Ukunyuka kwengcindezi ephansi.

Ukucindezela komzimba njengesigatshana sokuhlonza kuyinkomba ebaluleke kakhulu. Ngokuvamile, kuphela ekucindezelekeni okuphezulu noma okuphansi kwegazi singacabanga ukuba khona kwesifo. Isifo esivame kakhulu esibangelwa ukuphulwa komthetho wokucindezela yisifo somfutho wegazi ophezulu. Lapho izinhlobo zokucindezeleka ezikude zikhona ezingavamile.

Kusho ukuthini umfutho wegazi ophakeme ohlukile? Lokhu kungukucindezelwa okuphansi. Izindinganiso eziphezulu zengcindezi engezansi azihambisani nemigomo yengcindezi engenhla. Okungukuthi, ingcindezi engenhla ingase ingavuki noma ivuke kancane.

Ukucindezela okuphansi kusho ukuthini?

Inombolo yesibili ekulinganisweni kwengcindezi ibonisa izinga eliphansi lokucindezela egazini. Leli zinga lihambisana nokuphumula kwama-ventricles kanye ne-systole ye-atria. Lokhu kucindezela kuqinisekisa ukuqhutshwa kwegazi okuqhubekayo eduze kwesiteshi semithambo yegazi ngisho nokuphikiswa okuphezulu (ngegazi ukugeleza ngezimbiza ezincane - ama-capillary kanye nama-venone, kanye nokugeleza kwegazi ngokumelene nokuvuthwa komzimba).

Yini eyingozi ukunyuka kwengcindezi ephansi?

Ingozi yokucindezela okuphansi kakhulu ikhona eqinisweni ukuthi ngokuvamile kaningi akubonakali nhlobo, okungukuthi isiguli asenzi izikhalazo. Lesi sici sinquma ukutholakala kamuva kwalesi sifo. Izinga elijwayelekile le-diastolic blood pressure kufanele libe phakathi kwamashumi ayisishiyagalolunye kuya kwangu-80 mm. I-Gt; Art. Ngenxa yokungabikho kwezikhalazo, lesi sifo sinesikhathi sokukhula kuze kube sezingeni elibi futhi sithole izinkinga eziningi ngaphambi kokuba kutholakale ukuxilongwa okufanelekile.

Ukunyuka kwengcindezi ephansi kubonisani?

Ukucindezelwa okuphansi kubhekwa njengokuphakanyiswa uma izinga lakhe lingaphezu kwama-80 mm. I-Gt; Art. Ukwanda okunjalo kungaba okulula (isikhathi esifushane) noma esingapheli (okubangelwa ukukhubazeka kwemvelo). Ukunyuka kwesikhathi esifushane kubonakala ngokusebenza ngokomzimba, ukucindezeleka ngokomzwelo, ukucindezeleka nokucindezeleka. Isifo esikhulu sezifo singabangela ukwanda kwesisindo se-diastolic. Iqembu elibaluleke kunazo zonke futhi elandakazekayo liyisifo sofuba. Cishe zonke izifo zezinso ziholela ekulahlekelweni kwengcindezi. Lokhu kungenxa yokuthi izinso zingenye yezixhumanisi ekulawulweni kwegazi, ikakhulukazi, uhlelo lwe-renin-angiotensin-aldosterone. Ngokuba ukukhubazeka kwegciwane le-thyroid nakho kubonakaliswa okuphawulekayo njengokushintsha kwegazi.

Indima ekulawuleni ukucindezelwa idlalwa ngendwangu enamafutha. Isenzo saso sisekelwe kwisitoreji se-adipose yama-hormone. Kulokhu, kunezimo lapho ukwanda kwengcindezi ephansi kubangelwa ukuthuthukiswa kokukhuluphala. Ngaphezu kwalokho, ingcindezi eyengeziwe ingabangelwa ukugula kwekholomu lomgogodla - hernia nabanye.

Indlela yokunciphisa umfutho wegazi ophansi?

Okokuqala, kuyadingeka ukuba ufunde ngokugcwele ukuze kutholakale imbangela, okuholela ekuthuthukiseni kwegazi eliphakeme. Ekuqaliseni i-etiology, umsebenzi oyinhloko ukwelapha isifo esiyisisekelo. Ngokuvamile (ngamaphesenti angama-70 wamacala) lapho isisindo se-etiologic siqedwa, ingcindezi iyazijwayeza. Kodwa-ke, uma ingcindezi ingabuyeli evamile, ukwelashwa okuyinkimbinkimbi kwenziwa, kuhlanganise nokudla, indlela yokuphila enempilo kanye nokwelashwa kwezokwelapha.

Isimiso esiyinhloko sokudla okunamandla kakhulu ukunciphisa umthamo wosawoti (lokhu kuyadingeka ukuze kunciphise umthwalo osuka ezinso futhi kunciphise ukugcinwa kwamanzi emzimbeni).

Ukushiya imikhuba emibi, efana nokuphuza utshwala nokubhema, nakho kunomphumela omuhle ekulungiseni iBP. Ngakho-ke, ukwelashwa kwalolu hlobo lwe-hypertension akufani nezeyodwa.