Kugadziriswa mirayiridzo yakabudiswa neNational Institute of Health inotarisira kukonzera kudzvinyirira kwezvinangwa zveropa muhutano hwehuwandu hwehutano. Chimwe chiitiko chakakosha chakazarura kuti systolic ropa rakasvibira pasi mamamiriyoni makumi maviri e mercury (mm Hg) rakanyatsoshanda mukuderedza chirwere chepachirwere nemwoyo kupfuura chinangwa chakanga chafanirwa ne 140 mm Hg.
Izvi Zvinorevei Kwauri
Kugadziriswa zvinoratidzira zvinoreva kuti chiremba wako iye zvino ane ruzivo pamusoro pekuda kwehutano weropa yakasiyana nedzivo iyo inharaunda yezvechiremba yakanga isati yasvika mitsva yekutsvakurudza yekutsvakurudza yakawanikwa.
Maererano nehutano hwako, izvi zvinoreva kuti kana systolic yeropa rako iri pamusoro pe 120 mg Hg, chiremba wako angashandura mukana wako wemishonga inopesana nehuwandu hwehutachiona , angawedzera mushonga mutsva, kana kuti angashandura mushonga wako iye zvino kumishonga yakasiyana kuronga kusvika kune chinangwa chakanaka.
Nei Mazano Akagadziridzwa
Aya mazano anongororwa anobva pane imwe nzvimbo yekuongorora inonzi "SPRINT trial". IW SPRINT kuedza yakaitwa pakati pe2012-2013, inosanganisira vatano 9361 vanobva munzvimbo 102 dzakasiyana-siyana muUnited States. Vose vatori vechikamu vakaonekwa kuti vaiva neutachiona uye vane systolic yeropa mukati me 150 mm Hg ne 180 mm Hg pakutanga kwekudzidza. Systolic blood pressure ndiyo nhamba yakakwirira muropa. Saka kana ropa rako rinenge riri 160/80, ikozvino systolic ropa yenyu ine 160 mm Hg.
Vadzidzi vanozvipira vakapatsanururwa kuva mapoka maviri- rimwe boka rine chinangwa chechirosi rinokwana 140 mm Hg (boka rinowirirana rekurapa) uye rimwe boka rine chinangwa systolic pressure ye 120 mm Hg (boka rekurapa kwakanyanya.) Chirongwa chokutanga chaiva chekucherechedza vatori vechikamu anenge mwedzi mitatu kwemakore mashanu.
Zvisinei, boka rakakura rerapi rakaita zvakanyanya zvakanyanya kudarika boka rekurapa rinoshandiswa nevatsvakurudzi vakapedza kudzidza pashure pemakore matatu apfuura panzvimbo yekuzadzisa purogiramu yemakore mashanu. Iko boka rekurapa rinowanikwa ne 43% yepamusoro yehuwandu yerufu kupfuura yakakura boka rerapa. Iyo yakawanda yeropa yekutonga nechinangwa che systolic yeropa rezasi pasi pe 120 mm Hg yakaita kuti vashoma vasvike kubva pakurohwa, chirwere chemwoyo, nezvimwe zvinokonzera zvirwere.
Kunyanya Kufurirwa Kweropa Kunobata Kungozi Yako Yenyoka
High blood pressure (hypertension) chirwere chisina kukodzera chepachiviri chemuviri uye ropa rinoshanda. Kuwedzera kwehupenza kunokonzera chirwere chemwoyo, chinotungamirira kukurova. Kuwedzera kwehutachiona kunokanganisa nemidziyo yeropa muuropi, zvichikonzera chirwere chinonzi cerebrovascular disease , iyo inokonzera kuparadzaniswa uye inowedzera pangozi yekurohwa kana une chirwere chemwoyo. Nokudaro, yave ichizivikanwa kwechimwe nguva iyo kuwedzera kwehuwandu hwehutachiona kune ngozi yekurova. Zvisinei, chii chiri chitsva ndechokuti chinangwa chakatenderwa cha 140 mm Hg systolic ropa rinenge risina kukwana zvakakwana kuti zvidzivirire chirwere.
Unofanira Kuzvidya Mwoyo Nezvimwe Zvikamu Zvekuwedzera Kwemakemikari Ekutungamirirwa?
Kune migumisiro yechirwere chekudzivirira kweropa. Vamwe vatori vechikamu mumapoka maviri ari mu SPRINT trial vaiva nemigumisiro yekudzivirira kweropa (hypotension) yakadai sekuchena, kuora mwoyo uye kuora kwepvo, kunyange zvazvo varwere vakanga vane zvinetso zveropa pasi pe 120 mm Hg zve systolic ropa zvakanyanya ruzivo rwemigumisiro ye hypotension kune boka raive nechinangwa chezasi ye 140 mm Hg.
Kakawanda, kana iwe uine huwandu hwehutachiona, unofanirwa kutarisira chimwe chinangwa chezvinokonzerwa neropa kupfuura iwe wawakamboita munguva yakapfuura kuti uwedzere kugadzirisa kupora uye chirwere chemwoyo.
Kunyange zvazvo migumisiro yechirwere chekudzivirira kweropa isingawanzi, ndeye pfungwa yakanaka yekuzivana nezviratidzo nezviratidzo zve hypotension, iyo inongova nemusoro, chizungu uye inonzwa kuora kana kubuda.
Sources:
Chirongwa cheRandomized Chakanyanyoenderana neHurumende-Kudzvinyirira Kudzora, SPRINT Research Group, Wright JT Jr, Williamson JD, Whelton PK, Snyder JK, Sink KM, Rocco MV, Reboussin DM, Rahman M, Oparil S, Lewis CE, Kimmel PL, Johnson KC, Goff DC Jr, Fine LJ, Cutler JA, Cushman WC, Cheung AK, Ambrosius WT, New England Journal of Medicine, November 2015
National Heart, Lung uye Blood Institute, Dhipatimendi reUnited Health Health and Human Services