Kurapa Kuwedzerwa Kweropa
Kana wakamboonekwa kuti une hypertension , kana kuwedzerwa kweropa, zvakakosha kwauri iwe nachiremba wako kuti ugadzire chinangwa chakanaka chekurapa, uye wotora matanho anodiwa kuti uite chinangwa ichocho.
Ramba uchifunga kuti, kazhinji, kubudirira kwepfungwa yako yezvinangwa zveropa zvinongopedzerwa mushure memutsara wematanho - rimwe danho panguva.
Mushure mekuita nhanho imwe neimwe, iwe nachiremba wako muchaona kana chinangwa - kusvika kune "chinangwa" cheropa risina matambudziko anokonzera - yakawanikwa.
Kuisa Kurapa Zvinangwa
Zvinangwa zvekurapa huwandu hwehuwandu hwehutachiona zvakashanduka nekufamba kwenguva, uye chaizvoizvo zvave zvichinyanya kukakavadzana. Asi muna 2017, masangano makuru ezvehutano akabatanidza kubvumirana kwemazano pamusoro pekuongororwa uye kubata chirwere chepfungwa. Kune chikamu chikuru, vanachiremba zvino vari papeji imwe chete.
Chinangwa chekurapa huwandu hwehutano ndechekuderedza systolic yeropa yepamusoro kusvika pasi pe 130 mmHg, uye diastolic kusvitsa kusvika pasi pe 80 mmHg. Icho chinangwa chinoramba chiri chakafanana kune chero munhu ane hypertension, pasinei nezera.
Kunyange zvakadaro, zvinangwa zvekurapa dzimwe nguva zvinofanira kunge zvakasiyana. Semuenzaniso, vamwe vanhu vakwegura vanonyanya kushandisa systolic hypertension vanogona kuve nemisoro ine mutsara nehutsinye hwemishonga inorwarisa.
Kutaura zvazviri, zvisati zvaitika muna 2017 chinangwa chekurapa kwevanhu vakadaro chaiva chekuita s systolic kudzvinyirirwa pasi pe 140, kana kunyange 150, mmHg. Mamwe mapepa emangwana kubva kumakiriniki anoratidza kuti chinangwa chepasera 130 mmHg chinobereka migumisiro iri nani kune vakwegura, uye mirairo ye 2017 yakashandurwa kuti iratidze ruzivo irworwo rutsva.
Kunyange zvakadaro, kune vamwe vanhu vakwegura chinangwa chechidiki chinogona kunge chichiri kuratidza kuti chinonyanyisa, saka vamwe vanhu vanogona kunge vane zvirongwa zvakasiyana zvekurapa.
Iwe Unokosha here kana kuti Sekondari?
Kurapa kwako kwehutano hwepfungwa, kutanga kwezvose, kuchave kwakagadzirirwa kuti iwe wakanyanya kukanda ropa kunove wakakonzerwa nechimwe chirwere chepachirwere chinokonzera (ichocho, chekuwedzera kwehutano hwehutano), kana kuti uri muzhinji rwevarwere vane huwandu hwehuwandu hwehuwandu ( hapana chikonzero chakakonzera chinokonzera).
Kana uine dambudziko rekuwedzera kwehutano, nzira huru yekurapa inogona kunge iri yekurapa chinokonzera chikonzero.
Saka, nokuda kwehurukuro iyi yese tichafunga kuti iwe unonyanya kukosha inonyanya kukosha.
Chirwere Chirwere Chekuita Nhanho Dzakakosha Dhiyabhorosi
Kurapa kwokutanga kwehutano hwepfungwa kunowanzoenderana ne "danho" remudzvinyiriri wako, iro rinotarirwa ne systolic yako uye diastolic yeropa .
• Nhanho 1 yeropa yepamusoro : systolic 130 - 139 mmHg, OR diastolic 80 - 89 mmHg
• Nhanho yechipiri yehutachiona : systolic yakakura kupfuura 140 mmHg, kana diastolic inopfuura 89 mmHg
Mukuwedzera, systolic blood pressure ye 120 mmHg kana yakakwirira (asi pasi pe 130 mmHg) inoonekwa sehuwandu hwehutachiona hwehutachiona . Kunyanya kufungidzirwa kwezvirwere kunoratidza chimwe chiitiko chakanyanya kuwedzera mungozi yemwoyo, asi hazvifananidzi mamiriro ezvinhu anobvumidza chirwere chinopesana nemishonga. Pane kudaro, mararamiro emararamiro anorudzirwa kuderedza dambudziko.
Lifestyle Changes
Kana huwandu hwehuwandu hwehutachiona huri hunyoro (chirwere chekutanga chetachiona chepamusoro), chiremba wako angatanga nekupa mazano ekuchinja mararamiro. Upenyu hwekuchinja hunogona kubatsira kuderedza kushanda kweropa kunosanganisira:
• Kubvuma kudya kune huwandu hwehutano
• Kubvuma kushandiswa kwemunyu
• Kuita chirongwa chekuita muviri nguva dzose
• Kusiya kusvuta
Kana iwe uchibudirira pakugadzirisa mararamiro aya emararamiro asi ropa rako risati rasvika pane chinangwa chako (kana iwe uri munhu chaiye, uye kuedza kwako pakudya uye kuita zvekurovedza muviri zvinowira zvishoma nezvishoma izvo nyanzvi dzinokurudzira) chiremba wako achakurudzira kurapwa kwezvinodhaka kwehutachiona.
Mishonga yekurapa
Makirasi mashanu makuru emishonga anoshandiswa kurapa huwandu hwehutano:
• ACE inhibitors
• Angiotensin receptor blockers, ARBs
Mishonga yakasiyana-siyana yakave yakatengeswa nehushanda hwepfungwa mune imwe neimwe yemakirasi aya, uye mishonga yakawanda yemishonga ine mishonga yemishonga iyi. Heino runyoro rwakakwana rwemishonga yakawanda yemishonga inowanikwa ikozvino inowanika mukurapa dambudziko rekuwedzera kwehutano.
Kana uine chirongwa cheHurpertension , zvinokonzera zvakanaka kuti ropa rako rinogona kuendeswa kune chinangwa chechirwere nechirwere chimwe chete. Kana uine chirongwa chechipiri chekuwedzera kwehutachiona, chirwere chisina kukodzera chemishonga chinogona kunge chisina kukwana, uye chiremba wako angada kutanga pakarepo nekubatanidzwa kwemishonga.
Kana sarudzo imwe chete yemishonga (kana monotherapy) yakasarudzwa, inoratidzika zvakanakisa kutanga neye thiazide diuretic (kazhinji chlorthalidone kana hydrochlorothiazide), aine-acting calcium blocker, kana kuti ACE inhibitor. (ARBs inogona kushandiswa panzvimbo yeACE inhibitor kana ACE inhibitor isingatenderwi). Vachiri vaduku vanowanzopindura zvakanaka kune ACE inhibitors; varwere vemazuva uye varwere vakwegura vanowanzoita zviri nani ne thiazide diuretics kana calcium channel blockers. Beta blockers kazhinji isarudzo yakashata ye monotherapy.
Kana kuedza kwekutanga ku monotherapy kusina kukwana kana kuchibvumirwa, kushandura kune imwe mishonga inoshandiswa, uye kusvika kune chetatu kana zvichidiwa, inowanzokurudzirwa sechinhu chinotevera.
Kana katatu kana kupfuura kuedza kune monotherapy kusina kushanda zvakakwana, danho rinotevera nderokuedza kurapa pamwe chete nemishonga miviri kana kupfuura. Kunyange zvazvo kuwirirana kwakawanda kuchibvira, uchapupu huripo hunoratidza kuti kushandisa calcium blocker pamwe neACE inhibitor kana ARB inogona kuva yakanakisisa uye yakanakisisa yakabatana kusanganiswa. Vanachiremba vazhinji vanozoedza iko kusangana uku kutanga, kunyange kana monotherapy yaiva ne thiazide diuretic.
Nekugadzirisa uku kweuchenjeri, huwandu hwevarwere vane hypertension huchasvika pakutsvaga kwezvinokonzerwa neropa rehupenyu pamwe nehuwandu hwemigumisiro. Ramba uine pfungwa yekuwana kurapwa kwakabudirira kwehutano hwepfungwa zvinowanzoda mavhiki akawanda kana mwedzi, uye mimwe miedzo yemishonga. Asi zvakakosha kuti iwe ubatisise purogiramu. Kuwana ropa rako rekutsvaga kutarisa maitiro, nekurichengeta ipapo, richakupa mubhadharo wakakura zvikuru wezvaunoedza - zvakanyanya kuderedza dambudziko rekurwadziwa kwemoyo nekurova.
> Sources:
> Mutemo, MR, Morris, JK, Wald, NJ. Kushandisa Ropa Rokudzivirira Kurapa Zvinodhaka Mukudzivirirwa Kwezvirwere Zvepfungwa: Meta-Kuongorora Kwemazuva 146 Randomized In The Context Of Expectations From Prospective Epidemiological Studies. BMJ 2009; 338: b1665.
> Staessen, JA, Wang, JG, Thijs, L. Kudzivirira Mwoyo Mwoyo Uye Kuwedzererwa Kwemvura: A Zvakawandisa Musoro Zvakapedzwa Kusvikira 1 March 2003. J Hypertens 2003; 21: 1055.