Kuzindikira Matenda Oopsa: Kodi Kupanikizika Kwambiri kwa Magazi Kumadziwika Motani?

Kodi Muli ndi Matenda Oopsa?

Kuthamanga kwa magazi (kuthamanga kwa magazi) ndi vuto lalikulu, chifukwa ngati osatulutsidwa ilo lingayambitse matenda a mtima, matenda a sitiroko, matenda a impso komanso matenda ena. Choncho, ndikofunika kupeza matendawa.

Koma kupeza chithandizochi molondola sikumveka molunjika momwe mungaganizire. Dokotala wanu adzakuuzani kuti mphamvu yanu ya magazi ndi nambala yapadera (monga, "Magazi anu a magazi ndi 115/70"), ndipo nambalayi idzalembedwera mu ndondomeko yanu monga Magazi a Magazi - monga mtengo wofanana ndi kulemera kwanu kapena kutalika.

Koma zoona zake ndikuti kupanikizika kwa magazi sikuli kwenikweni phindu; Ndizofunika zambiri. Kuthamanga kwa magazi kumasinthasintha kuyambira mphindi imodzi mpaka mphindi patsiku, malinga ndi zosowa zanu za mtima. Choncho, kuthamanga kwa magazi kwanu kumasintha kuntchito yanu, chikhalidwe cha madzi, nkhawa, ndi zina zambiri zomwe zimasintha nthawi zonse.

Izi zikutanthauza kuti dokotala akayesa kuthamanga kwa magazi, chiyesocho chiyenera kuchitidwa pazifukwa zenizeni, zowonongeka ndi zobwezeretsedwa. Kuyankhula moyenera, izi zikutanthauza kuyeza kupanikizika kwa magazi pokhapokha ngati mutapuma "mpumulo wamtendere."

Kuyeza Kuthamanga kwa Magazi

Ndikofunika kuti dokotala wanu atsimikizire kuti muyezo wa magazi omwe akujambulawo umasonyeza kuti "kupumula" kwa magazi kumakhala koona. Malangizo othandizira kupeza kupuma kwa magazi kwalembedwa:

Magazi anu a magazi ayenera kulembedwa m'malo amtendere ndi ofunda, mutakhala mwakachetechete kwa mphindi zisanu, motsogoleredwa ndi mapazi anu.

Simungagwiritse ntchito mankhwala a khofi kapena fodya kwa mphindi 30. Dokotala ayenera kutenga mavoti awiri okhudza magazi, makamaka osachepera mphindi zisanu pokhapokha, ndipo ngati kuwerenga kumasiyana moposa 5 mmHg, kuwerenganso kuyenera kuchitidwa mpaka kuvomereza.

Pogwiritsa ntchito njirayi poyeza kupatsirana kwa magazi, kugwiritsidwa ntchito kwa matenda opatsirana kwa magazi kuyenera kufunsa katatu kukakamizidwa kwa magazi, kutengedwa kwa sabata limodzi.

Nthawi zina, m'malo moyesera kupuma magazi mu ofesi ya dokotala, zingakhale zopindulitsa kugwiritsa ntchito njira yoyendera magazi (ABPM), yomwe ndi njira yolembera magazi ambiri omwe amawerengedwa pa 24 mpaka 48- nthawi ya ora.

• Werengani za ABPM.

Zadzakhalanso zotchuka m'zaka zaposachedwa kuti anthu ayese kuthamanga kwa magazi awo kunyumba. Izi zimatchedwa kuyang'anira magazi (HBPM). HBPM yakhala yosavuta komanso yolondola m'zaka zaposachedwapa, ndipo tsopano ndi njira yabwino yowunikira matenda oopsa kwambiri, komanso kuthandiza kuthandizira kuthamanga kwa magazi pokhapokha atapezeka.

• Werengani za HBPM.

Kodi Kuthamanga Kwambiri Kwambiri N'kutani?

Pomwe magazi anu akuyesedwa molondola, dokotala wanu adzasankha zotsatira, malingana ndi systolic yanu ndi diastolic magazi , motere:

• Kuthamanga kwa magazi: systolic zosakwana 120 mmHg, ndi diastolic zosakwana 80 mmHg
• Kuthamanga kwa magazi: systolic 140 kapena kuposa, OR diastolic 90 kapena kuposa
• "Kuchepetsa kuthamanga kwa magazi :" Kuthamanga kwa magazi kumachitika pakati pa zachibadwa ndi mitsempha ya magazi .

Gawo la matenda oopsa kwambiri limagawidwa mu "magawo awiri", motengera msinkhu wa matenda oopsa :

• Gawo 1: Kuthamanga kwa magazi: sitirosi siposa 159 mmHg, ndipo diastolic sichiposa 99 mmHg

• Gawo lachiwopsezo chachiwiri: systolic wamkulu kuposa 159 mmHg, OR diastolic woposa 99 mmHg

Anthu ambiri omwe ali ndi matenda okhudzidwa ndi matenda oopsa kwambiri amakhala ndi mavuto aakulu a systolic ndi diastolic , koma kukwera kwapakati pa imodzi kumapangitsa kuti munthu adziwe kuti ali ndi matenda oopsa.

Ngati muli ndi matenda oopsa, makamaka cholinga cha mankhwala ndi kubwezeretsa kuthamanga kwanu kwa magazi pansi pa 140/90. Ngati muli ndi matenda a mtima, matenda a shuga, kapena matenda a impso , komabe chithandizochi chimakhala chowawa kwambiri; cholinga chake nthawi zambiri kubwezeretsa kuthamanga kwa magazi pansi pa 120/80.

• Werengani za mankhwalawa.

Ngati muli ndi "kuthamanga kwa thupi," mukutheka kuti mutha kukhala ndi matenda oopsa kwambiri mkati mwazaka zingapo.

Muyenera kuyankhula ndi dokotala wanu za njira zopanda mankhwala kuti muchepetse kuthamanga kwanu kwa magazi, komanso muyenera kutsimikiza kuti magazi anu ayambiranso kufufuza miyezi isanu ndi umodzi kapena isanu ndi umodzi.

• Werengani za kuthamanga kwa magazi.

Nanga bwanji "White Coat Hypertension"?

Odwala ena adzakweza kupanikizika kwa magazi mu ofesi ya dokotala, koma adzakhala ndi mpumulo wopuma magazi nthawi zina. Ndondomekoyi imatchedwa "chovala choyera".

• Werengani za white coat hypertension.

Nanga bwanji za "Zoopsa" Kapena "Mwamsanga"?

"Malignant" yowopsa kwambiri imakhalapo pamene diastolic ya magazi imakhala yapamwamba kwambiri, kawirikawiri 120 mmHg kapena yochulukirapo, komanso kuwonjezera apo pali zizindikiro za mitsempha yambiri ya magazi imene imayambitsa matenda oopsa. Kawirikawiri, chombo cha magazi chimawonongeka mu matenda oopsa kwambiri amatha kupezeka pofufuza mitsempha ya magazi m'maso, kudzera mu ophthalmoscope . Kuopsa kwa matenda oopsa kwambiri ndi matenda oopsa , chifukwa nthawi zambiri amachititsa kuwonongeka kwa mtima, ubongo, impso ndi maso. Izi zimafuna kuti munthu athandizidwe mofulumira komanso athandizidwe kuti azitha kuthamanga kwa magazi.

• Werengani za matenda oopsa kwambiri.

"Mwamsanga" kuthamanga kwa magazi kumakhalapo pamene diastolic magazi ndi 120 mmHg kapena apamwamba, koma palibe umboni wa kuwonongeka kwa chotengera cha magazi. Odwala omwe ali ndi matenda oopsa kwambiri ayenera kuyambitsa mankhwala oopsa kwambiri, koma nthawi zambiri safunikira kuchipatala.

• Werengani zambiri za kuthamanga kwa magazi, kuyesa ndi chithandizo.

_Zotsatira:

_{Chobanian, AV, Bakris, GL, Black, HR, Cushman, WC. Lipoti lachisanu ndi chiwiri la Komiti Yoyamba Yothandizira Kuteteza, Kuzindikira, Kuunika, ndi Kuchiza Kukumana Kwambiri kwa Magazi: JNC 7 Report. JAMA 2003; 289: 2560.}

_{# Staessen, JA, Wang, J, Bianchi, G, Birkenhager, WH. Matenda ofunika kwambiri. Lancet 2003; 361: 1629.}