Urongwa hunotungamirira kurapwa kweHurumende yeHurumende
Ropa kudzvinyirira chimwe chinhu chiremba vedu nguva dzose vanotaura nesu pamusoro. Isu isu pachedu tinonzwisisa kuti kuva nehana yakanyanya yeropa hazvisi zvakanaka uye kuti kuva nehana yepamusoro yeropa yakaipa. Asi, kunze kweizvi, maitiro uye nei kuwedzera kweropa kunogona kuvhiringidza kune vanhu vazhinji, kunyanya maererano nezvarinotaura nezvehutano hwedu hwemazuva mazhinji.
Kunzwisisa Ropa Ropa
Ropa kumanikidzwa kungova kuenzanisa kwesimba reropa rinosundira pamasvingo emidziyo yedu yeropa.
Apo dambudziko reropa richikwira, tinoshevedza kuti kuwedzera kwehutano . Kana iri pasi, tinotarisa kune iyo se hypotension .
Kunetseka pamusoro pehupfungwa yepamusoro ndeyokuti kuwedzera kwekuwedzera kunoda kuti mwoyo yedu ishande zvakaoma kupompa ropa mumuviri wose. Izvi zvinorema zvinokonzera kukura kwe atherosclerosis (kuoma kweyeriyo). Dambudziko rinosanganisira coronary artery disease (CAD) , chirwere cheperebrovascular, uye zvirwere zvepfungwa.
Kuyera Hypertension
Kana munhu akawedzera kuwedzerwa kweropa, chiremba acharatidzika sehutachiona hwehutachiona hwehutachiona (hunoratidza dambudziko rehuwandu hwehutachiona), chirwere chepfungwa yepamusoro 1 (kuwedzera kusvika pamwero wepamusoro), danho rekuwedzera kwehutachiona (kutaridzika kusvika kunzvimbo yakakwirira), kana dambudziko rehutachiona ( inofunga nezvekukurumidzira).
Chiremba achaita izvi nekutsvaga ropa uye kuenzanisa systolic kukumanikidza (kukumanikidzwa panguva yekushaya mwoyo) uye diastolic kukumanikidza (kukanganiswa kwepakati pemwoyo).
Ropa rekuyeresa rinotaridzwa maererano nemamiririmita e mercury, anoratidzwa nemufananidzo mmHg. Kubva pane zviyero izvi, chiremba wako acharondedzera ropa rako rinotarisana ne systolic yakasiyana uye diastolic maitiro.
Kuti ive neruzhinji rwemhepo, izvi zvinogona kushandura kune systolic kudzvinyirirwa pasi pe 120 mmHg uye diastolic inomanikidza pasi pe 80 mmHg.
Semuenzaniso, systolic kukosha kwe 110 uye diastolic kukosha kwe70 ingarondedzerwa se "110 pane makumi manomwe" uye yakanyorwa se "110/70 mmHg."
Chikonzero nei kuvepa kunokosha
Iko kushanda kwehutano hwepachirwere kunobatsira kutungamirira nzira yekurapa uye inofanotaura zvingangoitika (kufungidzira).
Kutarisa danho 1 kuwedzera kwehutachiona kwakakosha nekuti ndiyo chikumbaridzo icho chirwere chacho chinorapwa nemishonga. Izvo hazvina kufanana nehuwandu hwehutachiona hwehutachiona apo varwere vacharayirwa kurongedza mararamiro avo kuburikidza nekudzidzira, kuora muviri, nekuderedza kudya kwemafuta.
Zvikamu zvehutano hwepfungwa zvinotevera:
- Kunyanya kupera simba: 120 kusvika 139 kune 80 kusvika 89 mmHg
- Nhanho 1 kuwedzera kwehutano: 140 kusvika ku159 kupfuura 90 kusvika 99 mmHg
- Nhanho 2 yeropa rekuwedzera: 160 mm kana kupfuura kupfuura 100 kana kupfuura mmHg
- Dambudziko reHypertensive: Rinopfuura 180 uye rakapfuura 110 mmHg
Kune vanhu makumi matanhatu nepamapfumbamwe, tsika dzaizogadziriswa kuti dzigadzirire kuchinja kwepanyama kwemuviri kunoonekwa nekukwegura. Muchiitiko ichi, chikumbaridzo chechikamu chekutanga chekuwedzera kwehutachiona chichatsanangurwa sepamusoro pe 150/90 mmHg.
Zviratidzo zveGedhi 1 Kuwedzera kweHypertension
Kunyange zvazvo vanhu vane chirwere chepachirwere chepakati 1 vasingawanzozviratidza zviratidzo zvekunze, izvi hazvifaniri kuratidza kuti hakuna dambudziko. Sechirwere chinopfuurira, kuwedzera kwepfungwa kunowedzera kuwedzera kana zvikonzero zvinokonzera zvisingatauri zvakakodzera.
Kana kukanganisa kunoitika semugumisiro wekuwedzera kwechirwere, iyo inowanzove isingadzoki.
Kunyange zvazvo chirwere chepachirwere chetachiona kazhinji chiri "chisingaoneki" chirwere, zviratidzo dzimwe nguva zvinogona kuitika, kusanganisira:
- Headache
- Kupfupika kwemhepo
- Chizutu
- Akasvibiswa
Hapana chimwe chezviratidzo chinofanira kuonekwa sechinhu chakanaka kana chikaramba chiripo, chichidzoka, kana chichiwedzera. A nyore kushandisa ropa kuverenga ndiyo yose inogona kudiwa kuti iongororwe.
Kurapa kweHypertension
Chinangwa cherapi muchitsauko 1 chirwere ndechokuderedza ropa rehupenyu hwemunhu kusvika pasi pe 140/90 mmHg. Kana munhu wacho ane chirwere cheshuga kana ane chirwere chisingaperi chepfungwa, chinangwa chacho chichanyanya kupfuudzwa kusvika 130/80 mmHg.
Pamwe pose, kurapwa kunosanganisira mishonga miviri inotorwa kubva kumapoka maviri akasiyana emishonga, kusanganisira:
- Thiazide diuretics ("mvura mapiritsi")
- ACE inhibitors
- Angiotensin receptor blockers
- Beta-blockers
- Calcium channel blockers
- Renin inhibitors
Sezvo zvinoshanda semishonga inogona kunge iri, kurapa kwaizoramba kuchida kuti iwe ugadzirise zvinhu zvinogadzirisa zvinokonzera kuwedzera kwehutachiona Izvi zvinosanganisira, pakati pezvimwe zvinhu kuregererwa kwemafuta e-sodium uye akazara, nguva dzose maitiro, kuenzanisa kwekudhakwa kwewaini, uye, kunyanya kukosha zvichida, kuguma kwekusvuta.
Pasina kuita shanduko idzi, mano ako ekudzora ropa rako rinogona kupererwa zvakanyanya, kunyanya sezvaunokura.
> Kwakabva:
> Gulec, S. "Kuziva uye kurapwa kwepanhi 1 kuwedzera kwepisheni: Ndeapi mazano atinofanira kutevera?" J Am Soc Hyper. 2014; 8 (5): 358. DOI: 10.1016 / j.jash.2014.02.005.