Uxinzelelo lwengqondo lubonakaliswe ukwanda kwexinzelelo lwegazi ngokungabikho kwezifo zangaphakathi. Uphuhliso lwayo lufaka isandla ekuvelweni kwe-atherosclerosis kwaye kubangela iingxaki zezifo ezinzulu. Iimpawu zengcinezelo yokhuseleko lwexesha elide zihlala zingabonakali. Emva koko, uxinzelelo luyahlukahluka kuxhomekeke kwimisebenzi yomzimba, imozulu kunye nomoya. Ngoko ke, abantu abangaphezu kweminyaka engamashumi amane kufuneka bahlole rhoqo uxinzelelo.
Amagatya okuphuhliswa kwegazi
Makhe siqwalasele ngokubanzi iinkcukacha malunga nokuba isifo sifana njani. Ngokuqhelekileyo, oogqirha bahlula ama-degree e-hypertension amathathu.
Isigaba sokuqala
Esi sifo sibonakala ngokunyuka kwengcinezelo: i-systolic - 160-180, kunye ne-diastolic inokufikelela kuma-105. Impawu zokuqala zengxinzelelo yokhuseleko:
- ukukhawuleza ngokukhawuleza koxinzelelo oluphezulu ngexesha lokuphumla;
- intloko;
- ukungonakali kokusebenza kwengqondo;
- Kwiimeko ezinqabileyo, utywala lwenzeka;
- ingxolo entloko.
Kule nqanaba, i-ECG ayibonakali nantoni na engafanelekiyo, umsebenzi wezintso awuphuli, i-fundus ayinakuphi na utshintsho.
Isigaba sesibini
Umgangatho wescinezelo se-systolic ungaphakathi kwe-180-200, uxinzelelo lwe-diastolic lufikelela kwi-114. Ngelo xesha, kukho impawu ecacileyo yesifo somfutho wegazi:
- ekhanda rhoqo;
- ukuqala kwe-edema;
- ntliziyo;
- ubuthathaka kwimisipha;
- isicaphulelo.
Ngexesha lophando utshintsho olulandelayo lubonakalisiweyo:
- I-ECG ibonisa ukuphuhliswa kwe-ischemia engezantsi;
- izibilini zesibindi ;
- Uviwo lwe-fundus lubonisa ukwandiswa kweemvini, ubukho be-exudates;
- ukuphazamiseka kokuhamba kwegazi.
Kwinqanaba lesithathu
Iimpawu zengcinezelo yecandelo lesithathu zibandakanya uxinzelelo olusisigxina, apho i-diastolic ivela kwi-115 ukuya kwe-129, kwaye i-systolic ifinyelela kuma-230. Utshintsho olubonwe kwisifo ukusuka kwicala lezitho ezahlukeneyo:
- Ukungaphumeleli kwentliziyo - ukungaphumeleli kwentliziyo , ukwanda komngcipheko weentliziyo;
- izintso - ukunciphisa i-glomerular filtration yezintso, ukunyuka kwegazi layo;
- iliso - livelisa i-angioretinopathy (umonakalo kwi-retina yamehlo), ukunciphisa ubuninzi obubonakalayo;
- ingqondo - ukuphulwa kwesakhiwo senkqubo yesantya ephakathi, ukwakheka kwe-hematomas ye-intracerebral, ukuphuhliswa kwe-encephalopathy.
Kule meko, ukuphulwa kwemisebenzi yeenxalenye kwandisa inkqubela yexinzelelo lwentliziyo kwaye kukhokelela kwiingxaki zokubonakalisa. Ngaloo ndlela, umonakalo wembutho udala umjikelezo wezilwanyana apho iingxaki zikhokelela ekubonakaleni kwempawu ezintsha.