Kuponderezedwa kwa magazi (ABPM) kumatanthawuza kuyeza kwa mphamvu ya magazi pa nthawi ya maola 24 mpaka 48, pogwiritsa ntchito njira yowonetsera magazi yowona magazi . Zowonongeka nthawi zambiri zimakukonzerani kuchipatala chakumidzi kapena kuchipatala chachipatala ndipo zikuwoneka ngati chikhomodzinso cha magazi chomwe chimagwirizanitsidwa ndi chipangizo chaching'ono chomwe chavala lamba lanu tsiku lotsatira.
Makinawa amachititsa kulemera kwa chikho nthawi zonse pamphindi 15 mpaka 20 masana pamayeso a magazi anu, ndipo pamakhala mphindi 30 mpaka 60 pamene mukugona. Idzasunga kuwerenga kwanu, komwe kudzabwezeretsedwe kafukufuku mukabwezeretsanso tsiku lotsatira.
Nthawi yamasana, usiku, ndi maola 24 a magazi amawerengedwa ndi makompyuta. Mukhozanso kupeza chiwerengero cha kuthamanga kwakukulu kwa magazi pa nthawi yowunika. Mauthenga ena omwe amapezeka kuchokera ku detayi amagwiritsidwanso ntchito kuthandiza kuthandizira kuopsa kwa mtima wanu komanso chiopsezo cha kupita patsogolo mpaka ku mapeto a matenda a impso.
Nchifukwa chiyani Dokotala Wanga angakondweretse ABPM kwa Ine?
Kuthamanga kwa magazi kumayambitsa momwe magazi anu amachitira nthawi zonse. Mwinanso mukhoza kuwona "chovala choyera", chomwe chikutanthauza kuwerengera kwapamwamba pa ofesi ya dokotala basi.
Izi zikhoza kukhala chifukwa cha nkhawa kapena zimachitika muthamanga mozungulira kuti mukafike ku msonkhano wanu.
Ndi ABPM, chovala choyera chavala chovala choyera sichikuvutanso. Odwala ena ali ndi zifukwa zovuta za kuthamanga kwa magazi koma amakhala ndi maofesi apadera pa nthawi. Odwalawa mwina "adayika matenda oopsa," omwe amawopsa kwambiri chifukwa cha matenda a mtima.
Ngati dokotala akudandaula kuti muli ndi chifukwa chokumana ndi matenda oopsa kwambiri nthawi zonse masana, ndiye kuti ABPM ndiyo njira yabwino kwambiri yofufuzira. Mofananamo, ngati mutha kumwa mankhwala a kuthamanga kwa magazi koma nthawi zina mumakhala ndi zizindikiro za kutsika kwa magazi, monga chizungulire kapena kuunika, ndiye kuti ABPM idzakuthandizani kuyesa zizindikiro zanu.
Nthaŵi zina, dokotala wanu angangofuna kutsimikiza kuti regimen yanu ikugwira ntchito tsiku lonse. Anthu ambiri ali ndi vuto la magazi usiku, koma ngati izi sizichitika, zimakhudzana ndi mavuto aakulu a mtima, kuphatikizapo kukula kwa kukula kwa ventricle kumanzere ndi mtima kulephera. Nthenda yapamwamba ya usiku ndiyomwe imapangitsa kuti anthu azifa chifukwa cha matenda a mtima poyerekeza ndi msana wa magazi, ndipo amatha kudziwika kudzera mwa ABPM.
Kodi Aliyense Ayenera Kugonjetsedwa ndi Maganizo Omwe Amayambitsa Magazi?
Akatswiri ena ku United States amalimbikitsa kugwiritsa ntchito ABPM kutsimikizira kachilombo ka HIV koopsa pamene kuwerenga kwakukulu kumachitika ku ofesi ya dokotala kapena kuchipatala cholera. Gulu lina la akatswiri lomwe limapereka uphungu uwu ndi bungwe la United States Preventive Services Task Force, lomwe limayeza zoopsa zonse zomwe zingakhalepo phindu la chithandizo chamankhwala chithandizo chisanachitike.
USPSTF yakhazikitsa malingaliro awa pa umboni umene umasonyeza kuti pangozi ya kupha ndi zosautsa za mtima ndi zochitika zikwapulo zimagwirizanitsidwa kwambiri ndi zovuta zapamwamba zokhudzana ndi magazi. Magulu ena sanapange ndondomeko zomwezo pazochitika zachizoloŵezi zovuta kwambiri za kuthamanga kwa magazi, makamaka chifukwa chakuti ABPM si yabwino komanso yokwera mtengo poyerekeza ndi maofesi a ndondomeko ya magazi.
Nthaŵi zina, madokotala amapempha odwala awo kuti ayambe kukakamiza kuti magazi aziyendera magazi pakhomo monga njira yowonjezerapo kuti ayang'anire magazi. Pali zochitika zambiri zomwe akatswiri ambiri amavomereza kuti ziyenera kuyambitsa ABPM, kuphatikizapo chovala choyera choyera ndi matenda oopsa omwe samasintha ndi mankhwala owonjezera.
Kodi zotsatira za ABPM zisintha chithandizo changa?
Pogwiritsidwa ntchito pazifukwa zomwe tazitchula pamwambapa, kafukufuku wina anapeza kuti ABPM inachititsa kusintha kwa mankhwala a matenda oopsa kwambiri pafupifupi theka la odwala onse omwe ayesedwa, zomwe zimapangitsa kuti kusintha kwa magazi kutengeke. Kusintha kwa nthawi ya mankhwala ochepetsa mphamvu ya magazi kumathandiza kuti pakhale kusintha kwakukulu pambuyo pa ABPM mwa anthu omwe mankhwala awo omwe sangakhalepo tsiku ndi tsiku sangakhale ogwira ntchito maola 24.
Kupeza Zotsatira Zovomerezeka Kwambiri
Pali zinthu zingapo zomwe muyenera kuchita kuti muyesetse kuti mayesero anu ali olondola ndikuwonetsetsa kuti mumakhala ndi magazi ambiri tsiku lililonse. Pamene makina akukonzekera kuti ayese muyeso wa magazi anu, mudzamva beep. Izi zikachitika, khalani pansi ngati mungathe, kusunga khutu la magazi pamlingo wofanana ndi mtima wanu.
Onetsetsani kuti chubu pakati pa makapu ndi makina sichimangidwe kapena kupotoka ndipo yesetsani kusunga mkono wanu ndikukhazikika pamene makina akuyesa. Dokotala wanu adzakufunsani kuti muzisunga zolemba kapena zolemba za ntchito zanu musanayambe kuwerengera magazi, choncho mukamaliza kumaliza, lembani kulowa kwanu. Muyeneranso kukumbukira nthawi yanu yogona, nthawi yakuuka, ndi nthawi zamamwa.
Mfundo Yofunika Kwambiri
Kuwunikira kwa magazi kumayambitsa ndondomeko yoyenera ya magazi anu nthawi yonse ya usana ndi usiku. Ngakhale akatswiri ambiri amavomereza kuti ndi njira yabwino kwambiri yothetsera mavuto enieni a magazi omwe sangaoneke ku ofesi ya dokotala wanu, momwe miyeso yamakono ya magazi imayendera ndi kupereka zofanana zomwezo ndipo zingakhale zokwanira kuyesa magazi anu. Dokotala wanu adzakuuzani ngati kuyendetsa galimoto kuunika kwa magazi kukuyenera kulingalira, pogwiritsa ntchito kafukufuku wanu wa zachipatala ndi chithandizo chake chachipatala.
> Zotsatira:
> Diaz KM, Tanner RM, Falzon L, et al. Kusinthasintha-Kupitako Kulimbana kwa Mliri wa Magazi ndi Matenda a Mtima ndi Zomwe Zimayambitsa Imfa: Kusanthula Mwadongosolo ndi Meta-Analysis. > Kuthamanga kwa magazi . 2014; 64 (5): 965-982. lembani: 10.1161 / HYPERTENSIONAHA.114.03903.
> Stevens SL, Wood S, Koshiaris C, et al. Kupanikizana kwa magazi ndi matenda a mtima: kuyang'anitsitsa ndondomeko ndi kusanthula meta. The BMJ . 2016; 354: i4098. lembani: 10.1136 / bmj.i4098.
> Ndondomeko Yomalizira Yotsiriza: Kuthamanga Kwambiri kwa Magazi M'magulu Akuluakulu: Kuwonetsa - US Preventive Services Task Force. (2015, October). Inapezanso January 9, 2017, kuchokera ku https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/high-blood-pressure-in-adults-screening
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