Ukucindezelwa Kwegazi: Isitatimende Esisha Sosayensi Sokuhlola Kwabantu
I-American Heart Association iyagcizelela ukuthi umfutho wegazi ubalulekile ukuze uqonde uma isiguli sinesifo somfutho wegazi ophakeme futhi sihlole izinga lesifo senhliziyo kanye nesifo sohlangothi.
DALLAS, March 4, 2019 - Ukulinganisa okunembile kwe ukushaya kwegazi kubalulekile ku ukuxilongwa kanye nokuphathwa kwe nomfutho wegazi ophezulu, isici esiyinhloko engozini isifo senhliziyo nesifo sohlangothi, ngokusho okubuyekeziwe American Heart Association Isitatimende sesayensi sokulinganiswa kwengcindezi kubantu, eshicilelwe kumagazini i-American Heart Association Hypertension.
Isitatimende, esivuselela isitatimende sangaphambilini esihlokweni eshicilelwe ku-2005, sinikeza ukubuka konke okwamanje okwaziwa ngakho umfutho wegazi futhi isekela izincomo ku-2017 I-American College of Cardiology / American Heart Association Isiqondiso se-Prevention, Detection, Assessment and Management of High Blood Pressure
Indlela ye-auscultatory - lapho umhlinzeki wezokunakekelwa kwempilo esebenzisa i-cuff yegazi, i-stethoscope kanye ne-zebusphygmomanometer (idivaysi ekala umfutho wengcindezi) - bekulokhu kuyindinganiso yegolide yokulinganiselwa kwengcindezi kwegazi kwehhovisi amashumishumi eminyaka. I-mercury sphygmomanometer inomklamo olula futhi ayibhekelwa ekushintsheni okukhulu kuwo wonke amamodeli enziwe ngabakhiqizi abahlukile. Kodwa-ke, amadivaysi e-mercury awasasetshenziswa ngenxa yezinkinga zemvelo nge-zebus.
"Amadivaysi amaningi we-oscillometric, asebenzisa inzwa yokucindezela kwe-elektroniki ngaphakathi kwe-cuff yomfutho wegazi, aseqinisekisiwe (ahlolwe ukuthi anembile yini) evumela ukuthi kube nezilinganiso ezifanele ezilungiselelweni zehhovisi lezokunakekelwa kwempilo ngenkathi kuncishiswa amaphutha abantu ahambisana ne-auscultatory ndlela," kusho uPaul Muntner, Ph.D., inyama seqembu elibhala isitatimende sesayensi.
"Ngaphezu kwalokho, amadivaysi oscillométri amasha angazitholela izilinganiso eziningi nge-push eyodwa ye-inkinobho, okungahle kulinganiselwe ukulinganisa kangcono ukucindezelwa kwegazi," kusho uMninner, onguprofesa e-University of Alabama eBirmingham.
Lesi sitatimende sibuye sifingqa ulwazi lwamanje ngokuqapha kwengcindezi ye-ambulati, okwenziwa lapho isiguli sigqoka umucu olilinganisa usuku lonke ukukhomba umfutho wejazi elimhlophe kanye nomfutho wegazi ophakeme.
Imininingwane esemqoka ishicilelwe kusukela isitatimende sokugcina sesayensi ngonyaka we-2005 sikhombisa ukubaluleka kokulinganisa umfutho wegazi ngaphandle kokulungiswa komtholampilo. I-Whitecoat hypertension, lapho umfutho wegazi uphakanyiswa ekuhlelweni kwehhovisi lezokunakekelwa kwezempilo kepha kungenzeki kwezinye izikhathi futhi kufakwe umfutho wegazi ophakeme lapho ingcindezi ijwayelekile ekuhlelweni kwehhovisi lezokunakekelwa kwempilo kodwa ikhuliswe ngezinye izikhathi.
Njengoba kucacisiwe eSitatimendeni Sosayensi, iziguli ezinegazi eliphakeme ezimhlophe zingase zingabi nengozi yokwelashwa kwesifo senhliziyo futhi zingase zingazuzi ekuqaliseni imishanguzo ye-antihypertensive. Ngokuphambene nalokho, iziguli ezinegazi lomfutho zinomsindo omkhulu wezifo zenhliziyo.
Isiqondiso se-2017 somfutho wegazi ophezulu sincoma futhi ukuqhuba ukuqapha kwengcindezi yengcindezi yegazi kulesi sikrini sokugonywa kwegazi elimhlophe nokugcizelela umfutho wegazi ophezulu emzimbeni.
I-American Heart Association iyaqhubeka nokuncoma ukuthi iziguli zilinganise umfutho wegazi wazo ekhaya zisebenzisa idivaysi ene-cuff arm engaphezulu ehlolwe ukuthi ihlonza umhlinzeki wezempilo yini.
Abalobi be-co-operatives nguDaichi Shimbo, MD, i-Vice-Chair; URobert M. Carey, MD; UJeanne B. Charleston, Ph.D .; U-Trudy Gaillard, i-Ph.D .; I-Sanjay Misra, MD; UMartin G. Myers, MD; I-Gbenga Ogedegbe, MD; UJoseph E. Schwartz, Ph.D .; URaymond R. Townsend, MD; Elaine M. Urbina, MD, MS; U-Anthony J. Viera, MD, i-MPH; UWilliam B. White, MD; noJackson T. Wright, Jr, MD, Ph.D.
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Mayelana ne-American Heart Association
I-American Heart Association iyinhlangano ehola izwe elinempilo ende, enempilo. Njengoba sekuyiminyaka engaba ngu-100 yomsebenzi osindisa ukuphila, inhlangano yase Dallas inikezelwe ekuqinisekiseni impilo elinganayo kubo bonke. Singumthombo othembekile wokunika abantu amandla okuthuthukisa impilo yabo yezempilo, impilo yengqondo kanye nenhlalakahle. Sisebenzisana nezinhlangano eziningi nezigidi zezisebenzi zokuzithandela ukuxhasa ucwaningo olusha, ukugqugquzela izinqubomgomo zempilo yomphakathi ezinamandla, futhi wabelane ngezinsiza zokulondoloza nokulondoloza ulwazi.