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Managing HYPERTENSION

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Hypertension, also known as high blood pressure, is a condition in which the arteries persistently raise blood pressure to unusual levels. This means that there is a high force of blood pushing up against the blood vessels, making it difficult for the heart to pump blood properly. Hypertension often leads to damaged organs, as well as other illnesses, such as kidney failure, stroke and heart attack.

Basic facts…

Normal blood pressure reading is 120/80mmHG. The first reading refers to systolic pressure, measured when the heart muscle contracts, and the second diastolic, when the muscle relaxes. An individual with blood pressure of over 140/90mmHG is said to have mild hypertension and over 160/100mmHG severe hypertension. Mild hypertension can easily be managed with drugs and lifestyle change, but severe hypertension needs careful monitoring and regular medication, as can be fatal or disabling if not well controlled.

Hypertension is classified as essential or secondary. Essential hypertension refers to high blood pressure whose cause is unknown. Most people suffering from hypertension are in this category. Secondary hypertension refers to high blood pressure with a known direct cause, such as kidney disease or birth control pills. There are several known causes for hypertension and being aware of these can help you eliminate the disease or keep it under control.

What causes hypertension?

Although it is difficult to know the exact cause of hypertension, there are several factors that are often associated with it. They include:

Smoking
Stress and anxiety
Severe headaches
Diabetes
Being overweight
Lack of exercise leading to an inactive lifestyle
Birth control pills
Irregular heart beat
High salt intake
High levels of alcohol consumption
Chronic kidney disease

Symptoms of hypertension…

Hypertension does not always present symptoms and it is therefore advisable to undergo blood pressure screenings from time to time even when one feels healthy. This is because a person can suffer from hypertension for years without knowing and this can be extremely dangerous. However, hypertension often manifests itself in other health problems, such as heart disease, heart attack and stroke.

Prevention and management… 

Hypertension can be prevented or managed in several ways:

Maintain a healthy lifestyle. Being overweight and stressed puts you at a high risk of developing hypertension. Maintain a healthy lifestyle by eating a well-balanced diet and exercising regularly.

Reduce salt intake. Cut back on salt intake and reduce consumption of processed meats, and other products, which tend to be overly salted. It is advisable to add a little salt to food during cooking as opposed to salting it on the table.

Drink alcohol in moderation. Drinking too much alcohol can raise your blood pressure. Cut it out altogether or limit your intake to two drinks a day for men and one for women. Also, quit smoking and avoid second-hand smoke.

Reduce stress. Although life comes with its fair share of issues, it is important to take it easy and avoid stress and worry, which can make your blood pressure go up.

In order to manage hypertension it is vital to have it monitored regularly and if on medication ensure you take it as instructed by your doctor.

Expert Advice 

Any one over the age of 18 years should have their blood pressure checked at least once every two years. If you have high blood pressure, heart disease, or cardiovascular risk factors, you might be advised to get your blood pressure checked more often. When high blood pressure is diagnosed, it’s crucial to work closely with your doctor to get it under control. You should have regular checkups to monitor how well treatment is working on you and also discuss any concerns that may arise.

The doctor may recommend you to buy a home blood pressure monitor, which you should use on a regular basis, say, morning and evening to monitor yourself. These gadgets are not expensive and are found in most pharmacies.

Published in January 2013

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Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

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While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

Published

on

While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Endometriosis and sex: How to make intimacy pain-free

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There is no doubt that endometriosis can affect a woman’s way of life. The condition slews a couple of conditions, painful sex being one of them. Penetration pulls and pushes any tissue growth behind the vagina and lower uterus.

Although symptoms may differ from woman to woman, here are some things you can do to lessen your pain and ensure you have some good time:

Take a dose of painkillers

Take an over the counter painkiller that sits well with your body before intercourse and incase pain persists, take another one as prescribed.

Track your cycle and try at certain times of the month

Most women with endometriosis experience excruciating pain during their period and ovulation. Keep track of your cycle so that you can know when you are ovulating. You can use apps like my calendar and flo period tracker to track your periods. This will help you know when best to engage in sexual intercourse.

READ ALSO: Crucial Facts About Endometriosis Everyone Should Know About

Use lube

Vaginal dryness is not something to be ashamed of and if you happen to have it, lube should be your best buddy. Make sure to use any silicon or water based lubricant anytime you feel like your vagina is dry. Ensure the application is of good amount to achieve a wet area.

Explore alternatives

Talk with your partner about things that turn you on and bring you pleasure. Just to mention a few; mutual masturbation, foreplay, kissing and mutual fondling. Sex does not have to mean intercourse.

Try different positions

Experimenting different positions can teach you and your partner which ones hurt and the ones that bring direct pleasure with no or less pain. Positions that are considered better vary from person to person so take the time to explore and learn yourself with your partner.

Find the right rhythm

Finding the right rhythm can help you experience less discomfort during sex. Quick thrusting or deep penetration can aggravate pain. Talk to your partner about that which you do not like and find ways that will satisfy the both of you like exchanging positions so that you can control the speed and rhythm.

Bottom line

Intimacy does not have to be boring, painful or make you hate the condition that you have. Talk openly about your feelings around sex and penetration and what would help to ease your concerns.

Our FREE  e-paper March Issue is here!
As we celebrate our women this month, we bring you the best stories and the most inspiring features to get you going.
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