'Tsararren' likita don hauhawar jini zai iya canzawa
Bayan kasancewa babban haɗari ga cututtukan zuciya, bugun jini, da dai sauransu, cutar hawan jini zai iya haifar da cutar koda . Ba wai kawai ba, marasa lafiya tare da ciwon cututtukan koda (CKD), suna fuskantar haɗari zuwa ci gaba da cutar koda (lokacin da suke buƙatar ko dai dialysis ko kaddara koda), ya kamata hawan jini ya kasance high / uncontrolled.
Bayan ciwon sukari, cutar hawan jini shine mafi yawan dalili da cewa mutane suna ci gaba da cin nasara koda .
Bambanci tsakanin Ƙarshen Kyau Kasa da Ƙananan Ciwo
Har ila yau, cimmawa da kuma ci gaba da "jinin jini" yana daya daga cikin mahimman bayanai na hana ci gaban CKD. Zai iya hana ka daga yiwuwar samun zuwa mahimmanci inda za ka kasance mai kwance-kwance. Amma menene hakan ake kira ciwon jini?
Hanyar da Muke Bi da Rufin jini ba Mahimmancin Maganin Likita Daya ba
To, ba koyaushe! Kwararrun masu likita masu kwantar da hankali suna zaune a tebur, dubi shaidu na yanzu, da kuma gaya wa sauranmu yadda ya kamata mu yi haka! Wannan rukuni ce da ake kira kwamitin hadin gwiwa (JNC) kuma an kafa shi ne ta Cibiyar Kula da Lafiya ta kasa (NIH). Sakamakon jerin shawarwarin da suka gabata sun fito ne a cikin Fabrairun 2014, kuma ana kiran su "JNC 8." Yana da JNC wanda sau da yawa yana da kalma ta ƙarshe ba kawai abin da ya kamata muyi amfani da kwayoyi don magance cutar hawan jini ba, amma har ma abin da manufa ta nufa zubar da jini ya kamata.
Dalilin da yasa Dubuwar Jirgin Target ya Sauya
Bugu da ƙari, kafin JNC 8, mun kasance mafi tsanani game da matsalolin karfin jini, a kullum ana kula da marasa lafiya a ƙaddamar da ƙananan 130/80. Duk da haka, kawai don yin rikice-rikice, bari in faɗi cewa JNC ba ita ce hukuma kadai ta bada shawarwari game da gyaran jini ba.
Dubi Table 6 a nan.
Kuna iya lura da ka'idodin da suka gabata tun daga shekara ta 2010-2011 kuma kafin su ze bayar da shawara akan karin rikici na karfin jini don rage ƙirar. Wannan, a gaskiya ma, shine gaskiyar bisharar da aka yarda ga mafi yawan likitoci, likitoci, da kuma masu bincike, har zuwa farkon marigayi. Duk da haka, a shekara ta 2010 mun sami babban binciken akan cutar hawan jini wanda aka ruwaito a cikin shafukan da aka wallafa na New England Journal of Medicine (NEJM). Wannan binciken da ake kira jarrabawar AGARI ya nuna cewa babu wani amfani ga magance cutar hawan jini zuwa wani mummunan ƙananan ƙarancin gilashi na 120 mm kamar yadda ya fi dacewa da zinare 140 mm. Wannan ya tashi a fuskar "karɓa" hikima a cikin likita al'umma, wanda ya kamata su yi imani da cewa yawan jini karfin jini ne ko da yaushe kyau kuma high ne mummunan! Wannan fitina ta kasance, amma, ba haske a cikin kwanon rufi ba, tun daga baya, mun ga wata binciken da ake kira jarrabawar INVEST wadda ta ruwaito ba ta amfanar maganin cutar karfin jini ba sosai.
(Ina so in jaddada cewa kamar yadda yake a kowane bangare na maganin magani, maganin hauhawar jini shine yanki na babbar gardama kuma abubuwa suna ci gaba da sauyawa. Babu wata ka'ida guda biyu da suka dace da juna da har ma JNC ta karbi rabuwa mai kyau na barbs ).
Maganin Jiyya na yau da kullum
JNC na da shawarar da aka ƙaddara bisa ga yawan shekarun jama'a:
- Shekaru <60 yrs: Target shine kiyaye su a cikin 140/90
- Shekaru> 60 yrs: Target shine kiyaye su karkashin 150/90
Manufofin da ke da bambanci ga mutane tare da koda cututtuka
Ruwan jini na dagewa wanda ya shafi mutum mai matsananciyar iska bazai iya amfani da mai karfin jini ba wanda yake da cutar koda . A gaskiya ma, muna da kungiyoyi masu yawa da ke magance cututtukan koda kamar cututtukan cututtuka na Inganta Ciwo na Duniya (KDIGO) da suka bada shawara ga ƙananan manufofin kulawa. Amma har zuwa JNC 8 ke nan, manufa ita ce tabbatar da kowa da kowa da cututtukan koda, ba tare da shekarun da aka yi wa jini ba <140/90.
Kuma kada ku bukaci magani idan kun kasance kuna zama a karkashin wannan matakin a matsakaici. Idan kun kasance kusa da wannan lambar, za ku iya fita tare da cin abinci / gyare-gyaren salon rayuwa kawai.
Har ila yau, game da yadda kake bi da shi
Abinda na bayyana a sama shine abin da kake sa ran BP zuwa. Amma likitan kwanan nan ma zai tuna da takamaiman kwayoyi don amfani da su don cimma burin ku. Ƙarshen baya ƙayyade mahimmanci tare da maganin hauhawar jini . Ba zan shiga cikin ƙayyadaddun bayani a nan ba amma zaka iya shiga ta cikin JNC 8 idan kana so ka sani.
Sau da yawa muna da wani abu da ake kira "alamar tursasawa" idan yazo da maganin hauhawar jini. Alal misali, wani mai cike da gina jiki a cikin fitsari yana iya zama a kan lisinopril (kwayar jini), koda kuwa jinin jini yana cikin wannan burin. A wannan yanayin, ana amfani da kwayar cutar karfin jini don wasu alamomi.
Don taƙaitawa, ga mafi yawan marasa lafiya da cututtukan fata, matsalolin burin manufa don inganta aikin koda kuma rage chancinsu na cigaba zuwa cutar cututtuka na karshe shine <140/90. Akalla haka shine inda muke tsaya har sai JNC 9!