I-Hypertension isalokhu iyisici esiyingozi kakhulu sesifo senhliziyo nemithambo yegazi.Ukungenelela okungezona ezemithi njengokuzivocavoca kusebenza kakhulu ekwehliseni umfutho wegazi.Ukuze kutholakale uhlobo lokuzivocavoca olungcono kakhulu lokunciphisa umfutho wegazi, abacwaningi benza uhlaziyo olukhulu lwe-pair-to-pair kanye nenethiwekhi ye-meta-analysis ye-270 yokuhlola okulawulwa ngokungahleliwe ngenani eliphelele lesampula labantu be-15,827, nobufakazi be-heterogeneity.
Ingozi enkulu ye-hypertension ukuthi izokwandisa kakhulu izingozi zenhliziyo kanye ne-cerebrovascular, ezifana ne-cerebral hemorrhage, i-cerebral infarction, i-myocardial infarction, i-angina pectoris njalonjalo.Lezi zingozi zenhliziyo nemithambo yobuchopho zingukukhubazeka okungazelelwe, noma zinciphise kakhulu amandla angokomzimba, ukufa okunzima, futhi ukwelashwa kunzima kakhulu, kulula ukuphindeka.Ngakho-ke, izingozi zenhliziyo nemithambo yegazi zigxila ekuvimbeleni, futhi umfutho wegazi ophezulu uyisisusa esikhulu sezingozi zenhliziyo nemithambo yegazi.
Nakuba ukuvivinya umzimba kungawehlisi umfutho wegazi, kuwusizo kakhulu ekusimamiseni umfutho wegazi nokubambezela ukukhula komfutho wegazi ophakeme, ngakho kunganciphisa kakhulu amathuba ezingozi zenhliziyo nemithambo yegazi.Kunezifundo ezinkulu zemitholampilo ekhaya naphesheya, futhi imiphumela ayiguquguquki, okungukuthi, ukuzivocavoca okufanele kunganciphisa ingozi yezingozi zenhliziyo nemithambo yegazi ngo-15%.
Abacwaningi bahlonze ubufakazi obusekela kakhulu ukwehla komfutho wegazi (i-systolic ne-diastolic) imiphumela yezinhlobo ezihlukahlukene zokuzivocavoca: ukuzivocavoca kwe-aerobic (-4.5 / -2.5 mm Hg), ukuqeqeshwa kokumelana okunamandla (-4.6 / -3.0 mm Hg), ukuqeqeshwa okuhlangene (ukuqeqeshwa kwe-aerobic ne-dynamic resistance; -6.0/-2.5 mm Hg), ukuqeqeshwa kwesikhashana esiphezulu (-4.1/-2.5 mm Hg), nokuzivocavoca kwe-isometric (-8.2/-4.0 mm Hg).Mayelana nokunciphisa umfutho wegazi we-systolic, ukuzivocavoca kwe-isometric kungcono kakhulu, okulandelwa ukuqeqeshwa okuhlangene, futhi mayelana nokunciphisa umfutho wegazi we-diastolic, ukuqeqeshwa kokumelana yiyona engcono kakhulu.Umfutho wegazi we-Systolic wehle kakhulu kubantu abanomfutho wegazi ophakeme.
Iluphi uhlobo lokuzivocavoca olufanele iziguli ezinomfutho wegazi ophakeme?
Esikhathini sokulawula umfutho wegazi ozinzile, bambelela ekuvivinyeni umzimba okungama-4-7 ngesonto, imizuzu engama-30-60 yokuzivocavoca okuphakathi nendawo isikhathi ngasinye, njengokugijima, ukuhamba ngokushesha, ukugibela ibhayisikili, ukubhukuda, njll., uhlobo lokuzivocavoca lungakwazi ziyahlukahluka kumuntu nomuntu, kuthatha uhlobo lokuzivocavoca kwe-aerobic kanye ne-anaerobic.Ungathatha ukuzivocavoca kwe-aerobic njengokuyinhloko, ukuvivinya umzimba kwe-anaerobic njengesithasiselo.
Ukuqina kokuzivocavoca kudinga ukuhluka kumuntu nomuntu.Indlela yezinga eliphezulu lokushaya kwenhliziyo ivame ukusetshenziselwa ukulinganisa ukushuba kokuzivocavoca.Ukuqina kokuzivocavoca okulinganiselwe (220-age) × 60-70%;Ukuzivocavoca okunamandla okuphezulu (220- ubudala) x 70-85%.Ukuqina okumaphakathi kufanelekile ezigulini ezinomfutho wegazi ophakeme ezinomsebenzi ojwayelekile we-cardiopulmonary.Ababuthaka banganciphisa ngokufanelekile ukuqina kokuzivocavoca.
Isikhathi sokuthumela: Sep-09-2023