Dambudziko rehutano rinowanzoonekwa nevanhu vazhinji munyika medu i "BP yakakwira". Pamwe iwe, nhengo yemhuri, kana shamwari yako muri kutora mushonga wechirwere ichi. Asi mushonga uyu unoitei chaizvo? Sei munhu wega wega achipihwa mhando yakasiyana yemishonga? Sei dzimwe nguva BP isingaderere kunyangwe mushure mekutora mushonga? Nhasi, ngatitaurei nezveizvi zvese zviri nyore uye zvine hushamwari.
Ndeipi mishonga iyi yekuderedza BP?
Zvichitaurwa zviri nyore, iyi mishonga inobatsira kudzora BP yako yakakwira uye kuidzosera pakare. Mishonga iyi inoshanda nenzira imwecheteyo. Funga nezvetsinga dzeropa rako semapaipi anotakura mvura. Kana BP yako ikawedzera, BP iri mukati memapaipi aya inowedzera.
Mimwe mishonga inoshanda nekuwedzera "tsanga" idzi kana kuti tsinga dzeropa . Izvi zvinoita kuti ropa rifambe zviri nyore pasina kuvharika. Mimwe mishonga inobatsira muviri kubvisa mvura yakawandisa nemunyu kuburikidza neweti . Imwe mhando yemishonga inovhara mahormone anogadzirwa mumuviri anowedzera BP.
Chinhu chinonyanya kukosha ndechekuti chiremba wako ndiye achasarudza mushonga wako zvichienderana nezera rako, murume kana mukadzi, kana uine zvimwe zvirwere, uye kuti BP yako yakakwira zvakadii. Saka mushonga waunopiwa unogona kusiyana zvachose newaunopiwa nemuvakidzani wako. Mamiriro emunhu wese akasiyana.
Kazhinji, mishonga inopfuura imwe chete inodiwa kudzora BP yako. Chiremba wako anogona kutanga nemushonga mumwe chete uye zvishoma nezvishoma owedzera mimwe mishonga kudzora BP yako. Zvakare, kana mushonga usiri kushanda kana kuti uchikonzera migumisiro isingatsungiririki, vanogona kumisa mushonga iwoyo votanga newe mumwe mushonga.
Sei uchifanira kutora mushonga weBP? Ndezvipi zvakanakira?
Chinangwa chikuru chekunwa mishonga yeBP ndechekudzivirira mwoyo wako. Kana BP yako ikakwira, mwoyo wako unofanirwa kushanda nesimba kupfuura zvakajairika kuti upombe ropa. Zvakafanana nemota inopomba mvura nepaipi yakavharika zvishoma. Nekufamba kwenguva, izvi zvinogona kuita kuti mwoyo wako ushaye simba.
Nekutora mishonga yeBP, tinoderedza mutoro uyu usina kukodzera pamwoyo. Nenzira iyoyo,
- Njodzi yekurwara nemoyo inoderera.
- Njodzi yekubatwa nestroke inoderedzwa.
- Njodzi yekukundikana kweitsvo inodzikira.
- Njodzi yekukundikana kwemoyo inoderera.
Mishonga iyi inoita kuti zvive nyore kuti mwoyo wako upombe ropa kuenda kunhengo dzemuviri wako maawa makumi maviri nemana pazuva.
Mhando dzemishonga yekurapa BP uye migumisiro yayo
Kune mhando dzakasiyana dzemishonga dzinopihwa yeBP. Mimwe yemishonga yekutanga inosarudzwa navanachiremba ndeyeThiazide diuretics, ACE inhibitors, uye Calcium channel blockers. Ngatitarisei mimwe yemhando huru dzemishonga.
| Rudzi rwemushonga | Mashandiro azvinoita (mumashoko akareruka) | Migumisiro yakajairika |
|---|---|---|
| Mishonga inobvisa mvura mumuviri (Thiazide, Loop, Potassium-sparing) | Itsvo dzinobvisa mvura yakawandisa nemunyu mumuviri kuburikidza neweti. Zvinobatsirawo kuwedzera tsinga dzeropa. | Mazinga epotassium/magnesium akaderera/akakwira, dzungu, mazinga euric acid akakwira. |
| Mishonga inodzivirira ACE | Inodzivisa kugadzirwa kweangiotensin II, hormone inoita kuti tsinga dzeropa dziome. | Kukosora kwakaoma, kuwedzera kwe potassium, dzungu, angioedema (kuzvimba kwechiso nemutsipa - izvi zvine njodzi, taurira chiremba wako nekukasika). |
| Mishonga yerudzi rweARB (ARBs) | Inodzivisa hormone inonzi angiotensin II kuti isashande patsinga dzeropa. | Kuwedzera kwemazinga e potassium, dzungu. |
| Zvinodzivirira calcium channel | Inodzivirira calcium kupinda mutsinga dzeropa uye inozorodza tsandanyama dziri mutsinga idzodzo. | Musoro, dzungu, kurova kwemoyo kwakawedzera/kudzikira, kuzvimba kwemakumbo epasi. |
| Beta-blockers | Inoderedza migumisiro yemahormone anowedzera BP panguva yekushushikana uye inodzikamisa kurova kwemoyo. | Kuneta/kuneta, dzungu, kurova kwemoyo kushoma, kufenda. |
Kukwira kweropa rangu kuchiri kukwira kunyangwe ndiri kutora mishonga. Sei zvakadaro?
Iri idambudziko rinosangana nevanhu vazhinji. Pane zvikonzero zvakawanda zvinoita kuti BP yako isadzoreki, kunyangwe ukatora mushonga wako nemazvo.
- Ungangoda mishonga inopfuura imwe chete: Dzimwe nguva BP yako haigone kudzorwa nemushonga mumwe chete. Ungangoda mishonga miviri, mitatu, kana mina.
- Kusatora mushonga nemazvo: Zvakakosha kutora mushonga panguva imwe chete zuva nezuva . Kana ukapotsa zuva rimwe kana maviri, huwandu hweBP yako hunogona kuchinja.
- Kudya kusina kunaka: Kana ukadya chikafu chine munyu wakawanda (mapickle, hove dzakaomeswa, masosi, chikafu chemumagaba, manoodles epakarepo), kushanda kwemushonga kunogona kudzikira.
- Zvimwe zvirwere: Dzimwe nguva BP inogona kukonzerwa nechimwe chirwere. Tinodaidza kuti "Secondary Hypertension". Semuenzaniso, inogona kukonzerwa nematambudziko emahormone "Hyperaldosteronism" kana kutetepa kwetsinga dzeropa dzinoendesa ropa kuitsvo "Renal artery stenosis". Kana BP yako ichiri yakakwira kunyangwe wakatora mishonga yakati wandei, taura nachiremba wako nezvazvo.
- Mimwe mishonga: Mimwe mishonga yauri kutora (mimwe mishonga inoderedza marwadzo) kana mishonga yemiti inogonawo kuderedza kushanda kwemishonga yeBP.
Unofanira kuona chiremba wako rini?
- Kana uine migumisiro isingatsungiririki kubva pamushonga wako (semuenzaniso kukosora kunogara kwenguva refu, dzungu rakasimba, kuzvimba kwemakumbo ako), usamborega kutora mushonga wako wega. Unogona kutaura nachiremba wako wochinja kushandisa mumwe mushonga.
- Kana kuverenga kwacho kwakakwira zvakanyanya kana kuderera zvakanyanya paunoyera BP yako kumba.
- Kana uchironga kubata pamuviri, zivisa chiremba wako nekukurumidza paunenge uchironga kuzviita, sezvo paine mishonga yakachengeteka uye isina.
Kunyanya kune vakwegura, dzimwe nguva paunomira kamwe kamwe, BP yako inoderera (orthostatic hypotension), zvichiita kuti unzwe dzungu wodonha. Mushonga uyu unogona kuwedzera dambudziko iri. Saka, simuka zvishoma nezvishoma uye nokungwarira paunomira.
Mararamiro akanaka chii?
Pamwe chete nekutora mishonga, kurarama hupenyu hune hutano kwakakoshawo pakudzora BP.
- Deredza kudyiwa kwemunyu: Rega kuwedzera munyu muchikafu chako uye kudya chikafu chine munyu wakawanda.
- Deredza kunwa doro: Doro rinowedzera BP.
- Kurovedza muviri nguva dzose: Ita maekisesaizi ari nyore sekufamba kwemaminitsi makumi matatu pazuva.
- Dzora huremu hwemuviri: Kuwedzera huremu kunokanganisa zvakananga BP.
Mharidzo Yekuenda Nayo Kumba
- Kukwira kweropa kunouraya chinyararire. Kana kukasarapwa, kunogona kukonzera zvirwere zvakakomba zvakaita semwoyo, sitiroko, uye chirwere cheitsvo.
- Inwa mushonga wako sezvawakarairwa nachiremba wako, panguva yakakodzera, zuva nezuva . Usambofa wakachinja kana kumisa mushonga wako wega.
- Taura nachiremba wako nezve chero migumisiro yakaipa yaungasangana nayo kubva mumishonga yako. Iye anogona kukubatsira kusarudza mushonga wakanakira iwe.
- Zvakakosha zvikuru kutevedzera mararamiro ane hutano (kudya kusingadyi zvakawanda, kurovedza muviri, kudzora huremu) pamwe nekutora mishonga.
- Enda kunoongororwa nachiremba uye kuongororwa ropa nenguva uye tarisa mamiriro ako ezvinhu.
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