Vane chirwere cheBP dambudziko: kurapwa, zviratidzo uye migumisiro.

Vane chirwere cheBP dambudziko - mumwe inoti, izvo dzinoratidzwa unopinza kuwedzera BP. It kunoratidzwa kurasikirwa kubaya nhengo uye kuvapo zviratidzo zviri BP, asi akaratidza zvakapfurikidza. Pane vaviri kumanikidzwa nokuwedzera mashandiro (vascular uye cardiac), izvo zvaizobatsira kuti vane chirwere cheBP dambudziko. Mishonga nokuti ichi kunonyanya ndezvokungotevedzera zvigadziriswe izvi.

The mashandiro okukura, kutsanangura chirwere cheBP dambudziko. Kurapwa chikazozikamwa, kazhinji yakavakwa maererano pathogenesis. In mamiriro ichi, kusimukira arteriolar kurwadza kwacho, vakawedzera kwemwoyo uye zvachose peripheral vascular nemishonga. Anovandudza chinorura kutenderera wanda vanoramba uye unopinza kuwedzera BP yakakwirira zvikuru nhanho.

zviratidzo:

• nemusoro, kunokonzerwa kutyora chepfungwa kutenderera. Ko obtuse kana pulsing unhu;

• dzungu, tinnitus, kuda kurutsa uye kurutsa, uyewo pfungwa zviratidzo;

• madzerere nokuda retinal vascular spasm, uye edema pamusoro optic etsinga;

• palpitations, arrhythmias, kupfupika mweya.

Nokuda kuvapo zvimwe zviratidzo kusiyanisa nematambudziko vekutanga nevechipiri mhando:

- mhando rokutanga - hyperkinetic, rinowanikwa kakawanda muna tanga neBP. Rinotanga acutely uye vakawanda vegetative zviratidzo: Murwere nokusagadzikana, chakamira pakunodengenyeka zvine, ganda akatsvuka, vakawedzera vangadikitira. dambudziko iri rinotora maawa anenge 3-4. Izvi zvinowedzera zvikuru panguva systolic kufurirwa diastolic kuchinja, kuwedzera kwemwoyo. Kuwedzera padanho adrenaline muropa riparadzirwe kurondedzera vane chirwere cheBP dambudziko. Marapirwo ine nhamba zvinhu;

- mhando rechipiri - hypokinetic, rinowanikwa muna akazotevera nzendo neBP. Anovandudza zvishoma nezvishoma, handicho zvakaoma. Hwokuratidza lethargy, neutera varwere, kwokuomerwa cardiac uye chepfungwa zviratidzo. It anowedzera zvose systolic uye diastolic BP, asi huwandu yokupedzisira zvikuru raidudzwa. Kwemwoyo haigoni kuchinjwa. Muropa, pane ari kuwedzera kwevari norepinephrine.

With kukura yematambudziko chirwere chinogona kuitika:

- encephalopathy uye chepfungwa edema, ayo kuburikidza yakasiyana pfungwa zviratidzo (chinyamunhari chinorwadza, kuda kurutsa, kurutsa, inozivikanwa havachanyatsogoni kuziva) ,

- mwoyo kutadza,

- ane kurwisa angina pectoris kana myocardial infarction.

Tichifunga zvigadziriswe uye zviratidzo vanotsanangura vane chirwere cheBP dambudziko, kurapwa chichange kuvakwa sezvinotevera:

- kuderera diastolic BP pamwero kuti kukosha 100 mm HG Richikwidibira nayo kungwarira chaizvo kwete kuti kunokanganisa chepfungwa riparadzirwe. Murwere anofanira akagovera chinjikira nechinzvimbo;

- intravenous kwokubatsira enalapril (imwe angiotensin rokutendeutsa enzayemu), nifedipine (a karusiyamu mugero blocker), clonidine (α-adrenoagonists);

- munguva 2 maawa wokutanga, kumanikidza haafaniri kudzikisa neinopfuura 25% Muongororo yekutanga. Zvinotevera maawa 6 yokusvika vawane BP 160/100.

- chimbichimbi kutarisirwa. A kudanwa kuti "rubatsiro wokutanga" - chokutanga chinhu chinoda kuitwa. Zvadaro, vakamirira kusvika chiremba, zvakakodzera kupa murwere Half-akarurama nzvimbo kudzivirira yokurwiswa breathlessness. Kana kurwisa akanga kare, uye murwere anoshandisa zvinodhaka antihypertensive, kuti vanofanira kunwa zvavakabvumirana dose ane mushonga chiremba. Kana unogona kudzibatsira pamusoro 40-60mm.rt.st., Hazvina zvakafanira kushandisa mamwe mushonga. No kudiwa zvakare kushandisa zvinodhaka zvitsva uye ausingazivi. Zvinogonekawo kunwa kunyaradza, semuenzaniso, Corvalolum.

Vane chirwere cheBP dambudziko: nechirevo

The fungidziro nokuti ichi zvisingafadzi. ezvinhu. Vane chirwere cheBP dambudziko dzinoratidzwa zvazvo. Pashure dambudziko zvingamuka cardiac insufficiency, kusagadzikana chepfungwa kuparadzirwa, kusvikira chepfungwa edema.