Rudzi rwechipiri Chirwere cheshuga uye Kumanikidza Ropa: Chii chiri Chibatanidzo?

Zvemukati

• Ndeipi yakakwira BP?
• Njodzi zvinhu zvekukwira kweropa nechirwere cheshuga
• Mune pamuviri
• Kudzivirira kukwira kweropa nechirwere cheshuga
• Kudya kune hutano
  
• Kurapa kukwirira kweropa nechirwere cheshuga

Mhedziso

Kuwedzera kweropa, kana hypertension, mamiriro anoonekwa muvanhu vane chirwere cheshuga chechipiri. Hazvizivikanwe kuti nei paine hukama hwakakosha pakati pezvirwere zviviri izvi. Zvinotendwa kuti zvinotevera zvinopa kune ese ari maviri mamiriro:

• kufutisa
• chikafu chakazara mumafuta uye sodium
• kuzvimba kusingaperi
• kusaita

BHP yakakwira inozivikanwa se "mhondi yakanyarara" nekuti kazhinji haina zviratidzo zviri pachena uye vanhu vazhinji havazive kuti vanayo. Ongororo yegore ra2013 neAmerican Diabetes Association (ADA) yakawana kuti vashoma pane hafu yevanhu vari panjodzi yechirwere chemwoyo kana rudzi rwechipiri chirwere cheshuga chakataura vachikurukura nezvezvinhu zvemagetsi, kusanganisira kuwedzerwa kweropa, pamwe nevanopa rubatsiro.

Ndeipi yakakwira BP?

Kana uine BP yakakwira, zvinoreva kuti ropa rako riri kupomba kuburikidza nemoyo wako nemidziyo yeropa zvine simba rakawandisa. Nekufamba kwenguva, kuwanda kweropa kunorembedza mhasuru yemwoyo uye inogona kuiwedzera. Muna 2008, 67 muzana yevakuru vemuAmerica vane makore makumi maviri zvichikwira vaine chirwere cheshuga chavanacho chaive chakakura kudarika 140/90 millimeter e mercury (mm Hg).

Muhuwandu hwevanhu uye mune vanhu vane chirwere cheshuga, kuverenga kweropa kuverenga isingasviki 120/80 mm Hg inoonekwa seyakajairika.

Izvi zvinorevei? Nhamba yekutanga (120) inonzi systolic pressure. Inotaridza kumanikidzwa kwakanyanya kunoitwa sezvo ropa richisunda kuburikidza nemoyo wako. Nhamba yechipiri (80) inonzi diastolic pressure. Uku ndiko kumanikidzwa kunochengetwa netsinga kana iyo midziyo yasununguka pakati pekurova kwemoyo.

Sekureva kweAmerican Heart Association (AHA), vanhu vane hutano vanopfuura makumi maviri vane BP yakaderera kupfuura 120/80 vanofanirwa kuongororwa ropa ravo kamwe chete makore maviri. Vanhu vane chirwere cheshuga vanofanira kungwarira.

Kana iwe uine chirwere cheshuga, chiremba wako anogona kutarisa kuwedzerwa kweropa rako kanokwana kana pagore. Kana iwe uine chirwere cheshuga uye yakakwira BP, iyo ADA inokurudzira kuti iwe uzviongorore pamba, nyora kuverenga, uye ugovane nachiremba wako.

Njodzi zvinhu zvekukwira kweropa nechirwere cheshuga

Sekureva kweADA, kusangana kweBP uye chirwere cheshuga chirwere chinonyanya kuuraya uye kunogona kusimudzira njodzi yako yekurwadziwa nemoyo kana sitiroko. Kuva nerudzi rwechipiri chirwere cheshuga uye kuwedzerwa kweropa kunowedzerawo mikana yako yekuvandudza zvimwe zvirwere zvine chekuita neshuga, senge chirwere cheitsvo uye retinopathy. Dhiyabhorosi retinopathy inogona kukonzeresa kupofomara.

Kune zvekare humbowo hwakakosha kuratidza kuti kusagadzikana kweBP kunogona kumhanyisa kuuya kwematambudziko nekugona kufunga izvo zvine chekuita nekukwegura, senge chirwere cheAlzheimer uye kuora mwoyo. Sekureva kweAHA, tsinga dzeropa muuropi dzinonyanya kukanganisika nekuda kweropa repamusoro. Izvi zvinoita kuti ive hombe njodzi yekurohwa neshungu.

Isingadzorwe chirwere cheshuga haisi yega yehutano chinhu chinowedzera njodzi yekukwira kweropa. Rangarira, mikana yako yekuve nekurwadziwa kwemoyo kana sitiroko inowedzera zvakanyanya kana uine zvinopfuura chimwe chezviitiko zvinotevera zvine njodzi.

• nhoroondo yemhuri yechirwere chemwoyo
• mafuta akakwirira, akanyanya-sodium kudya
• wakagara mararamiro
• cholesterol yakawanda
• kukwegura
• kufutisa
• ikozvino kusvuta tsika
• doro rakawandisa
• zvirwere zvisingaperi zvakadai sehosha yeitsvo, chirwere cheshuga, kana kufema kufema

Mune pamuviri

An aratidza kuti vakadzi vane gestational chirwere cheshuga vanowanzo kuve neakakwira BP. Nekudaro, vakadzi vanobata mashuga eropa ravo panguva yepamuviri kashoma kuti vawane yakakwira BP.

Kana iwe ukawedzera kukwirisa kweropa panguva yekuzvitakura, chiremba wako anozoongorora yako weti mapuroteni mazinga. Yakakwira weti mapuroteni mazinga anogona kunge ari chiratidzo che preeclampsia. Urwu ndirwo rudzi rwehosha yeropa inoitika panguva yepamuviri. Zvimwe zviratidzo muropa zvinogona zvakare kutungamira kuongororwa. Aya mamaki anosanganisira:

• zvisina kujairika enzyme enzymes
• kusagadzikana kwetsvo
• yakaderera platelet kuverenga

Kudzivirira kukwira kweropa nechirwere cheshuga

Kune akawanda mararamiro echinjiso anogona kudzikisa yako BP. Vanenge vese vane chikafu, asi kurovedza muviri zuva nezuva kunokurudzirwa zvakare. Vazhinji vanachiremba vanokurudzira kufamba nekukurumidza kwemaminetsi makumi matatu kusvika makumi mana zuva rega rega, asi chero chiitiko cheaerobic chinogona kuita kuti moyo wako uve noutano.

Iyo AHA inokurudzira hushoma hwe chero:

• Maminitsi zana nemakumi mashanu pasvondo rekuenzanisira-kusimba kurovedza muviri
• Maminetsi makumi manomwe neshanu pasvondo rekurovedza muviri zvine simba
• mubatanidzwa wezviyero zvine simba uye zvine simba vhiki rega rega

Kunze kwekudzikisa BP, kurovedza muviri kunogona kusimbisa mhasuru yemwoyo. Izvo zvinogona zvakare kudzikisira kuomarara kwekuomarara. Izvi zvinoitika sevanhu vanokwegura, asi kazhinji zvinowedzeredzwa nerudzi rwechipiri chirwere cheshuga. Kurovedza muviri kunogona zvakare kukubatsira iwe kuwana zvirinani kudzora huwandu hweshuga yeropa rako.

Shanda zvakananga nachiremba wako kuti uve nehurongwa hwekurovedza muviri. Izvi zvinonyanya kukosha kana iwe:

• ndisina kurovedza muviri kare
• vari kuyedza kushandira kuchimwe chinhu chinotambudza
• urikunetseka kusangana nezvinangwa zvako

Kutanga nemaminitsi mashanu ekukurumidza kufamba zuva rega rega uye wedzera pamusoro penguva. Tora masitepisi pachinzvimbo cherifiti, kana kupaka mota yako kure kubva pamusuwo wechitoro.

Iwe unogona kunge uchiziva nezve kudiwa kwekuvandudza tsika dzekudya, sekudzikisira shuga mukudya kwako. Asi kudya kwemoyo-zvine hutano kunoreva kudzikisira:

• munyu
• nyama ine mafuta mazhinji
• mafuta-emukaka zvigadzirwa

Sekureva kweADA, kune zvakawanda zvekudya zvirongwa zvevanhu vane chirwere cheshuga. Sarudzo dzakanaka dzinogona kuchengetedzwa kwehupenyu hwese ndidzo dzakabudirira kwazvo. Iyo DASH (Kudya nzira yekumisa Hypertension) chikafu chirongwa chekudya chakanyatsogadzirirwa kubatsira kudzikisa BP. Edza aya maDASH-akafuridzirwa matipi ekuvandudza iyo yakajairwa American chikafu:

Kudya kune hutano

• Zadza pane akati wandei servings yemiriwo zuva rese.
• Chinjana kune zvigadzirwa zvemukaka zvine mafuta mashoma.
• Limit chikafu chakagadzirwa. Ita shuwa kuti iine mashoma pane zana nemakumi mana emamirigiramu (mg) yesodium pakushanda kana 400-600 mg pakushanda kwekudya.
• Limit tafura yemunyu.
• Sarudza nyama isina mafuta, hove, kana nyama zvinotsiva.
• Pheka uchishandisa nzira dzakaderera-mafuta dzakadai sekucheka, kufugira, nekubheka.
• Dzivisa chikafu chakakangwa.
• Idya michero mitsva.
• Idya zvimwe zvakakwana, chikafu chisina kugadzirwa.
• Chinja kune mupunga wakasviba uye pese-tsanga pastas uye chingwa.
• Idya zvidiki zvidiki.
• Chinja kune 9-inch kudya ndiro.

Kurapa kukwirira kweropa nechirwere cheshuga

Nepo vamwe vanhu vachigona kusimudzira yavo 2 chirwere cheshuga uye yakakwira BP nehupenyu shanduko, mazhinji anoda mishonga. Zvichienderana nehutano hwavo hwese, vamwe vanhu vangangoda mishonga inopfuura imwechete kuti vabatsire kubata ropa ravo. Yakawanda yakakwira BP mishonga inowira mune chimwe chezvikamu izvi:

• angiotensin-inoshandura enzyme (ACE) inhibitors
• angiotensin II receptor blockers (ARBs)
• beta-blockers
• calcium chiteshi blockers
• diuretics

Mimwe mishonga inogadzira mhedzisiro, saka chengeta manzwiro aunoita. Ive neshuwa yekukurukura chero mimwe mishonga yauri kutora nachiremba wako.