Isigaba sokuqala se-hypertension
120-139/80-89 okungamanani aphezulu omfutho wegazi ojwayelekile
I-140-159/90-99 ingeye-grade 1 hypertension.
I-160-179/100-109 ingeye-grade 2 hypertension.
Okukhulu kuno-180/110, kungokwesigaba 3 somfutho wegazi ophezulu.
Ngakho ubala kanjani i- umfutho wegazi isikhathi ngasinye ukalwa ngendlela ehlukile? Ukuze unqume ukuhlukaniswa kwe-hypertension, ayibalwa ngokwezinga lomfutho wegazi olinganiswa isikhathi ngasinye, umfutho wegazi okalwa ngaphandle kokuthatha izidakamizwa ze-antihypertensive, okuwukuhlukaniswa kwe-hypertension yakho siqu.
Isibonelo, uma ungathathi imithi, umfutho wegazi ongu-180/110mmHg, ungokwesigaba 3 somfutho wegazi ophezulu, kodwa ngemva kokuthatha imithi ye-antihypertensive, umfutho wegazi wehla waba ngu-150/90mmHg, khona-ke lesi sikhathi sisabalwa ngokusho kwebanga lesi-3 le-hypertension yokuqala, vele ulawule phansi.
Ngaphambi kokungathathi imithi, ukukalwa komfutho wegazi nakho kuba nokuguquguquka kwendlela yokubala
Isibonelo, ukucindezela okuphezulu kuyizinga, ukucindezela okuphansi kuyizinga, ngakho-ke ngokusho ukuthi yikuphi okumele ubale? Kufanele ibalwe ngokwezinga eliphezulu. Umfutho wegazi ungu-160/120mmHg, umfutho ophezulu ungowezinga lesi-2, umfutho ophansi ungowezinga lesi-3, ngakho-ke mangaki amazinga? Ngoba kufanele ibalwe ngokusho kwephezulu, ngakho-ke kufanele kube yi-grade 3 hypertension. Yebo, ayikho i-grade 3 hypertension manje, ibizwa nge-grade 2 hypertension.
Kuthiwani uma umfutho wegazi uhlukile kabili ngokulandelana? Kulokhu, kunconywa ukuthatha isilinganiso sezikhathi ezimbili, ngesikhawu semizuzu emi-5 phakathi kwezikhathi ezimbili; uma umehluko phakathi kwezikhathi ezimbili ungaphezu kuka-5mmHg, bese ukala izikhathi ezi-3 futhi uthathe isilinganiso.
Kuthiwani uma ukulinganisa esibhedlela akufani nesilinganiso sasekhaya?
Ngokuvamile, izinga lokwahlulela umfutho wegazi okalwa esibhedlela ngu-140/90mmHg, kodwa izinga lokulinganisa ekhaya lithi ≥135/85mmHg ukwahlulela umfutho wegazi ophakeme, futhi ≥135/85mmHg kulingana no-≥140/90mmHg esibhedlela.
Yiqiniso, uma umfutho wegazi eguquguqukayo, indlela enembe kakhudlwana ukuqapha umfutho wegazi ambulatory, okungukuthi, ukuqapha amahora angu-24 of blood pressure, ukubona isimo ethize blood pressure, ambulatory blood pressure average high pressure / low pressure 24h ≥ 130 / 80mmHg; noma usuku ≥ 135 / 85mmHg; ebusuku ≥ 120 / 70mmHg. kungase kucatshangelwe ukuxilongwa kwe-hypertension.
Indlela yokwehlisa umfutho wegazi
Ngemuva kokutholakala kwe-hypertension, indlela yokwehlisa umfutho wegazi, okwamanje okuwukuphela kwezindlela ezisemthethweni zokwehlisa umfutho wegazi yindlela yokuphila enempilo kanye nezidakamizwa ezisemthethweni ze-antihypertensive uma kunesidingo.
Ngomfutho wegazi ophakeme osanda kutholakala webanga loku-1, okungukuthi, umfutho wegazi ophakeme ongeqi ku-160/100mmHg, ungaqala wehlise umfutho wegazi lakho ngokuphila ngendlela enempilo, ukudla okunosawoti omncane, ukudla okune-potassium eningi, ukugcizelela ukuzivocavoca, ungalali ebusuku, ukulawula isisindo, ungabhemi notshwala, unciphise ukucindezeleka nokunye konke kuhambisana nokulawula umfutho wegazi.
Uma ngemuva kwezinyanga ezi-3, umfutho wegazi ungakafiki ku-140/90, kufanele sicabangele ukwehlisa umfutho wegazi kanye nezidakamizwa ze-antihypertensive; noma uma kutholakala umfutho wegazi ophakeme, usuvele ungaphezu kuka-160/100mmHg, noma ungaphezulu kuka-140/90mmHg, kuhlangene nesifo sikashukela noma inhliziyo, ubuchopho nesifo sezinso, lapho-ke udinga ukuthatha imithi ye-antihypertensive ndawonye ukuze wehlise umfutho wegazi ngokushesha ngangokunokwenzeka.
Ngokuqondene nokukhetha okuqondile ukuthi yimuphi umuthi we-antihypertensive, noma yiziphi izinhlobo zezidakamizwa ze-antihypertensive, okufanele zithathwe ngaphansi kokuqondisa kukadokotela ochwepheshe, awukwazi nje ukukhetha izidakamizwa ze-antihypertensive.
Umgomo wethu uwukuba nomfutho wegazi ube ngaphansi kuka-140/90. Kubantu abaneminyaka ephakathi, ikakhulukazi intsha engaphansi kweminyaka engama-45 ubudala, umfutho wegazi kufanele wehliswe ube ngaphansi kuka-120/80 ngangokunokwenzeka ukuze ingozi yezifo zenhliziyo nemithambo yegazi yehle.
Ekugcineni, okuwukuphela kwendlela yokuvimbela ngempumelelo izinkinga ezahlukahlukene ze-hypertension iwukuba ukuqapha kahle umfutho wegazi nokuwubona futhi uwulawule kusenesikhathi.
