Uxinzelelo lwegazi oluphezulu kwiikati-Ingozi eNgaqikelelweyo

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Uxinzelelo lwegazi lwe-Feline / uxinzelelo lwegazi yingxaki eqhelekileyo. Ngokwesiqhelo, nangona kulula ukufunda iindlela, uxinzelelo lwegazi kwiikati ngelishwa alufane lulinganiswe kakhulu, ludla ngokuba neziphumo ezibulalayo.

Nangona kukho amaphulo amakhulu emfundo kumajelo eendaba, abanini beekati abaninzi abaqondi ukuba iikati zabo zinokuba noxinzelelo lwegazi oluphezulu njengathi bantu. Kwaye njengabantu, esi sifo sikhohlakele, kuba ixesha elide akukho zimpawu zilumkisayo. Iimpawu azikhohlakali kwaye ekuqaleni azicacanga kakhulu, kodwa ukuba ziqatshelwe emva kwexesha, oku kunokukhokelela kumonakalo omkhulu kwimpilo yehlosi lendlu yethu, odla ngokungenakuguqulwa.

Ekuqaleni, iikati ezichaphazelekayo azibonisi utshintsho oluncinci okanye oluncinane kuphela, olufana nokugubha rhoqo, ukutya okungahambi kakuhle, ixesha nexesha lokujonga phambi kwabo, ngamanye amaxesha ukungakhathali, okanye ukuhamba ngokukhawuleza, okungahambi kakuhle, okt utshintsho olungabonwa njengento engavamile. zonke.

Nangona kunjalo, ukuba uxinzelelo lwegazi oluphezulu luhlala lungabonakali, kukho ingozi yomonakalo onobungozi kwizintso, intliziyo, amehlo, kunye nenkqubo ye-nervous eneempawu ezingenakukwazi ukuhoywa, njengomzekelo B. ukulahlekelwa ngokukhawuleza kokubona, ukopha kwiliso , i-cramps, ukukhubazeka kwemilenze ... Ngelishwa, ezininzi iikati zibonakaliswa kuphela ngeli nqanaba, emva kwexesha elide - uxinzelelo lwegazi oluphezulu ngoku luthule kwaye lungabonakali lubangele umonakalo omkhulu kwizitho ezibalulekileyo ezihlala zingenakulungiseka. Yiyo loo nto uxinzelelo lwegazi luhlala lubizwa ngokuba "ngumbulali othuleyo". Okulusizi kukuba, umonakalo onjalo wawunokuphetshwa ngokuthatha nje imilinganiselo yoxinzelelo lwegazi rhoqo.

Sithetha nini ngoxinzelelo lwegazi oluphezulu?

Kuyaziwa ukuba uxinzelelo lwegazi alukho ubuninzi obumiselweyo, luyahluka ukusuka kwikati ukuya kwikati kwaye - kuxhomekeke kwinqanaba loxinzelelo lwangoku - nakwisilwanyana esifanayo. Ke ngoko, ayikuko ukurekhodwa kwamaxabiso asemgangathweni kuphela kwimeko esempilweni yekati nganye kubalulekile, kodwa ngakumbi ukuphatha konke ekusebenzeni.

Ngokuqhelekileyo, sithetha ngoxinzelelo lwegazi oluphezulu njengomlinganiselo ongaphezulu kwe-140-150 mmHg, kodwa iyimfuneko yonyango ukuba ihlala iphezulu kune-160 mmHg. Ukuba uxinzelelo lwegazi luphakama ngaphezu kwe-180 mmHg, uxinzelelo olunzima lukhona, olunemiphumo emibi kwizitho ezibalulekileyo.

Ukuhlelwa koxinzelelo lwegazi kwiikati

Ukwahlula kwenziwa phakathi eziphambili (idiopathic) kunye uxinzelelo lwegazi yesibini :

Idiopathic: Asikho esinye isifo esinokuchongwa njengesizathu soxinzelelo lwegazi.
okwesibini: isifo esisisiseko okanye iyeza elisetyenzisiweyo lithathwa ngokuba yimbangela yoxinzelelo lwegazi.

I-Idiopathic hypertension ayinqabile, ibala i-13-20% yazo zonke iimeko, kwaye uphando oluncinci lwenziwe malunga nokuba yintoni ebangela.

Malunga neepesenti ezingama-80 zamatyala, uxinzelelo lwegazi luyisibini, oku kuthetha ukuba sisiphumo sesinye isifo esisisiseko. Ezona zifo zixhaphakileyo ezinxulumene noxinzelelo lwegazi zi, ngokwehla ngolandelelwano:

ukusilela okungapheliyo kwezintso,
hyperthyroidism,
iswekile yemellitus,
izifo ezinxulumene nobudala ezifana ne-osteoarthritis xa ziphathwa ngamachiza okunyusa uxinzelelo lwegazi njenge-cortisone okanye i-NSAIDs, okanye ngokulula
Iintlungu - kungakhathaliseki ukuba yintoni unobangela (umz. amathumba).

Kwiyeza lezilwanyana, okubizwa ngokuba idyasi emhlophe syndrome (i-white coat hypertension, i-white coat effect) nayo ithathelwa ingqalelo, ebangelwa yimincili kwindawo engaqhelekanga yokwenziwa kunye nokuphathwa kwabasebenzi. Ezi zinto zoxinzelelo zinokukhokelela ekunyukeni komzimba kuxinzelelo lwegazi ukuya ngaphezulu kwe-200 mmHg kwiikati.

Ngeli xesha, i-TFA yeyona nkxaso ibalulekileyo yokuxilongwa ngokuchanekileyo, kuphela ukuba ukuphathwa kwekati-friendly kukwazi kakuhle ukuba imilinganiselo yoxinzelelo lwegazi ibe nentsingiselo.

Iziphumo ze-Pathological ze-hypertension

Uxinzelelo lwegazi lwakhiwe yisenzo sentliziyo ye-contraction (systole) kunye nokuphumla (i-diastole) kunye noxinzelelo kwiinqanawa. Uxinzelelo lwegazi olunempilo lunoxanduva lokusebenza kakuhle kwawo onke amalungu - kuphela ngoxinzelelo lwegazi oluchanekileyo olugqithiswayo, lubonelelwa nge-oksijini kunye nezondlo, kwaye lufumana imiyalelo yomsebenzi ngokusebenzisa izinto zezithunywa ezihlanjwa ngaphakathi nangaphandle, zikhusela ubomi kunye nokuphila ngokupheleleyo ( iimeko eziyingozi). Ukuba siyayikhumbula le nto, kubonakala kungenakuqondwa kuthi namhlanje ukuba ukujonga uxinzelelo lwegazi akuzange kube yinxalenye yokhathalelo oluqhelekileyo lokuthintela.

Ukuba uxinzelelo lwegazi lutshintsha ngokusisigxina, izitho azikwazi ukuzalisekisa imisebenzi yazo ebalulekileyo kwaye kuxhomekeke apho umonakalo uqala ukubonakalisa khona, iimpawu zokungaphumeleli ezihambelanayo zenzeka. Amalungu achaphazeleka kakhulu kutshintsho kuxinzelelo lwegazi zizintso, intliziyo, amehlo kunye nengqondo.

izintso

Oyena nobangela uxhaphakileyo woxinzelelo lwegazi sisifo sezintso ezingapheliyo (CRF). Izintso zidlala indima ekhethekileyo kule ntsebenziswano, njengoko zabelana ngolawulo lwegazi kunye nentliziyo. Kuyingxenye yoxanduva lokuqinisekisa ukuba umthamo wegazi elijikelezayo emzimbeni wanele ukubonelela amalungu. Ukuba uxinzelelo lwegazi lukhuphuka ngokungafaniyo kwixesha elide, izakhiwo zokulawula ezintle ezifana ne-glomeruli yezintso zonakalisiwe kwaye azisayi kuzalisekisa umsebenzi wazo wokuhluza - emva koko sithetha ngokusilela kwezintso. Kwangaxeshanye, ukutshatyalaliswa kwezi yunithi zisebenza kakuhle zezintso zikhokelela ekungaphumelelini komsebenzi wezintso jikelele wokugcina uxinzelelo lwegazi luzinzile.

Oko kukuthi, uxinzelelo lwegazi oluphezulu lukhokelela kwisifo sezintso ezingapheliyo (CKD), kwaye i-CKD yona ikhokelela kuxinzelelo lwegazi oluphezulu.

intliziyo

Ngaphezulu kwe-70% yeekati ezinoxinzelelo lwegazi zihlupheka ngenxa yotshintsho lwesibini entliziyweni. Ngoxinzelelo lwegazi oluqhubekayo, intliziyo kufuneka isebenze ngokuchasene nokunyuka kwe-vascular resistance, ukwenzela ukuba kwiikati ezininzi isihlunu sentliziyo yasekhohlo siyaqina (i-concentric left ventricular hypertrophy), enciphisa umthamo we-ventricular, oku kuthetha ukuba igazi elincinci lingena kwi-ventricle. Nangona kunjalo, ekubeni intliziyo kufuneka ibonelele ngegazi elaneleyo kwinkqubo yokujikeleza kwegazi, izama ukwandisa ukusebenza kwayo. Ibetha ngokukhawuleza kwaye ngokukhawuleza (i-tachycardia) kwaye iphuma kwisigqi ngokunyuka kwamaxesha (i-arrhythmia). Ekuhambeni kwexesha, oku kukhokelela ekuphumeni kwentliziyo okuthe gqolo ukuba buthathaka, ukuya kuthi ga nokuquka ukusilela kwentliziyo ngequbuliso.

hyperthyroidism

Ngaphezulu kwe-20% yeekati ezine-thyroid engasebenzi kakhulu zinengxaki yoxinzelelo lwegazi oluphezulu. I-hormone ye-Thyroid (ikakhulukazi i-T3) ichaphazela amandla enkontileka kwaye yandise izinga lokubetha kwentliziyo (i-inotropic positive kunye ne-chronotropic, kwiikati ze-hyperthyroid sihlala sifumana izinga lentliziyo> 200 mmHg). Ukongezelela, bachaphazela ukunyanzeliswa kweenqanawa kunye ne-viscosity yegazi, ukwenzela ukuba uxinzelelo lwegazi luphakame ngenxa yoko.

isifo seswekile mellitus

Ngokutsho kwezifundo zangoku, ikati nganye yesibini eneswekile yegazi nayo inengxaki yoxinzelelo lwegazi oluphezulu, nangona oku kunyuka kudla ngokumodareyitha. Oku kwahlukile kubantu, apho isifo seswekile singumngcipheko owaziwayo. Ngenxa yokuba iikati ezinesifo seswekile zidla ngokuba ne-CKD, kunzima kakhulu ukuseka ikhonkco elithe ngqo apha, kodwa iikati ezinesifo seswekile kunye noxinzelelo lwegazi zidla ngokuba nomonakalo wamehlo kunezo zingenaxinzelelo lwegazi.

Iimpawu zoxinzelelo lwegazi oluphezulu

Olona phawu luqhelekileyo lokuba kukho iikati ezinoxinzelelo lwegazi oluphezulu kulo mkhuba kukungaboni ngesiquphe. Iliso lichaphazeleka kakhulu kuxinzelelo lwegazi oluphezulu. Uxinzelelo lwe-160 mmHg okanye ngaphezulu lungonakalisa iliso. Sijonga ukopha, ukwanda kwabafundi (mydriasis), okanye ubungakanani obahlukeneyo bomfundi i-anisocoria). Ngasemva kwiliso, sifumana iinqanawa ezixineneyo, i-edema ye-retinal, kunye ne-retinal detachment. Ngethamsanqa, asinguye wonke umonakalo ongenakulungiswa; iliso linokuphila ngokukhawuleza xa kuqalwa unyango lwe-antihypertensive.

Ikati nganye yesibini ibonisa umonakalo kwinkqubo ye-nervous central (encephalopathy) ngenxa yoxinzelelo lwegazi oluphezulu. Ukuba uxinzelelo lwegazi luphezulu ixesha elide, oku kunokukhokelela kwi-edema ye-cerebral okanye i-cerebral hemorrhage kunye neempawu ezihambelanayo ezifana ne-gait engazinzanga (ataxia), ukungcangcazela, ukuxhuzula (isifo sokuwa), ukuhlanza, utshintsho lobuntu (ukurhoxa, ukuba ndlongo), intlungu ( intloko clenching) ukuya kukhokelela ekufeni ngesiquphe.

Kwimeko engxamisekileyo, ikati ingeniswe esibhedlele, uxinzelelo lwegazi lulinganiswa rhoqo kwiiyure ezine kwaye unyango luhlengahlengiswa ngendlela yokuba uxinzelelo lwegazi lwehla ngokwaneleyo.

Umlinganiselo woxinzelelo lwegazi

Umlinganiselo woxinzelelo lwegazi kufuneka udityaniswe kuvavanyo lwesiqhelo lonyaka. Ngokufanelekileyo, umlinganiselo woxinzelelo lwegazi unokuqhutywa ngokulula kwaye ngokukhawuleza yi-TFA ngokuziqhelanisa okuncinci.

Ukulinganiswa koxinzelelo lwegazi lwe-systolic usebenzisa i-Doppler (i-Doppler flowmeter) okanye i-oscillometry (i-HDO = i-High Definition Oscillometry) inokwethenjelwa kwaye iyasebenza. Zombini iindlela zenziwa ngeprobe enokuthi ibekwe emsila okanye kwi-forelimb, kunye ne-forelimb ejonge ukuba ifaneleke kangcono kwindlela ye-Doppler kunye nesiseko somsila wokulinganisa i-HDO.

HDO

Umlinganiselo we-HDO ubonakala uyindlela elula yabaqalayo kuba kufuneka kubekwe icuff kuphela kwaye isixhobo sirekhoda uxinzelelo lwegazi ngokucofa iqhosha sisebenzisa ubuchule obuntsonkothileyo amaxabiso kunye neejika emva koko zivela kwiPC.

isoftware

Ngokuziqhelanisa okuncinci, indlela yeDoppler ilula nje. Ukulinganisa akwenziwanga kusetyenziswa isixhobo sodwa, kodwa ngokuthe ngqo ngumvavanyi ngeprobe kunye ne-headphones. Sisebenzisa indlela yeDoppler kwindlela yethu kwaye saneliseke kakhulu ngayo.

Ukuma kwekati kunye necuff

Njengoko siqhele ukwenza ikati-friendly practice, xa kuziwa ekulinganiseni uxinzelelo lwegazi, silandela iminqweno yekati, kuba nayiphi na imincili inokunyusa uxinzelelo lwegazi (> 200 mmHg).

Uxinzelelo lwegazi kufuneka lulinganiswe kwinqanaba lentliziyo, njengasebantwini. Oku kuhlala kunjalo ngekati elele ngecala, kungakhathaliseki ukuba sibeka i-cuff kwilungu langaphambili okanye umsila. Ayizizo zonke iikati ezithanda ukulala ngecala, kodwa sinokulinganisa uxinzelelo lwegazi lwekati ehleliyo okanye emileyo kumlinganiselo ofanayo.

Indawo esezantsi komsila ikhethwa kakhulu kwiikati ezixhalabileyo kuba asizenzi ngokusondeleyo entloko, kodwa iikati ezinamava zikwathanda ukufikelela ngomlenze wangaphambili kwaye ziwuthathe ngokuzolileyo umlinganiselo. Kufuneka ndilawule imilenze ngocoselelo kakhulu, njengoko iikati ezindala ngakumbi zihlala ziphathwa ziintlungu zamalungu. I-cuff ene-inflatable iqiniswe ngokukhuselekileyo phezu komthambo kunye ne-Velcro fastener, kodwa akufanele ithintele ukuhamba kwegazi phantsi kwayo nayiphi na imeko.

Ngenkqubo yeDoppler, ukuhamba kwegazi = i-pulse ngoku ifunyenwe nge-probe kunye nee-headphones. Oku kufuna unxibelelwano oluhle phakathi kwesikhumba kunye neprobe. Ekubeni iikati zisabela ngokukhawuleza kutywala, siyayiphepha ngokupheleleyo kwaye sisebenzise kuphela i-gel eninzi yoqhagamshelwano - ngoko ngokuqhelekileyo akuyimfuneko ukucheba indawo yokulinganisa, ehlala ingathandwa kakhulu ngabanini beekati.

Izikhokelo ze-IFSM (i-International Society of Feline Medicine) zincoma ngokucacileyo ii-headphones ukwenzela ukuba iikati zingaphazanyiswa yingxolo yesixhobo sokulinganisa. Amava abonise ukuba ukuhamba kwegazi kwe-pulsatile kufumaneka ngokukhawuleza ngokuziqhelanisa okuncinci. Kubalulekile ukubeka i-probe kwisitya ngaphandle koxinzelelo, ngaphandle koko, ukuhamba kwegazi kunyanzeliswa kwaye akusayi kuviwa. Ukuqala, kuyacetyiswa ukuba uziqhelanise nokuthatha imilinganiselo yoxinzelelo lwegazi kwiikati eziphantsi kwe-anesthesia emva kotyando.

Ukunqanda i-White Coat Effect-I-Feline-Friendly Practice

Sicinga ukuba abanikazi beekati bayazi, ngemfundo ngexesha lokutyelela kwangaphambili, indlela yokubeka ikati kwibhasikithi yezothutho efanelekileyo ekhaya ngaphandle koxinzelelo kunye nendlela yokwenza ukuthutha emotweni ibe yinto ekhululekile ngokusemandleni: ngesixhobo esisekelwe kwi-pheromone ngengubo efafaziweyo ukuze iqhube. phezulu ebhasikithini (akukho kati ethanda ukuhamba kumhlaba ongenanto) kunye nengubo yokugquma ibhaskithi ukunika imvakalelo yokhuseleko. Kwaye sikwacinga ukuba ukuziqhelanisa nekati kuxhotyiswe kwaye kucwangcisiwe. Nangona kunjalo, utyelelo lokuziqhelanisa luhlala luyinto enomdla kwi-velvet paws kwaye ke kufuneka senze umzamo ogqithisileyo kwimeko yonyango ukuze singavumeli uxinzelelo luvele. Ngokomzekelo, ubukho bomnini bunokuzola kakhulu kwezinye iikati, kwaye i-TFA enamava, eqeqeshiweyo iqinisekisa ukuba ikati isebenzisana nathi kunye nenqanaba layo, isimilo esithambileyo.

Iikati kufuneka kwakhona zinikwe ixesha elaneleyo lokuziqhelanisa neendawo ezingqongileyo kunye nabo bakhoyo - abanye bathanda ukuhlola indawo, kwaye abanye baqale baqwalasele imeko ukusuka kukhuseleko lwebhasikithi ngaphambi kokuba bathathe isigqibo sokuphuma baze baqhagamshelane nathi.

Ukuba ikati iziswa kwibhokisi yezothutho ezinobungane kunye nenxalenye ephezulu ekhutshwayo, iyakwamkeleka ukuba ihlale kwindawo engezantsi kwaye umlinganiselo wegazi wenziwa ngokukhuselekileyo kumsila.

Kubalulekile ukulungisa ikati kancinci kangangoko. Ukuba ayiphumli, siyayiphazamisa inkqubo yokulinganisa de ikati izolile kwakhona. Ihlala imangalisa indlela iikati zethu eziphendula ngayo kakuhle xa zikhohliswa kunye nokuphulula. Asize sisebenze ngamanyathelo anyanzelisayo! Ukuba ikati ikhululekile kwaye isinika ngokuthembekileyo i-paw yayo, imilinganiselo iyakhawuleza kwaye inentsingiselo.

Ngaphambi komlinganiselo wangempela, i-cuff kufuneka ifakwe umoya kwaye ihlanjululwe amaxesha ambalwa ukuze ikati iqhelane nemvakalelo yoxinzelelo. Umlinganiselo wokuqala udla ngokulahlwa, ngoko ngokufanelekileyo imilinganiselo ye-5-7 ithathwa kwaye irekhodwa. Olu fundo kufuneka lube noluhlu olungaphantsi kwama-20%. Ixabiso eliphakathi, elilixabiso elibophelelayo loxinzelelo lwegazi, libalwa ukusuka kula maxabiso alinganisiweyo. Utshekisho ngalunye olulandelayo maluqhutywe phantsi kweemeko ezifanayo. Ngoko ke, amaxwebhu wendawo yokulinganisa (i-paw okanye umsila) nayo ibaluleke kakhulu, njengoko ibonakaliswe ukuba uxinzelelo oluhlukeneyo lulinganiswa ngokuxhomekeke kwindawo yokulinganisa.

Unyango lwesiqhelo loxinzelelo lwegazi

Njengoko kuchaziwe ekuqaleni, i-hypertension ye-feline idla ngokuba yinto yesibini kwaye isifo esisisiseko (CKD, hyperthyroidism) kufuneka sihlale sichongiwe kwaye siphathwe.

Ukongezelela, nangona kunjalo, unyango lwexinzelelo lwegazi oluphezulu luhlala luyimfuneko ukukhusela umonakalo ongakumbi womzimba kunye nokuphucula impilo yekati. Injongo kukufumana ubuncinane uxinzelelo lwegazi olungaphantsi kwe-160 mmHg kwizigulane zokuqala ze-hypertension. Uphononongo lubonise ukuba uxinzelelo lwegazi olungaphantsi kwe-150 mmHg, owona monakalo ulandelayo welungu ulindeleke. Ngoko ke unyango kufuneka lujoliswe ekufezekiseni nasekugcineni eli xabiso kwixesha elide. Ixabiso kwikati esempilweni liphakathi kwe-120 kunye nobuninzi. 140 mmHg.

Ichiza elikhethiweyo kunyango lwe-hypertension okwangoku i-calcium channel blocker amlodipine (i-besylate evunyiweyo kwiikati. Ngale arhente, ukuncipha kwe-30-70 mmHg kufezekisiwe kwaye kwi-60-100% yeekati kwanele njenge-monotherapy. Akukho zingxaki ukuba uxinzelelo lwegazi lujongwa rhoqo.

Ukuba unyango nge-amlodipine yodwa alukwazi ukuthoba uxinzelelo lwegazi ngokwaneleyo, ngoko ke amanye amayeza - ngokuxhomekeke kwisifo esihambelanayo okanye esisezantsi - kufuneka asetyenziswe (umzekelo, i-ACE inhibitors, i-beta-blockers, i-spironolactone). Ezi zithako ezisebenzayo zidla ngokusetyenziswa ngokudityaniswa ne-amlodipine ngendlela ethobayo de kube kukuqala kwesenzo.

Qaphela!

Xa uxinzelelo lwegazi lusezantsi, umzimba usabela ngokukhawuleza kakhulu. Umzekelo olula kukungabikho okubonakalayo kokusebenza kunye nokudinwa okanye ukuwa. Ukuba uxinzelelo lwegazi luphezulu kakhulu, umzimba uphendula ngokukhawuleza, i. H. ngokufanelekileyo, ibonwa kuphela xa umonakalo ungasayi kuhoywa.

Umlinganiselo woxinzelelo lwegazi yinxalenye yovavanyo lonyaka.
Umlinganiselo woxinzelelo lwegazi ulula kwaye unokwenziwa lula ngumongikazi wezilwanyana.
Uxinzelelo lwegazi luyathinteleka kwaye luyanyangeka lula.
Ikati ye-hypertensive kufuneka ijongwe ngokukhawuleza, nokuba uxinzelelo lwegazi lubuyele kuluhlu oluqhelekileyo emva konyango lweziyobisi.

Umlinganiselo woxinzelelo lwegazi - nini kwaye kangaphi?

Iingcali zincoma ukujonga uxinzelelo lwegazi kwiikati rhoqo kwiinyanga ezilishumi elinesibini ukusuka kwiminyaka eyi-3-6. Oku kwenza kube lula ukurekhoda umntu amaxabiso aqhelekileyo kwaye amele uqeqesho oluhle lwexesha elizayo.
Uhlolo lonyaka lunokwanela kwiikati ezindala ezisempilweni ezineminyaka eyi-7-10.
Kwiikati ezikhulileyo ezingaphezu kweminyaka elishumi, nangona kunjalo, imilinganiselo rhoqo emva kweenyanga ezintandathu ithembekile. Ngokufanayo nabantu, kuye kwaphandwa ukuba uxinzelelo lwegazi lunyuka nge-2 mmHg ngonyaka ngokunyuka kweminyaka. Yiyo loo nto uxinzelelo lwegazi kwiikati ezindala luhlala lukwinqanaba eliphezulu eliqhelekileyo.
Njengoko izilwanyana ngokwasemzimbeni ziguga ngokukhawuleza kunokuba sisenza kwimilinganiselo yexesha elifutshane, izindululo zokuphumla ezimfutshane kwiinyanga ezintandathu phakathi kolawulo nazo ziyaqondakala.
Eyona ngxabano ibaluleke kakhulu yokubeka iliso ngokusondeleyo iikati ezindala kukuba zihlala ziphathwa zizifo ezibangela uxinzelelo lwegazi oluphezulu (ezifana noxinzelelo lwegazi lwesibini ngenxa yokungaphumeleli kwezintso). Iikati ezinale miba yomngcipheko zinokufuna ukujongwa rhoqo emva kweenyanga ezintathu ukunciphisa ukonakala kwamalungu.

Umbuzo obuzwa rhoqo

Yintoni enokuyenza ukuba ikati inoxinzelelo lwegazi oluphezulu?

Ichiza elikhethiweyo lokunciphisa uxinzelelo lwegazi olungapheliyo yi-amlodipine besylate, i-calcium channel blocker ebangela ukuvuleka komthambo we-peripheral. Umthamo wokuqala kufuneka ube ngu-0.125 mg / kg.

Ngaba unokulinganisa uxinzelelo lwegazi kwiikati?

Umlinganiselo weDoppler yeyona ndlela ichanekileyo nesebenzayo yokulinganisa uxinzelelo lwegazi kwiikati. Uxinzelelo lwegazi oluphakamileyo kwiikati lunokubangelwa zizifo ezahlukahlukeneyo. Ezona zinto zixhaphakileyo yihyperthyroidism, hypertrophic cardiomyopathy (HCM), kunye nesifo sezintso.

Kubiza malini ukuthatha uxinzelelo lwegazi lwekati?

Ingaba umlinganiselo woxinzelelo lwegazi ubiza malini? Iindleko zomlinganiselo ococekileyo woxinzelelo lwegazi zi <20 €.

Kwenzeka ntoni ukuba ikati itya ipilisi yoxinzelelo lwegazi?

Ukuba ikati igwinya ngengozi ipilisi, oku kuya kubangela ukuphazamiseka okukhulu kwe-hormonal balance. Iimpawu ezinjengokuhlanza kunye nesifo sohudo nazo ziyenzeka. Oku kukhokelela ekuweni kokujikeleza kwegazi, ukungasebenzi kwesibindi, kunye nomonakalo kwindlela yesisu.

Ndazi njani ukuba ikati yam inesifo seswekile?

Iimpawu eziqhelekileyo kwiikati ezinesifo seswekile zezi: ukwanda konxano (i-polydipsia) ukunyuka kokuchama (i-polyuria) ukwanda kokusetyenziswa kokutya (i-polyphagia).

Ikati kufuneka isele kangakanani ngosuku?

Ikati endala idinga phakathi kwe-50 ml kunye ne-70 ml yolwelo ngekhilogram yobunzima bomzimba yonke imihla. Umzekelo, ukuba ikati yakho inobunzima be-4 kg, kufuneka isele i-200 ml ukuya kwi-280 ml yamanzi ngosuku. Ikati yakho ayiseli yonke imali ngexesha elinye kodwa kwiinxalenye ezininzi ezincinci.

Ikati ichama kangaphi ngemini?

Uninzi lweekati ezikhulileyo zichama kabini ukuya kwamane ngosuku. Ukuba ikati yakho ichama kaninzi okanye ngokuphindaphindiweyo, oku kungabonisa isifo se-urinary tract. Kule meko, kufuneka udibane nogqirha wakho wezilwanyana.

Sibonakala njani isifo se-thyroid kwiikati?

Kwiikati, i-hypofunction ye-thyroid gland ayibonakali ngokungaqhelekanga. Iimpawu zihlala zikhula ngokufihlakeleyo kwaye ziyahluka kakhulu. Ukubetha kukwandisa ukudinwa kunye nokungafuni ukuzilolonga de ube buthuntu kunye nokukhubazeka kwengqondo.