Kuthamanga kwa magazi - akuluakulu

Kuthamanga kwa magazi ndiyeso yamphamvu yomwe imagwiritsidwa ntchito pamakoma amitsempha yanu pomwe mtima wanu umapopa magazi mthupi lanu. Kuthamanga kwa magazi ndi mawu omwe amagwiritsidwa ntchito pofotokoza kuthamanga kwa magazi.

Kuthamanga kwa magazi osachiritsidwa kumatha kubweretsa zovuta zambiri zamankhwala. Izi zikuphatikiza matenda amtima, sitiroko, kulephera kwa impso, mavuto amaso, ndi mavuto ena azaumoyo.

Kuwerengedwa kwa kuthamanga kwa magazi kumaperekedwa ngati manambala awiri. Nambala yapamwamba imatchedwa systolic magazi. Nambala yapansi imatchedwa diastolic magazi. Mwachitsanzo, 120 yoposa 80 (yolembedwa ngati 120/80 mm Hg).

Imodzi kapena manambala onsewa akhoza kukhala okwera kwambiri. (Chidziwitso: Manambalawa amagwiritsidwa ntchito kwa anthu omwe samamwa mankhwala a kuthamanga kwa magazi komanso omwe sakudwala.)

• Kuthamanga kwa magazi nthawi zambiri kuthamanga kwa magazi kwanu kumakhala kotsika kuposa 120/80 mm Hg nthawi zambiri.
• Kuthamanga kwa magazi (kuthamanga kwa magazi) ndipamene nthawi imodzi kapena zonse ziwiri zomwe mumakonda kuwerenga zimaposa 130/80 mm Hg nthawi zambiri.
• Ngati kuchuluka kwa kuthamanga kwa magazi kumakhala pakati pa 120 ndi 130 mm Hg, ndipo nambala yotsika ya magazi ndiyosakwana 80 mm Hg, amatchedwa kuthamanga kwamwazi.

Ngati muli ndi vuto la mtima kapena impso, kapena munagwidwa ndi stroke, dokotala wanu angafune kuti kuthamanga kwa magazi kwanu kukhale kotsika kwambiri kuposa kwa anthu omwe alibe matendawa.

Zinthu zambiri zimakhudza kuthamanga kwa magazi, kuphatikizapo:

• Kuchuluka kwa madzi ndi mchere womwe muli nawo mthupi lanu
• Mkhalidwe wa impso zanu, dongosolo lamanjenje, kapena mitsempha yamagazi
• Mahomoni anu

Mutha kuuzidwa kuti kuthamanga kwa magazi kwanu ndikokwera kwambiri mukamakalamba. Izi ndichifukwa choti mitsempha yanu yamagazi imawuma mukamakalamba. Izi zikachitika, kuthamanga kwa magazi kwanu kumakwera. Kuthamanga kwa magazi kumawonjezera mwayi wanu wokhala ndi stroke, matenda amtima, kulephera kwa mtima, matenda a impso, kapena kufa msanga.

Muli ndi chiopsezo chachikulu cha kuthamanga kwa magazi ngati:

• Ndi African American
• Ndi onenepa
• Nthawi zambiri amakhala ndi nkhawa kapena kuda nkhawa
• Imwani mowa wambiri (kuposa chakumwa chimodzi patsiku kwa amayi komanso zakumwa zoposa 2 patsiku kwa amuna)
• Idyani mchere wambiri
• Khalani ndi mbiri yabanja yothamanga magazi
• Khalani ndi matenda ashuga
• Utsi

Nthawi zambiri, palibe chifukwa cha kuthamanga kwa magazi komwe kumapezeka. Izi zimatchedwa matenda oopsa kwambiri.

Kuthamanga kwa magazi komwe kumayambitsidwa ndi matenda ena kapena mankhwala omwe mukugwiritsa ntchito amatchedwa kuthamanga kwa magazi kwachiwiri. Matenda oopsa a sekondale atha kukhala chifukwa cha:

• Matenda a impso
• Kusokonezeka kwa adrenal gland (monga pheochromocytoma kapena Cushing syndrome)
• Hyperparathyroidism
• Mimba kapena preeclampsia
• Mankhwala monga mapiritsi oletsa kubereka, mapiritsi a zakudya, mankhwala ozizira, mankhwala a migraine, corticosteroids, ma antipsychotic, ndi mankhwala ena omwe amachiza khansa
• Mitsempha yochepetsedwa yomwe imapereka magazi ku impso (aimpso artery stenosis)
• Kulepheretsa kugona tulo (OSA)

Nthawi zambiri, sipakhala zisonyezo. Kwa anthu ambiri, kuthamanga kwa magazi kumapezeka akapita kukawawona kapena kukafufuza kwina.

Chifukwa palibe zisonyezo, anthu amatha kudwala matenda amtima ndi impso osadziwa kuti ali ndi kuthamanga kwa magazi.

Matenda oopsa kwambiri ndi oopsa kwambiri othamanga kwambiri magazi. Zizindikiro zimaphatikizapo:

• Mutu wopweteka kwambiri
• Nseru ndi kusanza
• Kusokonezeka
• Masomphenya akusintha
• Kutulutsa magazi m'mphuno

Kuzindikira kuthamanga kwa magazi koyambirira kumatha kuthandiza kupewa matenda amtima, sitiroko, mavuto amaso, ndi matenda a impso.

Yemwe amakupatsani amayesa kuthamanga kwa magazi nthawi zambiri asanakudziwe kuti muli ndi kuthamanga kwa magazi. Sizachilendo kuthamanga kwa magazi kwanu kukhala kosiyana kutengera nthawi yamasana.

Akuluakulu onse azaka zopitilira 18 ayenera kuyezetsa magazi awo chaka chilichonse. Kuyeza pafupipafupi kumafunikira kwa iwo omwe ali ndi mbiri yowerengera kuthamanga kwa magazi kapena omwe ali ndi zoopsa zakuthamanga kwa magazi.

Kuwerengedwa kwa kuthamanga kwa magazi komwe kumatengedwa kunyumba kumatha kukhala muyeso wabwino wamagazi anu aposachedwa kuposa omwe amatengedwa kuofesi ya omwe amakupatsani.

• Onetsetsani kuti mwapeza makina oyang'anira kuthamanga kwa magazi wabwino. Iyenera kukhala ndi khafu yoyenera kukula komanso kuwerenga kwa digito.
• Yesetsani ndi omwe akukuthandizani kuti muwonetsetse kuti mukumwa magazi anu moyenera.
• Muyenera kukhala omasuka ndikukhala pansi kwa mphindi zingapo musanawerenge.
• Bweretsani polojekiti yanu kunyumba kuti muwonetsetse omwe akukuthandizani kuti awonetsetse kuti ikugwira bwino ntchito.

Wothandizira anu amayesa thupi kuti aone ngati ali ndi matenda amtima, kuwonongeka kwa maso, ndi zosintha zina m'thupi lanu.

Mayeso amathanso kuchitidwa kuti mufufuze:

• Kuchuluka kwa cholesterol
• Matenda amtima, pogwiritsa ntchito mayeso monga echocardiogram kapena electrocardiogram
• Matenda a impso, pogwiritsa ntchito mayeso monga gawo loyambira la kagayidwe kachakudya ndi urinalysis kapena ultrasound ya impso

Cholinga cha chithandizo ndikuchepetsa kuthamanga kwa magazi kuti mukhale ndi chiopsezo chochepa chazovuta zathanzi zomwe zimayambitsidwa ndi kuthamanga kwa magazi. Inu ndi wothandizira anu muyenera kukhazikitsa cholinga chothana ndi magazi.

Nthawi zonse mukamaganizira za chithandizo chabwino kwambiri cha kuthamanga kwa magazi, inu ndi omwe mumakupatsani muyenera kuganizira zina monga:

• Zaka zanu
• Mankhwala omwe mumamwa
• Chiwopsezo chanu chazotsatira zoyipa za mankhwala
• Matenda ena omwe mungakhale nawo, monga mbiri ya matenda amtima, sitiroko, mavuto a impso, kapena matenda ashuga

Ngati kuthamanga kwa magazi kuli pakati pa 120/80 ndi 130/80 mm Hg, mwakwera kuthamanga kwa magazi.

• Wothandizira anu amalimbikitsa kusintha kwamachitidwe kuti magazi anu azithamanga kwambiri.
• Mankhwala samagwiritsidwa ntchito kawirikawiri panthawiyi.

Ngati kuthamanga kwa magazi kukuposa 130/80, koma kutsika kuposa 140/90 mm Hg, muli ndi Gawo 1 kuthamanga kwa magazi. Mukamaganizira zamankhwala abwino kwambiri, inu ndi omwe mungakupatseni muyenera kuganizira:

• Ngati mulibe matenda ena alionse kapena zoopsa, omwe akukuthandizani angakulimbikitseni kusintha kwa moyo wanu ndikubwereza miyezo pambuyo pa miyezi ingapo.
• Ngati kuthamanga kwanu kwa magazi kumakhalabe pamwamba pa 130/80, koma kutsika kuposa 140/90 mm Hg, omwe akukuthandizani angakulimbikitseni mankhwala ochizira kuthamanga kwa magazi.
• Ngati muli ndi matenda ena kapena zoopsa, omwe amakuthandizani atha kuyamba mankhwala nthawi yomweyo kusintha kwa moyo.

Ngati kuthamanga kwanu kwa magazi ndikokwera kuposa 140/90 mm Hg, muli ndi Gawo 2 kuthamanga kwa magazi. Omwe amakuthandizani atha kukuyambitsani zamankhwala ndikulimbikitsani kusintha kwamachitidwe.

Asanadziwe komaliza kuti ali ndi kuthamanga kwa magazi kapena kuthamanga kwa magazi, omwe akukuthandizani akuyenera kukupemphani kuti magazi anu ayesedwe kunyumba, ku pharmacy yanu, kapena kwina kulikonse kupatula ofesi yawo kapena chipatala.

ZINTHU ZIMASINTHA

Mutha kuchita zinthu zambiri kuti muthane ndi kuthamanga kwa magazi, kuphatikiza:

• Idyani chakudya chopatsa thanzi, kuphatikiza potaziyamu ndi fiber.
• Imwani madzi ambiri.
• Pezani osachepera mphindi 40 zolimbitsa thupi zolimbitsa thupi osachepera masiku 3 kapena 4 pasabata.
• Mukasuta, siyani.
• Chepetsani kumwa mowa womwe mumamwa pakumwa kamodzi patsiku kwa akazi, ndipo 2 patsiku kwa amuna kapena ochepera.
• Chepetsani kuchuluka kwa sodium (mchere) womwe mumadya. Ganizirani zosakwana 1,500 mg patsiku.
• Kuchepetsa nkhawa. Yesetsani kupewa zinthu zomwe zimakupsetsani nkhawa, ndikuyesani kusinkhasinkha kapena yoga kuti muchepetse nkhawa.
• Khalani pa thupi lolemera.

Wothandizira anu akhoza kukuthandizani kupeza mapulogalamu ochepetsa thupi, kusiya kusuta, komanso kuchita masewera olimbitsa thupi.

Muthanso kutumizidwa kwa katswiri wa zamankhwala, yemwe angakuthandizeni kukonzekera zakudya zabwino kwa inu.

Kuchepetsa kuthamanga kwa magazi kwanu kuyenera kukhala kotsika motani komanso pamlingo wotani womwe muyenera kuyamba kulandira chithandizo payekha, kutengera msinkhu wanu komanso mavuto aliwonse azachipatala omwe muli nawo.

MANKHWALA OCHITITSA MAFUNSO

Nthawi zambiri, omwe amakupatsani amayesa kusintha kakhalidwe koyamba, ndikuwunika kuthamanga kwa magazi kawiri kapena kupitilira apo. Mankhwala atha kuyambika ngati kuwerengetsa magazi kwanu kukadakhala pamwambapa kapena kupitilira milingo iyi:

• Nambala yayikulu (systolic pressure) ya 130 kapena kupitilira apo
• Nambala yapansi (diastolic pressure) ya 80 kapena kupitilira apo

Ngati muli ndi matenda ashuga, mavuto amtima, kapena mbiri yakufooka, mankhwala amatha kuyambitsidwa powerenga kuthamanga kwa magazi. Magazi omwe amagwiritsidwa ntchito kwambiri kwa anthu omwe ali ndi mavuto azachipatala ali pansipa 120 mpaka 130/80 mm Hg.

Pali mankhwala osiyanasiyana omwe amachiza kuthamanga kwa magazi.

• Kawirikawiri, mankhwala amodzi a kuthamanga kwa magazi sangakhale okwanira kuchepetsa kuthamanga kwa magazi, ndipo mungafunike kumwa mankhwala awiri kapena kuposa.
• Ndikofunika kwambiri kuti mumwe mankhwala omwe akupatsani.
• Ngati muli ndi zovuta, dokotala wanu akhoza kutenga mankhwala ena m'malo mwake.

Nthawi zambiri, kuthamanga kwa magazi kumatha kuwongoleredwa ndi mankhwala komanso kusintha kwa moyo.

Ngati kuthamanga kwa magazi sikuyendetsedwa bwino, muli pachiwopsezo cha:

• Kutuluka magazi kuchokera ku aorta, chotengera chachikulu chamagazi chomwe chimapereka magazi pamimba, m'chiuno, ndi miyendo
• Matenda a impso
• Matenda a mtima ndi kulephera kwa mtima
• Magazi osakwanira m'miyendo
• Mavuto ndi masomphenya anu
• Sitiroko

Ngati muli ndi kuthamanga kwa magazi, mumayezetsa pafupipafupi ndi omwe amakupatsani.

Ngakhale simunapezeke kuti muli ndi kuthamanga kwa magazi, ndikofunikira kuti magazi anu ayesedwe mukamakayezetsa magazi, makamaka ngati wina m'banja mwanu ali ndi kuthamanga kwa magazi kapena kuthamanga kwa magazi.

Itanani omwe akukuthandizani nthawi yomweyo ngati kuwunika kwanu kukuwonetsa kuti kuthamanga kwa magazi kwanu ndikokwera.

Anthu ambiri amatha kuteteza kuthamanga kwa magazi kuti asachitike potsatira kusintha kwa moyo wawo komwe kumapangitsa kuti magazi azithamanga.

Matenda oopsa; HBP

• Zoletsa za ACE
• Angioplasty ndi stent - mtima - kutulutsa
• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Batala, majarini, ndi mafuta ophikira
• Cholesterol ndi moyo
• Kulamulira kuthamanga kwa magazi
• Kusamalira maso a shuga
• Matenda ashuga - kupewa matenda amtima komanso kupwetekedwa mtima
• Matenda a shuga - kusamalira mapazi anu
• Kuyesedwa kwa matenda ashuga ndikuwunika
• Mafuta azakudya anafotokoza
• Malangizo achangu
• Matenda a mtima - kutulutsa
• Matenda a mtima - zoopsa
• Kulephera kwa mtima - kutulutsa
• Mtima kulephera - madzi ndi okodzetsa
• Kulephera kwa mtima - kuwunika nyumba
• Kulephera kwa mtima - zomwe mungafunse dokotala wanu
• Kuthamanga kwa magazi - zomwe mungafunse dokotala wanu
• Momwe mungawerenge zolemba za chakudya
• Chodetsa cha mtima wamafuta - kutulutsa
• Kuchotsa impso - kutulutsa
• Zakudya zamcherecherere
• Zakudya zaku Mediterranean
• Lembani 2 matenda ashuga - zomwe mungafunse dokotala wanu

• Kuwunika kuthamanga kwa magazi
• Matenda oopsa omwe sanatengeke
• Zosintha m'moyo
• DASH zakudya
• Kuthamanga kwa magazi
• Kufufuza kwa magazi
• Kuthamanga kwa magazi

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