Dzidza nezvegadziriro inonzi permissive hypertension mushure mekushaya chirwere chekuita.
Kuwedzera kweropa, iyo inonziwo kuwedzera kwehutano , ndiyo inowanikwa yakawanda inokonzerwa nechirwere . Saka zvinogona kushamisa vamwe vanhu kuti vaone kana mumwe munhu aine chirwere, vanachiremba vanogona kumira ropa kumishonga yemishonga uye kubvumira kuomeswa kwekuita seyakareba. Nei zvakadaro?
Kutarisa Kufurirwa Kweropa Mushure meIschemic Stroke
Ischemic stroke inokonzerwa nekuvhara muropa remudziyo, kuitira kuti ropa risingagoni kusvika.
Pasina ropa kununura okisijeni uye kubvisa tsvina nemiti-mishonga, anenge mamiriyoni 1,9 masero ehupi hutano anofa maminitsi oga oga.
Ropa rinogona kusvika pane imwe nzvimbo yeuropi kuburikidza nedzimwe mitsipa yeropa, semotokari inotora imwe nzira iyo nzira huru yakavharwa. Dzimwe nguva chivharo chakavharwa chinotangazvezve. Chero mamiriro ose ezvinhu, chinangwa ndecho kukurudzira ropa kuderera kuburikidza nenzvimbo yakanyanya.
Imwe nzira yekuita izvi ndeyokuwedzera kuwedzera kweropa kusundira ropa kuburikidza nemidziyo iyoyo yakanyanya yeropa. Kuderedza ropa rinogona kuwedzera kuipa kwechirwere. Mimwe miedzo yekutsvakurudza yakanyatsotsanangura izvi.
Nzira ye "kubvumira chirwere chepfungwa" inosanganisira kuvhara ropa reumwe munhu mishonga kwenguva yakatarwa mushure mekurohwa - kazhinji haisviki maawa 24 kusvika 48. Munguva iyoyo, systolic ropa (iyo nhamba yakakwirira) inogona kukwira yakakwirira semakumi maviri nemakumi mana, kana 185 kana chivharo-busting mishonga yechiropa chinonzi plasminogen activator (tPA) chapiwa.
Pakupedzisira, zvechokwadi, ropa rinodzvinyirirwa rinofanira kudzorerwa kumaitiro anowanzogamuchirwa. Kungofanana kwokuti ropa rinokonzerwa sei kudzorerwa kune yakasununguka mushure mokunge chirwere chave chiri chikonzero chekukakavara, zvakadaro.
Muchiedzo cheCATIS, varwere vanopfuura 2 000 vakashandurwa kuti varaderedze ropa kubva 10 kusvika ku25 muzana mukati maawa makumi maviri nemaviri mushure mekurohwa uye vakaderedzwa kusvika pasi pe 140/90 mumazuva manomwe.
Kusiyana neizvi, vanhu vazhinji vanogona kuronga kukanganiswa kwemazuva ose kwemavhiki mashomanana mushure mekurohwa.
Mushure memazuva makumi mana, vatsvakurudzi veCATIS vakaongorora hutano hwekufa nekuremara uye havana kuwana mutsauko pakati pezvirongwa zviviri. Kunyange zvazvo vanyori vakataura kuti kunyanya kuderedza kushungurudzwa kwakabatsira varwere, zvimwe zvichikosha zvikuru kuti varwere vakanga vasina kukuvadzwa, zvimwe.
Kurwisana neRopa Kushushikana Kuronga muCachiunar Ischemic Strokes
MuCATIS, varwere vane michina duku "lacunar" yakaita sokuti inobatsira pane imwe yakanyanya kuwedzerwa ropa. Izvi zviduku zvishoma, izvo zvinowanzoitika mukati meuropi apo vanogona kuita zvakanyanya kuwanda kwekukuvara, zvinowanzobatanidzwa nehutachiona.
Dambudziko reSSPS3 rinotarisa zviuru zvevarwere vakadai nevechirwere chemazuva ano paMRI yavo yekuenzanisa , kuenzanisa kushanda kwemazipa ekudzivirira ropa kune dzimwe nzira dzinogamuchirwa. Kunyange zvazvo migumisiro yechirongwa ichi yakanga isiri yakakosha, pakanga pane chiito chekutonga kwakasimba sekuita sekuti kuderedza maratiro ose akazara - kunyange, izvi zvingave zvakakonzerwa nekuti pakanga pane vashoma vanovhiringidza ropa muboka rakasimba rinodzorwa neropa reboka.
Pasi Pasi
Ndezvipi zvinowanikwa zvinoratidza?
Zvichida ropa rako rinodzora mashoma mavhiki kusvika masvondo mushure mekurohwa zvichienderana nesimba rekurohwa. Kune vakwegura vakwegura mushure mekushaya chirwere, semuenzaniso, chinangwa chinofanira kunge chiri pasi pe 130 mmHg systolic. Nenguva pfupi mushure mekurohwa, zvakadaro, nzira yakanakisisa ingatoita kuti ropa rirambe rakakwirira.
Sources:
Iye J, Zhang Y, Xu T, Zhao Q, Wang D, et al; CATIS Vatsvakurudzi. Migumisiro yekudzivirira kweropa kuderedzwa kwekufa nekuremara kwakakura kune varwere vane chirwere chakanyanya chekushaya ischemic: CATIS randomised clinical trial.JAMA. 2014 Feb 5; 311 (5): 479-89. doi: 10.1001 / jama.2013.282543
White CL, Pergola PE, Szychowski JM, Talbert R, Cervantes-Arriaga A, et al .; SPS3 Vatsvakurudzi. Dambudziko reRopa mushure mekurohwa kwechirwere ichi: nheyo dzinowanikwa kubva kune yechipiri kudzivirira kwechidiki subcortical strokes test. Am J Hypertens. 2013 Sep; 26 (9): 1114-22.