Potassium inokwanisa kukonzera kudzvinyirira kweropa inowanzorambwa
Hypertension, (kana zvisina kukodzera high blood pressure) chimwe chezvirwere zvisingaperi zvinowanzoitika. Saka ihwohwo ndedambudziko rehutano hwepaguru. Sezvakaitwa neCenters for Disease Control (CDC), kuwanda kwehuwandu hwehutano hwepakati pakati pevakuru vekuAmerica vane makore gumi nemasere nepamusoro kwaive nepamusoro pe 29,1 muzana muna 2011-2012. Munyika yose, kupararira kwakawanda kwekumanikidza kukonzerwa kweropa kune vanhu vakuru vane makore makumi maviri nepamashanu uye kupfuura kwakange kune 40 muzana muna 2008.
Kuramba kuine simba rezvemuropa rine migumisiro yakaipa, zvichiita kuti kuwedzerwe njodzi yekurohwa, kurwadziwa kwemwoyo, kupererwa kwepvo, etc. Kuporesa kwekuwedzerwa kweropa ndiyo munda unogara uchishanduka, chiito chakatanga makore zana apfuura.
Nhoroondo Pfupi yeHypertension
Zvakaoma kufungidzira kuti nzira yemazuva ano yekuyera kuwedzera kweropa yakangove yakapoteredza kwemakore anopfuura zana (apo Dr. Kortokoff, chiremba wokuvhiya wokuRussia, akarondedzera nzira yacho mundima imwe chete). Kunyange zvazvo taizogona kuyera kukonzerwa kweropa, hapana ainyatsoziva kuti chirwere che "ropa" chinofanira kunge chiri chei. Gare gare, zvidzidzo zvehuwandu hwevanhu zvakaitwa kuti zvipindure mubvunzo iwoyo. Ne ruzivo irworwo rwakauya kuziva kuti kupisa kwepamusoro kweropa kunogona kuwedzera njodzi yemwoyo uye zvirwere zvevascular.
Zvinosuruvarisa, mukutanga kwezana remakore rechi20, hapana kurapa kwakanaka kwaive kune hypertension. Chero hurongwa hupi hwekurapa huripo hwakanga huri nehunova huri pakati pepakati nepakati uye hutsinye nemazuva ano.
Izvi zvaisanganisira kuisa ropa pamaplobotomy, kana kutochera hutsvo dzeumwe munhu kuti uderedze ropa. Muzvokwadi, zvakanyanya kukwira kwehutano weropa zvakatodudzwa sehutachiona hwehutano hwehutano, shoko rakaipa rinoratidzira kufungidzira kwakaipa sekenza.
Kurapa Kwemazuva Ano kweHurumende yeHurumende
Nhasi, vanachiremba havachadi kutamba vampire kurapa varwere vavo 'high blood pressure.
Izvi zvinokonzerwa nekuvandudzwa kwedu kwehutano hwehupenyu hwehupenyu hwevanhu pamwe nekukanganisa kwezvinhu zvakadai sekudya (izvo zvinosanganisira electrolytes se sodium, potasium, nezvimwe). Kufanana nematambudziko mazhinji kunyange zvakadaro, patinowedzera kudzidza, mibvunzo yakawanda inowedzera.
Saka, munhu wepakati wepamusoro angaita chikanganiso chokufunga kuti chiremba wemazuva ano akazadzisa unyanzvi uye sayenzi yekurapa kukwirira kweropa. Asi, nanhasi, kurapwa kwehuwandu hwehutachiona uye nzira yekutaura nayo dambudziko iri kuchiri nyaya yekutsvakurudza kwakanyanya uye nharo. Mumwe chete anongoda kutarisa mitemo yakawanda yakabudiswa nemasangano epasi pose achiudza chiremba chiremba kuti uye sei kubata ropa rakanyanya. Mumwe nomumwe anotaura kuti ndiro izwi rokupedzisira panyaya yacho; ndiko kuti, kusvikira mutungamiri unotevera ubuda. Imwe yemitemo inowanzoshandiswa muUnited States nevarapi mukurapa huwandu hwehutano ndeye chinonzi Joint National Committee (JNC) mirayiridzo.
Ropa Rakachengetedzwa Sei?
Tisati tanzwisisa basa re potassium mukuronga kushandiswa kweropa, zvinokosha kuti tive nekupfupisa kwekuti muviri wedu "thermostat" weropa rinoshanda sei. Iyi thermostat inosanganisira kuwirirana kwakaoma kwezvirongwa zvinotungamirirwa nehurongwa hwedu hwetsitsi, itsvo, endocrine system inoita mahomoni, mwoyo, mishonga yedu yeropa, kuwanda kwemvura inoshanda mumidziyo yeropa, mazinga e electrolyte, nezvimwe.
Kune chimwe chinhu chinoratidzika sechinhu chiduku (sezvinonzi kana iwe uchiti, "ropa rangu rinomhanya rinopera 120/80"), zvinonakidza kuziva kuti izvi zvakanyanya-zvakakosha sei zvinoda kunge zvichishanda mukugadzirisa zvakakwana mashizha ose ehupenyu hwedu kuchengetedza ropa redu kuoma kunomhanya chete kwainofanira kuva.
Electrolytes uye Hypertension: Potassium
Apo zvinosvika kune electrolytes uye kuwedzera kweropa, vanachiremba vazhinji uye kunyange munhu akawandisa vanowanzoziva basa re sodium. Varwere vanoputirwa nemashoko pamusoro pekucheka kudya kwavo, uye zvakakodzera kudaro. Zvinosuruvarisa, hazvikwanisi kusimbiswa panguva yekutaurirana kwekliniki pamusoro pebasa rinobatsira re potassium pamusana pekumanikidza ropa.
Sezvinorondedzerwa pano , potasium ine basa rinokosha muhutano hwevanhu, uye iri chinhu chakakosha muupenyu. Mazinga ayo anonyanya kuchengetedzwa neitsvo. Kune deta inoratidza kuti kusadya podasium yakakwana mune zvekudya kwedu kunogona kutungamirira kukuwedzera kwekushandiswa kweropa, uye kunyange kuwedzera ngozi yezvirwere zvepfungwa uye chirwere. Panewo deta kubva meta-analysis iyo yakaratidza kuti 1.6 gram kuwedzerwa kwekudyisa potassium zuva rimwe kunogona kuderedza ngozi yekurohwa nekusvika 21 muzana. Uye kana iwe ukawedzeredza mamiriro acho ezvinhu nekudya zvakakura zve sodium zvakare, zvino kuitika pahuwandu hwemagazi yako kunowedzera kuwedzerwa. Saka zvinoratidzika kuti kana zvasvika kune ropa redu, potasium zviri pachena kuti murume akanaka.
Nei Pasiziyamu Yemuzasi Inomanikidzwa?
Hatisi chokwadi zvakadaro. Zvisinei, ichi zvakare chidzidzo chekutsvakurudza kushingaira. Chimwe chezvifungidziro zviri kuongororwa ndezvekuti potassium inokonzerwa neitsvo 'kukwanisa kubvisa sodium kubva mumuviri. Isu tinoziva kuti ropa rakadzika re potassium kubva pasi rakaderera re potassium rinogona kuwedzera kuisazve rearsorption ye sodium muinso, uye zvinokonzera kukonzerwa nehuwandu hwehutano.
Unogona Kudya High Potassium Zvokudya Zvishoma Here?
Kunyange zvazvo miedzo yakawanda yakaitwa kuti ipindure mubvunzo uyu, meta-yakakurukura ye 16 randomised trials yakaita kuti zvive nyore kududzira deta nekunyora nhamba kwatiri. Naizvozvo isu tine uchapupu hwokuti kuwedzera kwekudya kwe potassium kunogona kuderedza kushanda kweropa kune varwere vanotambura nehutachiona hwehutano. Zvisinei, vanhuwo zvavo vasina huwandu hwehupfumi hwematongerwo enyika vangasaona kucheneswa kwakafanana. Ikoko kunoratidzikawo kunge kune kuwirirana pakati pemiti uye chiitiko, umo vanhu vane kukura kwepamusoro kwekudya kwe potassium (ya 90-120 mEq pazuva) vanogona kuona kuderedza kukuru muropa.
High Potassium Zvokudya Hazviiti Kune Wose
Usati watanga kubvarura bhanana nematato, ndapota tora maminetsi mashomanana kuti ukurukure nachiremba wako kana kudya kwakakwana kwe potassium kungave kwakakunakira iwe. Panove neve vanhu vane potassium yezvokudya zvinokuvadza zvinogona kukuvadza kupfuura zvinobatsira. Izvi zvinosanganisira vanhu vane chirwere chepfungwa chinokurumidza, kana vanhu pane mamwe marudzi eropa ropa mishonga seangiotensin inoshandura enzyme (ACE) inhibitors kana spironolactone, uko zvokudya zvakakura zve potassium zvinogona kuwedzera njodzi yekukuvadza kwepamusoro potassium yepamusoro / hyperkalemia. Kune mutevedzeri chaiyo kunyange zvakadaro, potassium chikafu chakaisvonaka chinogona kuuya nemafungiro emwoyo, sezvo data iri kumusoro inoratidza.
> Sources
> Aburto NJ, Hanson S, Gutierrez H, et al. Migumisiro yekuwedzera potassium inowedzera pamagetsi ehutano zvinokonzera uye zvirwere: kuongorora kwehutano uye meta-kuongorora. BMJ. 2013 Mar 3; 346: f1378. doi: 10.1136 / bmj.f1378.
> Araki S, Haneda M, Koya D, et al. Urinary Potassium Excretion uye Renal uye Matambudziko Ane Mwoyo muVachipatendi vane Rudzi rwechipiri rweShuga uye Kazhinji Renal Function. Clin J Am Soc Nephrol. 2015 Dec 7; 10 (12): 2152-8. doi: 10.2215 / CJN.00980115. Epub 2015 Nov 12.
> D'Elia L, Barba G, Cappuccio FP, et al. Potassium kudya, kurohwa, uye chirwere chemwoyo meta-analysis yevanotarisira zvidzidzo. J Am Coll Cardiol. 2011 Mar 8; 57 (10): 1210-9. doi: 10.1016 / j.jacc.2010.09.070.
> James PA, Oparil S, Carter BL, et al. 2014 Evidence-based Based Guideline for Management of High Blood Pressure in Adult. Dzokorora Kubva Panhengo Dzakasarudzwa Dzakasarudzwa kune Eighth Joint National Committee (JNC 8). JAMA. 2014; 311 (5): 507-520. doi: 10.1001 / jama.2013.284427
> Yang Q, Liu T, Kuklina EV, et al. Sodium uye potassium kudya nekufa pakati pevakuru veUnited States: inotarisirwa kubva kuTatu National Health uye Nutrition Examination Survey. Arch Intern Med. 2011 Jul 11; 171 (13): 1183-91. doi: 10.1001 / archinternmed.2011.257.