Ambulatory blood pressure measure (ABPM) inoreva kuyera kweropa rako pamusoro pemakore ema24 kusvika ku48, uchishandisa nhengo yejeri yeropa yepamusoro . Iko rinowanzogadzirirwa iwe kumakiriniki ako kana kuti chipatara chekuchengetedzwa kwepachipatara uye rinoratidzika seyomuviri weropa wekuvhara iyo yakabatanidzwa kune kechidimbu chakasakara nebhanhire rako rezuva rinotevera.
Iyi mishonga ichaita kuti kutengesa kwekombe kuwedzere nguva dzenguva dzemaminitsi gumi nemaminitsi makumi maviri nemakumi maviri masikati panguva yemasikirwo emitambo yeropa rako, uye pamaminetsi makumi matatu kusvika ku60 paunenge wakarara. Ichachengetedza kuverenga kwako, iyo ichadzorerwa kuti iongororwe apo iwe unodzoka kuongorora zuva raitevera.
Ivhareji yemasikati, usiku, uye maawa makumi maviri nemasere ekudzvinyirira kweropa anotorwa nekombiyuta. Iwe unogonawo kuwana huwandu hwehuwandu hwepamusoro yehutachiona hwekuyeresa kwepakati panguva yekucherechedza. Dzimwe ruzivo rwakagadzirwa kubva kune deta iyi inoshandiswawo kubatsira kutarisa chinetso chepfungwa dzako uye njodzi yekufambira mberi kusvika pakupedzisira-stenal real (kidyo) chirwere, chinetso chekuwedzera kwehutano.
Sei chiremba wangu aizokurudzira ABPM kwandiri?
Ambulatory blood pressure monitoring inogona kuziva kuti ropa rako rinoratidzika sei pasi pemamiriro ezvinhu ezuva nezuva. Iwe unogona kunyanya kuonana ne "white coat hypertension," iyo inoreva kuverenga kwakakwirira chete pahofisi yechiremba.
Izvi zvinogona kuva mugumisiro wekuzvidya mwoyo kana kutoitika kana mushure mokumhanya-svetuka kusvika pakusangana kwako.
Ne ABPM, jira rekuchena rehutachiona harisisiri nyaya. Vamwe varwere vane uchapupu hwezvinetso zvehutano hwepamusoro weropa asi vane zviyero zvemahofisi zvakakwana munguva. Ava varwere vangangodaro "vakavhara kuwedzera kwehutano," iyo inobatanidza nehuwandu hwehutano hwehutano hwehutano hwehutano hwehutano hwehutano.
Kana chiremba wako achifungidzira iwe une chikonzero chekuona zvikamu zvehuwandu hwehutano hwepanguva nenguva mukati mezuva, ipapo ABPM ndiyo nzira yakanakisisa yekuongorora iyo inogona. Saizvozvowo, kana uri kutotora mishonga yepamusoro yehutano weropa asi dzimwe nguva uine zviratidzo zvekudzivirira kweropa, zvakadai sechezzinesi kana kuchena, ipapo ABPM inobatsira kuongorora zviratidzo zvako.
Mune zvimwe zviitiko, chiremba wako angangoda kungoziva kuti regimen yako iri kushanda zuva rose. Vanhu vazhinji vane gonho muudzvinyiriri weropa usiku, asi kana izvozvo zvisingaitiki, zvinosanganiswa nezvinetso zvepfungwa zvinokonzera, kusanganisira kuwedzera kwemazana echokusiya ventricle yemwoyo uye mwoyo kusakatika. Usiku hwehutano hwehutano hwakanaka huri nani hwekufa nekuda kwehutano hwehutano hwepfungwa hunofananidzwa nemasikati eguta, uye hunogona kuonekwa kuburikidza neAIDS.
Munhu Wose Anofanira Kuita Zvinokonzera Kuwedzerwa Ropa Here?
Dzimwe nyanzvi muUnited States dzinokurudzira kushandiswa kweABPM kusimbisa hutsva hutsva hwehuwandu hwehutano hwepamusoro apo kuverenga kwakakwirira kunowanikwa muhofisi yechiremba kana kuchipatara chiri kunze. Rimwe boka renyanzvi rinoita izvi kukurudzira iUnited States Preventive Services Task Force, iyo inoyera zvose zvinokonzera njodzi uye zvinobatsira zvekuchengetedza utano hwekudzivirira musati wasarudza kukurudzira.
IU.S.STSTF yakagadzirisa izvi zvinokurudzira pamusoro pehupupuri hunoratidza hutano hwekuuraya uye husina hutano hwezviitiko zvepfungwa uye kurohwa kunobatanidzwa zvakasimba nepamusoro yekumanikidzirwa kweropa. Mamwe mapoka haana kuita sarudzo imwechete mumagariro edzimhosva asinganzwisisiki ekudzvinyirira kweropa, kunyanya nokuti ABPM haisi nyore uye inodhura yakaenzaniswa nehutano hwemahofisi eropa ropa.
Mune zvimwe zviitiko, vanachiremba vachakumbira varwere vavo kuti vaite sarudzo yeropa yezviyero pamusha sechimwe chekufungidzira kuwedzerwa kweropa kuongororwa. Kune mamiriro akawanda maitiro ayo nyanzvi dzakawanda dzinobvumirana dzinofanirwa kuita kuti ABPM, kusanganisira white coat hypertension uye hypertension iyo isingafambi nekuwedzera mishonga.
Zvichazoitika muBABM Zvichachinja Kurapwa Kwangu Here?
Kana yakashandiswa nokuda kwezvikonzero zvakataurwa pamusoro apa, kumwe kuongorora kwakawana kuti ABPM yakaguma nekuchinja kwehutano hwehuwandu hwehutachiona mune inenge hafu yevarwere vose vakaedzwa, zvichiguma nekuvandudzika kwekudzivirira kweropa. Kushandurwa kwekuwedzerwa kweropa kushandiswa kwemishonga inogona kuita kuti hurumende iwedzere mberi mushure mokunge maBPM mune vanhu vane remishonga kamwechete-zuva rimwe nerimwe vangave vasina kubudirira kwemaawa makumi maviri nemaviri.
Kuwana Mhinduro Dzakarurama
Pane zvinhu zvakasiyana-siyana zvaunofanira kuita kuti uone kuti kuongorora kwako kwakarurama uye kunoratidzira ropa rako mukati mezuva rimwe nerimwe. Apo michina iri kugadzirira kutora chiyero chemuviri weropa rako, iwe unonzwa beep. Kana izvi zvikaitika, gara pasi kana uchikwanisa, kuchengeta mutsipa weropa pamatunhu akafanana nemoyo wako.
Iva nechokwadi kuti tube iri pakati peikombe nemakina haisi kukanganiswa kana kushandiswa uye edza kuchengeta ruoko rwako runyararire uye rwakasimba apo mishonga inotora chiyero. Chiremba wako achakukumbira kuti uchengetedze mamwe mavara edhidhiyo kana rekodhi yemabasa ako mushure mega rega rega kuverenga ropa, saka mushure mekunge mishonga ichizadza chiyero, nyora iwe mukova. Iwe unofanirawo kucherechedza nguva yako yekurara, nguva yekumuka, nemishonga nguva.
The Bottom Line
Ambulatory blood pressure monitoring inopa chiyero chakanaka chemuropa wako mukati mezuva rako uye usiku. Kunyange zvazvo nyanzvi dzakawanda dzichibvumirana kuti ndiyo ndiyo nzira yakanakisisa yekuongororudza zvinetso zvehupfumi reropa izvo zvingave zvisingaoneki pahofisi yako yechiremba, muzinda wakazara wehutano wehutachiona hunopa ruzivo rwakadaro uye inogona kukwana kuongorora ropa rako. Chiremba wako achakuudza kana kuvhiringidzika kweropa kushandiswa kwepamusoro kunofanirwa kuve kuongororwa, zvichienderana nehuongorori hwehutano hwako uye chirwere chake chemakiriniki.
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> Gwaro Rokupedzisira Nyaya: High Blood Pressure muVakuru: Kuongorora - US Preventive Services Task Force. (2015, October). Yakadzorerwa musi waJanuary 9, 2017, kubva ku https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatFinal/high-blood-pressure-in-adults-screening
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