Gulu loyamba la matenda oopsa
120-139 / 80-89 omwe ali okwera kwambiri a kuthamanga kwa magazi
140-159/90-99 ndi gulu 1 matenda oopsa.
160-179/100-109 ndi kalasi 2 matenda oopsa.
Kuposa 180/110, ndi wa grade 3 matenda oopsa.
Ndiye mumawerengera bwanji kuthamanga kwa magazi nthawi iliyonse ikayesedwa mosiyana? Kudziwa gulu la matenda oopsa, si masamu molingana ndi muyezo wa kuthamanga kwa magazi anayeza nthawi iliyonse, ndi kuthamanga kwa magazi anayeza popanda kumwa mankhwala antihypertensive, amene ndi gulu la matenda oopsa anu.
Mwachitsanzo, pamene osamwa mankhwala, kuthamanga kwa magazi 180 / 110mmHg, ndi kalasi ya 3 ya matenda oopsa, koma mutatha kumwa mankhwala a antihypertensive, kuthamanga kwa magazi kumatsikira ku 150 / 90mmHg, ndiye nthawiyi imawerengedwabe molingana ndi kalasi yoyamba ya matenda oopsa a 3, ingowongolerani.
Musanamwe mankhwala, kuyeza kwa kuthamanga kwa magazi kumasinthasinthanso momwe mungawerengere
Mwachitsanzo, kuthamanga kwakukulu ndi mlingo, kutsika kochepa ndi mlingo, ndiye malinga ndi momwe mungawerengere? Iyenera kuwerengedwa molingana ndi yapamwamba. Kuthamanga kwa magazi 160/120mmHg, kuthamanga kwakukulu ndi kwa mlingo 2, kutsika kochepa ndi kwa mlingo 3, ndiye ndi milingo ingati? Chifukwa iyenera kuwerengedwa molingana ndi yapamwamba, ndiye iyenera kukhala grade 3 hypertension. Inde, palibe grade 3 hypertension tsopano, imatchedwa grade 2 hypertension.
Nanga bwanji ngati kuthamanga kwa magazi kuli kosiyana kawiri motsatizana? Pankhaniyi, tikulimbikitsidwa kutenga pafupifupi kawiri kawiri, ndi mphindi 5 pakati pa ziwirizi; ngati kusiyana pakati pa nthawi ziwirizi ndipamwamba kuposa 5mmHg, ndiye yezani katatu ndikutenga pafupifupi.
Bwanji ngati muyeso wa kuchipatala suli wofanana ndi muyeso wa kunyumba?
Nthawi zambiri, muyezo woyezera kuthamanga kwa magazi m'chipatala ndi 140/90mmHg, koma muyezo woyezera kunyumba ndi ≥135/85mmHg kuweruza matenda oopsa, ndipo ≥135/85mmHg ndi wofanana ndi ≥140/90mmHg m’chipatala.
Kumene, ngati kusinthasintha kwa magazi, njira yolondola kwambiri ndi ambulatory kuthamanga kwa magazi kuwunika, ndiko kuti, maola 24 kuwunika kuthamanga kwa magazi, kuona zenizeni kuthamanga kwa magazi, ambulatory magazi pafupifupi kuthamanga kwa magazi / otsika kuthamanga 24h ≥ 130 / 80mmHg; kapena tsiku ≥ 135 / 85mmHg; usiku ≥ 120 / 70mmHg. akhoza kuganiziridwa kuti adziwe matenda oopsa.
Momwe mungachepetse kuthamanga kwa magazi
Pambuyo matenda oopsa amapezeka, mmene kuchepetsa kuthamanga kwa magazi, panopa okha ovomerezeka njira kuchepetsa kuthamanga kwa magazi ndi moyo wathanzi ndi boma antihypertensive mankhwala pakafunika.
Pakuti kumene anapeza kalasi 1 matenda oopsa, ndiko kuti, matenda oopsa amene si upambana 160/100mmHg, mukhoza choyamba kuchepetsa kuthamanga kwa magazi anu mwa moyo wathanzi, otsika mchere zakudya, mkulu potaziyamu zakudya, kuumirira kuchita masewera olimbitsa thupi, musakhale mochedwa, kulamulira kulemera, kupewa kusuta ndi mowa, kuchepetsa nkhawa ndi zina zotero zonse zimathandiza kuti magazi azilamulira.
Ngati pakatha miyezi itatu, kuthamanga kwa magazi sikunatsikebe pansi pa 140/90, ndiye kuti tiyenera kuganizira za kuchepetsa kuthamanga kwa magazi pamodzi ndi mankhwala a antihypertensive; kapena pamene kuthamanga kwa magazi kumapezeka, kuli kale pamwamba pa 160 / 100mmHg, kapena kuposa 140 / 90mmHg, kuphatikizapo matenda a shuga kapena mtima, ubongo ndi impso, ndiye muyenera kumwa mankhwala a antihypertensive pamodzi kuti muchepetse kuthamanga kwa magazi mwamsanga.
Ponena za kusankha kwapadera komwe mankhwala a antihypertensive, kapena mitundu yamankhwala a antihypertensive, ayenera kumwedwa motsogozedwa ndi dokotala waluso, simungangosankha mankhwala oletsa kuthamanga kwa magazi.
Cholinga chathu ndikuchepetsa kuthamanga kwa magazi kuposa 140/90. Kwa azaka zapakati, makamaka achinyamata osakwana zaka 45, kuthamanga kwa magazi kuyenera kuchepetsedwa mpaka 120/80 momwe angathere kuti chiwopsezo cha matenda amtima ndi cerebrovascular chichepetse.
Pomaliza, njira yokhayo bwino kupewa mavuto osiyanasiyana a matenda oopsa ndi kuyang'anitsitsa kuthamanga kwa magazi ndikuzindikira ndikuwongolera msanga.
