Rawanin Hawan jini "J Curve"
"Malamin na fara fara magance ni don cutar hawan jini watanni shida da suka wuce, kuma karatun na daga 155/90 zuwa 120/70, wanda na yi tunani mai ban mamaki ne. Saboda haka a makon da ya wuce, na yi mamakin lokacin da likita ya nuna damuwa cewa ta kaddamar da cutar karfin jini sosai, kuma ya rage yawan maganin jini. Tambayata ita ce: Mene ne heck? Mafi low? Shin ainihin abu ne, ko kuma ya kamata in sami sabon likita? "- Sidney daga Oregon
Kamar yadda ya faru, Sidney, likitanku ya bayyana ya zama kwanan wata akan shaidun da suka gabata game da farfadowa da jini. Akwai akalla wasu nuni cewa cutar karfin jini wanda za'a yi la'akari da shi a cikin wani mutum wanda ba a hana shi ba (120/70 misali), yana iya zama maras nauyi ga mutum akan maganin jini.
Tsawan hawan jini, ko cutar hawan jini, yana da lafiyar lafiyar jiki wanda, idan ba a hana shi ba, zai iya haifar da infarction na sirri (ciwon zuciya) , ciwon zuciya , bugun jini , da kuma koda. Idan kana da hauhawar jini yana da muhimmanci ku da likitanku suyi matakan da suka cancanta don rage yawan jini, kafin a yi mummunan lalacewa ga zuciyarka, kwakwalwa ko kodan.
Wannan ɓangaren ƙayyadaddun ya bayyana. Tambayar ta tabbata a kan yadda za a tilasta maganin hauhawar jini.
Mene ne Gudun Maganganu na Daidai?
Shekaru da yawa, masana kan hauhawar jini suna jin daɗin cewa, "Idan yazo da karfin jini, ƙananan ya fi dacewa." Wannan bayanin shine wani abu ne na wani ƙari, saboda rage karfin jini zuwa matakan ƙananan, a bayyane, zai iya haifar da lightheadedness ko ma syncope .
Amma idan aka ba da wannan taƙaitacciyar taƙaitacciyar magana, "ƙananan mafi kyau" ya zama kamar hanya mai dacewa, saboda a yawancin jama'a shi ne ainihin gaskiya - ƙananan cutar jini, ƙananan ƙwayar cutar zuciya da cutar koda.
An dai ɗauka cewa wannan doka ya kamata a shafi marasa lafiyar marasa lafiya a kan magani.
Bayan haka, binciken da ba su da yawa ya nuna cewa idan ka rage yawan karfin jini a cikin marasa lafiya da ke da hawan jini, sakamakonsu zai inganta sosai. Don haka likitoci sun ji dadi don rage matsalolin jini kamar yadda suke iya, muddun marasa lafiya basu da alamun wutan lantarki ko kuma kothostasis .
Wannan shine dalilin da ya sa mafi yawan maganin hauhawar jini ya bayyana a matsayin "ƙananan" (kamar, jini jini na ƙwayar ƙasa fiye da 140 mm Hg), maimakon matsayi mai mahimmanci (kamar, systolic matsa lamba tsakanin 130 zuwa 140 mm Hg) .
Ya kasance a cikin 'yan shekarun nan cewa wannan "mafi ƙasƙanci mafi kyau" tsari ya zo a cikin babbar tambaya. Yanzu yana bayyana cewa yana iya yiwuwa ya rage yawan karfin jini a ƙasa da darajar mafi kyau, kuma yiwuwar haifar da cutar cikin yin hakan.
Jirgin Ruwan "J Curve"
Wasu bincike na baya-bayan nan sun nuna cewa sakamakon gwagwarmaya a marasa lafiya da aka bi da su don hauhawar jini na iya bi "J," inda sakamakon zai zama mafi kyau a cikin wani nau'i na jini. Idan jinin jini yayin da yake jiyya ko dai a sama ko žasa da wannan iyakar mafi kyau duka, sakamakon asibiti ya zama mafi muni. Idan tsinkayen J na ainihi na ainihi ne, to, "ƙananan mafi kyau" fasalin shine ƙarya - kuma likitoci zasu bukaci yin hankali game da yadda za su rage matsalolin jini na marasa lafiya.
Ɗaya daga cikin muhimman bayanai da aka yi a wannan bita an buga shi a shekarar 2014 a cikin Jaridar Cibiyar Kwalejin Kasuwancin Amirka. Masu bincike daga Kudancin California Kaiser Group sun gano kimanin miliyoyin marasa lafiya wadanda aka kula da su saboda hauhawar jini, kuma idan aka kwatanta da jinin su a kan maganin maganin su. Sun gano cewa mafi kyawun jini na jini yayin da ake jiyya shine tsakanin 130 - 139 mm Hg, kuma yawan jini na jini ya fi dacewa tsakanin 60 - 79 mm Hg. Maganin jini da aka yi wa jiyya wanda ya kasance a sama ko žasa da wadannan jeri sun hada da sakamakon muni.
Tsarin J na iya zama da mahimmanci, kuma yanzu an yarda da ita, a cikin marasa lafiya marasa lafiya wadanda suka ragu da hawan jini. Wasu sharuɗɗa na yau da kullum suna ba da hankali ga cigaba da karfin jini sosai a cikin wadannan marasa lafiya, kuma mafi yawan likitoci yanzu suna da hankali game da zalunta marasa lafiya na tsofaffi marasa lafiya.
Duk da haka, ya kamata a lura cewa yawancin nazarin sun kasa gano hanyar J ga marasa lafiya marasa lafiya da aka bi da su saboda hauhawar jini, kuma wannan tambayar ya kasance mai rikitarwa tsakanin masana. Amma mafi yawan masana sun zama masu la'akari sosai wajen bayyana "ƙananan ne mafi alhẽri" ra'ayi, kuma yawancin masana suna zuwa karba cewa tsarin J shi ne ainihin.
Don haka, Sidney, shawarwarin likitanku don dawowa akan farjin jinin ku ya dace da shaidar da ta gabata. Za mu jira kawai mu gani idan bangarori masu gwadawa waɗanda ke yin jagorancin kulawa zasu faru tare da ita.
Sources:
Sim JJ, Shi J, Kovesdy CP, et al. Dama na samun ciwon jini a kan ƙwayar mace-mace da kuma ƙarshen mataki na kodayake tsakanin masu yawa, yawancin hauhawan jini. Am Coll Cardiol. 2014; 64 (6): 588-97 (ISSN: 1558-3597)
Mancia G, Fagard R, Narkiewicz K, et al. 2013 ESH / ESC Sharuɗɗa don gudanarwa na hauhawar jini na asali: Ƙungiyar Ɗaukaka don kula da hauhawar jini na Turai na Harkokin Tsawan jini (ESH) da na Ƙungiyar Harkokin Kasuwancin Turai (ESC). J Hypertens 2013; 31: 1281.
James PA, Oparil S, Carter BL, et al. 2014 dalilai masu shaida na kula da cutar hawan jini a cikin manya: rahoton daga mambobin kwamitin da aka zaba a kwamitin Jakadancin na takwas (JNC 8). JAMA 2014; 311: 507.