Kuwonjezereka kwachidziwikire sikuli kopanda phindu monga momwe amakhulupirira kale
N'chilendo kukhala ndi mphamvu yeniyeni ya magazi kuwerengera kunyumba pokhapokha mutapeza kuti kuwerenga kwadzidzidzi kunatuluka mukakhala ku ofesi ya dokotala.
Njira yanu yoyamba ingakhale yoponya chithandizo chapakhomo ndikuyamba mankhwala opatsirana kwambiri, koma zomwe mukukumana nazo ndi chikhalidwe chodziwika kuti chovala choyera choyera .
Kuwomboledwanso ku White Coat Hypertension
Chovala choyera chavala choyera (WCH) chinkaonedwa ngati chochitika chosakhalitsa komanso chosavulaza chomwe chinabweretsa vuto la kuchezera dokotala.
Kafukufuku tsopano akusonyeza kuti izi sizingakhale choncho.
WCH imayambitsidwa ndi kutulutsidwa kwa mahomoni otha kupanikizika monga adrenaline, cortisol, epinephrine, ndi norepinephrine. Awa ndiwo mahomoni omwe amagwira ntchito pachisokonezo cha mitsempha komanso amachititsa zomwe zimatchedwa "kumenya kapena kuthawa". Kuwopsa kwa magazi ndi chimodzi mwa zotsatira zake.
Ngakhale zingakhale zomveka kunena kuti kukhala mu ofesi ya dokotala, maganizo omwe apeza ndi akuti anthu omwe ali ndi WCH amakonda kukhala ndi zofanana ndi zina zomwe sizikudetsa nkhawa. Izi zingaphatikizepo misonkhano yamalonda, chiyanjano, kugwiritsidwa ntchito mumsewu, kapena kuyang'ana nkhani za usiku.
Zomwe kafukufukuyu anawonetsa zinali kuti ma spikes omwe amapezeka m'magazi anali ndi zotsatira zowopsa pa moyo wa mtima monga kupitirira kwa magazi, kupweteka kwa mtima, kupwetekedwa mtima, ndi kusweka mtima kwa mtima.
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Gulu lina lafukufuku asayansi apeza kuti anthu omwe ali ndi WCH nthawi zambiri amamva kuwonjezeka kwa kuthamanga kwa magazi pamene akugona. Kawirikawiri, vutoli liyenera kuyembekezera usiku, koma, pazifukwa zina, izi sizikuchitika kwambiri mwa iwo omwe ali ndi WCH.
Zakhala zikuwonetsedwera kuti dongosolo la endocrine la anthuwa likhoza kukhala lolimbikitsidwa kwambiri ndipo mwinamwake limatulutsa mahomoni oponderezana ngakhale kulimbikitsa kochepa ngati "kusokonezeka."
Ma spikes osalongosola angathenso kuwonetsa matenda osagwidwa ndi nkhawa omwe amadziwika kuti amachititsa chiopsezo cha mtima. Mosiyana ndi matenda ovutika maganizo (GAD) omwe amaonetsa kuti ali ndi nkhawa nthawi zonse, pali mitundu yambiri imene nkhawa imayambira ndi zochitika kapena zochitika zinazake.
Matenda aumphawi a anthu (SAD) ndi chitsanzo chimodzi chomwe munthu angakhale bwino kunyumba koma akuvutika ndi nkhawa atachoka panyumba.
Kusamalira Kutentha kwa White Coat
Ngati mwapezeka kuti muli ndi WCH, dokotala wanu angakulimbikitseni kuyendetsa magazi (ABPM) kufufuza ndi kulemba kuthamanga kwa magazi nthawi yomweyo. Izi zingathandize dokotala wanu kuti azindikire momwe zimakhalira nthawi zambiri komanso zovuta.
Ngati ABPM sichivomerezedwa, mukhoza kukhala owerenga molondola ku ofesi ya dokotala ngati mufika molawirira ndikukhala chete kwa mphindi 10. Ngati kuwerenga kuli malire kapena osadziwika, dokotala wanu angapereke njira yolondera ndi kuyembekezera.
Komabe, ngati mapetowa akukhudza, dokotala wanu angakulimbikitseni mankhwala opatsirana kwambiri . Kusintha kwa zakudya, kuchita masewera olimbitsa thupi, ndi kusamalira maganizo (kuphatikizapo yoga ndi kusinkhasinkha) zingathenso kulangizidwa. Ngati kudera nkhawa kukubweretsa mavuto, mukhoza kutumizidwa kwa katswiri wa maganizo.
> Zotsatira:
> Huang, Y .; Huang, W .; Mai, Y. et al. "Chovala choyera ndicho chiwopsezo cha matenda a mtima komanso imfa." J Hypertens. 2017; 35 (4): 677-88. DOI: 10.1097 / HJH.0000000000001226.
> Maseko, J .; Woodiwiss, A .; Libhaber, C. et al. "Ubale pakati pa zoyera zoyera ndi zotsalira zazing'onoting'ono zazikulu kapena kuuma kwaumphawi: udindo wa kuthamanga kwa magazi kumatenda." Am J Hypertens. 2013; 26 (11): 1287-94. DOI: 10.1093 / ajh / hpt108.