Ndondomeko yosinthidwa yotulutsidwa ndi National Institute of Health imalimbikitsa kuchepetsa zolinga za magazi poyang'anira matenda oopsa. Kafukufuku wapadera anasonyeza kuti kuthamanga kwa magazi m'munsi mwa mammita 120 mm (mm Hg) kunathandiza kwambiri kuchepetsa matenda a stroke ndi mtima kuposa momwe 140 mm Hg ankafunira poyamba.
Kodi Izi Zikutanthauza Chiyani Kwa Inu?
Kusinthidwa kumaphatikizapo kuti dokotala wanu tsopano ali ndi zokhudzana ndi momwe magazi amakhalira abwino omwe ndi osiyana ndi zomwe achipatala anali nazo asanayambe kufufuza kafukufuku wamakono.
Ponena za thanzi lanu, izi zikutanthauza kuti ngati mphamvu yanu yothandizira magazi ili pamwamba pa 120 mg Hg, dokotala wanu angasinthe mlingo wa mankhwala anu ochepetsa kuthamanga kwambiri , akhoza kuwonjezera mankhwala atsopano, kapena kusintha mankhwala omwe mukuwathandiza panopa. kuti athe kukwaniritsa zolinga zabwino.
Chifukwa Chimene Malangizo Anasinthidwa
Malangizo atsopanowa akuchokera pa phunziro lodziwika bwino lotchedwa trial SPRINT. Mlandu wa SPRINT unachitika pakati pa 2010-2013, odwala 9361 ochokera m'madera 102 osiyanasiyana ku United States. Ophunzira onse adapezeka kuti ali ndi matenda oopsa kwambiri ndipo anali ndi mphamvu ya magazi pakati pa 150 mm Hg ndi 180 mm Hg kumayambiriro kwa phunziroli. Kuthamanga kwa magazi ndi chiwerengero chapamwamba mukuthamanga kwa magazi. Kotero ngati kuthamanga kwa magazi ndi 160/80, ndiye kuti systolic magazi anu ndi 160 mm Hg.
Odziperekawo anagawidwa m'magulu awiri- gulu limodzi lokhala ndi chithunzithunzi cha 140 mm Hg (gulu lochiritsira gulu) ndi gulu lina lomwe lili ndi vuto lachimake la 120 mm Hg (gulu lochiritsira kwambiri.) Cholinga choyamba chinali kuyang'anira omvera pafupifupi miyezi itatu iliyonse kwa zaka zisanu.
Komabe, gulu lochiritsira kwambiri linapanga bwino kwambiri kuposa gulu lachidziwitso limene openda amatha kuphunzira pambuyo pa zaka zitatu zokha mmalo mwa kumaliza ntchito yazaka zisanu. Gulu lachipatala lachidziwitso linali ndi 43% kuposa kuchuluka kwa imfa kuposa gulu lochiritsira kwambiri. Kuwopsa kwa mphamvu ya magazi ndi cholinga cha kuthamanga kwa magazi m'munsimu 120 mm Hg kunapangitsa kufa kwapang'ono kuchokera ku matenda a mtima, matenda a mtima, ndi zina zomwe zimayambitsa matenda.
Mmene Kuthamanga Kwambiri kwa Magazi Kumakhudzira Vuto Lanu la Sitiroko
Kuthamanga kwa magazi (kuthamanga kwa magazi) ndi chikhalidwe chosagwira bwino ntchito ya mtima ndi magazi. Kuthamanga kwa magazi kumayambitsa matenda a mtima, omwe amachititsa kudwala. Kuthamanga kwa magazi kumawononganso mitsempha ya m'mitsempha mu ubongo, ndipo imayambitsa matenda otchedwa cerebrovascular disease , omwe amachititsa kukwapulidwa mwadzidzidzi ndipo amachititsa chiopsezo ngati akudwala matenda a mtima. Choncho, zakhala zikudziwika kwa nthawi yambiri kuti matenda oopsa kwambiri ndi owopsa. Komabe, chomwe chiri chatsopano ndi chakuti 140 mm HG systolic blood pressure sivomerezeka mokwanira kuti muteteze sitiroko.
Kodi Mukuyenera Kudandaula Zokhudza Zotsatira za Kugonjetsa Kwambiri kwa Magazi?
Pali zotsatirapo za kutsika kwa magazi. Ena mwa magulu onse awiri mu test trial ya SPRINT anali ndi zotsatira zochepa za kutsika kwa magazi (hypotension) monga kupsinjika kwa magazi, kumva kuwonongeka kwa ubongo ndi impso, ngakhale odwala omwe anali ndi zolinga zowirira magazi pansi pa 120 mm Hg kwa systolic magazi Zotsatira za zovuta za hypotension kuposa gulu lomwe linali ndi cholinga cha pansi pa 140 mm Hg.
Zonsezi, ngati muli ndi matenda oopsa kwambiri, muyenera kuyembekezera cholinga china chofuna kuthamanga kwa magazi kusiyana ndi momwe munachitira kale kuti muteteze kudwala matenda a sitiroko ndi matenda a mtima.
Ngakhale kuti zotsatira zochepa za kuthamanga kwa magazi sizodziwika, ndibwino kudziwa bwino zizindikiro za hypotension, zomwe zimakhala zofooka, zamadzimadzi komanso zimakhala zofooka kapena zowonongeka.
Zotsatira:
Pulogalamu Yowonongeka Kwambiri Kulimbana ndi Kugonjetsedwa kwa Magazi, SPRINT Research Group, Wright JT Jr, Williamson JD, Whelton PK, Snyder JK, Sink KM, Rocco MV, Reboussin DM, Rahman M, Oparil S, Lewis CE, Kimmel PL, Johnson KC, Goff DC Jr, Fine LJ, Cutler JA, Cushman WC, Cheung AK, Ambrosius WT, New England Journal of Medicine, November 2015
National Heart, Lung ndi Magazi Institute, Dipatimenti ya Ukhondo ya US ku United States