Hypertension Kuziva: Sei High Blood Pressure Ichizivikanwa?

Une Hypertension Here?

A hypertension (high blood pressure) kuongororwa inetso yakakomba, nokuti kana isina kutorwa iyo inogona kukonzera kushaya mwoyo, chirwere, chirwere chepfungwa uye zvimwe zvirwere zvehutano. Saka, zvakakosha kuwana hutachiona hwakarurama.

Asi kuwana kuongororwa kwakarurama hakusi kwakananga sezvamungafunga. Chiremba wako anowanzokuudza kuti ropa rako rinomirira nhamba chaiyo (yakadai, "Yopa rako rinonzi 115/70"), uye nhamba iyi ichanyorwa muchati yako seRopa Pressure - sechinhu chakakosha sechiremera chako kana kureba.

Asi chokwadi ndechokuti ropa rako rinonyanya kukosha kwete zvakakosha; iyo yose yakasiyana-siyana yehutsika. Ropa rega rega rinochinja kubva paminiti kusvika pamaminitsi mukati mezuva, zvichienderana nehutachiona hwemwoyo yenyu. Nokudaro ropa rako rinoshanduka pakupindura kumabasa ako emutambo, chimiro chemvura, kushushikana kwepamusoro, uye nezvimwe zvakawanda zvinoramba zvichichinja zvinhu.

Izvi zvinoreva kuti kana chiremba achiyera kuwedzerwa kweropa rako, chiyero chinofanira kuitwa pasi pechirangaridzo, chekudzivirirwa uye chekuberekwa. Kunyanya kutaura, izvi zvinoreva kuverenga ropa rako pasi pemamiriro ekuti "zorora zororo."

Kuyera Kuwedzerwa Kweropa

Zvakakosha kuti chiremba wako ave nechokwadi chekuti ropa rekuyeresa chiyero iye ari kukora rinoratidza "kunyarara" kweropa rechokwadi. Nhungamiro yekuzadza kupera kwemazipa eropa yakanyorwa:

Dambudziko reropa rako rinofanirwa kunyorerwa munzvimbo yakanyarara, yakasununguka, mushure mekunge makagara makanyarara kwemaminitsi mashanu, uye tsoka dzenyu dzichatsigirwa.

Iwe haufaniri kunge wakashandisa caffeine kana zvigadzirwa zvefodya kwemaminitsi makumi matatu. Chiremba anofanirwa kutora zvinenge zviviri kushandiswa kweropa kuverengerwa, zvichida zvishoma nemaminitsi mashanu oga, uye kana kuverengwa kunokonzerwa nenopfuura 5 mmHg, kuverengera mberi kunofanira kuitwa kusvikira vabvumirana.

Uchishandisa nzira iyi yekuyera ropa, kuongororwa kwehutachiona kunofanirwa kudikanwa katatu kukwirira kwemazivo ekuverengera kweropa, kutorwa kwevhiki imwe chete.

Mune zvimwe zviitiko, panzvimbo yekuedza kuwana kuponeswa kweropa rekuyera muhofisi yechiremba, zvingave zvakakosha kushandisa kuvhara ropa kushandiswa kweropa (ABPM), iyo ndiyo nzira yekurekora ropa rakawandisa ropa rinowanikwa pamusoro pemakore 24 kusvika ku48- nguva nguva.

• Verenga pamusoro peABPM.

Yakavawo yakakurumbira mumakore achangopfuura kuti vanhu vaenzane neropa ravo pamba pamba. Izvi zvinonzi imba yekutarisa kushandiswa kweropa (HBPM). HBPM yakave yakanyanya nyore uye yakajeka mumakore achangobva kupfuura, uye ikozvino ndiyo nzira yakakodzera yekuongorora huwandu hwehutano, uye kubatsira kubata dambudziko rekuwedzera kwehutachiona kana rawanikwa.

• Verenga pamusoro peHBPM.

Ndeipi Inonzi Hupertension Inoonekwa?

Kana imwe nguva ropa rako rinotaridzika zvakarurama, chiremba wako achaisa mhinduro yacho, zvichienderana nes systolic yako uye diastolic yeropa yezvinokosha , sezvinotevera:

• Kazhinji kuwedzera kweropa: systolic pasi pe 120 mmHg, uye diastolic inopfuura 80 mmHg
• Hypertension: systolic 140 kana kupfuura, OR diastolic 90 kana kupfuura
• "Kupera simba kwepachivirimu:" Kufurirwa kweropa kunowanikwa pakati pezvakagadzirwa nehuwandu hwehutachiona .

Chikwata chekuwedzera kwehutano chinowedzera kuparadzana kuva "zvikamu zviviri," zvichienderana nehuwandu hwehuwandu hwehutano :

• Nhanho 1 kuwedzera kwehutachiona: systolic kwete yakakwirira kupfuura 159 mmHg, uye diastolic haisviki 99 mmHg

• Chikamu 2 kuwedzera kwehutano: systolic guru kupfuura 159 mmHg, OR diastolic kupfuura 99 mmHg

Vanhu vazhinji vane hypertension vane mapiro mune zvose zvinokonzera systolic uye diastolic , asi kukwirira kunoramba kuripo kune imwe inokonzera kuongororwa kwehutachiona.

Kana uine hypertension, kazhinji chinangwa cherapi ndechekudzorera ropa rako rinowanikwa pasi pe 140/90. Kana uine chirwere chemwoyo, chirwere cheshuga, kana chirwere chepfungwa , zvisinei, kurapwa kunowedzera kuva nehasha; chinangwa chacho kazhinji chinodzorera kudzvinyirira kweropa kusvika pasi pe 120/80.

• Verenga pamusoro pekurapa kwehutachiona.

Kana iwe uine "kupererwa kwoutachiona," iwe unogona kunge uchida kukudziridza dambudziko rekuwedzera kwepfungwa mumakore mashomanana.

Iwe unofanirwa kutaura nachiremba wako nezvematanho asiri emishonga ekuderedza ropa rako, uye iwe unofanirwawo kuve nechokwadi kuti une ropa rako rinodzokorora zvakare mwedzi mitanhatu kusvika kune gumi nembiri.

• Verenga nezvehutachiona hwehutachiona.

Zvakadini Ne "White White Hypertension"?

Vamwe varwere vachabva vawedzera kukurudzirwa kweropa kuhofisi yechiremba, asi vachave nekuzorora kwemazuva ekumanikidzwa kweropa pane dzimwe nguva. Uyu muenzaniso wakanzi "chichena chekuvhara kwehupfumi."

• Verenga pamusoro pemucheka mutsvuku.

Zvakadini Nezve "Kuipa" kana "Kukurumidza" Kuwedzera Kwoutachiona?

"Chirwere" chinokonzerwa nehutachiona chiripo apo diastolic yeropa yepamusoro yakanyanya kwazvo, kazhinji 120 mmHg kana yakakura, uye kuwedzera kune zviratidzo zvehutachiona hwemuviri hunokonzerwa nehuwandu hwehutano. Kazhinji kacho, chirwere cheropa chinokuvadza muhutachiona hwehutachiona chinogona kuonekwa nekuongorora mishonga yeropa muziso, kuburikidza ne ophthalmoscope . Kuipa kwehutachiona ndeyekukurumidzira mune zvehutano , sezvo inowanzokonzera kukanganisa kwakanyanya kwemoyo, uropi, itsvo nemeso. Zvinoda kukurumidza kugarisirwa uye kurapwa kwehasha kuitira kuti ropa riwedzere kuderedzwa.

• Verenga pamusoro pehutachiona hwehutano.

"Kukurumidzira" kuwedzera kwehuwandu hunovapo apo diastolic yeropa ine 120 mmHg kana yakakwirira, asi hapana humwe uchapupu hwehutachiona hwemvura hunokanganisa. Varwere vane huwandu hwehutano hwekukurumidza hunofanira kutanga pahutano hwehutano hwehuwandu hwehutachiona pakarepo, asi kazhinji havadi kuiswa muchipatara.

• Verenga zvakawanda pamusoro pekuwedzera kwehutano, kuongorora uye kurapa.

_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.}

_{# Staessen, JA, Wang, J, Bianchi, G, Birkenhager, WH. Essential hypertension. Lancet 2003; 361: 1629.}