Kupanikizika kwa magazi (ABPM) ndi njira yatsopano yowunika magazi. Amagwiritsidwa ntchito nthawi zambiri kuti aone ngati munthu ali ndi vuto la kuthamanga kwambiri kwa magazi pamene akulowetsa kuntchito kwa magazi. Makamaka, ABPM yakhala ikugwiritsidwa ntchito poyesa odwala ndi " chovala choyera ".
Chipangizo cha ABPM chimaphatikizapo chipewa cha magazi chimene chimavala pa mkono, ndipo chimagwiritsidwa ntchito ku chipangizo chojambula (pafupifupi kukula kwa CD) chomwe chimavala lamba.
Chipangizo cha ABPM chimavala maola 24 kapena 48, ndipo amalembetsa mphamvu ya magazi nthaŵi ndi nthawi (nthawi zambiri pamphindi 15 kapena mphindi 30) nthawi yonseyi. Kotero ABPM imapereka dokotala wanu mbiri yonse ya magazi anu kwa nthawi imodzi kapena ziwiri.
Malangizo omwe ABPM amapereka ndi osiyana kwambiri ndi zomwe dokotala amapeza mwa kutenga mphamvu ya magazi muofesi. Ofesi yapamwamba yojambulira magazi ndiyo mtengo umodzi womwe umatanthawuzira kusonyeza kupanikizika kwa magazi panthawi yopumula (yomwe imalongosola chifukwa chake, popatsidwa malo otetezeka a madokotala ambiri masiku ano, kuwerenga sikungakhale koyenera nthawi zonse).
ABPM, mosiyana, imapereka mavuto a magazi omwe amapezeka kudzera muzochitika zosiyanasiyana ndi zochitika - kuyambira kuthamanga kukagwira basi kuti agone. Ndipo ndi zachilendo kuti kuthamanga kwa magazi kumasinthiratu kwambiri patsiku la tsiku.
Kotero, mosiyana ndi kukakamizidwa kwa magazi mumalowa mu ofesi ya dokotala, ABPM sichipereka mtengo umodzi wa systolic ndi diastolic magazi , koma nthawi zambiri (nthawi zambiri) zosiyanasiyana.
Pogwiritsira ntchito ABPM kuti apeze matenda oopsa, ndiye kuti zimafuna njira yosiyana.
Njira yomwe amagwiritsidwa ntchito poyesa zotsatira za ABPM ndiyo kuyeza mphamvu ya magazi ya systolic ndi diastolic kwa nthawi yonse ya maola 24, komanso maola omwe wodwala ali maso ndi ogona.
Kuthamanga kwa majeremusi kawirikawiri kumapezeka kuti ngati mphamvu ya magazi imadutsa chimodzi mwa mfundo zotsatirazi:
- Maola 24: systolic pamwamba pa 135 mmHg, kapena diastolic pamwamba pa 80 mmHg.
- Avereji ya maola "ogalamuka": systolic pamwamba pa 140 mmHg, OR diastolic pamwamba pa 90 mmHg.
- Avereji ya maola "ogona": systolic pamwamba pa 124 mmHg, kapena diastolic pamwamba pa 75 mmHg.
Kodi ABPM idachitika liti?
ABPM yakhala yothandiza pofufuza odwala omwe ali ndi chovala choyera choyera, kuwalola kuti madokotala awo asankhe ngati maofesi awo omwe ali mu ofesi yapamwamba amawoneka ngati "osapuma" (ndiko, vuto la nkhawa), kapena kuti apamwamba kuwerengera kwenikweni kumasonyeza kuti chenicheni chapafupi chilipo.
Bungwe la ABPM lapindulanso pazinthu zomwe zakhala zovuta kuwona momwe ntchito yothandizira anthu odwala matenda opatsirana pogwiritsira ntchito mankhwala oopsa kwambiri, kapena pamene wodwala akuganiza kuti ali ndi kusintha kwakukulu kwa magazi omwe amachititsa kuti asamakhale ndi matenda oopsa kwambiri. ABPM ingathandizenso kupeza matenda ndi mtundu wina wa dysautonomia , makamaka pamene ziwerengero zochepa zokhudzana ndi magazi zimaganiziridwa.
Pangakhale kutsutsana kuti ABPM iyenera kukhala yoyenera kupeza ndi kuchiza matenda oopsa, chifukwa kupeza zenizeni zenizeni za kupuma kwa magazi mu ofesi ya dokotala kungakhale kovuta.
Ndipotu, mu December, 2014, bungwe la United States Preventive Services Task Force (USPSTF) linatulutsa ndemanga yoyamba kuti bungwe la ABPM ligwiritsidwe ntchito ngati "chiwerengero choyang'ana" pofuna kutsimikizira kuti munthu ali ndi matenda oopsa kwambiri mu ofesi ya dokotala. Ndiko kuti USPSTF ikuyamikira kuti ABPM ikhale yogwiritsidwa ntchito nthawi zonse kuposa lero.
Malangizowa akhoza kukhala osagwirizana, popeza ABPM ndi yovuta komanso yokwera mtengo (ndalama zokwana madola mazana angapo pa kafukufuku wa tsiku limodzi kapena awiri). Komabe, zimapangitsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda.
Mtundu wina wa kunja kwa ofesi ya magazi yomwe ikugwiritsidwa ntchito, ndipo nthawi zambiri imakhala yabwino kuti ABPM, iyang'aniridwa ndi magazi (HBPM). Mukhoza kuwerenga zonse za HBPM pano.
Zotsatira:
Myers, MG. Kuponderezedwa kwa magazi kuwonetsetsa kwa nthawi zonse. Kuthamanga kwa magazi 2005; 45: 483.