Ingcindezi yegazi iyithuluzi lokuxilonga elivumela ukuqapha okuqondile, njengengxenye yempilo ejwayelekile, yengcindezi yegazi ngokuthatha izilinganiso eziningana ngaphezulu kwamahora angama-24. Kuphelele kakhulu kunokuhlolwa okulula komfutho wegazi, lokhu kuhlolwa, ebekwe ngudokotela wenhliziyo noma udokotela oya khona, kuhloselwe ukulawula ukwehluka kwayo (hypo noma umfutho wegazi ophezulu). Ingasetshenziswa futhi ukuhlola ukusebenza kahle kokwelashwa komfutho wegazi ophakeme. Kulesi sihloko, thola zonke izimpendulo zemibuzo yakho ngendima nokusebenza kwe-holter yomfutho wegazi, kanye nezeluleko ezisebenzayo zokwazi ukuthi uzisebenzisa nini ekhaya.

I-blood pressure holter iyithuluzi lokuqopha, eliqukethe ikesi elihlanganisiwe, eligqokwa ngaphezu kwehlombe, futhi elixhunywe ngocingo ku-cuff. Lokhu kunikezwa nge-software yokwethula imiphumela.

Kubhalwe ngudokotela wenhliziyo noma udokotela oya khona, i-holter yomfutho wegazi ivumela ukulinganiswa kwe-blood pressure, okubizwa nangokuthi i-ABPM, njalo ngemizuzu engama-20 kuye kwengama-45, isikhathi eside, imvamisa amahora angama-24.

Ukuhlola nge-blood pressure holter kuyasiza kubantu abane-blood pressure eguquguqukayo. Kulesi simo, udokotela angabona ikakhulukazi:

• a umfutho wegazi ophakeme, kungenjalo ungatholakali, kanye nophawu lomfutho wegazi ophezulu ;
• iziqephu ezingaba yingozi ye-hypotension ezigulini ezelashwa ngemithi eqeda umfutho wegazi ophakeme.

Akunabuhlungu ngokuphelele, ukufakwa kwe-holter yegazi kwenziwa ngemizuzu embalwa futhi akudingi ukulungiswa kwangaphambi kwesikhathi. Isigaxa sengcindezi esifuthwayo sibekwa engalweni engasebenzi kangako, okungukuthi ingalo yesobunxele yabantu abanesandla sokudla nengalo yangakwesokudla yabantu abangamanxele. Isikhwama bese sixhunyaniswa nedivayisi yokuqopha ezenzakalelayo ehlelwayo, ezoqopha ngokuzenzekelayo futhi igcine yonke imininingwane ephathelene nezilinganiso zengcindezi yegazi ezithathwe emini. Uma kwenzeka kukalwa okungalungile, idivayisi ingadala ukukala okuzenzakalelayo kwesibili okuvumela ukuthi kutholakale imiphumela engcono. Imiphumela ayiboniswa kepha igcinwe esimweni, imvamisa inamathiselwa ebhande. Kungakuhle ukuthi wenze ibhizinisi lakho elijwayelekile ukuze ukuqopha kwenzeke ezimeni eziseduze ngangokunokwenzeka empilweni yansuku zonke.

Izindlela zokuvikela ukusetshenziswa

• Qiniseka ukuthi icala alikutholi ukushaqeka futhi alinamanzi;
• Ungagezi noma ugeze ngesikhathi sokuqopha;
• Yelula futhi ugcine ingalo inganyakazi isikhathi ngasinye lapho kukhukhumuka ikhefu ukuvumela isilinganiso esithembekile somfutho wegazi;
• Qaphela imicimbi eyahlukene yosuku (ukuvuka, ukudla, ukuthutha, umsebenzi, ukuvivinya umzimba, ukusebenzisa ugwayi, njll.);
• Ngokukhulunywa ngohlelo lwemithi uma kwenzeka yelashwa;
• Gqoka izingubo ezinemikhono ebanzi;
• Beka idivayisi eduze kwakho ebusuku.

Omakhalekhukhwini namanye amadivayisi awaphazamisi ukusebenza kahle kocingo.

Imininingwane eqoqiwe ihunyushwa ngudokotela wenhliziyo futhi imiphumela ithunyelwa kudokotela ohambele noma inikezwe isiguli ngqo ngesikhathi sokubonisana.

Ukuchazwa kwemiphumela kwenzeka ngokushesha ngemuva kokuthi icala liqoqwe yithimba lezokwelapha. I-digital medium ivumela ukuqoshwa kwedatha. Lokhu-ke kubhalwa ngendlela yamagrafu okwenza kube nokwenzeka ukubona ngeso lengqondo ngasiphi isikhathi sosuku lapho izinga lokushaya kwenhliziyo lisheshisa khona noma lancipha. Isazi senhliziyo bese sihlaziya isilinganiso somfutho wegazi:

• isikhathi sasemini: inkambiso yasekhaya kumele ibe ngaphansi kuka-135/85 mmHg;
• ubusuku: lokhu kufanele kwehle okungenani ngo-10% uma kuqhathaniswa nomfutho wegazi wasemini, okungukuthi ungaphansi kuka-125/75 mmHg.

Ngokuya ngemisebenzi yansuku zonke yesiguli kanye nezilinganiso zomfutho wegazi ezibonwa ihora ngalinye, udokotela wenhliziyo angabuye ahlole izindlela zokwelashwa uma kunesidingo.