Nharaunda yeupemha yepamusoro pakunongororwa ichakutungamirira kurapa kwako kokutanga
Vanhu vazhinji vanoshamiswa kuona kuwedzerwa kwepamusoro kwekuverenga kuverenga sechinhu chinowanzoitika pakuwana chiitiko chekuita chiremba nokuti huwandu hwehutachiona hunoiti hunoita zviratidzo. Ichokwadi, iyo nzira chete yekuongorora huwandu hwehutachiona ndeyekuyera ropa.
IAmerican Heart Association inokurudzira kuongororwa nekuyera kwehutano hweropa makore makumi maviri oga oga kana ropa rako rega riri mumamiriro akaenzana.
IUnited States Preventive Services Task Force mirayiridzo inokurudzira kuongororwa kwevanhu vose vakura kupfuura makore gumi nemasere.
Pachishoma, vanhu vakuru vanopfuura makore makumi mana vanofanirwa kunge vane ropa ravo rinotarisa kamwechete pagore. Vakuru pakati pezera remakore gumi nemasere nemana makumi matatu nemana makumi matatu nemakumi matatu nemasere ekuputika kwemvura kuverenga pakati pe 130-139 mm Hg systolic uye / kana 85-89 mm Hg diastolic kana nehuwandu hunokonzerwa nehuwandu hweropa, kusanganisira kurema kana kushandiswa kwefodya, inofanira kuongororwa gore negore .
Kusimbisa Kuziva Kwako
Kana iwe uine kuverenga kwakakwirira, chiremba wako kazhinji anowanzochechedza ropa rako kakawanda asati aita kuti uongororwe. Kuongororwa kwehutachiona uye zvikamu zvehutano hwepamusoro zvinotarirwa pamwero weviri kana kupfuura kuwedzera kweropa kuverengerwa kuverengerwa panguva dzinenge mbiri dzakasiyana, kunyange kuvhiringidzika kweropa kuongororwa kwepamusoro kunorudzirwa kuti kusimbise kuwedzera kweropa rekuverenga kuverengerwa kunowanikwa pamaitiro ekuongorora maitiro.
Imba yeropa rekucherechedza inzira imwe nzira yekusimbiswa kana kuvhiringidzika kweropa kushandiswa kweropa hakuwanikwi. Mvumo yekusimudzirwa kweropa kuverengwa kuhofisi yechiremba inokurudzirwa nokuti vamwe varwere vanogona kuva ne "white coat hypertension."
Nhanho dzeHypertension Dzinotsanangurwa
Zvikamu zvakasiyana zvehuwandu hwehutano zvakatsanangurwa neChipatimendi cheNational National Committee pamusoro pekudzivirira, Kuona, Kuongorora, uye Kuchengetedzwa kweHurumende yeHurumende Inotyisa (JNC7) muna 2003.
Mukuwedzera pakurondedzera zvikamu zviviri zveupfempa, JNC7 zvakare yakatsanangura kufanana nehuwandu hwehuwandu hwehuwandu hwehutachiona. Kunyanya kufungira muviri kunobatanidza nehutano hwepfungwa, kusanganisira kuwedzerwa kwengozi yekodonary heart disease.
Zvikamu zvehutano hwepfungwa zvinoshanda kune vanhu vakuru vasina kutarisirwa nemishonga yeropa uye avo vasati vava kurwara panguva ino. Zvinotsanangurwa neJNC7 sezvizvi:
- Kazhinji kuwedzera kweropa: systolic ropa rinopfuura 120 mm Hg uye diastolic yeropa <80 mm Hg.
- Prehypertension: systolic yeropa kubva 120 kusvika 139 mm Hg kana diastolic yeropa kubva 80 kusvika 89 mm Hg.
- Dhigirii I hypertension: systolic ropa rinokonzerwa 140 kusvika 159 mm HG KANA diastolic yeropa rinobva 90 kusvika 99 mm Hg.
- Chikamu 2 kuwedzera kwehutachiona: systolic ropa rinodarika rinopfuura kana rakaenzana ne 160 mm HG KANA diastolic ropa rinokwana 100 mm Hg kana kupfuura.
Paunenge uchishandisa kuvhara ropa kushandiswa kweropa kana kuvhara ropa kweimba kuverengwa, huwandu hwehutachiona hunowanzosanangurwa sevhare remaawa makumi maviri nemakumi matatu nemakumi matatu nehafu Hg kana kupfuura; masikati masikati ye 135/85 kana kupfuura; kana muvhareji weusiku we 120/70 kana kupfuura.
Prehypertension
Inenge makumi mapfumbamwe kubva muzana yevanhu vakuru muUnited States vane chirwere cheperesi. Vanhu vane chirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere chepachirwere che
Kana isingateereri, kupera simba kwepachirwere kunowanzofambira mberi kuhuwandu hwehutachiona , iyo inoreva kuwedzerwa kweropa kwe 140/90 uye kupfuura.
Kunyanya kupera muviri kunowanzobatwa nehupenyu hwekugadzirisa. Mukuwedzera kune kudya uye kuita zvekurovedza muviri, kurega kusvuta , kutarisa kunwa doro, uye kuchengetedza uremu hutano matanho ose anokosha ekutora kudzora ropa rako.
Nhanho 1 Hypertension
Dzimwe nguva, danho randinonyanya kunetseka rinotumidzwa se "ronda" rekuwedzera kwehutano, izvo zvinosuruvarisa kutadza kubudisa njodzi dzinobatanidza nechiitiko ichi. Mukuwedzera kune mararamiro emararamiro akakurudzirwa kuvarwere vose vane hypertension nehutachiona hwepamusoro, danho rekutanga rekuwedzera kwehutachiona rinosanganisira kushandiswa kweimwe yemishonga yakasiyana-siyana yemishonga inopesana nehutachiona iyo inoderedza kushanda kweropa uye panjodzi yekurohwa uye chirwere chemwoyo.
Zvisarudzo zvinokurudzirwa naJNC 8 zvinosanganisira thiazide diuretics , ACE inhibitors, angiotensin receptor blockers, kana calcium channel blockers. Chisarudzo chakanaka kune veAfrica varwere ndeye thiazide diuretics kana calcium channel blocker.
Nhungamiro yenyika yakagadzwa neJNC8 inokurudzira kuti varwere veAfrica American vane systolic pressure 145 mm Hg kana yakatanga kutanga kurapwa pakarepo nemishonga miviri. Kana ropa rako riine chinangwa chisina kuwanikwa mukati memwedzi wekutanga kurapwa nemishonga yehutachiona, chirwere chemishonga chinofanira kuwedzerwa kana imwe mishonga inowedzera.
Nhanho 2 Hypertension
Varwere vane chirwere chepachirwere chepachipiri chepamutambo vanofanira kupiwa nzira yekushandura mararamiro uye kutanga kwemishonga miviri yakasiyana yezvikoro zvakasiyana-siyana, vakasarudzwa kubva kumapoka mashanu akasiyana-siyana emishonga yeropa inosanganisira muJNC mazano. Kana ropa rako rehuwandu huchiwira mumatanho akasiyana, nhamba yakakwirira ichashandiswa kusarudza nzvimbo yako.
Resistant Hypertension
Vanhu vazhinji vachada mishonga inopfuura imwechete kana maviri yekudzivirira ropa. Kurwisana nehuwandu hwepfungwa ndiro izwi rinoshandiswa kurondedzera kukwirira kweropa mukati mevanhu vanoramba vachiwedzera kuwedzera kweropa pasinei kutora mhando mitatu yakasiyana yemishonga. Kana iwe uine kukanganisa kwehutano, chiremba wako achatsvaga mamiriro ezvinhu ari pasi kana chikonzero. Mishonga yako inogona kudiwa kugadziriswa kuti ibudirire.
Mishonga
Mukuwedzera kune makirapa emishonga akabatanidzwa mukurongororwa kweJNC, kune mamwe marudzi akawanda emishonga ekurapa kukwirira kweropa. Izvi zvinosanganisira beta blockers uye diuretics ; vasodilator, iyo inodzivirira misi miviri yakapoteredza midziyo yeropa kubva pakubvumirana; alpha blockers, iyo inodzivirira mitsetse kumitsipa yeropa; uye pakati-maitiro maitiro anoshandiswa kudzivirira kutapurirwa kwemashoko emagetsi emhepo kubva muuropi zvichikonzera kuderedza mishonga yeropa. Vanhu vazhinji vachatsvaga mishonga inopfuura imwechete yekudzivirira ropa.
Ropa Kushushikana Zvinangwa
Iyo inorayirwa kurapwa kwehutano hwepfungwa inosanganisira zvose mishonga uye mararamiro anokosha ekuchinja mararamiro, kufanana nekudya uye kurovedza muviri. Ropa rako rechinangwa chepfungwa rinotarisana nezera rako uye kana iwe hauna zvimwe zvehutano. Vanhu vakura vane utano vane makore makumi matanhatu kana kupfuura vanofanirwa kuedza kuwana ropa rinodarika makumi matanhatu nemakumi mana nemakumi matatu nehafu Hg. Vechidiki vaduku vane hutano uye vanhu vane chirwere cheshuga, chirwere chetachiona chetachiona, kana chirwere chepfungwa chisingaperi chine chinangwa chekutapurirwa kweropa pasi pe 140/90 mm Hg.
Zvakakosha kuti urambe uchiongorora nhamba dzako uye kuti uite maererano nezvose zvinokurudzirwa, sezvo kurapwa kwehuwandu hwehutachiona kunogona kuderedza zvakanyanya ngozi yako yezvinetso.
> Sources:
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> Egan, B. M., Bandyopadhyay, D., Shaftman, S. R., Wagner, C. S., Zhao, Y., & Yu-Isenberg, K. S. (2012). Pakutanga Monotherapy uye Kurapa Kwekubatana neHypertension Kudzora Gore Rokutanga. Hypertension , 59 (6), 1124-1131. doi: 10.1161 / hypertensionaha.112.194167
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