Kuthamanga kwa magazi, kapena kuthamanga kwa magazi, ndi chimodzi mwa mavuto omwe amadwala kwambiri. Mwatsoka, matenda oopsa kwambiri amapita osadziwika. Choyipa kwambiri, ngati atapezeka, nthawi zambiri amachiritsidwa mosavuta ngakhale kuti nthawi zambiri sizingatheke kuchiza. Choncho, pamene aliyense "amadziwa" za matenda oopsa kwambiri, amakhalabe akuwopsa chifukwa cha matenda a mtima , matenda a sitiroko , matenda a impso , ndi mavuto ena azachipatala.
Chifukwa chakuti kuthamanga kwa magazi ndi kofala komanso koyenera, ndikofunika kuti aliyense azithamangitsidwa ndi magazi nthawi ndi nthawi. Ndipo ngati muli ndi matenda oopsa, nkofunika kuti muzigwira ntchito mwakhama ndi dokotala wanu kuti mupeze mankhwala othandiza kuti mupewe zotsatira zoipa ndikukhala moyo wathanzi.
Kodi Kuthamanga Kwambiri Ndi Chifukwa Chiyani Ndikofunika Kwambiri?
Kuthamanga kwa magazi ndi chikhalidwe chimene chimapangitsa kuti mitsempha ikhale yovuta kwambiri mpaka potsirizira pake iwononge mitsempha ya magazi, ndipo potsirizira pake ziwalo zomwe zimapereka magazi.
Pamene mtima umagunda, umayambitsa magazi kudzera m'mitsempha ndi ziwalo za thupi. Kupsinjika kumene kumapangitsa mtima kumenyetsa kumapangitsa magazi kutsogolo ndikutambasula makoma otsekemera a mitsempha. Pakati pa zipsinjo za mtima, monga minofu ya mtima imabweretsanso, makoma ogwira ntchito amatha kubwerera ku mawonekedwe awo oyambirira, motero kusunga magazi kumapita ku matupi a thupi. (Kukula kwa mitsempha ndi kumenya mtima kulikonse kumatilola kuti tizimva "kugunda.")
Kotero, ndikuthamanga kwa magazi mkati mwa mitsempha-yopangidwa ndi mtima wokonda ndi mitsempha yotseguka yogwirira ntchito limodzi-yomwe imachititsa kuti magazi azizungulira.
Ngati kuthamanga kwa magazi ndi kotsika kwambiri (zizindikiro zotchedwa hypotension ), ziwalo za thupi zimadwala chifukwa samalandira magazi okwanira. Koma kuthamanga kwa magazi komwe kumakhala kwakukulu kwambiri (kuthamanga kwa magazi) kumabweretsa mavuto ake. Kuthamanga kwa magazi kumatha kuchepetsa kwambiri matenda a atherosclerosis , omwe amachititsa kudwala matenda a mitsempha ndi matenda a mtima , kuvutika mtima , kukwapula, impso, kusokonezeka kwa matenda a mitsempha , ndi aortic aneurysms .
Ichi ndi chifukwa chake matenda oopsa kwambiri ndi omwe amachititsa kuti munthu asatenge msanga komanso afe, ndipo chifukwa chiyani amachilera ndi kuchiza ndikofunika kwambiri ku thanzi labwino komanso moyo wautali.
Kodi Zizindikiro Za Kuthamanga kwa Mthupi N'chiyani?
Kuthamanga kwa magazi ndi matenda osokoneza bongo. Anthu ambiri omwe ali ndi matenda oopsa kwambiri samakhala ndi zizindikiro zochokera ku kuthamanga kwa magazi enieni, ndipo nthawi zambiri amawoneka ndikumakhala ndi thanzi labwino kwa zaka zambiri-mpaka atayambitsa kuwonongeka kosatha ku chiwalo chofunika kwambiri. Choncho chizindikiro choyamba cha matenda oopsa kwambiri, mwatsoka, nthawi zambiri amatha kupwetekedwa mtima mwadzidzidzi kapena kupweteka kwapakati. Ichi ndi chifukwa chake matenda oopsa kwambiri amatchedwa "wakupha."
Kodi Kuthamanga Kwambiri Kwambiri Kumakhala Bwanji?
Kuthamanga kwa magazi kumapezeka ngati vuto lanu la magazi likupuma limapezeka kuti likupitirirabe.
Ndikofunika kuyeza kupanikizika kwa magazi moyenera kuti musamadziwe zambiri kapena kuti musamadziwe matenda oopsa. Masiku ano ofesi yachipatala yowonongeka, njira zoyenera zowunikira moyenera magazi zimakhala zosavomerezeka. Popeza kuti ndiwe amene akuyenera kukhala ndi matendawa (kapena zotsatira za matenda osadziwika), muyenera kudziwa njira yoyenera yodziwira matenda a chipsinjo.
Kuyeza kwa magazi kumayesedwa ngati nambala ziwiri - zovuta za systolic ndi diastolic- monga izi: 120mmHg / 80mmHg, kapena mophweka, 120/80 ("makumi awiri mphambu makumi asanu ndi atatu.") Nambala yochulukirapo, systolic pressure, imaimira kupanikizika mkati mwa mitsempha panthawi imene mtima ukugwedezeka. Nambala ya m'munsi, kuthamanga kwa diastolic, imayimirira kupanikizika kwapakati pakati pa kumenyedwa kwa mtima, pamene mtima uli wokondwa.
Zotsatira zoyenera zowonjezera kuthamanga kwa magazi zikutanthauza kuti muyeso uyenera kupangidwa m'malo amtendere ndi ofunda mutatha kukhala mosangalala kwa mphindi zisanu. Sitiyenera kukhala ndi khofi kapena kugwiritsa ntchito fodya kwa mphindi 30. Miyeso iwiri yokha ya magazi imayenera kutengedwa pambaliyi, osachepera mphindi zisanu pokhapokha, ndipo iyenera kubwerezedwa mobwerezabwereza ngati pakufunikira kuti muyeso ukhale mkati mwa 5 mmHg.
Aliyense yemwe wapita ku ofesi ya madokotala zaka zingapo zapitazi amadziwa kuti ndizosatheka bwanji kuti zinthu zonsezi zithetsedwa. Komabe, dokotala asanakulowetseni kuti adziwe kuti ali ndi matenda oopsa, ayenera kuganiza kuti akuyenera kuti adziwe bwinobwino. Ndipo iwe uyenera kuti uumirire kuti iye achite zimenezo.
Chinthu chinanso chovuta kwambiri kuti munthu azindikire kuti ali ndi matenda oopsa kwambiri mu ofesi ya madokotala ndi chodabwitsa cha " chovala choyera " chomwe chimatanthawuza kuti kuthamanga kwa magazi kukukwera mu ofesi ya dokotala, koma ndibwino nthawi iliyonse. Akatswiri ambiri amaganiza kuti chovala choyera chimakhala chopanda chithandizo.
Chifukwa cha zovuta zomwe zimachitika popanga matenda oopsa a dokotala ku ofesi ya dokotala, akatswiri oopsa kwambiri akubwera poona kuti njira yabwino kwambiri yodziwira kuti munthu ali ndi matenda oopsa kwambiri, sikuti ali m'chipinda cha dokotala, koma kuti ali ndi vuto la magazi. kuwunika . Kupeza umboni wochulukirapo kumalimbikitsa kwambiri njirayi ndipo malangizo ena atsopano azachipatala amanena kuti kuyendetsa galimoto kumafuna kuti apeze matenda oopsa.
Kodi Ndizifukwa Zotani Zopatsirana?
Kuthamanga kwa magazi kumakhala kofala pakati pa magulu onse akumadzulo. Komabe, anthu ena ali pachiopsezo chachikulu chokhalira ndi matenda oopsa.
Kuthamanga kwa magazi kumakhala kofala komanso koopsa kwambiri kwa anthu akuda komanso anthu omwe ali ndi mbiri ya banja lachiwopsezo. Kudyetsa mchere wambiri ndi chinthu chofunika kwambiri kuti munthu akhale ndi matenda oopsa kwambiri kwa anthu ambiri. Kumwa mowa kwambiri (zazikulu kuposa zakumwa ziwiri patsiku) kumagwirizanitsidwa ndi matenda oopsa. Maseŵera okwera m'magazi ( cholesterol ndi triglycerides m'magazi anu) akugwirizana ndi kuwonjezeka kwa chiwopsezo cha m'magazi. Ndipo, ndithudi, pali vuto lalikulu lomwe limakhalapo-kukhala wonenepa kwambiri kapena owonjezera.
Kodi N'chiyani Chimayambitsa Kuthamanga Kwambiri?
Zomwe zimayambitsa matenda oopsa kwambiri nthawi zambiri zimagawidwa m'magulu awiri: kuthamanga kwa magazi kumene kuli kofunika kwambiri ("kufunika koopsa kwambiri") ndi kuthamanga kwambiri kwa magazi kumene kumakhala kovuta ku matenda ena.
Ambiri mwa anthu omwe ali ndi matenda oopsa kwambiri amathamanga kwambiri , zomwe zikutanthawuza, kuti, palibe chifukwa chenichenicho chomwe chingadziwike-chimachitika popanda chifukwa chodziwika. Ngakhale kuti kafukufuku wambiri wachitidwa pofuna kuyesa kuzindikira chifukwa chenicheni chomwe chimayambitsa matenda (hypertension), pakali pano vutoli silidali lovuta.
Ndizosazolowereka kuti matenda oopsa kwambiri ndi ena omwe amadziwikiratu-ndipo nthawi zambiri amatha kuchiritsidwa komanso / kapena matenda osinthika. Mavuto omwe angapangitse kupatsirana kwapachilombo kumaphatikizapo matenda a impso, kugonana kwa mphuno , kupotoka kwa aorta, matenda a mitsempha ya magazi opatsa impso, matenda a endocrine osiyanasiyana, komanso kugwiritsa ntchito mankhwala opatsirana pakamwa , kumwa mowa, kugwiritsa ntchito mankhwala osagwiritsa ntchito mankhwala osokoneza bongo, mankhwala opweteka (NSAIDs) , kapena anti-depressants.
Mbiri yachipatala yowonongeka, kuunika kwa thupi, ndi kuunika kwa ntchito yamagazi yowonongeka iyenera kupita kwa dokotala wanu ngati pali njira zina zoyenera kuthandizira kuti muwone zomwe zingayambitse kupatsirana kwa magazi .
Kodi Ndondomeko za Kuthamanga Kwambiri?
Pamene matenda a hypertension akupezeka, "siteji" ya matenda oopsa kwambiri ndizofunikira kudziwa momwe mankhwalawa amagwiritsidwira ntchito poyamba. Gawo la matenda a munthu ndi njira ina yodziwira momwe zimakhalire zovuta-m'mawu ena, momwe kuthamanga kwa magazi kuliri.
Miyeso ya matenda oopsa kwambiri ndi awa:
- Gawo 1 Kuthamanga kwa magazi: systolic pressure 140-159mmHg KODI kuthamanga kwa diastolic 90-99mmHg
- Gawo lachiwopsezo chachiwopsezo: chithokomiro cha systolic chachikulu kuposa 159mmHg KODI kuthamanga kwa diastolic kukuposa 99mmHg
Kuphatikiza pa "magawo awiri" ovomerezeka, madokotala adzalankhulanso za pulojekiti yomwe imatchedwa kuti hypertension, yomwe mphamvu ya magazi imakhala yochuluka kusiyana ndi zofunikira, koma osati mkulu wokwanira (komabe) kutchedwa kuthamanga kwa magazi.
Kuthamangitsidwa kwa thupi kumakhalako ngati chitsimikizo cha systolic chikugwa pakati pa 120-139mmHg kapena vuto la diastolic liri pakati pa 80-89mmHg. Chifukwa chakuti anthu omwe ali ndi matenda odwala matenda a shuga amakhala ndi chiopsezo chachikulu kwambiri chokhala oopsa kwambiri, amafunika kuti magazi awo aziyang'anitsitsa miyezi 6-12 iliyonse. Madokotala ena amakhulupirira kuti ayenera kupatsidwa mankhwala oopsa kwambiri. Osachepera, ayenera kusintha kusintha kwa moyo wawo komwe kungachepetse chiopsezo chotenga matenda oopsa komanso matenda a mtima.
Kuwonjezera pa prehypertension ndi siteji 1 ndi siteji yachiwiri yapamwamba, pali mtundu wochepa wa matenda oopsa omwe amatchedwa matenda oopsa kwambiri. Matenda oopsa kwambiri amapezeka pamene magazi ali pamwamba kwambiri ndipo amatsatiridwa ndi zizindikiro zowonongeka kwa ziwalo zomwe zimayambitsa mitsempha ya mitsempha yomwe imawoneka mwadzidzidzi kwambiri.
Kuwonongeka kwa chiwalo chogwiritsidwa ntchito kwambiri kumaonekera kwambiri mwa kutuluka kwa magazi mu retina wa maso, kutuluka kwa impso, kuwonongeka kwa mtima, kapena kupwetekedwa. Zizindikiro zomwe anthu omwe ali ndi matenda oopsa kwambiri amagwirizana ndi ziwalo kapena ziwalo zomwe zawonongeka. Kuopsa kwa matenda oopsa kwambiri nthawi zonse kumakhala kovuta kwachipatala ndipo kawirikawiri kumafuna chithandizo chamankhwala choopsa, chokwanira.
Posachedwapa Amadziwika Ndi Mphamvu ya Kuthamanga Kwambiri? Kupeza Chithandizo Chabwino
Ngati mwapezeka kuti muli ndi matenda oopsa, uthenga wabwino ndi wakuti pali mankhwala ambiri othandiza omwe mungasankhe. Nkhani yoipa ndi yakuti palinso mankhwala ambiri othandiza omwe angasankhe-omwe nthawi zina angapange kusankha "kulondola" mankhwala ovuta.
Chithandizo cha matenda oopsa kwambiri chimayamba ndi zakudya, kuchita masewera olimbitsa thupi, kuyendetsa kulemera, komanso kuchepetsa mphamvu ya sodium . Nthawi zina (makamaka anthu omwe ali ndi matenda a hypertension kapena stage 1 a hypertension) mitunduyi ya kusintha kwa moyo ndi yokwanira, ndipo mankhwala osokoneza bongo sangakhale oyenera.
Komabe, mwa anthu ambiri omwe ali ndi nthenda yapamwamba yapamwamba 1, komanso aliyense amene ali ndi pulogalamu yachiwopsezo chachikulu, mankhwala othandizira mankhwala amafunika kuti athetse kuchepetsa magazi.
Chifukwa chakuti mankhwala ambiri a mankhwala amavomerezedwa kuti athe kuchiritsidwa ndi matenda oopsa, kusankha mankhwala oyenera (kapena mankhwala osokoneza bongo) kwa munthu aliyense amene ali ndi matenda oopsa kwambiri poyamba angawoneke kuti ndi ovuta. Komabe, ndondomeko zapangidwa kuti zithandize madokotala kupeza mwamsanga, ndibwino kwambiri (ndi kawirikawiri mtengo wotsika) mankhwala a pafupifupi aliyense amene ali ndi matenda oopsa.
Choncho, ngati inu ndi dokotala mutakhala ndi njira yodalirika, njira yothetsera nzeru, pali mwayi wabwino kwambiri kuti mutha kukhazikitsa mwamsanga mankhwala omwe mukuyenera kulandira.
Ngati muli ndi zaka 65 kapena kuposerapo, zikhoza kukhala kuti matenda anu oopsa kwambiri ndi systolic hypertension-ndiko kuti sysilic blood pressure is high, pamene diastolic ya magazi imakhalabe yoyenera. Ngati ndi choncho, inu ndi dokotala muyenera kusamala kwambiri pamene mukuyamba kuchiza matenda anu oopsa.
Kukhala ndi Matenda Oopsa
Mukayamba kupeza kuti muli ndi matenda oopsa, mungathe kuyembekezera kuti padzakhala nthawi yomwe mudzawonera dokotala wanu nthawi zambiri. Mudzafunika kuyesedwa koyambirira kuti muwone chifukwa chachikulu cha matenda anu oopsa, ndipo mwinamwake mukusowa maulendo angapo a dokotala musanayambe kupeza mankhwala abwino.
Koma nthawiyi ikadatha, mukhoza kuyembekezera kuti mubwererenso kumoyo wamba. N'zoona kuti pangakhale kusintha kochepa komwe mukufunikira kuti muzolowere, komabe mwina zidzasintha moyo wanu mukadakhalapo nthawi yayitali.
Uthenga wabwino ndi-tsopano kuti matenda anu okhudzidwa ndi matendawa amachiritsidwa mokwanira-kuti "moyo wamba" ukhoza kukhala wotalika kwambiri ndi kukhala wathanzi kuposa momwe zikanakhalira.
Mawu Ochokera
Kuthamanga kwa magazi ndi matenda omwe amafala kwambiri omwe amapezeka ndi zotsatira zoopsa. Mwa kuphunzira zonse zomwe mungathe pokhudzana ndi kuthamanga kwa magazi, mukhoza kugwira ntchito ndi dokotala kuti mupeze njira yoyenera yowunikira nthawi yoyenera ndipo mwamsanga mufike kuchipatala chomwe mukufunikira.
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