Ghar Par Blood Pressure Kaise Check Karein: Sahi Tareeqa Step By Step

Mukhtasar jawab: Ghar par BP sahi lene ke liye check se pehle 30 minute chai, coffee, sigarette aur warzish se bachein, peshab kar lein, 5 minute aaram se baithein, cuff nange bazu par dil ki satah par lagayein, baat na karein, aur 1 minute ke waqfe se 2 reading lein. Ek reading par faisla na karein. Kai din ki reading likh kar doctor ko dikhayein.

1. Ghar par BP check karna kyun zaroori hai

Ghar ki reading doctor ko ye samajhne mein madad deti hai ke aap ka BP din bhar aur kai dino mein kaisa rehta hai. Clinic mein BP sirf chand minute ke liye naapa jata hai, jab ke ghar par aap ek aaram-deh mahol mein kai din tak reading le sakte hain.

Is ki do aam misalein hain. Kuch log clinic mein ghabrahat ya doctor ke saamne tension ki wajah se zyada reading dete hain, jab ke ghar par unka BP theek hota hai. Ise aam tor par "white coat" asar kehte hain. Kuch logon mein ulta hota hai: clinic mein BP theek aata hai lekin ghar par ya din ke kuch hisson mein zyada rehta hai. Aise logon ka pata sirf ghar ki reading se chal sakta hai. Dono surat mein sahi tareeqe se li hui ghar ki reading doctor ke kaam aati hai.

High BP aksar koi alamat nahi deta, isliye iska pata sirf naapne se chalta hai. Lekin ek zaroori baat: ghar ki machine tashkhees ya ilaaj ka faisla karne ke liye nahi, balke doctor ko maloomat dene ke liye hai. Dawai shuru karna, badalna ya band karna sirf doctor ka kaam hai.

2. Check se pehle ki tayyari

• Machine: bazu ke upar lagne wali automatic machine ghar ke liye aam tor par behtar samjhi jati hai. Machine ka intekhab kaise karein, is ke liye dekhein: Ghar ke liye BP machine kaise chunein.
• Cuff ka naap: cuff aap ke bazu ke ghere ke mutabiq ho. Bohat chhota cuff reading ko zyada aur bohat bara cuff kam dikha sakta hai.
• Jagah: khamosh jagah chunein jahan koi aap ko disturb na kare. Kamre ka darja-e-hararat aam ho, na bohat thanda na bohat garam.
• Kursi aur mez: aisi kursi jis par peeth tik sake, aur aisi mez jis par bazu aaram se rakh sakein.
• Kapre: aasteen upar kar sakein, ya nanga bazu aasani se ho. Tang aasteen bazu ko daba kar reading badal sakti hai.
• Peshab: check se pehle peshab kar lein, kyunke bhara hua masana reading barha sakta hai.

3. BP check karne ke 8 aasan qadam

1. 30 minute pehle: chai, coffee, sigarette aur warzish se bachein.
2. Peshab: bhara hua masana reading barha sakta hai, is liye pehle peshab kar lein.
3. Baithna: kursi par peeth tek kar baithein, paon zameen par hon aur taangein cross na hon.
4. Aaram: 5 minute khamoshi se baithein.
5. Bazu: bazu mez par aaram se rakhein taake cuff dil ki satah par ho.
6. Cuff: cuff nange bazu par, kohni se thora upar lagayein. Na bohat tang ho na dheela. Cuff ka naap aap ke bazu ke mutabiq hona chahiye.
7. Check ke dauran: baat na karein, hilein nahi aur mobile ya TV na dekhein.
8. 2 reading: 1 minute ke waqfe se 2 reading lein aur dono ka average dekhein.

Pehli dafa dono bazuon par check kar ke dekhein. Agar dono mein thora farq ho to us bazu ko chunein jis mein reading zyada aati hai, aur doctor ko ye baat zaroor batayein. Is ke baad hamesha usi bazu par check karein.

4. Kitni baar aur kitne din check karein

Kitni baar BP naapna hai, ye doctor tay karta hai. Phir bhi aam tor par ye tareeqa istemal hota hai:

• Subah: uthne ke baad, peshab kar ke, nashte ya dawai se pehle, 2 reading.
• Sham ya raat: raat ki dawai ya khane se pehle, 2 reading.
• Kitne din: doctor ko dikhane se pehle kam az kam 3 se 7 din, aur 7 din behtar mana jata hai.

Kuch doctor pehle din ki reading chhor kar baqi ka average dekhte hain, kyunke pehle din log aksar pareshan hote hain. Is ke baare mein apne doctor se pooch lein. Roz ek hi waqt aur ek hi bazu par check karein. Agar aap ko doctor ne kisi aur tarah naapne ko kaha hai to unki hidayat par amal karein.

Zaroorat se zyada baar BP naapna bhi theek nahi. Din mein kai kai baar check karne se pareshani barh sakti hai aur reading mein upar neeche ki wajah se ghabrahat ho sakti hai. Jab tak doctor na kahe, upar diye gaye waqt par hi check karein.

5. Reading kaise likhein

Reading ko tareekh aur waqt ke saath likhein, ya machine ki memory mein rehne dein. Ek simple table doctor ko dikhane ke liye kaafi hai:

Note mein ye bhi likhein ke us din aap ne dawai li ya nahi, kisi tension, bimari ya kam neend ka masla tha ya nahi. Is se doctor ko reading samajhne mein aasani hoti hai. Ye record sirf maloomat ke liye hai; is par khud se faisla na karein.

6. BP ki aam hadein

Bare logon (18 saal ya us se zyada) ke liye American Heart Association (2017) ki rehnumai ke mutabiq aam tor par istemal hone wali hadein ye hain:

• Normal: 120/80 se kam
• Elevated (thora zyada): upar wala number 120 se 129 aur neeche wala 80 se kam
• High BP Stage 1: upar wala 130 se 139 ya neeche wala 80 se 89
• High BP Stage 2: upar wala 140 ya zyada ya neeche wala 90 ya zyada
• Khatarnak hadd: upar wala 180 se zyada aur/ya neeche wala 120 se zyada, aur saath mein alamaat hon to emergency

Ye hadein aam rehnumai hain. Ek reading se BP ki bimari ka faisla nahi hota; doctor kai readings aur doosri baaton ko dekh kar faisla karta hai. Kisi bhi umar mein BP ka target aur ilaaj doctor tay karta hai, aur dil, gurde ya sugar ke mareezon aur buzurgon ke liye alag ho sakta hai. Kisi ek umar ke liye "140/90 chalta hai" jaisi baat par amal na karein.

Normal range ki tafseel yahan hai: BP ki normal range: 120/80 ka matlab.

Dhyan rahe ke ghar ki reading aur clinic ki reading mein thora farq aam hai. Is liye apni ghar ki average doctor ko dikhayein aur wo batayenge ke aap ke liye is ka kya matlab hai.

Agar reading bohat kam aaye aur saath mein chakkar, kamzori, andhera ya behoshi jaisi alamat ho to bhi doctor se rabta karein. Sirf number dekh kar nahi, alamat ko bhi dekhein.

7. Ghalat reading ki aam wajahein

In mein se ek ya zyada wajah ho to reading ko poora bharosemand na samjhein. Sab se pehle tareeqa theek karein aur dobara check karein.

8. Khaas halaat mein ehtiyat

• Buzurg: buzurgon ka BP din bhar zyada upar neeche ho sakta hai. Un ke liye bhi sahi tareeqe se kai din ki reading doctor ke liye madadgar hoti hai, aur target doctor tay karta hai.
• Dil, gurde ya sugar ke mareez: inka BP ka target aam logon se mukhtalif ho sakta hai. Apni reading ko apne doctor (jaise cardiologist, gurde ke specialist ya sugar ke specialist) ke bataye hue target ke mutabiq dekhein.
• Hamila khawateen: hamal mein BP ka barhna ek ahem masla ho sakta hai. Agar BP zyada aaye, ya saath mein shadeed sar dard, nazar dhundli, chehre ya haathon mein sujan ho, to foran apni gynaecologist (lady doctor) se rabta karein. Hamal mein BP ka target aur check karne ka tareeqa doctor tay karti hai.
• Bachay: bachon ka BP umar, qad aur wazan ke hisaab se parkha jata hai aur is ke liye alag chart hota hai. Bachay ke liye bari machine ki reading par faisla na karein, bachon ke doctor se rabta karein.
• Dil ki be-tarteeb dhadkan: agar dil ki dhadkan be-tarteeb ho to kuch automatic machines ki reading kam bharosemand ho sakti hai. Agar machine baar baar be-tarteeb dhadkan ka ishara de ya aap ko dhadkan tez ya be-tarteeb mehsoos ho, to doctor ko batayein.

9. Kab foran hospital jayein (1122)

• BP 180/120 se zyada ho aur saath mein seene mein dard, saans mein takleef, shadeed sar dard, nazar dhundli ya bolne mein dushwari ho
• Chehra ek taraf se tedha ho ya haath na uthe
• Behoshi, chahe thori der ki ho

Agar reading 180/120 se zyada ho aur koi alamat na ho, to 5 minute aaram ke baad dobara check karein. Agar ab bhi zyada ho to foran doctor se rabta karein. Is surat mein khud se koi dawai na lein aur doctor ya hospital ki hidayat par amal karein.

10. Kab doctor ko dikhana zaroori hai

• Ghar par kai din 130/80 ya us se zyada reading aaye
• BP bohat upar neeche ho raha ho
• Aap BP ki dawai lete hon aur reading qaboo mein na aaye
• Sar dard, chakkar ya dil ki dhadkan ki shikayat ho
• Ghar ki reading aur clinic ki reading mein baar baar bohat farq ho

Doctor ke paas kam az kam 3 se 7 din ki likhi hui reading le kar jayein, aur machine bhi saath le jayein taake doctor apni machine se compare kar sakein. BP qaboo mein na aaye to aap ka doctor zaroorat par aap ko cardiologist (dil ke specialist) ke paas bhej sakta hai. BP ki dawai khud se shuru, band ya kam zyada na karein.

11. Machine ki dekh bhal aur compare

• Battery kamzor ho to badal dein, kyunke kamzor battery bhi reading ko ghalat kar sakti hai.
• Cuff ko pani mein na dhoyein, geele kapre se saaf karein.
• Pipe ko mor kar ya kheench kar na rakhein.
• Machine ko saaf, khushk jagah par aur bachon ki pahunch se door rakhein.
• Machine gir jaye to dobara istemal se pehle check karein.
• Kam az kam saal mein ek baar apni machine ko doctor ke clinic ki machine se compare karwayein. Pehle clinic ki machine se, aur thori der baad apni machine se, ek hi bazu par aur ek hi halat mein naapein.

Machine ko khud khol kar theek karne ki koshish na karein. Agar reading par shak ho to company ya service center se rabta karein.

12. Aam ghaltiyan

• Bhaag kar ya seedhiyan charh kar foran BP naapna
• Cuff kapre ke upar lagana ya ghalat naap ka cuff istemal karna
• Ek hi reading dekh kar dawai badal dena ya band karna
• Din mein bohat zyada baar BP naapna
• Alag alag bazu aur alag alag waqt par check karna
• Record na rakhna aur doctor ko sirf zabani batana
• Kisi mobile app se bina cuff ke BP naapne ke daawe par bharosa karna (bina cuff ke BP naapna mumkin nahi)

13. Aksar pooche jane wale sawal

Din mein kitni baar BP check karna chahiye?

Ye doctor tay karta hai. Aam tor par kai din tak subah aur sham 2 baar check kar ke likhna doctor ke liye madadgar hota hai.

Dono bazuon mein farq aaye to kya karein?

Thora farq aam hai. Agar farq zyada ho to doctor ko batayein aur us bazu ko istemal karein jis mein reading zyada aati ho, jab tak doctor kuch aur na kahe.

Kya ghar ki machine clinic ki machine jaisi hi reading degi?

Thora farq ho sakta hai. Machine ko clinic ki machine se compare karwa lein aur doctor ko batayein.

Kya kisi umar mein 140/90 chal sakta hai?

Nahi, aisa kehna theek nahi. Kisi bhi umar mein 140/90 ya zyada reading ko doctor ko dikhayein. Target aap ke liye doctor tay karta hai.

Pehli reading hamesha zyada kyun aati hai?

Aksar ghabrahat, jaldi ya pichli halat ka asar hota hai. Isi liye 1 minute ke waqfe se 2 reading lete hain aur dono ka average dekhte hain. Agar pehli reading baar baar bohat zyada aaye to doctor ko batayein.

Kya subah ya sham ki reading zyada ahem hai?

Dono ahem hain. Doctor aam tor par dono waqt ki reading ko mila kar dekhte hain. Is liye dono waqt check kar ke likhna behtar hai.

Kya BP naapne ke baad foran dawai le leni chahiye?

Nahi. Dawai ka faisla doctor kai din ki reading aur doosri baaton ko dekh kar karta hai. Agar aap pehle se dawai lete hain to usay doctor ke bataye hue mutabiq hi lein.

Kya kalai wali machine theek hai?

Aam tor par bazu ke upar wali machine behtar samjhi jati hai, kyunke kalai wali mein haath ki position ka bohat asar hota hai. Is ke baare mein tafseel machine ki guide mein hai.

BP bohat kam aaye to kya karein?

Agar saath mein chakkar, kamzori, andhera ya behoshi jaisi alamat ho to doctor se rabta karein. Sirf kam number aur koi alamat na ho to bhi apne doctor ko batayein, kyunke har shakhs ke liye munasib hadd alag ho sakti hai.

Mazeed parhein: Ghar ke liye BP machine kaise chunein | BP ki normal range | BP monitor: digital vs manual | Sugar ki normal range | Digital weight machine kaise chunein

Tehreer: Dr Ali Shafiq (DHMS, NCH Reg. No. 171863).

Hawale (angrezi): MedlinePlus: Blood pressure monitors for home | American Heart Association: How to accurately measure blood pressure at home. Apni BP machine ke saath aane wala user manual bhi zaroor parhein. Ye idaray is article ko review ya endorse nahi karte; ye sirf maloomat ke zarie hain. Hum koi device nahi bechte.