Yakakwira blood pressure mishonga

Kurapa yakakwira BP kuchabatsira kudzivirira matambudziko senge chirwere chemoyo, sitiroko, kurasikirwa nekuona, chirwere chetsvo chisingaperi, uye zvimwe zvirwere zvemutsipa weropa.

Ungangoda kutora mishonga yekudzikisa yako BP kana mararamiro maringe nenjodzi zvisina kukwana kuunza yako yeropa kumwero wakanangwa.

Mishonga YOKUDZIDZA ROPA ROPA YAKASHANDISWA RINI

Kazhinji yenguva, mupi wako wezvehutano anoedza shanduko yemararamiro kutanga uye ongorora BP yako kaviri kana kupfuura nguva.

Kana yako yeropa iri 120/80 kusvika 129/80 mm Hg, wakasimudza BP.

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

Kana yako yeropa yakaenzana kana kukwira 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 yakaenzana kana kukwira kupfuura 130/80 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 anokwanisa kukurudzira mishonga panguva imwechete sekuchinja kwehupenyu.

Kana yako BP yakaringana kana kukwira kupfuura 140/90 mm Hg, une Chikamu chechipiri cheBP. Wako mupi angangodaro achikurudzira kuti utore mishonga uye kurudzira maitiro 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.

Kana iwe uine njodzi yakakwira yechirwere chemwoyo, chirwere cheshuga, matambudziko emoyo, kana nhoroondo yesitiroko, mishonga inogona kutanga pakadzika kuverenga kweropa. Izvo zvinonyanya kushandiswa BP zvinangwa zvevanhu vane matambudziko ekurapa aya ari pazasi pe130 / 80.

Mishonga YOKUDZIDZA ROPA ROPA

Kazhinji yenguva, chete mushonga mumwe chete unozoshandiswa pakutanga. Mishonga miviri inogona kutanga kana uine nhanho 2 yepamusoro yeropa.

Mhando dzinoverengeka dzemishonga dzinoshandiswa kurapa BP. Wako mupi achasarudza kuti ndeupi rudzi rwemushonga wakakukodzera. Ungangoda kutora inopfuura imwe mhando.

Mhando yega yega yemishonga yeropa yakanyorwa pazasi inouya nemhando dzakasiyana nemazita akajairika.

Imwe kana yakawanda yemishonga iyi yeropa inowanzo shandiswa kurapa yakakwira BP.

• Diuretics anonziwo mapiritsi emvura. Ivo vanobatsira itsvo dzako kubvisa imwe munyu (sodium) kubva mumuviri wako. Nekuda kweizvozvo, yako tsinga dzeropa haifanire kubata yakawanda mvura uye yako yeropa inoderera.
• Beta-blockers ita kuti moyo urove zvishoma uye nesimba shoma.
• Angiotensin-inoshandura enzyme inhibitors (inonziwo ACE inhibitors) zorora tsinga dzako dzeropa, izvo zvinoderedza yako BP.
• Angiotensin II receptor blockers (inonziwo MaARB) shanda munzira yakafanana neiyo angiotensin-inoshandura enzyme inhibitors.
• Calcium chiteshi blockers zorora mitsipa yeropa nekudzora calcium inopinda maseru.

Ropa rekumanikidza mishonga isingashandiswe kazhinji inosanganisira:

• Alpha-blockers batsira kuzorodza tsinga dzako dzeropa, izvo zvinoderedza BP yako.
• Pakati pekushandisa zvinodhaka isa chiratidzo kuuropi yako uye nehurongwa hwetsinga kuzorodza tsinga dzako dzeropa
• Vasodilator chiratidzo mamhasuru ari mumadziro emidziyo yeropa kuti azorore.
• Renin inhibitors, mhando nyowani yemishonga yekurapa yakakwira BP, ita nekudzora huwandu hweangiotensin precursors nokudaro uchizorodza tsinga dzako dzeropa.

ZVIMWE ZVINOKONZESWA NEROPA REMANYORA Mishonga

Yakawanda mishonga yekumanikidza kweropa iri nyore kutora, asi mishonga yese ine mhedzisiro. Mazhinji eaya akapfava uye anogona kuenda nekufamba kwenguva.

Mimwe mhedzisiro mhedzisiro yemakwiriro eropa mishonga inosanganisira:

• Kukosora
• Manyoka kana kupatira
• Dzungu kana hurema
• Matambudziko ekugadzirisa
• Kunzwa kutya
• Kunzwa kuneta, kushaya simba, kukotsira, kana kushaya simba
• Kutemwa nemusoro
• Kusvotwa kana kurutsa
• Mapundu eganda
• Kurera huremu kana kuwana pasina kuyedza

Udza mupiki wako nekukurumidza sezvazvinogona kana iwe uine mhedzisiro kana iyo mhedzisiro iri kukukonzera matambudziko. Kazhinji yenguva, kuita shanduko kune muyero wemushonga kana paunotora kunogona kubatsira kudzikisa mhedzisiro.

Usambochinja chinwiwa kana kumira kutora mushonga wega. Nguva dzose taura nemupi wako kutanga.

MIMWE MAZANO

Kutora unodarika mumwe mushonga kunogona kuchinja mashandisiro anoita muviri wako kana kushandisa mushonga. Vitamin kana zvinowedzera, zvakasiyana chikafu, kana doro zvinogona zvakare kuchinja mashandiro anoita mushonga mumuviri wako.

Nguva dzose bvunza mupi wako kana iwe uchifanira kudzivirira chero chikafu, zvinwiwa, mavitamini kana zvinowedzera, kana chero mimwe mishonga paunenge uchitora BP.

Hypertension - mishonga

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Victor RG, Libby P. Systemic hypertension: manejimendi. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier Saunders; 2019: chits.

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA nhungamiro yekudzivirira, kuona, kuongorora, uye manejimendi yeropa rakakwira muvakuru: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Maitiro. J Ndiri Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 www.ncbi.nlm.nih.gov/pubmed/29146535.

Williams B, Borkum M. Pharmacologic kurapwa kweBP. Muna: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Yakakwana Kliniki Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 36.