Imba yeropa kuongorora (HBPM) inoreva mutsika yekukumbira varwere kuti vaongorore matambudziko avo ega pamusha, kana kuona kana kuwedzera kwehutano hwepachirwere uripo kana kuti kubatsira mukugadzirisa dambudziko rehutachiona mushure mekunge kuonekwa. HBPM yakava yakakosha mumakore mashomanana adarika, iye zvino zvisingabatsiri ($ 40 - $ 50), nyore kushandisa, magetsi emagetsi zvinowanika nyore nyore, uye kunyora kwavo kazhinji kazhinji kwakanaka.
Nei HBPM?
Ropa rekuyeresa zviyero zvakagadzirwa muhofisi yechiremba kazhinji zvinenge zvisingabatsiri zvakanyanya kudarika zvakatenda kare. Zvichida nekuda kwekutsungirira kwemu murwere pakuva hofisi yechiremba, kana (zvichida) nekuda kwenharaunda yakaoma inowanikwa mumahofisi akawanda echiremba nhasi, zvinowanzooma kuvarwere kuti vawane "nzvimbo yokuzorora yakadzikama" iyo inofanirwa rakarurama ropa rinokonzera kuyerwa. Somugumisiro, ropa rehuwandu hwemitengo inowanikwa muhofisi kakawanda "inhema" yakasimudzirwa. Dambudziko nderokuti Stage I yerupemha yepamusoro inogona kuonekwa kana iyo isiripo.
Ichokwadi ichi chinozivikanwa nenyanzvi dzakawanda, uye maererano naizvozvo, munaDecember 2014, United States Preventive Services Task Force (USPSTF) yakabudisa mutsva mazano ekurudzirwa kwehutano hwehutachiona, achikumbira vanachiremba kuti vasatarise nguva dzose pamahofisi ehofisi kuti vaongorore .
Pane kudaro, inodaro USPSTF, vanachiremba vanofanira kushandisa nguva yekuvhara ropa kuongorora (ABPM) kuti vasimbise kugadziriswa vasati vaita murwere kurwara kwoutachiona hwehupenyu hwose.
ABPM inonyora zvakawanda zvinokonzerwa neropa kuyerwa mukati me 24 (kana 48) awa nguva.
NeAABP, iyo inowanzovhara ropa mukati mezuva rose rakakosha. Izvi zvinowanzoita kuti ropa riwedzere kushandiswa rinoshandiswa kuziva kana huwandu hwehutano huripo. ABPM inofunga nezvekuti ropa rinowanzochinja zvikuru . ABPM yakaratidza kuva chigadziro chekuona kuvepo kana kusavapo kwehuwandu hwehutachiona, zvakanyanyisa kupfuura zvingawanzoitwa muhofisi yechiremba. Zvisinei, ABPM haina kuoma uye inodhura kushandisa, uye, zvinokosha zvikuru, ABPM haina kumbova chiitiko chezviitiko zvechiremba vakawanda. Iko kunogona kuve nekukanganisika kwakanyanya - kana kusinganzwisisiki kushorwa - pane chikamu chechiremba nevatengi kune kupararira kwekugamuchira vana veBPP.
Apa ndipo apo HBPM Inouya In
Musha wekutarisa kweropa, kunyanya kutaura, haugone kupa ropa rakawandisa kuwedzera kwemaawa makumi maviri nemaviri seAIDS. Asi inogona kupa zviyero zvakasiyana-siyana pazuva - uye izvo zviyero zvinogona kupfuurirwa kwemazuva mazhinji, kana kunyange kwemavhiki mashoma. Saka, kufanana neABPM, HBPM inobvumira kuenzana kwe "muwandu" wezvinodhaka zveropa pane kwenguva yakareba.
Kunyange zvazvo HBPM isina kuongororwa mune zvidzidzo zvechipatara sezvinoratidzika sezvakaita ABPM, zvidzidzo zvakaratidza kuti ropa rehutano hunodiwa neHBPM rinobatana zvakakwana nemitemo yakawanikwa neAABP - uye yakarurama kupfuura ropa rekuyera zviyero zvakaitwa muhofisi yechiremba.
Saka, nepo HBPM isiri chikamu chemazano e USPSTF, USPSTF inotaura zvakajeka kuti HBPM inogona kunge yakatsiva kubhadharo yeAABP - zviri nani, chero zvakadaro, pane kuenzanisa ropa mukati mehofisi yechiremba.
HBPM Yakaita Sei?
Kuti uwane mutengo wekuyeresa kweropa kuenzanisa neHBPM, zvinowanzokurudzirwa kuti murwere (paanenge akagara akanyarara) anofanira kutora maviri emiganho yeropa rimwe kana maminetsi oga, zvose mangwanani uye manheru, nokuda kweine 4 ropa zviyero pazuva. Izvi zvinofanira kuitwa zvitatu kusvika kune zvinomwe zvinopesana mazuva. Zvimwe zviyero zvina zvakawanikwa musi wekutanga zvinodzingwa kunze (kuti zvibvumire ruzivo rwekudzidza, uye nokuda kwezvimwe zvinoita zuva jitters), uye rose rose rekuyerera kweropa zvinoenzanirana pamwe chete.
Chigumisiro chacho chiyero chemuviri weupempa weropa.
HBPM Inorevei Pakati Pezvinetso zveRopa Zvinotsanangurwa?
Hypertension inowanzoongororwa kana chirwere chemuropa chinowanikwa neHBPM chinopfuura 135 mm Hg systolic, kana kuti kupfuura 80 mm Hg diastolic.
Nzira Yakare Ndeye HBPM Inoshandiswa?
HBPM inogonawo kuva yakakosha kune varwere vakatove vaonekwa kuti vane hosha yepamusoro. Nguva inotevera kutevera ropa neHBPM, kuburikidza nekuita imwe yega yega kuwedzera kwekuyeresa kweropa mumwedzi mishoma, ndiyo nzira yakanakisisa yekuongorora kukosha kwehutachiona hwehutachiona. Dzidzo dzakaratidza kuti varwere vane hutachiona vanoshandisa HBPM kuti vaone kurapa kwavo kunowanzobudirira zvakanyanya kunaka kwehutano hwemhepo pane varwere vakatevedzerwa chete ne "kazhinji" (kureva, mu-office) kuongorora ropa.
Ndezvipi zvakaoma HBPM?
HBPM haisi nyore kune vanhu vakawanda. Parizvino inowanika pamba padziviriro yega-yega yezvinoshandiswa ropa, zvinenge zvingave nyore kudzidziswa kuita HBPM.
Pasi Pasi
Zvichipa kuwedzera kukurudzirwa kuti mu-office blood blood measurements zvinogona kuva dambudziko, uye kupa hutachiwana hwemari uye mari yeBABP semuwedzere ku-in-office measure, zvinoratidzika kuti mune ramangwana rakawanda vanachiremba nevarwere vachabvumirana neHBPM se imwe nzira inosarudzwa yekusimbisa kuongororwa kwehutachiona, nekubatsira nehutungamiri hwehuwandu hwehutano. Kana iwe uine hosha yepamusoro, kana kuti chiremba wako achifunga kuti unogona kuva nazvo, HBPM inenge chinhu chaungada kutaura naye.
Sources
Verberk WJ, Kroon AA, Kessels AG, naLeeuw PW. Musha wehutano wekuyerera kwemuviri: kuongorora kwakarongeka. J Am Coll Cardiol 2005; 46: 743.
Asayama K, Ohkubo T, Kikuya M, et al. Kufanotaura kwekurohwa nekuzvienzanisa kweropa remuviri pamusha pamwe nekunowanzoongorora kuwedzerwa kweropa rekuyeresa maererano neHoint National Committee 7 kusarudzwa: chidzidzo cheOhasama. Stroke 2004; 35: 2356.
Niiranen TJ, Hänninen MR, Johansson J, et al. Musha-kuenzaniswa kwehutano hweropa ndiyo inonyanya kugadzirisa dambudziko remwoyo kune ehofisi yeropa: iyo Finn-Home study. Hypertension 2010; 55: 1346.