Ukuguga njalo kuhambisana nokuphulwa kwezitho zangaphakathi, ikakhulukazi inhliziyo. Ngakho-ke, abesifazane abangaphezu kweminyaka engu-55 bavame ukuphawula ukuthi banesisindo esiphakeme futhi esiphansi. Lesi simo se-pathological sibhekwa ngokuthi yi-isolation systolic ephakeme yomshuwalense wegazi, ingenye yezici eziyinhloko ezingozini ekuhloleni amathuba okuthuthukisa ukuphazamiseka kokusakaza kwe-cerebral.
Izimbangela zokucindezeleka okuphezulu nokuphansi okujwayelekile
I-hypertension ye-syndrome ephikisanayo ehlanganisiwe ivela ngenxa yezici ezihlukahlukene zangaphandle:
- ukukwazi ukucindezeleka;
- ukucindezeleka;
- ukungabi nokulala;
- ukubhema;
- ukucindezeleka okukhulu ngokomzimba nangokwengqondo;
- ukukhuluphala ;
- usawoti owedlulele ekudleni;
- ukuphathwa kabi kotshwala;
- ukusabalalisa kwamafutha ekudleni.
Kufanele kuqaphele ukuthi lezi zimo kaningi zifaka isandla ekuphazamiseni kwenhliziyo kokubili ku-systole naku-diastole. Kodwa yingakho ukucindezeleka okuphezulu kuphezulu ne-index evamile ephansi akukwazi ukusungulwa ngokuqondile. Izazi ze-cardiologists ziphakamisa ukuthi lokhu kuthinteka nezifo zezitho zangaphakathi:
- umsebenzi owedlulele we-gland yegciwane;
- i-pathology ye-valve ye-aortic;
- umsebenzi oweqile wezingqungquthela eziyingozi;
- i-obstructive sleep apnea syndrome;
- ukuqina kwe-atherosclerosis ye- arteries;
- isifo sezinso;
- ama-cholesterol plaques ezitsheni.
Kunezifundo ezibonisa ukuthi kubantu besifazane inkinga echazweyo ingavela ngenxa yokunciphisa ekukhiqizeni i-hormone estrogen esikhathini sokuxoshwa kwamadoda.
Yini okufanele ngiyithathe ngokucindezeleka okuphezulu kanye nomuntu ophansi ojwayelekile?
Ngokuvamile, ukwelapha izidakamizwa ze-hypertension yangasese ye-systolic kusekelwe ekusebenziseni izidakamizwa nge-indapamide:
- I-Ravel-SR;
- I-Indapamide-MB;
- I-Arifon-Retard.
Kukhona nendlela entsha yokuzimelela. Kulesi simo, kunconywa ukuthatha izidakamizwa ngokusekelwe ku-spironolactone noma eplerenone. Lezi zithako ezisebenzayo ziyakwazi ukunciphisa ingcindezi ye-systolic ngezinga elikhulu, ngaphandle kokuthinta amanani we-diastolic.
Ngesikhathi esifanayo, kuqhutshwa izifundo ekusetshenzisweni kwe-nitrate ehlukahlukene ekwelapheni uhlobo oluchaziwe lwe-hypertension eyodwa. Isibonelo, i-isosorbiddinitrate ngokuphumelelayo futhi ngokushesha imisa ukucindezela okukhulu, ikakhulukazi ezigulini asebekhulile. Lokhu kudinga ukwelashwa okude isikhathi eside - kusukela emavikini angu-8.