Ambulatory blood pressure monitoring (ABPM) inzira inoshandiswa pakuongorora ropa romunhu. Inowanzoshandiswa kusarudza kana munhu ane chekuita nehuwandu hwehutachiona kana ari-ehofisi yeropa rekuverenga kuverenga kunotyisa kana kushanduka zvakasiyana-siyana. Kunyanya, ABPM yakashandiswa kuongorora varwere ne " white coat hypertension ."
Chigadzirwa cheBABM chine chirwere cheropa chinoputirwa paruoko, uye chinowanikwa kune imwe kadhi yekurekodha (inenge yakaenzana neCD player) yakapfeka nebhanhire.
Imwe nzira yeAABPM inopfekedzwa maawa makumi maviri nemashanu kana makumi mana, uye inonyora ropa rako nguva nenguva (kazhinji pamaminitsi gumi nemaminiti kana makumi matatu) mukati memakore iwayo. Nokudaro ABPM inopa chiremba wako nekodhi yakakwana yeropa rako rinomirira kwemazuva maviri kana maviri.
Itaurwa iyo ABPM inopa inonyanya kusiyana nemashoko ayo chiremba anowana nekutora ropa rako muhofisi. Ihofisi yeropa rekurekodha kunyoresa chinhu chimwe chete chinorehwa kuratidza ropa rako panguva yekuzorora runyararo (izvo zvinotsanangura nei, zvakapiwa nzvimbo yakakomba yamahofisi emachiremba mazuva ano, kuverenga hakusi nguva dzose yakanyatsokwana).
I-ABPM, nenzira yakasiyana, inopa dambudziko reropa rinowanikwa kuburikidza nemamiriro ezvinhu akawanda nemabasa - kubva kumhanya kuenda kunobata bhazi kurara. Uye zvakajairika kuti ropa rehupenyu hwemunhu riwedzere kudarika mukati memabasa emusi.
Saka, kusiyana neropa rekuti iwe unopinda muhofisi yechiremba, ABPM haibvumiri chinhu chimwechete che systolic uye diastolic yeropa , asi huwandu hwe (kazhinji) hunoenderana zvakasiyana-siyana.
Kushandisa ABPM kuti uongorore huwandu hwehutano, saka, inoda nzira yakasiyana.
Imwe nzira inowanzoshandiswa pakuongorora mitsva yeBABM ndeyekuenzanisa chirwere chechirwere chechirwere uye diastolic yezvinokonzera ropa kwemaawa makumi maviri nemaviri, uyewo maawa ayo murwere akamuka uye akarara.
Hypertension inowanzoongororwa kana chirwere chemuropa chinodarika chimwe chezvinhu zvinotevera:
- 24 awa mavhareji: systolic pamusoro pe 135 mmHg, kana diastolic pamusoro pe 80 mmHg.
- Avhareji ye "masikati" maawa: systolic pamusoro pe 140 mmHg, OR diastolic pamusoro pe 90 mmHg.
- Avhareji ye "nguva dzehope" maawa: systolic pamusoro pe 124 mmHg, OR diastolic inopfuura 75 mmHg.
Ndeipi Apo ABPM inoshandiswa?
Bhuku reBABM rave richibatsira mukuongorora varwere vane jira rakachena rekuvhara ropa, vachibvumira vanachiremba vavo kuti vasarudze kana yavo in-office blood blood elevations inoratidza "kusasuruvara" kwenyika (kureva, mamiriro ekuzvidya mwoyo), kana kuti yakakwirira muhofisi kuverenga kunonyatsoratidza kuti kuwedzera kwehuwandu hwepfungwa kuripo.
Bhuku reABPM rave richibatsirawo mumamiriro ezvinhu apo zvakave zvakaoma kuongorora kubudirira kwehurongwa hwehutano hwehutachiona hwehutachiona hwehutachiona, kana kuti murwere achifungidzirwa kuti akawandisa zvakanyanya kuchinja kwehutano hwehupenyu hunoita kuti kuongororwa nekurapa huwandu hwehuwandu hwehutano huve nyore. ABPM inogona kubatsirawo mukuongororwa uye kurapwa kwemamwe marudzi eDysautonomia , kunyanya apo zvikamu zvekuderera kweropa zvakanyanya kunenge zvichifungidzirwa.
Kuita nharo kunogona kutorwa kuti ABPM inofanirwa kuva yepamusoro yekuongorora nekurapa kuwedzera kwehutano hwepamusoro, sezvo kuwana zvakanyatsozorodza kushandiswa kweropa kwezviyero muhofisi yechiremba kunogona kuoma.
Zvechokwadi, munaDecember, 2014, United States Preventive Services Task Force (USPSTF) yakabudisa mushumo wakaronga unorayira kuti ABPM ishandiswe se "reference standard" yekusimbisa kuongororwa kwehuwandu hwepfungwa muhofisi yechiremba. Iko kuti, USPSTF iri kukurudzira kuti ABPM ive yakashandiswa zvakanyanya kudarika zvairi nhasi.
Izvi zvinokurudzira kuti zvive zvinokakavadzana, sezvo ABPM inorema uye inodhura (inodhura mazana emadhora madhora nokuda kwekuongorora kwezuva rimwe chete kana maviri). Zvisinei, inogadzira pfungwa yakanaka yekliniki, uye kana ichidzivirira kuwedzerwa kwehembe jena rekuwedzera kwehutano kunogona kuponesa hutano hwemari.
Imwe rudzi rwekunze kwe-blood blood measurement iyo inobata, uye iyo inowanzova yakanakisisa kuti ABPM, inogarwa nehana yekutarisa ropa (HBPM). Unogona kuverenga zvose nezveHBPM pano.
Sources:
Myers, MG. Ambulatory blood pressure monitoring for routine clinical practice. Hypertension 2005; 45: 483.