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Saturday, 13 April 2013























How To Lower Blood Pressure Naturally






checking bood pressure
High blood pressure is one of the most preventable conditions. Although it causes no symptoms, high blood pressure boosts the risks of leading killers such as heart attack and stroke, as well as aneurysms, cognitive decline, and kidney failure.
Medication can lower blood pressure, it may cause side effects such as leg cramps, dizziness, and insomnia. Fortunately, most people can bring down their blood pressure naturally without medication.

Some ways to control high blood pressure without medication.

By making these 10 lifestyle changes, you can lower your blood pressure and reduce your risk of heart disease.

1. Lose extra pounds and watch your waistline

Blood pressure often increases as weight increases. Losing just 10 pounds (4.5 kilograms) can help reduce your blood pressure. In general, the more weight you lose, the lower your blood pressure. Losing weight also makes any blood pressure medications you’re taking more effective. You and your doctor can determine your target weight and the best way to achieve it.
Besides shedding pounds, you should also keep an eye on your waistline. Carrying too much weight around your waist can put you at greater risk of high blood pressure. In general:
  • Men are at risk if their waist measurement is greater than 40 inches (102 centimeters, or cm).
  • Women are at risk if their waist measurement is greater than 35 inches (89 cm).
  • Asian men are at risk if their waist measurement is greater than 36 inches (91 cm).
  • Asian women are at risk if their waist measurement is greater than 32 inches (81 cm).
Go for power walks
Hypertensive patients who went for fitness walks at a brisk pace lowered pressure by almost 8 mmhg over 6 mmhg. Exercise helps the heart use oxygen more efficiently, so it doesn’t work as hard to pump blood. Get a vigorous cardio workout of at least 30 minutes on most days of the week. Try increasing speed or distance so you keep challenging your ticker.
Meditation

2.Yoga

Yoga is a great de-stressor. A New Delhi study recently found that yogic breathing exercises reduced blood pressure in people with hypertension, possibly through their effects on the autonomic nervous system, which governs heart rate, digestion, and other largely unconscious functions.
But people should not think of yoga as providing the same benefit as aerobic exercise, Burg says. “Each potentially produces benefit in different ways.”
Meditate
Meditation—whether it involves chanting, breathing, visualization, or all the above—can be an effective stress-management tool for many people, Burg says. Again, the important thing is that it makes you feel good, and that you can commit to doing it constantly.
Breathe deeply
Slow breathing and meditative practices in yoga, decrease stress hormones, which elevate renin, a kidney enzyme that raises blood pressure. Try 5 minutes in the morning and at night. Inhale deeply and expand your belly. Exhale and release all of your tension.

3. Eat a healthy diet

Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol can lower your blood pressure by up to 14 mm Hg. This eating plan is known as the Dietary Approaches to Stop Hypertension (DASH) diet.
It isn’t easy to change your eating habits, but with these tips, you can adopt a healthy diet:
  • Keep a food diary. Writing down what you eat, even for just a week, can shed surprising light on your true eating habits. Monitor what you eat, how much, when and why.
  • Consider boosting potassium. Potassium can lessen the effects of sodium on blood pressure. The best source of potassium is food, such as fruits and vegetables, rather than supplements. Talk to your doctor about the potassium level that’s best for you.
  • Be a smart shopper. Make a shopping list before heading to the supermarket to avoid picking up junk food. Read food labels when you shop and stick to your healthy-eating plan when you’re dining out, too.
  • Cut yourself some slack. Although the DASH diet is a lifelong eating guide, it doesn’t mean you have to cut out all of the foods you love. It’s OK to treat yourself occasionally to foods you wouldn’t find on a DASH diet menu, such as a candy bar or mashed potatoes with gravy..

4. Take up tea

Lowering high blood pressure is as easy as one, two, tea: Study participants who sipped 3 cups of a hibiscus tea daily lowered systolic blood pressure by 7 points in 6 weeks on average, say researchers from Tufts University—results on par with many prescription medications. Those who received a placebo drink improved their reading by only 1 point. The phytochemicals in hibiscus are probably responsible for the large reduction in high blood pressure, say the study authors. Many herbal teas contain hibiscus; look for blends that list it near the top of the chart of ingredients—this often indicates a higher concentration per serving.
music relaxation

5. Relax with music

Need to bring down your blood pressure a bit more than medication or lifestyle changes can do alone? The right tunes can help, according to researchers at the University of Florence in Italy. They asked 28 adults who were already taking hypertension pills to listen to soothing classical, Celtic, or Indian music for 30 minutes daily while breathing slowly. After a week, the listeners had lowered their average systolic reading by 3.2 points; a month later, readings were down 4.4 points.

6. Seek help for snoring

It’s time to heed your partner’s complaints and get that snoring checked out. Loud, incessant snores are one of the main symptoms of obstructive sleep apnea (OSA). University of Alabama researchers found that many sleep apnea sufferers also had high levels of aldosterone, a hormone that can boost blood pressure. In fact, it’s estimated that half of all people with sleep apnea have high blood pressure. If you have sleep apnea, you may experience many brief yet potentially life-threatening interruptions in your breathing while you sleep. In addition to loud snoring, excessive daytime tiredness and early morning headaches are also good clues. If you have high blood pressure, ask your doctor if OSA could be behind it; treating sleep apnea may lower aldosterone levels and improve BP.

7. Jump for soy

A study from Circulation: Journal of the American Heart Association found for the first time that replacing some of the refined carbohydrates in your diet with foods high in soy or milk protein, such as low-fat dairy, can bring down systolic blood pressure if you have hypertension or prehypertension.

8. Cut back on caffeine

The role caffeine plays in blood pressure is still debatable. Drinking caffeinated beverages can temporarily cause a spike in your blood pressure, but it’s unclear whether the effect is temporary or long lasting.
To see if caffeine raises your blood pressure, check your pressure within 30 minutes of drinking a cup of coffee or another caffeinated beverage you regularly drink. If your blood pressure increases by five to 10 points, you may be sensitive to the blood pressure raising effects of caffeine.

9. Reduce your stress

Stress or anxiety can temporarily increase blood pressure. Take some time to think about what causes you to feel stressed, such as work, family, finances or illness. Once you know what’s causing your stress, consider how you can eliminate or reduce stress.
If you can’t eliminate all of your stressors, you can at least cope with them in a healthier way. Take breaks for deep-breathing exercises. Get a massage or take up yoga or meditation. If self-help doesn’t work, seek out a professional for counseling.
checking the blood pressure

10. Monitor your blood pressure at home and make regular doctor’s appointments

If you have high blood pressure, you may need to monitor your blood pressure at home. Learning to self-monitor your blood pressure with an upper arm monitor can help motivate you. Talk to your doctor about home monitoring before getting started.
Regular visits to your doctor are also likely to become a part of your normal routine. These visits will help keep tabs on your blood pressure.
  • Have a primary care doctor. People who don’t have a primary care doctor find it harder to control their blood pressure. If you can, visit the same health care facility or professional for all of your health care needs.
  • Visit your doctor regularly. If your blood pressure isn’t well controlled, or if you have other medical problems, you might need to visit your doctor every month to review your treatment and make adjustments. If your blood pressure is under control, you might need to visit your doctor only every six to 12 months, depending on other conditions you might have.

11. Get support from family and friends

Supportive family and friends can help improve your health. They may encourage you to take care of yourself, drive you to the doctor’s office or embark on an exercise program with you to keep your blood pressure low. Talk to your family and friends about the dangers of high blood pressure.
If you find you need support beyond your family and friends, consider joining a support group. This may put you in touch with people who can give you an emotional or morale boost and who can offer practical tips to cope with your condition.

12. Avoid tobacco products and secondhand smoke

On top of all the other dangers of smoking, the nicotine in tobacco products can raise your blood pressure by 10 mm Hg or more for up to an hour after you smoke. Smoking throughout the day means your blood pressure may remain constantly high.
You should also avoid secondhand smoke. Inhaling smoke from others also puts you at risk of health problems, including high blood pressure and heart disease.

13. Reduce sodium in your diet

Even a small reduction in the sodium in your diet can reduce blood pressure by 2 to 8 mm Hg. The recommendations for reducing sodium are:
  • Limit sodium to 2,300 milligrams (mg) a day or less.
  • A lower sodium level — 1,500 mg a day or less — is appropriate for people 51 years of age or older, and individuals of any age who are African-American or who have high blood pressure, diabetes or chronic kidney disease.
To decrease sodium in your diet, consider these tips:
  • Track how much salt is in your diet. Keep a food diary to estimate how much sodium is in what you eat and drink each day.
  • Read food labels. If possible, choose low-sodium alternatives of the foods and beverages you normally buy.
  • Eat fewer processed foods. Potato chips, frozen dinners, bacon and processed lunch meats are high in sodium.
  • Don’t add salt. Just 1 level teaspoon of salt has 2,300 mg of sodium. Use herbs or spices, rather than salt, to add more flavor to your foods.
  • Ease into it. If you don’t feel like you can drastically reduce the sodium in your diet suddenly, cut back gradually. Your palate will adjust over time.

14. Limit the amount of alcohol you drink

Alcohol can be both good and bad for your health. In small amounts, it can potentially lower your blood pressure by 2 to 4 mm Hg. But that protective effect is lost if you drink too much alcohol — generally more than one drink a day for women and men older than age 65, or more than two a day for men age 65 and younger. Also, if you don’t normally drink alcohol, you shouldn’t start drinking as a way to lower your blood pressure. There’s more potential harm than benefit to drinking alcohol.
If you drink more than moderate amounts of it, alcohol can actually raise blood pressure by several points. It can also reduce the effectiveness of high blood pressure medications.
  • Track your drinking patterns. Along with your food diary, keep an alcohol diary to track your true drinking patterns. One drink equals 12 ounces (355 milliliters, or mL) of beer, 5 ounces of wine (148 mL) or 1.5 ounces of 80-proof liquor (45 mL). If you’re drinking more than the suggested amounts, cut back.
  • Consider tapering off. If you’re a heavy drinker, suddenly eliminating all alcohol can actually trigger severe high blood pressure for several days. So when you stop drinking, do it with the supervision of your doctor or taper off slowly, over one to two weeks.
  • Don’t binge. Binge drinking — having four or more drinks in a row — can cause large and sudden increases in blood pressure, in addition to other health problems.
doing yoga

15. Aerobic Exercise

Aerobic exercise is an important part of the natural approach to lower high blood pressure. A meta-analysis of 105 trials involving a total of 6805 participants found that aerobic exercise was associated with a mean reduction in systolic blood pressure of 4.6 mm Hg, with corresponding reductions in diastolic blood pressure.
People with high blood pressure should speak with their doctor first before embarking on a new exercise program.

Foods that help to reduce hyper tension

1.Garlic

Some studies have shown that garlic may help lower both systolic and diastolic blood pressure by a small amount, but larger studies are needed to confirm this.
Why It Works: Garlic’s antioxidant properties destroy free radicals, which are particles that can damage cell membranes and may contribute to the development of heart disease.
How Much to Take: Amounts used in studies vary. Consult with your doctor. Participants in one study, in which garlic slightly appeared to lower blood pressure, took about 200 mg of garlic daily.
How to Take It: Garlic can be consumed in foods or supplement pills.
Concerns: Use garlic cautiously when taking other blood-pressure-lowering medications. Garlic may increase the risk of bleeding when taken with drugs that also increase the amount of bleeding, such as aspirin and blood thinners. Garlic may lower blood sugar levels, Also, it can end up in your sweat, producing a strong odor.
Garlic and other alliums have been shown to help lower high blood pressure and improve cholesterol. In a variety of tests, garlic and onions (members of the allium family) have been shown to reduce cholesterol, high blood pressure and the incidence of flu.

2. Potassium rich foods

Potassium is another abundant mineral in the DASH diet.
Why It Works: Potassium-rich fruits and vegetables in your diet may help keep your blood pressure low by balancing cellular functions in the body. The higher the potassium in your diet, the better sodium is controlled. Potassium helps in the response of nerves to stimulation and in the contraction of muscles.
How Much to Take: There is no recommended daily allowance for potassium. The DASH eating plan limits potassium to about 4,700 mg daily.
How to Take It: Usually the food you eat supplies all the potassium you need. Take a supplement only if your physician prescribes one.
Concerns: Tell your doctor if you have ever had heart, kidney, or Addison’s disease before you take potassium supplements. Potassium can cause side effects such as upset stomach, vomiting, and diarrhea. High levels of potassium could also cause heart arrhythmia, which can lead to cardiac arrest.
Good Sources:
  • – bananas
  • – oranges
  • – potatoes
  • – spinach
  • – fennel
  • – cantaloupe
  • – tomatoes
  • – broccoli
  • – squash

3. Kiwis

Research presented at a meeting last year of the American Heart Association shows that eating three kiwis a day is linked with decreased blood pressure.
That study included 188 men and women age 55 and older, with slightly high blood pressure. They were instructed to eat three kiwis a day, or an apple a day for eight weeks.

4. watermelon

Watermelon is not just refreshing, it contains a bounty of nutrients including fiber, lycopenes, vitamin A and potassium, according to the Mother Nature Network. And, a study from Florida State University researchers shows that an amino acid found — called L-citrulline/L-arginine — in watermelon could also have blChili Peppers
If you love a little heat with your food, it could be doing your blood pressure a favor, too.
A 2010 study in the journal Cell Metabolism showed that capsaicin — the spicy ingredient in chili peppers — could help to lower blood pressure in rats with hypertension. ood pressure-lowering effects.

5.Fish oil

Preliminary studies suggest that fish oil may have a modest effect on high blood pressure. Although fish oil supplements often contain both DHA (docohexaenoic acid) and EPA (eicosapentaenoic acid), there iDiet
Changing your diet is an important part of lowering high blood pressure. The DASH (Dietary Approaches to Stop Hypertension) diet is promoted by the National Heart, Lung, and Blood Institute of the National Insitutes of Health (NIH).
The DASH diet includes fruits and vegetables, low-fat dairy foods, beans and nuts. Sodium is limited to 2,400 mg per day.
Studies have found that the DASH diet can reduce high blood pressure within two weeks. These are the daily guidelines of the DASH diet:
  • 7 to 8 servings of grains
  • 4 to 5 servings of vegetables
  • 4 to 5 servings of fruit
  • 2 to 3 servings of low-fat or non-fat dairy
  • 2 or less servings of meat, fish, or poultry
  • 2 to 3 servings of fats and oils
  • 4 to 5 servings per week of nuts, seeds, and dry beans
Some evidence that DHA is the ingredient that lowers high blood pressure.
  • Less than 5 servings a week of sweets
Serving Sizes
  • 1/2 cup cooked rice or pasta
  • 1 slice bread
  • 1 cup raw vegetables or fruit
  • 1/2 cup cooked vegetables or fruit
  • 8 oz. of milk
  • 1 teaspoon olive oil
  • 3 ounces cooked meat
  • 3 ounces tofu
A related diet called the DASH-Sodium reduces sodium to 1,500 mg a day, which is approximately equal to 2/3 teaspoon from all sources (processed and canned foods contain hidden salt).

6. Skim Milk

It truly does a body good! Drinking heart-healthy skim milk or 1 percent milk will provide you with calcium and vitamin D — the two nutrients work as a team to help reduce blood pressure by 3 to 10 percent. Although this doesn’t sound like much, it could add up to about a 15 percent reduction in risk for cardiovascular disease.

7. Spinach

It contains magnesium, folate, iron, vitamin C and is very healthy for your body. Even if you don’t like it, make sure that you include this nutrient rich vegetable in your diet as it contains those key ingredients.

8. Beans

Kidney, pinto, lima and black beans are some types of beans you should include in your daily diet. Beans are rich, both in magnesium and potassium, capable of decreasing the high blood pressure.
Broccoli
Oozing with potassium, it also contains chromium which fights against the cardiovascular diseases. It controls the blood sugar and insulin levels.

9. Celery

It contains an ingredient called phthalide which rests the muscles of the vessels and aids in the smooth flow of blood. Besides that, celery has a very calming effect and is highly recommended if you are prone to stress.

10. Tomatoes

It contains an antioxidant lycopene, which is known to significantly reduce the high blood pressure. Also, tomatoes are rich in calcium, potassium, vitamins A, C and E, all the essential nutrients required to curb the problem.

11.Whole grain foods (like oatmeal)

Whole grain foods are excellent sources of fibre, magnesium and other essential nutrients needed to maintain a healthy and balanced diet. Eating foods rich in fibre also keeps you feeling full for a longer period of time
Wiseman suggests whole grains that are high in potassium such as buckwheat and millet.

12.Ground flaxseeds

“Try adding ground flaxseeds to almost anything you eat,” says Wiseman. “They are high in fibre and can help those who are trying to maintain a strict and healthy diet.”
Flaxseeds also help lower cholesterol and are rich in omega-3 fatty acids, which fight inflammation and infection

13. Apricots

Apricots are a power food when it comes to fighting hypertension – especially when they’re dried. They contain a soluble fibre that helps promote digestion and fights bloating and constipation

14. Pumpkin Seeds

Pumpkin seeds can help reverse hypertension because they contain a high zinc value. Inadequate zinc can make your arteries lose elasticity, resulting in inflammation.
Pumpkin seeds are a healthy option for a light snack that’s not only tasty, but also good for you.

15. Cashew nuts

Nuts are a great source of nutrients like iron, potassium and fibre. Cashew nuts, specifically, contain magnesium and copper — two essential nutrients that help boost your immunity. Magnesium relaxes your nerves and muscles, while copper helps with the development of connective tissue.
Cashew nuts are also low in fat and are cholesterol-free, so they make for a delicious, yet healthy snack. But be sure to eat them in moderation (about 1/4 cup a day), and avoid the salted options.

16.Oily fish (such as salmon and sardines)

If you have hypertension, you should consider eating at least three oily fish meals a week. Fish contain high amounts of omega-3 fatty acids, which help promote normal body functions.
Studies also show that fish oils can help regulate your mood and emotions, which can drastically change due to high blood pressure. Replacing red meat with lower-fat options like salmon and sardines can also help you to maintain a healthy weight.

17. Indulge in dark chocolate

Dark chocolate varieties contain flavanols that make blood vessels more elastic. In one study, 18% of patients who ate it every day saw blood pressure decrease. Have 1/2 ounce daily (make sure it contains at least 70% cocoa).

เดชเดฃ്เดŸ് เด…เดฎിเดค เดฐเด•്เดค เดธเดฎ്เดฎเดฐ്เดงเดตും เดทുเด—เดฑും “เดชเดฃเด•്เด•ാเดฐുเดŸെ เดฐോเด—เด™്เด™เดณ്‍” เด†เดฏിเดฐുเดจ്เดจു. เด‡เดจ്เดจ് เด…เดคൊเด•്เด•െ เดฎാเดฑി. เดœീเดตിเดค เดฐീเดคി เดฎാเดฑിเดฏเดค് เด•ൊเดฃ്เดŸുเดคเดจ്เดจെ เด†เดฃീ เดฎാเดฑ്เดฑเดตും. เดตിเด•เดธ്เดตเดฐ เดฐാเดœ്เดฏเด™്เด™เดณിเดฒാเดฃ് เดˆ เดฐോเด—ം เด•ൂเดŸുเดคเดฒ്‍ เด•ാเดฃเดชെเดŸുเดจ്เดจเดค്. AD 2025 เด†เด•ുเดฎ്เดชോเดณ്‍ เดฒോเด•เดค്เดค് เดจൂเดฑു เด•ോเดŸി เดœเดจเด™്เด™เดณിเดฒ്‍ เด•ൂเดŸുเดคเดฒ്‍ เด‡เดคിเดจเดŸിเดฎเด•เดณ്‍ เด†เด•ും เดŽเดจ്เดจാเดฃ് เด†เดธ്เดŸ്เดฐേเดฒിเดฏเดฏിเดฒെ George Institute for International Health เดŽเดจ്เดจ เดธ്เดฅാเดชเดจเดค്เดคിเดจ്เดฑെ เดช്เดฐเดธിเดฆ്เดงീเด•เดฐเดฃเดฎാเดฏ “Hypertension” เดŽเดจ്เดจ เดœേเดฐ്‍เดฃเดฒിเดฒ്‍ เดชเดฑเดฏുเดจ്เดจเดค്. เด…เดฎേเดฐിเด•്เด•เดจ്‍ เดœเดจเดคเดฏിเดฒ്‍ เดฎുเดคിเดฐ്‍เดจ เดชൌเดฐเดจ്เดฎാเดฐിเดฒ്‍ เด“เดฐോ เดฎൂเดจ്เดจ് เดชേเดฐിเดฒ്‍ เด’เดฐാเดณ്‍เด•് เด‰เดฏเดฐ്‍เดจ്เดจ เดฐเด•്เดค เดธเดฎ്เดฎเดฐ്เดฆം เด‰เดฃ്เดŸെเดจ്เดจു, American Heart Institute เดชเดฑเดฏുเดจ്เดจു. เดช്เดฐเดฎേเดนം เดชോเดฒെ เดคเดจ്เดจെ เดฒോเด•เดค്เดค് เดเดฑ്เดฑเดตും เด•ൂเดŸുเดคเดฒ്‍ เดฌ്เดฒเดก്‌ เดช്เดฐെเดทเดฐ്‍ เดฐോเด—ിเด•เดณ്‍ เด‰เดฃ്เดŸാเดฏിเด•ൊเดฃ്เดŸിเดฐിเด•്เด•ുเดจ്เดจเดค് เด‡เดจ്เดค്เดฏเดฏിเดฒും เดšൈเดจเดฏിเดฒും เด†เดฃ്. เดœീเดตിเดค เดธเดฎ്เดฎเดฐ്เดงเดฎുเดณ്เดณเดตเดฐ്‍, เด…เดฎിเดค เดตเดฃ്เดฃം เด‰เดณ്เดณเดตเดฐ്‍ เด‡เดตเดฐൊเด•്เด•െ 30 เดตเดฏเดธ്เดธเด•ുംเดฌോเดดേ BP เดชเดฐിเดถോเดงിเด•്เด•เดจ്เดจเดค് เดจเดฒ്เดฒเดคാเดฃ്.

เด•ുเดดเดž്เดžു เดตീเดฃു เดฎเดฐിเด•്เด•ുเดจ്เดจเดตเดฐിเดฒ്‍ เดชเดฒเดฐും เดนൈ bp เด‰เดณ്เดณเดตเดฐാเดฃ്. เดธാเดงാเดฐเดฃ เด—เดคിเดฏിเดฒ്‍ เด‡เดค് เดตเดณเดฐെ เด•ൂเดŸി เด•ുเดฑเดš്เดšു เด•ാเดฒം เด•เดดിเดž്เดžു เดฎാเดค്เดฐเดฎാเดฃ് เดจാം เดฎเดจเดธ്เดธിเดฒാเด•്เด•ുเดจ്เดจเดค്‌. เด‡เดจ്เดค്เดฏเดฏിเดฒ്‍ 20 เด•ോเดŸിเดฏോเดณം เดœเดจเด™്เด™เดณ്‍ เดนൈ bp เด‰เดณ്เดณเดตเดฐ്‍ เด†เดฃ്. เดชเด•്เดทെ เดชเดฒเดฐും เด…เดฑിเดฏാเดคെ เดจเดŸเด•്เด•ുเดจ്เดจเดตเดฐ്‍ เด†เดฃ്. เด…เดฑിเดฏുเดจ്เดจเดตเดฐ്‍ เดคเดจ്เดจെ 50 % เดชേเดฐ്‍ เดฎാเดค്เดฐเดฎാเดฃ് เดšെเด•്เด•് เดšെเดฏ്เดฏാเดฑുเดณ്เดณൂ. เด…เดตเดฐിเดฒ്‍ เดคเดจ്เดจെ 35 % เดฎാเดค്เดฐเดฎാเดฃ് เดšിเด•ിเดค്เดธിเดš്เดšു เดจിเดฏเดจ്เดค്เดฐിเด•്เด•ുเดจ്เดจുเดฒ്เดฒു.

เดฐเด•്เดค เดธเดฎ്เดฎเดฐ്‍เดฆം เดฐเดฃ്เดŸു เดคเดฐo

เดฐเด•്เดค เดธเดฎ്เดฎเดฐ്‍เดฆം เดช്เดฐൈเดฎเดฑി เดŽเดจ്เดจും เดธെเด•เดฃ്เดŸเดฐി เดŽเดจ്เดจും เดฐเดฃ്เดŸു เดคเดฐเดฎുเดฃ്เดŸ്. 95 % เดฐเด•്เดค เดธเดฎ്เดฎเดฐ്เดงเดตും เดช്เดฐൈเดฎเดฑി (เดธാเดงാเดฐเดฃം) เด†เดฃ്. 5 % เดธെเด•เดฃ്เดŸเดฐി (เด…เดธാเดงാเดฐเดฃം) เด†เดฃ്. เดธെเด•เดฃ്เดŸเดฐി, เดšിเดฒ เดฐോเด—เด™്เด™เดณുเดŸെ เดชാเดฐ്เดถ്เดตเดญเดฒം เด†เดฏാเดจുเดฃ്เดŸാเด•ുเดจ്เดจเดค്‌.

เดŽเดจ്เดคാเดฃ് เด‰เดฏเดฐ്‍เดจ്เดจ เดฐเด•്เดค เดธเดฎ്เดฎเดฐ്‍เดฆം?

เดนൃเดฆเดฏเดค്เดคെ เด’เดฐു เดชเดฎ്เดช് เดนൌเดธാเดฏി เด‰เดชเดฎിเด•്เด•ുเด•. เดฐเด•്เดคം เดถเด•്เดคเดฎാเดฏി เดตെเดณിเดฏിเดฒേเด•്เด•് เดชเดฎ്เดช് เดšെเดฏ്เดฏเดชെเดŸുเดฎ്เดชോเดณ്‍ เดฐเด•്เดค เด•ുเดดเดฒിเดจുเดณ്เดณിเดฒ്‍ เด…เดจുเดญเดตเดชെเดŸുเดจ്เดจ เดธเดฎ്เดฎเดฐ്‍เดฆം เด†เดฃ് เดธിเดธ്เดŸോเดฒിเด•് bp . เด‡เดค് เดธാเดงാเดฐเดฃ 120 mm /hg เด†เดฃ്. เดฐเด•്เดคം เดตീเดฃ്เดŸും เดนൃเดฆเดฏเดค്เดคിเดฒേเด•്เด•് เดชോเด•ുเดฎ്เดชോเดณ്‍ เดฐเด•്เดคเด•്เด•ുเดดเดฒുเด•เดณ്‍ เดšുเดฐുเด™്เด™ുเดจ്เดจു เด…เดช്เดชോเดณ്‍ เด…เดตിเดŸുเดค്เดคെ เดธเดฎ്เดฎเดฐ്‍เดฆം เด†เดฃ് diastolic bp เด‡เดค് เดธാเดงാเดฐเดฃ 80 mm /hg เด†เดฃ്. เด‡เด™്เด™ിเดจെ 120 / 80 mm /hg เดŽเดจ്เดจ เดจിเดฒเดฏാเดฃ് เดธാเดงാเดฐเดฃ เดฐเด•്เดค เดธเดฎ്เดฎเดฐ്‍เดฆം. เดˆ เดฒെเดตเดฒിเดฒ്‍ เด•ൂเดŸുเดคเดฒ്‍ เด†เดฏാเดฒ്‍ เด…เดคിเดจെ เดนൈ เดฌ്เดฒเดก്‌ เดช്เดฐเดทเดฐ്‍ เดŽเดจ്เดจ് เดชเดฑเดฏുเดจ്เดจു. 140 / 90 mm /hg เดตเดฐെ เด†เดฏാเดฒ്‍ เด…เดคเดค്เดฐ เด…เดชเด•เดŸเดฎเดฒ്เดฒ. เดˆ เดจിเดฒเดฏെ เดนൈ เดจോเดฐ്‍เดฎเดฒ്‍ เดŽเดจ്เดจ് เดชเดฑเดฏുเดจ്เดจു. เด…เดคിเดจും เดฎുเด•เดณിเดฒ്‍ เดชോเด•ുเดฎ്เดชോเดณ്‍ เด…เดค് เด‰เดฏเดฐ്‍เดจ്เดจ เดฐเด•്เดค เดธเดฎ്เดฎเดฐ്‍เดฆം เดŽเดจ്เดจ് เดชเดฑเดฏുเดจ്เดจു.

เด•ാเดฐเดฃเด™്เด™เดณ്‍

1 ) เดฐเด•്เดค เด•ുเดดเดฒുเด•เดณ്‍ เดธാเดงാเดฐเดฃ เด’เดฐു เดฑเดฌ്เดฌเดฐ്‍ เด•ുเดดเดฒ്‍ เดชോเดฒെเดฏാเดฃ്. เดช്เดฐเดทเดฐ്‍ เด•ൂเดŸുเดฎ്เดชോเดณ്‍ เด…เดค് เด†เดตเดถ്เดฏเดค്เดคിเดจു เดตിเด•เดธിเด•്เด•ുเด•เดฏും เด•ുเดฑเดฏുเดฎ്เดชോเดณ്‍ เดธാเดงാเดฐเดฃ เดธാเดงാเดฐเดฃ เดŽเดค്เดคുเด•เดฏും เดšെเดฏ്เดฏുเดจ്เดจു. เดˆ เด‡เดฒാเดธ്เดŸിเดธിเดŸി เดจเดท്เดŸเดช്เดชെเดŸുเดฎ്เดชോเดดാเดฃ് เดช്เดฐเดทเดฐ്‍ เด†เดตเดถ്เดฏเดค്เดคിเดฒ്‍ เด…เดงിเด•ം เด‰เดฏเดฐ്‍เดจ്เดจു เดจിเดฒ്‍เด•്เด•ാเดจ്‍ เดคുเดŸเด™്เด™ുเดจ്เดจเดค്. เดชിเดจ്เดจെ เดšിเดฒ เดฎเดจുเดท്เดฏเดฐിเดฒ്‍ เดฐเด•്เดค เด•ുเดดเดฒിเดจു เดชൊเดคുเดตേ เด‡เดฒാเดธ്เดŸിเดธിเดŸി เด•ുเดฑเดตാเดฏിเดฐിเด•്เด•ും. เด‡เดจ്เดค്เดฏാเด•്เด•เดฐ്เด•ും เด†เดซ്เดฐിเด•เด•്เด•ാเดฐ്เด•ും เด‡เดค്เดคเดฐเดค്เดคിเดฒുเดณ്เดณ เดฐเด•്เดค เด•ുเดดเดฒാเดฃ് เด‰เดณ്เดณเดค്.

2 ) เดจเดฎുเด•്เด•് เดฆേเดท്เดฏം, เดฆുเด–ം, เด‰เดค്เด•เดฃ്เดŸ, เดญเดฏം เดฎുเดคเดฒാเดฏ เดตിเด•ാเดฐเด™്เด™เดณ്‍ เด‰เดฃ്เดŸാเด•ുเดฎ്เดชോเดณ്‍ เดถเดฐീเดฐเดค്เดคിเดฒെ เดšിเดฒ เดจ്เดฏുเดฐോเดจുเด•เดณ്‍ เด…เดฆ്เดฐീเดจാเดฒിเดจ്‍, เดจോเดฐ്‍ เด…เดฆ്เดฐീเดจാเดฒിเดจ്‍, เดกോเดชเดฎിเดจ്‍ เดคുเดŸเด™്เด™ിเดฏ เดšിเดฒ เดนോเดฐ്‍เดฎോเดฃുเด•เดณ്‍ เด‰เดค്เดชാเดฆിเดช്เดชിเด•്เด•ുเดจ്เดจു. เด‡เดค് เดจെเดž്เดšിเดŸിเดช്เดช്, เด†เด•ാംเดท, เดตിเด•ാเดฐ เดตിเด•്เดทോเดชം เดชോเดฒുเดณ്เดณ เดต്เดฏเดคിเดฏാเดจเด™്เด™เดณ്‍ เด‰เดฃ്เดŸാเด•ുเดจ്เดจเดคോเดŸൊเดช്เดชം เดฐเด•്เดค เดธเดฎ്เดฎเดฐ്เดงเดตും เด•ൂเดŸ്เดŸുเดจ്เดจു. 55 เดตเดฏเดธിเดจു เดคാเดดെเดฏുเดณ്เดณเดตเดฐ്‍เด•് เดช്เดฐเดทเดฐ്‍ เด‰เดฃ്เดŸാเด•ുเดจ്เดจ เดช്เดฐเดงാเดจ เด•ാเดฐเดฃം เด‡เดคാเดฃ്.

3 ) เดฎേเดฒ്เดชเดฑเดž്เดž เดนോเดฐ്‍เดฎോเดฃുเด•เดณ്‍ เดถเดฐീเดฐเดค്เดคിเดฒ്‍ เด•ൂเดŸുเดคเดฒ്‍ เด†เด•ുเดฎ്เดชോเดณ്‍ เด…เดค് เด•ിเดŸ്เดจിเดฏെเดฏും เดช്เดฐเดคിเด•ൂเดฒเดฎാเดฏി เดฌാเดงിเด•്เด•ുเดจ്เดจു. เดถเดฐീเดฐเดค്เดคിเดฒ്‍ เด†เดนാเดฐเดตും เดฎเดฑ്เดฑും เดฆเดนിเดš്เดšเดคിเดจു เดถേเดทเดฎുเดณ്เดณ เดชเดด്เดตเดธ്เดคുเด•്เด•เดณും เดœเดฒเดตും เด‰เดชเดฏോเด—ിเดš്เดšാเดฃ് เดตൃเด•്เด•เด•เดณ്‍ เดฎൂเดค്เดฐം เด‰เดฃ്เดŸാเด•ുเดจ്เดจเดค്. เด‰เดฏเดฐ്‍เดจ്เดจ bp เด•ാเดฐเดฃം เด…เด™്เด™ോเดŸ്เดŸുเดณ്เดณ เดฐเด•്เดค เด“เดŸ്เดŸം เด•ുเดฑเดฏുเดฎ്เดชോเดณ്‍ เด…เดตിเดŸെ เด†เดž്เดšിเดฏോ เดŸെเดจ്‍เดธിเดจ്‍, เดฑെเดจിเดจ്‍, เด†เดณ്เดŸോ เดธ്เดŸീเดฐോเดฃ്‍ เดฎുเดคเดฒാเดฏ เดนോเดฐ്‍เดฎോเดฃുเด•เดณ്‍ เด‰เดฃ്เดŸാเด•ുเดจ്เดจു. เด‡เดตเดฏുเดŸെ เดธാเดจ്เดจിเดง്เดฏം เด‰เดช്เดชിเดจെ เด…เดฐിเดš്เดšു เด•เดณเดฏുเดจ്เดจ เดตൃเด•്เด•เดฏുเดŸെ เด•เดดിเดตിเดจെ เด•ുเดฑเดฏ്เด•്เด•ുเดจ്เดจു. เด‰เดช്เดช് เดถเดฐീเดฐเดค്เดคിเดฒ്‍ เด•െเดŸ്เดŸിเด•്เด•ിเดŸเด•്เด•ുเดจ്เดจു. เด‡เดค് เดช്เดฐเดทเดฐ്‍ เด•ൂเดŸാเดจ്‍ เด•ാเดฐเดฃം เด†เด•ുเดจ്เดจു.

4 ) เด‰เดช്เดช് เด•ൂเดŸുเดคเดฒ്‍ เด•เดดിเดš്เดšാเดฒ്‍ bp เด•ൂเดŸുเดจ്เดจു. เดจാം เด‰เดช്เดช് เด•ൂเดŸുเดคเดฒ്‍ เด•เดดിเด•്เด•ുเดฎ്เดชോเดณ്‍ (เด‰เดช്เดช് - เดธോเดกിเดฏം เด•്เดฒോเดฐൈเดŸ്) เด…เดคിเดฒെ เดธോเดกിเดฏം เด†เดฃ് เดช്เดฐเดถ്เดจเด•്เด•ാเดฐเดจ്‍. เด•ാเดฐเดฃം เด‡เดตเดจ്‍ เดถเดฐീเดฐเดค്เดคിเดฒെ เดชേเดถിเด•เดณിเดฒ്‍ เด•เดŸเด•്เด•ുเดฎ്เดชോเดณ്‍ เด•ാเดค്เดธ്เดฏเดค്เดคെ เด•ൂเดŸെ เดŽเดช്เดชോเดดും เด•ൊเดฃ്เดŸുเดชോเด•ുเดจ്เดจു. เด•ാเดค്เดธ്เดฏം เด•ാเดค്เดธ്เดฏം เดชേเดถിเด•เดณിเดฒ്‍ เด•เดŸเดจ്เดจാเดฒ്‍ เดชേเดถിเด•เดณ്‍ เดฎുเดฑുเด•ുเดจ്เดจു. เดฐเด•്เดค เด•ുเดดเดฒിเดจ്เดฑെ เดญിเดค്เดคിเด•เดณിเดฒെ เดชേเดถിเด•เดณിเดฒും เด‡เดตเดฏെเดค്เดคുเดจ്เดจു. เด…เดคിเดจ്เดฑെ เด•ൂเดŸെ เด•ൊเดณเดธ്เดŸ്เดฐോเดณും เด•ൂเดŸിเดฏുเดฃ്เดŸെเด™്เด•ിเดฒ്‍ เด…เดคിเดฒെ เด•ൊเดดുเดช്เดชും เด•ാเดฒ്‍เดธ്เดฏเดค്เดคിเดจ്เดฑെ เด•ൂเดŸെ เดฐเด•്เดค เด•ുเดดเดฒിเดจ്เดฑെ เดญിเดค്เดคിเด•เดณിเดฒ്‍ เด…เดŸിเดž്เดžു เด•ൂเดŸുเดจ്เดจു. เดคเดฒเดš്เดšോเดฑിเดฒെ เดจേเดฐ്‍เดค്เดค เดฐเด•്เดคเด•്เด•ുเดดเดฒുเด•เดณിเดฒ്‍ เด‡เดตเดฏെเดค്เดคിเดฏാเดฒ്‍ เดธ്เดตാเดญാเดตിเด•เดฎാเดฏും เด…เดตเดฏുเดŸെ เด‰เดณ്‍เดต്เดฏാเดธം เดตീเดฃ്เดŸും เด•ുเดฑเดฏുเด•เดฏും bp เด•ൂเดŸുเดฎ്เดชോเดณ്‍ เดฐเด•്เดคเด•്เด•ുเดดเดฒ്‍ เดชൊเดŸ്เดŸി เดฐเด•്เดค เดธ്เดฐാเดตം (hemorrhage ) เด…เดฒ്เดฒെเด™്เด•ിเดฒ്‍ เดฐเด•്เดคം เด•เดŸ്เดŸിเดชിเดŸിเดš്เดš് เดฐเด•്เดคเดฏോเดŸ്เดŸം เดจിเดฒ്‍เด•ുเด•เดฏും (thrombosis ) เดšെเดฏ്เดฏുเดจ്เดจു. hemorrhage เด†เดฏാเดฒും thrombosis เด†เดฏാเดฒും, เดถเดฐീเดฐเดค്เดคിเดจ്เดฑെ เด’เดฐു เดญാเด—ം เดคเดณเดฐുเด•เดฏും เดธംเดธാเดฐเดถേเดทി เดจเดท്เดŸเดชെเดŸുเด•เดฏും เดšെเดฏ്เดฏാം. เดšെเดฑുเดคാเดฏി เดฐเด•്เดคเดธ്เดฐാเดตം เด‰เดฃ്เดŸാเดฏാเดฒ്‍ เดšിเดฒเดช്เดชോเดณ്‍ เดจാം เด…เดฑിเดž്เดžിเดฒ്เดฒെเดจ്เดจു เดตเดฐാം. เดชเด•്เดทെ เด“เดฐ്เดฎ เดถเด•്เดคിเดฏിเดฒ്‍ เด•ുเดฑเดตുเดฃ്เดŸാเด•ും. เด…เด™്เด™ിเดจെ เด’เดฐു เดฐോเด—ം เดชเดฒ เดฐോเด—เด™്เด™เดณ്‍เด•് เด•ാเดฐเดฃം เด†เด•ുเดจ്เดจു.

5 ) เดต്เดฏാเดฏാเดฎเดฎോ เดœോเดฒിเดฏോ เดšെเดฏ്เดฏാเดคിเดฐുเดจ്เดจാเดฒ്‍ . เดเดคു เดฐോเด—เดค്เดคെ เดชോเดฒെเดฏും เดฐเด•്เดค เดธเดฎ്เดฎเดฐ്เดงเดตും เด•ൂเดŸുเดจ്เดจു. เดต്เดฏാเดฏാเดฎം เดšെเดฏ്เดฏാเดคിเดฐുเดจ്เดจാเดฒ്‍ เดฆുเดฐ്เดฎേเดงเดธ്เดธും เด•ൂเดŸുเดจ്เดจു. เดฐเด•്เดคเด•്เด•ുเดดเดฒിเดจ്เดฑെ เดญിเดค്เดคിเด•เดณിเดฒ്‍ เด•ൊเดดുเดช്เดชും เด•ാเดค്เดธ്เดฏเดตും เดฎเดฑ്เดฑും เด…เดŸിเดž്เดžു เด•ൂเดŸുเดจ്เดจു. เด•ുเดดเดฒിเดจ്เดฑെ เด‰เดณ്‍เดต്เดฏാเดธം เด•ുเดฑเดฏുเด•เดฏും เดช്เดฐเดทเดฐ്‍ เด•ൂเดŸുเด•เดฏും เดšെเดฏ്เดฏുเดจ്เดจു.

6 ) เดšിเดฒ เด—เดฐ്‍เดญിเดฃിเด•เดณിเดฒ്‍ 6 – 7 เดฎാเดธം เดช്เดฐാเดฏเดฎാเด•ുเดฎ്เดชോเดณ്‍ เดช്เดฒാเดธെเดจ്เดŸเดฏുเดฎാเดฏി เดฌเดจ്เดงเดช്เดชെเดŸ്เดŸു เดšിเดฒ เดนോเดฐ്‍เดฎോเดฃ്‍ เดต്เดฏเดคിเดฏാเดจเด™്เด™เดณ്‍ เด‰เดฃ്เดŸാเด•ുเด•เดฏും เด…เดค് bp เด•ൂเดŸാเดจ്‍ เด•ാเดฐเดฃം เด†เด•ുเด•เดฏും เดšെเดฏ്เดฏുเดจ്เดจു. เดชเด•്เดทെ เด‡เดค് เดช്เดฐเดธเดตം เด•เดดിเดฏുเดฎ്เดชോเดณ്‍ เดจോเดฐ്‍เดฎเดฒ്‍ เด†เด•ുเดจ്เดจു.

7 ) เดšിเดฒ เดฐോเด—เด™്เด™เดณുเดŸെ เดชാเดฐ്เดถ്เดต เดญเดฒเดฎാเดฏി เดธെเด•เดฃ്เดŸเดฐി เดฐเด•്เดค เดธเดฎ്เดฎเดฐ്เดฆം เด‰เดฃ്เดŸാเด•ാเดฑുเดฃ്เดŸ്. เด‰เดฆാ: เดตൃเด•്เด•เดฏുเดŸെ เดฎുเด•เดณിเดฒ്‍ เดชเดฑ്เดฑി เดชിเดŸിเดš്เดšിเดฐിเด•്เด•ുเดจ്เดจ เด—്เดฐเดจ്เดงിเดฏാเดฃ് เด…เดฆ്เดฐീเดจเดฒ്‍ เด—്เดฐเดจ്เดฅി. เด‡เดตเดฏിเดฒുเดฃ്เดŸാเด•ുเดจ്เดจ เด•ാเดจ്‍เดธเดฐ്‍ bp เด•ൂเดŸ്เดŸുเดจ്เดจു.

เดจിเดฏเดจ്เดค്เดฐเดฃ เดฎാเดฐ്‍เด—เด™്เด™เดณ്‍

1 ) เดœീเดตിเดค เดฐീเดคിเดฏിเดฒെ เดฎാเดฑ്เดฑം เด†เดฃ് เดช്เดฐเดงാเดจเดฎാเดฏും เดตേเดฃ്เดŸเดค്.

2 ) 130 – 80 เดจും 139 -89 เดจും เด‡เดŸเดฏിเดฒ്‍ เด…เดฒ്เดฒെเด™്เด•ിเดฒ്‍ 140 – 90 เดตเดฐെ เดจിเดฒ്เด•ുเดจ്เดจเดตเดฐ്เด•് 30 เดฎിเดจുเดŸ്เดŸ് เดเดฐോเดฌിเด•് เดต്เดฏാเดฏാเดฎം (เดจเดŸเดค്เดคം, เดœോเด—ിംเด—് เดคുเดŸเด™്เด™ിเดฏเดต) เดšെเดฏ്‌เดคാเดฒ്‍ เดฎเดคി. เดต്เดฏാเดฏാเดฎം เดšെเดฏ്เดฏുเดฎ്เดชോเดณ്‍ เดถീเดฐเดค്เดคിเดฒെ เด•ൊเดดുเดช്เดช് เดŽเดฐിเดž്เดžിเดฒ്เดฒเดคാเด•ുเดจ്เดจു. เดตിเดฏเดฐ്‍เดค്เดคു เด‰เดช്เดชു เดตെเดณിเดฏിเดฒ്‍ เดชോเด•ുเดจ്เดจു.

3 ) เด‰เดช്เดช് เด•ുเดฑเดฏ്เด•്เด•ുเด•. เด…เดš്เดšാเดฐ്, เดชเดช്เดชเดŸം, เด‰เดช്เดชിเดฒിเดŸ്เดŸเดค്, เด‰เดช്เดชിเดŸ്เดŸ เดฎเดฑ്เดฑു เด†เดนാเดฐเด™്เด™เดณ്‍ เด‡เดต เด•ുเดฑเดฏ്เด•്เด•ുเด•.

4 ) เดชเดš്เดšเด•เดฑിเด•เดณും, เดชเดดเด™്เด™เดณും เดงാเดฐാเดณം เด•เดดിเด•്เด•ുเด•.

5 ) เด‡เดตเด•ൊเดฃ്เดŸൊเดจ്เดจും เด•ുเดฑเดตിเดฒ്เดฒെเด™്เด•ിเดฒ്‍ เดกോเด•്เดŸเดฑെ เด•เดฃ്เดŸു เดšെเด•്เด•് เดšെเดฏ്เดคു เดฎเดฐുเดจ്เดจ് เด•เดดിเด•്เด•ുเด•. เดœീเดตിเดค เดšിเดŸ്เดŸเด•เดณിเดฒൂเดŸെ เดฎൂเดจ്เดจു เดช്เดฐാเดตเดถ്เดฏം เดšെเด•്เด•് เดšെเดฏ്เดคเดคിเดจു เดถേเดทം เด•ുเดฑเดž്เดžിเดฒ്เดฒെเด™്เด•ിเดฒ് เดฎാเดค്เดฐเดฎേ เดกോเด•്เดŸเดฐ്‍ เดฎเดฐുเดจ്เดจ് เด•เดดിเด•്เด•ാเดจ്‍ เดชเดฑเดฏുเด•เดฏുเดณ്เดณൂ.

6 ) bp เด•ൂเดŸുเดคเดฒ്‍ เด‰เดณ്เดณเดตเดฐ്‍ เดœിเดฎ്เดฎിเดฒ്‍ เดชോเด•เดฐുเดคേ. เดœിเดฎ്เดฎിเดฒ്‍ เดชോเด•เดฃเดฎെเด™്เด•ിเดฒ്‍ เดกോเด•്เดŸเดฑോเดŸ് เดšോเดฆിเดš്เดšു เดฎാเดค്เดฐം เดชോเด•ുเด•.

7 ) เดต്เดฏാเดฏാเดฎം เดšെเดฏ്เดฏുเดฎ്เดชോเดณ്‍ เดจെเดž്เดšു เดตേเดฆเดจ เด‰เดฃ്เดŸാเดฏാเดฒ്‍ เด‰เดŸเดจ്‍ เดจിเดฐ്‍เดค്เดคുเด•. เดกോเด•്เดŸเดฑോเดŸ് เดšോเดฆിเดš്เดšു เดฎാเดค്เดฐം เดตീเดฃ്เดŸും เดคുเดŸเดฐുเด•.





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