Matenda opatsirana kwambiri, omwe nthawi zina amawatcha kuti borderline hypertension, ndi mawu omwe amagwiritsidwa ntchito kufotokoza anthu omwe amayamba kusintha mobwerezabwereza m'magulu oopsa kwambiri , kapena kuthamanga kwa magazi. Matendawa amadziwika ndi kusintha kwadzidzidzi kosalekeza komanso kupitirirabe kwa magazi, omwe amawoneka kuchokera ku kuwerenga kwabwino kapena kwabwino powerenga nthawi zosiyanasiyana patsiku.
Mwina mwa chidwi kwambiri ndi malingaliro osiyanasiyana a zachipatala ponena za vuto lomwe limachokera ku chiwonetsero chake monga choyipa choyendetsedwa ndi "matenda" oopsa kwambiri ku nthawi yosayenera ya chikhalidwe chofanana.
Malingaliro Ochipatala Ponena za Matenda Ochepetsa Matenda
Ngakhale kuti ena mwachipatala akuyendetsa matenda a labile omwe amachiza matenda, ena amakhulupirira kuti ndi lingaliro lolakwika komanso lachidziwitso. Ziribe kanthu msasa womwe uli nawo, kawirikawiri kuti labile yachulukitsiro imakhala yosafunika kwenikweni kusiyana ndi vuto lomvetsa bwino komanso loopsa lomwe limadziwika kuti "osasunthika". Malingana ndi akatswiri ambiri azachipatala, kuthamanga kwa magazi kumakhala kovuta kwambiri pamene kuli kokhazikika kapena kumapitirira kwa nthawi yaitali pamene zotsatira zake zimakhudza thanzi lanu zimatenga zaka zambiri kuti zikule.
Ngakhale akatswiri ambiri azachipatala amadziwa bwino mawuwa, palibe njira yowonjezera yowonjezereka kuti afotokoze kapena kuwona kuti ali ndi vuto lachiwopsezo cha labile, zomwe zimapereka chitsogozo cha mankhwala komanso kumvetsa kuti vutoli ndi lovuta kwambiri.
Izi zikuti, pamene magazi ali ndi vuto labwino kapena losiyana, kawirikawiri ndi chizindikiro cha vuto lina.
Zimayambitsa
Kusintha kwafupipafupi kwa kuthamanga kwa magazi kungakhale chifukwa cha zifukwa zingapo, zina zowoneka bwino komanso zathanzi pamene zina ndizoopsa. Odziwa zachipatala omwe amawona kuti vutoli ndi losafunika kwambiri, amasonyeza kuti pafupifupi aliyense ali ndi luso, kapena amatsutsana ndi magazi - ndipo ayenera.
Malingana ndi madokotala a Ikahn School of Medicine ku Mount Sinai ku New York, kuthamanga kwa magazi kwa munthu wathanzi kumasintha nthawi zonse kuti akwaniritse zosowa zathupi.
Mwachitsanzo, kuthamanga kwa magazi mwachibadwa kumadwala panthawi yopumula ndi kugona, pamene kumatuluka nthawi yochita masewera olimbitsa thupi. Ndi udindo wawo kuti ngakhale kuti nthawi yamba ndi yofala, vuto la labile ndilosazolowereka kuti anthu adziwe kuti magazi awo ndi opangidwa molakwika kwambiri ngati momwe alili ndi pheochromocytoma kapena chotupa chochepa chomwe chimachokera ku maselo a adrenal glands .
Madokotala ena amawona kugwirizana pakati pa mankhwala a labile omwe amadziwika ndi "chovala choyera" kapena "ofesi" yowonjezera kuthamanga, zomwe zimagwiritsidwa ntchito pofotokozera kuthamanga kwa magazi omwe amawerengedwa kwambiri mu ofesi ya dokotala kapena malo azachipatala chifukwa cha nkhaŵa yomwe imapezeka nthawi zambiri. Ambiri amavala malaya amtundu woyera amawoneka bwino kapena amawoneka bwino.
Izi zikuti, pali madokotala omwe amawona zizindikiro za labile yowopsa kwambiri zomwe sizimangokhala ndi chizoloŵezi chosaoneka ngati feochromocytoma kapena chovala choyera chachangu.
Nthawi zambiri, kusintha kwake kwa magazi kumakhala kunja kwa mphamvu yambiri ya magazi ndipo nthawi zambiri kumagwirizanitsidwa ndi kupsinjika maganizo. Zisonyezero za kuthamanga kwa mtima wa labile zokhudzana ndi maganizo zingaphatikizepo kupweteka mutu komanso kumalira m'makutu .
Kuchiza
Pamene matenda oopsa kwambiri omwe ali ndi vuto la kuthamanga kwa magazi sagwiritsidwa ntchito kukhala ochiritsira, kuthamanga kwa magazi kumasintha kapena matenda osadziwika kapena matenda, madokotala ambiri amafunsa kuti magazi aziwunika pafupipafupi maola 24 polemba kuti wodwalayo ali ndi vuto loperewera kwa magazi pambuyo powerenga magazi. . Kuwunika kuponderezedwa kwa magazi pa tsiku lonse kungathandize dokotala kupeza nthawi yomwe nthawiyo munthuyo akukumana ndi kuthamanga kwa magazi.
Pogwiritsa ntchito zolemba tsiku ndi tsiku, zotsatira za kuwunikira zingathandizenso kudziwa chomwe chimayambitsa magetsi a magazi.
Mosiyana ndi mavuto ena a kuthamanga kwa magazi, maulendo ambiri a hypertension labile samayankha bwino mankhwala ochizira kwambiri . M'malomwake, kwa anthu omwe ali ndi vuto lakuthamanga kwambiri, akhoza kuthandizidwa kuti asamangokhala ndi nkhawa. Njira yoyamba ndiyo kuthana ndi nkhawa, yomwe ingakhale yosiyana ndi kusintha kwa moyo monga kuchita maseŵera olimbitsa thupi komanso zakudya zabwino kuti zithetse mankhwala osokoneza bongo.
Zotsatira
"Pulogalamu ya Kuopsa Kwachidule." Phiri la Sinai Madokotala Otsogolera Ziphunzitso . Sukulu ya Mankhwala a Ikahn ku Mount Sinai, 2015.
"Kuthamanga Kwambiri kwa Mitsempha: Chinthu Cholakwika? Phunziro la Framingham." The American Journal of Cardiology 43.2 (1979): 419.
Mann, Samuel J. "Kuwona Kachilombo ka Mavenda Opatsirana: Mavuto Otsogolera." Journal of Clinical Hypertension 11.9 (2009): 491-97.