Uxinzelelo lwegazi luhlala luyingozi enkulu kwisifo senhliziyo kunye ne-stroke.Ungenelelo olungelulo lwe-pharmacological olufana nokuzivocavoca lusebenza kakhulu ekunciphiseni uxinzelelo lwegazi.Ukumisela i-regimen engcono yokuzivocavoca yokunciphisa uxinzelelo lwegazi, abaphandi baqhube i-pair-to-pair kunye nenethiwekhi ye-meta-analysis ye-270 izilingo ezilawulwa ngokungahleliwe kunye nobukhulu besampulu ye-15,827 yabantu, kunye nobungqina be-heterogeneity.
Umngcipheko omkhulu we-hypertension kukuba uya kwandisa kakhulu iingozi ze-cardiovascular and cerebrovascular, ezifana ne-cerebral hemorrhage, i-cerebral infarction, i-myocardial infarction, i-angina pectoris njalo njalo.Ezi ngozi ze-cardiovascular and cerebrovascular ngequbuliso, ukukhubazeka kancinci okanye ukunciphisa ngokunzulu amandla omzimba, ukufa okunzima, kwaye unyango lunzima kakhulu, kulula ukuphinda lubuyele.Ke ngoko, iingozi zentliziyo kunye ne-cerebrovascular zijolise kuthintelo, kwaye uxinzelelo lwegazi yeyona nto inkuthazo enkulu yeengozi zentliziyo kunye ne-cerebrovascular.
Nangona umthambo unganciphisi uxinzelelo lwegazi, uluncedo kakhulu ekuzinziseni uxinzelelo lwegazi kunye nokulibazisa ukuphuhliswa koxinzelelo lwegazi, ngoko kunokunciphisa kakhulu ukuba nokwenzeka kweengozi ze-cardiovascular and cerebrovascular.Kukho izifundo ezinkulu zeklinikhi ekhaya nakwamanye amazwe, kwaye iziphumo ziyahambelana, oko kukuthi, umthambo ofanelekileyo unokunciphisa umngcipheko weengozi ze-cardiovascular and cerebrovascular nge-15%.
Abaphandi bachonge ubungqina obuxhasa kakhulu uxinzelelo lwegazi (i-systolic kunye ne-diastolic) iziphumo zeentlobo ezahlukeneyo zokuzilolonga: umthambo we-aerobic (-4.5 / -2.5 mm Hg), ukuqeqeshwa kokumelana okuguquguqukayo (-4.6 / -3.0 mm Hg), uqeqesho oludibeneyo (ukuqeqeshwa kwe-aerobic kunye ne-dynamic resistance training; -6.0 / -2.5 mm Hg), uqeqesho lwexesha eliphezulu (-4.1 / -2.5 mm Hg), kunye nokuzivocavoca kwe-isometric (-8.2 / -4.0 mm Hg).Ngokumalunga nokunciphisa uxinzelelo lwegazi lwe-systolic, ukuzivocavoca kwe-isometric yeyona nto ibhetele, ilandelwa nguqeqesho oludibeneyo, kunye nokunciphisa uxinzelelo lwegazi lwe-diastolic, ukuqeqeshwa kokuchasana kuyona nto ibhetele.Uxinzelelo lwegazi lwe-Systolic lwehla kakhulu kubantu abanoxinzelelo lwegazi.
Loluphi uhlobo lomthambo olufanelekileyo kwizigulana ezinoxinzelelo lwegazi?
Ngexesha lokulawula uxinzelelo lwegazi oluzinzileyo, bambelela kwi-4-7 yokuzivocavoca umzimba ngeveki, imizuzu engama-30-60 yokuzivocavoca okuphakathi kwexesha ngalinye, njengokubaleka, ukuhamba ngokukhawuleza, ukukhwela ibhayisekile, ukuqubha, njl. ziyahluka kumntu nomntu, zithatha uhlobo lomthambo we-aerobic kunye ne-anaerobic.Ungathatha umthambo we-aerobic njengowona uphambili, umthambo we-anaerobic njengesongezelelo.
Ubukhulu bomthambo kufuneka buhluke kumntu nomntu.Eyona ndlela iphezulu yokubetha kwentliziyo isoloko isetyenziswa ukuqikelela ubungakanani bomthambo.Ubunzima bokuzivocavoca okuphakathi (220-age) × 60-70%;Umthambo ophezulu kakhulu (220- ubudala) x 70-85%.Ubunzulu obuphakathi bufanelekile kwizigulane ezinomfutho wegazi ophezulu kunye nomsebenzi oqhelekileyo we-cardiopulmonary.Ababuthathaka banokunciphisa ngokufanelekileyo ukuqina komthambo.
Ixesha lokuposa: Sep-09-2023