Azimayi omwe ali ndi matenda a ovary polycystic (PCOS) angathe kuwonjezera kuwonjezeka kwazizira ku mndandanda wautali wa zovuta zamadzimadzi omwe ali pangozi yaikulu. Amatchulidwa kuti "wakupha wakupha" chifukwa cha zizindikiro zake zowononga kwambiri, kuthamanga kwa magazi (kuthamanga kwa magazi) ndi chikhalidwe chomwe sichiyenera kutengedwa mopepuka.
Deta yomwe inapezedwa kuchokera ku Phunziro la Mtima wa Dallas inasonyeza kuti pamene amayi omwe ali ndi PCOS amafanizidwa ndi amayi opanda chikhalidwe, iwo omwe ali ndi PCOS amasonyeza kuchuluka kwa mphamvu ya magazi, mosasamala mtundu kapena fuko.
Ngati sichitetezedwa, kuthamanga kwa magazi kungawononge mitsempha ya magazi ndi ziwalo. Zovuta za kuthamanga kwa magazi zimaphatikizapo mavuto a masomphenya, kuwonongeka kwa impso, kapena ngakhale matenda a mtima kapena kupwetekedwa. Kudziwa ndi kuchepetsa mavuto anu (onani m'munsimu), kungakuthandizeni kuchepetsa chiopsezo chanu.
Zinthu Zowopsa Chifukwa cha Kupanikizika Kwambiri kwa Magazi
Pali zifukwa zambiri zobwera chifukwa chokhala ndi kuthamanga kwa magazi. Izi zikuphatikizapo:
- Kudya chakudya chochuluka mu sodium (mchere)
- Kusuta
- Kusagwira ntchito
- Kukhala wonenepa kwambiri
- Kuwonjezeka kwa zaka
- Kukhala African American
- Kusokonezeka maganizo
- Insulin kukana
- Mbiri ya banja
- Kusokonezeka maganizo
- Kumwa kwambiri mowa
- Kukhala ndi matenda ena monga cholesterol kapena mtundu wa shuga
Kuyeza Kuthamanga kwa Magazi
Kupanikizika kwa magazi kumayesedwa pogwiritsa ntchito chikho cha magazi . Wopereka chithandizo chophunzitsidwa bwino adzagwiritsanso ntchito stethoscope kuti azindikire kuwerengedwa kwa magazi kosiyana. Woyamba akumvetsera nambala "pamwamba," kapena systolic.
Izi zimasonyeza kuti mtima wanu ukugunda. Chiwerengero chachiwiri ndi kuwerenga kwa diastolic kapena "nambala yapansi," yomwe imatsimikizira kuti magazi ndi otetezeka pamene mtima umakhala pakati pa kugunda. Chipangizo chamagetsi chimagwiritsidwanso ntchito kunyumba kuti ayang'ane kuthamanga kwa magazi.
Ngati muyezowu ukuwerenga 110 systolic ndi 70 diastolic, mumamva "110 kupitirira 70" kapena kulemba "110/70 mmHg".
Kuzindikira Kuthamanga kwa Mthupi
Maseŵero a magazi anu (systolic ndi diastolic) amadziwitsani ngati muli ndi mphamvu yapamwamba kapena yowonjezera ya magazi. Pano pali magulu a cutoff malinga ndi Center for Disease Control:
Zachizolowezi:
Systolic: zosakwana 120 mmHg
Diastolic: zosakwana 80mmHg
Pangozi (kuthamanga kwa magazi m'thupi):
Systolic: 120-139 mmHg
Diastolic: 80-89 mmHg
Kuthamanga kwa magazi:
Systolic: 140 mmHg kapena apamwamba
Diastolic: 90 mmHg kapena apamwamba
Kuda kwa magazi kumawerengeka kwakukulu kuposa 180/110 akukumana ndi vuto lalikulu la matenda , omwe amafuna kuchipatala.
Kupewa Kuthamanga Kwambiri kwa Magazi
Kupewa kuthamanga kwa magazi kumayamba kukhala ndi moyo wathanzi. Kukhalabe wolemera, kutsatira chakudya choyenera, ndi kuchita nthawi zonse ndizochita zomwe mungatenge tsopano kuti muchepetse mwayi wokhala ndi kuthamanga kwa magazi.
Kuchiza Kupanikizika Kwambiri kwa Magazi
Zimene mumadya zimathandiza kwambiri pakuyendetsa magazi anu. Kutaya thupi, kuchepa mowa ndi kuwonjezera zochita zolimbitsa thupi ndi kusintha kwa moyo komwe kungachepetse kuthamanga kwa magazi. Kuwonjezera apo, apa pali kusintha komwe mungapange mu zakudya zanu kuti muchepetse kuthamanga kwa magazi.
Idyani Mchere Wamchere
Ambiri Ambiri amadya sodium yochuluka kuposa zomwe analimbikitsa. Anthu a ku America sayenera kudya 1,500 mg patsiku (ndiko kungopitirira hafu ya supuni ya mchere!) Malinga ndi American Heart Association.
Si zachilendo kuti chakudya chodyera chikhale ndi sodium yamasiku.
Kuwonjezera pa kudya kunja, magwero akuluakulu a sodium ndiwo chakudya chokonzekera, zakudya zowonjezereka, zakudya zamzitini, komanso ndithu, pogwiritsa ntchito mchere. Kuwerenga malemba a zakudya ndikuphika chakudya china kunyumba komwe mumayesa kuchepetsa mchere kungapangitse kusiyana.
Zonjezerani Zipatso Zambiri ndi Mbewu
Inde, palinso chifukwa chodyera zipatso ndi ndiwo zamasamba: zimathandiza kuchepetsa kuthamanga kwa magazi. Zipatso ndi ndiwo zamasamba zili ndi zakudya monga magnesium , calcium, ndi potassium, zomwe zimayesetsa kuthana ndi zotsatira za sodium yapamwamba m'thupi lathu.
DASH (Zakudya Zowononga Kuthamanga Kwambiri) Zakudya ndi umboni wakuti zipatso ndi ndiwo zamasamba zimathandiza kuchepetsa kuthamanga kwa magazi kwa amayi omwe ali ndi PCOS.
Azimayi omwe ali ndi PCOS omwe adatsata chakudya cha DASH anaona kusintha kwa magazi, komanso kutaya kwa m'mimba. Zochitika zazikulu pa insulin kukana ndi zotupa zizindikiro zinasonyezanso.
Zakudya za DASH zimapereka mavitamini 4 mpaka 5 tsiku lililonse la zipatso ndi ndiwo zamasamba.
Amatsindika Mtedza, Mbewu, ndi Zomera
Chakudya cha DASH ndi chomera chokhazikika ndikugogomezera kuphatikizapo mavitamini 4 mpaka 5 pa sabata imodzi ya mtedza , mbewu, ndi nyemba (lenti ndi nandolo). Zakudya izi zimapereka chitsime chabwino cha mchere, komanso zimakhala ndi magnesium ndi potaziyamu kutsika kwa magazi.
Musaiwale Mafuta!
Omega-3 fatty acids monga omwe amapezeka mu nsomba zamtundu wa mafuta, mtedza, mapeyala, ndi maolivi ali ndi kuthamanga kwa magazi. Kafukufuku wofalitsidwa mu American Journal of Hypertension amayerekezera zakudya za mafuta a maolivi olemera a polyphenol zakudya zomwe sizinali ndi polyphenols komanso zotsatira za kupsyinjika kwa magazi kwa atsikana. Pambuyo pa miyezi inayi, gulu la mafuta a maolivi linagwirizanitsidwa ndi kuchepa kwa systolic ndi diastolic magazi.
Mankhwala Oyenera Kutengera Opanikizana a M'magazi Aakulu
Ngati chakudya ndi njira zopezera moyo sizigwira ntchito, kapena ngati muli ndi vuto lakuthamanga kwa magazi, dokotala wanu angapereke mankhwala oletsa kuteteza magazi kuti akuthandizeni.
Mitundu yambiri ya mankhwala ingagwiritsidwe ntchito kuphatikizapo diuretics, calcium channel blockers, ACE inhibitors, kapena beta blockers.
Diuretics
Diuretics samapereka mchere wochuluka ndi madzi kuchokera mthupi, kumathandiza kuchepetsa kuthamanga kwa magazi. Mwachitsanzo, spironolactone ndi potassium-sparing diuretic yomwe imagwiritsidwa ntchito kwambiri kwa amayi omwe ali ndi PCOS. Sikuti mphamvu yokha ya m'maganizo ya spironolactone imatha komanso imathandizanso ndi zizindikiro zosafunika za hirutut monga kukula kwa tsitsi ndi tsitsi.
Odzibisa Beta
Ogwira ntchito ya Beta amagwira ntchito potseka adrenaline hormone epinephrine kuchepetsa mtima wanu.
ACE Inhibitors
ACE inhibitors musatenge mitsempha yanu kuti mtima usagwire ntchito molimbika kuti mupopera magazi kudzera m'zombo zopapatiza.
Malonda a Channel ya Calcium
Njira ya calcium imachepetsa kuthamanga kwa magazi mwa kuteteza kashiamu kulowa m'mitima ndi mitsempha yambiri ya magazi, yomwe imachepetsa kuchuluka kwa mphamvu zomwe minofu ikhoza kubala pamene akugwira ntchito.
Chifukwa simudziwa ngati muli ndi kuthamanga kwa magazi kapena ayi, ndikofunikira kuti muzitsatira ndi wothandizira zachipatala kuti mupite chaka chonse. Kugwiritsa ntchito ndondomeko ya moyo yomwe ili pamwambayi kungakuthandizeni kupewa ndi kuthamanga kwa magazi.
> Zosowa
> Asemi Z, Esmaillzadeh A. DASH Zakudya, Kutsutsana kwa Insulini, ndi Seramu hs-CRP mu Polycystic Ovary Syndrome: A Randomized Controlled Clinical Trial. Horm Metab Res. 2014.
> Chithandizo cha Matenda Kuyeza Kupsyinjika kwa Magazi. Inapezeka 2/22/17: https://www.cdc.gov/bloodpressure/measure.htm
> Chang AY, Oshiro J, Ayers C, Auchus RJ.Phatikizidwe ka mtundu / tsankho pa matenda a mtima mu polycystic ovary syndrome, Dallas Heart Study. Clin Endocrinol (Oxf). 2016 Jul; 85 (1): 92-9.
> Moreno-Luna R, Muñoz-Hernandez R, Miranda ML. Maolivi a polyphenols amachepetsa kuthamanga kwa magazi komanso amathandiza kuti atsikana azikhala ndi matenda oopsa kwambiri. Am J Hypertens. 2012 Dec; 25 (12): 1299-304.