The kumanikidzwa musiyano pakati okumusoro kuvafurira. Ko kana mukuru kumanikidzwa uchingodzikira mukuru-pamusoro

Paumbwe ropa midziyo matauriro kukanganiswa zvinoverengeka. Chekutanga anoumba womukati kumanikidzwa pamadziro. Chechipiri ndechokuti ane externally-vascular huta murau. Pamwe, azvaiitwa ikashandiswa mu pfungwa BP. Nokuti vanhu utano, pane yepamutemo Specification - 120/80. Asi chokwadi, tsika dziri kunofambira mberi. Izvi nhamba dziri zvishoma kuchinja uye kushandura ose wechipiri.

BP okumusoro

Chokutanga chakarurama kunoratidza zvakasimba panguva iyo BP iri vascular rusvingo munguva marwadzo mwoyo. Muchiitiko ichi tinotaura yokumusoro kana systolic kumanikidzwa. Zvinoratidza kuti mwoyo tsandanyama zvibvumirano. systolic kumanikidzwa inotungamirwa kunoitika pamwe kutora chikamu midziyo guru, akadai yeropa. Normal tsika dziri kuwanda 120-130 mm. Performance hunotsamira zvinoverengeka on: asi vascular rusvingo distensibility, sitiroko vhoriyamu iri ventricle kuruboshwe, kufadza ejection nokukurumidza.

Diastolic (repasi) kumanikidza pakutsvaga vakazorora cardiac tsandanyama. It Hwakagadzirawo chaiko tsika - kubva 80 kusvika 85 mm. The diastolic kumanikidzwa inoratidza kurwisa kunoitwa achipfuura nhumbi, neropa. inotungamirwa Its ndepana pakazovharwa kutsemuka vharuvhu. Panguva ino, ropa ichiyerera kudzokera mwoyo asingagoni, uye, akavapindurawo, akazara neropa, oxygenated, nokuti mamwe rutapudzo.

Musiyano kwemasvomhu pamusoro okumusoro kufurirwa unonzi "pulsovym chakarurama '. Inowanzotorwa pamwero iri mukati 30-40 mm. Zvisinei, nyanzvi dzinotaura kuti kwakakosha uye zvinonyatsorehwa mamiriro ezvinhu munhu. Pasinei nhamba, vose vanogona kuva pachake kumanikidzwa.

uchishandisa AD

Izwi rinoshandiswa cardiologists ari pakunzi zviratidzi vakadaro iyo munhu anonzwa wakanaka. Optionally, chinhu chetsika nekusimba yakanakisisa tsika. Kana BP 120 pamusoro 80 murume anonzi "normotensive". Avo vane dzose nguva yakaratidza kukosha kuwanda 140/90 vanoonekwa vane chirwere cheBP. Panguva iyoyo kufara vanhu. Kana nhamba dziri mukati mapfumbamwe kusvika makumi matanhatu, ipapo vagumirwe richinzi hypotension. Asi vamwe vanhu, uye zviratidzo zvakadai ndozvakajairwa. Mukuru uye pasi kumanikidzwa, kutsauka kubva chekare, - ichi hachisi chiratidzo chipi abnormalities nguva dzose. Saka, somuenzaniso, vatambi akamborega inorema, yaishanda akacherekedza hypotension. Uyezve, uku mukuru mamiriro eutano vanhu ava rakanyatsojeka inogutsa.

Ndinoita vanofanira kubvisa kutsaudzira nenhamba?

Chii kumanikidzwa kumusoro uye pasi uchava munhu kuipa, zvikurukuru pakuti nzira hwake, kuvapo kana kusavapo tsika dzakaipa, kudya uye kuzvidya mwoyo. In tsika, pane nyaya dzikamisa chaiko pasina kunwa mushonga. Zvakanga zvakakwana kubvisa zvikanganiso zviri zvokudya, shanduko basa.

Zvinofanira akati kuti vanachiremba ano vari kutamira kure pakushandisa "pharmacological zvakakodzera" ropa nevezera pasi tsaru mitemo. Vanachiremba vanoziva, uye ichi kunoratidzwa vakawanda zvaanorumbidza, kuti munhu anganzwa zvakakwana panguva zvarakasiya pauwandu mitemo. Saka, characteristically inflated kumanikidza vakwegura. Zvisinei, kukosha zvinonyatsorehwa kunofambira mberi, kuti hapana chinokosha rwakashata kukanganisa mamiriro vanhu vane makore. Muchiitiko chino, maererano vanachiremba, mishonga antihypertensive ndiko chikonzero uye seisingashandi. Zvichienderana zvakaitika apfuura, nyanzvi vakagumisa kuti kumanikidzwa kuchinja matauriro chinowedzera chete kusunungura kubva kumwoyo.

Chii chingataurwa BP?

Basa rinokosha dzinoongorora zvinonyatsorehwa ezvinhu omurwere chinoita kupomba nevezera musiyano. Pakati okumusoro kufurirwa inofanira kuva nhamba pakati 40-50. Nhamba iri kuonekwa Zvakanyanya Kunaka Panguva Yepamuviri. Zvisinei, izvozvo akatendera rakasiyana-siyana - kubva 30 kusvika 50. kupomba mwero inogona kuva pasi. High kumanikidzwa uchingodzikira mukuru-pamusoro dzinoratidza mwoyo zadzisa. It rinozivikanwa nokukurumidza kurova kwehana (tachycardia). Izvi zvinoratidza kuti anoshanda nesimba muviri. The huchinje kuitiswa inoratidza nekusiyana, pamusoro kunonoka basa mwoyo. Bradycardia, kukura vagumirwe, izvozvo chinokurwadzai zvinyama hypoxia uye CNS. Nemamwe mashoko, kana kurova kwemwoyo indekisi kupfuura 50 munguva kupomba ropa zvakanyanyisa zvokumanikidzira cardiac tsandanyama. Izvi zvinogona kuguma nokukurumidza kudzikira.

Kana vakati mumwe kumanikidzwa musiyano (pakati okumusoro kumanikidzwa asingasviki 30), zvinoratidza neutera tsandanyama. Panyaya iyi, kuti munyama zvokudya okisijeni yakakwana. Hypoxia kunonyanya inokanganisa pfungwa basa: varwere noruzivo kufenda, kuda kurutsa, dzungu ngapaonekwe.

Zvinofanira kucherechedzwa kuti panguva kumanikidzirwa kuyerwa , vamwe mano (kunyanya yemagetsi) tenuka zvikanganiso. Nyanzvi vanokurudzira (kururama) kushandisa zvemaziso tonometers. Zviratidzi vari kutanga chete uye ipapo akabvisa noruoko wechipiri. Pane bvumidzwa kumanikidzwa musiyano. Pakati okumusoro kumanikidza musiyano zviratidzi pamusoro ruoko mumwe uye wechipiri Hachifaniri kupfuura muzvikamu gumi.

Vamwe BP chipimo mitemo

Kwehafu yeawa pamberi nzira, unofanira kusiya vachidya, kusvuta, uye kurovedza muviri. Zvinofanira kubvisa tembiricha gradients. Pakarepo asati kuyerwa unofanira kuzorora maminitsi mashoma kuti vagare chinyararire. Murwere anofanira kuva ari nokugara chinzvimbo, uye shure kwake - aitsigira. Izvi imhaka yokuti mutoro ose achabatsirwa pakarepo kunowedzera BP.

Mugore chinjikira nzvimbo ruoko papi pamwe pamuviri, saizvozvo inofanira kumutswa zvishoma kuti mutsetse mid-bhokisi (unogona komberedza chinhu, akadai mutsago). Not varumbidzwa kutaura uye kuita inopinza kufamba munguva yakayerwa.

Zvikonzero zvamungadya kugamuchira kumanikidzwa musiyano

Pakati okumusoro kumanikidzwa madonhwe, sezvataurwa pamusoro apa, kungava diki, uye unogona kuva musoro. In ichi uye imwe nyaya, kwakakanganisa zvinokanganisawo evanhu. kazhinji zvishomanana zvakasiyana nenhamba ndiwo mugumisiro kutyorwa mupfungwa background. High kumanikidzwa uchingodzikira mukuru-pamusoro womuratidza kushaya elasticity rwengarava ropa, kuwedzera infarction, atherosclerosis, izvo zvinozoita chinokurwadzai chaizvo migumisiro yakaipa. By kuwedzera kupomba indekisi anogara vasanyanye chepfungwa perfusion nevezera. Saka isimba iri mutoro kuda kuburikidza neropa midziyo uropi. Izvi kuchibereka, rinoita hypoxia.

Zviratidzo BP madonhwe

Nouchapupu kumanikidzwa musiyano (pakati okumusoro kufurirwa yakatsauka kubva 50 inokwana zviyero) vanachiremba sechinoitika chiratidzo zvakakwana ngozi. Zvikurukuru, izvozvo zvingaratidza ngozi sitiroko kana kurwisa mwoyo. Kana hypotension kunoitika, sezvinoita mutemo, somnolence, tremor, syncope. Varwere dzungu muri kakawanda.

Muchiitiko chino, yepamusoro kupomba prices anogona kuratidza kuvapo tibhii maronda ari zvomudumbu uye biliary nehurongwa. Uyezve, zvakasiyana akadaro zvingaratidza kuwedzera VD (intracranial kumanikidzwa), mwoyo nechigumbuso, kupererwa neropa. Varwere unovapo hanya dzichiri endocarditis. Uyezve, rinoti vari pamwe kuwedzera kuomarara huru arteries. Mune zvimwe zviitiko, rimwe duku kumanikidzwa musiyano (pakati okumusoro kumanikidzwa asingasviki matatu inokwana zviyero) rinoratidza stenosis of arteries. Nokufamba munzira prices kazhinji pamwe pamuviri.

Hypotension kana BP

Vose vane zvakaipa. Kazhinji varwere akaderedza BP vanoratidza zviratidzo zvimwechete dzakakwirira. Zvikurukuru pane flickering nhunzi kana Masasaradzi pamberi, kutemwa nomusoro, dzungu, chipfuva marwadzo. Mune zvimwe zviitiko, zvingava kuda kurutsa kuti kurutsa, nekuneta.

Kushaya zvakakwana uye nenguva rubatsiro kunogona zvakakomba. Somuenzaniso, pane imwe kumanikidzwa mukuru yakakwirira mukana vane chirwere cheBP dambudziko, izvo discontinuities zvinogona kukonzera vascular, chepfungwa zvirwere kusvikira rutivi rwomuviri.

Kana hypotension fungidzira atrophic Kukuvara uropi, cardiac kusungwa, nenyonganiso Zvinhu ushande. The ngozi mukurusa iyi iri kukura muviri kuramba pakatanga cardiotonics. Attack unopinza kuderera kana kuwedzera BP zvinogona kuitika nokukurumidza. Man kazhinji afenda. Panyaya iyi, anodiwa nechimbichimbi rubatsiro.

How kuverenga nhamba BP?

Yakanaka kuita mune zvokurapa imomo. Asi pane nzira naro unogona ngaaverenge Zvakanyanya Kunaka Panguva Yepamuviri reshiyo. Lower BP zvikawanda ne gumi, ipapo yakakamurwa Indekisi diastolic. Kana iwe tora munhu pedyo nomwe, riri kuonekwa kuti sandara Zvakanyanya Kunaka Panguva Yepamuviri nokuda evanhu. Masvomhu aya anogona kushandiswa kubva pamakore makumi maviri.

Nyanzvi kukuyeuchidzai kuti chero, kunyange zviduku musiyano pakati kufurirwa angava anoratidza kutyorwa pamuviri. Izvi kunyanya zvinoshanda vanhu vane zera iri makore anopfuura makumi mana. Panyaya iyi, kuitira kudzivisa migumisiro ngozi haafaniri kunonoka kwenguva refu kushanyira cardiologist.

Zvinhu achifurira BP

On zviratidzo zvinogona kukanganisa dzinenge zvose muupenyu. simba uye mutoro uyu ezvinhu, psycho-mupfungwa nechekumashure, zvakaipa tsika, kuneta, nemishonga yaunodya. Nokutevera mano nemitemo romugove nokudzora wevasungwa pakati remafuta akawandisa, vachitora mavhitaminzi, tichidzivisa zvinokangaidza, munhu anogona kuramba kunowanzoitika mwoyo uye ropa midziyo.