Uma unomfutho wegazi ophezulu futhi ukhulelwe noma uhlela ukuba khona, ungase ube nesifiso mayelana nezici eziyingozi, njengokukhulelwa komzimba, ukuthi ukucindezeleka komzimba kungabangela ukukhulelwa.
Izingozi Ze-Hypertension Ngesikhathi Ekhulelwe
Ukwelashwa ngokweqile kwengculazi kuyisici esiyinkimbinkimbi yokucindezeleka okunzima kokukhulelwa futhi kungandisa ukwanda kokulahleka kokukhulelwa kokubeletha kwabesifazane lapho ukucindezeleka kwegazi okungenakuqapha nokulawulwa.
Ukucindezeleka komfutho wegazi, noma ukucindezelwa kwegazi eliphezulu, yisimo lapho igazi liphethe isilinganiso esiphezulu sokucindezela ngokumelene nezindonga zamanzi. Nakuba abantu abaningi bangathola ukucindezeleka kwegazi olulodwa ngesinye isikhathi ngaphandle kokuba nenkinga, ukucindezeleka okungapheli (ukucindezeleka okukhulu kwegazi okuphikelela ngokuhamba kwesikhathi) kuyinto ebonakalayo engozini yesifo senhliziyo. Ukucindezeleka okungapheli okungalawuleki nakho kungabangela izinkinga kubesifazane abakhulelwe.
Yisiphi Isinyathelo Sokucindezelwa Kwegazi Eliphakeme
Okokuqala, kubalulekile ukuqonda ukuthi umfutho wegazi ophakeme ngokuvamile uyinkinga eyinkimbinkimbi. Lesi simo singase sibe nomthelela ohlangothini wezinye izifo, njenge-systic lupus erythematosus noma isifo sikashukela, noma kungenzeka kungenzeka ngaphandle kwesizathu esicacile.
Ukucindezelwa kwegazi kuhlanganisa ngokuvamile izinombolo ezimbili, i-top (systolic) nenombolo ephansi (i-diastolic). Inombolo ye-systolic ingcindezi yegazi elibhekiswe ezindongeni zamanzi wegazi njengoba inhliziyo ishaya, futhi i-diastolic ingcindezi ngokumelene nezindonga zamanzi eziphakathi kwezinhliziyo ezinyunithi zamamitha ayi-mercury (mmHg).
Kunezigaba ezihlukahlukene zegazi lokushisa.
Ngokusho kwe-American Heart Association, inombolo ephakathi kuka-140 no-159 kanye / noma inombolo ephansi phakathi kuka-90 no-99 ibhekwa ngokuthi "isigaba 1" somfutho wegazi ophezulu. Ukucindezelwa kwegazi ngenombolo ephezulu ngaphezu kuka-160 nangaphansi kwenombolo engaphezu kuka-100 kuyinto "yesigaba 2" somfutho wegazi ophakeme, futhi i-systolic ephakeme kuno-180 kanye / noma i-diastolic ephakeme kune-110 ibhekwa njengokuphuthumayo.
Ukucindezeleka Kwegazi Eliphakeme Nokukhulelwa
Lapho ukhulelwe, kungenzeka ukuthi umfutho wegazi ophezulu usuke uqala ukukhulelwa ngesikhathi sokukhulelwa, lapho isimo sisho "ukukhulelwa komfutho wegazi okhulelwe." Le nkinga ivame ukuphela ngemva kokubeletha. Amanye amaMama angase abe ne-hypertension engapheli ngaphambi kokukhulelwa. Kunoma yikuphi, izingozi zifana nokufanayo - ukucindezeleka okungapheli okungaphethwe ekukhulelweni kuxhumene nobungozi bokushukela kwesifo sikashukela , ukuphazamiseka kwamapayipi , preeclampsia, kanye nokubandlululwa kwe-intrauterine .
Akunakho ulwazi oluxhumanisa umfutho wegazi okhukhumayo okhungweni lwesisu lokuqala , kepha uma ngabe lezi zimo ezingenhla zixhunywe engozini yokukhulelwa komzimba, ingozi ephezulu yengculazi ingabhekwa njengengozi yokukhulelwa kokukhulelwa kwesikhathi eside.
Lokhu kuthiwa, kodwa-ke, omama abanesifo somfutho ongapheli akufanele bakhathazeke ngokukhulelwa. Kunoma yisiphi isimo sengqondo esingapheli, kubalulekile ukuxoxa ngezinhlelo zakho zokukhulelwa nodokotela ophethe ukwelashwa kwakho, kodwa ukunakekelwa okujwayelekile kokubeletha nokuqapha kunganciphisa ingozi yemiphumela emibi.
Amamama amaningi anesifo somfutho wegazi ophezulu angakwazi ukukhulelwa kahle uma beya esikhwameni sokubeletha njalo futhi balandela iseluleko sikadokotela wabo.
Qaphela ukuthi uma ukhulelwa ngenkathi uthatha imithi yengcindezi yegazi, kufanele uqiniseke ukuthi wazisa udokotela wakho ngokushesha njengoba ezinye izidakamizwa zegazi (njenge-ACE inhibitors) zingaba yingozi ngesikhathi sokukhulelwa. Ungalokothi uyeke ukuthatha noma imuphi umuthi ngaphandle kokuba udokotela akululeke ukuba wenze kanjalo, kodwa qinisekisa ukuthi ukhuluma nodokotela wakho ngokushesha ngangokunokwenzeka ukuqinisekisa ukuthi imithi yakho ayithathwa njengengozi.
Imithombo:
UFerrer, uRobert L. MD, MPH; Sibai, Baha M. MD; UMunrow, uCynthia D. MD, MSc; Chiquette, u-Elaine PharmD; Stevens, Kathleen R. RN, EdD; Cornell, uJohn Ph.D. "Ukuphathwa Kwesifo Sokucindezeleka Okusindayo Ngesikhathi Sokukhulelwa: Ukubuyekeza." I-Obstetrics & Gynecology: November 2000 - Umqulu 96 - Issue 5, Ingxenye 2 - p 849-860.
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Ukuqonda Ukufundwa Kokucindezelwa Kwegazi. I-American Heart Association. Kufinyelelekile: 14 Feb 2010. uKarin Zetterström1, uSolveig Nordén Lindeberg, uBangt Haglund no-Ulf Hanson. "Izinkinga zomama kwabesifazane abanesifo sofuba esingapheli: isifundo seqembu esisekelwe kubantu." Lalela Funda Kudivayisi kuphela Kwengeziwe Buka Kufakiwe Acta Obstetricia et Gynecologica Scandinavica 2005, Vol. 84, No. 5, amakhasi 419-42.