Hypertensive mavuto: chithandizo, zizindikiro ndi zotsatira zake.

Hypertensive mavuto - mmodzi wa States, amakhala ndi kuwonjezeka lakuthwa magazi. Iwo amakhala ndi imfa ya chandamale limba ndi kukhalapo kwa zizindikiro za matenda oopsa, koma anasonyeza kwambiri. Pali awiri kuthamanga kuwonjezeka limagwirira (mtima ndi mtima), zomwe zimaonetsa mavuto hypertensive. The mankhwala chikhalidwe ichi mwachuluka amadalira njira izi.

Limagwirira chitukuko, kufotokoza mavuto hypertensive. mankhwala amadziwika, nthawi zambiri anamanga pamaziko a pathogenesis. Mmenemonso, osauka spasms arteriolar, kuchuluka kugunda kwa mtima ndi okwana zotumphukira mtima kukana. Akufotokozera chikapitirizabe zochita ndi kulimbikira ndi lakuthwa nyamuka magazi kuchepetsa kwambiri.

zizindikiro:

• kupweteka chifukwa cha kuphwanya makope ubongo. Kodi obtuse kapena pulsing khalidwe;

• chizungulire, tinnitus, kunyansidwa ndi kusanza, komanso zizindikiro ubongo;

• kuona chifukwa retinal mtima kuphipha, ndi edema wa mitsempha chamawonedwe;

• palpitations, arrhythmias, kupuma movutikira.

Chifukwa kukhalapo zizindikiro zina kusiyanitsa mavuto oyamba ndi mitundu chachiwiri:

- yoyamba - hyperkinetic, limapezeka kawirikawiri mu magawo oyambirira a matenda oopsa. Umayamba bwinobwino ndi zizindikiro zambiri vegetative: wodwala mukubwadamuka, kenaka utentha mamba, khungu redness, kuchuluka thukuta. vuto ili kumatenga za 3-4 maola. Zimenezi kwakukulukulu pa systolic kuthamanga diastolic zikutsatiridwa, kuwonjezeka kugunda kwa mtima. Kuwonjezeka mlingo wa zikuwonjezereka masiku ano mu magazi limafotokoza mavuto hypertensive. Mankhwalawa ali zingapo zochititsa;

- mtundu chachiwiri - hypokinetic, amapezeka magawo ina ya matenda oopsa. Akufotokozera pang'onopang'ono, izo zimayendera zovuta. Yodziwika ndi ulesi, kufooka kwa odwala, popereka zizindikiro mtima ndi ubongo. Izo kumawonjezera onse systolic ndi diastolic magazi, koma mlingo wa iwowa ndi yapadera kwambiri. kugunda kwa mtima sizingasinthidwe. M'magazi, pali amaika moyo norepinephrine.

Ndi chitukuko cha mavuto a matenda angayambe:

- encephalopathy ndi edema oziziritsa, amene yodziwika ndi zizindikiro zosiyana ubongo (omangana, nseru, kusanza, mkhutu chikumbumtima) ,

- mtima kulephera,

- kuukira kwa angina pectoris kapena m'mnyewa wamtima infarction.

Popeza njira ndi zizindikiro kuti pofotokoza mavuto hypertensive, mankhwala anamanga motere:

- kuchepa msinkhu diastolic magazi ndi kufunika 100 mamilimita Hg Kutsitsa ayenera kukhala osamala kwambiri kuti tisasokoneze kufalitsa ubongo. Wodwala ayenera kupatsidwa udindo yopingasa;

- makonzedwe mtsempha wa enalapril (ndi angiotensin akatembenuka enzyme), nifedipine (a kashiamu njira blocker), clonidine (α-adrenoagonists);

- pamene woyamba maola 2 anzawo sayenera m'munsi mwa oposa 25% ya momwe ziriri pano. Zotsatirazi 6 maola kufika kukwaniritsa magazi 160/100.

- chisamaliro mwadzidzidzi. Kuitana kwa "thandizo" - chinthu choyamba chimene ayenera kuchita. Ndiye, kuyembekezera kudza kwa dotoloyo, m'pofunika wodwalayo theka woongoka malo kuteteza matenda breathlessness. Ngati kuukira anali kale, ndipo wodwalayo amatenga mankhwala antihypertensive, kufunika kumwa mlingo dokotala mankhwala. Ngati mungathe kuchepetsa kuthamanga pa 40-60mm.rt.st. Sikuti ntchito mankhwala. Musaphwanye komanso kutengera mankhwala atsopano ndiponso sankadziwa. N'zothekanso kumwa sedative, mwachitsanzo, Corvalolum.

Hypertensive mavuto: zikugwirira

Kuti madokotala ananena zawo kwa chikhalidwe ichi akumane. Pakuti mavuto hypertensive yodziwika ndi musabise. Pambuyo mavuto angathe mtima insufficiency, matenda a makope oziziritsa, mpaka edema ubongo.