Ntshav Siab (Hypertension) yog yam mob zoo cas?
Ntshav siab (nruj me ntsis speaking: vascular siab) hais txog cov hlab sib sib zog tsa los ntawm circulating cov ntshav ntawm cov phab ntsa hauv cov hlab ntsha, thiab yuav muab ib tug tseem ceeb tej tus thawj xibfwb.
Lub siab ntawm cov ntshav circulating decreases li ntshav txav los ntawm cov hlab ntsha, cov arterioles, cov hlab ntsha, thiab cov leeg; lub sij hawm ntshav feem zej arterial siab, lub siab xws li, nyob rau ntawm cov hlab ntsha loj, hlab ntsha mus rau ntawm cov hlab ntsha uas yuav muab cov ntshav ntawm lub plawv.
Lub siab ntawm cov ntshav circulating decreases li ntshav txav los ntawm cov hlab ntsha, cov arterioles, cov hlab ntsha, thiab cov leeg; lub sij hawm ntshav feem zej arterial siab, lub siab xws li, nyob rau ntawm cov hlab ntsha loj, hlab ntsha mus rau ntawm cov hlab ntsha uas yuav muab cov ntshav ntawm lub plawv.
Kev ntsuas cov ntshav siab:
Siab arterial feem ntau li ntawm ib sphygmomanometer, uas siv lub kom siab li ib kem mercury muaj kev cuam tshuam cov circulating siab. Txawm niaj hnub vascular siab coob li lawm siv tau cov mercury, vascular siab qhov tseem ceeb yog universally tseem qhia rau millimeters mercury (mmHg).
Systolic arterial siab txhais tias yog cov ncov siab nyob rau ntawm cov hlab ntsha uas muaj tshwm sim nyob ze ntawm qhov pib ntawm lub voj voog mob; diastolic arterial siab qhov qis ntshav siab (tom tus so theem ntawm lub voj voog mob). Nruab nrab ntshav siab thoob plaws hauv lub voj voog mob yeej raug muab qhia raws li yog arterial siab; tus mem tes siab qhia qhov txawv ntawm qhov ntau thiab tsawg pressures ntsuas.
Qhov tseem ceeb rau tus so, noj qab nyob zoo neeg pej xeem raug yog kwv yees li 120 mmHg (16 kPa) systolic thiab 80 mmHg (11 kPa) diastolic (sau li 120/80 mmHg, thiab nes mas hais Ius raws li "ib NEESNKAUM dhau yim caum") uas muaj ntau tus variations. Cov kev ntsuas cov ntshav siab tsis zoo li qub, tab sis undergo ntuj variations hauv plawv dhia ib lwm thiab txhua hnub (nyob rau hauv ib circadian atherosclerosis); lawv kuj yuav pauv teb rau tej kev nyuaj siab, lwm yam zoo, tshuaj, los yog tus kab mob. Tawg (ntshav) hais txog ntshav siab rau txoj kev yuav txo high, as opposed to hypotension, yog txoj kev yuav txo qis. Nrog rau lub cev kub, ntsuam ntshav yog physiological tsis measured feem ntau.
Raws li American Heart Association:
Ntshav qab 120 li 80 mmHg (millimeters mercury) yuav tau noj cov neeg laus. Systolic siab txog 120 139 mmHg los sis ib tug diastolic siab ntawm 80 rau 89 lawm mmHg "prehypertension" thiab yuav tsum saib kom zoo zoo ua. Ntshav siab nyeem mus txog rau 140 dua 90 lossis siab dua ntawd yog saib elevated (High School).
Ntshav siab pom txoj kev mob plawv yog hli 120/80 dua Hg. Tiam sis, readings uas tsis yuav ntsuam yuav ua rau kev kho mob.
Rau tej co neeg, ntshav siab los qis ntsuas ntawm ib tus kws kho mob qhov chaw ua hauj lwm yuav muaj tsis muaj dab tsi ua rau lawv tiag ntsuam. Mus rau ib leeg ntawm 4 leej tau "dawb lub tsho tiv no tawg" uas txhais tau tias lawv tus kws kho mob sib ntsib ntshav readings uas siab tshaj cov ntshav siab tiag tiag. Qhov no yuav yog los ntawm kev ntxhov siab vim hais txog ib qho kev xeem uas muaj kev pab kho mob. Cov misdiagnosis uas tawg (ntshav) rau cov neeg mob no yuav ua rau cov tshuaj needless thiab peev xwm tsim teeb meem. Sib cav tswv yim tseem txog cov nyhuv no RESPONSIBILITIES. Ib txhia neeg reactive yuav tau hnov mob rau ntau lwm yam kev stimuli thoob plaws hauv lawv lub neej txhua hnub, thiab yuav tsum tau kev kho mob. Cov nyhuv dawb lub tsho tiv no tej zaum yuav and uas bears ntxiv rau qhov no. Ntawm qhov kev tes, tej zaum tsawg dua li nyeem ntawv raug ntshav no tshwm sim ntawm tus kws kho mob qhov chaw ua hauj lwm thiab cov neeg kuj tsis tau xav kom tau kev kho mob ntshav siab.
Txhua theem saum 120/80 mmHg no hu ua "tawg" lossis muaj ntshav siab. Tawg seb puas tsimnyog tau koj, thiab qhov uas yuav hlob zoo li ntshav ntau ntau ntxiv. Yog hais tias koj muaj ntshav qab zib los sis mob raum, mob ntshav txhais li 130/80 mmHg lossis siab dua ntawd. Tooj tawg tau txawv rau cov me nyuam yaus thiab cov hluas.
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Txhua theem ntawm cov ntshav siab rau txhua yam kev nyuaj siab arterial phab ntsa. Tawg tsub kom workload lub plawv thiab muaj mob ntawm cov nqaij tsis zoo loj (atheroma) muaj li ntsha. Lub siab tshaj lub siab, txoj kev nyuaj siab ntau uas tam sim no thiab cov atheroma ntau yuav vam meej thiab lub plawv mob nyhav nkoog, ntug thiab ua weaker thaum lub sij hawm.
National Institutes of Health claims li 1 rau 3 cov laus nyob rau tebchaws Meskas muaj ntshav siab.
Tawg xwb muaj muaj mob. Koj yuav muaj lub xyoo tsis paub txog hlo. Thaum lub sijhawm no kiag nws puas lub plawv, cov hlab ntsha, ob lub raum, thiab lwm qhov chaw hauv koj lub cev.
Qhov no yog vim li cas paub txog koj cov ntshav siab yog ib qho tseem ceeb, txawm tias koj zoo hnov. Yog hais tias koj cov ntshav siab zoo, koj yuav tau koom tes nrog koj pab neeg kho kom ua li ntawd mas. Yog hais tias koj cov ntshav siab los qis ntshav, koj yuav tau kho kom tsis txhob ua kom koj lub cev.
Ntshav siab nyhav sawv nrog lub hnub nyoog, tshwj tsis yog koj mus rau kauj ruam tiv thaiv los sis tswj. Tej teeb meem kev kho mob, xws li mob mob hauv lub raum , cov thyroid mob, thiab insomnia, tej zaum yuav ua tau kom ntshav siab sawv. Lwm yam tshuaj noj, xws li mob hawb pob tshuaj (piv txwv, corticosteroids) thiab khoom uas nyem no, kuj yuav sawv ntshav siab.
Cov poj niam kev noj tshuaj txwv feem ntau muaj me me ntxiv nyob rau hauv cov systolic thiab diastolic blood pressures. Yog tias koj twb tau tawg yuav siv tshuaj txwv, xyuas kom koj tus kws kho mob paub txog koj cov ntshav siab. Tham nrog nws txog heev npaum li cas koj yuav muaj koj ntshav siab xyuas thiab tswj thaum noj cov ntsiav tshuaj yuav ua li cas.
Ob peb yam mob mob no txuas rau ntshav siab, xws li:
Atherosclerosis: ib yam kab mob ntawm cov hlab ntsha uas tshwm sim los ntawm ib tug buildup rog khoom hauv cov quav hniav, los yog phab ntsa rau hauv cov hlab ntsha. Tawg (ntshav) contributes no buildup tso ntxiv stress thiab yuam rau ntawm phab ntsa leeg.
Plawv: plawv nres (lub plawv tsis tau rov tso ntshav), ischemic lub plawv mob (daim siab tsis tau txaus ntshav), thiab hypertensive hypertrophic cardiomyopathy (mob plawv) muaj cov mob uas muaj ntshav siab.
Mob raum: ntshav siab (tawg) yuav ua kev puas rau cov hlab ntsha thiab cov ntxaij lim dej ntawm ob lub raum, kom lub raum tsis raws pov tseg kom zoo.
Stroke: ntshav siab (tawg) yuav ua tau kom mob stroke, yog nrog txoj atherosclerosis (uas yuav ua rau blockages thiab zuj), los yog weakening phab ntsa txog hlab ntsha thiab ua rau nws mus rau rupture.
Kab mob: ntshav siab (tawg) yuav ua kev puas me me hlab ntshav hauv tus retina.
Ib txoj kev ua neej tsis zoo yuav ua kom koj cov ntshav siab los qis thaum lub sij hawm. Thiab ntau dua qhov koj ntshav siab yuav, siab tshaj qhov yuav muaj stroke los yog lub plawv mob yav tom ntej.
Tab sis qhov xwm zoo yog tias yog koj muaj tawg, kev hloov kom zoo yuav pab coj. Thiab koj tsis tas tos kom txog thaum koj muaj ntshav siab hloov mus rau lwm txoj kev ua neej zoo. Ntxiv mus koj yuav pab tau kom koj tawg, txo qhov uas koj yuav muaj mob plawv lossis mob stroke yuav.
Raws li lub koom haum ntshav siab:
Yog hais tias mob pesnrab 30 feeb tsib zaug ib lub limtiam twg ua kom koj lub plawv zoo, thiab yuav txo koj tawg. Yog koj nrhiav tsis tau 30 nas this nyob rau hnub koj, kom koj tau ib tug nqi tsawg tsawg twb pab tau.
Hloov koj noj thiab hawj ntau yuav yeej pab koj tswj tau thiab kom tsis txhobtawg, tab sis lawv kuj tsis txo nws txaus lawv tus kheej. Koj yuav tau noj cov tshuaj noj ntshav ntxiv txo.
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