A mushonga itsva sitiroko. Kugadzirira sitiroko. Pine pasikweya mu sitiroko

kunyange vechiduku vanoziva zvavo tsime hunofa munyika nhasi - zvemwoyo chirwere. Pakati pathologies izvi zvikuru nengozi - sitiroko. Mumwe munhu anofanira nhaka zvimwe zivo chirwere.

Kuziva mushonga sitiroko, zvingava nguva kudzivirira chirwere. Kana parinowanika hwobva kutsvaka kubatsirwa nenyanzvi.

Sei kudzivisa chirwere?

Pasinei vakawanda vanofunga zvisizvo, sitiroko, hapana chokuita mugumo kana muupenyu asina. Kunyange zvakadaro kana chirwere kunokonzerwa yedzinza. Huru chinoita afunge nyonganyonga iri kuipa nzira youpenyu. Iwe kuzvishandura, unogona kudzivisa sitiroko.

The inonyanya kukonzera chirwere chacho neBP. Hazvina kuoma kuti kwaari kuchinja yakakwana kurapa. Zvinofanira kurangarirwa kuti zvinoitika tsika arterial nevezera vari: 140 mm. HG. Art. (Top) uye kwete kupfuura 90 mm. HG. Article ezasi. Pressure kwazvo nenhamba, anopinda murwere parumananzombe kuti chidzoke zvinokanganiswa akadai sitiroko.

varwere vose vave nechirwere BP, zvinodiwa mwedzi mitanhatu ose, kuti firimu pakiriniki chiremba wetsinga. Ndiye Ichatakura mishonga chairo ekudzivirira sitiroko.

Kuwedzera kugadzwa zvakakwana marapirwo, chiremba vachapa zvakakodzera audzwa. Ivo chokuita kuramba kudzora BP.

Special kutarisirwa vanofanira kupiwa kamwe zvakawanda zvive. Zvinokurudzirwa iyi nyaya kudana "amburenzi." Yasvika chiremba kumanikidza intramuscularly zvinodhaka "cere the". Izvi prophylactic mushonga rinomirira yakanakisisa mushonga kuti sitiroko. Time kubatsira sitiroko - kiyi inobudirira kupora.

zvinodhaka kurapa

Modern pharmacology varwere akapa muzvizhinji nenzira aite kudzivirira uye kurapwa sitiroko. Funga dzinokosha mishonga kuti zvinobudirira kubatsira chirwere ichi.

Group angiotensin rokutendeutsa enzayemu FIs

mishonga izvi kubatsira kuwedzera mutsinga uye arteries. Izvi kunoderedza mutoro pamwoyo. The zvinenge zvinosanganisira anokosha zvigadziriswe kuvandudza ropa wedzerai muuropi.

Ichi boka zvinodhaka zvinosanganisira zvinodhaka "Captopril" ( "Hood"), "Perindopril" "Enalapril", "Monopril" nevamwe.

Zvinonzi zvakaratidza kuti zvinodhaka izvi dzinokwanisa kudzivirira murwere kubva nesitiroko zvinobudirira. Somuenzaniso, mumwe murwere kugamuchira zvinodhaka "Ramipril" sezvo mushonga sitiroko, kunoderedza ngozi kwezvirwere kufambira mberi maererano 32%.

Kirasi angiotensin II Kanotokonya

Enough inoshanda zvinodhaka. boka iri hwakasiyana kwazvo tolerability. Kugadzirira zvachose kubvisa marwadzo (izvo mishonga yakasiyana 1 boka) - risingafadzi yakaoma chikosoro.

chikamu ichi zvinosanganisira mishonga yakadai se "Losartan", "Valtarsan" "Candesartan" uye "Irbesartan".

Zvinodhaka zviri contraindicated pamwe bilateral renal tsinga stenosis. Uyewo haana pachii kushandiswa panguva chiropa kukuvara. Atadze kushanda zvakanaka etsvo - mumwe contraindication kugamuchira zvinodhaka muchikoro ichi.

diuretics

Taurira zvinodhaka ari BP, pamwe mwoyo nokukundikana. It akakurudzira boka ichi zvinodhaka cheshuga. Usabatanidzwe nzira yakadaro, kana ichirova kwevari ropa lipids, uyewo kuderedza potassium. Not akakurudzira vanhu vakwegura.

Classifies zvinodhaka sezvinotevera:

1. Thiazide diuretics. Vanogona kuita sezvo monotherapy kana kubatanidzwa nemamwe antihypertensive nevamiririri. Izvi zvinosanganisira "Hydrochlorothiazide" zvinodhaka "chlorthalidone," "Indapamide" ( "Arifon"), "Klopamid" ( "Brinaldiks").
2. Loop diuretics. Nachiremba kwazvo siyana neBP. Main zvigadzirwa: "Furosemide", "Areliks" uye "Uregei".
3. Potassium-kukudzivirirai diuretics. Vari pamwe kugadzwa mari, zvichiguma nokurasikirwa potassium pamuviri. The vamiririri boka iri zvinosanganisira zvinodhaka "aldactone", "amiloride" uye "Triamterene".

Beta-blockers

Zvakakwana abudirire nechirwere kuti "ischemic sitiroko" kurapwa. The zvinodhaka uyewo nachiremba BP, pamwe mwoyo chirwere. Izvi ischemia, dysrhythmia, myocardial miokarda.Takzhe kubudirira kana thyroid hyperfunction. Kazhinji zvinodhaka izvi zvinoshandiswa mukufamba sitiroko neBP.

boka iri zvinosanganisira zvinotevera zvigadzirwa: "Atenolol", "Propranolol", "metoprolol" ( "Betalok"), "Pindolol", "nadolol," "bisoprolol" nevamwe.

Mishonga-vataurwa pamusoro vane contraindications. Izvi Árbol asima uye chisingaperi obstructive pulmonary chirwere. Kazhinji, vanokwanisa kukonzera kuderera muropa shuga yomuropa. Naizvozvo, kutarisira zvikuru zvinofanira kutorwa mushonga cheshuga.

karusiyamu mhandu

Ipa nevasori izvi kana pamwe BP, atherosclerotic peripheral arterial kukuvara, angina, dyslipidemia, obstructive zvirwere zvemapapu.

Gurai navo sezvinotevera:

- pfupi-kuita mhandu. Izvi zvinosanganisira mishonga "Diltiazem" "nifedipine" ( "Corinfar") "Verapamil", "Nimodipine", "Isradipine".

- a-refu kuita mhandu. mishonga iyi "Nifedipine P", "Adalat kutadzisa", "Isradipine SRO", "Isoptinum kutadzisa," "Amlodipine".

Contraindications kugamuchira kushumira chakasimba coronary insufficiency, mamwe arrhythmias, ungaderedza contractility kuti ventricle kuruboshwe.

Adrenergic Kanotokonya blockers

Zvinobudirira Kurohwa ichi mushonga chete neBP unobatanidzwa pamwe cheshuga, Árbol asima, arteriosclerosis pamusoro ezasi wamativi, havachanyatsogoni itsvo chaitika.

Haufaniri kutora zvinodhaka izvi diuretics, uyewo noMweya nechepakati chiito.

The chikuru vamiririri boka ndivo zvinodhaka "Prazosin" uye "Doxazosin".

Group centrally kuita zvatinoda

chikamu ichi zvinosanganisira:

1. "Clonidine" ( "Klondin"). Rinoshandiswa Kazhinji kusunungurwa kubva vane chirwere cheBP dambudziko. The mushonga haana inowirirana doro. chiito Its nechinangwa yokuderedza cardiac goho. Contraindications encephalopathy uye dzimwe mhando arrhythmia.
2. "Labetalol". Unotsigira muedzo nhongonya mangwanani, izvo kazhinji kacho kutungamirira sitiroko.

zvinodhaka vapore

Excellent kugadzirira inokwanisa kusvika nokukurumidza kudzosera muviri, vakaona pachishandiswa "Mannitol". kugamuchirwa yake inoenda kune vasanyanye muuropi kuzvimba, kweiyi zvakajairika kweropa. Somugumisiro, murwere akadzoka zvikuru nokukurumidza ndangariro, akapora locomotor chaitika.

Zvinobudirira kushandiswa nootropics sitiroko. Zvavakaita chinotungamirwa panguva uropi muviri. Vanogona muderedze inokuvadza zvinhu nokuda mutange kweropa.

Funga zvikuru nevanhu zvinodhaka ari chetsinga tsika pashure sitiroko:

• "Piracetam" ( "Nootropil"). It kunonatsiridza ndangariro, hwezvekukurukurirana kudzidza. The mushonga hakuna divi anokonzerwa psychostimulants. Ushandiswe varwere vanenge sitiroko, kunyanya mune vakwegura.
• "Encephabol". Rinoshandiswa mukutanga kupora nguva.
• "Pantogam", "Phenibut". It Unotsigira murwere kubva neurosis, hope zvirwere, hyperkinesis, marwadzo uye convulsive zvirwere.
• "Cortexin". It rinoshandiswa pathologies, ayo achiperekedzwa kuzvimba uropi.
• "Aktovegin", "Solkoseril". Ko trophic kunoita neuromodulatory mashandiro.
• "Glycine". Kugadzirira ane anticonvulsant zvazviri, kunoderedza tsandanyama inzwi zvawanzwa. Kushandiswa sezvo mamwe kurapa nokuda hypoxia, ischemia wouropi.

zvinodhaka itsva

budiriro Ezvemutauro zvakagadzirirwa pavarwere zvinobudirira yaiitisa. A mushonga itsva sitiroko wakasikwa muchipatara kuWest Toronto. Clinic mudonzvo yakashuma yavasina chinodhaka, zvaiita kwazvo. Zvisinei, chete panyaya kana kugadzirira iri anwa mukati maawa 3 pashure sitiroko.

Nhasi muchipatara kuedza kuvandudza mushonga. Agents vari dzakabudirira, rinogona kuita nhengo mushure 2 maawa kana kupfuura pashure sitiroko.

Patented muRussia zvinoshamisa zvinodhaka. A mushonga itsva sitiroko yagadzirwa nemasayendisiti of Academy of Medical Sciences. The mushonga nechinangwa kuponesa tsinga kubva kukuvara. The Zvivako zvitsva inogona inobudirira zvinodhaka nokuda pakurapa chirwere chinonzi Parkinson, cheAlzheimer. No zvishoma zvinobudirira zviri kukwanisa kurwisa kuora mwoyo.

Pine pasikweya mu sitiroko

Kubatsira varwere vane zvetsika mushonga. Zviri zvikuru inobudirira aizomupa mupaini pasikweya. Zvinokurudzirwa kuti kuitora 1 h. Chipunu pakarepo pashure zvokudya. The fuma tannin, izvo mupfumi nemipaini pasikweya sitiroko kurerutsa muuropi sero rufu. Saka, zvinoreva kwazvo kunobatsirawo pamusoro pakupora rikurumidze.

Nokuti kwegadziriro zvinodhaka rinofanira kungoitwa mitema pasikweya. Ivo vanofanira 7-10 zvidimbu. Kuvatsakatisa. Nokuti zvaAtemisi liqueur inokurudzirwa kushandisa midziyo yakagadzirwa murima rinoonekera. Peta payo wakatemerwa anorovera. Dururai muvhenganiswa Qualitative vodka. Doro rinofanira kusarudzwa pasina tsvina. Mvumo makapiwa kushandisa doro. Kare zvinofanira rakasanganiswa nemvura maererano 1: 2.

Ugopfiga mudziyo uye kutama munzvimbo ine rima. Zuva nezuva, unofanira ide mukati. Papera vhiki, dzinobvisa tincture inokurudzirwa. mushonga uyu zvagadzirwa zvizere kushandiswa.

mhedziso

Zvinosuruvarisa, chirwere ichi, sitiroko, kare kurega kuva chirwere vakwegura. Stress zvingakanganisa munhu vemazera. Naizvozvo, nechekare nhasi zvakafanira kutarisira nenzira yakarurama upenyu. Chero bedzi hazvina kunonoka kuita. Kana rokutanga zviratidzo hwobva kutsvaka rubatsiro kubva n'anga. Uye munoziva kuti kushandisa zvinodhaka pasina chiremba agadzwa - nengozi chaizvo basa.