Ko BP yako haidzorwi nemishonga here? Ngatikurukurei nezve 'BP isingapindike'!

Unoziva here, dzimwe nguva kunyangwe tichitora mushonga weBP yedu, pane dzimwe nguva pazvinonetsa kudzora. Unonzwa here kuti BP yako haisi kudzikira kunyangwe mushure mekuchinja mushonga wakapihwa nachiremba mumwe nemumwe? Hausi wega, kune vanhu vanosangana nemamiriro ezvinhu akadai. Saka nhasi tichataura nezvechirwere ichi chinonzi ``Resistant Hypertension``.

Chii chinonzi 'BP inoramba kukwira'?

Zvichitaurwa zviri nyore, 'resistant BP' zvinoreva kana BP yako, kutaura chokwadi, iri pa140/90 millimeters yemercury (140/90 mmHg) kana kupfuura - kunyangwe uri kutora mhando nhatu dzemishonga yeBP pahuwandu hwakanyanya. Mhando nhatu dzemishonga idzi dzinowanzo sanganisira:

• Imwe mushonga wekubvisa mvura mumuviri (tinoidana kuti " mapiritsi emvura ").
• Imwe nzira yekudzivirira calcium channel.
• Inhibitor ye angiotensin-converting enzyme (ACE) kana kuti angiotensin II receptor blocker (ARB).

Kukwira kweropa, kana kuti "kumanikidzwa" sezvatinozviziva tese, idambudziko guru rehutano rinowedzera njodzi yezvirwere zvemwoyo (zvirwere zvemwoyo netsinga dzeropa). Ungafungidzira here, kana BP yako isingadzoreki mushure memwedzi mitanhatu yekurapwa nguva dzose, vanachiremba vanotanga kufungidzira kuti une "BP isingadzoreki." Zvidzidzo zvekiriniki zviri kuitwa kuti vawane mishonga mitsva inogona kubatsira vanhu vane chirwere ichi mune ramangwana.

'Kukwira kweropa kusingadzoreki' kwakajairika zvakadii?

Sekureva kwedata kubva kuUnited States, vanhu vakuru vanosvika 29% vane BP yakakwira . Pavanhu ava , vanosvika 12% vanowira muchikamu che 'BP yakakwira isingadzoreki.' Zvinoita sekuti mamiriro ezvinhu aya haasi mashomawo muSri Lanka.

Ndezvipi zviratidzo zveizvi?

Fungidzira, vamwe vanhu havatombozivi kuti vane BP yepamusoro kwemakore. Zvisinei, BP yepamusoro isingarapwe inogona kuva nengozi kuhutano hwako . Kunyangwe usingawanzova nezviratidzo, vamwe vanhu vakambosangana nezvinhu zvakaita semusoro, kuoma kwechipfuva, kana kushaya mweya . Saka, iwe nachiremba wako munofanira kugara muchiziva nezveBP yenyu, kunyanya sezvamunokura. Munogona kuyera BP yenyu kumba ne electronic blood pressure monitor yakanaka uye inodhura. Munogona kuwana mudziyo wakadaro pa pharmacy kana online.

Sei chirwere ichi chisingadzoreki chikaitika? Ndezvipi zvikonzero?

Panogona kuva nezvikonzero zvakawanda zvinoita kuti 'BP ikwire' iite. Izvi zvinogona kubva pamararamiro ako, mimwe mishonga yaunotora, kana zvimwe zvirwere zvaunazvo.

Mararamiro uye chikafu

Zvinotevera zvinogona kukonzera BP yakakwira uye 'BP yakakwira isingadzoreki':

• BMI yako (Body Mass Index) inodarika makumi maviri nemashanu (zvinoreva kuti une mafuta akawanda mumuviri).
• Kusaita maekisesaizi (kusaita maekisesaizi).
• Kudya munyu wakawandisa (iri idambudziko revanhu vazhinji!).
• Kunwa doro zvakanyanya .

Mimwe mishonga

Mimwe yemishonga yaunotora, mishonga yaunonyorerwa nachiremba uye mishonga inotengeswa kunze kwemutero (OTC), inogona kuita kuti zviomere kudzora BP yako. Semuenzaniso:

• Mishonga inouraya marwadzo , kunyanya iyo inonzi ``NSAIDs - Nonsteroidal Anti-inflammatory Drugs)``. Semuenzaniso ``( Ibuprofen )`` uye ``( Naproxen )```.
• Mishonga yekubvisa mhino dzakavharika.
• Mishonga yekudzivirira pamuviri (mapiritsi ekudzivirira pamuviri).
• Mimwe mishonga yemishonga yakaita seGinseng neLicorice.

Zvimwe zvirwere zviri pachena (Zvikonzero zvechipiri)

Dzimwe nguva, mamwe matambudziko ehutano anogona kurapika anogona kunge ari iwo anokonzera 'BP yako isingadzoreki'. Izvi ndizvo zvimwe zvikonzero zvatinoti zvikonzero zvechipiri. Heano mimwe mienzaniso mishoma:

• Kurwara kwakanyanya kweropa: Apa ndipo apo adrenal glands yako inoburitsa mamwe mahormone akawandisa.
• Kuoma kwetsinga dzeitsvo: Uku kutetepa kwetsinga dzinoendesa ropa kuitsvo dzako.
• Chirwere cheitsvo chisingaperi ( CKD ).
• Kutadza kufema zvakanaka pakurara .
• Pheochromocytoma: Bundu rinoumbwa muadrenal gland yako (izvi hazviwanzoitiki).
• Kutetepa kwetsinga yeropa (izvi hazviwanzoitikiwo).
• Chirwere cheCushing: Kugadzirwa kwakanyanya kwemahormone e steroid (izvi hazviwanzoitikiwo).

Ndiani ari panjodzi huru yekubatwa ne'BP isingadzoreki'?

Vanhu vanotevera vane mukana mukuru wekuva ne "BP yakakwira isingadzoreki":

• Kune avo vane chirwere cheitsvo chisingaperi.
• Kune avo vane chirwere cheshuga.
• Kune vatema vekuAmerica, ``(muAfrican American)`` (izvi zvinowanikwa muzvidzidzo zvekuAmerica).
• Kune vakadzi.

Ndezvipi zvinetso zvinogona kuitika kubva muchirwere ichi?

Zvichienzaniswa nevanhu vane BP yakakwira asi ichidzorwa, vanhu vane 'BP yakakwira isingadzoreki', iyo isingadzoreki nyore nemishonga iyi, vari panjodzi huru :

• Kurohwa nechirwere.
• Chirwere cheitsvo chinogona kuitika.
• Kukundikana kwemoyo kunogona kuitika.

Izvi ndizvo zvinofanira kurangarirwa: Izvi zvinoratidza kukosha kwekudzora BP yako, handiti?

Vanachiremba vanoongorora sei 'BP yakakwira isingadzoreki' iyi?

Kuti chiremba wako aongorore 'BP yakakwira isingadzoreki', achaunganidza ruzivo rwakawanda kubva kwauri. Vachafanira kusimbisa zvinotevera:

• Ko BP yako yakayerwa nemazvo here ?
• Uri kutora mishonga yawakanyorerwa nemazvo zuva nezuva here?
• Une chirwere chinonzi "white coat syndrome" here (zvichireva kuti BP yako inongowedzera chete kana ukaenda kuna chiremba).

Kubvunza nezvenhoroondo yako yezvekurapa

Chiremba wako anogona kubvunza zvinhu zvakaita seizvi:

• Wakatanga rini kuva neBP yakakwira?
• Matanho api aunotora kana uchiongorora BP yako kumba?
• Ndeipi mishonga (kusanganisira mishonga yemishonga nemakwenzi) yauri kutora parizvino, uye uri kuitora sezvawakarairwa here?
• Mibvunzo pamusoro pezvikonzero zvechipiri zvinogona kunge zvichikonzera BP yako isingadzoreki.
• Mibvunzo pamusoro pekushandisa doro nefodya.

Kuongororwa kwemuviri

Kuongorora muviri kunotarisa zvinhu izvi:

• Kuchinja kusingawanzoitika mumaziso ako (izvi zvinonzi hypertension retinopathy).
• Ruzha rusina kujairika runonzwika kuburikidza nedzimwe tsinga huru (dzinonzi bruits - vascular murmurs). Ruzha urwu runoratidza kuti idzi tsinga dzeropa dzinogona kunge dzine mafuta asina kujairika, anonzi maplaque.

Miedzo yerabhoritari

Kuongororwa kwemurabhoritari kunogona kusanganisira:

• Kuongororwa kweweti kuti uone kana mune mapuroteni muweti.
• Kuongororwa kweropa kunoongorora huwandu hwe creatinine, glucose, uye electrolytes dzakadai se sodium ne potassium muropa rako.
• Kuongororwa ropa kuti uone kana paine chirwere cheadrenal gland kana cheitsvo.
• Ongororwa chirwere chethyroid, sezvo chirwere chinonzi hypothyroidism chinogona kukonzera BP yakakwira.

Miedzo yemifananidzo

Unogona kuongororwa izvi kuti utarise adrenal glands yako kana kuti uone kana tsinga dzeitsvo dzako dzakatetepa:

• MaX-ray.
• Kuongororwa kweUltrasound.
• Kuongororwa kweCT `(Computer tomography - CT scans)`.

Chiremba wako anogonawo kukurudzira kuti udzidze nezvekurara kwako kuti uone kana uine chirwere chesleep apnea.

Unodzora sei 'BP yakakwira isingadzoreki' iyi? Ndeipi mishonga?

Kuchinja mararamiro uye mishonga zvinogona kushandiswa senzira yekurapa 'BP yakakwira isingadzoreki'.

Kuchinja kwemararamiro

Shanduko dzaunogona kuita ndeidzi:

• Kuderedza munyu (kudya pasi pe2,400 milligrams pazuva) uye kuderedza doro.
• Deredza kushandiswa kweNSAIDs semishonga inoderedza marwadzo uye shandisa chimwe chinhu chakadai separacetamol (Acetaminophen) panzvimbo pezvo.
• Ita zvekurovedza muviri panze kwemaminitsi makumi matatu pazuva, mazuva akati wandei pasvondo.

Mishonga

Kurapa 'BP isingadzoreki' dzimwe nguva kunogona kuva nyore sekuva nechokwadi chekuti uri kutevedzera mirairo yekutora mushonga wako. Kutaura zvazviri, muzviitiko zvinenge 40% zve 'BP isingadzoreki', mishonga haishande nemazvo nekuti vanhu havaitore nemazvo . Kuti uwane zvakawanda kubva pamushonga wako, unofanirwa kuutora zuva nezuva, pachiyero chakakodzera, uye nenguva yakakodzera zuva rega rega .

Kana uchinetseka nekutora mushonga wako, iva nechokwadi chekutaura nachiremba wako . Ungasakwanisa kutora mushonga wako zvakanaka nekuda kwemigumisiro. Kana uri kuwana migumisiro kubva kune mumwe mushonga, chiremba wako anogona kukupa mumwe mushonga. Kana kuti vanogona kukuchinja kuti uwane mushonga waunoda kunwa kamwe chete pazuva. Usamborega kutora mushonga wako usina kutaura nachiremba wako.

Kana uri kutora mushonga wako nemazvo uye uchiri ne "BP yakakwira isingadzoreki", chiremba wako anogona kuwedzera mumwe mushonga. Vamwe vanhu vangangoda kutora mhando ina kana shanu dzakasiyana dzemishonga yeBP. Mhando dzemishonga yeBP dzakajairika ndeidzi:

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

Zvichienderana nehuwandu hwepotassium mumuviri wako, chiremba wako angangoda kuwedzera kaviri mushonga wako wekubvisa mvura mumuviri, kuwedzera mushonga wechina - mushonga unodzivirira ropa wakadai sespironolactone - kudzora BP yako. Kana chiremba wako angasarudza mushonga unodzivirira ropa.

Migumisiro yekurapwa

Mishonga inenge yese inogona kukonzera migumisiro yakaipa. Migumisiro yakaipa yemishonga yeBP inosanganisira:

• Dzungu.
• Musoro.
• Kuda kuita weti nguva nenguva.
• Kuzvimba (kuomerwa nekuenda kuchimbuzi).
• Kukosora kwakaoma.
• Kuneta.

Ungaderedza sei njodzi ye 'BP isingadzoreki'?

Kuti BP yako isarambe ichirwara, ita zvinotevera:

• Tevedzera mirairo yachiremba wako zvakananga nezvekutora mishonga yako yeBP.
• Ramba uine huremu hwakanaka hunokunakira.
• Edza muviri kwemaminitsi zana nemakumi mashanu pasvondo (ita izvi kwemazuva matatu kusvika mashanu).
• Deredza huwandu hwemunyu waunodya.
• Deredza huwandu hwedoro raunonwa.
• Rara zvakanaka husiku hwese.

Chii chandinofanira kutarisira kana ndine 'BP yakakwira isingadzoreki'?

Vanhu vazhinji vane 'BP yakakwira isingadzoreki' vanogona kudzora BP yavo nemishonga. Pamusoro pekunyorerwa mishonga, chiremba wenyu angangoda kuedza nzira dzakasiyana siyana. Semuenzaniso, kuchinja kubva kune imwe diuretic kuenda kune ine simba, kana kuti mutore mushonga wenyu usinganyungudike husiku.

Ndinozvitarisira sei?

Kurarama neBP yakakwira chinhu chaunofanira kuita zuva rese, zuva nezuva. Kuzvitarisira kunosanganisira:

• Kutora mishonga yeBP yako panguva yakakodzera uye nemupimo wakakodzera .
• Kuderedza huwandu hwemunyu nedoro zvaunodya uye zvaunonwa.
• Kuenda kunoona chiremba pamazuva akarongwa (nguva dzekuona chiremba).
• Kurovedza muviri nguva dzose .
• Kuramba uine huremu hwakanaka hunokunakira.
• Kutarisa BP yako kumba.

Ndezvipi zvinhu zvakanakisisa zvekudya kana uine 'BP yakakwira' isingadzoreki?

Munyu unowedzera BP yako , saka zvakanaka kuti usazvidye. Asi ungasaziva kuti ndezvipi zvekudya zvine munyu. Ungashamisika kuziva kuti zvekudya zvemuresitorendi nezvikafu zvakagadzirwa zvine munyu wakawanda . Kudzivisa uye/kana kuderedza kudya uku kunogona kubatsira kuderedza huwandu hwemunyu waunodya.

Ndinofanira kuona chiremba wangu rini?

Ona chiremba wako kana:

• Kana uchinetseka nekutora mushonga wawakanyorerwa nachiremba wako.
• Kana ukatora mishonga yako yese sezvawakarairwa, asi BP yako ichiri yakakwira .

Ndinofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Dambudziko reBP chirwere chinoda kurapwa nekukurumidza . Muchiitiko ichi, BP yako inongoerekana yakwira zvakanyanya (180/120 millimeters yemercury - `180/120 mmHg`), uye unonzwa zviratidzo zvakaita se:

• Musoro wakanyanya.
• Kurwadziwa pachipfuva (sekunge ruzha rukuru).
• Dzungu.
• Kutadza kufema zvakanaka.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Unogona kubvunza chiremba wako mibvunzo yakaita seiyi:

• Ndinofanira kuchinja mishonga yangu here?
• Ndeipi mishonga yeBP yakandinakira?
• Ndinofanira kuongorora BP yangu kangani kumba?
• Ndinofanira kuuya kuzokuonai kangani kuti muzosanganazve?

Zvinogona kuodza mwoyo kana uchitora mishonga yakawanda asi usingaone kuvandudzika. Kana uri kushandisa mishonga mitatu yakasiyana yeBP, zvinogona kuita sekunge zvakaoma kuti BP yako idzokere payakajairika. Kutaura nachiremba wako chokwadi kunogona kukubatsira kuwana mhinduro yedambudziko iri. Zviri nani kubvunza mibvunzo nezvechero chausingazive.

Chekupedzisira, yeuka izvi (Mharidzo Yekuenda Kumba)

Kurwara neBP kusingapindi simba chirwere chakaoma, asi hazvirevi kuti haugone kuchidzora.

• Kuongororwa kweropa kwakakodzera kwakakosha zvikuru. Panogona kunge paine chimwe chikonzero chinokonzera BP yako.
• Zvakakosha kutora mushonga wako nemazvo, nenguva, uye muchiyero chakanyorwa. Kana uine mibvunzo, taura nachiremba wako.
• Kuchinja mararamiro kunogona kukanganisa zvikuru. Usakanganwa zvinhu zvakaita sekuderedza munyu, kurovedza muviri, uye kuchengetedza huremu hwakanaka.
• Ramba uchitaurirana nachiremba wako zvakanaka . Taura pachena nezvematambudziko ako, manzwiro ako, uye migumisiro yemishonga yako.
• Usamborega kutora mishonga kana kuchinja mwero wemushonga wega.

Yeuka kuti hausi wega uri parwendo urwu. Chiremba wako nechikwata chehutano varipo kuti vakubatsire. Nekushivirira zvishoma, kurapwa kwakakodzera, uye shanduko dzemararamiro, iwewo unogona kudzora dambudziko iri!