Emzimbeni womuntu, igazi lijikeleza embuthanweni - kusuka enhliziyweni kuya ezithombeni zangaphakathi nangemuva. Ukuguqula ingcindezi eyenziwa yi-fluid yezinto eziphilayo ezindongeni zemishini yokugeleza okuqondile. Ezinganeni ziphansi kunabantu abadala. Lokhu kungenxa ye-lumen ebanzi nokuqina kwezindonga zemithambo yegazi, inethiwekhi enkulu ye-capillary.
Ukulinganisa ukucindezelwa kwegazi ezinganeni
Ukunquma isibonakaliso esibucayi kubalulekile esimweni sokuzola, ingane akufanele ibe nokwesaba. Ukuthi wayengesabi, ungethula inqubo njengomdlalo. Ukucindezela komzimba kubantwana kulinganiswa ngokusebenzisa i-tonometer ejwayelekile noma yekhompiyutha ngokwemithetho elandelayo:
- Isikhathi esihle kakhulu ekuseni, kungakapheli imizuzu eyi-10 ngaphambi kokuba ingane iphumule.
- Uma i-crumb ifuna ukudla kwasekuseni, kungcono ukuhlehlisa kabusha inqubo, bese uyikhipha ihora ngemva kokudla.
- Ukukala ukucindezelwa kwegazi ezinganeni, kufanele usebenzise amakhekhe akhethekile. Ububanzi obuphakanyisiwe buxhomeke eminyakeni yobudala. Izinsana - 3 cm, izingane ezineminyaka eyodwa ubudala - 5 cm, izingane zasenkulisa - 8 cm.
- Umngcele ophansi we-cuff yi-1.5-3 cm ngaphezulu kwe-ulnar fossa.
- Izingane ezineminyaka engama-1.5-2 ubudala zeluleka ukuba zishintshe ingcindezi endaweni ephezulu. Uma umntwana esekhulile, ungamcela ukuba ahlale ethule.
- Esikhathini esiphakathi kwekhafu nesandla, umunwe womuntu omdala kufanele uvumelane ngokukhululekile.
- Ihlangothini lesigqoko kufanele lihlelwe kancane, ngakho-ke phakathi kwehlombe kutholakala ezingeni lenhliziyo.
- I-phonendoscope ifakwe ngaphansi komngcele ophansi we-cuff. I-membrane yayo kufanele ibe ngaphezu kwe-ulnar fossa.
- Kubalulekile ukufaka umoya emoyeni kuya ezingeni lika 60-90 mm Hg. kuze kuvele umsindo we-pulsation.
- Emva kokupompa, i-valve ye-peyari kufanele ibuthakathaka kancane. Umoya kufanele uvele kancane kancane.
- Ukuvela kwezintambo zokuqala ezizwakalayo kubonisa izinga eliphezulu lokucindezela komzimba, kanye namathoni wokugcina we-pulse - emngceleni ophansi.
- Isilinganiso esiphindwe senziwa ngemva kwemizuzu engu-10-15.
- Chaza inkomba echazweyo inconywa izinsuku ezimbalwa ngokulandelana, ukukhetha amanani aphansi kakhulu njengokugcina.
- Ukuze uqhathanise, udinga ukwazi ukucindezelwa kwegazi evamile ezinganeni - ithebula lonyaka liqukethe idatha ejwayelekile, ngakho ukuphambuka kungaphakathi kuka-10 mm Hg. Art. kuthathwa njengamukelekile.
- Uma ungeke ulinganise ngokuzimela nge tonometer yemishini, kungcono ukuthenga idivayisi ye-elekthronikhi noma uxhumane nesikhungo sezempilo.
Ukucindezela komuthi kuyinto evamile kubantwana abaneminyaka
Ukukhula okusheshayo kwesibonakaliso kubonakala ngonyaka wokuqala wokuphila kwengane. Ekuqaleni isisindo sokucindezela komzimba kubantwana kufana nalabo bobulili bobabili. Ngemuva kweminyaka emi-5 kuya kweyisishiyagalolunye, ipharamitha liphakeme kangcono kubafana, emva kwalokho liphinde lenziwe. Njengoba uneminyaka yobudala, ingcindezi yegazi yezingane ikhula njalo. Lokhu kungenxa yokunciphisa ukukhanya kwezimpahla kanye nokunciphisa ukuqina kwezindonga zabo.
Ukucindezelwa kwe-Diastolic kuyinto evamile ngokudala
Inani elichazwe libizwa nangokuthi inani eliphansi noma eliphansi. Iwuphawu lokumelana nemikhumbi yangaphandle futhi ibonisa ukuphakama kwengcindezi yegazi ngesikhathi sokuphumula kwesisu senhliziyo. Ukucindezeleka kwegazi evamile ezinganeni kuyiparamitha ngayinye, kodwa kulokho kunezilinganiso. Baxhomeke eneminyaka yengane nengcindezi yegazi ngesikhathi sokuqedwa kwenhliziyo (systole). Uhlelo olukhethekile luye lwasungulwa ukubala ukucindezeleka kwegazi lwe-diastolic ezinganeni - ithebula lonyaka lihlanganiswa ngesisekelo samafomula alandelayo:
- kuze kube yizinyanga ezingu-12 - 2 / 3-1 / 2 kwesisindo esiphakeme se-systolic;
- emva konyaka - 60 + inani leminyaka egcwele.
Ukucindezela kwe-systolic - evamile
Leli pharamitha libonisa amandla okugeleza kwegazi ngesikhathi sokucindezeleka kwenhliziyo yesisu nokuxoshwa kwamanzi kagesi ezizeni. Inani lehlobo luni lomfutho wegazi ezinganeni lixhomeke eminyakeni yobudala kanye nomthethosisekelo womzimba. Ngaphezu kwalesi sibonakaliso sithinta isimo sangokomzimba nesokomzwelo wengane, ukudla, izifo zokuzalwa kanye nesikhathi sosuku. Umfutho we-systolic isilinganiso ezinganeni ubalwa ngokusebenzisa amafomula alandelayo:
- izingane - 76 + kabili inani lezinyanga zokuphila;
- emva konyaka - iminyaka engu-90, yanda ngo-2.
Izindlela zokucindezela komzimba ezinganeni - ithebula
Ukuze ungachithi isikhathi ngokubala njalo futhi ungadideki emifanekisweni etholakele, kungcono ukusebenzisa amanani ajwayelekile avunyelwe. Indlela elula yokuqhathanisa ukucindezeleka kwegazi kanye nejwayelekile ezinganeni kuyithebula. Ibonisa imingcele encane futhi esiphezulu yepharamitha elicatshangwayo kusuka eminyakeni engu-0 kuya kweyi-15. Azikho izizathu zokuhlukumezeka, uma ngaphakathi kwabo ukucindezelwa kwegazi ezinganeni kutholakala - ithebula ngaminyaka linikezwe ngezansi. Kuyinto efiselekayo ukuyigcina noma ukuyiprinta.
Umfutho wegazi ophansi emntwaneni
Isimo esichazwe kuthiwa yi-hypotension noma hypotension. Ezimweni eziningi, ukucindezelwa kwegazi okuphansi ezinganeni kwenzeka kaningi ngaphansi kwethonya lezici zangaphandle futhi kuzinzile ngokuzimela. Inkinga i-hypotension ezinzile, okuvimbela ukuhlinzwa okuvamile kwesimiso se-nervous and endocrine, sidlula izinga lokuphila kwengane.
Umfutho wegazi ophansi ezinganeni kubangela
I-short-term hypotension iyenzeka ezinganeni ezinempilo ngokuphelele. Umfutho wegazi ophansi ezinganeni ezingaphansi konyaka owodwa ungase ube nezizathu ezilandelayo:
- isikhathi sangaphambi kwesikhathi;
- ukushisa kwekamelo eliphezulu kakhulu;
- ukondla kwamuva;
- ukukhathala.
Kubalulekile ukunaka ezinye izici ezithonya ukucindezeleka kwegazi ezinganeni - ithebula lonyaka alizicabangi isimo somzimba wengane, indlela yakhe yokuphila kanye nesimo sakhe sezwe. Ukucindezelwa kwegazi emantwaneni ephilile kungaphansi kwezinkambiso ezamukelekayo. Noma kunjalo i-hypotonia iyabonakala lapho ivumelanisa nenye entsha, ikakhulukazi ephezulu noma elishisayo, isimo sezulu, ehlala ezindaweni ezinomfutho ophansi womoya. Ukuzivocavoca ngokwemvelo kuvame ukutholakala kubadlali bezingane ngemuva kokuqeqeshwa okujulile.
Ukunciphisa ukucindezeleka kwempilo kwenzeka ngenxa yezizathu ezilandelayo:
- ukuhamba okuphansi;
- intrauterine pathologies;
- izifo eziphefumula njalo;
- ukucindezeleka kwengqondo;
- i-chronic foci of inflammation;
- Imodi engalungile yosuku;
- ukulayisha ngokweqile;
- ukufeza;
- isifo se-thyroid;
- isifo sikashukela mellitus ;
- i-anemia;
- ukungabi namavithamini;
- ukuhluleka kwenhliziyo;
- ukuphazamiseka kwengqondo;
- ukusabela okweqile;
- i-myocarditis nabanye.
Izimpawu, izimpawu zomfutho wegazi ophansi
Isithombe sesitholampilo sifana nesikhathi sezingane. Kunzima ukubona ukubonakaliswa kokuqala kwe-hypotension ezinganeni. Umfutho wegazi ophansi enganeni engaphansi konyaka owodwa unezimpawu ezilandelayo:
- ukudabuka;
- izinyawo ezinomsoco nezinobandayo, izintende;
- ukukhathala okusheshayo;
- ukulala;
- ukufisa ukudla.
Izimpawu zokungaboni kahle ekukhuliseni izingane:
- ukushintsha kwemizwa njalo;
- isiyezi;
- ubuthakathaka emzimbeni;
- ukunganakwa;
- ukufutheka;
- ukuthuthumela ;
- ukubomvu okusheshayo nokuhlunga isikhumba;
- ikhanda;
- ukuzwa kokugubha enhliziyweni;
- umsindo ezindlebeni;
- ukukhubazeka okubukwayo;
- ukuphelelwa amandla .
Ingane ine-low blood pressure - yini okufanele ngiyenze?
Ukunciphisa ngokushesha izimpawu ze-hypotension kuzokusiza ucezu lweshokoledi yemvelo kanye netiye elimnyama noshukela. Kukhona nemithi yokwelapha enganciphisa kancane kancane ukucindezeleka kwegazi ezinganeni - ukwelashwa ngezimali ezisekelwe ku-Eleutherococcus, i-Ginseng ne-Chinese magnolia imvini eside, kodwa isebenza kahle. Ezinye izingane zidinga imithi enamandla kakhulu ethuthukisa ukujikeleza kwegazi. Zibekwa udokotela kuphela, ngakho-ke ngokuzimela okuqinile kubalulekile ukukhombisa ingane kumchwepheshe.
Ekhaya, futhi, ukulungiswa kancane kwe-pressure ephansi yegazi - okumele ukwenze ekhaya:
- Siza ingane ukuba ihlakulele futhi igcine umbuso omuhle wosuku.
- Ukulinganisela ukudla, ucebise imenyu ngamavithamini namaminerali.
- Ukuqeda ukucindezeleka, ngokweqile ngokomzimba nangokomzwelo.
- Nciphisa isikhathi esichitha phambi kwe-TV kanye nekhompyutha, ikakhulukazi ngesikhathi sokulala.
- Ukufundisa ingane ukuphambene nomphefumulo .
- Gwema ukungqubuzana emndenini.
- Ukunikeza isikhathi sokusebenza ngokomzimba. Ukubhukuda okuwusizo, ukudansa, ukugibela amahhashi.
Ingcindezi eyengeziwe ezinganeni
Ukucindezela ngokweqile noma ukucindezeleka ngokweqile kuvamile ekukhuleni. Ukunyuka kwengcindezi ephakeme yengane enganeni engaphansi kweminyaka engu-12 kuyinto engavamile futhi ibonisa ukwephulwa okukhulu emzimbeni. Uma njalo uhlakulela izibonakaliso zomshuwalense, kufanele uthathe ngokushesha ingane yakho kudokotela. Ngaphandle kokwelapha okwanele, lokhu kuhlasela kubangela izinkinga eziyingozi.
Ukuphakama kwengcindezi yegazi - kubangela
Isici esiyinhloko esibangela lokhu kwenzeka ukulungiswa kwe-hormone. Esikhathini sokusakaza , ukuhlushwa kwe-adrenaline ne-aldosterone kwanda, okubangela ukucindezeleka kwegazi ezinganeni ezinganeni - itafula ngokweminyaka libonisa ngokucacile le nqubo. Kusukela eminyakeni engu-12 kuya kweyi-15 isibonakaliso esibhekene naso sikhulu kunamaqembu amancane. Enye imbangela yokuphila yomshuwalense omkhulu ishintsho ohlelweni lokujikeleza. Njengoba ingane ikhula, ingcindezi yegazi iyanda ngenxa yokwehliswa kwe-lumen yezimpahla nobubanzi be-network capillary.
Izifo ezithathelwanayo zengozi ye-hypertension ezinganeni:
- isifo sezinso;
- ukuphazamiseka kwe-endocrine;
- inhlamba;
- umonakalo ebuchosheni;
- ukuphazamiseka kwethoni ye-vascular;
- isifo senhliziyo.
Ukuphakama kwengcindezi yegazi - izimpawu
Isithombe somtholampilo somfutho wegazi ophezulu ezinganeni kuxhomeke ekubambeni kwawo kanye nezimbangela. Ukuphakama kwengcindezi yegazi emntwaneni - izimpawu:
- ubuhlungu enhliziyweni, ikhanda;
- ukucasula;
- ukukhathala;
- ukushayela njalo;
- ukuphefumula;
- ukubambezeleka ekuthuthukiseni ngokomzimba;
- ukukhuphuka okukhulu;
- isiyezi;
- ukuwohloka kombono;
- ukoma;
- izinkinga zesitoreji;
- ukuvuthwa njalo, ikakhulukazi ebusuku;
- ukulala okuncane;
- indlala enkulu ngaphandle kokuthola isisindo;
- ukuthuthumela;
- ukuthuthumela kwezandla;
- i-acne;
- isicasuli;
- ukwanda kwezinwele emzimbeni nakwabanye.
Kuthiwani uma nginegazi eliphezulu?
Lapho umfutho wegazi wangempela ezinganeni uhlale uphakeme kunezibalo eziboniswe etafuleni, kufanele uthintane nodokotela. Abazali abakwazi ukukhetha, kunokuba banciphise ukucindezela kwengane. Ngisho nokusetshenziswa kwezidakamizwa ezishintsha imithi (i-tincture ye-valerian, i-mint, i-motherwort) kufanele kuvunyelwane nomchwepheshe. Izidakamizwa ezinamandla (uNifedipine, Andipal) zibekwe udokotela kuphela emva kokuhlolwa okuphelele. Ukwelashwa okuzimele kunqunyelwe ezinyathelweni ezijwayelekile zokuqiniswa komfutho wegazi:
- ukudla okuphezulu;
- ukunamathela emisebenzini yansuku zonke;
- ukulala okunempilo;
- ukukhishwa ngokweqile ngokomzimba nangokwengqondo;
- umsebenzi wokulinganisela;
- isimo esihle emndenini.