Umfutho wegazi we-Systolic ingcindezi eyenziwa yizindonga zemithambo yomzimba lapho igazi ligeleza phakathi kwabo ngesikhathi izivumelwano zomzimba we-muscle (ngesikhathi se-systole). Esikhathini esibonisa ukucindezeleka kwegazi, lokhu kuyinombolo yokuqala, noma ngaphezulu (umfutho wegazi ophezulu).
Ubukhulu besisindo se-systolic sincike ezintweni ezintathu eziyinhloko:
- ukuphoqa, okuyinto inhliziyo inkontileka ngayo;
- ukumelana okwenziwa yizindonga zemithambo yegazi (ithoni yabo nokuqina);
- inani lezinqamuzana zenhliziyo ngesikhathi esisodwa.
Umkhuba wokucindezela kwe-systolic uyigugu kusuka ku-110 kuya ku-120 mm Hg. Art. Kodwa ukubaluleka kwalesi sibonakaliso kuvame ukuguqulwa ngesikhatsi somuntu, ngakho-ke yilowo nalowo kithi uqobo uyinani elilodwa, lapho inhlalakahle ibonakala khona. Inendima ethile kulokhu idlala ngokuzalwa. Uma izilinganiso zokucindezela ezihlelekile zibonisa ukwehlukana okuzinzile ukusuka kwesinye isiqondiso komunye u-20%, kufanele uxhumane nodokotela wakho.
Izimbangela zokucindezela okuphansi kwe-systolic
Umfutho we-systolic ophansi ungabonwa okwesikhashana ngenxa yezici ezilandelayo:
- ukukhulelwa (trimester yokuqala);
- ukusebenza ngokweqile;
- umsebenzi womzimba;
- izinguquko ngokuzumayo esimweni sezulu noma izimo zezulu.
Ezimweni ezinjalo, ukucindezeleka okuphansi akuyona into eyingozi futhi kuvamile ngokwakho emva kokuqedwa kwezici ezingenhla. Izizathu ezimbi zokunciphisa ingcindezi yegazi eliphezulu yizi:
- ukuphazanyiswa kwe-valve yenhliziyo, ngenxa yalokho inhliziyo ishaya igazi kabi;
- i-bradycardia (ukwehla emvuthweni wezinhlangothi zokushaya inhliziyo, okungase kuhlotshaniswe nezinguquko ze-sclerotic ku-myocardium, ukwehla komsebenzi we -roid, ukwanda kokucindezela okungahambi kahle, njll);
- isifo sikashukela (ngenxa yokunciphisa ithoni ye-vascular kanye nokwanda kwe-viscosity yegazi);
- ukudakwa (ukushisa utshwala ngama-alcohols, barbiturates, ethylene glycol, njll);
- ukuhlukumezeka kobuchopho nomgogodla, njll.
Ngomfutho we-systolic wehlile, umuntu angathola izimpawu ezifana nalezi:
- ukucasula;
- ukulala;
- ukunganakwa;
- ubuhlungu obunzima ekhanda;
- isiyezi;
- ukukhohlwa;
- ukuthuthumela.
Izimbangela zomshoshaphansi we-systolic
Ukunyuka kwengcindezi ye-systolic kubantu abanempilo kungabhalwa njengomphumela we:
- ukucindezeleka okukhulu ngokomzwelo;
- ukuphuza utshwala;
- ikhofi yokuphuza, itiye eqinile, ukudla okusawoti.
Izimbangela ze-pathological zokunyuka okuqhubekayo kule nkomba ye-high blood pressure kungaba:
- umsebenzi owedlulele we-gland yegciwane noma izigulane ezidalwa;
- ukukhuluphala;
- ukuphazanyiswa kwe-valve ye-aortic;
- isifo sezinso;
- ukuchithwa kwemithambo ye- cholesterol plaques , njll.
Sekuyisikhathi eside, ukunyuka kwengcindezi ye-systolic kungase kungabonakali izimpawu, kepha kaningi izibonakaliso ezilandelayo ziphawula:
- ikhanda (ikakhulukazi esifundeni se-occipital);
- isiyezi;
- "Izimpukane" phambi kwamehlo;
- isicasuli;
- ubunzima bokuphefumula.
Ukuxilonga ngokunciphisa noma ukunyuka kokucindezela kwe-systolic
Ukuze uqonde ukuthi yini eyenza ushintsho ezinkomba zokucindezela,
- ukuhlola ngokomzimba kwenhliziyo nge-phonendoscope;
- i-electrocardiogram yenhliziyo;
- i-echocardiography;
- i-dopplerography yezimpahla ;
- ukuhlolwa kwegazi (jikelele, biochemical).
Kwezinye izimo kungase kudingeke ukuthi uvakashele odokotela bezobuchwepheshe obuncane - i-cardiologist, i-gastroenterologist, i-nephrologist, njll.