Jaylene Pruitt wakhala ndi Dotdash Meredith kuyambira Meyi 2019 ndipo pano ndi wolemba zamalonda ku Health magazine, komwe amalemba zazaumoyo ndi thanzi.
Anthony Pearson, MD, FACC, ndi dotolo wodzitetezera wamtima yemwe amagwira ntchito pa echocardiography, preventive cardiology, and atria fibrillation.
Timayesa paokha katundu ndi ntchito zonse zovomerezeka. Tikhoza kulandira chipukuta misozi mukadina ulalo womwe timapereka. Kuti mudziwe zambiri.
Kaya mukugwira ntchito ndi dokotala kuti muwone ndikuchepetsa kuthamanga kwa magazi, kapena kungofuna kudziwa manambala anu, makina ojambulira kuthamanga kwa magazi (kapena sphygmomanometer) angapereke njira yabwino yowonera zomwe mukuwerenga kunyumba. Mawonedwe ena amaperekanso ndemanga pamawerengedwe achilendo kapena malingaliro amomwe mungawerengere zolondola pa zenera. Kuti tipeze zowunikira zabwino kwambiri za kuthamanga kwa magazi zowunikira zochitika zokhudzana ndi mtima monga kuthamanga kwa magazi, tidayesa zitsanzo 10 zosinthira mwamakonda, zoyenera, zolondola, zosavuta kugwiritsa ntchito, zowonetsa deta, komanso kunyamula moyang'aniridwa ndi dokotala.
Marie Polemey, yemwe kale anali namwino yemwe adathandizidwanso ndi matenda a kuthamanga kwa magazi m'zaka zingapo zapitazi, adanena kuti malinga ndi momwe wodwalayo amaonera, chimodzi mwa zinthu zabwino kwambiri zowunikira kuthamanga kwa magazi ndi njira yosavuta yowerengera zambiri. Lachitatu. "Ukapita kwa dokotala, umachita mantha pang'ono ... kotero kuti zokha zitha kukweza [kuwerenga kwako]," adatero. Lawrence Gerlis, GMC, MA, MB, MRCP, yemwe amachiza odwala matenda oopsa, amavomereza kuti kuwerenga kwa ofesi kungakhale kokwezeka. "Ndapeza kuti kuyeza kwa kuthamanga kwa magazi nthawi zonse kumapereka kuwerengera pang'ono," adatero.
Zowunikira zonse zomwe timalimbikitsa ndi ma cuffs pamapewa, ofanana kwambiri ndi omwe madokotala amagwiritsa ntchito. Ngakhale oyang'anira pamanja ndi zala alipo, ndikofunikira kuzindikira kuti American Heart Association samalimbikitsa mitundu iyi ya oyang'anira, kupatula madokotala omwe tidalankhula nawo. Oyang'anira mapewa amaonedwa kuti ndi abwino kugwiritsidwa ntchito kunyumba, ndipo madokotala ambiri ndi odwala amavomereza kuti kugwiritsa ntchito kunyumba kumapangitsa kuti anthu aziwerenga mokhazikika.
Chifukwa chomwe timachikondera: Chowunikira ndichofulumira komanso chosavuta kukhazikitsa ndipo chimapereka zotsatira zabwino kwambiri zokhala ndi zowonetsa zotsika, zabwinobwino, komanso zapamwamba.
Titayesa labu, tidasankha Omron Gold Upper Arm ngati chowunikira chabwino kwambiri cha GP chifukwa chakukhazikitsidwa kwake komanso kuwerenga momveka bwino. Idapeza 5 m'magulu athu onse apamwamba: Sinthani Mwamakonda Anu, Zoyenera, Zosavuta Kugwiritsa Ntchito, ndi Kuwonetsa Kwa Data.
Woyesa wathu adawonanso kuti chiwonetserochi ndichabwino, koma mwina sichingakhale cha aliyense. "Khafu lake ndi lomasuka komanso losavuta kuvala lokha, ngakhale ogwiritsa ntchito ena osayenda pang'ono amatha kukhala ndi vuto loyiyika," adatero.
Zomwe zikuwonetsedwa ndizosavuta kuwerenga, zokhala ndi zizindikiro zotsika, zachibadwa, komanso kuthamanga kwa magazi, kotero ngati odwala sadziwa bwino zizindikiro za kuthamanga kwa magazi, amatha kudziwa kumene chiwerengero chawo chagwera. Ndi chisankho chabwino kwambiri chotsatira zomwe zikuchitika pa kuthamanga kwa magazi pakapita nthawi, kusunga zowerengera 100 kwa ogwiritsa ntchito awiri aliyense.
Mtundu wa Omron ndiwokonda kwambiri dokotala. Gerlis ndi Mysore amasiyanitsa opanga omwe zida zawo ndizodalirika komanso zosavuta kugwiritsa ntchito.
Chifukwa chomwe timachikondera: Omron 3 imawerenga mwachangu komanso molondola (komanso kugunda kwa mtima) popanda zovuta kwambiri.
Kuwunika thanzi la mtima kunyumba sikuyenera kukhala kokwera mtengo. The Omron 3 Series Upper Arm Blood Pressure Monitor ili ndi zinthu zofanana ndi zitsanzo zake zodula, kuphatikizapo kusungirako kambirimbiri kowerengera komanso chiwonetsero chosavuta kuwerenga.
Woyesa wathu adatcha Omron 3 Series njira "yoyera" chifukwa imangowonetsa mfundo zitatu pazenera: kuthamanga kwa magazi kwa systolic ndi diastolic ndi kugunda kwa mtima. Imapeza 5 moyenerera, makonda, komanso kugwiritsa ntchito mosavuta, kupangitsa kukhala chisankho chabwino kwambiri chogwiritsidwa ntchito kunyumba ngati mukungoyang'ana zipinda zopanda mabelu ndi malikhweru.
Ngakhale oyesa athu adazindikira kuti njirayi ndiyabwino pazomwe mumafunikira makina owongolera kuthamanga kwa magazi, "sibwino kwa iwo omwe amafunikira kutsata zomwe akuwerenga pakapita nthawi kapena kukonzekera kutsata ndikusunga zowerengera za anthu angapo" chifukwa cha kuchuluka kwake komwe kumawerengedwa. malire 14.
Chifukwa chomwe timachikondera: Chowunikirachi chili ndi kafuti kokwanira komanso pulogalamu yofananira kuti muzitha kuyenda mosavuta ndikusungirako kuwerenga.
Choyenera kudziwa: Chidacho sichimaphatikizirapo chonyamula, chomwe woyesa adawona kuti chimapangitsa kusungirako kukhala kosavuta.
Chimodzi mwazinthu zomwe timakonda pazowunikira za Welch Allyn Home 1700 Series ndi cuff. Ndizosavuta kuvala popanda kuthandizidwa ndipo zimapeza 4.5 mwa 5 kuti zikhale zoyenera. Oyesa athu adakondanso kuti khafuyo imamasuka atangoyeza m'malo mopumira pang'onopang'ono.
Timakondanso pulogalamu yosavuta kugwiritsa ntchito yomwe imawerengera nthawi yomweyo ndikulola ogwiritsa ntchito kupita nawo ku ofesi ya dokotala kapena kulikonse komwe angafune. Chipangizochi chimasunganso zowerengera 99 ngati simukufuna kugwiritsa ntchito pulogalamuyi.
Ngati simukufuna kugwiritsa ntchito pulogalamuyi ndipo mukufuna kunyamula chowunikira, chonde dziwani kuti sichiphatikiza chonyamula, mosiyana ndi zina mwazosankha zathu.
A&D Premier Talking Blood Pressure Monitor imapereka mawonekedwe apadera mwazosankha zomwe tayesa: imakuwerengerani zotsatira. Ngakhale kuti njira iyi ndi yowonjezera kwambiri kwa anthu osawona, Marie Polemay amafananitsanso chipangizochi ndi kumverera kwa kukhala mu ofesi ya dokotala chifukwa cha mawu ake okweza komanso omveka bwino.
Ngakhale Paulemey ali ndi chidziwitso cha namwino komanso chidziwitso chofunikira kuti amvetsetse zotsatira zake, amakhulupirira kuti kuwerengera pakamwa pamikhalidwe ya kuthamanga kwa magazi kungakhale kosavuta kumvetsetsa kwa omwe alibe chidziwitso chachipatala. Anapeza kuti zowerengera zapakamwa za A&D Premier zowunikira kuthamanga kwa magazi zinali pafupifupi "zofanana ndi zomwe [anazimva] ku ofesi ya dokotala."
Njira iyi ndiyabwino kwa oyamba kumene, ndikukhazikitsa pang'ono, malangizo omveka bwino komanso cuff yosavuta kuyiyika. Oyeza athu adakondanso kuti kalozera wophatikizidwayo adafotokoza momwe angatanthauzire manambala a kuthamanga kwa magazi.
Choyenera kudziwa: Chipangizocho chikhoza kupereka zizindikiro zopanda pake za kuwerengera kwakukulu, zomwe zingayambitse kupanikizika kosafunikira ndi nkhawa.
Monga zida zina za Omron zomwe timalimbikitsa, oyesa athu adapeza kuti chipangizochi ndi chosavuta kukhazikitsa ndikugwiritsa ntchito. Ndi kukhazikitsa gawo limodzi - ikani khafu mu polojekiti - mukhoza kuyamba kuyeza kuthamanga kwa magazi nthawi yomweyo.
Chifukwa cha pulogalamu yake, oyesa athu adapezanso kuti ndizosavuta ndipo wogwiritsa ntchito aliyense akhoza kukhala ndi mbiri yake ndikuwerenga mopanda malire m'manja mwawo.
Ngakhale kuti chipangizochi chidzawonetsa kuwerengera kokwezeka kwambiri, ngati sikukwera kwambiri kwa kuthamanga kwa magazi, oyesa athu adawona kuti kutanthauzira uku kumasiyidwa bwino kwa dokotala. Oyesa athu adalandira mawerengedwe apamwamba mosayembekezereka ndipo adakambirana ndi Huma Sheikh, MD, yemwe adatsogolera mayesero, ndipo adapeza kuti kuwerengera kwawo kwa kuthamanga kwa magazi kunali kolakwika, zomwe zingakhale zovuta. "Izi sizolondola kwenikweni ndipo zingayambitse odwala kuti azidandaula kuti kuwerengera kumaonedwa kuti ndi kosayenera," adatero woyesa.
Tinasankha Microlife Watch BP Home kuti tiwonetsere bwino deta, chifukwa cha zizindikiro zowonekera zomwe zingathe kuchita chirichonse kuchokera pakuwonetsa pamene chidziwitso chasungidwa m'chikumbukiro chake mpaka kukuthandizani kuti muwerenge molondola kwambiri, komanso chizindikiro chotsitsimula ndi kuwonera. . onetsani ngati mudutsa nthawi yoyezedwa.
Batani la "M" la chipangizochi limakupatsani mwayi wofikira mumiyeso yosungidwa kale, ndipo batani lamagetsi limayatsa ndikuzimitsa mosavuta.
Timakondanso kuti chipangizochi chili ndi njira yodziwira matenda yomwe imayang'anira kuthamanga kwa magazi kwa masiku asanu ndi awiri ngati atchulidwa ndi dokotala, kapena "njira yabwino" yotsatirira. Woyang'anira amathanso kuyang'anira ma fibrillation a atrial mu njira zodziwira komanso zachizoloŵezi, ngati zizindikiro za fibrillation zimadziwika mu kuwerenga motsatizana tsiku ndi tsiku, chizindikiro cha "Frib" chidzawonetsedwa pazenera.
Ngakhale mutha kudziwa zambiri kuchokera pachiwonetsero cha chipangizo chanu, zithunzi sizikhala zowoneka bwino mukangoyang'ana koyamba ndipo zimatengera kuzolowera.
Gulu lachipatala linayesa zowunikira 10 za kuthamanga kwa magazi kuchokera pamndandanda wa zida zoyesedwa mu labotale yathu. Kumayambiriro kwa mayesero, Huma Sheikh, MD, adayeza kuthamanga kwa magazi kwa anthu omwe akuphunzirawo ndi chipatala chowunika kuthamanga kwa magazi, ndikufanizira ndi chowunikira kuti chikhale cholondola komanso chosasinthasintha.
Poyesedwa, oyesa athu adawona momwe cuff imakwanira m'manja mwathu momasuka komanso mosavuta. Tidavoteranso chipangizo chilichonse momwe chimawonetsera bwino zotsatira, momwe zimakhalira zosavuta kupeza zotsatira zosungidwa (komanso ngati chingasunge miyeso ya ogwiritsa ntchito angapo), komanso momwe chowunikira chimasunthika.
Mayesowa adatenga maola asanu ndi atatu ndipo oyesa adatsata ndondomeko zovomerezeka kuti atsimikizire kuwerengedwa kolondola, kuphatikizapo kupuma kwa mphindi 30 ndi kupuma kwa mphindi 10 musanayese. Oyesawo adawerengapo kawiri pa mkono uliwonse.
Kuti muyezedwe molondola kwambiri, pewani zakudya zomwe zingawonjezere kuthamanga kwa magazi, monga caffeine, kusuta fodya, ndi kuchita masewera olimbitsa thupi, kwa mphindi 30 musanayambe kuyeza kuthamanga kwa magazi. Bungwe la American Medical Association limalimbikitsanso kupita kuchimbudzi kaye, zomwe zikusonyeza kuti chikhodzodzo chathunthu chikhoza kukweza kuwerenga kwanu ndi 15 mmHg.
Muyenera kukhala ndi nsana wanu mothandizidwa komanso popanda zoletsa zomwe zingayambitse magazi monga kuwoloka miyendo. Manja anu ayeneranso kukwezedwa pamlingo wa mtima wanu kuti muyesedwe moyenera. Mukhozanso kutenga miyeso iwiri kapena itatu motsatana kuti muwonetsetse kuti zonse ndi zofanana.
Dr. Gerlis akulangiza kuti mutagula makina opimitsira kuthamanga kwa magazi, funsani dokotala wanu kuti atsimikizire kuti khafuyo yakhazikika bwino komanso imawerengera molondola. Navia Mysore, MD, dokotala wamkulu wachipatala komanso mkulu wa zachipatala ku One Medical ku New York, akulangizanso kuti mutenge polojekitiyi ndi dokotala kamodzi kapena kawiri pachaka kuti muwonetsetse kuti akuyezabe kuthamanga kwa magazi anu molondola. ndipo amalimbikitsa m'malo mwake. zaka zisanu zilizonse.
Kukula koyenera kwa makafu ndikofunikira kuti mupeze miyeso yolondola; chikhomo chomwe chimakhala chomasuka kwambiri kapena chothina kwambiri pamkono chimachititsa kuti anthu awerenge molakwika. Kuti muyese kukula kwa khafu, muyenera kuyeza kuzungulira kwa gawo lapakati la mkono wakumtunda, pafupifupi theka pakati pa chigongono ndi kumtunda. Malingana ndi Target:BP, kutalika kwa khafu yokulunga pa mkono iyenera kukhala pafupifupi 80 peresenti ya muyeso wapakati pa phewa. Mwachitsanzo, ngati mkono wanu wozungulira ndi 40 cm, kukula kwa khafu ndi 32 cm. Makapu nthawi zambiri amabwera mosiyanasiyana.
Oyang'anira kuthamanga kwa magazi nthawi zambiri amawonetsa manambala atatu: systolic, diastolic, ndi kugunda kwa mtima kwapano. Kuthamanga kwa magazi kumawonetsedwa ngati manambala awiri: systolic ndi diastolic. Kuthamanga kwa magazi kwa systolic (chiwerengero chachikulu, nthawi zambiri pamwamba pa chowunikira) chimakuuzani kuchuluka kwa magazi anu pamakoma a mitsempha yanu ndi kugunda kwa mtima kulikonse. Kuthamanga kwa magazi kwa diastolic - nambala yomwe ili pansi - imakuuzani kuchuluka kwa magazi anu pamakoma a mitsempha yanu pamene mukupuma pakati pa kumenyedwa.
Ngakhale dokotala wanu angapereke zambiri pazomwe mungayembekezere, American Heart Association ili ndi zothandizira pamagulu abwinobwino, okwera, komanso othamanga kwambiri. Kuthamanga kwa magazi abwino nthawi zambiri kumayesedwa pansi pa 120/90 mmHg. ndi pamwamba 90/60 mm Hg.
Pali mitundu itatu ikuluikulu yowunikira kuthamanga kwa magazi: pamapewa, chala ndi dzanja. Bungwe la American Heart Association limalimbikitsa kokha owunika kuthamanga kwa magazi m'manja chifukwa chala ndi zamanja sizimaganiziridwa kukhala zodalirika kapena zolondola. Dr Gerlis amavomereza, ponena kuti zowunikira pamanja "ndizosadalirika pazomwe ndakumana nazo."
Kafukufuku wa 2020 wa oyang'anira manja adapeza kuti 93 peresenti ya anthu adadutsa njira yotsimikizira kuthamanga kwa magazi ndipo anali 0.5 mmHg pafupifupi. systolic ndi 0.2 mm Hg. Kuthamanga kwa magazi kwa diastolic poyerekeza ndi makina owunika kuthamanga kwa magazi. Ngakhale zowunikira zokhala pamanja zikukhala zolondola kwambiri, vuto lawo ndilakuti kuyika bwino ndi kukhazikitsa ndikofunikira kwambiri kuposa oyang'anira okwera pamapewa kuti awerenge molondola. Izi zimawonjezera mwayi wogwiritsa ntchito molakwika kapena kugwiritsa ntchito molakwika komanso miyeso yolakwika.
Ngakhale kuti kugwiritsa ntchito zingwe zapamanja kumalepheretsedwa kwambiri, bungwe la American Medical Association linalengeza chaka chatha kuti zipangizo zam'manja zidzavomerezedwa posachedwa pa validatebp.org kwa odwala omwe sangathe kugwiritsa ntchito mkono wawo wapamwamba kuyang'anira kuthamanga kwa magazi; mndandandawu tsopano uli ndi zida zinayi zam'manja. ndikuwonetsa khafu yomwe mumakonda pamapewa. Nthawi ina tikadzayesa zowunikira kuthamanga kwa magazi, tidzawonjezera zida zovomerezeka zomwe zidapangidwa kuti ziziyezera pa dzanja lanu.
Oyang'anira kuthamanga kwa magazi ambiri amakulolani kuti muwone kugunda kwa mtima wanu mukamathamanga magazi. Ena owunika kuthamanga kwa magazi, monga Microlife Watch BP Home, amaperekanso zidziwitso za kugunda kwa mtima kosakhazikika.
Zina mwa zitsanzo za Omron zomwe tidayesa zimakhala ndi zowunikira kuthamanga kwa magazi. Zizindikirozi zidzapereka mayankho otsika, abwinobwino komanso kuthamanga kwa magazi. Ngakhale oyesa ena adakonda mawonekedwewo, ena amaganiza kuti zitha kuyambitsa nkhawa zosafunikira kwa odwala ndipo ziyenera kutanthauziridwa ndi akatswiri azachipatala.
Owunikira ambiri a kuthamanga kwa magazi amalumikizananso ndi mapulogalamu ogwirizana kuti apereke zambiri zambiri. Ndi ma tapi ochepa chabe pa pulogalamuyi, chowunikira chanzeru cha kuthamanga kwa magazi chimatumiza zotsatira kwa dokotala wanu. Oyang'anira anzeru amathanso kukupatsirani zambiri za zomwe mumawerenga, kuphatikiza mwatsatanetsatane zomwe zimachitika, kuphatikiza ma avareji pakapita nthawi. Oyang'anira ena anzeru amaperekanso ECG ndi ndemanga zamtima.
Mukhozanso kukumana ndi mapulogalamu omwe amati amayesa kuthamanga kwa magazi pawokha; Sudeep Singh, MD, Apprize Medical anati: “Mapulogalamu a pakompyuta amene amati amayeza kuthamanga kwa magazi ndi olakwika ndipo sayenera kugwiritsidwa ntchito.”
Kuphatikiza pazosankha zathu zapamwamba, tinayesa zowunikira zotsatirazi za kuthamanga kwa magazi, koma pamapeto pake zidalephera pazinthu monga kugwiritsa ntchito mosavuta, kuwonetsa deta, ndikusintha mwamakonda.
Owunika kuthamanga kwa magazi amaonedwa kuti ndi olondola ndipo madokotala ambiri amawalangiza kwa odwala awo kuti awonedwe kunyumba. Dr. Mysore akupereka lamulo lotsatirali: “Ngati systolic kuŵerenga kuli mkati mwa mfundo khumi kuchokera pamene mukuŵerenga mu ofesi, makina anu amaonedwa kuti ndi olondola.”
Madokotala ambiri omwe tinalankhula nawo amalimbikitsanso kuti odwala agwiritse ntchito webusaitiyi ya validatebp.org, yomwe imatchula zipangizo zonse zomwe zimakwaniritsa zofunikira za American Medical Association's Validated Device List (VDL); zida zonse zomwe timalimbikitsa pano zimakwaniritsa zofunikira.
Nthawi yotumiza: Mar-24-2023