Kuthamanga kwa magazi kumakhala vuto lapadera ku Africa-America. Anthu a ku Africa-America ali ndi vuto lakuthamanga kwambiri kwa magazi. Chochuluka kwambiri, kuthamanga kwa mthupi mwa anthu akuda nthawi zambiri kumachitika pa msinkhu wokalamba poyerekezera ndi mtundu waukulu kapena magulu amitundu. Anthu a ku Africa-Amereka ali ndi nthendayi yochulukirapo ya matenda ena monga kunenepa kwambiri ndi shuga zomwe zimapangitsa kuti vutoli likhale lovuta kwambiri.
Anthu ambiri a ku Africa ndi Amwenye omwe ali ndi mphamvu ya magazi amafunikira mankhwala oposa limodzi kuti athe kukwaniritsa cholinga chawo cha magazi.
Mayankho a JNC 8
Komiti Yovomerezeka Yachigawo Yonse (JNC) 8 ndi gulu la akatswiri omwe adawona umboni wonse wothandizira kulandira chithandizo cha matenda oopsa . Kuwonjezera pa kulandira chithandizo cha matenda oopsa kwambiri kwa anthu ambiri, JNC 8 inapanga malingaliro apadera a chithandizo chabwino kwambiri cha matenda oopsa kwambiri omwe ali nawo wakuda. Umboni umene JNC8 unayang'anitsitsa uli ndi mayesero apadera, omwe amapereka chithandizo champhamvu kwambiri cha sayansi pa zochitika zachipatala.
Kawirikawiri, JNC 8 inati anthu onse omwe ali ndi matenda oopsa omwe ali ndi zaka 60 kapena kupitirira ayenera kuchiritsidwa kuti akwaniritse zolinga za magazi zosakwana 150/90 mm Hg. Anthu oposa 60 ayesetse kukwaniritsa cholinga cha magazi pofika pa 140/90 mm Hg. Aliyense amene ali ndi matenda a shuga kapena matenda a impso ayenera kusungabe magazi mopitirira 140/90 mm Hg.
Malingaliro a Chithandizo
Ngakhale kuti JNC 8 ikuyambitsa kuyambitsa chithandizo ndi mavitamini otembenuza mazira a angiotensin, blocker ya angiotensin, calcium channel, kapena thiyode-diuretic kwa anthu omwe si anthu akuda, pali umboni wakuti anthu akuda omwe ali ndi matenda oopsa, kuphatikizapo omwe ali ndi shuga, ayenera yambani mankhwala ndi calcium channel blocker kapena thiazide-mtundu diuretic.
Anthu amtundu wodwala matenda a impso amatha kuyamba mankhwala ndi mavitamini otchedwa angiotensin omwe amatembenuza mavitaminiwa, kapena kuti blocker yolandira chithandizo cha angiotensin, kaya chokha kapena chophatikizira cha calcium kapena diuretic ya thiazide. ACEIs ndi ARBs zawonetsedwa m'maphunziro ena kuti zithetse bwino zotsatira za impso kwa odwala matenda a impso. Pochiza matenda oopsa kwa odwala, malingaliro a JNC 8 aganizire njira yabwino yothetsera kuwonongeka kwa ziwalo monga impso kapena mtima kwa odwala.
Izi zili choncho chifukwa ACEIs ndi ARB zimagwiritsa ntchito njira yowononga magazi, ndipo anthu a ku America omwe ali ndi matenda oopsa kwambiri amaoneka kuti ali ndi ntchito zochepa m'magulu awo, zomwe zimawapangitsa kukhala osamvera. Anthu a ku Africa-Amereka omwe ali ndi matenda oopsa kwambiri amakhalanso ndi mitsempha yambiri ya magazi chifukwa cha mankhwala otsika kwambiri a nitric oxide.
Zowopsa za Kuthamanga Kwambiri ku Africa-Amwenye ndi Anthu Ena
Kutengeka kwa mchere kumachitika kawirikawiri mu Afirika-Amereka. Izi zikutanthauza kuwonjezeka kwa kuthamanga kwa magazi poyankha mchere. Chifukwa chimodzi chingakhale chakuti chidwi cha mchere chimakhala chofala kwambiri kwa anthu ochepa kwambiri ndipo pali kuchulukira kwakukulu kwa kunenepa kwambiri kwa anthu aku Africa ndi America.
Ndipotu, amayi asanu ndi mmodzi mwa amayi asanu ndi limodzi a ku America-Amayi amaonedwa kuti ndi olemetsa kwambiri, omwe ndi ofanana nthawi zinayi poyerekeza ndi akazi oyera kapena akazi a ku Spain. Kunenepa kwambiri kumabweretsa kutsutsa mankhwala omwe amachititsa kupanikizika kwa magazi. Zingabweretse vuto la kugona tulo kapena mavuto ena ogona omwe amachititsa kuti munthu akhale ndi matenda oopsa.
Kuvuta Kulamulira Kuthamanga kwa Magazi
Kuphatikiza pa kuvutika kovuta ndi kuthamanga kwa magazi, anthu a ku America-Amwenye omwe ali ndi matenda oopsa kwambiri amakhala ndi makhalidwe akuluakulu okhudzana ndi matenda a shuga, kuphatikizapo matenda a shuga, kunenepa kwambiri, ndi mavuto okhudzana ndi kupsyinjika kwa magazi mu ziwalo monga impso .
"Kupewa kuthamanga kwa magazi" kumatanthauza kuthamanga kwa magazi komwe sikungatheke mokwanira ndi mankhwala atatu osiyana (mu magulu atatu osiyana kwambiri a antihypertensive, kuphatikizapo diuretic ).
Kufunika Kwambiri pa Moyo Wosintha
Pali zifukwa zambiri zofunika pamoyo zomwe ziyenera kukhala mbali ya njira yothetsera vutoli, makamaka ku Africa-America omwe alibe vuto loletsa kuthamanga kwa magazi. Izi zimaphatikizapo chakudya chamchere chochepa, kuwonjezeka kwa thupi, kumwa mowa, ndi kulemera. Ndipotu, zakudya zimachepetsa kuthamanga kwa magazi monga mankhwala omwe amamwa mankhwala okhaokha. The International Society of Hypertension mu anthu akuda amalimbikitsa kuti onse a ku Africa-America omwe ali ndi vuto la magazi opitirira 115/75 mm Hg ayamba kusintha kusintha kwa moyo kuti athe kuchepetsa kukula kwa chiwopsezo cha mthupi ndi matenda a mtima.