Uxinzelelo lwegazi kubantu abadala: indlela yokuchonga, amaxabiso kunye nonyango
Umxholo
- Ungasifumana njani isifo soxinzelelo kubantu abadala
- Uxinzelelo lwegazi kumaxabiso kubantu abadala
- Kutheni uxinzelelo luphezulu kubantu abadala
- Unyango lwenziwa njani
Uxinzelelo oluphezulu lwegazi kubantu abadala, eyaziwa ngokwenzululwazi njengexinzelelo lwegazi, kufuneka ilawulwe nanini na xa ifunyenwe, njengoko uxinzelelo lwegazi oluphezulu kubudala obudala lonyusa kakhulu umngcipheko weengxaki zentliziyo, ezinje ngokuhlaselwa sisifo sentliziyo okanye ukubetha.
Kuqhelekile ukunyuka koxinzelelo kubudala, ngenxa yokuguga kwemithambo yegazi, kwaye kungenxa yesi sizathu ukuba, kubantu abadala, uxinzelelo lwegazi luqwalaselwa kuphela xa ixabiso loxinzelelo lingaphezulu kwe-150 x 90 mmHg, ngokwahlukileyo kubantu abadala abancinci, kuxa likhulu kune-140 x 90 mmHg.
Ngaphandle koku, abantu abadala akufuneki bangakhathali, kwaye xa uxinzelelo sele lubonisa ukwanda, kubalulekile ukuguqula imikhwa njengokunciphisa ukusetyenziswa kwetyuwa kunye nokwenza imisebenzi yomzimba rhoqo, kwaye, xa uyalelwa, sebenzisa iziyobisi ezichasayo ugqirha, njenge-enalapril okanye i-losartan, umzekelo.
Ungasifumana njani isifo soxinzelelo kubantu abadala
Uxinzelelo lwegazi, okanye uxinzelelo lwegazi oluphezulu, kubantu abadala kaninzi alubangeli zimpawu, kwaye ke, isifo senziwa ngokulinganisa uxinzelelo lwegazi kwiintsuku ezahlukeneyo, kuthathelwa ingqalelo ephezulu xa ifikelela kumaxabiso alinganayo okanye ngaphezulu kwe-150 x 90 mmHg.
Nangona kunjalo, xa kukho amathandabuzo malunga nexesha elonyukayo okanye ukuba liphezulu ngokwenene, kunokwenzeka ukuba wenze iimvavanyo zokuqonda isifo, ezinje nge-MRPA, okanye ukubeka esweni uxinzelelo lwegazi ekhaya, apho kwenziwa khona imilinganiselo yeeveki ngeveki ekhaya okanye ezempilo, okanye nge-MAPA, ebeka esweni uxinzelelo lwegazi, olwenziwa ngokubeka isixhobo esiqhotyoshelwe emzimbeni kangangeentsuku ezi-2 ukuya kwezi-3, kusenziwa uvavanyo oluninzi imini yonke.
Nantsi indlela yokulinganisa uxinzelelo lwegazi ngokuchanekileyo ekhaya:
Uxinzelelo lwegazi kumaxabiso kubantu abadala
Amaxabiso oxinzelelo lwegazi kubantu abadala ahluke kancinane kunaleyo yabantu abadala abancinci:
| Umntu omdala oMncinci | Abantu abadala | Abantu abadala abanesifo seswekile | |
| Uxinzelelo olufanelekileyo | <120 x 80 mmHg | <120 x 80 mmHg | <120 x 80 mmHg |
| Uxinzelelo oluphezulu | I-120 x 80 mmHg ukuya kwi-139 x 89 mmHg | I-120 x 80 mmHg ukuya kwi-149 x 89 mmHg | I-120 x 80 mmHg ukuya kwi-139 x 89 mmHg |
| Uxinzelelo lwegazi | > ou = 140 x 90 mmHg | > ou = kwi-150 x 90 mmHg | > ou = 140 x 90 mmHg |
Ixabiso loxinzelelo oluphezulu lwegazi lahlukile kancinci kubantu abadala, njengoko ithathwa njengeyendalo ukuba uxinzelelo lonyuka kancinci kunye nobudala, ngenxa yokulahleka kokuqina kwemithambo.
Uxinzelelo olufanelekileyo kubantu abadala kufuneka lufike kwi-120 x 80 mmHg, kodwa ithathwa njengeyamkelekileyo ukuya kuthi ga kwi-149 x 89 mmHg. Nangona kunjalo, uxinzelelo kufuneka lulawulwe ngokungqongqo kubantu abadala abanezinye izifo, ezinje ngeswekile, ukusilela kwezintso okanye isifo sentliziyo.
Kutheni uxinzelelo luphezulu kubantu abadala
Eminye yemingcipheko yengozi yegazi kubantu abadala iquka:
- Ubudala ngaphezu kweminyaka engama-65;
- Uxinzelelo lwegazi kusapho;
- Ukutyeba kakhulu okanye ukutyeba kakhulu;
- Iswekile okanye i-cholesterol ephezulu kunye ne-triglycerides;
- Ukusetyenziswa kweziselo ezinxilisayo kunye nokutshaya.
Uxinzelelo lwegazi luye lunyuke njengoko iminyaka ikhula kuba, njengoko uneminyaka yobudala, umzimba uhlangabezana notshintsho, njengokuqina kunye nokuxinana kwiindonga zemithambo yegazi, ukongeza kutshintsho lwehomoni ngexesha lokuyeka ukuya exesheni kunye nokuphazamiseka okukhulu ekusebenzeni kwamalungu abalulekileyo anje njengentliziyo nezintso.
Ke ngoko, kubaluleke kakhulu ukuba kwenziwe ukubonisana rhoqo noogqirha jikelele, ugqirha wezonyango okanye ugqirha wentliziyo, ukuze utshintsho lubonwe ngokukhawuleza.
Unyango lwenziwa njani
Ukunyanga uxinzelelo lwegazi kubantu abadala, kufuneka wenze utshintsho kwindlela yokuphila, enje:
- Yiya kugqirha rhoqo kwiinyanga ezi-3 ukuvavanya ukusebenza konyango;
- Ukunciphisa ubunzima, kwimeko yobunzima obukhulu;
- Ukuhla kokusetyenziswa kotywala kunye nokuyeka ukutshaya;
- Nciphisa ukutyiwa kwetyuwa kwaye uphephe ukutya okunotyebileyo kumanqatha anje ngeesoseji, amashwamshwam kunye nokutya okulungele ukutyiwa;
- Ziqhelanise nomsebenzi wokuzilolonga umzimba kathathu ngeveki. Jonga ukuba yeyiphi eyona mithambo ilungileyo yabantu abadala;
- Sebenzisa ukutya okutyebileyo kwi-potassium, nemagniziyam, calcium kunye nefayibha;
- Yenza ubuchule bokuphumla, obufana neyoga okanye iipilates.
Unyango lweziyobisi luyenziwa, ngakumbi kwiimeko apho uxinzelelo luphezulu kakhulu okanye alunciphisanga ngokwaneleyo notshintsho kwindlela yokuphila, olwenziwe ngokusetyenziswa kweziyobisi ezijolise ekunciphiseni uxinzelelo kwaye eminye imizekelo ibandakanya i-diuretics, abachasi be-calcium channel, angiotensin inhibitors kunye ne-beta-blockers, umzekelo. Ngolwazi oluthe kratya ngala mayeza, bona amayeza okulawula uxinzelelo lwegazi.
Ukongeza, kubalulekile ukugxininisa ukuba unyango lwexinzelelo lwegazi kubantu abadala kufuneka lwenziwe ngononophelo kwaye lubekwe ngendlela eyodwa, ngakumbi kwabo banezinye iingxaki zempilo ezinjengesifo sentliziyo, ukungabinamchamo kunye notyekelo lokuziva unesiyezi xa sukuma .
Kukwacetyiswa ukuba ulandele ukutya okutyebileyo kwimifuno, nangenxa yokuba ezinye zinezinto ezisebenzayo ezinokuncedisa unyango ngamayeza, afana neti yegalikhi, iijusi ze-eggplant ezine-orenji okanye i-beet eneziqhamo ezinomdla, umzekelo, eziphucula ukujikeleza kwaye zine-diuretics , Ukunceda ukulawula uxinzelelo. Jonga ezinye iindlela zokupheka kunyango lwendalo kuxinzelelo lwegazi oluphezulu.
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