Uxinzelelo lwegazi: Inkcazo entsha yeNzululwazi yokuVavanywa kwabantu
Umbutho wentliziyo yeAmerican uqinisekisa ukuba uxinzelelo lwegazi lubalulekile ukuze uqonde ukuba isigulana sinengxaki yoxinzelelo lwegazi kunye nokuvavanya inqanaba lesifo sentliziyo kunye nokubetha.
I-DALLAS, Matshi 4, 2019 - Ukulinganisa okuchanekileyo ifuthe legazi kubalulekile ukuba ukuxilongwa kunye nolawulo xi nzelelo, ingozi enkulu isifo senhliziyo kunye nesifo, ngokuhambelana nokuhlaziywa American Heart Association ingxelo yesayensi malunga nomlinganiselo woxinzelelo ebantwini, epapashwe kwijenali yeAmerican Heart Association.
Ingxelo, ehlaziya ingxelo yangaphambili ngesihloko esashicilelwe kwi-2005, inikeza uluhlu oluthile lwezinto ezikhoyo ngoku uxinzelelo lwegazi kwaye ixhasa iingcebiso kwi-2017 Ikholeji yaseMelika yeCardiology / i-American Heart Association Umhlahlandlela woKhusela, ukuThengwa, ukuVavanywa nokuLawula ukuPhepha kweGesi ephezulu
Indlela ye-auscultatory-apho umnikezeli wokhathalelo lwempilo esebenzisa i-cuff, uxinzelelo lwe-stethoscope kunye ne-mercury sphygmomanometer (isixhobo esilinganisa uxinzelelo) -iyinto esemgangathweni yegolide kwi-ofisi yovavanyo lwegazi kangangeshumi leminyaka. I-mercury sphygmomanometer inoyilo olulula kwaye ayihambelani nokuhluka okukhulu kwimodeli eyenziwe ngabenzi abahlukeneyo. Nangona kunjalo, izixhobo ze-mercury azisasebenzi ngenxa yokuxhalaba kwendalo malunga ne-mercury.
Izixhobo ezininzi ze-oscillometric, ezisebenzisa izixhobo zokusebenzisa uxinzelelo lwe-elektroniki ngaphakathi kwecuffo yegazi, ziye zaqinisekiswa (zitshekishwe ukuchaneka) ezivumela imilinganiselo echanekileyo kwi-ofisi yezokhathalelo lwempilo ngelixa kuncitshiswa iimpazamo zabantu ezinxulumene nendlela yobuchule, "utshilo uPaul Muntner, Ph.D., isitulo Iqela elibhalayo kwinkcazo yesayensi.
"Ukongezelela, ii-oscillometric ezitsha ezizenzekelayo zingakwazi ukufumana imilinganiselo emininzi ngokuchithwa kweqhosha elilodwa, elingahlawuliswa ukuba liqikelele ukuqikelela ukuxinzelelo lwegazi," watsho uMnner, onguprofesa kwiYunivesithi yaseAlabama eBirmingham.
Isiteyitimenti sikwashwankathela ulwazi lwangoku malunga nokujonga uxinzelelo lwe-ambulensi, eyenziwa xa isigulana sinxiba isixhobo esimlinganisa imini yonke ukuze sichonge uxinzelelo lwegazi elimhlophe kunye noxinzelelo lwegazi olugobileyo.
Idatha ebalulekileyo ipapashwe ukusukela kwiNkcazo yeSayensi yokugqibela ngo-2005 ibonakalisa ukubaluleka kokulinganisa uxinzelelo lwegazi ngaphandle kwenkqubo yeklinikhi. I-Whitecoat yoxinzelelo lwegazi, xa uxinzelelo lwegazi luphakanyiswa kulungiselelo lweofisi yezempilo kodwa ngamanye amaxesha kwaye uxinekile uxinzelelo lwegazi apho uxinzelelo luqhelekile kulungiselelo lweofisi yezempilo kodwa lukhuliswa ngamanye amaxesha.
Njengoko kucacisiwe kwiScientific Statement, izigulane ezineengubo ezimhlophe zengcinezelo zingenakho ukwanda komngcipheko wesifo senhliziyo kwaye zingenakunceda ekuqaliseni amayeza anesifo samanzi. Ngokwahlukileyo, izigulane ezinexinzelelo lwengcinezelo zinomngcipheko omkhulu wezifo zengqondo.
Isikhokelo soxinzelelo lwe-2017 sikhuthaza ukuqhuba ukunyanzeliswa kwengcinezelo yegazi kwi-screen ye-white coat hypertension kunye negazi eliphezulu.
Umbutho waseAmerican Intliziyo uyaqhubeka ukucebisa abaguli ukuba balinganise uxinzelelo lwegazi lwabo ekhaya besebenzisa isixhobo esine-cuff engalweni ethe yaphononongwa ukuba ichanekile na umboneleli wezempilo.
Ababhali be Co-coyi nguDaichi Shimbo, MD, i-Vice-Chair; URobert M. Carey, MD; UJeanne B. Charleston, Ph.D .; UTrudy Gaillard, Ph.D; Sanjay Misra, MD; UMartin G. Myers, MD; Gbenga Ogedegbe, MD; UJoseph E. Schwartz, Ph.D .; URaymond R. Townsend, MD; Elaine M. Urbina, MD, MS; U-Anthony J. Viera, MD, MPH; UWilliam B. White, MD; kunye noJackson T. Wright, Jr, MD, Ph.D.
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Mayelana ne-American Heart Association
I-American Heart Association iyinkokheli ehlabathini elide, ubomi obuphilileyo. Ngama-phantse eminyaka yomsebenzi osindisa ubomi, umbutho wase-Dallas-based uzinikele ekuqinisekiseni impilo elinganayo kubo bonke. Singumthombo othembekileyo ukunika abantu amandla okuphucula impilo yabo, impilo yengqondo kunye nentlalo-ntle. Sisebenzisana nemibutho emininzi kunye nezigidi zamavolontiya ukuxhasa uphando olutsha, ukukhuthaza imigaqo-nkqubo yempilo enamandla, kunye nokwabelana ngezinto ezisindisa ubomi kunye nolwazi.