Ukuqonda Ubudlelwano Phakathi Kwesifo Sikashukela kanye Nomfutho Wegazi Ophakeme

Isifo sikashukela kanye nomfutho wegazi ophakeme, owaziwa nangokuthi umfutho wegazi ophakeme, ziyizifo ezimbili ezivamile ezivamile emhlabeni wonke. Nakuba kuyizimo ezihlukene, kukhona ukuxhumana phakathi kwakho kokubili. Ukuqonda ukuxhumana phakathi kwesifo sikashukela kanye nomfutho wegazi ophakeme kubalulekile ukuze ulawule ngempumelelo futhi uvimbele izinkinga. Kuzodingeka uthintane nodokotela kuzo zombili izimo Kodwa ukuqaphela isixhumanisi kuzokusiza wenze izinguquko zendlela yokuphila ezingasiza ukuphatha isimo kangcono.

Siyini isifo sikashukela kanye ne-Hypertension?

Isifo sikashukela yisimo esenzeka lapho umzimba ungakwazi ukukhiqiza noma ukusebenzisa i-insulin ngempumelelo, ihomoni elawula amazinga kashukela egazini. umfutho ophakeme wegazi, ngakolunye uhlangothi, yisimo lapho amandla egazi ngokumelene nezindonga zemithambo yegazi ephezulu kakhulu. Zombili ziyizici eziyingozi ze-atherosclerosis kanye nezinkinga zayo njengokuhlasela kwenhliziyo nokushaywa unhlangothi. 

Kuyini ukuxhumana phakathi kwesifo sikashukela kanye nomfutho wegazi ophakeme?

Ukumelana ne-insulin: 

Abantu abanesifo sikashukela bavame ukumelana ne-insulin, okusho ukuthi amaseli abo awasabeli kahle ku-insulin. Ukumelana ne-insulin kungadala ukuthi umzimba ukhiqize i-insulin eyengeziwe. Ngokwezibalo, ama-hypertension amaningi anokumelana ne-insulin. I-insulin yihomoni ekhiqizwa amanyikwe esiza ukulawula amazinga kashukela (ushukela) egazini. Ukumelana ne-insulin yisimo lapho amangqamuzana omzimba ehluleka ukusabela ku-insulin, okuholela emazingeni aphezulu eglucose egazini.

Lapho kwenzeka ukumelana ne-insulin, amanyikwe azama ukunxephezela ngokukhiqiza i-insulin eningi ngomzamo wokwehlisa amazinga kashukela egazini. Kodwa-ke, amangqamuzana omzimba ayaqhubeka ukumelana ne-insulin, ngakho amanyikwe akhiqiza i-insulin eyengeziwe, okuholela emazingeni aphezulu e-insulin egazini (hyperinsulinemia).

I-Hyperinsulinemia ingaba nemiphumela eminingana emzimbeni, okuhlanganisa nokwanda komfutho wegazi. I-insulin ikhuthaza ukugcinwa kukasawoti namanzi emzimbeni, okungakhuphula umthamo wegazi futhi ngenxa yalokho kwandise umfutho wegazi. Ukwengeza, i-insulin ingashukumisa ukukhiqizwa kwamanye amahomoni, njenge-aldosterone, nawo akhuphule umfutho wegazi.

Ngaphezu kwalokho, amazinga aphezulu e-insulin angabangela izindonga zemithambo yegazi ukuba zibe namandla futhi zingaguquguquki kancane, okuholela ekwandeni kokumelana nokugeleza kwegazi kanye nomfutho wegazi ophakeme.

Ukulimala kwemithambo yegazi: 

Amazinga aphezulu kashukela angalimaza imithambo yegazi ngokuhamba kwesikhathi, ayenze inganwebeka futhi ijwayele ukuncipha. Lokhu kungaholela ku-hypertension.

Isifo sezinso: 

Isifo sikashukela singalimaza izinso, okuholela esimweni esaziwa nge-diabetesic nephropathy. Ukulimala kwezinso kungabangela umzimba ukuthi ugcine usawoti namanzi, okungakhuphula umfutho wegazi.

Ukukhuluphala: 

Ukukhuluphala ngokweqile kuyisici esiyingozi kokubili isifo sikashukela kanye nomfutho wegazi ophezulu. Isisindo esiningi singabangela ukumelana ne-insulin, ushukela ophezulu wegazi, nomfutho wegazi ophakeme., Ukumelana ne-insulin kungaholela emjikelezweni wokwanda kokukhiqizwa kwe-insulin, i-hyperinsulinemia, nokwanda komfutho wegazi. Kubalulekile ukulawula ukumelana ne-insulin ngokushintsha indlela yokuphila efana nokudla okunempilo nokuzivocavoca njalo, futhi kwezinye izimo imithi, ukuvimbela ukuthuthukiswa kwezinkinga ezifana nomfutho wegazi ophezulu kanye nesifo senhliziyo.

Ukuvuvukala: 

Ukuvuvukala okungapheli kuhlotshaniswa nesifo sikashukela kanye nomfutho wegazi ophakeme. Ukuvuvukala kungalimaza imithambo yegazi futhi kubangele ukumelana ne-insulin.

Izinketho Zokwelapha Isifo Sikashukela kanye Nomfutho Wegazi Ophakeme

Ukwelashwa kwesifo sikashukela kanye nomfutho wegazi ophakeme kuvame ukuhlanganisa inhlanganisela yokuguqulwa kwendlela yokuphila, imithi, nokuqapha njalo. Kubalulekile ukusebenzisana eduze nabasebenzi bezempilo ukuze udale uhlelo lokwelashwa lomuntu ngamunye. Nazi izindlela ezijwayelekile zokulawula isifo sikashukela kanye nomfutho wegazi ophakeme:

1. Ukuguqulwa kwendlela yokuphila:

• Ukudla Okunempilo: Ukwamukela ukudla okulinganiselayo nokunomsoco, okugxile ekudleni okuphelele, amaprotheni angenalutho, izithelo, imifino, kanye nezinhlamvu eziphelele. Ukunciphisa ukudla kwe-sodium kubalulekile ekulawuleni umfutho wegazi ophakeme.
• Ukuzivivinya Njalo: Ukuzivivinya umzimba njalo, njengokuhamba ngokushesha, ukugijima, ukubhukuda, noma ukugibela ibhayisikili, kungasiza ekulawuleni amazinga kashukela egazini nokwehlisa umfutho wegazi.
• Ukulawulwa Kwesisindo: Ukuzuza nokugcina isisindo esinempilo ngokusebenzisa inhlanganisela yokudla nokuzivocavoca kubalulekile ekulawuleni zombili izimo.
• Ukunciphisa Utshwala Nokuyeka Ukubhema: Ukulinganisela ukuphuza utshwala nokuyeka ukubhema kunomthelela empilweni yonke yenhliziyo nemithambo yegazi.
• Ukulawula Ukucindezeleka: Ukuzijwayeza amasu okunciphisa ukucindezeleka, njengokuzindla, ukuphefumula okujulile, noma i-yoga, kungasiza ekulawuleni ukucindezeleka, okungase kube nomthelela kuzo zombili izimo.

2. Imithi:

• Imithi Yokulwa Nesifo Soshukela: Ngokuya ngohlobo lwesifo sikashukela, imithi efana ne-metformin, i-insulin, i-sulfonylureas, noma ezinye izigaba zemithi ye-antidiabetic ingase ibekwe.
• Imithi Ye-Antihypertensive: Amakilasi ahlukahlukene emithi, okuhlanganisa i-diuretics, i-beta-blockers, i-ACE inhibitors, i-angiotensin II receptor blockers (ARBs), kanye ne-calcium channel blockers, ingase inqunywe ukuphatha umfutho wegazi ophezulu.
• Imithi Yokwelapha Ehlanganisiwe: Abanye abantu bangadinga inhlanganisela yemithi ye-antidiabetic kanye ne-antihypertensive ukuze bathole ukulawula okuphelele.

3. Ukuqapha Okuvamile:

• I-Blood Glucose Monitoring: Abantu abanesifo sikashukela badinga ukuqapha njalo amazinga abo eglucose ukuze balungise imithi nendlela yokuphila njengoba kudingeka.
• Ukuqapha Umfutho Wegazi: Ukuhlolwa komfutho wegazi okuvamile kubalulekile ukuze kuqashwe umfutho wegazi ophakeme. Imishini yokuhlola umfutho wegazi wasekhaya ingaba usizo.

4. Ukuhlola Okuvamile:

• Ukuqokwa okulandelwa njalo nabahlinzeki bezempilo kubalulekile ukuze kuhlolwe inqubekelaphambili, ukulungisa imithi, kanye nokubhekana nanoma yiziphi izinkinga ezivelayo.

Ungazinqanda kanjani izinkinga zesifo sikashukela kanye nomfutho wegazi ophakeme

Ukulawula isifo sikashukela kanye nomfutho wegazi ophakeme kubalulekile ekuvimbeleni izinkinga. Ezinye zezinyathelo ezingathathwa zihlanganisa 

• Ukwenza izinguquko ezithile endleleni yakho yokuphila- Ukushintsha ukusuka ekubeni unganyakazi uye ekuphileni okumatasa kungase kusize ekulawuleni ushukela wegazi namazinga omfutho.
• Ukuphatha isisindo - Ukugcina isisindo esinempilo esilingana nobude nobudala bakho kubalulekile ekwehliseni izinkinga zempilo.
• Ukuzivocavoca okuvamile - Uma ukwazi ukuchitha okungenani imizuzu engamashumi amathathu ngosuku uzivocavoca lokho kungakusiza emhlabeni jikelele empilweni nasekuphileni kahle futhi ugcine amazinga kashukela nengcindezi elawula. Ngisho nohambo olusheshayo endaweni yangakini lungenele ukuqala uma uhamba njalo.
• Ukulawula ingcindezi - Ukucindezeleka kungathinta ushukela wakho wegazi kanye namazinga omfutho. Ngakho-ke, kubalulekile ukuphatha amazinga okucindezeleka ngokuhlala unethemba, ukulala kahle, ukudla ngendlela efanele, nokuhlala umatasa.

Ukwenza izinguquko ezimbalwa ezilula empilweni yakho kungasiza ukuqukatha ushukela wakho wegazi kanye namazinga omfutho kakhulu. Nokho, kuye ngamazinga, ungase udinge usizo lwezokwelapha. Imithi, njengezidakamizwa ze-antihypertensive kanye ne-insulin, nayo ingadingeka lawula isifo sikashukela kanye nomfutho wegazi ophakeme. Kubalulekile ukusebenzisana eduze nomhlinzeki wakho wokunakekelwa kwezempilo ukuze wenze uhlelo lokwelapha olukusebenzelayo.

Isiphetho

Isifo sikashukela kanye nomfutho wegazi ophezulu yizifo ezimbili ezingelapheki ezixhumene kakhulu. Ukumelana ne-insulin, ukulimala kwemithambo yegazi, isifo sezinso, ukukhuluphala, nokuvuvukala yizo zonke izici ezinomthelela ebungozini phakathi kwalezi zimo ezimbili. Ukulawula kokubili isifo sikashukela kanye nomfutho wegazi ophakeme ngokushintsha indlela yokuphila kanye nemithi kubalulekile ekuvimbeleni izinkinga nokugcina impilo nokuphila kahle iyonke. Uma ufisa ukubonana nochwepheshe bezokwelapha ukuze nixoxe ngesimo sakho ungavakashela www.carehospital.com ukubhuka i-aphoyintimenti.

Imibuzo Evame Ukubuzwa

1. Abanesifo sikashukela basiphatha kanjani i-hypertension?

Abanesifo sikashukela balawula umfutho wegazi ophakeme ngokwenza izinguquko endleleni yokuphila enempilo njengokudla kahle, ukuvivinya umzimba njalo, nokuthatha imithi enikelwe yona. Ukuhlolwa njalo nabahlinzeki bezempilo kusiza ukuqinisekisa ukuphathwa ngempumelelo.

2. Ayini amazinga e-BP kanye noshukela ajwayelekile?

Umfutho wegazi ojwayelekile ucishe ube ngu-120/80. Ngoshukela wegazi, amazinga okuzila ukudla angaphansi kuka-100 mg/dL namazinga angemva kokudla angaphansi kuka-140 mg/dL athathwa njengokujwayelekile. Izinga le-HbA1c elingaphansi kuka-5.7% ezinyangeni ezimbalwa nalo lihle.

3. Ingabe isifo sikashukela siyehlisa i-BP?

Cha, isifo sikashukela asiwehlisi umfutho wegazi. Eqinisweni, abantu abanesifo sikashukela bavame ukuba sengozini enkulu yomfutho wegazi ophakeme. Ukulawula amazinga kashukela egazini, indlela yokuphila enempilo, kanye nemithi enqunyiwe kubalulekile ekulawuleni zombili izimo. Ukuqapha njalo kuyisihluthulelo sempilo iyonke.