Apo Kuwedzerwa Kweropa Rakachinja Kunouraya
Kuipa kwehuwandu hwehutachiona ndehuwandu hwakakomba hwehuwandu hwemhepo hunokonzera kukanganisa kune imwe kana zvimwe zvirongwa zveganda. Kunyange zvazvo zvisingawanzovi-zvinongopoteredza chikamu chimwechete kubva muzana yevanhu vane nhoroondo yepamusoro-blood ye-hypertension inokuvadza inogona kukonzera kukanganisa kusingagadziki uye kunyange rufu kana isingatariswi pakarepo.
Kuipa kwehuwandu hwehutano kunotsanangurwa sehutano hweropa kuverenga kupfuura 180/120.
Kusiyana neizvi, chirwere cheropa chinowanzoitika pasi pe 140/90.
Kunyange zvazvo masangano makuru ehurumende ari pangozi yekukuvara muchiitiko chakaipa chinopisa simba, itsvo, meso, uropi, uye mwoyo ndizvo zvinowanzokonzera kuipa. Kuipa kwehutachiona kunowedzera nokukurumidza, zvichikonzera kuputika kwemidziyo midzi yeropa mumuviri wose.
Zvinokonzerwa neAlignant Hypertension
Zvinokonzerwa nehutachiona hwehutachiona hazvinyatsonzwisiswi. Muzviitiko zvakawanda, zvinoratidzika sechigumisiro chezvizhinji zvinokonzera zvinhu. Pakati pavo:
- Kuchengetedza kukwepa kwepamusoro kwemishonga yemishonga
- Nhoroondo yeutsvo kusagadzikana kana stenosis (kuderedza mitsetse yeropa)
- Gestational hypertension panguva yekudzivirira kana zvimwe zvinetso zvakakonzerwa nemimba yekuberekwa zvakadai se preeclampsia
- Vanhu vane chirwere che collagen vascular se scleroderma
- Tumha ye adrenal gland
Kunyange zvazvo nhoroondo yepamusoro-soro yeropa inofungidzirwa kuti inonyanya kukanganisa, zvimwe, zvachose zvisingabatanidzi zvinogona kukonzera chirwere chinokonzera hutachiona.
Izvi zvinosanganisira kushandiswa kwezvinodhaka zvisina kukodzera (zvakadai secocaine kana methamphetamine), mapiritsi ekuberekwa kwepabereki, kuora mwoyo kwepamusoro, uye kukuvara kwemutsipa wesipinha.
Zvimwe zvezvikonzero izvi zvinogona kuverenga kuti nei vechiduku vari nyore kutapukira kwehutano hwakanyanya kupfuura vakwegura. Kusiyana neizvi, vakuru vakwegura vangangodaro vari pamishonga inopesana nehuwandu hwehutachiona saka vachideredza ngozi yavo.
Zviratidzo zveMalignant Hypertension
Nemhaka yokuti chirwere chinopisa chinokonzera hutano chinokanganisa nhengo dzinonyanya kunetseka kuwedzerwa kweropa, zviratidzo zvinonyanya kubva pane nzvimbo yekukuvadzwa kwemavhukira. Zvimwe zvezviratidzo zvinowanzobatanidza zvinosanganisira:
- Blurry chiratidzo
- Headache
- Chipfuva chepfu
- Kusagadzikana kwepfungwa
- Akasvibiswa
- Kupfupika kwemhepo
- Kubata, kupera, kupisa, kana kunyanya kunzwa kweganda
- Kuora mwoyo kana chirwere
- Yakaderedza urine zvakabuda
- Nausea kana kurutsa
- Akachinja mafungiro epfungwa
- Kuputika kwema-retinal capillaries
- Kugumburwa
Kunyange zvazvo zviratidzo izvi hazvisi zvega zvinokonzerwa nehutachiona hwehutachiona, dzinobatanidzwa nehuwandu hwemamiriro ezvinhu akaoma sekurwadziwa kwepfungwa, kurohwa, kana kushaya mafungiro. Nokuda kwechikonzero ichi chete, zviratidzo zvakadai izvi hazvifaniri kuregererwa.
Kurapa Mafungirwo Emagetsi
Kuongororwa kwehutachiona hwehutachiona kunoitwa nekutora ropa romunhu. Avo vanoongororwa vanofanira kunge vakangozobvumirwa kupinda kuchipatara kuitira kunyatsocherechedza uye kurapwa. Zvichienderana nezvakakomba chiitiko chacho, kubvumirwa kune hutano hwakanyanya kungadikanwa.
Intravenous drugs inoshandiswa kupedza zvishoma nezvishoma ropa, kusanganisira sodium nitroprusside uye nitroglycerin. Iropi, uropi, uye mwoyo basa zvinogonawo kunyatsoongororwa kuongorora chero kusakanganiswa kunoda kupindira kwekukurumidzira.
Mune zviitiko zvakanyanya, kuisa ropa kunogona kushandiswa kana mishonga inopisa isiri kushanda nekukurumidza zvakakwana.
Kana imwe yakadzikama, miedzo yekufungidzira inogona kurairwa kuti iongorore chero ipi zvayo inokonzera kubuda ropa kana kukuvara. Izvi zvinogona kusanganisira ultrasound, computed tomography (CT) scan , kana magnetic resonance imaging (MRI) .
Kana munhu wacho akasimbiswa zvakakwana kuti asunungurwe, zvinodhaka zvinodhaka zvakadai se beta blockers kana kuti ACE inhibitors zvinogona kurongerwa kana zvisingati zvambove.
> Sources:
> Cremer, A .; Amraoui, F .; Miromo, G. et al. "Kubva kune hutachiona hwehutano hwakanyanya kune hutachiona-MOD: tsanangudzo yemazuva ano yezvakaitika kare asi zvakashata zvine ngozi." Zvinyorwa zveHinha Hypertension. 2016; 30: 463-466.
> Kessler, C. uye Joudeh, Y. "Kuongorora uye Kurapa Kwemaitiro Akanyanya Kuwedzererwa Kwoutachiona." American Family Physician. 2010; 81 (4): 470-476.