Hawan jini

Menene Hawan Jini?

Hawan jini shine karfin jini wanda ke tura bangon arteries yayin da zuciyar ku ke bugun. An bayyana shi azaman lambobi biyu:

• Matsi na systolic (lamba na sama):Matsi lokacin da zuciyarka ta buga da bugun jini
• Matsin diastolic (lambar ƙasa):Matsi lokacin da zuciyarka ta kwanta tsakanin bugun

Karatun "120/80 mmHg" na nufin systolic matsa lamba na 120 millimeters na mercury da diastolic matsa lamba na 80 mmHg.

Yadda HealthKit ke Adana Hawan Jini

HealthKit na iya karɓar bayanan hawan jini daga:

• Na'urorin haɗi:Masu lura da hawan jini mai kunna Bluetooth wanda ke aiki tare da Apple Health
• Shigar da hannu:Ma'aunin rikodin mai amfani daga kowace ingantacciyar na'ura
• Apps na kiwon lafiya:Ka'idodin ɓangare na uku waɗanda ke rubuta zuwa HealthKit

Ba kamar bugun zuciya ba, a halin yanzu ba za a iya auna hawan jini kai tsaye ta Apple Watch ba kuma yana buƙatar keɓantaccen na'urar tushen cuff don ingantaccen karatu.

Bayanan Kimiyya

Hawan jini: "Mai Kisan Silent"

Hawan jini (hawan hawan jini) galibi ana kiransa “killer shiru” saboda yawanci ba ya haifar da alamun cutar yayin da a gaba yana lalata jijiyoyin jini da gabobin. A cewar bayanan WHO, hauhawar jini yana shafar kusanMutane biliyan 1.3 a duniyakuma shine babban abin haɗarin da za'a iya canzawa don cutar cututtukan zuciya.

Me yasa Hawan Jini ke da mahimmanci:

Hawan jini yana ƙara yawan aiki akan zuciya kuma yana lalata bangon jijiya na tsawon lokaci, yana haifar da: - Atherosclerosis (wanda ake kira plaque artery) - ciwon zuciya da gazawar zuciya - bugun jini - Ciwon koda - Rashin hangen nesa - Rashin hankali

Jagororin Rabewa (ACC/AHA 2017)

Kwalejin Kwaleji ta Amurka da Ƙungiyar Zuciya ta Amurka sun sabunta nau'ikan hawan jini a cikin 2017:

Waɗannan jagororin sun saukar da kofa don hauhawar jini daga 140/90 zuwa 130/80 bisa shaidar cewa haɗarin cututtukan zuciya yana ƙaruwa a ƙananan matakan.

Abubuwan Binciken Alamar Kasa

Gwajin SPRINT (2015)

TheGwajin Ciwon Hawan Jini na Systolicwani muhimmin bincike ne na NIH da aka samu na manya na 9,361 a cikin haɗarin cututtukan zuciya.

Mahimmin Bincike:- Magani mai tsanani (manufa <120 mmHg) vs. misali (manufa <140 mmHg) -25% raguwaa cikin abubuwan da ke faruwa na zuciya da jijiyoyin jini tare da magani mai tsanani -27% raguwaa duk- sanadin mace-mace - An dakatar da gwajin da wuri saboda fa'idar kulawa mai zurfi

"Yin cutar hawan jini na systolic kasa da 120 mm Hg, idan aka kwatanta da kasa da 140 mm Hg, ya haifar da ƙananan ƙananan cututtuka masu mutuwa da marasa mutuwa da manyan cututtukan zuciya da kuma mutuwa daga kowane dalili." - Rukunin Bincike na SPRINT, NEJM, 2015

Haɗin kai na Karatu (Lancet 2002)

A meta-analysis na61 karatu masu zuwatare da manya miliyan 1 sun nuna ci gaba da dangantaka tsakanin hawan jini da haɗarin zuciya:

Mahimmin Bincike:- Dangantaka tsakanin BP da CVD hadarin yana ci gaba har zuwa akalla 115/75 mmHg - Kowanne20 mmHg karuwaa cikin systolic BP ya ninka haɗarin mace-mace na zuciya da jijiyoyin jini - Kowanne10 mmHg karuwaa cikin diastolic BP yana ninka haɗarin mace-mace na zuciya da jijiyoyin jini - Wannan dangantakar da aka gudanar a duk tsakanin shekaru 40-89

Kula da Hawan Jini a Gida

Sanarwar manufofin haɗin gwiwa dagaƘungiyar Zuciya ta Amirka da Ƙungiyar Likitocin Amirka(2020) ya amince da saka idanu kan hawan jini na gida kamar yadda ya fi ma'aunin ofis don:

Amfanin asibiti:- Ƙarin ma'auni a cikin yanayin yanayi - Yana gano "hawan hawan jini" (wanda aka ɗaukaka kawai a cikin saitunan likita) - Yana gano "hawan hawan jini" (na al'ada a ofis amma yana girma a gida) - Mafi kyawun tsinkayar sakamakon cututtukan zuciya fiye da ofishin BP - Haɓaka riko da magunguna da sarrafa BP

Ƙa'idar Shawarar:- Auna a lokaci guda kowace rana (safiya da maraice manufa) - Zauna cikin nutsuwa na mintuna 5 kafin auna - Ɗauki karatun 2-3, tsakanin minti 1 - Yi rikodin duk karatun don bitar mai ba da lafiya

Muhimmancin asibiti

Gwajin Hadarin Zuciya

Hawan jini yana ɗaya daga cikin mahimman abubuwan haɗari waɗanda za'a iya canzawa don:

Abubuwan Da Ke Tasirin Hawan Jini

Abubuwan da za a iya gyarawa:- Abincin abinci (musamman cin abinci sodium) - Matsayin aikin jiki - Nauyin jiki - Shan barasa - Damuwa - ingancin barci

Abubuwan da ba za a iya canzawa ba:- Shekaru (BP yawanci yana ƙaruwa da shekaru) - Tarihin iyali - Kabilanci/kabilanci (mafi yawan yaɗuwa a cikin Baƙar fata) - Ciwon koda

Shawarwari

Jagororin Bisa Shaida

Jagororin ACC/AHA na 2017 sun ba da shawarar:

Gyaran Rayuwa

Kowane sa hannu zai iya rage systolic BP ta kusan:

Lokacin Neman Kulawar Lafiya

Nemi kulawa cikin gaggawaIdan hawan jini ya wuce 180/120 mmHg, musamman tare da: - Ciwon kai mai tsanani - Ciwon kirji - wahalar numfashi - Ragewa ko rauni - Canjin hangen nesa - Wahalar magana

Jadawalin kima na likitadomin: - Karatun da aka ɗauka akai akai (> 130/80 mmHg) akan kulawar gida - Bambance-bambance masu yawa a cikin karatun hawan jini - Alamu kamar ciwon kai, zubar da jini, ko karancin numfashi - Tambayoyin magani ko illa

Magana

1. Whelton PK, et al. (2018) 2017 Jagoran ACC / AHA don Rigakafin, Ganewa, Ƙididdigar, da Gudanar da Cutar hawan jini a cikin Manya.Hawan jini, 71 (6), e13-e115.
2. Rukunin Bincike na SPRINT. (2015) Gwajin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Jini.NEJM, 373 (22), 2103-2116.
3. Lewington S, et al. (2002) Takamaiman shekarun da suka dace da hawan jini na yau da kullun zuwa mace-macen jijiyoyin jini.Lancet, 360 (9349), 1903-1913.
4. Shimbo D, et al. (2020) Kulawa da Haɗin Jini a Gida: Bayanin Manufofin Haɗin gwiwa na AHA/AMA.Zagayawa, 142 (4), e42-e63.
5. Haɗin gwiwar Factor Factor NCD. (2021) Abubuwan da ke faruwa a duniya game da yaduwar hauhawar jini da ci gaba a cikin jiyya da sarrafawa.Lancet, 398 (10304), 957-980.
6. Staessen JA, et al. (2005) Tasirin nan take tare da jinkirin maganin hauhawar jini.Jaridar hauhawar jini, 23 (6), 1213-1220.