Ropa Rakamanikidzwa: Itsva Scientific Statement yeKubvunzurudzwa Kwevanhu
IAmerican Heart Association inotsigira kuti kushushikana kweropa kwakakosha kuti unzwisise kana murwere aine chirwere chechiropa uye kuongorora huwandu hwechirwere chemoyo uye kurohwa.
DALLAS, March 4, 2019 - Chiyero chakarurama che blood pressure inokosha kune kuongorora uye vatungamiri ve hypertension, chikuru chekutengesa chirwere chemoyo uye chirwere, maererano nechavandudzwa American Heart Association chirevo chesainzi pamusoro pekumanikidza kuyerwa muvanhu, chakabudiswa muAmerican Heart Association magazini Hypertension.
Mashoko aya, anodzokorora zvinyorwa zvekare pamusoro pehurukuro yakabudiswa mu2005, anopa muongorori wezvazvinozivikanwa pamusoro kuyerwa kweropa uye inotsigira mazano mu 2017 American College of Cardiology / American Heart Association Guideline yekudzivirira, Kuongorora, Kuongorora uye Kutungamirirwa kweHurumende yeHurumende
Iyo nzira yakanaka yekushandira - apo murwere wehutano anoshandisa kweropa cuff, stethoscope uye necyblue sphygmomanometer (chishandiso icho chinowedzera kumanikidza) - rave riri goridhe chiyero chehofisi ropa kwayowo kuyerwa kwemakumi emakore. Iyo mercury sphygmomanometer ine yakajairika dhizaini uye haisi pasi pekushomeka kwakanyanya pamhando dzakaitwa nevagadziri vakasiyana. Nekudaro, zvishandiso zeblue hazvisisiri kushandiswa nekuda kwekunetseka kwezvakatipoteredza nezve mercury.
"Mazhinji mascillometric mano, anoshandisa magetsi ekudzvinyirira sensor mukati mekasiketi yeropa cuff, akave akajekeswa (akatariswa kuti awone) izvo zvinotendera kuyerwa kwakaringana munzvimbo yehutano hofisi zvigadziro apo ichideredza zvikanganiso zvevanhu zvine chekuita nenzira yekuita zvakanaka," akadaro Paul Muntner, Ph.D., cheya yeboka rekunyora chirevo chesainzi.
"Kuwedzerwa, maitiro matsva ekugadzira oscillometric anogona kuwana zviyero zvakasiyana-siyana nechisimba chimwe chete chebhatani, iyo inogona kuenzaniswa kuti iwedzere kuenzanisa kuwedzera kweropa," akadaro Muntner, uyo ariwo purofesa paYunivhesiti yeAlabama kuBirmingham.
Chirevo ichi chinopfupisawo nezivo parizvino nezve ambulatory kumanikidza kuongorora, inoitwa kana murwere akapfeka mudziyo unomuyesa zuva rese kuratidza chena jasi hypertension uye akavezwa hypertension.
Data rakakosha rakaburitswa kubvira paSainzi yekupedzisira Statement muna2005 ichiratidza kukosha kwekuyera kuwedzerwa kweropa kunze kwekiriniki. Whitecoat hypertension, kana dzvinyiriro yeropa ichisimudzwa mune yehutano hofisi yekumisikidza asi kwete pane dzimwe nguva uye yakagadziriswa hypertension uko kudzvinyirira kuri kwakajairika mune yehutano hofisi yekumisikidzwa asi ichisimudzwa pane dzimwe nguva.
Sezvinotsanangurwa muScientific Statement, varwere vane white coat hypertension vangasava nehuwandu hwehutano hwehutano hwehutano uye vangasabatsire kubva pakutanga mishonga inorwisa antihypertensive. Kusiyana neizvi, varwere vane hutachiona hwehutachiona vane ngozi yakawanda yehutano hwemwoyo.
Iko 2017 inokonzera kuwedzera kwehuwandu hwehutachiona inokurudzirawo kutungamira kuvhara ropa rekutarisa kuvhara kuvharo rejena jira rekuwedzera kwehutano uye kuvhara kuwedzera kwehutano mumagariro echechi.
IAmerican Moyo Association inoramba ichikurudzira varwere kuyera kushaya kweropa ravo kumba vachishandisa chishandiso chine ruoko rwemusoro cuff rwakaongororwa kuti rwisisa here nehutano hwekupihwa.
Vanyori vanyori ndivo Daichi Shimbo, MD, Visi-vhesi; Robert M. Carey, MD; Jeanne B. Charleston, Ph.D ;; Trudy Gaillard, Ph.D .; Sanjay Misra, MD; Martin G. Myers, MD; Gbenga Ogedegbe, MD; Joseph E. Schwartz, Ph.D ;; Raymond R. Townsend, MD; Elaine M. Urbina, MD, MS; Anthony J. Viera, MD, MPH; William B. White, MD; uye Jackson T. Wright, Jr, MD, Ph.D.
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NezveAmerican Heart Association
IAmerican Heart Association ndiyo inotungamirira nyika inogara kwenguva refu, hupenyu hwakanaka. Pamwe nezana remakore rebasa rinoponesa upenyu, sangano reDallas-based rakagadzirirwa kuve nehutano hwakakwana kune vose. Isu tine chokwadi chakavimbiswa kupa simba kuvanhu kuti vavandudze moyo yavo yehutano, hutano hwehuropi uye hukama hwakanaka. Tinoshanda pamwe nemasangano akawanda uye mamiriyoni ezvipiri kubhadhara kutsvaga kutsvaga, kurudzira hutano hwakasimba hwehutano hwevanhu, uye kugovera zvidzidzo zvinoponesa upenyu uye ruzivo.