Yakakwira BP - vakuru

Kuwedzera kweropa chiyero chesimba rinoshandiswa kumadziro etsinga dzako sezvo moyo wako uchipomba ropa kumuviri wako. Hypertension izwi rinoshandiswa kutsanangura BP.

Kusarapwa kukwirira kweropa kunogona kutungamira kumatambudziko mazhinji ekurapa. Izvi zvinosanganisira chirwere chemwoyo, sitiroko, itsvo kutadza, matambudziko eziso, uye zvimwe zvehutano.

Kuwedzera kweropa kuverenga kunopihwa sehamba mbiri. Nhamba yepamusoro inonzi systolic BP. Nhamba yepazasi inonzi diastolic yeropa. Semuenzaniso, 120 pamusoro pe80 (yakanyorwa sa120 / 80 mm Hg).

Imwe kana ese ari maviri manhamba anogona kuve akakwirira zvakanyanya. (Cherekedza: Aya manhamba anoshanda kune vanhu vasiri kutora mishonga yekumanikidza kweropa uye vasina kurwara.)

• Kujairika kweropa ndipo kana BP yako yakadzikira pane 120/80 mm Hg nguva zhinji.
• Yakakwira BP (hypertension) ndipo kana imwe kana yako miviri yeropa kuverenga kuve kwakakwirira kupfuura 130/80 mm Hg nguva zhinji.
• Kana iyo yepamusoro yeropa nhamba iri pakati pe120 ne130 mm Hg, uye yepasi yeropa nhamba iri pasi pe80 mm Hg, inonzi yakakwira BP.

Kana iwe uine matambudziko emoyo kana yeitsvo, kana iwe uine sitiroko, chiremba wako angangoda kuti kuwedzerwa kweropa rako kuve kwakaderera pane kune kwevanhu vasina aya mamiriro.

Zvinhu zvakawanda zvinogona kukanganisa kukanganiswa kweropa, kusanganisira:

• Huwandu hwemvura nemunyu wauinayo mumuviri wako
• Mamiriro eitsvo dzako, tsinga, kana tsinga dzeropa
• Mahormone ako

Iwe unonyanya kuudzwa kuti kuwedzerwa kweropa rako kwakanyanya zvakanyanya paunenge uchikura. Izvi zvinodaro nekuti mitsipa yako yeropa inoomarara sezvaunokwegura. Kana izvozvo zvikaitika, BP yako inokwira kumusoro. Kuwedzera kweropa kunowedzera mukana wako wekubatwa nesitiroko, kurwadziwa nemwoyo, kukundikana kwemoyo, chirwere cheitsvo, kana kufa kwekutanga.

Iwe une njodzi yakakwira yekukwira kweropa kana iwe:

• Ndo African American
• Vakafutisa
• Kazhinji inomanikidzwa kana kunetseka
• Inwa doro rakawandisa (chinopfuura chinwiwa chimwe pazuva pazuva revakadzi uye zvinopfuura zvinwiwa zviviri pazuva pazuva revarume)
• Idya munyu wakawandisa
• Iva nenhoroondo yemhuri yehigh blood pressure
• Iva nechirwere cheshuga
• Chiutsi

Kazhinji yenguva, hapana chikonzero cheBP chakakwira chinowanikwa. Izvi zvinonzi zvakakosha hypertension.

Kuwedzera kweropa kunokonzerwa neumwe mamiriro ehutano kana mushonga wauri kutora unonzi wechipiri hypertension. Secondary hypertension inogona kunge iri nekuda kwe:

• Chirwere chetsvo chisingaperi
• Kukanganisika kwedrenal gland (senge pheochromocytoma kana Cushing syndrome)
• Hyperparathyroidism
• Kubata kana preeclampsia
• Mishonga yakadai semapiritsi ekudzivirira kubereka, mapiritsi edhayeti, mimwe mishonga inotonhora, migraine mishonga, corticosteroids, mamwe maantipsychotic, uye mimwe mishonga inoshandiswa kurapa cancer.
• Arteri yakamanikana inopa ropa kuitsvo (renal artery stenosis)
• Kudzivirira kurara kwepabonde (OSA)

Kazhinji yenguva, hapana zviratidzo. Kune vanhu vazhinji, kuwedzerwa kweropa kunowanikwa pavanoshanyira mupi wezvehutano kana kuitarisa kune imwe nzvimbo.

Nekuti hapana zviratidzo, vanhu vanogona kuita chirwere chemwoyo uye itsvo matambudziko vasingazive kuti vane yakakwira BP.

Yakashata hypertension inzira ine njodzi yekukwirisa kweropa. Zviratidzo zvinogona kusanganisira:

• Musoro wakanyanya
• Kusvotwa uye kurutsa
• Kuvhiringidzika
• Chiono chinoshanduka
• Mhino dzemhino

Kuongorora kukwirisa kweropa pakutanga kunogona kubatsira kudzivirira chirwere chemwoyo, sitiroko, matambudziko eziso, uye chirwere chetsvo chisingaperi.

Wako mupi anozoyera yako yeropa nguva zhinji usati wakuona iwe uine yakakwira BP. Zvakajairika kuti BP yako ive yakasiyana zvichienderana nenguva yezuva.

Vose vanhu vakuru vanopfuura makore gumi nemasere vanofanirwa kuongororwa BP yavo gore rega rega. Kuwedzera kunowanzo kuyerwa kunogona kudikanwa kune avo vane nhoroondo yekukwira kweropa kuverenga kana avo vane njodzi zviitiko zvekukwira kweropa.

Kuwedzerwa kweropa kuverengwa kunotorwa kumba kunogona kuve chiyero chiri nani cheropa rako razvino kupfuura iro rinotorwa kuhofisi yemupi wako.

• Ita shuwa kuti iwe unowana mhando yakanaka, inokodzera-imba yeropa bhajeti yekutarisa. Iyo inofanirwa kuve neyakaenzana saizi cuff uye kuverenga kwedhijitari.
• Dzidzira nemupi wako kuti uve nechokwadi chekuti uri kutora yako yeropa nemazvo.
• Iwe unofanirwa kuve wakasununguka uye kugara pasi kwemaminetsi akati wandei usati waverenga.
• Uya neimba yako yekutarisisa kune ako akasarudzika kuitira kuti mupi wako agone kuona kuti iri kushanda nemazvo.

Wako mupi achaita bvunzo dzepanyama kutarisa zviratidzo zvehosha yemwoyo, kukuvara kumeso, uye zvimwe shanduko mumuviri wako.

Miedzo inogona zvakare kuitwa kutsvaga:

• Yakakwira cholesterol mwero
• Chirwere chemwoyo, uchishandisa bvunzo senge echocardiogram kana electrocardiogram
• Chirwere cheitsvo, uchishandisa bvunzo senge yakakosha metabolic pani uye urinalysis kana ultrasound yeitsvo

Chinangwa chekurapa ndechekuderedza yako yeropa kuitira kuti uve nenjodzi yakaderera yezvinetso zvehutano zvinokonzerwa neBP. Iwe nemupi wako munofanira kumisikidza chinangwa cheBP.

Pese paunofunga nezve kurapa kwakanyanya kweBP, iwe nemupi wako munofanira kufunga zvimwe zvinhu zvakaita se:

• Zera rako
• Mishonga yaunotora
• Ngozi yako yemhedzisiro kubva kunogoneka mishonga
• Zvimwe zvehutano zvaunogona kuve nazvo, senge nhoroondo yehosha yemoyo, sitiroko, matambudziko eitsvo, kana chirwere cheshuga

Kana yako yeropa iri pakati pe120 / 80 uye 130/80 mm Hg, iwe wakwidza BP.

• Wako mupi achakurudzira shanduko yemararamiro kuunza yako yeropa pasi kune yakajairwa renji.
• Mishonga haiwanzoshandiswa panguva ino.

Kana yako BP yakakwira kupfuura 130/80, asi yakadzika kupfuura 140/90 mm Hg, une Stage 1 yakakwira BP. Paunenge uchifunga nezvekurapa kwakanyanya, iwe nemupi wako munofanira kufunga:

• Kana iwe usina zvimwe zvirwere kana njodzi zvinhu, wako mupi anogona kukurudzira mararamiro shanduko uye dzokorora zviyero mushure memwedzi mishoma.
• Kana yako BP ikaramba iri pamusoro pe130 / 80, asi yakadzika kupfuura 140/90 mm Hg, mupi wako anogona kukurudzira mishonga yekurapa yakakwira BP.
• Kana iwe uine zvimwe zvirwere kana zvinhu zvine njodzi, mupi wako anogona kuve nemukana wekutanga mishonga panguva imwechete sekuchinja kwehupenyu.

Kana yako BP yakakwira kupfuura 140/90 mm Hg, une Stage 2 yakakwira BP. Wako mupi angangodaro atange iwe pamishonga uye anokurudzira maratidziro ehupenyu.

Usati waita yekupedzisira kuongororwa kweimwe yakakwira BP kana kukwira kweropa, mupi wako anofanira kukukumbira kuti ropa rako ripimiswe kumba, kukhemisi yako, kana kumwe kunhu kunze kwehofisi yavo kana chipatara.

UPENYU HUCHINJA

Iwe unogona kuita zvinhu zvakawanda kubatsira kudzora yako yeropa, kusanganisira:

• Idya kudya kunovaka-moyo, kusanganisira potasium uye faibha.
• Inwa mvura yakawanda.
• Tora kanokwana maminitsi makumi mana ekuenzanisira kusvika kune simba rekuita maekisesaizi kwemazuva matatu kusvika mana pavhiki.
• Kana uchisvuta, rega.
• Ganhurira kuti unonwa doro rakawanda sei kunwa 1 pazuva pazuva revakadzi, uye 2 pazuva kuvarume kana zvishoma.
• Deredza huwandu hwesodium (munyu) waunodya. Vavarira isingasviki 1,500 mg pazuva.
• Deredza kushushikana. Edza kudzivisa zvinhu zvinokushungurudza, uye edza kufungisisa kana iyo yoga kune de-kushushikana.
• Gara pane huremu hwemuviri hwakanaka.

Wako mupi anogona kukubatsira iwe kuwana zvirongwa zvekuderedza uremu, kurega kuputa, uye kurovedza muviri.

Iwe unogona zvakare kuwana kuendesa kune chiremba wezvekudya, uyo anogona kukubatsira kuronga kudya kune hutano kwauri.

Iko kushomeka kweropa rako kunofanira kuve kwakadii uye padanho ripi raunoda kutanga kurapwa kunoenderana, zvichienderana nezera rako uye chero matambudziko ekurapa aunayo.

Mishonga YOKUSANGANISIRA

Kazhinji yenguva, mupi wako anozoedza mararamiro kuchinja kutanga, uye tarisa rako reropa kaviri kana kupfuura. Mishonga ingangotanga kana yako yeropa kuverenga ichiramba iri pamusoro kana pamusoro pematanho aya:

• Nhamba yepamusoro (systolic kumanikidza) ye130 kana kupfuura
• Pazasi nhamba (diastolic kumanikidza) ye80 kana kupfuura

Kana iwe uine chirwere cheshuga, matambudziko emoyo, kana nhoroondo yesitiroko, mishonga inogona kutanga pakadzika kuverenga kweropa. Izvo zvinonyanya kushandiswa BP zvinangwa zvevanhu vane matambudziko ekurapa aya ari pasi pe120 kusvika 130/80 mm Hg.

Kune mishonga mizhinji yakasiyana yekurapa BP.

• Kazhinji, rimwe chete reropa remushonga rinogona kunge risingakwanise kudzora kuwedzerwa kweropa rako, uye ungangoda kutora maviri kana anopfuura madhiragi.
• Zvakakosha zvikuru kuti utore mishonga yawakatemerwa.
• Kana iwe uine mhedzisiro, chiremba wako anogona kutsiva mumwe mushonga.

Kazhinji yenguva, kukwirira kweropa kunogona kudzorwa nemushonga uye nemararamiro ekuchinja.

Kana iko kukanganiswa kweropa kukasanyatso kudzorwa, uri mungozi ye:

• Kubuda ropa kubva muaorta, iro hombe ropa reropa rinopa ropa mudumbu, chiuno, uye makumbo
• Chirwere chetsvo chisingaperi
• Kurwara kwemoyo uye kutadza kwemoyo
• Ropa rakaipa kumakumbo
• Matambudziko nemaonero ako
• Kurohwa

Kana iwe uine BP yakakwira, iwe uchave uchimboongororwa nguva neako mupi.

Kunyangwe kana usati waonekwa kuti une BP, zvakakosha kuti ropa rako riongororwe panguva yaunogara uchiongororwa, kunyanya kana mumwe munhu mumhuri yako aine kana aine BP yakakwira.

Fonera waunopa ipapo ipapo kana kuongorora kwemba kuchiratidza kuti yako BP ichiri yakakwira.

Vanhu vazhinji vanokwanisa kudzivirira kukwirira kweropa kubva mukuitika nekutevera shanduko yemararamiro akagadzirirwa kuunza BP.

Hypertension; HBP

• ACE inhibitors
• Angioplasty uye stent - moyo - kubuda
• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Butter, majarini, uye mafuta ekubikisa
• Cholesterol uye mararamiro
• Kudzora kukwira kweropa rako
• Chirwere cheshuga kutarisirwa kwemaziso
• Chirwere cheshuga - kudzivirira chirwere chemwoyo uye sitiroko
• Chirwere cheshuga - kutarisira tsoka dzako
• Chirwere cheshuga bvunzo uye kuongororwa
• Mafuta echikafu akatsanangura
• Kurumidza kudya matipi
• Kurwadziwa kwemoyo - kubuda
• Chirwere chemwoyo - njodzi zvinhu
• Kutadza kwemoyo - kubuda
• Kutadza kwemoyo - zvinwiwa uye diuretics
• Kutadza kwemoyo - kuongorora kumba
• Kutadza kwemoyo - chii chekubvunza chiremba wako
• Yakakwira BP - chii chaunobvunza chiremba wako
• Maitiro ekuverenga zvinyorwa zvekudya
• Inodyara cardioverter defibrillator - kubuda
• Kubvisa itsvo - kubuda
• Kudya kwakaderera-munyu
• Kudya kweMediterranean
• Nyora 2 chirwere cheshuga - chii chekubvunza chiremba wako

• Kuongorora BP
• Kusarapwa neBP
• Mararamiro anochinja
• DASH kudya
• Kuwedzera kweropa bvunzo
• Kuongorora kweropa
• Ropa kumanikidza

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