<prompt> Rangarira ndima iri pasi apa uye ipapo pindura mubvunzo gare gare mumutauro mumwe chetewo sechikamu: Kupfuura: Kana chirwere cheBP chaonekwa, vashandi vezveutano vanofanira kuedza kutsvaka chinokonzera chirwere ichi vachishandisa zvinhu zvinokonzera chirwere ichi uye zvimwe zviratidzo, kana zviripo. Kuwedzera kweropa kwechipiri kunowanzoitika muvana vasati vava kuyaruka, uye kazhinji kacho kunokonzerwa nechirwere cheitsvo. Chirwere chepfungwa kana kuti chinonzi essential hypertension chinowanzoitika pavanhu vachiri kuyaruka uye vanhu vakuru uye chine zvinhu zvakawanda zvinokonzera chirwere ichi, kusanganisira kufutisa uye kana munhu ane chirwere chepfungwa mumhuri. Kuongorora kwomu laboratori kunogonawo kuitwa kuti vaone zvikonzero zvingangoita kuti pave neBP yechipiri, uye kuti vaone kana BP yakakanganisa mwoyo, maziso, uye itsvo. Kuongororwazve chirwere cheshuga uye kukwirira kwecholesterol kunowanzoitwa nokuti zvirwere izvi zvinogona kukonzera chirwere chemwoyo uye zvinogona kuda kurapwa. Kuongororwa kwepakutanga kwevanhu vane chirwere cheBP kunofanira kusanganisira nhoroondo yakazara yechirwere chavo uye kuongororwa muviri. Serum creatinine inoyerwa kuongorora kuvapo kwechirwere cheitsvo, chinogona kuva chikonzero kana kuti mugumisiro weBP. Serum creatinine yoga inogona kuwedzeredza glomerular filtration rate uye nhungamiro dzichangoburwa dzinokurudzira kushandiswa kwe predictive equations dzakadai seModification of Diet in Renal Disease MDRD formula kuti ifungidzire glomerular filtration rate eGFR. eGFR inogonawo kupa chiyero chekutanga chekuita kweitsvo chinogona kushandiswa kuongorora mhedzisiro yemamwe mishonga inorwisa hypertensive paitsvo. Mukuwedzera, kuongorora mapuroteni mumasero kunoshandiswa sechiratidzo chechipiri chechirwere cheitsvo. Kuongororwa kweelectrocardiogram EKGECG kunoitwa kuti vaone kana pane uchapupu hwokuti mwoyo uri kuremerwa neBP. Inogonawo kuratidza kana pane kuwedzerwa kwemhasuru yemwoyo left ventricular hypertrophy kana kuti mwoyo wakambovhiringidzwa zvishoma zvakadai sokurohwa mwoyo kusinganzwiki. X-ray yechipfuva kana kuti echocardiogram inogonawo kuitwa kutsvaka zviratidzo zvekuwedzera kwemoyo kana kukuvara kwemoyo. Mubvunzo: unoziva sei kuti une BP yakakwirira?  <response>: Miedzo yeLabhoritari 