Mukupera kwegore ra2017, American College of Cardiology (ACC) uye American Heart Association (AHA), pamwe nekubatana nedzimwe dzakawanda dzehutano hwepamusoro, dzakabudisa mutsva wehutungamiri hwehutano hwehutano .
Aya mazano matsva akanga apera nguva refu. Vasati vasunungurwa, vanachiremba vakanga vachiedza kushanda kubva kumatanho mana akasiyana-siyana emitemo, kubva kumasangano akasiyana-siyana, ayo akasiyana kubva kune imwe neimwe nenzira dzinokosha.
Mitemo ye 2017 inopikira kuti inenge yakazara yese yezvechiremba basa zvakare pane peji rimwechete pamusoro pekuwedzera kwehutano.
Mitemo ye 2017 inopesana nenzira shoma dzinokosha kubva kune zvinotungamirirwa nehutano hwepamusoro, uye vose vanachiremba uye vanhu vari kuongororwa kana kurapwa nehuwandu hwehutachiona vanofanira kuziva nezvezvirevo zvitsva izvi.
Ndezvipi Zvitsva mumitungamiri ya2017?
Zvinhu zvitsva zvemashoko e 2017 zvinowira muzvikamu zvishanu zvakasiyana:
- New classification system yehutachiona
- Zvitsva zvinokurudzirwa pakuongororwa neupemha
- Kutora njodzi yepfungwa yepamusoro pakufunga paunenge uchiita zvisarudzo zvekurapa
- Kunyanya kusimbisa mararamiro emararamiro ekuchinja muhutano hwehutano
- Zvinodzivirira pasi pezvinokonzerwa neropa panguva yekurapa
New Classification System yeHypertension
Pamberi pemirayiridzo ya2017, vanhu vane systolic blood pressure ye 120-139 mmHg vaifungidzirwa kuva ne "hypertension"; avo vane systolic miedzo ye 140-159 mmHg vaifungidzirwa kuti vane chirwere chepachirwere chetatu 1 uye vane vane systolic miedzo ye 160 mmHg kana pamusoro apa vaifungidzirwa kuti vane danho repiri rekuwedzera kwehutano.
Iyo 2010 classification system, yakavakirwa pamigumisiro yezviitiko zvenguva pfupi yapfuura, inoderedza zvikumbaridzo zveGanho rekutanga uye Stage 2 yehutachiona, sezvinotevera:
- Kunyanya kunetseka ikozvino kunotsanangurwa se systolic yeropa ye 120-129 mmHg uye diastolic yeropa yepasi inopfuura 80 mmHg.
- Nhanho 1 kuwedzera kwehutano inotsanangurwa se systolic yeropa ye 130-139 mmHg KANA diastolic inokwana 80-89 mmHg.
- Chikamu chechipiri chekuwedzera kwehutano chinotsanangurwa se systolic yeropa ye 140 mm Hg kana kupfuura OR diastolic rinokwana 90 mmHg kana kupfuura.
Zvechokwadi, mirayiridzo ye 2017 yakaparadzanisa "yehutachiona hwepachiviri" yapfuura mumapoka maviri. Hamu yakaderera ichiri kuonekwa sehuwandu hwehutachiona, asi hafu yepamusoro (systolic blood pressure ye 130-139) iko zvino inonzi seStart 1 hypertension. Shanduko iyi yakagadzirwa nokuti data kubva kuchirwere chekuchirapa ikozvino inoratidza pachena kuti vanhu vane dambudziko reropa riri mumasero aya 130-139 vane ngozi yakakura yehutano hwemwoyo, uye matambudziko avo epamusoro eropa anofanira kutaridzirwa.
Zvitsva Zvitsva zvekuona Kuwedzera kweHypertension
Mitemo ye 2017 inotora marwadzo ekuratidza kuti nzira yeropa yevakawanda inowanzotariswa kumahofisi echiremba, uye nzira iyo kuwedzera kwehuwandu hwehutachiona yakagara yaongororwa, yave yakazara nezvinetso.
Kuwedzera kweropa kwevanhu kunowedzera zvakajeka panguva yezuva rakasvibirira, zvichienderana nemamiriro ehupenyu hwemunhu, kushungurudzika, kushandiswa kwemvura, kumira, uye zvimwe zvinhu zvakawanda zvinogona kuchinja kubva kuminiti kusvika kumaminiti. Saka, kuitira kuti kunyatsonzwisisa kukonzerwa kweropa, zvakakosha kuzviita pasi pemamiriro ezvinhu akachengetedzwa.
Heino nzira iyo mazano matsva anotsanangura nzira yakarurama yekuyera kuwedzera kweropa:
- Murwere anofanira kuve akasununguka zvakakwana, agere pachigaro (ane tsoka patsoka uye shure akatsigirwa) kwemaminitsi mashanu.
- Murwere anofanirwa kudzivisa caffeine, kurovedza muviri, uye kusvuta kwemaminitsi makumi matatu vasati vasvika.
- Murwere anofanirwa kuva nechikaka chisina chinhu.
- Haasi murwere kana munhu anotora ropa inofanira kutaura panguva imwe nguva, kana panguva yekuyera.
- Zvipfeko zvose zvinofukidza nzvimbo yechirwere cheropa rinofanira kubviswa. (Kwete kutora ropa kudzvinyirira pamusoro pemaoko.)
- Kunyanya, ropa redu harifaniri kuyerwa apo murwere ari kugara kana kuti avete patafura yekuongorora.
- Zvimwe zviyero zviviri kana zvitatu zvinofanira kutorwa, panguva dzinenge 2 kana zvitatu zvakasiyana, uye chiyero chekuverenga uku kunofanira kushandiswa kuongororwa nehutachiona.
Chero ani zvake ave achienda kuhofisi yechiremba mumakore achangopfuura angangodaro anoziva kuti aya mazano haashamisi kuteverwa. Asi, inofanirwa kuteverwa kuitira kuti ropa rekuverenga rive rakarurama. Izvi zvaive nguva dzose dzechokwadi, asi ndezvechokwadi kunyanya nhasi ne-aggressive hypertension classification system yakakurudzirwa mumitemo ye 2017. Kunze kwekuti ropa risingaoneki pasi pemamiriro ekunyarara, zororo rakasununguka rinotsanangurwa mumitemo iyi, zvinokonzera ndezvokuti ropa rekunyorwa kwekuregererwa kunenge kuchikwidziridzwa.
Mukuwedzera, mirayiridzo ye 2017 inokurudzira kuti kana huwandu hwepfungwa hunowanikwa mumakiriniki uchishandisa zviyero izvi zvakaringana, ropa rinofanirwa kuyerwa pamusana pekufungidzira asati asarudza kuti kuwedzera kwehuwandu hwehutano kuripo.
Kutora Ngozi Yese Yenjodzi Mukati
Nepo vanhu vane systolic yeropa yepakati pe 130-139 mmHg iye zvino vari kushandiswa seine Stage 1 hypertension panzvimbo yehutachiona hwehutachiona, mirayiridzo ye 2017 inokurudzira kutora njodzi yavo yose yehutano mukufunga asati asarudza kana kuti kwete kuvaisa pamishonga inorwisa anhypertensive.
Mukufungidzira dambudziko rehutano hwemwoyo yevanhu vane Stage 1 yerupemheta, mirairo ye 2017 inokurudzira kushandisa ACC / AHA Pooled Cohort Equations risk calculator. Izvi zvinokonzera ngozi yemakore gumi yehutano hwehutano uchishandisa makore, rudzi, zvepabonde, cholesterol mazinga , systolic ropa, chirwere cheshuga uye nhau yekutsvaira, uye chero kurapa kwecholesterol uye neropa. Kana kukanganisa kwemakore gumi zvichienderana nehuwandu hwehutachiwana hunofungidzirwa kunge huri pamusoro pe10 muzana, zvino chirwere chemishonga cheStage 1 chirwere chepfungwa chinokurudzirwa.
Kana ngozi yavo yemakore gumi iri pasi pe10 muzana, vanhu vane chirwere chepachipiri cheStart 1 vanofanira kutarisirwa nemafambiro emararamiro ehupenyu, kufanana nevaya vane hypertension.
Vanhu vane chirwere chechirwere chechipiri chechipiri vacharamba vachida kurapwa kwemishonga .
Kusimbisa kuHupenyu hwekuchinja
Kune chero munhu ane chirwere cheperesi yeperesi, kana Chikamu chekutanga kana chirongwa chechipiri chekuwedzera kwehutano, mararamiro emararamiro anosimbiswa sebwe rekona rerapi nemitemo ye 2017.
Zvinorayirwa mararamiro anochinja zvinosanganisira zvakawanda zvekuita muviri (zvishoma nemaminitsi makumi matatu ekurovedza muviri kanenge katatu pavhiki), kudya kweDASH-style, kuderedza kudya kweyerodium , kusvuta fodya , kuora kwekurema, nekudzivirira doro kusinganwi kamwechete kamwe pazuva vakadzi, uye zvinwiwa zviviri pazuva nokuda kwevarume.
Nharaunda dzeChitatu dzeRopa Purefu Therapy
Mitemo ye 2017 inotsigira kuti chinangwa chekushongedzwa kweropa kunofanira kuva systolic inodarika pasi pe 130 mmHg, uye chirwere che diastolic chinodarika 80 mmHg.
Ichi chinangwa chakaderera kupfuura chinangwa chinorongedzwa nemitemo yakapfuura, iyo inowanzotarisirwa kushandiswa kwechirwere chechiropa pasi pe 140 mm Hg kuvanhu vakawanda. Imwe mirayiridzo yapfuura yakakurudzira kunyevera kwakanyanya kune vakwegura vakwegura, vachirumbidza chinangwa chorapa cha 150 mmHg kana pasi.
Mutsva, chirwere chakadzika chinokwana 130 mmHg kana zvishoma, kuvanhu vakwegura uye kune vamwe vose, zvaive zvichibva pamigumisiro yezvitsva, maitiro makuru emakiriniki akaonesa migumisiro yakagadziriswa yevanhu vemazera ose anotarirwa kune zvinangwa zvakaderera.
Shoko Rinobva
I 2017 mitemo yehutano yepamusoro inomiririra kusungirirwa uye kuvandudzwa kwezvikamu zvakasiyana-siyana zvemashoko kubva kumapoka akawanda emagetsi, chinangwa chekutora madhigiri anoporesa dambudziko rehuwandu hwehutano zvose pane peji imwechete. Pane kuchinja mumitemo ye 2017 iyo inotora zvimwe kuishandiswa, zvose pakuongorora uye nzira yekurapa kwehuwandu hwehutano. Zvisinei, ivo vanovakirwa pauchapupu hwakasimba hwekliniki, uye hunofanira kugamuchirwa navanachiremba vakawanda.
Kana uine kana uri kuongororwa nehutano hwepfungwa, ingadai iri pfungwa yakanaka yekukurukurirana mazano aya matsva nachiremba wako, kuva nechokwadi chokuti iwe unofunga kuti wakarurama, uye chirongwa chako chekurapa chakakunakira iwe.
> Sources:
> Muntner P, Carey RM, Gidding S, et al. Zvichida kuwanda kwevanhu veUnited States ye 2017 American College of Cardiology / American Heart Association High Blood Pressure Guideline. Kurwisana 2017; DOI: 10.1161 / CIRCULATIONAHA.117.032582.
> Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APHA / ASH / ASPC / NMA / PCNA Nhungamiro yekudzivirira, Kuongorora, Kuongorora, uye Kutungamirirwa kweHurumende yeHurumende yeVanhu Vakawanda: Chiitiko cheAmerican College of Cardiology / America Chikwata Chemoyo Hypertension 2017; DOI: 10.1161 / HYP.0000000000000066.
> Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APHA / ASH / ASPC / NMA / PCNA Nhungamiro yekudzivirira, Kuongorora, Kuongorora, uye Kutungamirirwa kweHurumende yeHurumende yeVanhu Vakawanda: Chiitiko cheAmerican College of Cardiology / America Chikwata Chemoyo J Am Coll Cardiol 2017; DOI: 10.1016 / j.jacc.2017.11.005.