Ukuba unomfutho ophezulu wegazi kwaye ukhulelwe okanye ucwangcise ukuba, unokuba nolwazi malunga nezinto ezinobungozi, ezifana nokukhulelwa komzimba, ukuba ukunyuka kwengqondo kunokubangela ukuba ukhulelwe.
Ubungozi be-Hypertension ngelixa likhulelwe
Uxinzelelo oluphezulu lwengcinezelo ngumngcipheko wokubangela ukukhulelwa okukhuselekileyo kwaye unokwandisa umngcipheko wokulahlekelwa kwexesha lokukhulelwa kwabasetyhini xa uxinzelelo lwegazi olungapheliyo lulawulwa kwaye lulawulwa.
Uxinzelelo lwengqondo, okanye uxinzelelo lwegazi oluphezulu, yimeko apho igazi liphezulu ngaphezu kwesilinganiso esiphezulu soxinzelelo malunga neendonga zeendonga zegazi. Nangona abantu abaninzi banokufumana uvavanyo oluphezulu lwengcinezelo lwegazi ngezinye izihlandlo ngaphandle kokuba neengxaki, ingcinezelo yengcinezelo engapheliyo (ingozi ephezulu yegazi eqhubekayo ngexesha elide) yinto ebangela ingozi yesifo senhliziyo. Ukunyanzeliswa kwengcinezelo engapheliyo nako kungabangela iingxaki kubafazi abakhulelweyo.
Ziziphi iindlela zokunyanzelwa kwegazi
Okokuqala, kubalulekile ukuqonda ukuba uxinzelelo lwegazi luhlala luyinkinga enzima. Isimo sinokuba sisiphumo esisecaleni kwezinye izifo, ezifana ne-systemic lupus erythematosus okanye isifo sikashukela, okanye sinokwenzeka ngaphandle kwesizathu esicacileyo.
Uxinzelelo lwegazi luhlala luquka amanani amabini, i-top (systolic) kunye nezantsi (diastolic) inombolo. Inombolo ye-systolic ingcinezelo yegazi kwiindonga zeempahla zegazi njengoko intliziyo ibetha, kwaye i-diastolic ingcinezelo kwiindonga zeempahla zegazi phakathi kweentliziyo ezinyunithi zezigidi zamarri (mmHg).
Kukho amazinga ahlukeneyo omfutho wegazi.
Ngokutsho kwe-American Heart Association, inombolo ephezulu phakathi kwe-140 no-159 kunye / okanye inombolo ephantsi phakathi kwe-90 no-99 ithathwa ngokuba "isigaba 1" somfutho wegazi. Uxinzelelo lwegazi kunye nenombolo ephezulu ngaphezu kwe-160 kunye nezantsi ngaphaya kwe-100 "isigaba sesi-2" somngcipheko wegazi, kunye ne-systolic ephezulu kune-180 kunye / okanye i-diastolic ephezulu kune-110 ithathwa njengongxamiseko.
Uxinzelelo lwegazi oluphezulu kunye nokukhulelwa
Xa ukhulelwe, kunokwenzeka ukuba ingozi yexinzelelo yintsholongwane yokuqalisa ukukhulelwa, apho imeko ibizwa ngokuba "ukukhulelwa kwengcinezelo yokhuseleko." Le meko ihlala iphela emva kokunikezelwa. Ezinye iimama zingaphinde zibe neengcinezelo zengcinezelo ngaphambi kokukhulelwa. Kukho nawuphi na umcimbi, ingozi iphathelele enye-ingxaki engapheliyo yengcinezelo ekukhuseleni ixhomekeke engozini yokunyuka kwesifo sikashukela , ukuphazamiseka kwe-placental , preeclampsia, kunye nokukhutshwa kwe-intrauterine .
Akukho nkcazelo edibanisa uxinzelelo lwengcinezelo engapheliyo kwi -trimester yokukhulelwa komzimba , kodwa ngenxa yokuba le miqathango ingentla idibene nomngcipheko wokunyuka komzimba, ingozi engapheliyo ingabonwa njengengozi yokukhulelwa kwexesha lokukhulelwa.
Oko kuthethwa, nangona kunjalo, umama onesifo sengqondo esingapheliyo akafanelekanga ukuba akhathazeke ngokukhulelwa. Nangona nayiphi na impilo engapheliyo, kubalulekile ukuxoxa ngezicwangciso zakho zokukhulelwa kunye nogqirha ophethe unyango lwakho, kodwa ukunyamekela ngononophelo kunye nokubeka iliso rhoqo kunokunciphisa ingozi yeziphumo ezimbi.
Uninzi lwabafazi abanomdla wokugonywa kwengcinezelo luya kuba nako ukukhulelwa okusemgangathweni xa beya kubaqeshwa ngaphambi kokubeletha rhoqo kwaye balandele iingcebiso zabo.
Qaphela ukuba xa ukhulelwa ngelixa unyathela unyango lwegazi, kufuneka uqiniseke ukuba uzazisa ugqirha wakho ngokukhawuleza njengoko ezinye izilwanyana zegazi (ezifana ne-ACE inhibitors) zingonakalisa ngexesha lokukhulelwa. Ungalokothi uyeke ukuthatha nawaphi na amayeza ngaphandle kokuba ugqirha ekucebisa ukuba wenze njalo, kodwa qiniseka ukuba uthetha ugqirha wakho ngokukhawuleza ukuba uqiniseke ukuba unyango lwakho aluqwalaselwa njengengozi.
Imithombo:
UFerrer, uRobert L. MD, MPH; Sibai, Baha M. MD; IMolrow, uCynthia D. MD, MSc; Chiquette, uElaine PharmD; Stevens, Kathleen R. RN, EdD; Cornell, uJohn Ph.D. "Ukulawulwa Kwengcinezelo Yengcinezelo Yomzimba Ngexesha Elikhulelwe: Ukuphononongwa." I-Obstetrics & Gynecology: NgoNovemba 2000 - Umqulu 96 - Issue 5, Icandelo 2 - iphe 849-860.
Livingston JC, uMaxwell BD, uSibai BM. "Ukunyamekela kwengcinezelo yengqondo ekukhulelweni." Minerva Ginecol. 2003 Feb; 55 (1): 1-13.
URay JG, iBurrows RF, iBurrows EA, iVermeulen MJ. "I-MIP HIP: Uvavanyo lwe-McMaster yophando lwe-hypertension xa ukhulelwa." Hum Dev yasekuqaleni. 2001 Sep; 64 (2): 129-43.
Ukuqonda ukufundwa kweengcinezelo zegazi. American Heart Association. Ukufikelela: 14 Feb 2010. uKarin Zetterström1, uSolveig Nordén Lindeberg, uBangt Haglund kunye no-Ulf Hanson. "Iingxaki zomama kwabasetyhini abaneengcinezelo ezingapheliyo: isifundo seqela esisekelwe kubantu." Acta Obstetricia et Gynecologica Scandinavica 2005, Vol. 84, No. 5, iphepha 419-42.