Gawo la matenda a hypertension pa matendawa lidzatsogolera chithandizo chanu choyamba
Anthu ambiri amadabwa kuona kuti kuthamanga kwa magazi kumaphatikizapo ngati chidziwitso chodziŵika pa ntchito ya dokotala chifukwa chakuti matenda a hypertension sakuchititsa zizindikiro. Ndipotu, njira yokhayo yodziwira kuti magazi ndi othamanga ndikuthamanga kwa magazi.
American Heart Association imalimbikitsa kuyesa ndi kuyesa kwa kuthamanga kwa magazi zaka ziwiri zilizonse ngati kuthamanga kwa magazi kuli koyenera.
Malamulo a bungwe la United States Preventive Services Task Force amalimbikitsa kuti anthu onse okalamba azaka 18 azifufuza.
Pang'ono ndi pang'ono, akuluakulu oposa zaka makumi anayi aliwonse ayenera kupanikizidwa ndi magazi awo osachepera chaka chimodzi. Akuluakulu omwe ali ndi zaka zapakati pa 18 ndi 39 omwe ali ndi vuto lakumbuyo kwa magazi kuwerenga pakati pa 130-139 mm Hg systolic ndi / kapena 85-89 mm Hg diastolic kapena omwe amachititsa kuti magazi apangidwe kwambiri, kuphatikizapo kunenepa kwambiri kapena kusuta fodya, ayenera kuyang'ananso chaka chilichonse .
Kutsimikizira Kuzindikira Kwako
Ngati mukuwerenga mokweza, dokotala wanu nthawi zambiri amachepetsa kuthamanga kwa magazi anu kangapo musanayambe kuchipatala. Kupezeka kwa matenda a hypertension ndi magawo a kuthamanga kwa magazi kumapangidwa pafupipafupi magawo awiri kapena kuposerapo kwa magazi pazifukwa ziwiri zosiyana, ngakhale kuyendetsa magazi kuwonetsetsa kuti kuthamanga kwa magazi kukuwerengedwera kafukufuku wolembedwa pamayesero owonetsera nthawi zonse.
Kuwunika kwa magazi kumalo ndi njira yowonjezereka yowonjezereka pamene kuyendetsa magazi kuthamanga kulibe. Chivomerezo cha kuthamanga kwa magazi ku ofesi ya dokotala chilimbikitsidwa chifukwa odwala ena akhoza kukhala ndi "chovala choyera chokwanira".
Ndondomeko za Kuthamanga Kwambiri Kutanthauziridwa
Milandu yosiyanasiyana ya matenda oopsa kwambiri amatanthauzidwa ndi Joint National Committee on Prevention, Detection, Assessment, and Treatment of High Blood Pressure (JNC7) mu 2003.
Kuwonjezera pa kufotokozera magawo awiri a kupatsirana kwa magazi, JNC7 imatanthauzanso kuthamanga kwa magazi. Kuchepa kwa thupi kumayambitsa matenda a mtima, kuphatikizapo ngozi yowopsa ya matenda a mtima.
Miyeso ya matenda oopsa kwambiri imaphatikizapo anthu akuluakulu omwe sali kuchiritsidwa ndi mankhwala omwe amathamanga magazi komanso omwe sakudwala. Iwo amafotokozedwa ndi JNC7 motere:
- Kuthamanga kwa magazi: systolic magazi osachepera 120 mm Hg ndi diastolic ya magazi <80 mm Hg.
- Kuthamanga kwa magazi: kuthamanga kwa magazi kuchokera 120 mpaka 139 mm Hg kapena diastolic magazi kuchokera 80 mpaka 89 mm Hg.
- Gawo I Otsitsikitsira magazi: systolic magazi 140 mpaka 159 mm Hg OR diastolic magazi kuchokera 90 mpaka 99 mm Hg.
- Gawo lachiwopsezo chachiwopsezo: kuthamanga kwa magazi kwambiri kuposa kapena kufanana ndi 160 mm HG KODI diastolic magazi a 100 mm Hg kapena zambiri.
Pogwiritsira ntchito kuyendetsa magazi kuunika kwa magazi kapena kuwerenga kwa magazi, matenda oopsa kwambiri amatanthauza ngati maola 24 kapena 130 mm Hg kapena kuposa; 135/85 kapena kuposa; kapena masana pafupifupi 120/70 kapena apamwamba.
Kuthamanga kwa magazi
Pafupifupi anthu 30 pa 100 alionse a ku United States ali ndi matenda a hypertension. Anthu omwe ali ndi matenda odwala matenda a shuga amakhala ndi chiopsezo chowonjezeka cha matenda a mtima, ngakhale kuti sali ochuluka ngati omwe ali ndi anthu omwe ali ndi matenda oopsa.
Ngati simunamvere, kuthamangitsidwa kwa matenda odwala matenda a hypertension nthawi zambiri kumapita ku matenda a hypertension , omwe amatanthauza kukakamizidwa kwa magazi a 140/90 ndi aakulu.
Kuchepetsa matendawa kumayambitsidwa ndi kusintha kwa moyo. Kuwonjezera pa zakudya ndi kuchita masewera olimbitsa thupi, kusiya kusuta , kuwonetsa mowa, ndi kulemera kwabwino ndizofunika zonse zomwe mungachite kuti muthe kuthamanga kwa magazi.
Gawo 1 Kuthamanga kwa magazi
Nthawi zina, ndondomeko yothamanga kwambiri imatchulidwa kuti "yofatsa" yowopsa kwambiri, yomwe mwatsoka imalephera kufotokoza zoopsa zomwe zimayambitsa matendawa. Kuphatikiza pa kusintha kosinthidwa kwa odwala onse omwe ali ndi prehypertension ndi kuthamanga kwa magazi, Gawo lachiwopsezo chachikulu limaphatikizapo kugwiritsa ntchito mankhwala osiyanasiyana omwe amachepetsa kuthamanga kwa magazi komanso kudwala matenda a mtima.
Zosankha za JNC 8 zimaphatikizapo thiazide diuretics , ACE inhibitors, angiotensin receptor blockers, kapena block calcium channel blockers. Chisankho chabwino kwa odwala a ku America ndi thiazide diuretics kapena calcium channel blocker.
Ndondomeko za dziko zomwe zinakhazikitsidwa ndi JNC8 zimalimbikitsa kuti odwala a ku America akukhala ndi mankhwala okwanira 145 mm Hg kapena apamwamba kuyamba mankhwala nthawi yomweyo ndi mankhwala awiri. Ngati cholinga chanu cha magazi sichikupezeka mkati mwa mwezi mutayamba mankhwala ndi mankhwala opatsirana kwambiri, mlingo wa mankhwala uyenera kuwonjezeka kapena mankhwala ena awonjezeredwa.
Gawo 2 Kuthamanga kwa magazi
Odwala omwe ali ndi siteji yachiwopsezo 2 ayenera kuchiritsidwa ndi kusintha kwa moyo ndi kukhazikitsa mankhwala awiri osiyana a magulu osiyanasiyana, osankhidwa ku magulu asanu omwe amamwa mankhwala opatsirana pogwiritsa ntchito ndondomeko za JNC. Ngati nambala yanu yothandizira magazi imakhala mu magawo osiyanasiyana, chiwerengero chapamwamba chidzagwiritsidwa ntchito kuti mudziwe malo anu.
Kupewa Kuthamanga Kwambiri
Anthu ambiri adzafuna mankhwala oposa limodzi kapena awiri kuti athetse kuthamanga kwa magazi. Kupewa kuthamanga kwa magazi ndi mawu omwe amagwiritsidwa ntchito pofotokoza kuthamanga kwa magazi kwa anthu omwe ali ndi mphamvu ya magazi ngakhale atenga mankhwala osachepera atatu. Ngati muli ndi matenda opatsirana, dokotala wanu adzafufuza chikhalidwe kapena maganizo. Mankhwala anu angafunike kusintha kuti apindule.
Mankhwala
Kuphatikiza pa magulu a mankhwala omwe ali nawo mu ndondomeko za JNC, pali mitundu yambiri ya mankhwala kuti azitha kuthamanga kwa magazi. Izi zikuphatikizapo beta blockers ndi diuretics ; Vasodilators, zomwe zimateteza minofu kuzungulira mitsempha ya magazi kuti isagwirizane; alpha blockers, zomwe zimayambitsa mitsempha ya mitsempha ku mitsempha ya magazi; ndi mawonekedwe apakati-poyesa kuteteza kutumiza kwa zizindikiro zamagulu a ubongo kuchokera mu ubongo zomwe zimachititsa kuti mitsempha ikhale yochepa kwambiri. Anthu ambiri adzafuna mankhwala oposa limodzi kuti athetse kuthamanga kwa magazi.
Zopweteka za Magazi
Chithandizo cholimbikitsidwa cha matenda oopsa kwambiri chimaphatikizapo mankhwala onse ndi kusintha kwa moyo, monga zakudya ndi masewero olimbitsa thupi. Cholinga cha magazi anu chidzadalira msinkhu wanu komanso ngati muli ndi matenda ena kapena ayi. Akuluakulu okalamba omwe ali ndi zaka 60 kapena kupitako ayenera kuyesa kukwaniritsa mphamvu ya magazi zosakwana 150/90 mm Hg. Achinyamata achikulire odwala komanso anthu omwe ali ndi matenda a shuga, matenda a mitsempha yamtundu wa matenda, kapena matenda a impso ayenera kukhala ndi vuto la magazi osakwana 140/90 mm Hg.
Ndikofunika kuti mupitirize kufufuza nambala yanu ndikutsatira ndondomeko zonse, chifukwa chithandizo cha matenda oopsa kwambiri chingachepetse chiopsezo chanu.
> Zotsatira:
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