Kunyangwe mushure mekushandisa mishonga yese mitatu, BP haidziki. Ngatitaurei nezveBP isingadziki.

Uri munhu ane BP yakakwira here, kana kuti sezvatinozviziva tese, uri kutora mishonga ye "pressure"? Unotora mishonga yese yawakanyorerwa nachiremba nenguva, uye unotonga kudya kwako nekunwa kwako, asi pese paunotarisa BP yako kumba, inogara iri pamusoro pe140/90. Unoshamisikawo here kuti nei izvi zviri kuitika? Pamwe une zvatiri kutaura nezvazvo nhasi, zvinonzi 'resistant hypertension' kana resistant hypertension . Usazvidya moyo, tichataura nezvese zviri nyore.

Chii chaizvo chinonzi Resistant Hypertension?

Zvichitaurwa zviri nyore, ichi chirwere apo BP yako yakakwira "inoramba kurapwa" zvakanyanya. Panyaya dzezvekurapa, kana BP yako ikaramba iri pamusoro pe140/90 mmHg pasinei nekuti chiremba wako akakupa mishonga mitatu kana kupfuura yekudzora BP yako yakakwira, pachiyero chepamusoro, saka chirwere ichocho chinonzi Resistant Hypertension.

Mhando nhatu dzemishonga idzi dzinowanzo sanganisira:

• Rudzi rwemushonga unoburitsa mvura mumuviri: Aya ndiwo atinodaidza kuti 'mapiritsi emvura.' Anoshanda nekuita kuti muviri ubudise mvura nemunyu wakawanda kuburikidza neweti.
• Rudzi rwe calcium channel blocker: Izvi zvinozorodza mitsipa yeropa uye zvinoita kuti ropa rifambe zvakanaka.
• Mushonga weACE inhibitor kana ARB: Mishonga iyi yese (Angiotensin-Converting Enzyme inhibitor / Angiotensin II Receptor Blocker) inoshanda nekuchinja tsinga dzeropa nekuderedza BP.

Kana usingakwanise kudzora BP yako mushure memwedzi mitanhatu yekutora mishonga iyi mitatu padanho rakakwirira, chiremba wako anogona kufungidzira kuti une BP isingakundike.

Dambudziko iri rakajairika zvakadii?

Kukwira kweropa chirwere chinowanzoitika muSri Lanka pamwe chete nepasi rose. Ongororo dzakaratidza kuti vanhu vanosvika 10% kusvika 12% vane BP vanogona kunge vaine chirwere ichi, zvichireva kuti ichi hachisi chirwere chisingawanzoitiki.

Ndezvipi zviratidzo zveBP isingatsungiriri?

Chinhu chine njodzi zvikuru pano ndechekuti BP yakakwira "inouraya chinyararire." Vanhu vazhinji havaratidzi zviratidzo. Vamwe vanhu havatombozivi kuti vane BP yakakwira kwemakore. Asi kana ikasarapwa, inogona kukonzera kukuvara kukuru mumuviri.

Zvisinei, vamwe vanhu vanogona kuona zviratidzo zvinotevera:

• Musoro
• Kusimba kwechipfuva kana kumanikidzwa
• Kuoma kufema

Sei kumanikidzwa kusingadzorwi nenzira iyi? Ndezvipi zvikonzero?

Pane zvikonzero zvakati wandei zveizvi. Ngatizviparadzanisei muzvikamu.

Ndiani ari panjodzi huru yekurwara neBP isingarapiki?

Vanhu vanotevera vari panjodzi yakakura zvishoma yekubatwa nechirwere ichi:

• Kune avo vane chirwere cheitsvo chisingaperi
• Kune avo vane chirwere cheshuga
• Kune avo vane dzinza reAfrica-America
• Kune vakadzi (kana varume)

Ndezvipi zvinetso zvinogona kuitika nekuda kwechirwere ichi?

Munhu ane chirwere cheBP chisingarapiki, icho chinonetsa kudzora nenzira iyi, ari panjodzi huru yekubatwa nechirwere ichi kupfuura munhu ane BP inodzorwa nemishonga.

• Kurohwa
• Chirwere cheItsvo
• Chirwere chemwoyo uye kutadza kwemoyo

Saka, hazvina kunaka kutora mamiriro ezvinhu aya zviri nyore.

Chiremba anoongorora sei izvi?

Kuti aone kana une chirwere cheBP chisingarapiki, chiremba wako achatarisa zvinhu zvakati wandei.

1. Bvunza nezvenhoroondo yako yezvekurapa uye mararamiro ako.

Chiremba anogona kukubvunza mibvunzo yakaita seiyi:

• "Wave nenguva yakareba sei uchimanikidzwa?"
• "Unoita sei kana ukaongorora BP yako kumba? Uri kushandisa muchina nemazvo here?"
• "Mishonga ipi yauri kutora parizvino? (kusanganisira mavhitamini nemishonga yemishonga). Uri kutora mishonga yako sezvawakarairwa nachiremba wako, nenguva, uye muchiyero chakarairwa here?"
• "Unoshandisa doro here kana kuti fodya?"
• "Unogomera here uri kurara? Unonzwa sekunge uri kudzipwa here?"

2. Kuongorora muviri

Munguva yekuongororwa uku, chiremba achanyatsoongorora zvinotevera:

• Kuongororwa kweziso: Izvi zvinoongorora kukuvara kwetsinga dzeropa muziso nekuda kweBP yakakwira. Izvi zvinonzi `Hypertensive Retinopathy`.
• Kuteerera mitsipa mikuru yeropa: Kuteerera ruzha rweropa richipfuura nemumitsipa mikuru yeropa (semuenzaniso, iri mumutsipa kana muitsvo) kuti uone kana paine ruzha rusina kujairika (`bruit`). Izvi zvinogona kupa pfungwa yekuti mitsipa yacho yakamanikana here.

3. Kuongororwa kwerabhoritari nedzimwe bvunzo

• Kuongororwa kweweti:Tarisa kana paine mapuroteni ari muweti.
• Kuongororwa kweropa: Tarisa mashandiro eitsvo (Creatinine), huwandu hweshuga (Glucose), uye ma electrolytes akadai se sodium ne potassium.
• Kuongororwa kwemahormone: Tarisa kana paine matambudziko pakushanda kwema adrenal glands kana thyroid gland.
• Kuongororwa: Kuongororwa kweUltrasound neCT kunogona kuitwa kuti itsvo neadrenal glands zvionekwe zvakanaka.
• Chidzidzo Chekurara: Kana uchifungidzira kuti une sleep apnea, unogona kutumirwa kunoongororwa kuhope.

Izvi zvinorapwa sei?

Usazvidya moyo. Pane mushonga weizvi. Pane zvikamu zviviri zvikuru.

1. Kuchinja kwemararamiro

Izvi ndizvo zvinhu zvinonyanya kukosha zvaunogona kuita. Hazvina basa kungotora mushonga usingaite zvinhu izvi.

• Kudzora munyu: Deredza munyu waunodya kusvika 2,400 milligrams (isingasviki chipunu chimwe chete) pazuva. Rega kuisa munyu patafura. Deredza kudya kwaunoita zvekudya zvakagadzirwa uye zvakaputirwa.
• Kuderedza doro.
• Mishonga Inoderedza Marwadzo: Usatore mishonga yakaita seIbuprofen neDiclofenac usina kubvunza chiremba wako. Kana zvichidikanwa, taura nachiremba wako nezvemushonga wakaita seParacetamol.
• Kurovedza muviri: Ita maekisesaizi, akadai sekufamba netsoka kana kutasva bhasikoro, kwemaminitsi makumi matatu pazuva, mazuva akati wandei pasvondo.

2. Kushandisa mishonga nemazvo

Apa ndipo panokanganisa vanhu vazhinji.

Kuti mushonga ushande, unofanira kutorwa zuva nezuva, panguva yakakodzera, uye nechiyero chakakodzera . Vamwe vanhu vanoomerwa nekutora mushonga wavo nekuda kwemigumisiro yakaipa (semuenzaniso, dzungu, kukosora). Kana uine dambudziko rakadaro, udza chiremba wako. Iye anogona kunyora mumwe mushonga. Usamborega kutora mushonga wako kana kuchinja chiyero usina kubvunza chiremba wako.

Kana BP yako isingadzoreki kunyangwe mushure mekunwa mushonga wako nemazvo, chiremba wako anogona kuwedzera mushonga wechina kana wechishanu. Semuenzaniso, mushonga wekubvisa mvura unonzi Spironolactone kana beta-blocker .

Unofanira kuenda kuchipatara (ETU) nekukasika rini?

Dzimwe nguva BP inogona kungoerekana yakwira zvakanyanya. Izvi zvinonzi dambudziko reBP . Iri idambudziko rinoda kurapwa nekukurumidza.

Kana BP yako yakakwira kupfuura 180/120 mmHg uye uinewo zviratidzo zvinotevera, enda kuchipatara chiri pedyo nekukurumidza:Enda ku (ETU - Emergency Treatment Unit) .

• Musoro wakakomba
• Kurova kwemoyo (kunzwa sekuti moyo wako uri kurova nekukurumidza)
• Dzungu
• Kuoma kufema

Mibvunzo yekubvunza chiremba wako

Zvakakosha kunzwisisa mamiriro ako ezvinhu zvakanaka. Usazeza kubvunza mibvunzo iyi nguva inotevera paunoona chiremba wako.

• "Chiremba, ndinofanira kuchinja mishonga yangu here?"
• "Musanganiswa wemishonga ipi wakanakira ini?"
• "Ndinofanira kuongorora BP yangu kangani kumba?"
• "Ndinofanira kuuya kunoona chiremba zvakare riini?"

Zvakajairika kuti unzwe kusafara kana wanwa mishonga yakawanda asi usina kuona kuvandudzika. Zvisinei, chinhu chakanakisa chekuita ndechekutaura pachena nachiremba wako uye kutsvaga mhinduro dzematambudziko ako.