo sikashukela basengozini enkulu yokulimala kwamehlo nezinso.
Izifundo zikhombisile ukuthi njalo uma ukwanda kwengcindezi ye-pulse nge-10 mmHg kwandisa ingozi yokuthola isifo se-coronary artery cishe ngo-23%.
Kodwa-ke, ukucindezeleka kwenhliziyo kwabadlali abanekhono, ikakhulukazi abagijimi bamabanga amade, kungaba phezulu. Lokho akuyona inkinga. Ngenxa yokuthi izinhliziyo zabo ziphilile futhi zikhule kahle, bampompa igazi eliningi ngokushaya kunomuntu ojwayelekile. Leso yisici esinempilo.
Kusho ukuthini ukuthi "umfutho wegazi ophansi"?
Umfutho wegazi omncane ulapho igebe phakathi kwenombolo ephezulu nenombolo engezansi "lincane kakhulu". Ngokuvamile, uma umfutho wegazi ungaphansi kwengxenye yesine yenani lakho eliphezulu (i-systolic), sikubheka njengomfutho wegazi omncane.
Isibonelo, ake sithi umfutho wegazi womuntu ungu-100/85 mmHg.
Bese kuthi ingcindezi ye-Pulse = 100 - 85 = 15 mmHg.
Leli nani lika-15 lingaphansi kwengxenye eyodwa kwezine (25) yenombolo engenhla, i-100. Ngakho-ke, lokhu kuyiNciphiso Yokushaya Kwenhliziyo Encane.
Kungani lokhu kwenzeka?
Lesi simo senzeka lapho inhliziyo ingakwazi ukupompa igazi elanele. Kungaba nezizathu eziningana zalokhu:
- Ukwehluleka kwenhliziyo ngemva kokuhlaselwa yinhliziyo.
- Ukulahlekelwa igazi eliningi emzimbeni ngenxa yengozi.
- I-tamponade yenhliziyo yisimo lapho uketshezi luqoqana khona nxazonke zenhliziyo, okuvimbela inhliziyo ukuthi isebenze kahle.
Kulesi simo, inombolo ephezulu (i-Systolic) iyehla ngoba inhliziyo ayikwazi ukupompa igazi kanzima kangaka. Kodwa umzimba uzama ukugcina ingcindezi ngokuvimba imithambo yegazi ukuze inikeze igazi ezithweni ezibalulekile. Ngakho inombolo engezansi (i-Diastolic) ayehli kakhulu. Bese igebe phakathi kwenombolo ephezulu nenombolo engezansi liba lincane kakhulu.
Ungathola ukuqonda okucacile kwalokhu kuthebula elingezansi.
| Uhlobo Lokucindezela Kwe-Pulse | Incazelo | Izizathu ezingaba khona |
|---|---|---|
| Kuphilile (Okuvamile) | Inani licishe libe ngu-40 mmHg. Kukhona igebe eliphilile phakathi kwamanani okucindezela aphezulu naphansi. | Impilo enhle yenhliziyo kanye nemithambo yegazi eguquguqukayo. |
| Ububanzi | Inani lihlala lingaphezu kuka-60 mmHg. Igebe likhulu. | Ukuguga, i-atherosclerosis, umfutho wegazi ophakeme, ezinye izifo ze-valve yenhliziyo. |
| Phansi / Kuncane | Inani lingaphansi kwengxenye eyodwa kwezine yenombolo engenhla. Igebe lincane kakhulu. | Ukwehluleka kwenhliziyo, ukopha ngokweqile, ukuhlaselwa yinhliziyo. |
Kungani kubaluleke kangaka ukulawula umfutho wegazi?
Kubaluleke kakhulu ukuphatha umfutho wakho wokushaya kwenhliziyo ngendlela efanele, ngoba umfutho wegazi ophezulu usho ukuthi inhliziyo yakho isebenza kanzima kunokujwayelekile, noma imithambo yegazi yakho inciphile, noma kokubili.
Ngenxa yalezi zizathu zombili, wenaIngozi yokuba nesifo esibucayi njengokuhlaselwa yinhliziyo noma isifo sohlangothi iyanda kakhulu. Le ngozi iphezulu kakhulu kubantu abaneminyaka engaphezu kwengu-55. Ngakho-ke, kuwukuhlakanipha ukuqaphela lokhu futhi uthathe izinyathelo ezidingekayo.
Yini engingayenza ukuze ngigcine umfutho wami wokushaya kwenhliziyo usezingeni elihle?
Ukulawula umfutho wegazi lakho empeleni kumayelana nokulawula umfutho wegazi lakho lilonke. Kunezinto ezimbalwa ezilula kodwa eziphumelelayo kakhulu ongazenza ukuze zikusize.
- Thola ukuhlolwa kwezokwelapha okungenani kanye ngonyaka: Umfutho wegazi ophakeme "ungumbulali othule" ovame ukungabonisi zimpawu. Ngakho-ke uma ufuna ukuthola inkinga ngaphambi kokuba ibe yimbi kakhulu, bona udokotela wakho bese uthola ukuhlolwa njalo .
- Yamukela ukudla okunomsoco: Nciphisa ukudla okunosawoti omningi namafutha ngangokunokwenzeka. Kungcono ukunciphisa usawoti wakho ube yithisipuni elilodwa (amagremu angu-5-6) ngosuku. Faka imifino, izithelo, kanye nemifino ekudleni kwakho.
- Yiba matasa: Thola okungenani imizuzu engama-30 yokuzilolonga ngosuku, njengokuhamba, ukugijima, noma ukugibela ibhayisikili. Lokhu kuhle kakhulu enhliziyweni yakho kanye nokujikeleza kwegazi.
- Nciphisa ukusetshenziswa kotshwala: Ukuphuza utshwala kuyimbangela enkulu yomfutho wegazi ophakeme, ngakho-ke kubalulekile ukukulawula.
- Yazi izingozi zakho: Uma kukhona emndenini wakho onomfutho wegazi ophakeme, isifo sikashukela, i-cholesterol, noma isifo senhliziyo, tshela udokotela wakho ukuze akunike iseluleko esikhethekile.
- Sebenzisa imithi oyinikezwe udokotela njengoba nje uyalelwe: Uma udokotela wakho ekunike imithi yomfutho wegazi lakho, ungalokothi uyeke. Ungayeki ukuphuza imithi yakho ucabanga ukuthi, "Namuhla kuzoba kuhle kuwe." Thatha umthamo owunikezwe udokotela ngesikhathi esifanele.
- Kala umfutho wegazi lakho ekhaya: Uma kungenzeka, thenga i-blood pressure monitor ongayisebenzisa ekhaya. Kala umfutho wegazi lakho okungenani kabili kuya kathathu ngesonto bese uyibhala phansi. Lokhu kuzokunikeza ukuqonda okungcono ngezinguquko zomfutho wegazi lakho.
Kufanele ngikhulume nini nodokotela ngalokhu?
Uma uhlola njalo umfutho wegazi lakho ekhaya, futhi ubona ukuthi umfutho wegazi lakho uhlala ungaphezu kuka-60 mmHg , noma uma ubona ukuthi uphansi kakhulu (uncane) , kufanele nakanjani ubone udokotela wakho futhi ukhulume ngakho.
Ngezinye izikhathi ungase uzizwe udidekile lapho inani eliphezulu lomfutho wegazi lakho liphezulu kanti inani eliphansi liphansi. Indlela engcono kakhulu yokwazi ngokuqinisekile ukuthi lokhu ukuguga okuvamile noma uphawu lwenye inkinga yempilo ukukhuluma nodokotela wakho. Uzosebenzisa ukufunda kwakho komfutho wegazi ukuze athole okwengeziwe ngempilo yenhliziyo yakho kanye nemithambo yegazi.
Nakuba kukuhle ukucwaninga ulwazi ku-inthanethi, ungazami ukuthola isifo wedwa. Umuntu ongcono kakhulu ongakhuluma naye ngombiko wakho nezinkinga zakho udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Umfutho wegazi umehluko phakathi kwezinombolo eziphezulu nezingezansi zomfutho wegazi lakho.
- Inani elinempilo livame ukuba ngu-40 mmHg.
- Uma ingcindezi yokushaya kwenhliziyo ingaphezu kuka-60 mmHg (ububanzi), kungaba uphawu lokuqina kwemithambo yegazi kanye nengozi eyengeziwe yesifo senhliziyo.
- Uma umfutho wokushaya kwenhliziyo uphansi kakhulu (uncane), kungaba uphawu lokuthi inhliziyo ayikwazi ukupompa igazi ngokwanele.
- Ukulawula umfutho wegazi lakho lilonke kuyindlela engcono kakhulu yokugcina umfutho wegazi lakho usezingeni elifanele.
- Uma unokungabaza noma imibuzo mayelana namanani akho omfutho wegazi, qiniseka ukuthi ukhuluma nodokotela wakho ngakho.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment