Uxinzelelo lweLebhile

Umxholo

• Yintoni ebangela uxinzelelo lwelebile?
• Zithini iimpawu zoxinzelelo lwelebile?
• Uxinzelelo lwelebhile ngokuchasene noxinzelelo lweparoxysmal
• Izinketho zonyango
• Uthintelo
• Iingxaki
• Imbonakalo

Ushwankathelo

Ilebhile kuthetha ukutshintsha ngokulula. Uxinzelelo lwegazi lelinye igama loxinzelelo lwegazi oluphezulu. Uxinzelelo lwelebile lwenzeka xa uxinzelelo lwegazi lomntu ngokuphindaphindiweyo okanye ngequbuliso lutshintsha ukusuka kwinqanaba eliqhelekileyo ukuya kumanqanaba aphezulu ngokungaqhelekanga. Uxinzelelo lweelebile zihlala zenzeka ngexesha loxinzelelo.

Kuqhelekile ukuba uxinzelelo lwegazi lwakho lutshintshe kancinci ngalo lonke usuku. Ukusebenza ngokwasemzimbeni, ukutya ityuwa, icaffeine, utywala, ukulala noxinzelelo lweemvakalelo konke kunokuchaphazela uxinzelelo lwegazi. Kwi-labile yexinzelelo lwegazi, oku kuguquka koxinzelelo lwegazi kukhulu kakhulu kunesiqhelo.

Uxinzelelo lwegazi, okanye uxinzelelo lwegazi oluphezulu, ichazwa ngokuba noxinzelelo lwegazi lwe-130/80 mm Hg nangaphezulu. Oku kubandakanya abo bantu banayo nayiphi na imfundo ephezulu (systolic) 130 nangaphezulu, okanye nakuphi na ukufunda ezantsi (diastolic) 80 nangaphezulu. Abantu abane-labile hypertension baya kuba noxinzelelo lwegazi lwe-130/80 mm Hg nangaphezulu ixesha elifutshane. Uxinzelelo lwegazi lwabo luya kubuyela kuluhlu oluqhelekileyo kamva.

Yintoni ebangela uxinzelelo lwelebile?

Uxinzelelo lwelebile lubangelwa ziimeko ezikwenza uxhalabe okanye uxinezeleke. Umzekelo, ixhala abantu abanalo ngaphambi kotyando. Ukutya ukutya okuphezulu kwi-sodium okanye ukusebenzisa kakhulu icaffeine kunokubangela ukonyuka kwethutyana koxinzelelo lwegazi ngaphezulu kwamanqanaba aqhelekileyo.

Abanye abantu bane-spike kuxinzelelo lwegazi kuphela xa betyelele ugqirha kuba bexhalabile ngotyelelo lwabo. Olu hlobo loxinzelelo lwelebile luhlala lubizwa ngokuba yi "white coat hypertension" okanye "white coat syndrome"

Zithini iimpawu zoxinzelelo lwelebile?

Asinguye wonke umntu oya kuba neempawu ezibonakalayo zoxinzelelo lwegazi.

Ukuba unempawu zomzimba, zinokubandakanya:

• intloko ebuhlungu
• ukubetha kwentliziyo
• ukugungxula
• ukukhala ezindlebeni (tinnitus)

Uxinzelelo lwelebhile ngokuchasene noxinzelelo lweparoxysmal

Uxinzelelo lwelebile kunye noxinzelelo lwexinzelelo lwe-paroxysmal zombini ziimeko apho uxinzelelo lwegazi luguquka ngokubanzi phakathi kwamanqanaba aqhelekileyo kunye aphezulu.

Uxinzelelo lwexinzelelo lwe-paroxysmal ngamanye amaxesha luthathwa njengoluhlobo lwelebile ephezulu yoxinzelelo lwegazi, kodwa kukho umahluko ophambili phakathi kwezi meko zimbini:

Ipesenti encinci, engaphantsi kwesi-2 kwayi-100, yamatyala oxinzelelo lwexinzelelo lweparoxysmal abangelwa yithumba kwidlala yeadrenal. Eli thumba laziwa njenge-pheochromocytoma.

Izinketho zonyango

Akukho zindlela zibekiweyo zokunyanga uxinzelelo lwe-labile. Ugqirha wakho uya kufuna ukubeka esweni uxinzelelo lwegazi ngalo lonke ixesha losuku ukuze ubone ukuba iphakama kangakanani kwaye inyuka kangakanani.

Amayeza aqhelekileyo asetyenziselwa ukunyanga uxinzelelo lwegazi, njenge-diuretics okanye i-ACE inhibitors, ayinakusebenza ekunyangeni uxinzelelo lwegazi.

Endaweni yoko, ugqirha wakho unokuyalela ukuba iyeza elifunekayo lokulwa noxinzelelo ukukunceda uxinzelelo olunxulumene nomsitho kunye noxinzelelo. Imizekelo yamayeza okulwa noxinzelelo asetyenziselwa kuphela ixesha elifutshane kunye nokunyangwa kwimeko yoxinzelelo kubandakanya:

• alprazolam (Xanax)
• clonazepam (iKlonopin)
• diazepam (Valium)
• ILorazepam (Ativan)

Ukunyanga ixesha elide koxinzelelo olufuna amayeza emihla ngemihla kuya kubandakanya amayeza abizwa ngokuba zii-SSRI, ezinje nge-paroxetine (Paxil), sertraline (Zoloft), escitalopram (Lexapro), kunye ne-citalopram (Celexa.)

I-Beta-blockers ngamayeza asetyenziselwa ukunyanga ezinye iintlobo zoxinzelelo lwegazi. Oku kunokuba luncedo kuzo zombini i-labile kunye ne-paroxysmal hypertension njengoko benxibelelana nenkqubo yemfesane yovelwano.

Kwezi meko, ii-beta-blockers azisetyenziselwa ukuthoba uxinzelelo lwegazi, kodwa endaweni yoko ukunciphisa iimpawu ezinxulumene nale meko njengokugungxula, ukubetha kwentliziyo, okanye iintloko. Zihlala zisetyenziswa ngokudibanisa nonyango olunxamnye noxinzelelo. Imizekelo ye-beta-blockers esetyenziswa ngokuxhaphakileyo kwezi meko zibandakanya:

• i-atenolol (Tenormin)
• ibisoprolol (iZebeta)
• uNadolol (Corgard)
• I-betaxolol (Kerlone)

Ukuba ufumana uxinzelelo lwelebile ngaphambi kokuhlinzwa okanye inkqubo yonyango, la mayeza anokukunikwa kungekudala ngaphambi kwenkqubo.

Kuya kufuneka uthenge esweni esichanekileyo uxinzelelo lwegazi ukujonga uxinzelelo lwegazi rhoqo ekhaya. Ungayifumana kwivenkile ehambisa amayeza okanye kwikhemesti yendawo. Buza umhlobo wevenkile okanye usokhemesti ngoncedo lokufumana umatshini ochanekileyo ukuqinisekisa ukuba ufumana umlinganiso ochanekileyo. Nasi isikhokelo sokujonga uxinzelelo lwegazi ekhaya.

Akukhuthazwa ukuba uhlolisise uxinzelelo lwegazi yonke imihla kuba ukwenza njalo kunokubangela uxhalaba ngakumbi malunga noxinzelelo lwegazi kwaye wenze ingxaki ibe nzima.

Uthintelo

Ukuthintela iziqendu ezizayo zoxinzelelo lwelebile, unokuzama oku kulandelayo:

• yeka ukutshaya
• Nciphisa ukutya ityuwa
• Nciphisa icaffeine
• thintela utywala
• lawula amanqanaba akho oxinzelelo; ukuzilolonga, ukucamngca, ukuphefumla okunzulu, iyoga, okanye ukuphulula zonke ezi ziindlela zokunciphisa uxinzelelo
• thatha amayeza okulwa noxinzelelo okanye amanye amayeza kunye nonyango njengoko kumiselwe ngugqirha wakho

Kwiofisi kagqirha, unokufuna ukuqaphela ukuphumla nokuphefumla ngokunzulu okwexeshana ngaphambi kokuba uxinzelelo lwegazi lilinganiswe.

Iingxaki

Ukonyuka kwethutyana koxinzelelo lwegazi kunokubangela uxinzelelo entliziyweni nakwamanye amalungu omzimba. Ukuba ezi spikes zokwexeshana kuxinzelelo lwegazi zihlala zisenzeka, kunokubangela ukonakala kwizintso, imithambo yegazi, amehlo nentliziyo.

Ukuhla koxinzelelo lwegazi kunokuba yingozi ngakumbi kubantu abaneentliziyo ezikhoyo okanye iimeko zeemithambo yegazi, njenge-angina, i-aneurysm yecerebral, okanye i-aortic aneurysm.

Kwixesha elidlulileyo, iingcali zazikholelwa ukuba i-labile hypertension ayithwali nkxalabo i-hypertension eqhubekayo okanye "engagungqiyo". Kutshanje kutyhilwe ukuba uxinzelelo lwelebile enganyangekiyo ikubeka emngciphekweni omkhulu wesifo sentliziyo kunye nokufa ngenxa yazo zonke izizathu, xa kuthelekiswa nezo.

Kunye nesifo sentliziyo, olunye uphononongo lufumanise ukuba abantu abane-labile hypertension enganyangekiyo basemngciphekweni omkhulu woku:

• umonakalo kwizintso
• I-TIA (uhlaselo lwexeshana lweschemic)
• ukubetha

Imbonakalo

Uxinzelelo lwelebile ngesiqhelo alubangeli iingxaki ezinzulu kwangoko. Uxinzelelo lwegazi lubuyela kumanqanaba aqhelekileyo ngexesha elifutshane emva kwesiganeko soxinzelelo.

Ngoku abaphandi bakholelwa kwelokuba ukunganyangeki koxinzelelo lweelebhu ezinganyangekiyo kunokubangela iingxaki kamva. Kukho ubungqina obandayo bokuba bunokunyusa umngcipheko womntu wokubethwa sistroke, isifo sentliziyo, ezinye iingxaki zentliziyo, kunye nomnye umonakalo kumzimba ngokuhamba kwexesha ukuba awunyangwa.

Kuba i-labile hypertension ihlala ibangelwa luxinzelelo, kubalulekile ukulawula uxinzelelo lwakho ngamayeza okanye ngeendlela zokuphumla ukuze kuthintelwe iziqendu ezizayo okanye eziqhubekayo.