Chivabvu 17, 2023 izuva rechi19 re "World Hypertension Day".
Kukwira kweropa kunozivikanwa se "muurayi" wehutano hwevanhu. Zvinopfuura hafu yezvirwere zvemwoyo, sitiroko uye kutadza kushanda kwemoyo zvinokonzerwa neBP. Nokudaro, tichine rwendo rurefu rwekufamba mukudzivirira nekurapa BP.
01 Kuwanda kweBP pasi rose
Pasi rose, vanhu vakuru vanosvika bhiriyoni 1.28 vane makore ari pakati pe30-79 vane chirwere cheBP. 42% chete yevarwere vane BP vanoonekwa uye vanorapwa, uye munhu mumwe chete pavashanu vane BP yavo iri pasi pesimba. Muna 2019, huwandu hwevakafa nekuda kweBP pasi rose hwakapfuura mamiriyoni gumi, zvichireva kuti vanenge 19% yevakafa vese.
02 Chii chinonzi BP?
Hypertension chirwere chemwoyo chinoratidzwa nekuwedzera kweropa mutsinga dzeropa nguva dzose.
Varwere vazhinji havana zviratidzo kana zviratidzo zviri pachena. Varwere vashoma vane BP vanogona kunge vaine dzungu, kuneta kana kubuda ropa mumhino. Vamwe varwere vane systolic blood pressure ye200mmHg kana kupfuura vanogona kunge vasina zviratidzo zviri pachena zvekiriniki, asi mwoyo yavo, uropi, itsvo netsinga dzeropa zvakakuvara kusvika pamwero wakati. Sezvo chirwere ichi chichienderera mberi, zvirwere zvinouraya zvakaita sekushaya simba kwemoyo, myocardial infarction, cerebral hemorrhage, cerebral infarction, itsvo dzisina kukwana, uremia, uye kuvharika kweropa mumativi ose emuviri zvichazoitika pakupedzisira.
(1) Dambudziko reBP: rinobata vanhu vanosvika 90-95% vane BP. Izvi zvinogona kunge zvakabatana nezvinhu zvakawanda zvakaita semajini, mararamiro, kufuta, kushushikana uye zera.
(2) BP yechipiri: inoumba vanhu vanosvika 5-10% vane BP. Kukwira kweBP kunokonzerwa nezvimwe zvirwere kana mishonga, zvakaita sechirwere cheitsvo, zvirwere zve endocrine, chirwere chemwoyo, migumisiro yemishonga, nezvimwewo.
03 Kurapa nemishonga yevarwere vane BP
Nheyo dzekurapa BP ndeidzi: kutora mushonga kwenguva yakareba, kudzora BP, kugadzirisa zviratidzo, kudzivirira nekudzora matambudziko, nezvimwewo. Matanho ekurapa anosanganisira kuvandudza mararamiro, kudzora BP, uye kudzora njodzi dzemwoyo, pakati padzo kushandisa mishonga yekuderedza BP kwenguva refu ndiyo nzira inonyanya kukosha yekurapa.
Vanachiremba vanowanzo sarudza musanganiswa wemishonga yakasiyana zvichienderana nehuwandu hweBP uye njodzi yemwoyo yemurwere, uye vanosanganisa mishonga kuti vagone kudzora BP zvinobudirira. Mishonga inoderedza BP inowanzo shandiswa nevarwere inosanganisira angiotensin-converting enzyme inhibitors (ACEI), angiotensin receptor blockers (ARB), β-blockers, calcium channel blockers (CCB), uye diuretics.
04 Kuongororwa kwemajini ekushandisa mushonga wega wega muvarwere vane BP
Parizvino, mishonga yekuderedza BP inoshandiswa nguva dzose mukiriniki inowanzova nemisiyano yakasiyana, uye mhedzisiro yekurapa yemishonga yeBP inoenderana zvakanyanya nekuchinja kwemajini. Pharmacogenomics inogona kujekesa hukama huripo pakati pemhinduro yemunhu kumishonga uye kusiyana kwemajini, zvakaita semhedzisiro yekurapa, huwandu hwemuyero uye kumirira kwemhedzisiro yakaipa. Vanachiremba vanoona zvinangwa zvemajini zvine chekuita nekudzora BP muvarwere vanogona kubatsira kugadzirisa mishonga.
Nokudaro, kuonekwa kwemarudzi akasiyana-siyana emajini ane chekuita nemishonga kunogona kupa humbowo hwakakodzera hwemajini ekusarudza mhando dzemishonga dzakakodzera uye huwandu hwemishonga, uye kuvandudza kuchengetedzeka nekushanda kwekushandisa mishonga.
05 Huwandu hwevanhu hunoshandiswa pakuongororwa kwemajini emushonga weBP
(1) Varwere vane BP
(2) Vanhu vane nhoroondo yemhuri yechirwere cheBP
(3) Vanhu vakambosangana nedambudziko rekushandisa zvinodhaka
(4) Vanhu vane mhedzisiro yakaipa pakurapwa kwemishonga
(5) Vanhu vanofanira kutora mishonga yakawanda panguva imwe chete
Mhinduro dze06
Macro & Micro-Test yakagadzira makit akawanda ekuona fluorescence ekutungamira nekuona mishonga yeBP, ichipa mhinduro yakazara uye yakazara yekutungamira mishonga yekiriniki yakasiyana uye kuongorora njodzi yemhedzisiro yakaipa yemishonga:
Chigadzirwa ichi chinogona kuona magene masere ane chekuita nemishonga yekuderedza BP uye makirasi mashanu makuru emishonga anoenderana nawo (B adrenergic receptor blockers, angiotensin II receptor antagonists, angiotensin converting enzyme inhibitors, Calcium antagonists uye diuretics), chishandiso chakakosha chinogona kutungamira mishonga yekiriniki uye kuongorora njodzi yemhedzisiro yakaipa yemishonga. Nekuona maenzymes anogadzirisa mushonga uye majini anotarisirwa, vanachiremba vanogona kutungamirirwa kusarudza mishonga yakakodzera yekuderedza BP uye chiyero chevarwere vakasiyana, uye kuvandudza kushanda uye kuchengetedzeka kwekurapa mishonga yekuderedza BP.
Zviri nyore kushandisa: uchishandisa tekinoroji yekunyungudutsa, matsime maviri ekuita anogona kuona nzvimbo sere.
Kunzwa kwakanyanya: muganho wepasi wekuona i10.0ng/μL.
Kururama kwakanyanya: Sampuli dzinosvika makumi matanhatu dzakaedzwa, uye nzvimbo dzeSNP dzejini rega rega dzaienderana nemhedzisiro yekutevedzana kwechizvarwa chinotevera kana kutevedzana kwechizvarwa chekutanga, uye mwero wekubudirira kwekuona waive 100%.
Mhedzisiro yakavimbika: Kudzora mhando yemukati kunogona kutarisa maitiro ese ekuona.
Nguva yekutumira: Chivabvu-17-2023