Ulwahlulo lokuqala loxinzelelo lwegazi
I-120-139 / 80-89 yimilinganiselo ephezulu yoxinzelelo lwegazi oluqhelekileyo
I-140-159/90-99 yeyakwibakala loku-1 loxinzelelo lwegazi.
160-179/100-109 zezenqanaba 2 uxinzelelo lwegazi.
Ingaphezulu kwe-180/110, yeyakwibakala lesi-3 loxinzelelo lwegazi.
Ngoko ubala njani i Uxinzelelo lwegazi sihlandlo ngasinye lulinganiswa ngokwahlukileyo? Ukumisela ulwahlulo loxinzelelo lwegazi, alubalwa ngokomgangatho woxinzelelo lwegazi olulinganisiweyo ngexesha ngalinye, luxinzelelo lwegazi olulinganiswe ngaphandle kokuthatha iziyobisi ezilwa noxinzelelo lwegazi, oluluhlelo loxinzelelo lwegazi lwakho.
Ngokomzekelo, xa ungathathi amayeza, uxinzelelo lwegazi lwe-180 / 110mmHg, luvela kwi-grade 3 ye-hypertension, kodwa emva kokuthatha iyeza le-antihypertensive, uxinzelelo lwegazi lwehla ukuya kwi-150 / 90mmHg, ngoko eli xesha lisabalwa ngokwenqanaba lokuqala le-hypertension ye-3, lawula nje phantsi.
Phambi kokuba ungawathathi amayeza, umlinganiselo woxinzelelo lwegazi nawo unokuguquguquka nokubala njani
Ngokomzekelo, uxinzelelo oluphezulu luyinqanaba, uxinzelelo oluphantsi luyinqanaba, ngoko ngokutsho kweyiphi ukubala? Kufuneka ibalwe ngokweyona iphakamileyo. Uxinzelelo lwegazi 160/120mmHg, uxinzelelo oluphezulu lukwinqanaba lesi-2, uxinzelelo oluphantsi lukwinqanaba lesi-3, ngoko ke mangaphi amanqanaba? Kuba kufuneka ibalwe ngokwenqanaba eliphezulu, ngoko ke kufuneka ibe kwibakala lesi-3 loxinzelelo lwegazi. Ewe, akukho grade 3 hypertension ngoku, ibizwa ngokuba yi grade 2 hypertension.
Kuthekani ukuba uxinzelelo lwegazi luhluke kabini ngokulandelelana? Kule meko, kucetyiswa ukuba uthathe umyinge wamaxesha amabini, kunye nekhefu lemizuzu emi-5 phakathi kwamaxesha amabini; ukuba umahluko phakathi kwamaxesha amabini uphezulu kune-5mmHg, ke ulinganise amaxesha ama-3 kwaye uthathe umyinge.
Kuthekani ukuba umlinganiselo esibhedlele awufani nomlinganiselo wasekhaya?
Ngokuqhelekileyo, umgangatho wokugweba uxinzelelo lwegazi olulinganiswe esibhedlele yi-140 / 90mmHg, kodwa umgangatho wokulinganisa ekhaya ngu-≥135 / 85mmHg ukugweba uxinzelelo lwegazi, kwaye ≥135 / 85mmHg ilingana ne-≥140 / 90mmHg esibhedlele.
Kakade ke, ukuba ukuguquguquka koxinzelelo lwegazi, indlela echaneke ngakumbi i-ambulatory esweni uxinzelelo lwegazi, oko kukuthi, esweni iiyure ezingama-24 zoxinzelelo lwegazi, ukubona imeko ethile uxinzelelo lwegazi, i-ambulatory blood pressure avareji uxinzelelo oluphezulu / uxinzelelo oluphantsi 24h ≥ 130 / 80mmHg; okanye usuku ≥ 135 / 85mmHg; ubusuku ≥ 120 / 70mmHg. kunokuqwalaselwa ukuxilongwa koxinzelelo lwegazi.
Indlela yokunciphisa uxinzelelo lwegazi
Emva kokuba i-hypertension ifunyenwe, indlela yokunciphisa uxinzelelo lwegazi, okwangoku kuphela iindlela ezisemthethweni zokunciphisa uxinzelelo lwegazi yindlela yokuphila enempilo kunye neziyobisi ezisemthethweni ze-antihypertensive xa kuyimfuneko.
Kwinqanaba le-hypertension esanda kufunyanwa, oko kukuthi, uxinzelelo lwegazi olungagqithiyo kwi-160 / 100mmHg, unokuqala ukwehlisa uxinzelelo lwegazi ngokuphila ngendlela enempilo, ukutya okunetyuwa encinci, ukutya okune-potassium eninzi, ukunyanzelisa umthambo, ungahlali emva kwexesha, ukulawula ubunzima, ukuhlala kude nokutshaya kunye notywala, ukunciphisa uxinzelelo kunye nokunye konke kukulungele ukulawula uxinzelelo lwegazi.
Ukuba emva kweenyanga ezi-3, uxinzelelo lwegazi aluzange lwehle ngaphantsi kwe-140/90, ngoko kufuneka sicinge ngokunciphisa uxinzelelo lwegazi kunye neziyobisi ze-antihypertensive; okanye xa uxinzelelo lwegazi lufunyenwe, sele lungaphezu kwe-160 / 100mmHg, okanye ngaphezulu kwe-140 / 90mmHg, idibene nesifo seswekile okanye intliziyo, ingqondo kunye nesifo sezintso, ngoko kufuneka uthathe iziyobisi ze-antihypertensive kunye ukunciphisa uxinzelelo lwegazi ngokukhawuleza.
Ngokubhekiselele kukhetho oluthile lwechiza le-antihypertensive, okanye zeziphi iintlobo zamachiza e-antihypertensive, kufuneka zithathwe phantsi kwesikhokelo sikagqirha oqeqeshiweyo, awukwazi ukukhetha amachiza okulwa noxinzelelo lwegazi.
Injongo yethu kukuba uxinzelelo lwegazi lube ngaphantsi kwe-140/90. Kubantu abaneminyaka ephakathi, ngakumbi abantu abancinci abangaphantsi kweminyaka engama-45 ubudala, uxinzelelo lwegazi kufuneka luthotywe lube ngaphantsi kwe-120/80 kangangoko kunokwenzeka ukuze umngcipheko we-cardiovascular and cerebrovascular disease ube ngaphantsi.
Ukuqukumbela, ekuphela kwendlela yokuthintela ngempumelelo iingxaki ezahlukeneyo zoxinzelelo lwegazi kukuba ukubeka iliso kuxinzelelo lwegazi kakuhle kwaye ukubhaqa kwaye ukulawule kwangethuba.
