Kuwana Dambudziko Ropa Mishonga Inoshanda Kwauri
Hapana kubvumirana pamusoro pemishonga inofanira kupiwa kutanga kana mumwe munhu atanga kurapwa kwehutachiona. Iko kune zvinhu zvina zvakasarudzika zvinowanzobatanidzwa. Izvi zvinosanganisira zvikamu zvinotevera zvemishonga:
- Angiotensin-kuchinja enzyme inhibitors kana angiotensin II receptor blockers (ACE inhibitors uye ARBs)
- Calcium channel blockers
- Beta blockers
- Thiazide diuretics
Ndeipi Chikoro Chezvinodhaka Chinoshanda Zvakanakisisa?
Kunyange zvazvo imwe chikwata chemishonga isingakoshi kune imwe nyika yose, pane maonero akasiyana-siyana anokonzera kusiyana kweropa rekudzivirira. Chinangwa cherapi paunorapa huwandu hwehutachiona hunofanira kuva ropa redu pasi pe 140/90 mm Hg kune vanhu vari vaduku kudarika makore makumi matanhatu. Kunopfuura makore makumi matanhatu, chinangwa chirwere cheropa pasi pe 150/90 mm Hg. Kana uine makore anopfuura makumi matanhatu, unogona kuedza kusvika kune chinangwa chakaderera, asi iwe uri pangozi yemigumisiro yakawanda, sechezzinesi.
Zera neRace Influence Choice yekutanga Antihypertension Treatment
Kune maitiro akasiyana-siyana anokanganisa mukana wekupindura kwakanaka, kusanganisira makore uye rudzi. Vachiri vaduku vane mhinduro yakanakisisa kune ACE inhibitors uye ARBs, uyewo beta blockers . Beta blockers hazviwanzoshandiswa kushandiswa kurapwa kwehuwandu hwemishonga yeropa, zvisinei, nokuti uchapupu huri kuratidza kuti hahupi hudziviriro yakanyanya kurwisa sitiroko sevamwe sarudzo dziripo.
Somugumisiro, varwere vaduku vanowanzotanga pharmacologic kurapwa kwehuwandu hwemhepo yeACE inhibitor kana ARB. Izvi zvinotsigirwa nouchapupu hunobva pakudzidza kwevechidiki vane hypertension avo vairapwa nemumwe wezvikamu zvakasiyana-siyana zvemishonga.
Vanhu vane ruzivo uye vanhu vakwegura vanoita sevanobudirira zviri nani kutanga ropa rinodzvinyirirwa kubva kune thiazide diuretic kana calcium channel blocker, saka vanachiremba vanowanzosarudza kutanga chirongwa nemishonga iyi.
Zvisinei, ACE inhibitors uye ARBs zvinoshandiswawo kurapa varwere vane mwoyo wekukundikana, nhoroondo yekurwadziwa kwepfungwa, uye zvirwere zvisingaperi zvepfungwa, saka kana imwe yemamiriro aya aripo kune munhu mukuru kana munhu mutema, ipapo ACE inhibitor kana uye ARB inogona kuva sarudzo yekutanga yemishonga inopesana nemishonga.
Wedzera Mishonga Mitsva kana Kuchinja Yekare?
Ingongova chokwadi chokuti munhu wose haazopinduri kune ropa rose remishonga yemishonga. Kana iwe uchitanga mishonga mitsva uye chirwere chako chakakwana, asi iwe hauna kukwanisa kuderedza ropa rako rakachengeteka, iwe unofanira kuitei? Iyo Joint National Committee inokurudzira kusundira chiremba kusvika pamutengo wakakurudzirwa kana kuwedzera mishonga yechipiri. Paunowedzera muwandu wehuwandu hwemishonga yeropa, mhinduro inotanga kuderera. Zvimwe zvinokonzerawo zvinowedzerawo
Ikoko 'imwe nzira: dzimwe nyanzvi dzinokurudzira kuchinja kune mushonga mutsva kana yekutanga isingashande. Kana usina kupindura mushonga mumwe chete, unofanira kuziva kuti iwe une 50 muzana yemukana wekuwana chirwere cheropa chinowanzoonekwa pane imwe mhando yemishonga. Iyi nzira inonzi "sequential monotherapy." Kana chirwere chechipiri chisina kushanda, chechitatu chemishonga inogona kubvumira kusvika ku80% yevarwere kuti vawane ropa rekudzivirira.
Vamwe Vanhu Vanoda Zvakawanda Kupfuura Imwe Mishonga Yokudzora Dambudziko reHypertension
Muzhinji, kudzvinyirirwa kweropa kudarika 20/10 mm Hg hazvikwanisi kutarisirwa nemishonga imwe chete, saka vanhu vane ropa rekutanga rinodzvinyirira ropa vangada mishonga miviri yekudzivirira kuchangobva kuongororwa hypertension. Kune huwandu hwemishonga inodhaka iyo chiremba wako anogona kupa, uye kana ropa rako rakanyanya kukwirira pakutanga, izvi zvinogona kukubvumira kuti uwane chinangwa chekuda ropa munguva yakakodzera.
Kudya uye Kuedza Kudzidzira Kunogona Kuita Kuti Unzwe Zvaunopindura
Kana uine chirwere chepfungwa, chiremba wako angangodaro ataura kuti mararamiro anochinja.
Zvakakosha kuti urambe uchiita zvekuita nguva dzose uye usapedza kudya kwemanya, kunyange paunotanga mishonga. Kusvuta nekushayikwa kwehope kunogona kuita kuti zvive zvakaoma kudzivirira kukwira kweropa.