Bhuku rehutachiona hwehutachiona, dzimwe nguva dzimwe nguva zvisina kunaka kunonzi "borderline hypertension," izwi rinoshandiswa kurondedzera vanhu avo vanogara vachichinja kuwanda kwehuwandu hwehutano hwepamusoro , kana kuwedzerwa kweropa. Mamiriro acho akaonekwa nekushamisika kwepakarepo uye kuenderera mberi kwekuchinja kweropa, izvo zvinowanzobuda kubva kuhutano hwakanaka kana hutano hwakanaka kusvika pakuverenga kwakakwirira panguva dzakasiyana dzezuva.
Zvichida kune vakawanda vanofarira maonero ehutano akasiyana-siyana pamusoro pemamiriro ezvinhu anobva pakuratidzirwa kwawo sekusaruramisira kunotangira kune "zvakanyanya" zvakanyanya kuwedzerwa kwehutano kusvika kune imwe nguva isingafananidzi yechinhu chakafanana.
Zvinorapa Zvokurapa Pamusoro Pebasa reHypertension
Kunyange zvazvo vamwe vari mune zvehutano vachitaurirana ne labile hypertension sechirwere chinoporesa, vamwe vanotenda kuti pfungwa yakashata uye kuongororwa. Hazvina mhosva kuti musasa uri mubvunzo, labile hypertension inowanzotenda kuti ine kliniki shomanana inokosha kudarika chinonzwisisika uye chinonyanya kukanganisa chinonzi "yakagadzikana" yehutachiona. Maererano nenyanzvi dzakawanda dzezvehutano, huwandu hwehutano hwemhepo hunonyanya kunetseka kana huchigadziriswa kana hunoenderera kwenguva yakareba sehuwaro hunovhiringidza huri hutano hwako hunotora makore mazhinji kukura.
Kunyange zvazvo vakawanda vashandi vehutano vanoziva nezveshoko racho, hapana maitiro akawanda-anogamuchirwa akawanda ekujekesa kana kuongororesa labile hypertension, iyo inoita mirayiridzo yehutano uye kunyange kunzwisisa iyo mamiriro ose zvakanyanya kuoma.
Izvozvo zvakati, apo ropa revanhu rinoshandiswa zvisina kufanira kana rakasiyana, rinowanzova chiratidzo cheimwe chimiro.
Zvinokonzera
Kakawanda kuchinja kweropa remuviri kunogona kuva mugumisiro wezvikonzero zvakasiyana siyana, zvimwe zvinowanzoitika uye zvine utano apo dzimwe dzakawanda zvakanyanya. Vaya vashandi vezvehutano vanoona sevasina kunaka kwehutano hwepamusoro sekunyatsorarisa kunokonzera kuitika kwekuti anenge munhu wose ane ruzivo, kana kuti akasiyana-siyana neropa - uye vanofanira.
Maererano navanachiremba paIkahn School of Medicine paGomo reSinai kuNew York, ropa rehupenyu mumunhu ane hutano rinoramba richichinjeka kuitira kuti tiwane zvinodiwa nemitumbi yedu.
Semuenzaniso, ropa rega rega rinowira panguva yekuzorora uye kurara, apo rinomuka panguva yekudzidzira kuoma. Ndiyo nzvimbo yavo yokuti kunyange zvazvo iri nguva yakajairika, labile hypertension inowanzova nzira isina kukodzera kuratidza vanhu vane ropa ravo rega rega rakasikwa zvisina kufanira zvakadaro ndizvo zvakaitwa nevarwere vakawanda vanorwara ne pheochromocytoma kana chirwere chisingawanzo chinotanga muadrenal glands cells .
Vamwe vanachiremba vanoona kubatana pakati pe labile hypertension diagnoses nezvinozivikanwa se "white coat" kana "office" hypertension, iyo inoshandiswa kurondedzera kushanda kweropa kuverengwa izvo zvisinganzwisisiki muhofisi yechiremba kana kuiswa kwechiremba semugumisiro we kushungurudzika kunowanzoonekwa mumamiriro iwayo. Kazhinji zviitiko zvehembe jena rekuwedzera kwehutano rinoratidza hutano kana hutano hwehutano hwakanaka kuverengerwa kumba kusati kwapera uye mushure mokunge hofisi ichishanyira spike muropa iro bedzi pahofisi yechiremba.
Izvozvo zvakati, kune vanachiremba vanotarisa zviratidzo zvehutachiona hwehutachiona husingarevi hunokonzerwa nechimwe chinhu chisina kujairika se pheochromocytoma kana chichena chevhavha yepamusoro.
Nguva zhinji, izvo zvakasiyana-siyana kuchinja kweropa reropa zvinowanzova kunze kwehuwandu hwehuwandu hwemhepo uye hunogona kuwirirana nekunetseka mupfungwa. Zviratidzo zvekunetseka kunokonzerwa nehutano hwehavha zvinogona kusanganisira misoro uye kuchema munzeve .
Mishonga
Kana kusina kuchena kwehutano hwehutachiona husingagoni kuonekwa kunowanzogara, utano hwehutano hwakanaka hunoshanduka kana chirwere chisingawanzi kana chimiro, vanachiremba vakawanda vachadana kuti ropa riwedzere kuongorora kwemaawa makumi maviri nemasere sezvo kushevedza chirwere chepachirwere mushure mekunge ropa rimwe risiri kuverenga rinowanzoonekwa risina kuchenjera . Kuongorora kushanda kweropa pamusoro penzira yezuva rakakwana kunogona kubatsira chiremba pakusarudza kuti zviyero zvei nguva iyo munhu ari kutarisana nehuwandu hwekuwedzera kweropa.
Pamwe chete nebasa rezuva rega redhiary, migumisiro yekutarisa inogona kubatsirawo kugadzirisa chinokonzerwa neropa repikisi.
Kusiyana nedzimwe nhepfenyuro yepamusoro yeropa, mararamiro akawanda ehavha yehutachiona haapinduri zvakanaka pamishonga inokonzerwa nehuwandu hwehutano . Panzvimbo pezvo, kune vanhu avo vane hutachiona hwehupfumi hunogona kubatanidzwa mukudzvinyirira mupfungwa, danho rokutanga nderokubata kushungurudzika, kunogona kubva kune mararamiro ehupenyu sekuita zvekuita muviri nguva dzose uye kudya kwakanaka kune nzira dzekuzorodza kunorwisa kushungurudzwa mishonga.
Sources
"Hypertension Program Overview." Gomo reSinai Madhodhodho Faculty Practice . Icahn School of Medicine paGomo reSinai, 2015.
"Dhiyabhorosi Dambudziko reHypertension: Chimwe Chikanganiso? Chidzidzo cheFramingham." The American Journal of Cardiology 43.2 (1979): 419.
Mann, Samuel J. "The Clinical Spectrum yeLabile Hypertension: A Management Dilemma." Journal of Clinical Hypertension 11.9 (2009): 491-97.