Ko BP yako haisi kupindura mushonga here? Ngatikurukurei nezve 'BP isingapindi' naNirogi Lanka!

Waizviziva here kuti dzimwe nguva, kunyangwe kana uchitevedzera mishonga yako yeBP, inoramba yakakwira zvakanyanya? Unonzwa sekunge uri kungochinja-chinja mishonga yakasiyana-siyana usingaone kuvandudzika kwehuwandu hweBP yako here? Hausi wega; vanhu vazhinji vanosangana nedambudziko iri chairo. Nhasi paNirogi Lanka , ngatikurukurei nezvechirwere chinozivikanwa seResistant Hypertension .

Chii chinonzi Resistant Hypertension?

Zvichitaurwa zviri nyore, Resistant Hypertension inoitika kana BP yako ikaramba iri pa140/90 mmHg kana kupfuura , kunyangwe uchitora mishonga mitatu yakasiyana yeBP pahuwandu hwayo hwakakodzera. Kazhinji, mishonga iyi mitatu inosanganisira:

• Mushonga wekubvisa mvura mumuviri (unowanzonzi " mapiritsi emvura ").
• Chinhu chinovhara calcium channel.
• Inhibitor ye angiotensin-converting enzyme (ACE) kana kuti angiotensin II receptor blocker (ARB).

Kukwira kweropa, kana kuti "kukwira kweropa," idambudziko guru rehutano rinowedzera njodzi yako yezvirwere zvemwoyo (mamiriro ezvinhu anokanganisa mwoyo wako netsinga dzeropa). Kana kukwira kweropa rako kukaramba kusingadzoreki mushure memwedzi mitanhatu yekurapwa nguva dzose, vanachiremba vachaongorora mukana wekuti chirwere cheBP chisarambe chichirwisa. Zvidzidzo zvekiriniki zviri kuenderera mberi nekugadzira mishonga mitsva inoshanda kune avo vari kutarisana nechirwere ichi.

Chirwere cheBP chisingapindi simba chinowanikwa zvakadii?

Ruzivo runoratidza kuti vanhu vakuru vanosvika 29% vanorarama neBP yakakwira . Pakati pavo, vanenge 12% vanowira muchikamu cheBP isingapindike . Ichi idambudziko guru rehutano rinoda kutarisirwa nenyanzvi.

Zviratidzo zvacho ndezvipi?

Vanhu vazhinji vanopedza makore vasingatombozivi kuti vane BP yakakwira. Zvisinei, BP isingarapwe ine njodzi huru kuhutano hwako . Kunyange zvazvo ungasanzwa zviratidzo nguva dzose, vamwe vanhu vanorwadziwa nemusoro, chipfuva chakabatikana, kana kufema zvishoma .

Nekuda kwechikonzero ichi, iwe nachiremba wako munofanira kugara muchitarisa BP yenyu, kunyanya kana muchikura. Zvinokurudzirwa kushandisa monitor yemagetsi yeBP yakavimbika uye inodhura kumba, yaunogona kutenga kupharmacy yemuno kana online.

Sei Kuramba Kukwira Kweropa Kuchiitika?

Pane zvikonzero zvakawanda zvechirwere ichi, kubva pamararamiro kusvika kumishonga chaiyo kana matambudziko ehutano.

Mararamiro uye Kudya Zvinovaka Muviri

Zvinhu zvinotevera zvinogona kukonzera BP yepamusoro uye BP isingapindi simba:

• Kurema kwemuviri (BMI) kuri pamusoro pe25 (kurema zvakanyanya).
• Kusaita maekisesaizi emuviri (mararamiro ekugara wakangogara).
• Kudya munyu wakawanda (dambudziko rinowanzoitika).
• Kunwa doro zvakanyanya .

Mimwe Mishonga

Mimwe mishonga inotorwa nachiremba, pamwe chete nemishonga inotengeswa pasina kunyorerwa chiremba (OTC), inogona kuita kuti zviomere kudzora BP yako.

Semuyenzaniso:

• Mishonga inoderedza marwadzo , kunyanya NSAIDs (Nonsteroidal Anti-inflammatory Drugs), yakaita se ( Ibuprofen ) uye ( Naproxen ).
• Mishonga yekubvisa mhino dzakavharika.
• Mishonga yekudzivirira pamuviri inonwiwa.
• Mimwe mishonga yemishonga yakaita seGinseng neLicorice.

Matambudziko Ehutano Anokonzera Dambudziko (Zvikonzero Zvechipiri)

Dzimwe nguva, zvirwere zvinogona kurapwa zvinoita kuti BP yako isarambe ichirwisa chirwere. Izvi ndizvo zvimwe zvikonzero .

Mienzaniso inosanganisira:

• Hyperaldosteronism huru: Kana adrenal glands yako ichigadzira zvakawanda zvezviratidzomahormone .
• Kuoma kwetsinga dzeitsvo: Kutetepa kwetsinga dzinoendesa ropa kuitsvo dzako.
• Chirwere cheitsvo chisingaperi (CKD).
• Kutadza kufema zvakanaka pakurara .
• Pheochromocytoma: Bundu risingawanzoitiki muadrenal gland.
• Kutetepa kwetsinga yeropa (zvisingawanzoitikiwo).
• Chirwere cheCushing: Kugadzirwa kwakawandisa kwemahormone e steroid (zvisingawanzoitiki).

Ndiani ari panjodzi huru yeBP isingapindi?

Unogona kuva nenjodzi yakakura kana uine:

• Chirwere cheitsvo chisingaperi.
• Chirwere cheshuga.
• Nhaka yevaAfrica America (sezvakaratidzwa muzvidzidzo zvekiriniki).
• Kana uri mukadzi.

Ndezvipi zvinetso zvinogona kuitika?

Zvichienzaniswa nevaya vane BP inodzorwa zvakanaka, vanhu vane Resistant Hypertension vanotarisana nenjodzi huru ye:

• Kurohwa nechirwere.
• Chirwere cheitsvo.
• Kukundikana kwemoyo.

Ndapota yeukai: Izvi zvinoratidza kuti nei kudzora BP kwakakosha zvikuru pahutano hwenyu kwenguva refu.

Vanachiremba vanoongorora sei chirwere cheBP chisingadiwi?

Kuti asimbise izvi, chiremba wako achaunganidza ruzivo rwakadzama kuti ave nechokwadi chekuti:

• Kumanikidzwa kweropa rako kuri kuyerwa nemazvo .
• Uri kutora mishonga yako yawakanyorerwa nguva dzose .
• Hauna chirwere che "White coat syndrome" (apo kumanikidzwa kunongowedzera chete paunenge uri kuhofisi yachiremba).

Kuongorora nhoroondo yako yezvekurapa

Chiremba wako angabvunza kuti:

• Hypertension yako yakatanga riini?
• Unotarisa sei kumanikidzwa kwako kumba?
• Ndeipi mishonga, kusanganisira mishonga inotengeswa kunze kwemutemo uye mishonga yekuwedzera, yauri kutora pari zvino?
• Mibvunzo ine chekuita nezvikonzero zvechipiri zvinogona kukonzera matambudziko.
• Mibvunzo pamusoro pekushandisa doro nefodya.

Kuongororwa Kwemuviri

Munguva yekuongororwa kwako kwemuviri, chiremba wako achaongorora zvinotevera:

• Kuchinja kusingawanzoitika mumaziso ako (izvi zvinozivikanwa seHypertensive retinopathy).
• Ruzha rusingawanzonzwikwa kuburikidza nedzimwe tsinga huru dzeropa (idzi dzinonzi Bruits). Ruzha urwu runoratidza kuti tsinga dzako dzeropa dzinogona kunge dziine mafuta asina kujairika, anozivikanwawo semaplaque.

Miedzo yeLab

Ongororo yako yekuongorora chirwere inogona kusanganisira:

• Kuongororwa weti kuti uone kana paine mapuroteni.
• Kuongororwa kweropa kuti utarise huwandu hweCreatinine, Glucose, uye electrolyte (senge sodium nepotassium).
• Kuongororwa kweropa kuti uone kana paine zvirwere zvinokanganisa adrenal glands kana itsvo.
• Kuongororwa kwebasa re thyroid, sezvo zvirwere zvakaita seHypothyroidism zvinogona kukonzera BP yakakwira.

Miedzo yeKufungidzira

Kuti uongorore ma adrenal glands ako kana kuti uone kana tsinga dzeitsvo dzakatetepa, chiremba wako anogona kukuraira zvinotevera:

• MaX-ray.
• Kuongororwa kweUltrasound.
• Kuongororwa kwekombiyuta (CT).

Uyezve, chiremba wako anogona kukurudzira kuti udzidze nezvekurara kwako kuti uone kana uri kurwara neSleep apnea.

'Resistant Hypertension' inorapwa sei? Marapirwo api?

Kurapa kweBP kusingarapike kunosanganisira musanganiswa wekuchinja mararamiro uye mishonga.

Kuchinja Kwemararamiro

Zvigadziriso zvikuru zvehupenyu zvaunogona kuita zvinosanganisira:

• Kuderedza munyu (uri pasi pe2,400 mg pazuva) uye kuderedza kunwa doro.
• Kuderedza kushandiswa kwemishonga isingashandisi masteroidal anti-inflammatory (NSAIDs) yekuderedza marwadzo uye kusarudza dzimwe nzira dzakadai seAcetaminophen.
• Kuita maekisesaizi kwemaminitsi makumi matatu (30) mumazuva mazhinji evhiki.

Mishonga

Kurapa chirwere cheBP chisingapindi mishonga dzimwe nguva kunogona kuva nyore sekuva nechokwadi chekuti uri kutora mishonga yako sezvakarairwa. Zvinofungidzirwa kuti muvanhu vanosvika 40% vane chirwere cheBP chisingapindi mishonga, mishonga inokundikana nekuti haishandiswi nguva dzose . Kuti uone mhedzisiro chaiyo, unofanirwa kutora mishonga yako zuva nezuva, pachiyero chakakodzera, uye kakawanda pazuva sezvakarairwa .

Kana uchinetseka kutora mushonga wako, ndapota taura nachiremba wako nekukasika . Ungave uine migumisiro inoita kuti zviomere kuramba uri munzira chaiyo. Kana mumwe mushonga ukakonzera matambudziko, chiremba wako anogona kukuchinjira kune mumwe mushonga kana kutokutamisa kune imwe purogiramu yemushonga kamwe chete pazuva. Usamborega kutora mushonga wako usina kutanga wabvunza chiremba wako.

Kana BP yako ikaramba yakakwira kunyangwe mushure mekunyatsotevedzera mushonga wako, chiremba wako anogona kuwedzera mumwe mushonga. Vamwe vanhu vanoda mishonga mina kana mishanu yakasiyana kuti vatarisire BP yavo zvinobudirira.

Mishonga inowanzo shandiswa yeBP inosanganisira:

• Mishonga inobvisa mvura mumuviri.
• Zvinodzivirira calcium channel.
• Mishonga inodzivirira ACE/Angiotensin receptor blockers (ARBs).

Zvichienderana nehuwandu hwepotassium mumuviri wako, chiremba wako anogona kuwedzera kaviri mushonga wako wekubvisa mvura mumuviri kana kuwedzera mushonga wechina—wakadai semushonga unodzivirira ropa seSpironolactone—kuti ubatsire kudzora BP yako. Neimwe nzira, chiremba wako anogona kusarudza kushandisa Beta-blocker.

Migumisiro Yekurapwa

Mishonga mizhinji inogona kuva nemigumisiro yakaipa. Mishonga inowanzo shandiswa pakurapa BP inosanganisira:

• Dzungu.
• Musoro.
• Kuita weti kakawanda.
• Kuzvimba.
• Kukosora kwakaoma.
• Kuneta kana kuneta.

Ungaderedza sei njodzi yeBP isingarapiki?

Kuti BP yako isarambe ichiramba kurapwa, tarisa matanho aya:

• Tevedzera mirairo yachiremba wako zvakanyanya maererano nemishonga yako yeBP.
• Ramba uine huremu hwakanaka hwakakodzera iwe.
• Ronga kurovedza muviri kwemaminitsi 150 pasvondo (mumazuva matatu kusvika mashanu).
• Deredza kudya kwako munyu .
• Deredza kunwa kwako doro.
• Iva nechokwadi chekuti unorara zvakanaka husiku hwese.

Chii chandinofanira kurangarira kana ndine chirwere cheBP chisingakundiki?

Vanhu vazhinji vane chirwere cheBP chisingapindi muropa vanogona kugadzirisa dambudziko ravo zvinobudirira. Kunze kwekukupa mishonga, chiremba wako anogona kuedza nzira dzakasiyana, dzakadai sekushandura kushandisa mushonga une simba rekubvisa mvura mumuviri kana kushandura mushonga usingapindi muropa kuenda kumabasa ako emanheru.

Ndingazvibata sei pahutano hwangu?

Kurarama neBP yakakwira chinhu chaunofanira kuita zuva nezuva, kweupenyu hwako hwese. Kutarisira hutano hwako kunosanganisira:

• Kutora mishonga yako panguva yakakodzera uye nechiyero chakakodzera .
• Kuderedza munyu nedoro .
• Kupinda nguva dzese dzawakaronga kunoona chiremba .
• Kurovedza muviri nguva dzose .
• Kuramba uine huremu hwakanaka.
• Kutarisa BP yako kumba.

Chii chandinofanira kudzivisa kudya kana ndine chirwere cheBP chisingakundiki?

Munyu unowedzera BP yako , saka zvakanaka kuti usazvidye. Ungasaziva kuti munyu uri papi. Ungashamisika kuziva kuti zvekudya zvemuresitorendi nezvikafu zvakagadzirwa zvine sodium yakawanda . Kuderedza kana kudzivirira izvi kunobatsira kuderedza munyu unopinda mumuviri wako.

Ndinofanira kuona chiremba wangu rini?

Ronga musangano nachiremba wako kana:

• Uri kusangana nekusagadzikana kana matambudziko nemishonga yawakanyorerwa.
• Kuverengwa kweBP yako kunoramba kwakakwirakunyangwe mushure mekutora mishonga yese sezvakarairwa.

Ndinofanira kuenda kuDhipatimendi reEmergency riini?

Dambudziko reBP idambudziko rehutano rinoda rubatsiro rwekukurumidza .

Izvi zvinoitika kana BP yako ikangoerekana yakwira (kusvika 180/120 mmHg kana kupfuura) uye ukaona zviratidzo zvakaita se:

• Musoro wakanyanya.
• Kurova kwechipfuva (kunzwa sekunge moyo wako uri kurova).
• Dzungu.
• Kushaya mweya.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Inzwa wakasununguka kubvunza chiremba wako mibvunzo yakaita seyiyi:

• Ndinofanira kuchinja mishonga yangu here?
• Ndeipi mishonga yeBP yakanakisa kwandiri?
• Ndinofanira kuongorora BP yangu kangani kumba?
• Ndinofanira kuronga nguva yekutevera kangani?

Zvinogona kunetsa kana uri kutora mishonga yakawanda asi usingaoni kuvandudzika. Kana ukatora mishonga yeBP inopfuura mitatu, kudzora BP yako kunogona kunzwa sekunge kwakaoma zvikuru. Kuva akatendeseka uye akasununguka kuna chiremba wako kuchakubatsira kuwana mhinduro. Kubvunza mibvunzo nezvechero chinhu chisina kujeka kunogara kuri kwakanakira iwe.

Mharidzo Yekupedzisira Yekuenda Kumba

'Hypertension isingarapike' inganzwika sedambudziko rakaoma, asi hazvirevi kuti harigone kudzorwa newe.

• Kuongororwa kweropa nemazvo kwakakosha. Dzimwe nguva, panogona kunge paine zvimwe zvinhu zvine chekuita nehutano zvinokonzera kukwira kweropa izvo zvinoda kugadziriswa.
• Inwa mushonga wako sezvawakarairwa, nenguva, uye nemupimo wakakodzera. Kana ukasangana nematambudziko, ndapota taura nachiremba wako nekukasika.
• Kuchinja mararamiro kune zvakunobatsira zvikuru. Yeuka kuisa zvinhu zvakakosha pakuderedza munyu, kuramba uchiita maekisesaizi, uye kuchengetedza huremu hwakanaka.
• Rambai muchitaurirana pachena nevanopa rubatsiro rwehutano. Taura chokwadi nezvemibvunzo, zvinokunetsai, kana migumisiro yakaipa yaungave uinayo.
• Usamborega kana kushandura mushonga wako wega. Gara uchibvunza chiremba wako kutanga.

Yeuka kuti hausi wega parwendo urwu. Chiremba wako nechikwata chehutano kuNirogi Lanka varipo kuti vakutsigire. Nemwoyo murefu, hurongwa hwekurapa hwakakodzera, uye kugadzirisa mararamiro ako zvakanaka, une simba rekugadzirisa dambudziko iri zvinobudirira!