Kumvetsetsa Kupsinjika Kwakukulu

Zamkati

• Kodi kuthamanga kwa pulse kumayesedwa bwanji?
• Kodi kuthamanga kwakukulu kumawonetsa chiyani?
• Zizindikiro zake ndi ziti?
• Zimathandizidwa bwanji?
• Zosintha m'moyo
• Mankhwala
• Mfundo yofunika

Kodi kupanikizika kwakukulu ndi kotani?

Kupsinjika kwa magazi ndi kusiyana pakati pa systolic magazi anu, yomwe ndi nambala yabwino kwambiri yowerengera kuthamanga kwa magazi, ndi diastolic magazi, yomwe ndi nambala yapansi.

Madokotala amatha kugwiritsa ntchito kuthamanga kwa mtima ngati chisonyezo cha momwe mtima wanu ukugwirira ntchito. Kuthamanga kwakukulu nthawi zina kumatchedwa kuthamanga kwakukulu. Izi ndichifukwa choti pali kusiyana kwakukulu kapena kwakukulu pakati pamagetsi a systolic ndi diastolic.

Kuthamanga kotsika pang'ono ndikosiyana kochepa pakati pama systolic anu ndi diastolic. Nthawi zina, kuthamanga pang'ono kungakhalenso chizindikiro cha mtima wosagwira bwino ntchito.

Anthu ambiri amakhala ndi vuto lokakamira pakati pa 40 ndi 60 mm Hg. Nthawi zambiri, chilichonse pamwambapa chimawerengedwa kuti chimakakamiza kwambiri.

Pemphani kuti mumve zambiri za zomwe kuthamanga kwanu kungakuuzeni za thanzi la mtima wanu.

Kodi kuthamanga kwa pulse kumayesedwa bwanji?

Kuti muyese kuthamanga kwanu, dokotala wanu ayamba kuyesa kuyeza kwanu. Atha kugwiritsa ntchito chophikira cha kuthamanga kwa magazi kapena chida chotchedwa sphygmomanometer. Akakhala ndi ma systolic komanso diastolic, amachotsa diastolic pressure yanu kuchokera ku systolic pressure. Nambala yotsatirayi ndi kukakamizidwa kwanu.

Kodi kuthamanga kwakukulu kumawonetsa chiyani?

Kupsyinjika kwakukulu kumatha kuwonetsa kusintha kwamapangidwe kapena ntchito yamtima wanu. Izi zitha kuchitika chifukwa cha:

• Valavu obwezeretsanso. Mwa ichi, magazi amayenda cham'mbuyo kudzera mumavavu amtima wanu. Izi zimachepetsa kupopera magazi kudzera mumtima mwanu, ndikupangitsa mtima wanu kugwira ntchito molimbika kupopera magazi okwanira.
• Kuuma kwa aortic. Aorta ndiye mtsempha wamagazi waukulu womwe umagawa magazi okosijeni mthupi lanu lonse. Kuwonongeka kwa aorta yanu, nthawi zambiri chifukwa cha kuthamanga kwa magazi kapena mafuta, kumatha kuyambitsa kuthamanga kwa magazi.
• Kuchepetsa kuchepa kwachitsulo. Momwemonso, mulibe maselo okwanira a hemoglobin m'magazi anu chifukwa chosowa chitsulo.
• Hyperthyroidism. Chithokomiro chanu chimapanga mahomoni ambiri otchedwa thyroxine, omwe amakhudza machitidwe ambiri amthupi lanu, kuphatikiza kugunda kwa mtima wanu.

Kukhala ndi kuthamanga kwakukulu kumapangitsanso chiopsezo chanu chokhala ndi vuto lotchedwa atrial fibrillation. Izi zimachitika gawo lalikulu kwambiri pamtima wanu, lotchedwa atria, limagwedezeka m'malo momagunda mwamphamvu. Malingana ndi Harvard Health, munthu amene ali ndi vuto lalikulu la kuthamanga kwa magazi ndi 23% omwe angakhale ndi matenda a atrial. Izi zikufaniziridwa ndi 6 peresenti ya iwo omwe kupsinjika kwawo kumakhala pansi pa 40 mm Hg.

Kupsinjika kwakukulu kumathanso kukhala ndi matenda amitsempha yamtima kapena matenda amtima.

Zizindikiro zake ndi ziti?

Payekha, kuthamanga kwakukulu nthawi zambiri sikumayambitsa zizindikiro zilizonse. Popita nthawi, mutha kuyamba kuzindikira:

• kutupa kwa phazi kapena phazi
• kuvuta kupuma
• chizungulire
• nkhope kumaso
• kukomoka
• kupweteka mutu
• kugunda kwa mtima
• kufooka

Zizindikiro zanu zimadalira chomwe chimayambitsa kukakamizidwa kwanu.

Zimathandizidwa bwanji?

Kuthamanga kwakukulu nthawi zambiri kumakhala chizindikiro cha vuto, chifukwa chake chithandizo chamankhwala chimadalira vuto. Komabe, mankhwala ambiri amatanthauza kuchepetsa kuthamanga kwa magazi, komwe kumathandizanso kuti magazi azigunda kwambiri. Ngakhale kuti nthawi zambiri mumatha kuchita izi posintha zina ndi zina pa moyo wanu kapena kusintha komwe mumadya, dokotala wanu amatha kukupatsani mankhwala pazovuta zazikulu.

Zosintha m'moyo

Pali zinthu zingapo zomwe mungachite kuti muchepetse kuthamanga kwa magazi.

• Kuchepetsa thupi. Ngati mukulemera kwambiri, kutaya ngakhale mapaundi 10 kungathandize kuchepetsa kuthamanga kwa magazi.
• Chitani masewera olimbitsa thupi. Yesetsani kuchita masewera olimbitsa thupi kwa mphindi 30 masiku ambiri pasabata kuposa ayi. Izi zitha kukhala zophweka ngati kuyenda kudera lanu.
• Lekani kusuta. Kusuta kumatha kuumitsa mitsempha yanu, kukulitsa kuthamanga kwa kugunda. Mukasuta, kusiya kungapangitsenso kukhala kosavuta kuchita masewera olimbitsa thupi m'mapapu anu ayambiranso kugwira ntchito.
• Kuchepetsa kudya kwanu tsiku ndi tsiku ndi sodium. Onetsani kudya osakwana 1,500 mpaka 2,000 mamiligalamu a sodium patsiku.
• Pewani kumwa mowa kwambiri. Chepetsani zakumwa zosapitilira ziwiri patsiku kwa amuna ndi chakumwa chimodzi patsiku kwa akazi.
• Chitani zinthu zochepetsera nkhawa. Kupsinjika kumatha kutulutsa mankhwala otupa m'thupi lanu omwe amathandizira kukwera kwa magazi. Yesani kuchita zosangalatsa, monga kulumikizana kapena kuwerenga, kuti muthane ndi nkhawa.

Mankhwala

Nthawi zina, kusintha kwa zakudya ndi moyo sikokwanira kuthana ndi kuthamanga kwa magazi. Zikatero, dokotala wanu akhoza kukupatsani mankhwala. Pali mitundu ingapo yamankhwala yothana ndi kuthamanga kwa magazi, kuphatikiza:

• ma angiotensin otembenuza ma enzyme inhibitors, monga lisinopril (Zestril, Prinivil)
• angiotensin II receptor blockers, monga valsartan (Diovan) ndi losartan (Cozaar)
• beta-blockers, monga metoprolol (Lopressor) kapena atenolol (Tenormin)
• calcium channel blockers, monga amlodipine (Norvasc) ndi diltiazem (Cardizem)
• renin inhibitors, monga aliskiren (Tekturna)

Kumbukirani kuti mungafunike chithandizo chowonjezera, kuphatikiza mankhwala osiyanasiyana, kuti muchepetse kuthamanga kwambiri, kutengera chomwe chikuyambitsa.

Mfundo yofunika

Kupanikizika kwakukulu kumakhala chizindikiro chakuti pali china chomwe chimapangitsa mtima wanu kuti uzigwira ntchito moyenera. Ngati mumatenga kuthamanga kwa magazi pafupipafupi ndikuwerengera kuti kuthamanga kwanu ndikofala kuposa masiku onse, ndibwino kutsatira dokotala wanu kuti mudziwe chomwe chikuyambitsa.