Amayeza oxinzelelo lwegazi

Ukunyanga uxinzelelo lwegazi oluphezulu kuya kunceda ukuthintela iingxaki ezinjengesifo sentliziyo, ukubetha, ukungaboni, isifo sezintso ezingapheliyo kunye nezinye izifo zemithambo yegazi.

Kuya kufuneka uthathe amayeza ukuthoba uxinzelelo lwegazi ukuba utshintsho kwindlela yokuphila alonelanga ukuzisa uxinzelelo lwegazi lwakho kwinqanaba ekujoliswe kulo.

ASETYENZISWA NINI AMAYEZA ENGCINEZELELO LEGAZI ELIPHAKAMILEYO?

Uninzi lwexesha, umboneleli wakho wezempilo uya kuzama ukutshintsha indlela yokuphila kuqala kwaye ujonge iBP yakho amaxesha amabini okanye nangaphezulu.

Ukuba uxinzelelo lwegazi luyi-120/80 ukuya kwi-129/80 mm Hg, ulonyusile uxinzelelo lwegazi.

• Umboneleli wakho uya kuncoma utshintsho kwindlela yokuphila ukuzisa uxinzelelo lwegazi kuluhlu oluqhelekileyo.
• Amayeza kunqabile ukuba asetyenziswe kweli nqanaba.

Ukuba uxinzelelo lwegazi lilingana okanye ngaphezulu kwe-130/80 kodwa lungaphantsi kwe-140/90 mm Hg, uneNqanaba 1 loxinzelelo lwegazi. Xa ucinga ngonyango olulungileyo, wena kunye nomboneleli wakho kufuneka ucinge:

• Ukuba awunazo ezinye izifo okanye umngcipheko, umboneleli wakho unokucebisa utshintsho lwendlela yokuphila kwaye uphinde imilinganiselo emva kweenyanga ezimbalwa.
• Ukuba uxinzelelo lwegazi luhlala lilingana okanye ngaphezulu kwe-130/80 kodwa lungaphantsi kwe-140/90 mm Hg, umboneleli wakho unokucebisa amayeza ukunyanga uxinzelelo lwegazi oluphezulu.
• Ukuba unezinye izifo okanye izinto ezinobungozi, umboneleli wakho unokubanakho ukucebisa amayeza ngaxeshanye notshintsho kwindlela yokuphila.

Ukuba uxinzelelo lwegazi lilingana okanye ngaphezulu kwe-140/90 mm Hg, uneNqanaba 2 uxinzelelo lwegazi oluphezulu. Umboneleli wakho uya kucetyiswa ukuba uthathe amayeza kwaye ucebise utshintsho lwendlela yokuphila.

Ngaphambi kokwenza uxilongo lokugqibela loxinzelelo lwegazi oluphezulu okanye uxinzelelo lwegazi oluphezulu, umboneleli wakho kufuneka akucele ukuba uxinzelelo lwegazi lilinganiswe ekhaya, kwikhemesti yakho, okanye kwenye indawo ngaphandle kweofisi okanye isibhedlele.

Ukuba unomngcipheko ophezulu wesifo sentliziyo, isifo seswekile, iingxaki zentliziyo, okanye imbali yokubetha, amayeza anokuqalwa ekufundeni uxinzelelo lwegazi. Iithagethi zoxinzelelo lwegazi ezisetyenziswa ngokuxhaphakileyo kubantu abanezi ngxaki zonyango zingaphantsi kwe-130/80.

AMAYEZA ENGCINEZELELO LEGAZI ELIPHAKAMILEYO

Uninzi lwexesha, kuphela ichiza elinye eliza kusetyenziswa ekuqaleni. Amachiza amabini anokuqalwa ukuba unenqanaba 2 loxinzelelo lwegazi.

Iindidi ezininzi zamayeza zisetyenziselwa ukunyanga uxinzelelo lwegazi. Umboneleli wakho uya kuthatha isigqibo sokuba loluphi uhlobo lwamayeza olulungele wena. Kuya kufuneka uthathe ngaphezulu kolunye uhlobo.

Uhlobo ngalunye lwamayeza oxinzelelo lwegazi adweliswe apha ngezantsi eza ngamagama ahlukeneyo angoophawu kunye nalawo aveliswayo.

Elinye okanye nangaphezulu kula mayeza oxinzelelo lwegazi ahlala esetyenziselwa ukunyanga uxinzelelo lwegazi:

• Womchamo zikwabizwa ngokuba ziipilisi zamanzi. Banceda izintso zakho zisuse ityuwa (isodiyam) emzimbeni wakho. Ngenxa yoko, imithambo yakho yegazi akufuneki ibambe ulwelo oluninzi kwaye uxinzelelo lwegazi luyehla.
• Beta-iibhlokhi yenza ukubetha kwentliziyo kwinqanaba elincinci kwaye kunganyanzelekanga kangako.
• I-Angiotensin yokuguqula i-enzyme inhibitors (ekwabizwa ngokuba I-ACE inhibitorsphumla imithambo yegazi yakho, eyehlisa uxinzelelo lwegazi.
• I-Angiotensin II receptor iibhlokhi (zikwabizwa ngokuba IiARBssebenza malunga nendlela efanayo ne-angiotensin-converting enzyme inhibitors.
• Iibhlokhi zesitayile seCalcium phumla imithambo yegazi ngokunciphisa iiseli ezingena kwi-calcium

Amayeza oxinzelelo lwegazi angasetyenziswanga rhoqo kubandakanya:

• Iibhloko zeAlpha ncedisa ukukhulula imithambo yakho yegazi, eyehlisa uxinzelelo lwegazi.
• Iziyobisi ezisebenza embindini sayina ubuchopho bakho kunye nenkqubo yovalo ukukhulula imithambo yegazi.
• IVasodilators uphawu lweemisipha kwiindonga zemithambo yegazi ukuze uphumle.
• I-Renin inhibitors, uhlobo olutsha lwamayeza anyanga uxinzelelo lwegazi oluphezulu, yenza ngokunciphisa inani le-angiotensin precursors ngaloo ndlela uphumle imithambo yegazi lakho.

IMIPHUMELA EMAHLA YOKUGCINWA KWEGAZI

Uninzi lwamayeza oxinzelelo lwegazi kulula ukuwathatha, kodwa onke amayeza aneziphumo ebezingalindelekanga. Uninzi lwezi lubumnene kwaye lunokuhamba ekuhambeni kwexesha.

Iziphumo ebezingalindelekanga eziqhelekileyo zamayeza oxinzelelo lwegazi zibandakanya:

• Khohlela
• Urhudo okanye ukuqhina
• Utywala okanye intloko
• Iingxaki zokwakhiwa
• Ndiziva ndisoyika
• Ndiziva ndidiniwe, ndibuthathaka, ndiyozela, okanye ukunqongophala kwamandla
• Intloko ebuhlungu
• Isihlunu okanye ukugabha
• Ukudumba kolusu
• Ukwehla kobunzima okanye ukuzuza ungakhange uzame

Xelela umboneleli wakho ngokukhawuleza ukuba uneziphumo ebezingalindelekanga okanye iziphumo ebezingalindelekanga zikubangela iingxaki. Uninzi lwexesha, ukwenza utshintsho kwidosi yeyeza okanye xa ulithatha linokunceda ukunciphisa iziphumo ebezingalindelekanga.

Ungaze utshintshe idosi okanye uyeke ukuthatha iyeza ngokwakho. Soloko uthetha nomboneleli wakho kuqala.

AMANYE AMACEBISO

Ukuthatha ngaphezulu kweyeza elinye kunokutshintsha indlela umzimba wakho owufunxa ngayo okanye owusebenzise ngayo iyeza. Iivithamini okanye izongezo, ukutya okwahlukileyo, okanye utywala kunokutshintsha indlela ichiza elisebenza ngayo emzimbeni wakho.

Soloko ubuza umboneleli wakho ukuba ngaba ufuna ukuthintela nakuphi na ukutya, iziselo, iivithamini okanye izongezo, okanye nawaphi na amanye amayeza ngelixa uthatha amayeza oxinzelelo lwegazi.

Uxinzelelo lwegazi - amayeza

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UVictor RG, uLibby P.Uxinzelelo lwenkqubo: ulawulo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier Saunders; I-2019: isahluko 46.

UWhelton PK, uCarey RM, uAronow WS, et al. I-2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA isikhokelo sothintelo, ukufumanisa, ukuvavanya, kunye nokulawula uxinzelelo lwegazi kubantu abadala: ingxelo yeAmerican College of Cardiology / American Umsebenzi weQela loMbutho weentliziyo kwiZikhokelo zokuziqhelanisa neKlinikhi. J NdinguColl Cardiol. 2018; 71 (19): e127-e248. IINKCUKACHA: 29146535 www.ncbi.nlm.nih.gov/pubmed/29146535.

U-Williams B, u-Borkum M. unyango lwe-Pharmacologic yoxinzelelo lwegazi. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, ii-eds. I-Clinical Nephrology epheleleyo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2019: isahluko 36.