Hypertension, kana kuwedzerwa kweropa, ndeimwe yezvinetso zvakajairika zvehutano. Zvinosuruvarisa, huwandu hwepfungwa hunowanzoenda husingawaniki. Zvakaipisisa, apo zvinoonekwa kuti, zvinowanzotadza kurapwa pasinei nokuti kazhinji hazvisi zvakaoma kurapa. Saka, apo munhu wose "anoziva" nezvehutano hwepfungwa, inoramba iine chinokonzera kukanganisa kwepfungwa , chirwere chepfungwa , chirwere chepfungwa , uye zvimwe zvinetso zvakakomba zvoutano.
Nokuti huwandu hwehutano hwakanyanya uye hwakakosha, zvinokosha kuti munhu wose ave neropa rake rinongororwa nguva nenguva. Uye kana iwe uine hosha yepamusoro, zvinokosha kushanda pamwe chete nechiremba wako kuti uwane mushonga unobatsira unogona kukubvumira kuti usapinda migumisiro yakaoma uye urarame hupenyu hurefu, hune utano.
Chii Chinonzi Kuwedzera Kwoutachiona uye Nei Chichikosha Kwazvo?
Hypertension imamiriro ezvinhu umo kushungurudzika mumakrikiti kwakakwirira zvakakwana kuti pakupedzisira kuve nokukonzera mishonga yeropa, uye pakupedzisira kune nhengo dzavanopa ropa.
Apo mwoyo unorova, unopisa ropa kuburikidza nemariti uye nhengo dzemuviri. Ikumanikidzwa inokonzerwa nemoyo unorova inoita kuti ropa rive mberi uye rinotambanudza masvingo ekudzivirira emarita. Pakati pemakumbo emwoyo, sokunge mwoyo wemisumbu inodonha, masvingo ekugadzirisa anonamatira kumashure ekugadzirwa kwawo kwepakutanga, nokudaro kuchengeta ropa richienda mberi kumatumbu emuviri. (Kuwedzerwa kwemishonga inoputika nemwoyo wese ndiko kunotitadzisa kunzwa "kutora.")
Saka, iyo inopa ropa mukati memishonga-inokonzerwa nemoyo unorova uye magirasi elastic kushanda pamwechete-izvo zvinoita kuti ropa ripararire.
Kana chirwere cheropa chiri pasi-pasi (chirwere chinonzi hypotension ), nhengo dzomuviri dzinotambura nokuti hadzina kuwana ropa rakakwana. Asi kudzvinyirirwa kweropa kunogara kwakanyanya (hypertension) kunokonzera matambudziko acho. Hypertension inogona kukurumidza kukurumidza kushaya atherosclerosis , iyo inotungamirira kuhutano hwehutano nehutano hwemwoyo , kushaya mwoyo , kurohwa, hosha kusakona , chirwere chetachiona chirwere , uye aortic aneurysms .
Ichi ndechikonzero nei kuwedzera kwehupfungwa kwakakonzerwa nehutachiona hwekuremara kusati kwapera nekufa, uye nei kuidzidzira uye kuchirapa kwakakosha zvakakosha kune utano hwakanaka uye hupenyu hurefu.
Ndezvipi Zviratidzo zveHypertension?
Hypertension chirwere chinonyengera. Vanhu vazhinji vane huwandu hwehutachiona havatombogadziri zviratidzo kubva kuhuwandu hwemhepo yega, uye kazhinji vanoita sevari uye vanonzwa vaine hutano hwakakwana kwemakore akawanda-kusvikira yakonzera kukanganisa kusingagadziki kune imwe nhengo inokosha. Saka chiratidzo chekutanga chekuwedzera kwehutano, nhamo, kazhinji kacho kushaya mwoyo kamwe kamwe kana chirwere-zvichida kunze kwebhuruu. Ndicho chikonzero nei kuwedzera kwepfungwa kunowanzoti "muurayi anyerere."
Kunyanya Kuwedzera Kwakawedzerwa Sei?
Hypertension inoratidzika kana ropa rako rega richizorora rinowanikwa richiramba rakasimudzirwa.
Zvakakosha kuyera kushanda kweropa zvakarurama kuti urege kunyanya kuongororwa kana kuongororwa nehuwandu hwepfungwa. Mumahofisi ehurumende anochengetwa mazuva ano, nzira dzakarurama dzekuenzanisa zvakajeka kuwedzerwa kweropa dzinowanzoregererwa. Sezvo iwe ndiwe unofanirwa kurarama nehutachiona (kana nemigumisiro yekusaziva kuongororwa), iwe unofanirwa kuva nemafungiro e nzira yakarurama yekuongorora huwandu hwehutano.
Ropa rekuyeresa ropa rinoratidzirwa se nhamba mbiri -systolic uye diastolic yeropa -zvakadai ichi: 120mmHg / 80mmHg, kana zvinopfuura, 120/80 ("makumi maviri pane makumi masere.") Nhamba yakakwirira, systolic pressure, inomirira kukamanikidzwa mukati meiyo panguva iyo mwoyo unopinda. Nhamba yakaderera, iyo diastolic, inomiririra kushanda kwepakati mukati memwoyo kunorova, asi moyo unofara.
Nzira dzakarongeka dzekuyera ropa rinoratidza kuti kuyerwa kunofanira kuitwa munzvimbo yakanyarara, yakasununguka mushure mokunge makagara muchizorora kwemaminitsi mashanu. Iwe haufaniri kunge uine kofi kana kushandisa fodya kwemaminitsi makumi matatu. Zvimwe zviviri zvinokonzerwa nehutachiona hwemumoto zvinofanira kutorwa pasi pemamiriro aya, maminitsi mashanu kubva pari, uye inofanira kudzokororwa kakawanda sezvinodiwa kusvikira zviyero zvinopindirana kusvika mukati ma5 mmHg.
Chero ani zvake ave achienda kuhofisi yechiremba mumakore mashomanana apfuura anoziva kuti hazviitike kuti izvi zvose zvinosangana. Kunyange zvakadaro, pamberi pechiremba achikuisa kune chirwere chekupedzisira chekuwedzera kwehutachiona, iye anofanira kunzwa akanetseka kuti aongororwe zvakanaka. Uye iwe unofanirwa kusimbisa kuti iye anoita kudaro.
Chimwe chinhu chakaoma pakuongorora huwandu hwehutano muhofisi yechiremba ndicho chinoshamisa che " white coat hypertension " -kuti zvinoreva kuti kuwedzera kweropa kunowanikwa mune hofisi yechiremba, asi zvinowanzoitika chero nguva ipi zvayo. Nyanzvi nyanzvi dzinonzwa kuti white coat hypertension haifaniri kurapwa.
Nemhaka yezvinetso zvakakonzerwa pakuita kuti kuongororwa kwakakwana kwehuwandu hwehutachiona muhofisi yechiremba, nyanzvi dzehutachiona hwehutachiona dziri kuuya kuzotarisa kuti nzira yakarurama yakakwana yekuongorora huwandu hwehutachiona haisi muhofisi yechiremba zvachose, asi panzvimbo iyo, nechisungo chekuvhara ropa kuongorora . Kuunganidza uchapupu hunonyatsokurudzira nzira iyi uye mamwe mazano ekurapa munguva pfupi inoratidza kuti kuenderera mberi kwekutarisira kunoshandiswa pakuongorora huwandu hwehutano.
Ndeapi Zviitiko Zvengozi NeHypertension?
Kuwedzera kwehuwandu hwemahutano kwakanyanya zvikuru pakati pemapoka ose emadzinza ekuMadokero. Zvisinei, vamwe vanhu vari pangozi yakakura yekudzivirira kuwedzera kwehutano.
Hypertension inowanzoonekwa uye yakaoma zvikuru kuvanhu vemavara uye mune vanhu vane mhuri yehuwandu hwehutano hwehutano. Kunyanya kunwa munyu ndicho chinhu chinokosha pakuderedza huwandu hwehutano hwevanhu vakawanda. Kunyanya kunwa doro (kudarika zvinodhaka zviviri pazuva) kunobatanidza nehutachiona. Kuwedzera ropa-lipid level ( cholesterol uye triglycerides muropa rako) zvinosanganiswa nekuwedzera kwehuwandu hwehushanda. Uye, zvechokwadi, pane yakajairika yakawanda inokonzera-kuwandisa kupfuura kana kuwedzera.
Ndezvipi Zvinokonzerwa NeHypertension?
Zvikonzero zvinokonzera kuwedzera kwehutano zvinowanzoparadzaniswa kuva zvikamu zviviri zvakanyanya: kuwedzera kwehutachiona iyo inonyanya ("inokonzerwa nehutachiona hwepamusoro") nehuwandu hwehutano hwakanyanya kune humwe hutano hwehutano hwehutano.
Huzhinji rwevanhu vane hypertension vane huwandu hwehutano hwepamusoro , izvo zvinoreva, zviri nyore, kuti hapana chinokonzera chikonzero chinogona kuonekwa-chinoitika pasina chikonzero chakajeka. Kunyange zvazvo tsvakurudzo dzakawanda dzave dzichiitwa kuedza kufungidzira chinonyanya kukosha chinokonzera (kana kuti chinokonzera) chekuwedzera kwehutano hwepamusoro, kusvika zvino chikonzero chacho chinoramba chisingaiti.
Zvakanyanya kushamisa kuti huwandu hwehuwandu hwehutachiona huri kune humwe hunozivikanwa-uye hunowanzorapwa uye / kana hunoita hutachiona hwepfungwa. Mamiriro ezvinhu anokwanisa kubudisa dambudziko rekuwedzera kwepfungwa rinosanganisira zvirwere zvepfungwa, kupererwa kweperesi, kubatana kweAorta, zvirwere zvemishonga yeropa zvinopa mafyvo, zvakasiyana siyana zvekupedzisira kweglanderedzwa, uye kushandiswa kwemishonga inorapwa , kunwa doro, kushandiswa kwenguva refu kweasina-steroidal anti- kuvhiringidza zvinodhaka (NSAIDs) , kana kuti zvinorwisa zvinodhaka.
Nhoroondo yezvechiremba yakangwarira, kuongororwa kwepanyama, uye kuongororwa kwebasa rekuita ropa kunofanirwa kunamatira chiremba wako kuti kana mamwe matanho aifanira kutorwa kutsvaga chinokonzera chinokonzerwa nehuwandu hwehushanda .
Ndezvipi Nhanho dzeHypertension?
Kana huwandu hwehutachiona hunoonekwa, "danho" rehutachiona ndiro chinhu chinokosha pakusarudza kuti rudzi rwechirwere runoshandiswa sei pakutanga. Nzvimbo yehutano hwemunhu inongova imwe nzira yekureva kuti yakanyanya sei-mune mamwe mazwi, kukwirira kweropa rini.
Zvikamu zvehutachiona ndezvekuti:
- Nhanho 1 kuwedzera kwehutano: systolic pressure 140-159mmHg KANA diastolic inokwana 90-99mmHg
- Dhigirii 2 hypertension: systolic mhepo yakakura kupfuura 159mmHg KANA mutoro diastolic mukuru kupfuura 99mmHg
Mukuwedzera kune idzi mbiri "masiteji," vanachiremba vacharamba vachitaura nezvechirongwa chisingazikanwi chinonzi hypertension, umo ropa reropa riri rakakwirira kudarika mararamiro anodiwa, asi kwete akakwana zvakakwana (asi) kunonzi kunyanya kuwedzererwa.
Kunyanya kufungira muviri kunonzi kuripo kana systolic inowira pakati pe 120-139mmHg kana kuti diastolic inomanikidzwa iri pakati pe 80-89mmHg. Nokuti vanhu vane hypertension vane dambudziko rakakura rekunyanyisa kushaya huwandu hwehutachiona, vanoda kuve neropa ravo rekuchengetedzwa kwemaawa matanhatu kusvika kune gumi nematanhatu. Vamwe vanachiremba vanofunga kuti vanofanirwa kurapwa nehutachiona. Pachinhu chiduku, ivo vanofanira kutora mararamiro ehupenyu huchaita kuti vaderedze njodzi yavo yekuwedzera kwehutano nehutano hwepfungwa.
Mukuwedzera kuhuwandu hwehutachiona uye danho rekutanga uye nhanho yepachirwere chepachipiri, kune chimiro chisingawanzo chekuwedzera kwehutano hwakanyanya kunonzi chirwere chinopisa. Kuipa kwehuwandu hwehutachiona kunoonekwa apo chirwere cheropa chakakwirira zvakanyanya uye chinopesana nezviratidzo zvekukuvadza kwakanyanya kune nhengo dzinokonzerwa nekuparara kwemitsipa yeropa inoparidzirwa kamwe kamwe kuwedzerwa kweropa.
Izvi zvinowanzokonzera nhengo inonyanya kuratidzika nekubuda ropa mu retina yemeso, kubuda kubva pamutsvo, kuora mwoyo kwechimiro, kana kupora. Zviratidzo zvinowanikwa nevanhu vane hutachiona hwehutachiona zvakabatana nechirongwa kana nhengo dziri kukuvadzwa. Kuipa kwehuwandu hwehutachiona nguva dzose kune hutano hwehutano uye kakawanda hunoda rubatsiro rwechisimba, hwakanyanya.
Munguva Ichangobva Kuzivikanwa NeHypertension? Kuwana Zvakanaka Kurapwa
Kana iwe uine hutachiwana hwehutachiona, nhau dzakanaka ndezvekuti kune zvakawanda zvakakura zvekurapa kunobudirira kusarudza kubva. Nhau dzakaipa ndezvekuti panewo maitiro akawanda ekurapa kunobudirira kusarudza kubva-izvo dzimwe nguva zvinogona kuita sarudzo "yakarurama" zvishoma zvakaoma.
Kurapa kwoutachiona nguva dzose kunotanga nekudya, maitiro, kuitiswa kwehuremu, nekugadziriswa kweyerodium . Mune zvimwe zviitiko (zvikurukuru kune vanhu vane hypertension kana chirwere chepachirwere chetachiona 1) maitiro ehupenyu hunochinja anokwana, uye kurapwa kwemishonga kungasave kwakakosha.
Zvisinei, muhuwandu hwevanhu vane chirwere chepachirwere chetachiona chekutanga, uye kune ani zvake ane chirwere chepachirwere chepachipiri, chirwere chemishonga chinodiwa kuti zvikwanise kuderedza ropa.
Nemhaka yokuti mishonga yakawanda yemishonga inogamuchirwa yakagamuchirwa kuitira kurapwa kwehuwandu hwehutano, kusarudza "zvakanaka" mishonga (kana kusanganiswa kwezvinodhaka) chero munhu upi zvake ane hypertension angangoita sekutyisa zvishoma. Zvisinei, mirayiridzo yakave yakagadzirirwa kubatsira vanachiremba nekukurumidza kuwana hunobudirira, hwakanyatsorambidzwa (uye kazhinji hahukwaniki) chirongwa chemishonga kune anenge chero munhu ane hypertension.
Saka, kana iwe nachiremba wako muchishandisa nzira inonzwisisika, yechitsika-chengwaru, pane mukana wakanaka kwazvo kuti iwe uchakurumidzira kugadzirisa kurapwa kwakakunakira iwe.
Kana iwe uri nemakore makumi matanhatu nemashanu kana kupfuura, zvinogona kunge kuti huwandu hwehutachiona hukuru hukuru hwehutachiona hwehutano-ndiko kuti, systolic yeropa rako rakakwirira, asi diastolic ropa rako rinoramba rakareba. Kana zvakadaro, iwe nachiremba wako unofanira kutora matanho chaiwo apo iwe unotanga kurapa kwehutano hwepayipi.
Kurarama Nechirwere Chepenza
Paunotanga kuonekwa uine dambudziko rekuwedzera kwehutano, iwe unogona kutarisira kuti uve nenguva iyo iwe uchange uchiona chiremba wako kakawanda kupfuura nguva dzose. Iwe uchada zvimwe zviyero zvekutanga zvekutsvaga chikonzero chinokonzerwa nehuwandu hwehuwandu hwepfungwa, uye iwe unogona kunge uchitsvaga vanachiremba vanoshanyira vasati vasvika pakurongeka kwakakwana kwerapa inowanikwa.
Asi kana nguva yekutanga iyi yasvika, unogona kutarisira kudzokera kune hupenyu hwakakwana. Zvechokwadi, pangave pane humwe humwe hugadziriro hwehupenyu huchadikanwa kuti uenzanisire, asi zvichida huchava mararamiro ehupenyu iwe waifanira kunge wakaita kare kare.
Mashoko akanaka ndeye-ikozvino kuti hutachiona hwehutano hwakanaka hunoporesa-kuti "hupenyu huripo" hunogona kugara kwenguva yakareba uye hune hutano hwakanaka kudarika zvaungave huri.
Shoko Rinobva
Hypertension chirwere chakanyanya kufanana nezvoutano zvinowanzova nemigumisiro yakaipa. Nokudzidza zvose zvaunogona pamusoro pekuwedzera kwehutano, iwe unogona kushanda nachiremba wako kuti uwane hutano hwakanaka panguva yakakodzera uye nokukurumidza uende pane kurapa kwakanakisisa iwe unoda.
> Sources:
> Chobanian, AV, Bakris, GL, Black, HR, Cushman, WC. YeChishanu Nyaya ye Joint National Committee yekudzivirira, Kuziva, Kuongorora, uye Kuchengetedzwa KweHurumende Dambudziko reHopa: IJNC 7 Report. JAMA 2003; 289: 2560.
> Go AS, Bauman M, Coleman King SM, et al. Nzira inobatsira kuwedzerwa kwekudzivirira kweropa: Shanduro yezvesayenzi kubva kuAmerican Heart Association, American College of Cardiology, uye Centers for Disease Control uye Kudzivirira. Hypertension 2013; inowanika pa http://hyper.ahajournals.org.
> James PA, Oparil S, Carter BL, et al. 2014 Evidence-based guideline inotungamirirwa nehuwandu hwehutano hwevanhu kune vanhu vakuru: Nyaya inobva kumapoka evanhu vakagadzwa kuEighth Joint National Committee (JNC 8). JAMA 2014; DOI: 10.1001 / jama.2013.284427. Inowanika pa: http://jama.jamanetwork.com/journal.aspx.
> Kaplan NM, Victor RG. Chitsauko 8: Matambudziko anonzi Hypertensive. Muna: Kaplan's Clinical Hypertension, 10th Ed, Lippincott, Williams & Wilkins, Philadelphia 2010. p.274.
> Mancia G, Bombelli M, Brambilla G, et al. Nguva yakareba yekufananidzira kwekushandiswa kwemuchena mutsara wehuwandu hwehuwandu hwemashoko: nzwisiso kubva > kuongororwa > kushandiswa kwekudzivirira uye kumusha kwemiganho yeropa. Hypertension 2013; 62: 168.
> Myers, MG. Ambulatory blood pressure monitoring for routine clinical practice. Hypertension 2005; 45: 483.
> Pierdomenico SD, Cuccurullo F. Kufananidzira kwemavara-machena uye akavharwa nehutachiona hwehutano hunoonekwa nekufungidzirwa kwekufungidzira mumatunhu asina kutanga kutariswa: avandudzwa > meta analysis >. Am J Hypertens 2011; 24:52.