Mwina mwawonapo makina ang'onoang'ono awa m'ma pharmacy kapena m'masitolo apaintaneti omwe mungawaike mosavuta padzanja lanu kuti muwone kuthamanga kwa magazi anu. Amaoneka ngati wotchi ndipo amawoneka osavuta kugwiritsa ntchito. Koma mukamawaona, mwina mumadzifunsa kuti, "Kodi kuwerenga kwake ndi kolondoladi?", "Kodi awa ndi abwino kuposa makina akulu omwe mudayika padzanja lanu lapamwamba?", "Kodi awa ndi abwino kwa ine?" Lero, tiyeni tikambirane zonse zomwe muyenera kudziwa zokhudza makina owunikira kuthamanga kwa magazi awa.
Kodi chowunikira kuthamanga kwa magazi cha m'dzanja ichi n'chiyani?
Mwachidule, ichi ndi chipangizo chomwe chimakulolani kuyeza kuthamanga kwa magazi anu (BP) kunyumba. Ambiri mwa awa ali ndi cuff yomwe mumakulunga m'dzanja lanu. Cuff iyi imalumikizidwa ndi sikirini ya digito yomwe imawonetsa kuchuluka kwa kuthamanga kwa magazi anu.
Pali ma monitor ena omwe alipo tsopano omwe angagwiritsidwe ntchito ngati wotchi yanzeru. Zipangizo zovalidwa izi sizimangotsatira kuthamanga kwa magazi anu, komanso zina, monga kuchuluka kwa masewera olimbitsa thupi omwe mwachita komanso momwe mwagona.
Ubwino waukulu wa chipangizo chonga ichi ndichakuti chimakupatsani mwayi wodziwa momwe kuthamanga kwa magazi anu kumasinthira pazochitika zanu zatsiku ndi tsiku. Izi zikutanthauza kuti m'malo mongoyang'ana kokha mukapita kwa dokotala, zimathandiza inu ndi dokotala wanu kumvetsetsa bwino momwe kuthamanga kwa magazi anu kulili kunyumba komanso kuntchito.
Komabe, pali chinthu chimodzi chofunikira kukumbukira apa. Ma monitor okhala ndi dzanja nthawi zambiri amaonedwa kuti ndi olondola pang'ono poyerekeza ndi ma monitor apamwamba a mkono. Chifukwa chake, madokotala amawalimbikitsa pazochitika zina zapadera.
Kodi kusiyana pakati pa kuyang'ana mkono wapamwamba ndi kuyang'ana dzanja ndi kotani?
Mitundu yonse iwiri ya ma monitor imayesa kuthamanga kwa magazi kudzera m'mitsempha ya m'thupi lathu lapamwamba. Komabe, muyeso uwu umatengedwa kuchokera m'malo awiri osiyana. Kusiyana kumeneku kungayambitse kusiyana kwa zotsatira. Tiyeni timvetse kusiyana kumeneku momveka bwino.
| Chifukwa cha kusinthaku | Chowunikira Cham'mwamba Cha mkono | Chowunikira Cham'manja |
|---|---|---|
| Malo omwe muyeso umatengedwa | Muyesowu umachokera ku mtsempha wamagazi wa brachial, womwe uli pamwamba pa mkono, pamwamba pa chigongono. Apa ndi pomwe dokotala amawunika kuchipatala. | Muyesowu umachokera ku mtsempha wamagazi wozungulira, womwe uli pachikhatho. Mtsempha uwu uli pamwamba kwambiri kuposa khungu. |
| Kulondola | Iyi imaonedwa kuti ndiyo njira yolondola komanso yovomerezeka kwambiri mu sayansi ya zamankhwala. Imatchedwa "muyezo wagolide." | Ngati mugwiritsa ntchito pamalo oyenera, mutha kupeza zotsatira zoyenera. Koma ngati malowo ali olakwika pang'ono, zotsatira zake zitha kukhala zolakwika kwathunthu. |
| Kusintha komwe kungatheke pamtengo wopanikizika | Izi ndizodalirika kwambiri chifukwa phindu lomwe lapezeka ndi lofanana ndi kupanikizika kwa mtsempha waukulu womwe uli pafupi ndi mtima. | Popeza imayesedwa mu mtsempha waung'ono, kutali ndi mtima, kuthamanga kwa magazi pano kungakhale kosiyana pang'ono ndi kwa mkono wapamwamba. Kafukufuku wina wasonyeza kuti kuchuluka kwa magazi (systolic) kungakhale kokwera pang'ono pa dzanja. |
Pazifukwa izi, ndikofunikira kugwiritsa ntchito chipangizo cha kunyumba motsogozedwa ndi dokotala wanu , ngakhale chitakhala chipangizo cha kunyumba. Izi zithandiza dokotala wanu kumvetsetsa kusiyana pakati pa kuwerenga komwe mumalandira kunyumba ndi kuwerenga komwe mumalandira kuchipatala ndikuchitapo kanthu moyenera.
Ndiye, ndani kwenikweni amene amafunikira chowunikira chokhazikika pa dzanja?
Ngati dokotala wanu akukuuzani kuti muziyang'anira kuthamanga kwa magazi anu kunyumba, pakhoza kukhala zifukwa zingapo zochitira zimenezi. Nthawi zambiri, chowunikira chapamwamba cha mkono ndicho chinthu choyamba chomwe amalangiza. Komabe, nthawi zina zapadera, chowunikira cha dzanja chingakhale choyenera kwambiri.
N’chifukwa chiyani mumandiuza kuti ndiziyeze kuthamanga kwa magazi kunyumba?
- Ngati mwapezeka ndi matenda a kuthamanga kwa magazi (Hypertension) kapena kuthamanga kwa magazi (Hypotension) .
- Ngati muli ndi zinthu zomwe zingakuchititseni kukwera kwa magazi.
- Ngati mwayamba kale kugwiritsa ntchito mankhwala atsopano a kuthamanga kwa magazi, onani momwe akugwirira ntchito.
- Ngati muli ndi pakati.
- Muli ndi "White Coat Hypertension"Ngati dokotala akukayikira kuti muli ndi vutoli, izi zikutanthauza kuti kuthamanga kwa magazi kumawonjezeka pokhapokha mukawona dokotala kapena kupita kuchipatala, koma zimakhala zachilendo kunyumba.
- Ngati mukuganiza kuti muli ndi "masked hypertension" , kutanthauza kuti kuthamanga kwa magazi anu ndi kwabwinobwino ku ofesi ya dokotala, koma kumakwera kunyumba.
Pa chilichonse mwa zomwe zili pamwambapa, chisankho choyamba cha madokotala ndi chowunikira chapamwamba cha mkono.
Ndiye, kodi chowunikira cha dzanja ndi ndani chomwe chimayenera kugwiritsidwa ntchito?
- Ngati mukuvutika kupeza chipewa chogwirizira bwino mkono wanu wapamwamba (mwachitsanzo, ngati ndinu wamkulu kwambiri kapena woonda kwambiri).
- Ngati muli ndi vuto la matenda kapena vuto lomwe limakupangitsani kumva kupweteka kuyeza kuthamanga kwa magazi m'manja mwanu.
Pankhaniyi, kugwiritsa ntchito chowunikira cha dzanja kungakhale kothandiza kwambiri. Komabe, chisankho chomaliza cha mtundu woyenera kwa inu chiyenera kupangidwa pokhapokha mutakambirana ndi dokotala wanu.
Kodi mumagwiritsa ntchito bwanji makina awa moyenera?
Kuti mupeze zotsatira zolondola kuchokera ku chowunikira cha dzanja, ndikofunikira kuchigwiritsa ntchito momwe chiyenera kukhalira . Ngakhale cholakwika chaching'ono chingasinthe kwathunthu kuwerenga.
Ngati mugula chipangizo chatsopano, chinthu chabwino kwambiri choti muchite ndikupita nacho nthawi ina mukakaonana ndi dokotala wanu. Mwanjira imeneyi, dokotala wanu akhoza kufananiza ziwerengero za chipangizo cha chipatala ndi ziwerengero za chipangizo chanu kuti mudziwe kulondola kwake. Mukhozanso kuchita masewera olimbitsa thupi momwe mukufunira kuti muchigwiritse ntchito nthawi yomweyo.
Mukayesa kuthamanga kwa magazi kunyumba, tsatirani izi.
| Njira yoyenera kutsatira musanayese kuthamanga kwa magazi komanso mukamayesa kuthamanga kwa magazi | |
|---|---|
| Gawo 1: Kukonzekera | |
| Khazikani mtima pansi. | Pewani khofi, fodya, ndipo chita masewera olimbitsa thupi mphindi 30 musanayesere kuthamanga kwa magazi. Pitani ku bafa ndipo khalani chete kwa mphindi zosachepera 5 musanayesere kuthamanga kwa magazi. |
| Khalani bwino. | Khalani pampando, msana wanu uli wowongoka ndipo mapazi anu ali pansi. Ikani malo osalala, monga tebulo, patsogolo panu. |
| Gawo 2: Kupeza Muyeso | |
| Valani chipangizocho. | Ikani chikwama cha chipangizocho padzanja lanu, onetsetsani kuti sichili cholimba kwambiri kapena chomasuka kwambiri. |
| Kaimidwe ka dzanja (izi ndizofunikira kwambiri) | Ikani chigongono chanu patebulo. Kenako, pindani pang'onopang'ono mkono wanu, ndikuyika chikhatho cha dzanja lanu ndi dzanja pachifuwa chanu, pamlingo womwewo ndi mtima wanu . |
| Tengani muyeso. | Yesani muyesowu mutakhala chete pamalo awa, osalankhula kapena kusuntha. |
Zinthu zomwe simuyenera kuchita mukamayesa:
* Kusunga dzanja lanu pamwamba kapena pansi pa mulingo wa mtima.
* Kuyika dzanja lanu patebulo kapena m'chiuno mwanu.
* Kusunga dzanja lako pansi.
Kusunga kaimidwe kameneka ndiko chinsinsi chopezera zotsatira zoyenera.
Kufunika kosunga buku la zokakamiza
Makina anu akhoza kukhala ndi ziwerengero zakale zosungidwa m'chikumbutso. Komabe, ndikofunikira kwambiri kulemba ziwerengero zonsezo m'buku. Mwanjira imeneyi, zidzakhala zosavuta kuwonetsa dokotala.
Lembani zotsatirazi mu buku lanu lolemba mbiri:
- Tsiku ndi nthawi yomwe muyeso uliwonse unatengedwa.
- Kawirikawiri, dokotala wanu amakuuzani kuti muwerenge kawiri patsiku (musanadye chakudya cham'mawa komanso musanagone). Nthawi iliyonse, werengani kawiri motalikirana ndi mphindi imodzi. Izi zikutanthauza kuti kuwerenga kanayi patsiku kudzalembedwa m'bukuli.
- Ngati pali china chake chapadera chokhudza tsiku limenelo, lembani mwachidule. Mwachitsanzo, "Ndikumva kutopa kwambiri lero," "Sindinagone bwino usiku watha," kapena "Ndikumva kudwala pang'ono." Dokotala wanu angakufunseninso kuti mulembe nthawi zomwe munamwa mankhwala anu.
Kodi muyenera kufunsa upangiri wa dokotala liti?
Kungoyang'ana kuthamanga kwa magazi kwanu kunyumba sikungakonze chilichonse. Ndi thandizo lachipatala lokha. Chifukwa chake, funsani upangiri wachipatala nthawi yomweyo ngati zinthu ngati izi zichitika.
| Zadzidzidzi! Imbani 1990 nthawi yomweyo kapena pitani ku ETU (Emergency Treatment Unit) | |
|---|---|
| Mavuto Oopsa Kwambiri | Ngati kuthamanga kwa magazi anu kukwera mwadzidzidzi kufika pa 180/120 mmHg kapena kupitirira apo , limodzi ndi zizindikiro monga mutu waukulu, chizungulire, kupweteka pachifuwa, komanso kupuma movutikira, izi ndi zadzidzidzi zachipatala. |
| Lankhulani ndi dokotala wanu. | |
| Kuwerenga kosazolowereka | Ngati kuthamanga kwa magazi anu kukupitirira kukwera kapena kutsika kuposa masiku onse kwa inu kwa masiku angapo. |
| Mafunso okhudza chipangizochi | Ngati mukuvutika kugwiritsa ntchito chowunikira chanu chapakhomo kapena mukukayikira kulondola kwake. |
| Ngati simukumvetsa mfundo zake | Ngati muli ndi mafunso okhudza zomwe zili ndi makhalidwe abwinobwino, zomwe zili ndi makhalidwe apamwamba ndi otsika. |
Uthenga Wopita Nawo Kunyumba
- Musanagule chowunikira kuthamanga kwa magazi m'dzanja , onetsetsani kuti mwafunsana ndi dokotala wanu . Iye ndiye amene adzasankhe mtundu womwe uli woyenera kwa inu.
- Malinga ndi malangizo a zachipatala, chowunikira chapamwamba cha mkono nthawi zonse chimakhala cholondola kwambiri. Komabe, nthawi zina zapadera (monga kwa iwo omwe mkono wawo sukugwirizana bwino), chowunikira cha dzanja chingakhale choyenera.
- Kuti mupeze kuwerengera kolondola kwambiri, ndikofunikira kuti dzanja lanu likhale pamlingo wa mtima nthawi zonse poyesa. Ichi ndiye chinthu chofunikira kwambiri.
- Lembani muyeso womwe mumatenga mu logbook ndipo mubweretse kuti mukakambirane ndi dokotala nthawi iliyonse mukapita kwa dokotala.
- Zowunikira kuthamanga kwa magazi kunyumba sizimalowa m'malo mwa upangiri wa zachipatala ndi kuyezetsa kuchipatala. Zimangothandiza pa kusamalira thanzi lanu.
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