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Ndezvipi zvakajairika zveBP?

Dzidzo yehutano

Ropa rekumanikidza mazinga chati | Kuwedzera kweropa | Kuderera kweropa | Nguva yekuona chiremba

Ropa kumanikidza ndiro simba reropa rinopesana nemidziyo yemidziyo yeropa sezvo ichifamba mukati mekutenderera kweropa. BP yemunhu inomuka ichidonha muswere wese wezuva, asi kuve nekukwirisa zvisina kujairika kana kuderera kweropa kunogona kuratidza mamiriro ehutano. Ngatitorei zvakadzama kutarisa kuwanda kweropa rekunzwisisa kuti zvinorevei kana yako BP yakakwira kana yakaderera.

Ndeipi yakajairika BP?

Zvakajairika kuti avhareji yeropa revanhu vakuru kuwanda zuva rose zvichibva pane zvavari kudya, kushushikana kwavanenge vakaita, uye kana vari kurovedza muviri. Kuwedzera kweropa kunoyerwa uchishandisa manhamba maviri: systolic (nhamba yepamusoro) uye diastolic (nhamba yepasi). Systolic yeropa inoyera kumanikidza kwetsinga kana moyo uchirova, uye diastolic reropa rinoyera kumanikidza kwetsinga kana moyo uchizorora pakati pekurova. Heino chati yeropa kubva ku American Moyo Sangano (AHA) kukubatsira kuti unzwisise zviri nani kuyerwa kweropa:

Ropa rekumanikidza Matanho Chati

Ropa revanhu vazhinji richava pane imwe nzvimbo pazasi pe120 / 80 mmHg uye pamusoro pe90 / 60 mmHg. Kuverengera kweropa kunoratidza huwandu kunze kweiyi renji kunogona kuratidza kuti mumwe munhu ane yakakwira BP (hypertension) kana yakaderera BP (hypotension). Kana zvasvika kune huwandu hweropa, ese systolic uye diastolic kumanikidza kwakakosha. Zvakadaro, systolic yeropa (yepamusoro nhamba) inopihwa kutarisisa nekuti kuita yakanyanya systolic kumanikidza kunogona kusangana ne kuwedzera njodzi yekurohwa uye chirwere chemwoyo.

Sezvo vanhu vanokwegura, njodzi yavo yekukwirirwa neBP yakakwira. Vakuru vane makore makumi mana neshanu kusvika makumi mana ekuberekwa vanozove nemazinga eropa anoshanduka achichinja pakati pe 90-135 / 60-80 mmHg. Yazvino hypertension nhungamiro kubva muna2017 inonyorera vanhu vadiki sehypertensive kana iyo systolic yeropa iri 130-139 kana diastolic yeropa iri pakati pe80-89, zvisinei kurapwa kwacho kunoenderana nenjodzi yavo yakatarwa yechirwere chemoyo.

Kuwedzera kweropa mazinga

Inenge hafu yevakuru veAmerica vane hutachiona hwepamusoro, uye mumwe chete muvanhu vakuru vana vane mamiriro ekudzora, sekureva kweCenters for Disease Control and Prevention ( CDC ). Statistics kubva kuWorld Health Organisation ( WHO ) inoratidza kuti vanhu vanofungidzirwa kuva 1,13 bhiriyoni vane BP yakakwira pasi rose uye kuti ndicho chikonzero chikuru chekufa nguva isati yakwana.

Kuva neBP yakakwira kunokanganisa muviri munzira dzakawanda. Hypertension inokonzeresa kuti moyo ushande zvakanyanya kupfuura zvakajairwa, unogona kukuvadza tsinga, kuwedzera mweya wekuruboshwe wemoyo, uye kutokonzeresa kukanganisika kwepfungwa, sitiroko, uye kukundikana kwemoyo. Zvisingaperi kukwirisa kweropa mazinga kunogona kukuvadza maziso mumaziso, kukonzera kutadza kwechiropa, hosha yeitsvo, uye kusagadzikana pabonde.

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Zviratidzo zvekuwedzera kweropa

Kunyangwe hazvo BP yakakwira inogona kukanganisa muviri, kazhinji haina kukonzera zviratidzo kudzamara yatungamira kuchinetso chakakomba chehutano senge sitiroko kana chirwere chemwoyo. Ichi ndicho chikonzero dzimwe nguva zvinonzi mhondi yakanyarara. Kana ichikonzera zviratidzo uye mhedzisiro, vanhu vane yakakwira BP vangasangana nechimwe kana kupfuura zvinotevera:

Dzungu
Kutemwa nemusoro
Kumeso kumeso
Kurwadziwa pachifuva
Kuvhiringidzika
Mhino dzemhino
Kunetseka kufema
Kusarongeka kwemoyo
Ropa mune weti

Kana uine chimwe chezviratidzo izvi, hazvireve hazvo kuti BP yako yakanyanya kukwirira. Vamwe vanhu vanozove nechimwe kana zvimwe zvezviratidzo izvi nekuda kwezvikonzero zvisina hukama, saka inogara iri zano rakanaka kutarisa BP yako nguva dzose.

Zvinokonzera BP

Vamwe vanhu vanozove nenjodzi yakakwira yekubatwa neBP kupfuura vamwe, uye vanhu ivavo vanofanirwa kutora hanya zvakanyanya mukutarisa kweropa. Muzhinji, kuwedzerwa kweropa mazinga kunoitika zvishoma nezvishoma nekufamba kwenguva, asi chimwe chinhu senge kushushikana kunogona kukonzera mapfupi-marefu spikes muropa. Heano akajairika njodzi njodzi uye zvikonzero zveBP.

Chirwere cheshuga
Kufutisa
Kwete kukwana kurovedza muviri
Kudya zvisina hutano
Kusvuta
Kunwa doro rakawandisa
Nhoroondo yemhuri yehigh blood pressure
Kukwegura

Kunyangwe hazvo BP ichinzi yakakwira kana iri 130/80 mmHg kana pamusoro, zvinokwanisika kuve neiyo yepamusoro yepamusoro yeropa nhamba uye yakajairika yakaderera BP. Ichi chiitiko chinonzi yakasarudzika systolic hypertension , inowanzo kukonzerwa nemamiriro ekurapa akadai seshuga, hyperthyroidism, uye nematambudziko emagetsi emoyo. Nhamba yepamusoro yepasi pane kuverenga kweropa kuverenga ingangove mhedzisiro yekushandisa yakawandisa sodium, kufutisa, kunwa doro rakawandisa, uye kusawana yakakwana kurovedza muviri.

Ropa repamusoro kurapwa

Kurapa kukwirisa kweropa kunowanzo sanganisira musanganiswa wekuchinja mararamiro nemishonga. Heano akajairika kurapwa kwehypertension:

Yakakurumbira BP
Zita remishonga	Kirasi yemishonga	SingleCare kuchengetedza
Atenolol	Beta blocker	Tora coupon
Altace	Angiotensin-inoshandura enzyme (ACE) inhibitor	Tora coupon
Accupril	ACE inhibitor	Tora coupon
Prinivil	ACE inhibitor	Tora coupon
Vasotec	ACE inhibitor	Tora coupon
Lotensin	ACE inhibitor	Tora coupon
Diovan	Angiotensin II receptor blocker (ARB)	Tora coupon
Norvasc	Calcium chiteshi blocker	Tora coupon
Hydrochlorothiazide	Diuretic	Tora coupon

Ongorora: ICDC inosanganisira varwere vane hosha yepamusoro mu mapoka ane njodzi huru yekubata COVID-19 kana kugadzirisa coronavirus matambudziko.

Mararamiro anochinja inogona zvakare kudzikisa huwandu hweropa. Dzimwe shanduko dzinoshanda dzinosanganisira:

Kuwana nguva dzose kurovedza muviri
Kudya kudya kunovaka muviri
Kukanganisa kuwanda kwemunyu
Kuchengeta huremu hwemuviri hwakanaka
Kugadzirisa kushungurudzika
Kukanganisa kunwa doro
Kurega kusvuta

Kuderera kweropa mazinga

Kunyangwe hazvo chaicho kuwanda kweropa shoma hazvizivikanwe, ichiri chiitiko chakajairika chinokanganisa vanhu pasi rese. Kuve uine yakaderera BP kunogona kukanganisa muviri munzira dzakawanda.

Zviratidzo zvekuderera kweropa

Heano anowanzoonekwa zviratidzo zve hypotension:

Dzungu
Kushaya simba
Musoro wakareruka
Kuvhiringidzika
Blurry chiratidzo
Nausea
Kuneta
Ganda rinotonhora uye rinodikitira
Kukurumidza uye kudzika kufema

Kamwe kamwe kudonha kweropa kunogona kukonzera chero cheizvi zviratidzo, uye kana yako yeropa ichidonha kamwe kamwe, muviri wako unogona kutopinda mukuvhunduka. Kuva neBP risingaperi kunogona kuva nenjodzi nekuti muviri haugone kuwana oxygen yakakwana kumoyo nepfungwa, izvo zvinogona kukonzera kukuvara kusingaperi. Kunyangwe zvichikwanisika kuwana zviratidzo kubva kune yakaderera BP, zvakajairika kuve neakaderera BP uye kusave nezviratidzo. Ichi chikonzero nei uchigara uchitarisa yako yeropa neiyo yeropa yekutarisa yakakosha.

Zvinokonzera kukwira kweropa

Chero iro reropa rekuyera rinoenda pazasi pe 90/60 mmHg inoonekwa yakaderera. Zvikonzero zvakajairika zvekudzikiswa kweropa yakaderera vhoriyamu yeropa (funga: kushaya mvura mumuviri kana kurasikirwa neropa), pamusoro pekurapwa kweBP, kana kutora mimwe mishonga inogona kudzikisa BP, anodaro Susan Besser, MD, mutarisiri wekutanga pa Tsitsi Medical Center muBaltimore.

Heano zvimwe zvezvimwe zvikonzero zvakajairika zvekudonha kamwe-kamwe mumazinga eropa uye kusingaperi kwehypension.

Kubata pamuviri
Mimwe mishonga, semishonga yemwoyo kana yekuora mwoyo mishonga
Mamwe matambudziko ehutano senge chirwere chemwoyo kana chirwere chetachiona
Kushungurudzika kunoguma nekurasikirwa neropa kana hutachiona hweropa
Kuchinja kwakanyanya mukushisa kwemuviri

Vamwe vanhu vanowanzo kuve neakaderera BP mazinga anoenderana nezera ravo, bonde, uye nhoroondo yekurapa. Heano epamusoro njodzi njodzi dzekuwana hypotension:

Kukwegura
Kuva nepamuviri
Kuva nechirwere cheshuga
Kuva nezvinetso zvemwoyo
Kuva nechirwere chechiropa
Kuva nekusaenzana kwehomoni
Kuve nekushomeka kwevhitamini uye / kana kwehutano

Kuderera kweropa kurapwa

Iyo chaiyo yekurapa chirongwa chehypension ichasiyana zvichienderana nemunhu uye chii chiri kukonzera yavo yakaderera BP. Munhu akanakisa wekubvunza nezve maitiro ekumisikidza huwandu hweropa rako chiremba, asi kazhinji, kutungamira mararamiro ane hutano uye kutora mishonga yeropa kunogona kubatsira kugadzirisa yakaderera BP.

Yakakurumbira yakaderera yeropa mishonga
Zita remishonga	Kirasi yemishonga	SingleCare kuchengetedza
Fludrocortisone	Corticosteroid	Tora coupon
Midodrine	Arufa-1-agonist	Tora coupon

Dzimwe shanduko dzemararamiro dzinogona zvakare kukwidza kuwedzera kweropa, dzinosanganisira:

Kunwa mvura yakawanda
Kuwedzera kunwa kwako munyu kana uchibvumirwa nachiremba
Kunwa doro shoma
Kudzivisa kumira kwenguva refu
Kudya mashoma macaffeine kana abvumidzwa nachiremba
Kudya kazhinji, zvidiki, zvakaderera-carb kudya mukati mezuva rese

RELATED: Ropa kumanikidza kurapwa uye mishonga

Dambudziko rekumanikidza reropa-nguva yekuona chiremba

Kuva nemazinga eropa anokwira nekudzika zvishoma zvishoma zvakajairika, asi mamwe mazinga eropa anoonekwa seasina hutano. Kana huwandu hweropa hukakwira zvakanyanya, izvi zvinoisa kushushikana pamoyo, mumidziyo yeropa, muuropi, uye mumaziso.

Iyo CDC inoshuma kuti vazhinji vezvehutano vanoona huwandu hweropa hwakakwira kana vakaverenga 130/80 mmHg, asi kukwirisa kweropa hakuite kutyisidzira hupenyu kudzamara yasvika 180/120 mmHg kana kumusoro. Iyi inonzi dambudziko rehypertensive uye inoda kurapwa nekukurumidza. Kana yako BP ichikwira pamusoro pe180 / 120 mmHg uye urikurwadziwa pachipfuva, zviratidzo zvekurohwa, kana chirwere chemwoyo, unofanirwa kuenda kuE ER, anodaro Dr. Besser. Dambudziko rekumanikidza reropa iro risingadzorwe rinogona kukonzera:

Matambudziko ekurangarira
Kutadza kwemoyo
Aneurysms
Kamwe kamwe kurasikirwa kweitsvo
Kushushikana kwepamuviri
Bofu

Kune rimwe divi, kudonha kwakamwe kamwe muropa kunogona kuva nenjodzi, kunyanya kune vakuru, nekuti ivo vanowanzo sangana nekushaya simba, dzungu, uye kupera simba. Kuve neakajairika kushomeka kweropa kuverenga uko kuri pazasi pe 90/60 mmHg kwakanaka, asi kana ukaramba uchisangana neBP, ingangove nguva yekushanyira hofisi yechiremba.