Mumwe muvanhu vakuru vekuAmerica vane kukwirira kweropa (hypertension), kunyange nechetatu chavo vasingazivi chikonzero nei. Iyi nhamba inofanirwa paunofunga kuti kuwedzerwa kwepamusoro kweropa zvakajeka kuongorora uye kubata, uye kunyanya kunotyisa nokuti huwandu hwehutachiona ndomumwe wezvinhu zvinodzivirirwa zvikuru zvekufa muUnited States.
Vanhu vazhinji vanofungidzira zvenhema kuti varume ndivo vari mungozi yezvirwere zvepfungwa, asi panguva yekubudisa, vakadzi vakawanda kupfuura varume vakanga vafa nehutano hwepfungwa gore negore kubva muna 1984.
Kusabvuma kukwira kweropa kunogona kukonzera kuora kwepfungwa, uye kunosimudza ngozi yekurwadziwa kwepfungwa, kurohwa , uye zvimwe zvirwere zvepfungwa. Chikonzero chezvikamu zvitatu kubva pamakumi mashanu zvekushaya kwemoyo mumadzimai zvinokonzerwa nehuwandu hweropa.
Coronary heart disease ndiyo nhamba imwe chete muurayi wevakadzi veAmerica, inotaurira hupenyu hwevakadzikadzi vanopfuura 500 000 gore roga roga. Kuziva nekukurumidza uye kurapwa kwepamusoro-soro yeropa kunogona kudzivirira vazhinji vekufa uku.
Ndiani ari pangozi
High blood pressure inogona kuitika kumunhu chero upi zvake. Zvinowanzomesa kufungidzira chinokonzerwa nehuwandu hwehutano hwepamusoro sezvo zvinhu zvakasiyana uye zvinhu zvinowanzoita basa mukuvandudzwa kwayo.
Race uye kunyange nzvimbo yenzvimbo inowanikwa inotaridzika mune dzimwe nguva. Vakadzi veAfrica -America vanogara muSouth-East United States vanowanzova nehuwandu hwemhepo kune avo vanogara kune imwe nzvimbo. Pasi pose, veAfrica -America vanowanzova nehuwandu hwemhirizhonga yeropa pazera rekare uye zvakanyanya kukurira kupfuura vatsvene.
Zvisinei, izvi hazvirevi kuti vanhu vemazuva ano vanofanira kufunga nezvekuwedzera kweropa reAfrica -America chirwere. Ichokwadi, 11 inotaura (Alabama, Arkansas, Georgia, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, neVirginia) muSouth-East vanozivikanwa se "Stroke Belt States" nekuda kwehuwandu hwezvitsotsi unozivikanwa nevarume nevakadzi vemarudzi ose.
Zvimwe zvinokonzera kukwirira kweropa kunosanganisira kusvuta, kusava nekuita basa, kunyanya kuderedza, kudya kwakanyanya kwekasidi , cholesterol yakanyanya, kudhakwa kudhakwa doro, uye hutano. Vanorwara nechirwere cheshuga vanewo mungozi yakakura yepamusoro yehutano hweropa nemamwe zvirwere zvepfungwa.
Vakadzi vanoshandisa chirongwa chekudzivirira pamuviri vanofanirwa kuve nekuchengetedzwa kweropa kwavo, kunyangwe dambudziko rekuvhara nemuromo kunonyanya kuderera kudarika zvaive kare nokuti kuwanda kweesrogen uye progestin mumapiritsi emazuva ano zvakanyanya kudarika. Vakadzi vane huwandu hwehutachiona hwehupfumi hunosvuta uye kushandisa zvirongwa zvekudzivirira pamuviri zvinotarisana nematambudziko gumi kusvika kune makumi maviri muhutano hwekurohwa.
Mushure mokunge apera kumwedzi , mungozi yomudzimai wepamusoro wehutano hweropa nemamwe zvirwere zvepfungwa zvinowedzera zvikuru; njodzi inowedzera zvakanyanya kukurumidza kuvakadzi mushure mokunge hysterectomy , zvichida nokuti chibereko chinogadzira makemikari anobatsira kudzora ropa.
Kuwedzera kwengozi yechirwere chepfungwa kuvakadzi mushure mekuguma kwemwedzi kunofungidzirwa kuti kunoitika nekuda kwekuderedza maitiro eestrogen. Kwemakore yaitendwa kuti estrogen replacement therapy (hormone replacement therapy, kana HRT) yakapa chidziviriro chinopesana nechirwere chemwoyo chevakadzi pavanotorwa nguva dzose.
Zvisinei, ruzivo rwakawanikwa kubva kuvakadzi rinonzi Women's Health Initiative muna April 2000 rakawana kuti estrogen inowedzera dambudziko rehutano hwemwoyo.
Maererano neEmai's's Health Initiative pepanhau rekuti:
" Hapana chidzidzo chakave chichiratidza kuti HRT ichaderedza kushungurudzwa kwemwoyo." Zvidzidzo zvakasiyana-siyana zvakaitwa pamigumisiro yeHRT uye zvirwere zvepfungwa zvakaratidza kuti HRT inoderedza chirwere chemwoyo chinokonzerwa nehutano hwepfungwa zvinokonzerwa nematambudziko eLDL. zvidzidzo zvepamusoro apo vakadzi ivo pachavo, kana vanachiremba vavo, vakasarudza HRT uye vakateverwa nenguva. Kuongorora kwakadaro hakusi kuvimbwa.Vakanga vasina kutongeka zvakakwana kupa mhinduro dzakasimba. "
Kufanana nevashandi vekudzivirira kubata pamuviri, vakadzi vanoputa uye vanoshandisa estrogen vangawedzera kuwedzera mungozi yehutano hwehutano.
Zviratidzo
Kunyange zvazvo vamwe varwere vangava nemusoro wemusoro, chizivo, kana maonero asina kunaka, kazhinji nguva dzisina zviratidzo zviripo. Iwe unogona kunge usingazivi zvachose kuti iwe une kuwedzerwa kweropa kusvika chimwe chinhu chinoitika chinoda kurapwa. Vakadzi vane ruzivo rwekuita zvepabonde vanofanira kuva neropa rekuongorora chekuita sezvo vamwe vanodavira kuti kuwedzerwa kweropa kunogona kukonzera kuderedza libido kune vamwe vakadzi.
Nguva dzose kuongororwa kweropa kunofanirwa kuve chikamu chevanhu vanogara vachiongorora utano. Kuzvidzivirira kushandiswa kweropa kushandiswa kwemichina kunowanikwa mumafarisi mazhinji, uye mazhinji zvipatara uye makiriniki achaita kuti ropa rionekwe kushanda pasina chikumbiro.
Dambudziko reRopa rinoyera nhamba mbiri. Nhamba yepamusoro ndiyo systolic inomanikidzwa-kuwedzerwa kweropa mumidziyo sezvo mwoyo uchirova. Nhamba yakaderera ndiyo diastolic inomanikidzwa-kuwedzerwa kweropa pakati pemoyo. Ropa rinotaridzirwa sepamusoro apo systolic rinokwana 140 kana pamusoro uye / kana apo diastolic inodarika 90 kana kupfuura.
Mishonga
Mashoko akanaka pamusoro pekuwedzera kweropa ndeyekuti zviri nyore kutaridzika. Kana ropa rako richikwirira, chiremba wako achaona kana mishonga inoderedza ropa rako rinoda kudiwa. Anogona kusarudza iwe kuti uchinje mararamiro ako kare kana panguva yekurapa nemishonga.
Maitiro ehupenyu hunoga ega anowedzera kuderedza kushanda kweropa uye inogona kusanganisira:
- Kurasikirwa uremu, kana zvichidiwa
- Kutevera kudya-utano hwakanaka
- Kuita basa rinowanzoitwa mumuviri-kufamba kwemaminitsi makumi matatu kana mamwe mabasa aerobic pazuva
- Kuchengetedza chiyero cheyerodium mukudya kwako
- Kugadzirisa zvinwiwa zvinodhaka
- Kusiya kusvuta
Mhando dzinoverengeka dzemishonga inowanika kurapa kukwirira kweropa. Kurapa kunowanzoshandiswa pamwe chete nemararamiro emararamiro. Mimwe yemishonga inowanzoshandiswa kushandiswa kwepamusoro yeropa inosanganisira:
- Diuretics
- Beta-blockers
- ACE (angiotensin-kuvhara enzyme) inhibitors
- Calcium channel blockers
- Alpha-beta blockers
Iyi mishonga inogona kushandiswa yoga kana yakabatana, zvichienderana nezvakaitwa nachiremba wako zvakakosha mumamiriro ako ezvinhu. Kana chiremba wako achirapa mishonga, zvinokosha kuti iwe utore mishonga sezvakataurwa uye usarega pasina mutemo wake. Kamwe kamwe kumisa kushandiswa kwemishonga kweropa kungaita kuti ropa rako riwedzere kukurumidza.
Kana iwe uine chirwere chepamusoro, zvinokosha kuti iwe uite zvinorayira chiremba wako kune tsamba. Kutevera zvirevo zvechiremba wako kunobatsira kuderedza ropa rako rehupenyu uye ngozi yako yehutano hwepfungwa. Kurukura chero mibvunzo yaunayo nechiremba wako-zvakakosha kuti iwe unzwisise urongwa hwako hwehutano uye huripo hunobatsira muupenyu hwako uye hutano.
> Kwakabva:
> High Blood Pressure. Healthywomen.org.