Chikonzero nei hofisi yechiremba ingasave nzvimbo yakanakisisa yekuyera ropa.
Zvinoratidzika sokuti kuongororwa kwehuwandu hwehutano hwemagetsi kunogona kubudiswa kunze kwehofisi yechiremba, uye kunze kweimba, kunyanya kana United States Preventive Services Task Force (USPSTF) ine nzira yayo.
MunaDisemba, 2014, USPSTF yakabudisa mazano matsva ekuongororwa kwehutano , iyo inokurudzira vanachiremba kuti vashandise kuvhara ropa kuongorora (ABPM) vasati vaita varwere kuhutano hwehupenyu hwehupenyu hwose.
Zvinonyanya kukosha, USPSTF iri kuita kuti vanhu vasvike zvinyorwa zviduku-izvo zvinoreva, kuti ropa rekuyera zviyero zvinowanikwa kumahofisi ezvechiremba kazhinji hazvisi izvo zvakakwana. ABPM inzira yakanyatsonaka yekugadzirisa kana munhu ane chekuita kana kuti haana chirwere chepfungwa yepamusoro , uye kushandiswa kwayo kunodzivirira matambudziko mazhinji ekurapa uye (zvisiri zvishoma) pasi peutano.
Zvinoratidzika kunge zvichida kuti vamwe vanachiremba (uye zvichida vanobhadhara) vachipesana nemitemo iyi itsva, uye kuti zvimwe humwe humanikidzi huchaunzwa kutakura kuti USPSTF ichinje mazano anotsanangurwa asati apedzisa. Dambudziko rechiremba ndeyekuti ABPM inenge yakaoma kugovera, inowanzosawanika nyore, uye zvinoda kuishandisa zvinopisidzira kuwedzera kukurudzira vanachiremba 'vachitove vakaoma hupenyu hwehutano. Dambudziko revaripo ndeyekuti ABPM inodhura, uye havazodi kutarisira kubhadhara mazana ezviuru zveAIDS kuongorora gore negore.
Izvo zvinetso nekupikisa kwakadaro ndeyekuti USPSTF inonyatsokodzera munyaya iyi. Ropa rekuyera zviyero zvinowanikwa muhofisi yechiremba chaizvoizvo rinowanzotsausa, uye rinogona kutungamirira kune kurapa zvisina kukodzera kwechiremba.
Chikonzero nei kuhofisi yeHisimani yeHurumende yeAIDS inetso
Paunenge uine ropa rako rinomirirwa muhofisi yechiremba, chiyero chakanyorwa nokukurumidza chinova "yepamutemo" yeropa redu - sekunge ropa rinokonzerwa nehuwandu hwekusimudzira, sekurema kwako kana urefu.
Asi kudzvinyirira kweropa hakusi kukosha kwekusimudzira. Inoshandura zvishoma kubva paminiti kusvika kumaminiti , zvichienderana nezvinodiwa zvinodikanwa zvehutano hwemwoyo yenyu. Kunze kwekuti iitwa pasi pemaitiro akaiswa zvakanyatsorongedzwa, rimwe ropa rekuyeresa ropa rinogona kunge risina kunaka kupfuura shanduro dzese dzemaitiro anowanzochinja.
Kuti uedze kupoteredza dambudziko iri, "kuenzana" kweropa rekuyera chirevo rinorondedzerwa sekuitika pasi pemamiriro ezvinhu e "zororo rakanyarara," uye zvidzidzo zvichiratidza kubatsira kwekuongorora nekurapa huwandu hwehuwandu hwemapfupa hunobva pamitemo iyi.
Hezvino izvo zvinodikanwa zve "standard" blood pressure measure:
- Murwere anofanira kuiswa munzvimbo yakasununguka, inodziya, uye yakanyarara.
- Murwere haafaniri kunge aine caffeine kana zvinhu zvefodya kwemaminitsi makumi matatu.
- Murwere anofanira kunge akagara akanyarara, uye musana wavo unotsigirwa uye wakarurama, uye makumbo maviri ari kutsigirwa pasi.
- Murwere anofanirwa kuramba achizorora munzvimbo iyi kwemaminitsi mashanu.
- Mushure mekunge mamiriro ezvinhu aya asangana, chiremba kana mukoti anofanira kutora runyararo ropa remurwere kanopfuura kaviri, zvichida nekati yemaminitsi mashanu pakati pekuverenga.
- Kana zviyero izvi zviviri zvakasiyana nema-5 mm Hg, kuverengerwa kwakawanda kunofanira kuitwa, pamwe chete panguva dzakasiyana pakati pekurekodhwa, kusvikira zvinyorwa zvinobvumirana.
Isu tose tinoziva zvinonyatsoitika. Varwere vanosvika panguva yekuti vataridzwe, asi vanopera mune imwe nzvimbo yakazara uye yakazara. Pakupedzisira, murwere anomhanyira zvakare muimba yekutonhorera inotonhora, uye anorayirwa kubvisa uye kupfeka jasi rinotsvaga rekuongorora nekuputsa mazvisungo. Zvadaro, vose asi vasina kupfeka kumakamuri, murwere anogara sezvaanorayirwa pane imwe yemafura ekuongorora, asina ruvimbo rutsigiro uye nemakumbo anotsemuka. Mumwe chiremba anotambudzika kana mukoti anozouya achipinda mukati, achirova pamubhedha weropa, uye paanenge achitora ropa ropa panguva imwechete anobata murwere mu Q & A, kana anotanga kuita zvimwe zvinhu zviviri kana zvitatu zviri pa "kubhadhara" .
Uye hapachina chero mukana wekuwana kwechipiri ropa rekuverenga kuverenga maminitsi mashanu gare gare.
Saka, mune zvakawanda (kana zvisingaiti) mahofisi, izvo zvaunowana muhofisi yechiremba zvinowanzoita shanduro dzisinganzwisisiki dzekuchinja kwehuwandu hweropa, mumamiriro ezvinhu zvakasiyana ne "zororo rakanyarara." Nenzira, chiyero chakadai hachifaniri kushandiswa kuti aongorore dambudziko rekuwedzera kwehutachiona.
Pasinei nezvikanganiso izvi, kana kuyerwa kweropa kunowanikwa mukati mehutano hwakakwana (pasi pe 120 mm Hg systolic uye pasi pe 80 mm Hg diastolic), hapana chakaipa chiri kuitwa. Uye kana ropa rakanyanya kukwana (160 mm Hg systolic), rinogona kufungidzirwa zvakachengeteka kuti huwandu hwehutano hwakanaka, uye kurapa kunogona kuiswa. Dambudziko rinomuka apo kuwedzera kweropa muhofisi iri munharaunda yakaoma, danho 1 yeropa rekuwedzera. Icho chiri kunyanya kuora mwoyo here? Kana kuti inongova chigadzirwa chechimiro chekugadzirisa shanduro nzira here?
Vanachiremba, chokwadi, havazvipi mhosva ivo pachavo. Varwere vane ropa rinokurudzirwa muhofisi yechiremba, uye vanowanzova pamba, vanonzi vane " jira rakachena rekuwedzera kwehutano ." Uye kunyange zvazvo zvichida kuti chichena chikafu chinokonzerwa nehuwandu hwehutano chiripo, zvinoratidzika sokungodada kwechiremba tanga chirwere chitsva, uye ugochipa kuvarwere vavo, kana kazhinji pavanenge vachikundikana kuyera kuwedzera kweropa sezvinofanirwa kuyerwa.
Kubatsira kweAABP (Uye HBPM)
Kubatsira kweAABP ndechokuti haisi kuvimba kune rimwe kana maviri kuwedzerwa kweropa kuverengerwa pasi pemaonero anotongwa. Pane kudaro, ABPM inoratidzira zvinokonzerwa neropa panguva dzenguva dzinopfuura kwemaawa makumi maviri nemana - panguva dzose kuchinja kunowanzoitika pazuva. Kuvapo kana kusavapo kwehuwandu hwehutachiona hunotsanangurwa nehuwandu hwekudzivirira ropa mukati mezuva rose. Kuonekwa kwehuwandu hwehutachiona neAIDS kwave kwakagadziriswa, uye yakanyatsonyatsokura kupfuura kuongororwa kwepanhi 1 yeropa rekuwedzera rakaitwa muhofisi yechiremba.
Imwe nzira yeAIDS ndeyekuchengetedzwa kweropa kumusha (HBPM). Kune humwe hutano hwakanaka hweHBPM hunoita kuti huve hwakakosha kupfuura ABPM yekuongorora nekutarisa huwandu hwehutano, uye vanachiremba vazhinji vanozvitenda kuti ndeimwe nzira inonzwisisika. Iko USPSTF runyora runyorwa rinonyatsoratidza zvinoda HBPM pamusoro pehofisi yechiremba kuti aongorore dambudziko rekuwedzera kwehutano.
Zvose Izvi Zvinoreva Kwauri
Zvichida kuti pachave nechokuita kwenguva refu mushure mekunge vanachiremba nevatengi vanobvumirana ne USPSTF kuti danho rekuwedzera kwehutachiona rinofanira kuongororwa chete mushure mekunge ABPM (kana kuti HBPM) inotsigira kuongororwa. Izvo zvaunofanira kuziva, kana wakamboudzwa kuti une chirwere chepachirwere chetachiona (kana kuti chirwere chekushaya simba ), uye chiremba wako ari kukurudzira kurapwa kwemazuva ose, ndeyekuti izvi zvinoshandiswa kuongororwa zviripo nhasi, uye zvinonzwisisika kuvakumbira. Dzidza nezve ABPM neHBPM, uye bvunza chiremba wako kana zvingava zvine musoro kushandisa sero rakadaro kuti uone kuti iwe unotova nehuwandu hwehutano usati watanga kurapwa.
Sources:
Bhuku Rekurudziro Nyaya: High Blood Pressure in Adult: Kuongorora. "US Preventive Services Task Force December 2014. http://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementDraft/hypertension-in-adults-screening-and-home- kuongorora (Kusvika munaJanuary, 2015).
Pickering TG, Miller NH, Ogedegbe G, et al. Dana kuita chiito pakushandiswa uye kubhadharwa kwekuchengetedzwa kweropa reimba: chidimbu chemukuru: sangano reSayenzi Association kubva kuAmerican Heart Association, American Society Of Hypertension, uye Preventive Cardiovascular Nurses Association. Hypertension 2008; 52: 1.