Uri kutora mishonga yeBP yako asi haisi kudzorwa nemazvo here? Kana kuti une BP yakakwira kunyangwe uri mudiki here? Ungafunga kuti ndizvo zvinoreva BP yakakwira. Asi hazvisi zvese zvirwere zveBP zvinogona kuva nechikonzero chaicho. Dzimwe nguva, chimwe chirwere mumuviri wedu, mushonga watinotora, chinogona kunge chiri chikonzero cheBP yakakwira. Nhasi, tiri kutaura nezveBP yakakwira inokonzerwa nechikonzero chakadaro, kureva BP yechipiri .
Chii chinonzi Secondary Hypertension?
Zvichitaurwa zviri nyore, izvi zvinoreva kukwira kweropa kunokonzerwa nechikonzero chaicho chinozivikanwa , senge chimwe chirwere mumuviri wedu kana mushonga watiri kunwa.
Kumanikidzwa kweropa kwakajairika kwatinoziva vazhinji vedu, sezvinotaurwa navanachiremba, hakugoni kuwanikwa kwePrimary Hypertension . Kunokonzerwa nezvinhu zvakawanda zvakaita semajini edu, mararamiro edu, zvatinodya, uye kusaita maekisesaizi. Asi mu 'Secondary Hypertension', hazvina kudaro, tinogona kunongedzera munwe wedu toti, 'Ah... ichi ndicho chikonzero chekumanikidzwa'.
Fungidzira izvi. Mvura inobva mupombi yako yadzikira. Unotarisa kuti mvura iri mutangi here. Mvura iriko. Saka dambudziko nderei? Pamwe pane chinhu chakanamira mupombi yemvura. Ndizvo zvazviri neizvi. Kumanikidzwa kwakanyanya, asi chikonzero cheizvozvo hachisi dambudziko nekumanikidzwa pachako, asi dambudziko kune imwe nzvimbo mumuviri.
Vanachiremba vaimbofunga kuti 5% kusvika 10% chete yevanhu vane BP yakanyanya ndivo vaiva neBP yechipiri. Asi tsvakiridzo itsva inoratidza kuti nhamba iyi inogona kunge yakakwira zvakanyanya, nekuti chirwere ichi chinowanzoonekwa zvisizvo uye chinoonekwa seBP yakajairika.
Ndezvipi zvikonzero zvikuru zveBP yechipiri?
Zvino ungave uchishamisika kuti rudzii rwezvirwere zvinogona kukonzera izvi. Tarisa runyorwa urwu. Izvi ndizvo zvinonyanya kukonzera. Ngatitarise chimwe nechimwe cheizvi zvakadzama.
| Chikonzero | Tsananguro iri nyore |
|---|---|
| Kuora Mwoyo Kusingadzoreki | Panguva yekurara, tsandanyama dziri pahuro dzinozorora uye nzira yekufema inovharika, zvichiita kuti kufema kumire kwechinguva. Panguva iyi, mwero weokisijeni mumuviri unodzikira, zvichiwedzera kuomesa mwoyo. Izvi pazvinoenderera mberi, BP inowedzera. |
| Kuoma kwetsinga dzeitsvo | Itsvo inhengo inokosha inodzora BP mumuviri wedu. Kana tsinga dzinodzipa ropa dzikava diki, itsvo hadziwani ropa rakakwana. Itsvo dzinobva dzafunga kuti BP mumuviri yakaderera, saka dzinoburitsa mahormone anowedzera BP. |
| Matambudziko eMahormone | Semuenzaniso, muzvirwere zvakaita sePrimary Aldosteronism (Conn's Syndrome) neCushing Syndrome , mahormone anodzora huwandu hwemunyu nemvura mumuviri anogadzirwa zvakanyanya. Izvi zvinokonzera kukwira kweropa. Kumanikidzwa kunogonawo kuchinja nekuda kwekuwedzera kwe (Hyperthyroidism) kana kudzikira kwe (Hypothyroidism) kwegland re thyroid. |
| Chirwere cheParenchymal cheItsvo | Zvirwere zvinokuvadza itsvo pachadzo zvinoita kuti dzisakwanise kudzora huwandu hwemvura nemunyu mumuviri, izvo zvinogonawo kukonzera BP yakakwira. |
| Mimwe mishonga nezvimwe zvinhu | Zvimwe zvezvinhu zvatinoshandisa, zvakaita semishonga inoderedza marwadzo, mapiritsi ekudzivirira pamuviri, uye mishonga inotonhora, zvinogona kuwedzera BP. Pamusoro pezvo, kunwa doro zvakanyanya, fodya, uye kushandisa zvimwe zvinodhaka zvinogonawo kukanganisa. |
| Mamwe marudzi emamota | Mamota anokura muadrenal glands, akadai sepheochromocytoma neparaganglioma, anogadzira mahormone akawandisa. Mahormone aya anogona kukonzera kurova kwemoyo nekukurumidza uye BP. |
| Chirwere chemwoyo chekuzvarwa nacho (Coarctation of the Aorta) | Izvi zvinoitika kana aorta, tsinga huru yeropa inotakura ropa kubva pamwoyo kuenda kumuviri, ikava diki. Izvi zvinoita kuti mwoyo ushande nesimba kupomba ropa munzvimbo yakamanikana. Izvi zvinowedzera kumanikidzwa. |
Mishonga nezvimwe zvinhu zvinogona kuwedzera BP
Mimwe mishonga yatinotora inogonawo kuwedzera BP yedu tisingazive.
- Mimwe mishonga yedzihwa neallergies (Decongestants)
- Mishonga Inoderedza Marwadzo (NSAIDs)
- Mapiritsi ekudzivirira pamuviri (Oral Contraceptives)
- Mimwe mishonga yekuora mwoyo
- Corticosteroids - semuenzaniso prednisone
- Mishonga inodzvinyirira muviri
- Mimwe mishonga yekurapa kenza
Chinonyanya kukosha: Kunyangwe kana uchifungidzira kuti mushonga wawakanyorerwa nachiremba wako uri kukonzera kukwira kweropa rako, usamborega kuutora wega. Zvakakosha kutanga wataura nachiremba wako wotsvaga mazano.
Pamusoro pezvo, kunwa doro zvakanyanya, kushandisa nicotine, mimwe mishonga inovaka muviri , uye kushandisa zvinodhaka zvisiri pamutemo ndizvo zvimwe zvinokonzera BP.
Ndezvipi zviratidzo zveBP yechipiri?
Kazhinji, hapana zviratidzo zvine chekuita neBP yepamusoro. Izvi zvinoreva kuti ungasaona mutsauko mukuru muBP yako (kunze kwekunge yakwira zvine njodzi). Zvisinei, unogona kuona zviratidzo zvechirwere chiri kukonzera BP .
Semuenzaniso, kana BP yako ichikonzerwa nedambudziko rethyroid, unogona kuona zviratidzo zvakaita sekurova kwemoyo zvakanyanya, kudikitira zvakanyanya, uye kudzikira kwehuremu. Saizvozvowo, zviratidzo zvinosiyana zvichienderana nechikonzero chacho.
Chiremba anonyumwa nezveizvi riini?
Pane zvinhu zvakati wandei zvinogona kuita kuti chiremba wako afungidzire kuti une BP yechipiri. Izvi zvinonzi "zviratidzo zvinorwadza" zvechirwere ichi.
- Kana BP yako yagara iri pasi pesimba uye ikangoerekana yawedzera.
- Kana munhu ari pasi pemakore makumi matatu akaonekwa neBP yakakwira.
- Kana kumanikidzwa kukangoerekana kwakwira zvine njodzi (Hypertensive Crisis).
- Kana BP yako isingakwanise kudzorwa kunyangwe uchishandisa mishonga mitatu kana kupfuura (Resistant Hypertension).
Pamusoro peizvi,Kana BP yemwana mudiki ikawedzera asati asvika pakuyaruka, ichocho ndicho chinhu chikuru chinoita kuti titsvage chimwe chikonzero.
Ndezvipi njodzi dziripo kana dzikasarapwa?
Kana chirwere ichi chikasarapwa, BP yakareba inogona kukanganisa moyo, mitsipa yeropa, uropi, neitsvo. Tinoti chirwere chemwoyo chinokwira zvakanyanya .
Uyewo, matambudziko anogona kukonzerwa nechirwere chakakonzera kumanikidzwa. Asi pane chimwe chinhu chakanaka pane izvi. Kuziva 'BP Yechipiri' kunogona kuva chiratidzo chekutanga chekuziva chimwe chirwere chakanga chakavanda mumuviri wako. Saka, kurapa chirwere ichi idanho rakanaka rekugadzirisa chirwere chacho zvakare.
Vanachiremba vanoongorora sei chirwere ichi?
Nekuti kune zvikonzero zvakawanda, dzimwe nguva zvinotora nguva kuti uwane chirwere chakarurama. Chiremba angafanira kubvisa zvimwe zvinokonzera uye kuferefeta zvimwe zvakadzama.
Maitiro ekuyedza anowanzoita seizvi:
1. Kuongorora kwekutanga: Kutanga, chiremba wako achakuongorora muviri wako, obvunza nezvenhoroondo yako yehutano, mishonga yaunotora, uye zvekudya zvinovaka muviri zvaunotora. Achataurawo nezvekudya kwako, munyu waunonwa, uye doro raunonwa.
2. Bvunzo dzekutanga: Zvadaro bvunzo yeEKG (ECG) , bvunzo dzekutanga dzeropa neweti dzinoitwa.
3. Miedzo yakasarudzika: Kana chikonzero chisina kujeka kubva mumiedzo yekutanga, mimwe miedzo yakasarudzika inoitwa zvichienderana nemamiriro ezvinhu ehutano anofungidzirwa.
- Ultrasound yeitsvo
- CT Angiogram kana MRA (scan chaiyo inotarisa mitsipa yeropa)
- Kudzidza kurara kana polysomnography
- Kuongororwa kwakawanda kweropa neweti kuti uone huwandu hwemahormone chaiwo
Inorapwa sei?
Kurapwa kweizvi kunoenderana zvachose nechikonzero chekumanikidzwa. Hapana mushonga mumwe chete unokodzera zvese. Chiremba wako achagadzira hurongwa hwekurapa hwakakunakira uye achakutsanangurira.
Chirongwa chako chekurapa chingasanganisira:
- Kutora mishonga yekuderedza BP.
- Kutora mimwe mishonga yekurapa chirwere chiripo.
- Kuchinja zvekudya (semuenzaniso kuderedza munyu).
- Kuderedza kunwa doro.
- Kurega kusvuta zvachose.
- Kuita maekisesaizi emuviri nguva dzose.
- Kana uchinetseka kufema panguva yekurara, shandisa mudziyo wakaita semuchina weCPAP .
- Mune zvimwe zviitiko, kuvhiyiwa kana mamwe maitiro ekurapa angadikanwa.
Kurapa chirwere ichi kunogona kupa mhedzisiro yakanaka kwazvo. Kana chikonzero chacho charapwa zvakanaka, BP yako inogona kudzokera payakajairika. Kana BP yako ikaramba yakakwira zvishoma, ungangoda kuramba uchitora mishonga yekuidzora. Chinhu chakakosha ndechekuwana chikonzero chacho uye kuchirapa zvakanaka.
Mharidzo Yekuenda Nayo Kumba
- Haasi ese matambudziko eBP akafanana. Panogona kunge paine chikonzero chaicho chinozivikanwa cheBP yako.
- Kana BP yako isingadzoreki nemishonga, kana yakatanga uri mudiki, kana ikangoerekana yawedzera, iva nechokwadi chekutaura nachiremba wako nezvazvo.
- Kana chikonzero chacho chikarapwa, kumanikidzwa kunogona kudzorwa, uye dzimwe nguva kutopera zvachose.
- Dzivisa kurega mushonga wawakanyorerwa nachiremba wega. Kana uine mibvunzo kana zvinokunetsa, tanga wakurukura nachiremba wako.
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