Zina mwazigawo za magazi tsiku lonse ndi zachilendo, makamaka ngati kuyankhidwa ndi kusintha kochepa pa moyo wa tsiku ndi tsiku ngati kupanikizika, kuchita masewera olimbitsa thupi, kapena momwe munagona usiku womwewo. Koma kusinthasintha komwe kumachitika kawirikawiri paulendo wa madokotala kungasonyeze vuto lalikulu.
Ndipotu, kafukufuku apeza kuti ulendo wozunzikirapo-kuyendera kusiyana kwa magazi kumagwirizanitsa ndi chiopsezo chachikulu cha matenda a mtima ndi zonse zomwe zimayambitsa matenda.
Momwe Mungadziwire Ngati Magazi Anu Amatsutsana
Choyamba, ndikofunika kutsimikiza kuti kuthamanga kwa magazi kwanu kumasinthasintha. Ngati mwadzipanga nokha pakugwiritsa ntchito zipangizo zowonetsera kunyumba kapena makina omwe amapezeka mumasitolo ndi masitolo, kusintha kumene mwawona kungakhale kofanana ndi zolakwika kapena zosiyana mu njira yoyezera.
Ngakhale kuwunika kwa magazi pamtunda kungakhale chida chothandiza komanso chothandiza pazochitika zina, mukufunika kuphunzitsidwa bwino kuti mugwiritse ntchito njira yoyenera , ngati mukuchita miyeso popanda maphunzirowa mukhoza kufotokoza kusiyana komwe mukuwona. Makina ogwiritsa ntchito mankhwala osokoneza bongo-mtundu umene ukufuna kuti iwe ukhale pampando ndi kuyika mkono wako ndi chikho-amadziwika kuti ndi osamveka bwino komanso osalondola.
Pofuna kupewa zolakwika zowerenga, ndi bwino kubweretsa kuyeza kwanu kwa magazi ndikuwerengani ndi kuwerenga ku ofesi yanu.
Mosiyana ndi zimenezi, madokotala ena amalimbikitsa anthu kuti azitsatira kwambiri magazi . Zipangizozi zimayesa kuponderezedwa kwa magazi pa tsiku limodzi kapena awiri mphindi iliyonse mpaka 15 mpaka 20 masana ndi mphindi 30 mpaka 60 usiku. Izi ndizofunika kwambiri komanso sizimapezeka nthawi zonse, choncho zozizwitsa zokhudzana ndi kuthamanga kwa magazi ndizopadera.
Kodi N'chiyani Chimayambitsa Kupanikizika kwa Magazi?
Akatswiri akufufuza chifukwa chake kuthamanga kwa magazi kuli kosiyana kuchokera ku ulendo wokacheza. N'kutheka kuti anthu omwe ali ndi mavuto a magazi amatha kukhala ndi vuto lalikulu la magazi komanso kuti mawerengedwe awo osiyanasiyana amatha kukhala chizindikiro kapena chidziwitso kuti ali pachiopsezo chachikulu chokhala ndi matenda a mtima kapena kupwetekedwa mtima.
Kawirikawiri, kusinthasintha kwa magazi kungakhale chifukwa cha pheochromocytoma -kawirikawiri chotupa choipa mu adrenal gland. Izi ndizochitika zochepa.
White Coat Hypertension and Masked Hypertension
Ndikofunika kusiyanitsa kusinthasintha kwa magazi kuchokera ku zochitika ziwiri zotchedwa white-coat hypertension ndi mashedrini.
Mu chovala choyera chovala chokwanira, kuthamanga kwa magazi kumatengedwa kukhala "mkulu" ku ofesi ya dokotala, koma mwachibadwa pakhomo. Kuthamanga kwa magazi kumayesedwa ndi vuto la kukhala mu ofesi ya dokotala, chifukwa chake namwino nthawi zambiri amadikirira munthu kuti apumule bwino kwa mphindi zisanu asanawerenge. Kuwonjezera pamenepo, zimalimbikitsanso kuti kuthamanga kwa magazi awiri kumatengedwa ndi kubwerezedwa ngati pali kusiyana kwa 5 mmHg.
Kuthamanga kwa magazi kumakhala kosiyana ndipo kumachitika pamene dokotala akuyendera zovuta za magazi ndi zachilendo koma ofesi ya udokotala amawerengedwa ndi apamwamba.
Pofuna kuthetsa vutoli, dokotala angapangitse kuti pakhale kuyang'anitsitsa kwapakhomo kapena kuyendetsa galimoto. Kuwunika kunyumba kungathandizenso kuti:
- Kupitirizabe kuthamanga kwa magazi kupitirirabe ngakhale mankhwala akuwonjezeka
- Kuwopsa kwa magazi kuwerengedwa pamene akumwa mankhwala opatsirana kwambiri
Kodi Muli ndi Matenda Oopsa?
Mukawona kuti kuthamanga kwa magazi kumaphatikizidwa ndi zinthu zachilendo, ndizotheka kuti muli ndi matenda oopsa koma simunapezepo. Akatswiri sakudziwa momwe chimbudzi chimayambira, koma zimakhulupirira kuti zimakhala zovuta pakati pa majini a munthu ndi malo awo omwe amakhudza mitima yawo ndi impso zawo.
Zomwe zikunenedwa, pali zifukwa zomveka zowopsa kapena zinthu zomwe zimapangitsa kuti munthu akhale ndi vuto lakuthamanga kwambiri monga:
- Ukalamba (mwayi wokhala ndi matenda oopsa kwambiri umawonjezera okalamba)
- Mbiri ya banja
- Kunenepa kwambiri
- Zakudya zapamwamba za sodium
- Kukhala moyo wosadzikonda
- Kumwa kwambiri mowa
- Kukhala ndi matenda ena monga shuga kapena cholesterol
Kuwonjezera pa kupanikizika kwapamwamba kungabwererenso, Kuthamanga kwa magazi kumatanthauza kuti kuthamanga kwa magazi kumabwera kuchokera ku vuto lina mu thupi kapena chifukwa cha kumwa mankhwala. Zitsanzo za secondary hypertension zikuphatikizapo:
- Kuletsa kugona tulo
- Kugwiritsira ntchito mankhwala (mwachitsanzo, NSAID ndi zina zotetezera matenda)
- Zina zotchedwa endocrine ndi matenda a homoni (mwachitsanzo, hyperthyroidism )
Mawu Ochokera
Ngati muli otsimikiza kuti miyesoyi ndi yolondola ndipo kuthamanga kwa magazi kukuchitika ngakhale mutakhala womasuka, mutapumula bwino, ndipo mulibe chifukwa chomwe chingathe kuwerengera kusintha, pitani kukaonana ndi dokotala. Nkhani yabwino ndi yakuti, poyang'anitsitsa bwino, zizoloŵezi za moyo wathanzi, ndi mankhwala (ngati kuli kofunikira), mukhoza kulamulira moyo wanu wa thanzi.
> Zotsatira:
> Basile J, Block MJ. Chidule cha Kuthamanga Kwambiri mwa Anthu Achikulire. Mu: UpToDate, Bakris GL, Kaplan NM (Eds), UpToDate, Waltham, MA.
> Muntner P et al. Kusiyanitsa Kuyendera Kukanika kwa Magazi ndi Coronary Heart Matenda, Stroke, Kulephera kwa Mtima, ndi Kufa: Phunziro la Ophunzira. Ann Intern Med . 2015 Sep 1; 163 (5): 329-38.
> Nagai M, Hoshide S, Ishikawa J, Shimada K, Kario K. Kupita Kukaona Kupanikizika kwa Magazi: Kusintha Kwatsopano kwa Madzi a Carotid Mmene Anthu Okalamba Amakhudzira Matenda Aakulu Ambiri. J Am Soc Hypertens . 2011 May-Jun; 5 (3): 184-92.
> Wang J, Shi X, Ma C, et al. Kupitako-Kukayendera Kupanikizika kwa Magazi Kusiyanitsa Ndi Vuto Lowopsya pa Zomwe Zimayambitsa Matenda ndi Matenda a Mtima. Journal of Hypertension . 2017; 35 (1): 10-17. lembani: 10.1097 / hjh.0000000000001159.