High blood pressure inopa dambudziko rakasiyana-siyana muAfrica-America. Vanhu veAfrica -America vane huwandu hwehuwandu hwehutano hwepfungwa. Kunyanya kukosha, huwandu hwehuwandu hwemagetsi hunowanzoitika kune imwe yepakutanga uchienzanisa nedzimwe dzinza guru kana mapoka emarudzi. Vanhu veAfrica -America vanewo huwandu hwezvimwe zvirwere zvakadai sekurema uye chirwere cheshuga chinoita kuti kuwedzera kwehuwandu hwehutano kuchiwedzere kuoma.
Vanhu vazhinji veAfrica-America vane hurukuro yeropa vanoda zvinodarika mimwe mishonga kuti vawane ropa ravo chinangwa chedu.
JNC 8 Zvikurudzira
Sangano reZimbabwe National Joint National (JNC) 8 ndiro boka renyanzvi rakarongedza humwe humwe huchapupu hunowanika kutsigira mazano ekurapwa kwehutano hwehutano . Mukuwedzera pakurapa kurapwa kwehuwandu hwehuwandu hwehuwandu muhuwandu hwevanhu, JNC 8 yakaita mazano chaiwo ehutano hwakanaka hwehuwandu hwehuwandu hwehutsva mumasikati. Uhu hunoonekwa neJNC8 hunosanganisira maitiro emakiriniki emakirini, anopa svondo rakasimba kwazvo yesayenzi yekurapa.
Nenzira yakawanda, JNC 8 yakaratidza kuti vanhu vose vane huwandu hwehutachiona hwemakore makumi matanhatu kana kupfuura vanofanirwa kurapwa kuti vawane chinangwa cheropa chemhepo inenge pasi pe 150/90 mm Hg. Vanhu vaduku vanopfuura makumi matanhatu vanofanirwa kuedza kusvika kuchinangwa chemuropa chinodarika mashoma kusvika 140/90 mm Hg. Munhu wose ane chirwere cheshuga kana chirwere chepfungwa chisingaperi chingafanirwawo kuchengetedza ropa mukati me 140/90 mm Hg.
Mazano Okurapa
Kunyange zvazvo JNC 8 inokurudzira kutanga kutapwa neine angiotensin-inoshandura enzyme inhibitor, angiotensin receptor blocker, calcium channel blocker, kana kuti thiazide-type diuretic yevanhu vasiri vanhu vusiya, kune uchapupu hwokuti vanhu vane dambudziko rekurwisana, kusanganisira avo vane chirwere cheshuga, vanofanira tanga kurapwa ne calcium channel blocker kana thiazide-type diuretic.
Vagema vane chirwere chisingaperi chepfungwa vanogona kutanga kurapwa neAngiotensin-kuchinja enzyme inhibitor kana kuti angiotensin receptor blocker, kana yoga kana kubatanidzwa ne calcium channel blocker kana thiazide-type diuretic. ACEIs neAARB zvakaratidzwa mune zvimwe zvidzidzo zvekuvandudza zvinowanikwa zvepora kune varwere vane chirwere chisingaperi chepfungwa. Kana uchirapa huwandu hwehutano muvarwere, mazano anonzi JNC 8 anofunga nezvekugadzirisa nzira yekugadzirisa kukanganisa kwezviviri seminyo kana moyo kune varwere.
Izvi ndezvekuti ACEIs uye ARBs dzinoshanda pane renin-angiotensin hurongwa hwehutano hwehuropa, uye veAfrica-America vane hypertension vanoita kunge vane maitiro mashoma emabasa munyika iyoyo, izvo zvinoita kuti vasanyanya kuteerera. Vanhu veAfrica -America vane hypertension vanewo ropa risingawanzogadziriswa mumudziyo wekugadzikana semagumisiro ezasi emakemikari nitric oxide.
Dambudziko reHypertension muAfrica -America neZvamwe Vanhu
Kushushikana kweunyu kunowanzoitika kakawanda muAfrica-America. Izvi zvinoreva kukura kweropa rinopindura munyu. Chimwe chikonzero chinogona kunge chiri chokuti kunyanya kunzwisa tsitsi kunowanzoonekwa kune vanhu vakanyanya uye kune huwandu hwekuwedzera kwehuwandu hwevanhu veAfrica-America.
Kutaura zvazviri, mumwe wevatanhatu veAfrica -America anonzi anorema zvikuru, izvo zvikamu zvina zvakaenzana nekuenzaniswa nevakadzi vachena kana vakadzi veSpain. Kuwedzera muviri kunokonzera kupikisa kwemishonga inoshandiswa kurapa kukwirira kweropa. Inogona kukonzera kupererwa kwepnea kana zvimwe zvinetso zvehope zvinobatsira pakuvandudzika kweupfempa.
Dambudziko Kudzora Ropa Ropa
Mukuwedzera pakuva nehutano hwakawanda neropa rekudzivirira ropa, vanhu veAfrica -America vane huwandu hwehutano hwepamusoro hune huwandu hwakanyanya hwehutano hwakakonzerwa nehutano hwehutachiwana husingawaniki, kusanganisira chirwere cheshuga, kuneta, uye zvinetso zvakabatana nekunetseka kunokonzerwa nekuderedzwa kweropa mune nhengo dzakadai semafuta .
"Kurwisana nehutachiona" kunoreva kuwedzera kweropa kusina kukwana kwakakwana nemishonga mitatu yakasiyana (mune zvitatu zvakasiyana siyana zvinorwisa antihypertensive, kusanganisira diuretic ).
Upenyu Hwakakosha Hushanduko Hunodiwa
Kune huwandu hunokosha hwehupenyu hunosarudzwa hunofanirwa kuva chikamu chenzira ipi neipi yakakwana yekurapa huwandu hwehutano, kunyanya muAfrica -America dzine zvakaoma-ku-kutarisa ropa. Izvi zvinosanganisira zvokudya zvakaderera-munyu, kuwedzera kwekuita muviri, kudhakwa kwewaini, uye kuora muviri. Kutaura zvazviri, kudya kunogona kuderedza kushanda kweropa zvakadai sekurapa imwe-mishonga. Sangano reInternational Society rine Hypertension muvatema rinokurudzira kuti vose veAfrica -America vane ropa ropa rinopfuura 115/75 mm Hg vanotanga kuchinja mararamiro kuitira kuti zvishoma nezvishoma kufambira mberi kwekuwedzera kwehutano hwepfungwa nehutano hwemwoyo.