I-Isolated systolic hypertension iwuhlobo lomfutho wegazi ophezulu.Uchwepheshe wezokunakekelwa kwezempilo angase akuhlonze uma umfutho wegazi we-systolic ungaphezu kuka-130 mmHg kanye nomfutho wegazi we-diastolic ungaphansi kuka-90 mmHg.
I-Isolated systolic hypertension ivame kakhulu kubantu abadala, kodwa ingathinta nabadala abasebasha.
Lesi sihloko sidingida ukuthi iyini i-systolic hypertension ehlukanisiwe, izimpawu zayo, izimbangela, kanye nezinketho zokwelapha.Iphinde ihlole ukuthi iziphathimandla ezifanele zikuthatha njengokukhubazeka yini.
Njengoba igazi lizungeza emzimbeni wonke, lifaka umfutho ezindongeni zemithambo yegazi.Lokhu kubizwa ngokuthi umfutho wegazi.
Uchwepheshe angase ahlole umfutho wegazi womuntu njengengxenye yokuhlola impilo.Izibalo zomfutho wegazi zinikeza izinombolo ezimbili ezibizwa ngokuthi i-systolic blood pressure, okuwumkhawulo ongaphezulu noma inombolo yokuqala, kanye nomfutho wegazi we-diastolic, okuwumkhawulo ophansi noma inombolo yesibili.
Uma inombolo ingaphezu kwebanga elijwayelekile, umuntu unomfutho wegazi ophezulu.I-Isolated systolic hypertension yenzeka kuphela lapho umfutho wegazi we-systolic uphezulu.
I-Isolated systolic hypertension yinto ekhathazayo umuntu okudingeka ayilungise.Ngokuhamba kwesikhathi, umfutho wegazi ophakeme we-systolic ongalashwa ungaholela ezinkingeni ezinkulu.
I-athikili yango-2021 yaphawula ukuthi i-systolic hypertension yenzeke kakhulu kubantu abadala asebekhulile.Cishe i-30% yabantu abangaphezu kweminyaka yobudala engama-60 banalolu hlobo lomfutho wegazi ophezulu.
Abantu abasha mancane kakhulu amathuba okuba babe nomfutho wegazi ophakeme we-systolic.Cishe u-6% wabantu abaneminyaka engu-40-50 kanye no-1.8% wabantu abaneminyaka engu-18-39 banalesi sifo.
Kodwa-ke, ngokusho kocwaningo luka-2016, abantu abasha abanomfutho wegazi ophezulu noma i-systolic hypertension banengozi eyengeziwe yesifo senhliziyo noma ukufa.
Ezimweni eziningi, umfutho wegazi ophakeme, okuhlanganisa umfutho wegazi ophakeme we-systolic, awunazo izimpawu noma izimpawu ezisobala.
Ngokusho kweCenters for Disease Control and Prevention (CDC), okuwukuphela kwendlela yokwazi ukuthi umuntu unomfutho wegazi ophakeme ukuthatha ukufundwa komfutho wegazi.
Kodwa-ke, ochwepheshe bezokunakekelwa kwempilo bangabheka izimpawu zezimo zezokwelapha ezingase zibangele umfutho wegazi ophakeme we-systolic, okuhlanganisa:
Umuntu usethubeni elikhulu lokuba nomfutho wegazi ophakeme njengoba ekhula. Ngaphezu kwalokho, abantu abamnyama basethubeni elihle lokuhlaselwa umfutho wegazi ophakeme.
Ngo-2017, i-American Heart Association (AHA) yashintsha ukuhlukaniswa kwe-systolic hypertension ehlukanisiwe ukusuka kunoma yiliphi inani elingaphezu kwamamilimitha angu-140 we-mercury (mm Hg) kuya kunoma yikuphi ukufunda okungaphezu kuka-130 mm Hg.
Ukufundwa okukodwa okuphezulu noma okukodwa ngaphezu kuka-130 mm Hg akusho ngempela ukuthi umuntu kufanele akhathazeke.Ngokwe-CDC, udokotela angase axilonge umfutho wegazi ophakeme uma umfutho wegazi we-systolic womuntu uhlala uphakeme kuno-130 mmHg.
Kodwa-ke, ezinye izinqubo zisebenzisa izinga lokuqala le-140 mm Hg njenge-systolic blood pressure ukuze kuhlolwe umfutho wegazi ophezulu.Kulezi zimo, odokotela basengancoma izinyathelo zokusiza ukwehlisa umfutho wegazi, ngisho noma bengakwazi ukuxilonga lesi simo.
Ukwelashwa kwe-systolic hypertension ehlukile kuhilela inhlanganisela yezinguquko zendlela yokuphila kanye nokungenelela kwezokwelapha.
Ngokusho kwe-American Heart Association, izinyathelo ezibaluleke kakhulu umuntu angazithatha ukwelapha noma ukuvimbela umfutho wegazi ophakeme zihlanganisa:
Phakathi neminyaka eyi-8 kuya kweyi-10, amaphesenti angu-30 abantu abanomfutho wegazi ophakeme omaphakathi kuya komaphakathi banethuba eliphakeme lokuthuthukisa isifo se-atherosclerotic, ukunqwabelana koqweqwe emithanjeni.Ukulimala kwezitho kungenzeka ku-50% wabantu.
Akuzona zonke izimo ze-systolic hypertension ehlukanisiwe ezifanelekela izinzuzo zokukhubazeka.Njengezinye izimo, umuntu udinga ukukhombisa ukuthi isimo sakhe sithinta ikhono lakhe lokusebenza.
Kwezinye izimo, iziphathimandla azibheki umfutho wegazi ophakeme njengokukhubazeka, kodwa kungase kube imbangela eyinhloko.Ngokwesibonelo, i-Social Security Administration (SSA) ayifaki umfutho wegazi ophakeme njengesimo esifanelekayo, kodwa ibala izimo ezimbalwa ezingase bangela umfutho wegazi ophezulu ohlwini lwayo njengezizathu ezingenzeka zokufaka isicelo sezinzuzo zokukhubazeka.
UMnyango Wezindaba Zomakadebona uyabavumela omakadebona abane-systolic hypertension ehlukanisiwe ukuthi bafake izicelo zezinzuzo zokukhubazeka ngehhovisi lawo. Nokho, ngokufanayo ne-SSA, umuntu udinga ukuhlangabezana nemibandela ethile ukuze afaneleke.
Abantu okutholwe ukuthi bane-systolic hypertension ehlukanisiwe kufanele bakhulume nodokotela wabo uma bengacabangi ukuthi bangaqhubeka nokusebenza.Udokotela angasiza ukutshela umuntu ukuthi uyafaneleka yini ukuthola izinzuzo.
Akunakwenzeka ukuthi umuntu azi ukuthi une-hypertension ye-systolic ehlukile ngoba ngokuvamile ayibangeli izimpawu.Udokotela angase axilonge umfutho wegazi ophakeme we-systolic esekelwe ekufundweni okumbalwa komfutho wegazi ophezulu phakathi nokuvakasha okuningana kuya kaningana.
Abantu abelashelwa umfutho wegazi ophakeme noma abasengozini yomfutho wegazi ophakeme kufanele bacabangele ukuqapha ekhaya njalo.
Kufanele bathinte udokotela wabo uma ukwelashwa kwabo kungasebenzi noma uma umfutho wegazi wabo uqala ukwenyuka.
I-Isolated systolic hypertension iwuhlobo lwe-hypertension.Nakuba ivame kakhulu kubantu abadala, ingenzeka nakubantu abadala futhi ingase ikhulise ingozi yesifo senhliziyo noma ukufa kwabancane abadala.Izimpawu ngokuvamile azibonakali.
Ukwelashwa ngokuvamile kuhlanganisa ukuqapha umfutho wegazi, imithi, kanye noshintsho endleleni yokuphila.Uma izinyathelo zokwelashwa zingasizi, umuntu kufanele akhulume nodokotela wakhe.
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Ucwaningo lwakamuva luthole ukuthi abantu abanomfutho wegazi ophakeme kusukela eminyakeni engu-20 kuya kwengama-44 baba noshintsho olukhulu ebuchosheni eminyakeni yawo-50.
Isikhathi sokuthumela: Feb-24-2022
