Ekuphileni kwethu kwansuku zonke, sikhathalela kakhulu umfutho wegazi weziguli ezinomfutho wegazi ophakeme noma abadala.Asivamile ukukhumbula inkinga yomfutho wegazi kwabesifazane abakhulelwe njengeqembu elikhethekile.
Uhla olujwayelekile lomfutho wegazi kwabesifazane abakhulelwe
Ibanga lomfutho wegazi liphakathi kuka-90-140mmHg (12.0-18.7kPa) ku-systolic blood pressure (high pressure) kanye no-60-90mmHg (8.0-120kpa) ku-diastolic blood pressure (umfutho ophansi).Ngaphezu kwalolu hlu, kungase kube yi-hypertension noma i-borderline hypertension, futhi kufanele kuqashelwe ukuvela kokukhulelwa kwe-hypertension syndrome;Ngaphansi kwalolu hlu kungase kubonise i-hypotension, futhi kubalulekile ukuqinisa umsoco.
Umfutho wegazi we-Systolic urekhoda ukufundwa lapho inhliziyo ishaya, kuyilapho umfutho wegazi we-diastolic ukufundwa okuqoshwe phakathi 'kokuphumula' phakathi kokushaya kwenhliziyo okubili, okuvamise ukuhlukaniswa ngu-'/', njengo-130/90.
Abesifazane abakhulelwe kudingeka bathathe umfutho wegazi labo kukho konke ukuhlolwa kokukhulelwa.Uma ukufundwa komfutho wegazi kubonisa ukungahambi kahle futhi kungavamile izikhathi ezimbalwa zilandelana, kufanele kuqashelwe.Uma umfutho wegazi udlula ku-140/90 kabili ngeviki futhi ujwayelekile, udokotela uzonquma ukuthi ikhona yini i-pre-eclampsia ngokusekelwe emiphumeleni yokukala umfutho wegazi.
Kufanele futhi kuqashelwe ukuthi ngenxa yezizathu ezingokomzimba, umfutho wegazi wawo wonke umuntu ungase uhluke, ngakho asikho isidingo sokuqhathanisa imiphumela yokuhlolwa nabanye.Uma nje udokotela ethi imiphumela yokuhlolwa ijwayelekile, kwanele.
Kungani kudingeka sithathe umfutho wegazi njalo lapho sihlolwa ngaphambi kokubeletha?
Ukuze kube lula ukuqonda kodokotela ngesimo somzimba sabesifazane abakhulelwe, umfutho wegazi ulinganiswa ngesikhathi sokuhlolwa kokubeletha, okungase kubonakale ngokushesha ukuthi abesifazane abakhulelwe bane-gestational hypertension syndrome noma i-hypotension.
Ngokuvamile, umfutho wegazi okalwa omama abakhulelwe ezinyangeni ezine ezedlule uyafana nangaphambi kokukhulelwa futhi uzosetshenziswa odokotela njengomfutho wegazi oyisisekelo uma kuqhathaniswa nokuhlolwa okuzayo.Uma umfutho wegazi okaliwe ungekho phakathi kwebanga elivamile ngalesi sikhathi, kungenzeka ukuthi kukhona kakade umfutho wegazi ophezulu noma i-hypotension ngaphambi kokukhulelwa.
Ngemva kwalokho, omama abakhulelwe bazohlola umfutho wegazi labo njalo lapho behlolwa ngaphambi kokubeletha, kungakhathaliseki ukuthi usezingeni elivamile.Uma umfutho wegazi usudlule umfutho wegazi oyisisekelo ngo-20mm Hg, uzonqunywa njengomfutho wegazi ophakeme wokukhulelwa.
Uma umama okhulelwe enezibalo ezimbili ezilandelanayo zomfutho wegazi ongu-140/90 phakathi nesonto, futhi imiphumela yokulinganisa yangaphambilini ibonisa evamile, iphinde ibonise inkinga futhi idinga ukuxilongwa nokwelashwa ngesikhathi.
Uma omama abakhulelwe bephathwa ikhanda, ukucinana kwesifuba, noma ubuthakathaka obuphawulekayo ngokomzimba, kungcono ukuya esibhedlela esiseduze ukuze ulinganise umfutho wegazi labo esikhundleni sokulinda ukuhlolwa ngaphambi kokubeletha.
Esihlokweni sethu esilandelayo, sizokhuluma ngalokhu: Yini okufanele yenziwe abesifazane abakhulelwe uma umfutho wegazi wabo ungaqinile?Yini okufanele uyenze nge-hypertension kwabesifazane abakhulelwe?
Joytech amamonitha amasha omfutho wegazi athuthukisiwe aklanywe ngendlela ebiza kakhulu.Uzothatha isilinganiso esinembe kakhudlwana ngesibonisi sokunyakaziswa kwengalo, inkomba ye-cuff loose kanye nesilinganiso esiphindwe kathathu.Eyethu ama-tensiometer egazi azoba uzakwethu ongcono wokunakekelwa kwasekhaya.
