Uxinzelelo lwegazi olusezantsi lweDiastolic: Yintoni ebangela oko kunye nento onokuyenza

Umxholo

• Ushwankathelo
• Iimpawu zoxinzelelo lwegazi olusezantsi lwe-diastolic
• Izinto ezibangela uxinzelelo lwegazi olusezantsi
• Unyango lwexinzelelo lwegazi olusezantsi
• Ukuthintela kunye nokulawula uxinzelelo lwegazi olusezantsi
• Imbonakalo

Ushwankathelo

Uxinzelelo lwegazi kukunyanzelwa ngaphakathi kwemithambo yegazi xa intliziyo yakho ibetha kwaye ikhululeka. La mandla alinganiswa kwiimilimitha ze-mercury (mm Hg).

Inombolo ephezulu-ebizwa ngokuba yi-systolic pressure yakho-ilinganiswa xa intliziyo yakho ibetha. Inani elisezantsi-elibizwa ngokuba luxinzelelo lwe-diastolic-lilinganisa xa intliziyo yakho ikhululeka phakathi kweentsimbi.

Uninzi lwabantu luxhalabile ngoxinzelelo oluphezulu lwegazi, olunokunyusa umngcipheko wesifo sentliziyo okanye ukubetha, kodwa uxinzelelo lwegazi oluphantsi lunokuba yingxaki.

Ixesha lonyango loxinzelelo lwegazi olusezantsi yi-hypotension. Ukuba une-hypotension, imilinganiselo yoxinzelelo lwe-systolic ingaphantsi kwe-90 mm Hg kwaye inombolo yakho ye-diastolic ingaphantsi kwe-60 mm Hg.

Kule minyaka ili-10 ukuya kweli-15 idlulileyo, oogqirha baqale ukukhathazeka ngakumbi malunga noxinzelelo lwegazi lwe-diastolic engaphantsi kwe-60.

Abanye abantu banokuba noxinzelelo olusezantsi lwe-diastolic nokuba uxinzelelo lwabo lwe-systolic luqhelekile. Le meko ibizwa ngokuba yi-diastolic hypotension. Uxinzelelo lwegazi olusezantsi lwe-diastolic lunokuba yingozi ngakumbi entliziyweni yakho.

Ngokungafaniyo nomzimba wakho uphela, ofumana igazi xa intliziyo yakho impompa, izihlunu zentliziyo yakho zifumana igazi xa intliziyo yakho ihlaziyekile. Ukuba uxinzelelo lwegazi lwe-diastolic luphantsi kakhulu, izihlunu zentliziyo yakho azizukufumana igazi elaneleyo leoksijini. Oku kunokukhokelela ekupheliseni intliziyo yakho, imeko ebizwa ngokuba yi-diastolic heart failure.

Unokuba semngciphekweni omkhulu kolu hlobo lokungaphumeleli kwentliziyo ukuba unesifo sentliziyo, esincinci kwimithambo yentliziyo yakho.

Iimpawu zoxinzelelo lwegazi olusezantsi lwe-diastolic

Iimpawu ze yodwa diastolic hypotension kubandakanya ukudinwa, isiyezi, kunye nokuwa.

Ngenxa yokuba uxinzelelo olusezantsi lwe-diastolic luyanciphisa ukuhamba kwegazi entliziyweni yakho, unokuba nentlungu yesifuba (angina) okanye iimpawu zokungaphumeleli kwentliziyo. Iimpawu zokusilela kwentliziyo zinokubandakanya ukuphefumla okufutshane, ukudumba kweenyawo zakho okanye amaqatha, ukudideka kunye nokubetha kwentliziyo.

Funa unyango kwangoko ukuba unentlungu esifubeni okanye kunzima ukuphefumla.

Iimpawu ze uxinzelelo lwegazi olusezantsi lwe-diastolic kunye noxinzelelo lwegazi olusezantsi (hypotension) zibandakanya:

• isiyezi
• ukuphelelwa ngamandla (syncope)
• ukuwa rhoqo
• ukudinwa
• isicaphucaphu
• ukungaboni kakuhle

Funa unyango ukuba unayo nayiphi na le mpawu.

Izinto ezibangela uxinzelelo lwegazi olusezantsi

Zintathu izinto ezaziwayo ezibangela yodwa diastolic hypotension:

• Amayeza e-alpha-blocker. La mayeza oxinzelelo lwegazi asebenza ngokubangela ukuba imithambo yegazi yakho ivuleke (yande). Ngenxa yokuba behlisa uxinzelelo lwe-diastolic ngaphezulu koxinzelelo lwe-systolic, banokubangela i-diastolic hypotension eyahlukileyo. Amagama egama eliqhelekileyo aquka iMinipress kunye neCardura.
• Inkqubo yokwaluphala. Njengoko sikhula, siphulukana nokuqina kwemithambo yethu. Kubantu abadala abadala, imithambo inokuba lukhuni kakhulu ukuba ingabuyela umva phakathi kokubetha kwentliziyo, ibangele ukuba uxinzelelo lwegazi lusezantsi.
• Ityuwa eninzi kwindlela otya ngayo. Ityuwa etya ukutya inokunciphisa ukomelela kwemithambo yegazi yakho. Ukuba uthatha ityuwa eninzi, unokwandisa umngcipheko wexinzelelo lwegazi lwe-diastolic.

Kukho oonobangela abaninzi abaqhelekileyo hypotension iyonke, enokubandakanya inani eliphantsi le-diastolic.

• Ukugqithisa uxinzelelo lwegazi oluphezulu. Abanye abantu, ngakumbi abantu abangaphezu kweminyaka engama-60, ukunciphisa uxinzelelo lwegazi olungaphantsi kwe-120 kunokubangela uxinzelelo lwe-diastolic ukuba lwehle ngaphantsi kwe-60.
• Amanye amayeza. Amayeza amaninzi ngaphandle kwalawo oxinzelelo lwegazi anokubangela i-hypotension. Babandakanya iipilisi zamanzi (i-diuretics), amayeza esifo sika-Parkinson, i-antidepressants, kunye neziyobisi ezisetyenziselwa ukunyanga ukungasebenzi kakuhle kwe-erectile.
• Iingxaki zentliziyo. Iingxaki zevalveji zentliziyo, ukungaphumeleli kwentliziyo, kunye nokuhamba kancinci kwentliziyo (bradycardia) kunokukhokelela kwi-hypotension.
• Ukuphelelwa ngamanzi emzimbeni. Ukuba awuthathi ulwelo olwaneleyo, uxinzelelo lwegazi lwakho lunokuhla ngendlela eyingozi. Oku kunokwenzeka ukuba uthatha umchamo kwaye ulahlekelwe lulwelo oluninzi kunokuba uluthatha.

Unyango lwexinzelelo lwegazi olusezantsi

Ukunyanga yodwa diastolic hypotension kunzima ngakumbi kunokunyanga i-hypotension ngokubanzi. Ukuba uthatha i-alpha-blocker, ugqirha wakho unokukutshintshela kumayeza ahlukileyo egazi.

Ukuba uhlukanise uxinzelelo lwe-diastolic esezantsi kwaye awukho kunyango lwexinzelelo lwegazi, ekuphela kwendlela onokuthi ukhethe ngayo kukujonga ugqirha wakho rhoqo ukuze uhlolwe kwaye ujonge iimpawu zokwehluleka kwentliziyo. Okwangoku, akukho naliphi na iyeza elinyangiweyo le-diastolic hypotension.

Unyango lwe hypotension ngokubanzi kuxhomekeke kwisizathu.

Ukugqithisa uxinzelelo lwegazi oluphezulu kunokulawulwa ngokutshintsha okanye ukutshintsha amayeza. Injongo kukugcina uxinzelelo lwegazi lwe-diastolic phakathi kwe-60 kunye ne-90 mm Hg. Ugqirha wakho unokutshintsha amanye amayeza abangela i-hypotension.

Ukuphelelwa ngamanzi emzimbeni kunokunyangwa ngokutshintsha kwamanzi. Ngamanye amaxesha, unokufuna amayeza anyusa uxinzelelo lwegazi.

Ukuthintela kunye nokulawula uxinzelelo lwegazi olusezantsi

Kukho izinto onokuzenza ukukunceda ukunqanda nokulawula uxinzelelo lwe-diastolic ephantsi.

• Zama ukugcina ityuwa yakho idla phakathi kwe-1.5 kunye ne-4 yeegramu ngosuku. Inani elifanelekileyo mhlawumbi li malunga ne-3.5 gram. Unokwenza oku ngokufunda iilebheli zokutya kwaye uphephe ukongeza ityuwa kukutya kwakho.
• Yitya ukutya okusempilweni ngentliziyo. Yitya iziqhamo nemifuno, kwaye ubandakanye neenkozo ezipheleleyo. Ngeprotein, ncamathela kwinyama encinci nakwiintlanzi. Kuphephe ukutya okunamafutha.
• Sela ulwelo olwaneleyo kwaye uphephe utywala, oko kunokwandisa umngcipheko wokuphelelwa ngamanzi emzimbeni.
• Hlala usebenza ngokwasemzimbeni kwaye uqalise inkqubo yokuzilolonga. Buza ugqirha wakho ukuba loluphi uhlobo kunye nomthamo womthambo okhuselekileyo kuwe.
• Gcina ubunzima obusempilweni. Ukuba utyebe kakhulu, cela ugqirha wakho akuncede ngesicwangciso sokulahleka kwesisindo esikhuselekileyo.
• Musa ukutshaya.

Imbonakalo

I-Hypotension inokuba yingozi kuba sisizathu sokuwa rhoqo. Isolated diastolic hypotension enokuba yingozi ngakumbi kuba inokunciphisa ukuhamba kwegazi kuye entliziyweni yakho.

Unokuba semngciphekweni omkhulu ukuba unesifo semithambo. Ixesha elingaphezulu, i-diastolic hypotension eyahlukileyo inokubangela ukusilela kwentliziyo. Ngapha koko, isenokuba sesinye sezizathu eziqhelekileyo zokungaphumeleli kwentliziyo.

Nika ingqalelo inombolo ye-diastolic xa uxinzelelo lwegazi lukhangelwe. Ukuba inombolo yakho esezantsi ingama-60 okanye ngezantsi, cela ugqirha ngayo.

Yazisa ugqirha wakho ukuba unayo nayiphi na impawu ye-hypotension okanye ukusilela kwentliziyo. Kwiimeko ezininzi, ukutshintsha amayeza kunye nokwenza utshintsho kwindlela yokuphila kunokunceda. Ugqirha wakho unokufuna ukukulandela ngokusondeleyo ukuqinisekisa ukuba uxinzelelo lwe-diastolic luhlala ngaphezulu kwe-60.