Nkhawa M'madongosolo a Zamankhwala Okhudzana ndi Kuthamanga Kwambiri kwa Magazi
Si zachilendo kuti anthu aziwerenga mokakamizidwa ku ofesi ya dokotala komanso kuti aziwerenga bwinobwino kunyumba. Ngakhale kuwerenga izi mosiyana kungakhale chizindikiro cha kuthamanga kwa thupi , kungakhale kosavuta pa zomwe timatcha white coat hypertension.
Nkhawa ndi White Coat Hypertension
Kuvala magazi koyera (komwe kumatchedwanso kuti ofesi yodzipatula kapena kuchipatala) ndi matenda omwe anthu ambiri amamva kuti amadera nkhaŵa m'zipatala.
Chodetsa nkhaŵa kwambiri chikhoza kukhala chakuti nambala ya systolic (mtengo wapamwamba wa kuwerenga kwa magazi) ikhoza kuwonjezeka pafupifupi 30mm Hg mwa kungoyenda ku ofesi ya dokotala.
Chodabwitsa n'chakuti pafupifupi 20 peresenti ya anthu amakhulupirira kuti amakhudzidwa ndi matenda a chovala choyera. Zingowonjezereka panthawi yoyamba kupita kuchipatala ndipo nthawi zambiri zimakhala bwino ngati munthuyo akudziŵa bwino kwambiri dera.
Zowonjezera ndi Zowonjezereka Zogwirizana za White Coat Hypertension
Kuchokera kuchipatala, kafukufuku wanena kuti anthu omwe ali ndi chovala choyera choyera samakhala ndi chiopsezo chachikulu cha mtima wa imfa poyerekeza ndi omwe ali ndi mphamvu ya magazi. Kumbali inayi, imanyamula kwambiri kudwala , kupweteka kwa mtima , komanso kupwetekedwa mtima kwa mtima kwa anthu omwe alibe chizoloŵezi chosasamala.
Ambiri mwa anthuwa amasonyeza makhalidwe oipa a mtima omwe ali okhudzana ndi matenda oopsa.
Zina mwazo ndizokhumudwitsa monga mantha, kupsinjika maganizo, mantha, ndi mkwiyo zomwe zingakhudze kwambiri ubongo woyendetsa bwino ndikuwongolera kuwonjezeka kwa adrenaline ndi mahomoni ena opatsirana. Izi, zowonjezera, zingayambitse kutupa mu mtima ndi m'maganizo a mtima.
Kutenga Kuthamanga Kwambiri kwa Mgulungi
Kuchiza ndi mankhwala sikungasonyezedwe chifukwa kupanikizika kwa magazi kumangokhalira kuthetsa pamene munthuyo abwerera ku malo ake omwe ali.
Kuti mukhale otetezeka, dokotala wanu nthawi zambiri amafuna kuyang'anitsitsa kuthamanga kwa magazi mwakuya kapena ngakhale kuwonetsa kachipangizo ka nyumba kuti atsimikizire kuti izi sizikuvuta. Kwa anthu ena, matendawa akhoza kukhala osakhalitsa ndi kuthetsa okha. Kwa ena, kungakhale yankho losalekeza lomwe silikula.
Anthu omwe ali ndi chovala choyera chovala choyera amapatsidwa maulendo atatu omwe amayenera kuwunika ndikuwunika magazi awo. Ngati, pambuyo pa nthawi imeneyo, kuwerengera kwa magazi kukupitirirabe, adokotala angafune kukambirana za kuthekera kochiza matenda oopsa kwambiri .
White Coat Hypertension Versus Masked Hypertension
Chodabwitsa kwambiri, pali anthu omwe ali ndi vuto losiyana. M'malo mokhala ndi nkhawa pa ofesi ya dokotala, amakhala ndi bata lomwe limamasulira ku kuwerenga kwachibadwa. Ndi pokhapokha panyumba kuti kuthamanga kwa magazi kungawombere mwadzidzidzi.
Matendawa, omwe amadziwika kuti ndi othamanga kwambiri, amasautsa. Mosiyana ndi anthu okhala ndi chovala choyera chovala choyera, omwe amadziwika mosavuta ku ofesi, omwe ali ndi matenda oopsa kwambiri amakhalabe osadziwika ndipo samalandira chithandizo chomwe akusowa.
Zomwe zimayambitsa matenda oopsa kwambiri sizimveka bwino nthawi zonse.
Pakhoza kukhala pakhomo, kuntchito, ndi kugwirizana ndi ntchito zomwe zimapangitsa moyo wa tsiku ndi tsiku kukhala "wokakamiza kuphika." Zizolowezi za tsiku ndi tsiku monga kusuta ndi kumwa zingapangitse zotsatirazi.
Nthawi zina, anthu amakonzekera kupita kukadokotala m'masiku omwe akutsogolera kudya bwino, kumwa mowa, kapena kubwezera ndudu. Pochita zimenezi, amatha kusokoneza zizindikiro zambiri zomwe amakhala ndi tsiku ndi tsiku.
Ngati simunasamalidwe, munthu amene ali ndi matenda oopsa kwambiri amakhala osatetezeka ndi omwe amavala chovala choyera.
> Zotsatira:
> Cobos, B ;; Haskard-Zolnierek, K .; ndi Howard, K. "White Coat Hypertension: Kupititsa patsogolo Patient-Health Care Ogwirizana Relationship." Psycho Res Res Behav Manag. 2015; 8: 133-41.
> Ogedegbe, G ;; Agyemang, C .; ndi Ravenell, R. "Kuthamanga kwa Mitsempha Yambiri: Umboni Wosayenera Kuchitira." Curr Hypertens Rep. 2010; 12 (5): 349-355.