So wo mogya mmoroso dodow a ɛsen biara nkutoo na ɛkɔ soro? So ɛno ne Isolated Systolic Hypertension no?

So wɔahwɛ wo mogya mmoroso pɛn na dodow a ɛwɔ soro nkutoo na ɛkɔ soro, nanso dodow a ɛwɔ ase no yɛ nea ɛfata? Ebia oduruyɛfo bi aka saa akyerɛ wo. Eyi ne nea yɛfrɛ no Isolated Systolic Hypertension. Nnipa pii nnim eyi ho nsɛm pii. Enti, momma yɛnka ho asɛm nkɔ akyiri nnɛ.

Dɛn ne Isolated Systolic Hypertension?

Sɛ yɛbɛka no tiawa a, eyi ne bere a wo mogya mmoroso dodow a ɛwɔ soro, systolic dodow , boro dodow a wɔkamfo kyerɛ no. Nnɔmba a ɛwɔ ase hɔ, diastolic nɔma no betumi ayɛ nea ɛfata anaasɛ ɛba fam. Sɛ yɛbɛka no pɛpɛɛpɛ a, eyi ne bere a systolic dodow no boro mercury milimita 130 (mmHg) na diastolic dodow no sua sen mercury milimita 90 no. Mpɛn pii no, obi a ɔwɔ apɔwmuden mogya mmoroso sua sen 120/80 mmHg. So wunim nea systolic pressure kyerɛ? Sɛ yɛn koma bɔ na ɛbɔ mogya fa nipadua no nyinaa mu a, saa mogya no de nhyɛso ba yɛn mogya ntini no afasu so. Diastolic pressure kyerɛ sɛnea mogya ntini no mu tumi ko tia bere a koma no adwo kakra, kyerɛ sɛ, bere a ɛnyɛ mogya no.

Eyi abu so dɛn? So ɛkɔ soro bere a obi nyin no?

Saa tebea yi abu so koraa ankasa, titiriw bere a yɛrenyin no. Sɛnea akontaabu kyerɛ no, nnipa a wɔadi boro mfe 60 no mu bɛyɛ 15% wɔ Isolated Systolic Hypertension. Nokwarem no, eyi ne mogya mmoroso a ɛtaa ba nnipa a wɔadi boro mfe 70. Enti ɛda adi pefee sɛ asiane yi kɔ soro bere a obi nyin no, ɛnte saa?

So Systolic Hypertension a Ɛwɔ Tew Ahorow no Yɛ Asiane?

Yiw, sɛ wɔansa no yiye a, ebetumi ayɛ nea asiane wom. Sɛ wɔansa, te sɛ mogya mmoroso ahorow afoforo a, ebetumi asɛe wo nipadua mu akwaa ahorow. Susuw ho hwɛ, ɛyɛ asiane a ɛde koma ne ntini mu nyarewa (i.e. koma mu nyarewa, mogya ntini a ɛwɔ amemene no mu ne mogya ntini akɛse a ɛwɔ nipadua no mu nyinaa), owu, ne tebea horow a emu yɛ den te sɛ asaabo a entumi nyɛ adwuma mpo. Enti eyi nyɛ biribi a ɛsɛ sɛ wobu no adewa.

So eyi yɛ tebea a egye ntɛmpɛ?

Mpɛn pii no, Isolated Systolic Hypertension nyɛ ade a egye ntɛmpɛ. Nanso, sɛ wo systolic akenkan kɔ soro mpofirim boro 180 mmHg a, ɛyɛ ntɛmpɛ. Yɛfrɛ eyi sɛ ‘Hypertensive crisis’. Sɛ eyi ba a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.

Dɛn ne eyi ho sɛnkyerɛnne?

Te sɛ mogya mmoroso ahorow afoforo no, eyi nkyerɛ sɛnkyerɛnne atitiriw wɔ ne mfiase.Nnipa pii nhu mpo sɛ wɔwɔ saa tebea yi. Ɛno nti na ɛho hia sɛ wohwɛ wo mogya mmoroso daa. Nanso sɛ wɔansa bere tenten na efi ase sɛe wo nipadua akwaa ahorow a, sɛnkyerɛnne ahorow bi da adi. Wɔne:

• Koko mu yaw.
• Ahome a ɛyɛ tiaa .
• Ti a ɛtaa yɛ no yaw .
• Anisoadehu a emu nna hɔ kɛse .

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Nea enti titiriw a ɛte saa ne sɛ nsakrae ba yɛn mogya ntini (ntini mu ntini) mu bere a yɛrenyin no.

Mpanyinyɛ ne nsakrae a ɛba ntini ahorow mu

Bere a yɛrenyin no, yɛn ntini ahorow no mu yɛ den na ɛnyɛ nea ɛyɛ mmerɛw. Wɔntrɛw wɔn ho na wɔntwe wɔn ho ntɛmntɛm te sɛ nea na wɔyɛ bere a na yɛyɛ mmofra no. Sɛ eyi ba a, nhyɛso a ɛba bere a koma no rebɔ mogya no, a wɔfrɛ no systolic pressure no kɔ soro. Bere koro no ara mu no, ntini ahorow no hwere sɛnea ɛyɛ den, enti diastolic pressure no so tew. Ɛte sɛ rɔba afiri dedaw bi a ɛyɛ den nanso ɛntrɛw ntɛmntɛm saa.

Ayaresa mu tebea afoforo

Ade foforo a ɛde ba ne tebea bi a wɔfrɛ no atherosclerosis. Eyi ne bere a nneɛma te sɛ calcium ne collagen kɔhyɛ ntini ahorow no mu, na ɛma ɛyɛ den na ɛyɛ teateaa. Saa ntini no mu ahoɔden a ɛyera yi betumi ama mogya mmoroso a ɛwɔ systolic a atew ne ho aba.

Dɛn ne nneɛma a ɛde asiane ba?

Nneɛma pii wɔ hɔ a ɛde asiane foforo ka tebea yi ho. Wɔne:

• Mogya mu srade a ɛkɔ soro.
• Asikreyare a obi wɔ .
• Asetra a wɔtra ase a wɔtra ase, a wɔmfa apɔw-mu-teɛteɛ biara nka ho. Fa no sɛ obi a ɔyɛ adwuma wɔ baabi biako da mũ nyinaa.
• Nipadua mu duru (BMI) a ɛboro 30 ( kɛseyɛ mmoroso ).
• Tawa nneɛma (te sɛ sigaret, beedis) a wɔde di dwuma.
• Nnuan a wɔayɛ no foforo ne nnuan a nkyene ne ngo pii wom te sɛ aburow a wɔayam, soseji, ne nnuan a wɔakyekyere a wɔtaa di .

So mmerante ne mmabaa nso betumi anya eyi?

Ɛwom sɛ mpɛn pii no eyi taa ba wɔn a wɔn mfe akɔ anim mu de, nanso ebetumi aba wɔ mmerante ne mmabaa a wonnii mfe 40 nso mu.Mprempren wɔahu sɛ saa tebea yi, Isolated Systolic Hypertension, reyɛ kɛse. So ɛnyɛ nwonwa? Nnipa dodow no ara a wonya saa tebea yi wɔ wɔn mmofraase:

• Nipadua mu duru (BMI) boro 30 (a ɛkyerɛ kɛseyɛ mmoroso).
• Dodow no ara yɛ mmarima.
• Tawa mu nneɛma a wɔde di dwuma.
• Wubetumi ahu nnipa a wonni akwahosan ho insurance nso.

Sɛ wɔansa a, nsɛnnennen bɛn na ebetumi aba?

Sɛnea yɛadi kan aka no, sɛ wɔanni eyi ho dwuma yiye, kyerɛ sɛ, sɛ wɔansa a, nsɛnnennen a asiane wom betumi aba. Eyinom ne:

• Koma a entumi nyɛ adwuma yiye
• Koma mu yare
• Nnwodwoɔ
• Asaabo mu yare a enni sabea
• Peripheral artery disease - Eyi ne ntini a ɛma mogya kɔ akwaa no mu no a ɛyɛ teateaa.
• Aneurysm - Eyi ne bere a mogya ntini bi yɛ mmerɛw na ɛbɔ te sɛ balloon.

Wobɛyɛ dɛn ahu eyi?

Ansa na wo duruyɛfo no behu saa tebea yi no, obebisa wo w’abusua abakɔsɛm, w’aduan, wo dwumadi dodow, ne ayaresa mu tebea foforo biara a ebia wowɔ ho asɛm. Sɛnea ɛte wɔ yare biara ho no, sɛ wohu no ntɛm a, ɛno ne ɔkwan a eye sen biara a wobɛfa so adi ho dwuma.

Sɔhwɛ ahorow bɛn na wɔyɛ?

Ansa na oduruyɛfo betumi ahu Isolated Systolic Hypertension koraa no, wɔbɛhwɛ wo mogya mmoroso mprenu anaa mprɛnsa. Wɔrenhwɛ mu pɛnkoro pɛ na wɔaka sɛ. Nea ɛka ho no, ebia wɔbɛyɛ nhwehwɛmu afoforo pii de ahu asiane kɛse a wowɔ sɛ wubenya koma ne ntini mu nyarewa. Nhwɛsoɔ:

• ECG (electrocardiogram - EKG) sɔhwɛ bi. Eyi susuw anyinam ahoɔden dwumadi a ɛwɔ koma no mu.
• Mogya mu nhwehwɛmu. Ne titiriw no, lipid panel a wɔde hwɛ srade dodow.

Sɛ mewɔ saa tebea yi mu a, dɛn na ɛsɛ sɛ meyɛ?

Sɛ wo duruyɛfo ka kyerɛ wo sɛ wowɔ Isolated Systolic Hypertension a, ade a ɛho hia sen biara ne sɛ wubedi wɔn akwankyerɛ akyi pɛpɛɛpɛ. Mma wo ho nnyɛ wo hu. Ɛda adi kɛse sɛ wɔbɛka akyerɛ wo sɛ yɛ nsakrae bi wɔ wo da biara da dwumadi mu, na ebia mpo fi ase nom nnuru.

Ɔkwan bɛn so na wɔsa?

Sɛ woresa eyi a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ nsakrae wɔ w’asetra mu na sɛ ɛho hia a, wafi ase anom nnuru a ekum mogya mmoroso.

Asetra kwan mu nsakrae

Eyinom ne nneɛma a ɛho hia sen biara a wubetumi ayɛ:

• Nkyene dodow a wɔde ka aduan ho a wɔbɛtew so. Wɔkamfo kyerɛ sɛ ɛnsɛ sɛ wonom nkyene a ɛboro gram 1.5 da biara.
• DASH aduan a wodi akyi.Eyi yɛ aduan ho nhyehyɛe titiriw bi a ɛboa ma wodi mogya mmoroso so.
• Nnuaba ne nhabannuru a wɔayɛ no foforo pii a wobedi.
• Nufusu mu nnuan a srade pii wom a wɔbɛtew so (e.g. cheese, bɔta).
• Nnuan a srade a ɛdɔɔso wom a wɔbɛtew so (e.g. nam kɔkɔɔ, nnuan a srade wom).
• Mu duru a ɛso tew (sɛ ɔyɛ kɛse mmoroso a).
• Apɔw-mu-teɛteɛ pii a wobenya. Biribi te sɛ anyɛ yiye koraa no simma 30 a wobɛnantew da biara.
• Sɛ wonom nsa a, to ano hye.
• Adwennwen a wobedi ho dwuma. Ɛtɔ mmere bi a, nsusuwii anaa yoga betumi aboa.
• Mmɔden a wɔbɔ sɛ wobenya potassium pii afi aduan mu (e.g. banana, orange, spinach) .
• Tawa a wɔde yɛ nneɛma a wobegyae koraa.

Susuw sɛnea nsakrae nketenkete yi betumi anya w’asetra nyinaa so nkɛntɛnso kɛse no ho hwɛ!

Nnuru a wɔde yɛ nnuru

Wɔ asetra mu nsakrae akyi no, nnuruyɛfo kyerɛw nnuru a wɔfrɛ no nnuru a ekum mogya mmoroso de sa Isolated Systolic Hypertension. Nnuru a wɔtaa de di dwuma no bi ne:

• Nnuru a ɛma mogya tu: Eyinom ma nipadua no fa nsu mu yi nsu ne nkyene a ɛboro so fi mu, na ɛma mogya mmoroso so tew.
• Calcium channel blockers: Eyinom ma mogya ntini no afasu dwo, na ɛma mogya no kɔ ntɛmntɛm.
• Angiotensin-converting enzyme inhibitors (ACE inhibitors): Eyinom nso hwɛ mogya mmoroso so denam mogya ntini a ɛtwetwe so.
• Angiotensin II Receptor Blockers (ARBs): Saa nnuru yi yɛ adwuma te sɛ nnuru a esiw ACE ano no.

Ebia wo duruyɛfo befi ase anom nnuru abien a edi kan a ɛwɔ saa din yi mu no biako. Afei, egyina sɛnea wo nipadua no yɛ n’ade so no, sɛ ɛho hia a, wobetumi de aduru a ɛto so abien anaa nea ɛto so abiɛsa aka ho. Mogya ntini mu yɛ den bere a worenyin no, na ɛma ɛyɛ den sɛ wubedi mogya mmoroso so. Nanso, nnuru a ekum mogya mmoroso yi betumi aboa ma wo ntini a ɛyɛ den no so atew akodu baabi.

So ayaresa no mu nsunsuanso bɔne bi wɔ hɔ?

Sɛnea ɛte wɔ nnuru biara ho no, nnipa binom betumi anya ɔhaw nketenkete afi saa ayaresa ahorow yi mu. Ɛnyɛ obiara na obenya mu osuahu, nanso eye sɛ wubehu wɔn.

• Tipaeɛ
• Adwene a ɛyɛ basaa
• Akɔnnɔ
• Ɔfe a ɛyɛ dry (titiriw efi nnuru a esiw ACE ano) .
• Nwi a ɛtɔ (ɛntaa nyɛ) .

Sɛ wuhyia biribi a ɛte sɛɛ a, nsuro sɛ wobɛka akyerɛ wo duruyɛfo. Ebia obetumi asesa aduru no anaasɛ ɔbɛtew dodow a wɔde ma no so.

Dɛn na wobetumi ayɛ de atew asiane yi so?

Yɛn nyinaa nyin. Nneɛma a ɛka ho no bi yɛ nneɛma a ebetumi ama obi anya Isolated Systolic Hypertension. Nanso, nneɛma pii wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya saa tebea yi so. Eyinom bi ne:

• Sɛ wowɔ asikreyare a, di so yiye.
• Sɛ wowɔ srade a ɛdɔɔso a, di ɛno nso so.
• Yɛ apɔw-mu-teɛteɛ daa. Anyɛ yiye koraa no, nnafua 5 dapɛn biara, simma 30 da biara.
• Ma wo nipadua mu duru (BMI) nkɔ fam nsen 30.
• Mfa tawa ho nneɛma nni dwuma.
• Tew nnuan a wɔayɛ no foforo ne nnuan a srade ne nkyene pii wom so sɛnea wubetumi. Aduan a wɔnoa wɔ fie ye sen biara.

Dɛn na ɛsɛ sɛ wohwɛ kwan bere a wo ne tebea yi te ase no?

Ayaresa a eye sen biara ne sɛ wubefi ase bere a wɔahu sɛ wowɔ saa tebea yi ara pɛ, efisɛ mogya mmoroso biara ma asiane a ɛwɔ hɔ sɛ wubenya akwahosan ho haw afoforo te sɛ komayare ne akisikuru no yɛ kɛse.

So wobetumi asa eyi?

Dabi, wontumi nsa no yare koraa. Nanso mma ɛnhaw wo! Wubetumi adi ho dwuma na woatra ase sɛnea ɛsɛ denam asetra mu nsakrae a wobɛyɛ ne/anaasɛ wonom nnuru a wo duruyɛfo akyerɛw ama wo no so.

Tebea yi bɛkɔ so akosi bere bɛn?

Isolated Systolic Hypertension yɛ tebea a enni sabea a ɛtra hɔ kyɛ. Eyi kyerɛ sɛ ebehia sɛ wohwɛ so na wosa no yare wo nkwa nna nyinaa. Nhwehwɛmu ada no adi sɛ sɛ wɔsa Isolated Systolic Hypertension yiye a, ebetumi ama nsakrae kɛse aba. Ebetumi atew asiane a ɛwɔ hɔ sɛ obi benya komayare, akisikuru, ne owu so bɛyɛ 30%! So ɛno nyɛ asɛm kɛse?

Mɛyɛ dɛn ahwɛ me ho?

Sɛnea ɛbɛyɛ na woadi tebea yi ho dwuma no, ɛho hia sɛ wonom wo nnuru sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ bere ano. Ma ɛnyɛ wo su. Ebia sɛ wode nkaebɔ bi bɛhyɛ wo fon so a, ɛbɛboa. Afei nso, apɔw-mu-teɛteɛ ne aduan a nkyene ne srade nnim a wubedi no ye ma wo mogya mmoroso ne wo koma akwahosan yiye.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wo duruyɛfo fi ase nom wo nnuru a wɔde sa yare yi a, ebia ɔbɛka akyerɛ wo sɛ san bra wɔ bɛyɛ ɔsram biako akyi. Ɛno ne bere a obetumi ahu sɛ ebia aduru no reyɛ adwuma anaasɛ ɛde ɔhaw bi a ɛhaw adwene reba anaa. Saa bere yi de, ebia wɔbɛka akyerɛ wo sɛ hwɛ wo mogya mmoroso wɔ fie pɛnkoro dapɛn biara, anaa mpɛn pii.Sɛ woboaboa saa akenkan ahorow no ano bɛyɛ ɔsram biako na wode kyerɛ wo duruyɛfo a, ɛbɛyɛ mmerɛw ama no sɛ ɔbɛte ase sɛ ebia aduru no reyɛ adwuma yiye anaa. Afei nso, oduruyɛfo no bɛhwɛ sɛ ebia wo systolic value ne wo diastolic value no so retew dodo anaa. Efisɛ sɛ wo diastolic value no so tew dodo a, ebetumi akyerɛ sɛ w’akwaa no nnya mogya a ɛdɔɔso.

Bere bɛn na ɛsɛ sɛ wohwehwɛ ayaresa a egye ntɛmpɛ?

Sɛ worenya ‘hypertensive crisis’ , a ɛkyerɛ sɛ wo mogya mmoroso yɛ 180/120 mmHg anaa nea ɛboro saa a, ɛsɛ sɛ wohwehwɛ ayaresa a egye ntɛmpɛ ntɛm ara. Ebia wubenya saa sɛnkyerɛnne ahorow yi:

• Koko mu yaw
• Ɔhome a ɛyɛ den
• Adwene a ɛyɛ basaa
• Tiyɛ a emu yɛ den

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɛbɛyɛ papa sɛ wubebisa nsɛm te sɛ eyinom:

• Mpɛn ahe na ɛsɛ sɛ meba bɛhwɛ wo?
• Mɛyɛ dɛn afi apɔw-mu-teɛteɛ nhyehyɛe ase? Apɔw-mu-teɛteɛ bɛn na ɛfata me?
• So ɛsɛ sɛ menom nnuru, anaasɛ asetra mu nsakrae a meyɛ no dɔɔso ma me tebea no?
• Nsunsuanso bɔne bɛn na metumi ahwɛ kwan afi aduru yi mu?
• Gyinapɛn bɛn na ɛsɛ sɛ ɛhaw me bere a merehwɛ me mogya mmoroso wɔ fie no?

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Sɛ wowɔ Isolated Systolic Hypertension a, ɛnyɛ wo nkutoo na wowɔ. Nnipa pii wɔ mogya mmoroso tebea yi. Nha wo ho. Nsakrae pii wɔ w’asetra mu a ebetumi aboa wo. W’ankasa wubetumi ayɛ saa nsakrae ahorow no. Sɛ ɛho hia a, nnuru nso wɔ hɔ.

Saa tebea yi a wubedi ho dwuma no yɛ sika kɛse a wode bɛto w’akwahosan daakye mu. Wo daakye nipasu bɛda wo ase wɔ ho!

Enti, hwɛ wo mogya mmoroso, ma wɔnhwɛ mu daa, na di wo duruyɛfo akwankyerɛ akyi. Afei wubetumi atra ase a ahoɔden wom na anigye wom.

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` Systolic Hypertension a Atew ne Ho, Mogya Nhyɛso, Systolic, Diastolic, Mogya mmoroso, Koma Akwahosan, Sri Lanka