Nhoroondo Medical: neBP giredhi 2

Headache, utera, kupfupika mweya, palpitations, nosebleeds - kakawanda chichemo izvo varwere vanotsvaka munhu yatarwa wemauto Practitioner.

Zuva nezuva, asi kwete nokusingaperi, kugadzirisa zvichemo akadaro chiremba, kunyanya kana ari tungamidzana iri hunodzorwa vanhu vakura kupfuura makore 40. Vamwe vavo kare vanoziva chirwere yavo, uye mumwe zvake achakufukidza kuzviziva. Ivai kuti hazvo, vanhu havasi kuenda kuziva chokwadi neutano chinzvimbo, uye saka akadhonza kushanyira chiremba kwenguva yakareba sezvingabvira. Izvi ndezvechokwadi kunyanya varume. Zvinosuwisa, zvakaitika kuti apo "zvakakanyiwa namafuta jongwe hairume," apo "bhero hakusi bhero" pakati kiriniki haangavi kunyengedza, uye kwete achizvuzvurudza, pasinei kakawanda nomusoro, dzungu, kupfupika mweya uye nosebleeds.

Nzira dzekuziva nadzo chirwere kuti BP

• Kana kuyera tonometer Kuda kutamba digits systolic kumanikidzwa 140 mm HG kana yepamusoro diastolic - 90mm HG uye pamusoro.
• Katatu muedzo shanduko masikati.
• Two-nguva Kuda kutamba mukuru kumanikidzwa pamusoro vhiki.

Njodzi Zvinhu nokuti neBP

• Neb kurovedza muviri - migumisiro zvachose computerization uye zvakapararira midziyo. Panguva agere mararamiro hakuitiki vagara kushandisa kumwoyo, izvo zvaizoita kushingaira mararamiro, achimhanya, mumitambo panze vana.
  
  
• Psycho-mupfungwa, kakawanda inotambudza zvinhu kubasa, kuchikoro, akatanga kubatsira activation ari tsitsi-adrenal hurongwa, kuti chidzoke uye nenzvimbo pamusoro nguva muenzaniso, achikanda zvose zviwanikwa muviri kuzadzisa zvinodiwa chinangwa. Information pamusoro Migumisiro kunetseka pamusoro muviri rine haana nhoroondo rokutanga chirwere. Vane chirwere cheBP mwoyo chirwere angatanga zvishoma nezvishoma uye zvishoma nezvishoma.
  
  
• Vanhu vakakanganwa sei kuzorora. Mushure kushanda giperotvetstvennym vashandi vakawanda zvakaoma patsanura kubva kugadzirwa matambudziko, siyai cheimba zvose zvakanga ukama mubishi basa zuva, uye vorega napanzvimbo mufaro nevadiwa vavo. Izvi zvinoshandawo pakabudiswa. The yakanakisisa nzira Chokwadi, tichagara pamusoro hunhu, mukuru panze: pamushandirapamwe, mumakomo, pagungwa, parwizi Rafting, asi chete munyika! Mabasa pavanoparidza vakachena, mhepo yakachena uye muviri anogona kushanda zvinoshamisa pamwe pined pasina mumaguta ezvinhu muviri.
  
  
• Bad tsika. Kunenge kuti vakanga vari vanhu nguva dzose. Kudhakwa uye kuputa muviri yawana chekorera zvikuru muna Russia. Kuwanikwa izvi zvekufungidzira siyana kuzvivaraidza zvinotisvitsa mberi rutapudzo iri kare ndagadzikana kwedu. Mudzanga "kuderedza kushushikana" zviri nyore zvikuru kupfuura huni kukamurwa, kushambira mudziva kana kumhanya vaviri madenderedzwa kupota nhandare kupisa kure zvakawandisa adrenaline muchoto pamusoro nokukanganisika dzinotsanagura muviri, saka vanhu vakawanda akarwawo kune nyore oornag nzira kuderedza kushushikana, kwete kuda yakawanda yokunyatsoongorora dambudziko uye nokutyaira kure kure pfungwa uipi tsika dzavo. Saka pane chinodiwa ano chirwere, vane chirwere cheBP chirwere umo huru.
  
  
• Zvepasi shambadzo, vakawanda vanowanzopedzisira pamba kana kutoshanda pamberi kushanda zuva kunakirwa kofi kana tii tonic. Avo achiita nzira iyi yokutanga masikati, vakazoguma kushandiswa simba kunosimbisa zvinwiwa. Zvichakadai, ongororo dzakawanda ndikazvisimbisa matambudziko zvine caffeine iri kofi netii, kuwedzera BP. Zvikurukuru pernicious ndiyo tsika mumamiriro ezvinhu umo neBP iri ichangotanga, uye munhu asingadi kunzwa chero zvisina zviratidzo izvo iye anovanda.
  
  
• Nhaka kubatwa - mumwe zvinhu vanhu vazhinji nokuda rushoma kana mukusaziva havasi kufungwa nezvazvo. Kana vabereki vako navanasekuru, kana pane vamwe vavo vari kutambura kana vakatambura ari mararamiro BP, une zvose mikana kuziva kubatwa kusvika chirwere. Havasi varwere vose ritaurei, uye anoramba kukwana nhoroondo zvokurapa. chirwere mwoyo vane chirwere cheBP inogona zvakauya nhaka chinhu.
  
  
• Kufutisa. Mumakumi emakore achangopfuura, kufutisa razova vakawanda kuparadzira yose yose. Vanhu vanenge kufutisa nhoroondo 20-30% vanogara panyika.
  Izvi, 2 chete% vane nhoroondo yemhuri, vose vaiva dzimwe kilos zvokudya, mune hunonyadzisa kutyora zuva nezuva, pasina kufunga pamusoro uwandu uye unhu chikafu kudyiwa. Pane chikamu kwevanhu vari mukobvu, vavapo somugumisiro zvirwere kwemakemikari anobudiswa, asi kwete zvokuti pakati rose guru nezvevanhu vakafuta. Kufutisa pave yakawedzerwa mutoro pamusoro muviri wose, kusanganisira kumwoyo. The mwoyo une kuita zvikuru kuitwa kuitira kuti ropa rose nadzo uye munyama, iyo inosvitsa nokuwedzera rokumusoro BP ukoshi (systolic). Muvanhu, pane kurwadziwa muchipfuva, kazhinji zvichiratidza kuti kuruboshwe ruoko kana pasi bandauko chipande, kunzwa kushaya mhepo, disruptions mumwoyo , kana, Ukuwo, palpitations. izvi zvose zvinogona pamwe kutya rufu, uye ari chiratidzo coronary chirwere kwomwoyo, angina pectoris. Saka kuva neBP: coronary tsinga chirwere, nhoroondo chirwere, muchipatara wadhi ...

• Kunwisa kudyiwa wakawanda zvokudya uye mvura uyewo kunounza cheBP kuburikidza yakayamwa Urume kubva munyama dzakapoteredza midziyo iri muropa. Ndizvo chiremba akanyora nhoroondo zvokurapa, BP zvinotora zvikuru nzvimbo "kudzwa".

• Kushaikwa calcium magnesium mune zvokudya. Karusiyamu rinobatanidzwa rutapudzo kuti tsandanyama masero, kusanganisira myocardium uye anotsvedzerera tsandanyama yaiva pamadziro ropa nhumbi arterial mubhedha, uye magnesium relaxes tsandanyama, kuwedzera ngarava lumen uye kuderedza BP. The optimum reshiyo calcium magnesium ari kudya 2: 1. pakupedzisira mumwe microelement kushaikwa kunotungamirira kwazvo nemamwe, pane kusaenzana pezvakaitwa marwadzo uye kutandara pakati vascular madziro.

Modern zviri chirwere cheBP

Our upenyu simba chaizvo. Vamwe 20-40 apfuura, izvozvo ikatanga zvikuru zvakanaka kubva vakawanda vomunyika regai zvinoda basa kusakara. Zvino tinyanye kunetseka akava ndozvakajairwa Workflow. Munhu hunoguma kucherechedza nomusoro, zvakawanda zvive, tingling mumwoyo, saka asymptomatic kana taita akaratidza neBP 1 dhigirii kupinda yechipiri. Kana murwere anoziva ngozi ake ezvinhu, kumbira rubatsiro uye achaita dzose chiremba wacho inonyorwa, iwe uchagona equalize kufurirwa uye kudzivirira vascular zviitiko. Kana tikasateerera zviratidzo uye chiremba dzokurumbidza, ipapo kurumidzai muende mwero chirwere rechitatu. Uye ichangobva zvinoitika zvakawanda uye kakawanda nokuda chisingaperi basa uye vakawedzera basa vanhu. Saka kakawanda pane nhoroondo zvokurapa kwakadaro. Zvipatara: neBP kunoda nzwisisika kurapwa aiming tirambe inowanzotorwa kufurirwa sandara, uye kudzivirira tsaona vascular STRUCTURAL rokuchinja nhengo dzomukati.

Zvokukura Kugadzirwa chirwere

• Nokupesvedzera yakakwirira kumanikidzwa mumidziyo duku kuuya hurumende spasm. itsvo Most vari kukanganiswa, umo ropa yakasvinwa kuburikidza wakanaka rirambe richibvira network. Itsvo musawana mumamiriro ischemia zvakakwana ropa uye yakachena,.
• Achipindura ischemia zvaanopa simba iri renin yakaoma: namabukira vanotanga kubudisa zvinhu kuti BP, uye mvura iri rakaramba mu muropa, achitowedzera ezvinhu uye nokuvhara kunotyisa denderedzwa.

Kupatsanura pakati inosiyana neBP

Pakasvika chirwere kunoratidzwa kuwanda kweropa.

• 1st dhigirii - kubva 140 kusvika 160 systolic kufurirwa uye 90 kusvika 100 mm HG. Art. diastolic kumanikidzwa.
• 2nd dhigirii - kubva 160/100 kusvika 179/109 mm HG. mbiru.
• 3rd dhigirii - kupfuura 180/110 mm HG. mbiru.

Kupatsanura nenzendo

Zvokukura kwacho kunoratidza kwaita Kumwe kuchinja kunotanga vari nhengo uye munyama.

• Stage 1 - hapana nemamwe matambudziko ari chirwere, uye STRUCTURAL kuchinja.
• 2nd Danho - kune zviratidzo chadzo uye STRUCTURAL kuchinja zvomukati (kuwedzera mumwoyo rworuboshwe; akadzokera nokuda yokuwedzera connective zvinyama itsvo) uye vascular (kweropa encephalopathy, zvachinja fundus ropa midziyo uye zvichingodaro).
• Chechitatu Danho - panowanikwa vascular zviitiko (sitiroko uye kurwisa mwoyo).

Kupatsanura pakati neBP ngozi zvinhu

Mukuwedzera zvakadini uye panguva padariro vane chirwere cheBP chirwere, panewo zvinokonzera njodzi. Ivo kureva pangozi yokuita yematambudziko ose vane chirwere cheBP chirwere mune murwere mumwe nomumwe zvikuru. Izvi ngozi stratification chakagadzirirwa kupa mukuru kudzora avo varwere kunyanya vanofanira kutarisira utano hwavo nokuda zvikuru mukana wokuita dzichiri yematambudziko. Unosanganisira zvose zvinoita kuti chokuita mukurwara uye fungidziro.

1. Low njodzi (asingasviki 15%) vari mune varume nevakadzi pasi makore 55 vanotambura neBP wokutanga dhigirii uye hatina rubatso kukuvara zvomukati uye mwoyo.
2. Mwero njodzi (15-20%) ndizvo varwere vane BP pamusoro 1-2 inegumi, apo kuvapo 1-2 zvinokonzera njodzi uye kusavapo STRUCTURAL kuchinja pasi pokudzora zvomukati zvirwere.
3. High njodzi (20% 30%) ndizvo varwere 1-2 dhigirii AG ane 3 kana kupfuura zvinokonzera njodzi, STRUCTURAL rokuchinja nhengo dzomukati, munyama, nemidziyo, BP yaingowanikwa 2 inegumi.
4. mukuru kwazvo ngozi (pamusoro 30%) ndizvo varwere vane BP 2nd dhigirii, mumwe muzvizhinji kuti ngozi zvikonzero zviri kukonzera chirwere, uye kuvapo kugadziridzwa nhengo uye nyama pasi pokudzora kumusoro kumanikidzwa.

mienzaniso diagnoses

Ngatikurukurei zvinoreva diagnoses rine nhoroondo chirwere. "Vane chirwere cheBP mwoyo chirwere 2 matanho, 2 mwero pangozi 3". Kuti tinzwisise this post, funga pamusoro kupatsanura.

chirwere kwakadaro munhu pamusoro makore 55, BP digits kanoverengeka pavhiki kupfuura 160/100 mm HG Somuenzaniso, yakasvika 170/120 mm. Akazivisa yakawedzera akasiya mwoyo, kunyanya ventricular encephalopathy, kufutisa kugiredhi 1-2. Munhu akadaro nguva refu munzvimbo utungamiri dzakawanda huta anosvuta mabhokisi nguva nedoro, rinopikira ramangwana rakaita anodyisa, anoda wakawanda uye Spicy chikafu. Ndivo chokwadi anogona vasaziva nhoroondo chirwere (neBP Danho 2, giredhi 2, 3 ngozi). Other zvakasiyana zvinobvira.

History. Vane chirwere cheBP mwoyo chirwere pane muduku

Gore negore, nyanzvi dziri ndichiona rakadzikama rejuvenation kwezvirwere ari zvemwoyo uye huta nehurongwa. Nechekare muzana remakore rapfuura, zvemwoyo chirwere chainzi denda remakore. Muzana rino remakore, akaipa muitiro kuramba vawane tichimhanya. Zvino zvakaoma kuti munhu vakashamiswa-makore 30 vane chirwere cheBP, vamwe vanhu vane kare makore 20 vane "ukuru" zvavo. Mumwe nomumwe wavo ane pachako nhoroondo yaro pamusoro chirwere. Vane chirwere cheBP mwoyo chirwere angatanga nokukurumidza, mukati pavhiki, uye zvichida zvishoma nezvishoma, zvishoma nezvishoma, kuwana comorbidities kana kuonekwa somumwe zviratidzo chirwere. Kupiwa muitiro kune muduku, achitambura nechirwere ichi, uye vanhu-gore 16-18 okuberekwa.

Nhoroondo chirwere. vechidiki

In okurapa pane nyaya chirwere pamusoro yokurapa: neBP kwakaitika jaya makore makore 15. Nhoroondo hanya upenyu unokweverwa kuna zvinoverengeka:

• Nhaka kubatwa pamusoro chikamu baba, vanasekuru kwake, uye rwaamai sekuru.
• Fanera bhokisi pauduku, kwete kugadziriswa kana physiotherapy kana surgically.
• Nechimwezve chinhu chinokurwadzai hosha iri fodya, sezvo kuyaruka uye nguva nenguva mwero chidhakwa.

Kubva munhoroondo chirwere: mu kuyaruka kuonekwa uye vanova kakawanda nomusoro, muchipfuva marwadzo, uye zvakanyorwa rakawedzera kwazvo BP systolic yakawedzera kusvika 130-140 mm HG, uye diastolic - kusvika 90-110 mm HG. Murwere haasi kubhadhara "mabhero" izvi hanya, tora analgesics uye musatsvaka mishonga, kurapa haina kuitwa, hurumende iri chakawedzerwa nemakore 18 uye anowana muchipatara. nhoroondo iyi chirwere. Vane chirwere cheBP mwoyo chirwere 2 matanho, vane chirwere cheBP dambudziko, kutanga yakabuda muupenyu vechiduku zera.

Below muenzaniso womumwe murume muduku. It ane kurapwa nhoroondo mureza. Vane chirwere cheBP mwoyo chirwere 2 matanho yakatanga nokuda hanya nemafungiro utano hwavo. Iyi nhoroondo chirwere pamusoro mushonga. Nechirwere chemwoyo: neBP 1 tbsp. liagnostirovana aiva murwere aine makore 14. Panguva ino, akanga atova vakafutisa (body mass indekisi yakasvika 31), dyspnea pamusoro shoma nesimba, iyo Kumwe kuchinja kunotanga yacho ibvi. Nenzira, mhuri yose vari mukobvu, uye kuti mwana akatanga kurwadzisa kubva pauduku. Zvinotarisirwa kuti pediatricians simba kururamiswa, noutano mararamiro, kuwedzera mufambo, vanofanira kushanyira dziva kana zvimwe mitambo uye yenhandaro maererano nezera vabereki vake zvimiti munzeve. With uremu vawane kuwedzera hutano mwana. Pazera makore 15, BP nhamba yakasvika 150 mm HG, vakabatana madzerere, muchipfuva marwadzo, panguva yechiitwa dyspnea. Heino nhoroondo chirwere pamusoro mushonga. Vane chirwere cheBP mwoyo chirwere - chimedu achinyengera uye kumhanya hakusi zviripo. Chokwadi, munhu wose anoda effortlessly muchapora, saka vachiregeredza varwere chiremba zuva yaunodya kuti preperatov kutsigira kwagara BP, awane vane chirwere cheBP dambudziko. Nhoroondo chirwere vamwe vanhu kunotanga nayo.

Zvose kunaka nezvemaitiro utano mamiriro havasi kwakavhundutsa vechidiki havasi kumanikidzwa kufunga pamusoro normalization upenyu. Zvinosuruvarisa, pasina kugadzirisa mamiriro utano hakuiti kuvandudza, uye Zvaifungidzirwa kuti kugadzira rwakashata zvokurwara.

Vazhinji vakafutisa vanhu vanodavira kuti vacharasikirwa uremu uye zvose zvichava kusvuta wakanaka, asi maonero iri ndakanganisa. Kusvuta exacerbates maperembudzi. Nepo zana chirwere chake (chine nhoroondo chirwere iri kurapa) - neBP giredhi 2, 2 matanho. Pasina nguva kurapwa, izvo vanhu vakawanda vanonzwa basa, murwere achagamuchira "bouquet" kuti comorbidity. Uye zvichaita ane chirwere nhoroondo yake nokurapwa kurapa: zvinokosha neBP giredhi 3, 3 matanho. Ko here kufunga?

Vane chirwere cheBP mwoyo chirwere. Academic nhoroondo zvokurapa

Mune kwechimbichimbi mukamuri iri mishonga muviri guta chipatara 58 makore murwere akanunura pamwe zvichemo nokushayiwa muchipfuva marwadzo, kupfupika mweya, palpitations. Pain haadi kuenda pashure pokutora nitroglycerin. Kana kuyera BP 185/110 mm HG.

Kana kutora nhoroondo zvinoita sokuti zvinorwadza kurwisa yakafanana akaonekwa ake makore anopfuura 20 adarika, BP rave kupembererwa kubva makore 35. Panguva ino, 2 nguva vane chirwere cheBP dambudziko ne kuwedzera kuita 210 mm HG. Art.

Makore 8 apfuura, ndakanga kurapwa muchipatara inenge cheBP. Paiva munhoroondo dzakadaro: neBP kugiredhi 2. Basa panguva Mahwendefa zvinoerera, kusanganisira "Enap", zvinotora nguva dzose. Pamberi chaiye dutu handina kutora kwavari vhiki nokuda zvakanaka mamiriro utano. Iye anoshanda waishandiswa mukuru pakambani yokuvaka rakakura, basa chokuita psycho-mupfungwa. Bad miitiro - kusvuta.

Pakupedzisira kuongororwa wezvokurapa kunoratidzwa kuderera vana 0,4 vamapoka mapuroteni, masero matsvuku eropa ari weti, kuwedzera voltage pamusoro ECG, kuti misha ine magetsi mumwoyo akabatana kuruboshwe. It ndehwokuti vange kuongororwa uye kurapwa munharaunda, asi haana kusvika chiremba - zvebhizimisi, basa.

In kudzidza muchipatara akawana: ". Shrunken itsvo" chakasimba myocardial infarction, vakawanda STRUCTURAL kuchinja zvomukati, nemidziyo ropa, riri kutevedzera - CG - - dilatation mwoyo kuruboshwe, Ultrasound kuti nhengo dzomukati vanozivikanwa

Mushure marapirwo akanga asunungurwa muna inogutsa ezvinhu. Heuno muenzaniso apo kunyange pashure vascular tsaona vakabudirira vakasarudza zvinhu (nhoroondo chirwere - neBP giredhi 3, chikuva 3).

mhedziso

Nyatsoteerera kuti zvishoma nezvishoma kakawanda, kukura neBP. Kuiita mutemo kamwe pavhiki kuyera neBP yako, kunyanya kana musingadi kunzwa zvakanaka, uye regai ekudzivirira hanya: chinoshingaira mararamiro, kudya kwakakodzera, tichidzivisa kunetseka rubatsiro iwe kugara refu utano uye kufara!