Ingabe uphuza imithi yokucindezela kwegazi lakho kodwa ayilawulwa kahle? Noma ingabe unomfutho wegazi ophakeme yize usemncane? Ungase ucabange ukuthi yilokho umfutho wegazi ophakeme oyikho. Kodwa akuzona zonke izimo zomfutho wegazi ophakeme ezingaba nembangela ethile. Ngezinye izikhathi, esinye isifo emzimbeni wethu, umuthi esiwuphuzayo, singaba imbangela yalo mfutho wegazi ophakeme. Namuhla, sikhuluma ngomfutho wegazi ophakeme obangelwa yimbangela ethile, okungukuthi, umfutho wegazi ophakeme wesibili .
Kuyini Ukucindezeleka Kwegazi Kwesibili?
Kalula nje, lokhu kubhekisela ekucindezelekeni kwegazi okuphezulu okubangelwa imbangela ethile ebonakala , njengesinye isifo emzimbeni wethu noma imithi esiyiphuzayo.
Umfutho wegazi ojwayelekile iningi lethu eliwaziyo, njengoba odokotela besho, awunakutholakala we -Primary Hypertension . Uthonywa yizici eziningi ezifana nezakhi zofuzo zethu, indlela esiphila ngayo, lokho esikudlayo, kanye nokungazivocavoci. Kodwa 'ku-Secondary Hypertension', akunjalo, singawukhomba ngomunwe bese sithi, 'Ah... lesi yisona sizathu sengcindezi'.
Cabanga ngalokhu. Amanzi avela empompini wakho anciphile. Uhlola ukuthi akhona yini amanzi ethangini. Kukhona amanzi. Pho inkinga iyini? Mhlawumbe kukhona okubhajwe ngaphakathi kwepayipi lamanzi. Kunjalo-ke ngalokhu. Umfutho uphezulu, kodwa isizathu salokho akuyona inkinga ngomfutho ngokwawo, kodwa inkinga kwenye indawo emzimbeni.
Odokotela babecabanga ukuthi u-5% kuya ku-10% kuphela wabantu abanomfutho wegazi ophezulu abanomfutho wegazi wesibili. Kodwa ucwaningo olusha lusikisela ukuthi inani lingaba phezulu kakhulu, ngoba lesi simo sivame ukuhlonza kabi futhi siphathwe njengomfutho wegazi ojwayelekile.
Yiziphi izimbangela eziyinhloko zomfutho wegazi ophakeme wesibili?
Manje ungase uzibuze ukuthi hlobo luni lwezifo olungabangela lokhu. Bheka lolu hlu. Lezi yizimbangela ezivame kakhulu. Ake sibheke ngayinye yalezi ngokuningiliziwe.
| Imbangela | Incazelo elula |
|---|---|
| Ukuphefumula Kokulala Okungavinjelwe | Ngesikhathi sokulala, imisipha emphinjeni iyakhululeka futhi indlela yokuphefumula iyavaleka, okubangela ukuba ukuphefumula kume okwesikhashana. Ngalesi sikhathi, amazinga omoya-mpilo emzimbeni ayancipha, okufaka ingcindezi enkulu enhliziyweni. Njengoba lokhu kuqhubeka, umfutho wegazi uyanda. |
| I-Renal Artery Stenosis | Izinso ziyisitho esibalulekile esilawula umfutho wegazi emzimbeni wethu. Lapho imithambo yegazi eyinikezayo iba mincane, izinso azitholi igazi elanele. Izinso zibe sezicabanga ukuthi umfutho wegazi emzimbeni uphansi, ngakho-ke zikhipha ama-hormone akhulisa umfutho wegazi. |
| Izinkinga Zama-Hormonal | Isibonelo, ezimweni ezifana ne -Primary Aldosteronism (Conn's Syndrome) kanye ne-Cushing Syndrome , ama-hormone alawula inani likasawoti namanzi emzimbeni akhiqizwa ngokweqile. Lokhu kubangela ukuthi umfutho wegazi ukhuphuke. Umfutho wegazi ungashintsha ngenxa yokwanda komsebenzi we-thyroid gland (Hyperthyroidism) noma ukwehla komsebenzi we-thyroid gland. |
| Isifo Sezinso Esibangelwa Yi-Parenchymal | Izifo ezilimaza izinso ngokwazo zenza zingakwazi ukulawula kahle inani loketshezi nosawoti emzimbeni, okungadala nomfutho wegazi ophakeme. |
| Eminye imithi nezinye izinto | Ezinye zezinto esizisebenzisayo, njengeziqeda ubuhlungu, amaphilisi okuvimbela inzalo, kanye nemithi ebandayo, zingakhuphula umfutho wegazi. Ngaphezu kwalokho, ukusetshenziswa ngokweqile kotshwala, ugwayi, kanye nezinye izidakamizwa nakho kungaba nomthelela. |
| Ezinye izinhlobo zamathumba | Amathumba akhula ezindlaleni ze-adrenal, njenge -pheochromocytoma kanye ne-paraganglioma, akhiqiza ama-hormone amaningi kakhulu. Lawa ma-hormone angabangela ukwanda okungazelelwe kwesilinganiso senhliziyo kanye nomfutho wegazi. |
| Isifo senhliziyo esizalwa naso (Ukuhlangana kwe-Aorta) | Lokhu kwenzeka lapho i-aorta, umthambo wegazi oyinhloko othwala igazi lisuka enhliziyweni liye emzimbeni, incipha. Lokhu kubangela ukuthi inhliziyo isebenze kanzima ukupompa igazi endaweni enciphile. Lokhu kwandisa ingcindezi. |
Imithi nezinye izinto ezingakhuphula umfutho wegazi
Eminye yemithi esiyithathayo ingakhuphula umfutho wegazi lethu ngokungazi.
- Eminye imithi yomkhuhlane kanye nokungezwani komzimba (Ama-Decongestants)
- Ama-Painkiller (ama-NSAID)
- Amaphilisi okuvimbela inzalo (Amaphilisi Okuvimbela Inzalo Omlomo)
- Ezinye izidakamizwa zokucindezeleka
- Ama-Corticosteroids - isibonelo i-prednisone
- Izithiyo zokucindezela amasosha omzimba
- Eminye imithi yokwelapha umdlavuza
Okubaluleke kakhulu: Ngisho noma usola ukuthi umuthi udokotela wakho awunike wona ubangela umfutho wegazi lakho ukuba ukhuphuke, ungalokothi uyeke ukuwuthatha wedwa. Kubalulekile ukukhuluma nodokotela wakho kuqala bese ucela iseluleko.
Ngaphezu kwalokho, ukuphuza utshwala ngokweqile, ukusebenzisa i-nicotine, ezinye izithasiselo zamakhambi , kanye nokusebenzisa izidakamizwa ezingekho emthethweni nakho kuyizimbangela ezinkulu zomfutho wegazi ophakeme.
Ziyini izimpawu zomfutho wegazi ophakeme wesibili?
Ezimweni eziningi, azikho izimpawu ezihlobene 'nomfutho wegazi ophakeme wesibili'. Lokhu kusho ukuthi ungase ungaboni umehluko omkhulu ekucindezelweni kwegazi lakho (ngaphandle kokuthi kube phezulu ngendlela eyingozi). Kodwa-ke, ungase ube nezimpawu zesimo esiyisisekelo esibangela umfutho wegazi ophakeme .
Isibonelo, uma umfutho wegazi wakho ubangelwa inkinga ye-thyroid, ungase ube nezimpawu ezifana nokushaya kwenhliziyo okwandayo, ukujuluka ngokweqile, kanye nokwehla kwesisindo. Ngokufanayo, izimpawu zizohluka kuye ngembangela eyinhloko.
Kunini lapho udokotela eqala ukusola khona ngalokhu?
Kunezinto eziningana ezingenza udokotela wakho asole ukuthi une-hypertension yesibili. Lezi zibizwa ngokuthi "ama-red flags" alesi simo.
- Uma umfutho wegazi lakho uvame ukulawula futhi ukhuphuka ngokuzumayo.
- Uma umuntu ongaphansi kweminyaka engama-30 eba nomfutho wegazi ophakeme.
- Uma ingcindezi ikhuphuka ngokuzumayo ngendlela eyingozi (Inkinga Ephakeme Kakhulu).
- Uma umfutho wegazi lakho ungalawuleki naphezu kokusebenzisa imithi emithathu noma ngaphezulu (i-Resistant Hypertension).
Ngaphezu kwalokhu,Uma umfutho wegazi wengane encane ukhuphuka ngaphambi kokuba ifinyelele ekuthombeni, lokho ngokuqinisekile kuyisici esiyinhloko esisishukumisela ukuba sifune esinye isizathu.
Yiziphi izingozi uma zingelashwa?
Uma lesi simo singelashwa, umfutho wegazi ophakeme isikhathi eside ungalimaza inhliziyo, imithambo yegazi, ubuchopho kanye nezinso. Lokhu sikubiza ngokuthi isifo senhliziyo esinomfutho wegazi ophakeme .
Futhi, izinkinga zingavela ngenxa yesimo sezokwelapha esiyisisekelo esibangele ingcindezi. Kodwa kukhona uhlangothi oluhle lwalokhu. Ukuhlonza 'Umfutho Wegazi Ophakeme Wesibili' kungaba yindlela yokuqala yokuthola esinye isifo esasifihliwe emzimbeni wakho. Ngakho-ke, ukuselapha kuyisinyathelo esihle sokuphatha lesi sifo esiyisisekelo.
Odokotela basithola kanjani lesi sifo?
Ngenxa yokuthi kunezimbangela eziningi kangaka, ngezinye izikhathi kungathatha isikhathi ukuthola ukuxilongwa okunembile. Udokotela kungase kudingeke akhiphe ezinye izimbangela futhi aphenye ezinye ngokujulile.
Inqubo yokuhlola ivame ukuhamba kanje:
1. Ukuhlolwa kokuqala: Okokuqala, udokotela wakho uzokuxilonga ngokomzimba, akubuze ngomlando wakho wezokwelapha, imithi oyiphuzayo, kanye nezithasiselo oziphuzayo. Uzokhuluma nangokudla kwakho, usawoti owudlayo, kanye nokuphuza utshwala.
2. Ukuhlolwa okuyisisekelo: Bese kwenziwa ukuhlolwa kwe-EKG (ECG) , bese kwenziwa ukuhlolwa kwegazi nomchamo okuyisisekelo.
3. Ukuhlolwa okukhethekile: Uma imbangela ingacacile kusukela ekuhlolweni kokuqala, kwenziwa ezinye izivivinyo ezikhethekile kuye ngesimo sezempilo esisolwayo.
- I-Ultrasound Yezinso
- I-CT Angiogram noma i-MRA (i-scan ekhethekile ebheka imithambo yegazi)
- Ucwaningo lokulala noma i-polysomnography
- Ukuhlolwa kwegazi nomchamo okwengeziwe ukuze kubhekwe amazinga athile ama-hormone
Iphathwa kanjani?
Ukwelashwa kwalokhu kuncike ngokuphelele embangweni wengcindezi. Akukho ukwelashwa okukodwa okulingana nakho konke. Udokotela wakho uzokwakha uhlelo lokwelashwa olufanele wena futhi akuchazele lona.
Uhlelo lwakho lokwelashwa lungafaka:
- Ukuthatha imithi yokwehlisa umfutho wegazi.
- Ukuthatha eminye imithi yokwelapha isimo sempilo esicashile.
- Ukwenza izinguquko ekudleni (isib. ukunciphisa usawoti).
- Ukunciphisa ukusetshenziswa kotshwala.
- Ukuyeka ukubhema ngokuphelele.
- Ukuzivocavoca umzimba njalo.
- Uma unenkinga yokuphefumula ngesikhathi ulele, sebenzisa idivayisi efana nomshini we-CPAP .
- Kwezinye izimo, ukuhlinzwa noma ezinye izinqubo zezokwelapha kungadingeka.
Ukwelapha lesi simo kungaletha imiphumela emihle kakhulu. Uma imbangela eyisisekelo seyelashwe kahle, umfutho wegazi lakho ungabuyela esimweni esijwayelekile. Uma umfutho wegazi wakho uqhubeka nokuba phezulu kancane, kungadingeka uqhubeke uthatha imithi yokuwulawula. Into ebaluleke kakhulu ukuthola imbangela bese uyiphatha kahle.
Umlayezo Wokuya Nawe Ekhaya
- Akuzona zonke izimo zomfutho wegazi ophakeme ezifanayo. Kungase kube nembangela ethile ephawulekayo yomfutho wegazi lakho.
- Uma umfutho wegazi lakho ungalawulwa ngemithi, uma waqala usemncane, noma uma ukhuphuka ngokuzumayo, qiniseka ukuthi ukhuluma nodokotela wakho ngakho.
- Uma imbangela eyisisekelo yelashwa, ingcindezi ingalawulwa, futhi ngezinye izikhathi ilapheke ngokuphelele.
- Gwema ukuyeka umuthi onikezwe udokotela wedwa. Uma unemibuzo noma ukukhathazeka, xoxa ngakho nodokotela wakho kuqala.
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