Bere a wode nnuru ahorow abiɛsa no nyinaa adi dwuma akyi mpo no, mogya mmoroso no renkɔ fam. Momma yɛnka Resistant Hypertension ho asɛm.

So woyɛ obi a wowɔ mogya mmoroso, anaasɛ sɛnea yɛn nyinaa nim no, worenom nnuru ama "nhyɛso"? Wonom nnuru a oduruyɛfo no akyerɛ wo nyinaa wɔ bere ano, na wohwɛ w’aduan ne w’anom so, nanso bere biara a wobɛhwɛ wo mogya mmoroso wɔ fie no, ɛboro 140/90 bere nyinaa. So wo nso wususuw nea enti a eyi rekɔ so no ho? Ebia wowɔ nea yɛreka ho asɛm nnɛ, a wɔfrɛ no ‘resistant hypertension’ anaa resistant hypertension . Mma ɛnhaw wo, yɛbɛka biribiara ho asɛm wɔ nsɛm a ɛnyɛ den mu.

Dɛn ankasa ne Resistant Hypertension?

Sɛ yɛbɛka no tiawa a, eyi yɛ tebea a wo mogya mmoroso "tumi gyina ayaresa ano yiye." Wɔ aduruyɛ mu no, sɛ wo mogya mmoroso kɔ so boro 140/90 mmHg ɛmfa ho sɛ wo duruyɛfo de nnuru abiɛsa anaa nea ɛboro saa ma wo de siw wo mogya mmoroso ano, wɔ dodow a ɛsen biara mu a, ɛnde wɔfrɛ saa tebea no Resistant Hypertension.

Nnuru ahorow abiɛsa yi taa yɛ:

• Nnuru bi a ɛma nsu fi nipadua mu: Eyinom ne nea yɛfrɛ no ‘nsu mu nnuru’. Wɔyɛ adwuma denam nipadua no a ɛma nipadua no fa nsu mu yi nsu ne nkyene foforo fi mu no so.
• Calcium channel blocker bi: Eyinom ma mogya ntini ahorow no dwo na ɛma mogya no kɔ ntɛmntɛm.
• ACE inhibitor anaa ARB: Nnuru abien yi nyinaa (Angiotensin-Converting Enzyme inhibitor / Angiotensin II Receptor Blocker) yɛ adwuma denam mogya ntini a ɛka mogya ntini no so na ɛma mogya mmoroso so tew so.

Sɛ wuntumi nni wo mogya mmoroso so bere a woanom nnuru abiɛsa yi nyinaa wɔ dodow a ɛsen biara mu asram asia akyi a, ebia wo duruyɛfo besusuw sɛ wowɔ mogya mmoroso a ɛko tia.

Saa tebea yi abu so dɛn?

Mogya mmoroso yɛ tebea a abu so kɛse wɔ Sri Lanka ne wiase nyinaa. Nhwehwɛmu ahorow ada no adi sɛ nnipa a wɔwɔ mogya mmoroso no mu bɛyɛ 10% kosi 12% betumi anya saa tebea yi, a ɛkyerɛ sɛ eyi nyɛ tebea a ɛntaa nsi.

Dɛn ne Resistant Hypertension ho sɛnkyerɛnne ahorow?

Ade a ɛyɛ hu sen biara wɔ ha ne sɛ mogya mmoroso yɛ "awudifo a ɔyɛ komm." Nnipa pii nkyerɛ yare no ho sɛnkyerɛnne biara. Nnipa binom mpo nnim sɛ wɔwɔ mogya mmoroso mfe pii. Nanso sɛ wɔansa a, ebetumi asɛe nipadua no kɛse.

Nanso, nnipa binom betumi anya yare no ho sɛnkyerɛnne a edidi so yi:

• Tipaeɛ
• Koko a ɛyɛ den anaasɛ nhyɛso
• Ɔhome a ɛyɛ den

Dɛn nti na wontumi nni nhyɛso no so wɔ saa kwan yi so? Dɛn ne nea enti a ɛte saa?

Nneɛma pii nti na ɛte saa. Momma yɛnkyekyɛ wɔn mu afã horow.

Hena na ɔwɔ asiane kɛse sɛ obenya mogya mmoroso a ɛko tia?

Nnipa a wodi so yi wɔ asiane kɛse mu kakra sɛ wobenya saa tebea yi:

• Wɔn a wɔwɔ Asaabo mu Yare a Enni sabea no fam
• Wɔn a wɔwɔ asikreyare no fam
• Wɔn a wofi Afrika-Amerika abusua mu no fam
• Wɔ mmea fam (sɛ wɔde toto mmarima ho a) .

Nsɛnnennen bɛn na ebetumi aba esiane tebea yi nti?

Obi a ɔwɔ mogya mmoroso a ɛko tia, a ɛyɛ den sɛ wobedi so wɔ saa kwan yi so no, wɔ asiane kɛse mu sɛ obenya nea edidi so yi sen obi a wɔde nnuru siw ne mogya mmoroso ano.

• Nnwodwoɔ
• Asaabo mu Yare
• Koma mu yare ne komayare

Enti, ɛnyɛ papa sɛ yebebu tebea yi adewa.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Nea ɛbɛyɛ na wo duruyɛfo ahu sɛ ebia wowɔ mogya mmoroso a ɛko tia no pɛpɛɛpɛ no, ɔbɛhwɛ nneɛma pii.

1. Bisa w’aduruyɛ ho abakɔsɛm ne w’asetra kwan ho asɛm.

Ebia oduruyɛfo no bebisa wo nsɛm te sɛ eyinom:

• "Bere ahe na woanya nhyɛso no?"
• "Dɛn na woyɛ bere a worehwɛ wo mogya mmoroso wɔ fie? So wode afiri no redi dwuma yiye?"
• "Nnuru bɛn na worenom mprempren? (a vitamin ne nhabannuru ka ho). So worenom wo nnuru sɛnea wo duruyɛfo akyerɛ wo, wɔ bere ano, ne dodow a wɔakyerɛw ama wo no mu?"
• "So wode nsa anaa sigaret di dwuma?"
• "So wobɔ wo hwene wɔ wo nna mu? Wote nka sɛ wo ho ayɛ wo hyew?"

2. Nipadua mu nhwehwɛmu a wɔbɛyɛ

Wɔ nhwehwɛmu yi mu no, oduruyɛfo no bɛhwehwɛ nea edidi so yi pɔtee:

• Aniwa mu nhwehwɛmu: Eyi hwɛ sɛ mogya ntini a ɛwɔ aniwa no mu no asɛe esiane mogya mmoroso nti anaa. Wɔfrɛ eyi `Hypertensive Retinopathy`.
• Mogya ntini akɛse a wotie: Mogya ntini akɛse bi mu nnyigyei a wotie (e.g., nea ɛwɔ kɔn anaa asaabo mu) de hwɛ sɛ nnyigyei bi a ɛnteɛ (`bruit`) wɔ hɔ anaa. Eyi betumi ama yɛanya adwene sɛ ebia ntini no mu teateaa anaa.

3. Laboratory ne nhwehwɛmu afoforo

• Nsu mu nhwehwɛmu:Hwɛ sɛ protein wɔ nsu mu anaa.
• Mogya mu nhwehwɛmu: Hwɛ sɛnea asaabo no yɛ adwuma (Creatinine), asikre dodow (Glucose), ne electrolytes te sɛ sodium ne potassium.
• Hormone nhwehwɛmu: Hwɛ sɛ ebia ɔhaw ahorow bi wɔ adrenal glands anaa thyroid gland no dwumadi mu anaa.
• Scans: Wobetumi ayɛ ultrasound ne CT scans de ahwɛ sɛnea asaabo ne adrenal glands no te.
• Dae Ho Adesua: Sɛ wususuw sɛ wowɔ nna mu ahomegye a, ebia wɔde wo bɛkɔ akɔyɛ nna ho nhwehwɛmu titiriw bi.

Ɔkwan bɛn so na wɔsa eyi?

Nha wo ho. Ayaresa bi wɔ hɔ a wɔde sa eyi. Afã atitiriw abien na ɛwɔ hɔ.

1. Asetra mu nsakrae

Eyinom ne nneɛma a ɛho hia sen biara a wubetumi ayɛ. Mfaso biara nni so sɛ wobɛnom nnuru kɛkɛ na woanyɛ saa nneɛma yi.

• Nkyene a wode siw ano: Tow nkyene a wudi no ano hye ma ɛnyɛ miligram 2,400 (ennu teaspoon biako) da biara. Gyae nkyene a wode bɛba pon no so. Tew nnuan a wɔayɛ ne nea wɔakyekyere a wudi so.
• Nsã a wɔbɛtew so.
• Nnuru a wɔde kum ɛyaw: Nnom nnuru te sɛ Ibuprofen ne Diclofenac a wonkɔ wo duruyɛfo nkyɛn. Sɛ ɛho hia a, wo ne wo duruyɛfo nkasa mfa aduru bi te sɛ Paracetamol ho.
• Apɔw-mu-teɛteɛ: Yɛ apɔw-mu-teɛteɛ bi te sɛ nantew anaa sakre so a anyɛ yiye koraa no simma 30 da biara, nna pii dapɛn biara.

2. Nnuru a wɔde bedi dwuma yiye

Eyi ne baabi a nnipa pii di mfomso.

Sɛ nnuru bɛyɛ adwuma a, ɛsɛ sɛ wɔnom da biara, bere a ɛfata, ne dodow a ɛfata . Ɛyɛ den ma nnipa binom sɛ wɔbɛnom wɔn nnuru no esiane nea efi mu ba nti (e.g., adwenemhaw, ɔfe). Sɛ wowɔ ɔhaw a ɛte saa a, ka kyerɛ wo duruyɛfo. Afei obetumi akyerɛw aduru foforo ama no. Mma nnyae w’aduru no nom da anaasɛ nsakra dodow a wommisa wo duruyɛfo no da.

Sɛ wɔantumi anhyɛ wo mogya mmoroso so bere a woanom wo nnuru no yiye mpo a, wo duruyɛfo betumi de aduru a ɛto so anan anaa anum aka ho. Sɛ nhwɛso no, aduru bi a ɛma nsu fi nipadua mu a wɔfrɛ no Spironolactone anaa beta-blocker .

Bere bɛn na ɛsɛ sɛ wokɔ ayaresabea (ETU) ntɛm ara?

Ɛtɔ mmere bi a, mogya mmoroso tumi kɔ soro paa mpofirim. Wɔfrɛ eyi mogya mmoroso ho haw . Eyi yɛ tebea a egye ayaresa ntɛm ara.

Sɛ wo mogya mmoroso boro 180/120 mmHg na wo nso wowɔ sɛnkyerɛnne a edidi so yi a, kɔ ayaresabea dan a ɛbɛn wo ntɛm ara:Kɔ (ETU - Ntɛmntɛm Ayaresa Dwumadibea) .

• Tiyɛ a emu yɛ den
• Palpitations (te nka sɛ wo koma rebɔ ntɛmntɛm) .
• Adwene a ɛyɛ basaa
• Ɔhome a ɛyɛ den

Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo

Ɛho hia sɛ wunya wo tebea no ho ntease pa. Mma ntwentwɛn wo nan ase sɛ wubebisa nsɛm yi bere foforo a wobɛkɔ wo duruyɛfo nkyɛn no.

• "Oduruyɛfo, so ɛsɛ sɛ mesesa m'aduru?"
• "Nnuru a wɔaka abom bɛn na eye ma me?"
• "Mpɛn ahe na ɛsɛ sɛ mehwɛ me mogya mmoroso wɔ fie?"
• "Bere bɛn na ɛsɛ sɛ meba kɔ oduruyɛfo nkyɛn bio?"

Ɛyɛ ade a ɛfata sɛ wobɛte abasamtu nka bere a woanom nnuru pii nanso wunhuu nkɔso biara no. Nanso, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wo ne wo duruyɛfo bɛkasa pefee na woahwehwɛ wo haw ahorow ano aduru.