Kukalamba nthawi zonse kumaphatikizidwa ndi kuphwanya ziwalo, makamaka mtima. Choncho, amayi opitirira zaka 55 amadziwa kuti ali ndi mavuto apamwamba komanso otsika. Matendawa amatchedwa isol systolic arterial hypertension, ndi imodzi mwazikuluzikulu zomwe zimayambitsa vuto la kusokonezeka kwa ubongo.
Zifukwa zapamwamba zapamwamba zovuta ndi zachichepere
Kutsekemera kwapachilendo kotchedwa hypertension syndrome kumachitika chifukwa cha zinthu zina zakunja:
- kukhudzidwa kupsinjika;
- kupweteka;
- kusowa tulo;
- kusuta;
- kupsinjika kwambiri kwa thupi ndi maganizo;
- kunenepa kwambiri ;
- mchere wambiri mu zakudya;
- kumwa mowa mwauchidakwa;
- kuchuluka kwa mafuta mu zakudya.
Tiyenera kuzindikira kuti izi nthawi zambiri zimapangitsa kuti chisokonezo cha mtima chisokonezeke mu systole komanso mu diastole. Ndicho chifukwa chake kuthamanga kwapamwamba ndikutsika ndi ndondomeko yachidule yochepa sizingakhazikike. Akatswiri a zamoyo amanena kuti izi zimakhudzidwanso ndi matenda a ziwalo zamkati:
- ntchito yambiri ya chithokomiro;
- matenda a a valtic valve;
- ntchito yambiri ya adrenal glands;
- matenda osokoneza bongo;
- matenda a atherosclerosis a mitsempha;
- matenda a impso;
- mapuloteni a cholesterol m'mitsuko.
Pali maphunziro omwe amasonyeza kuti mwa amai mavuto omwe amatha kuwonekera chifukwa cha kuchepa kwa hormone estrogen mu nthawi ya menopausal.
Kodi ndizitenga chiyani ndi kuthamanga kwapamwamba ndi gawo labwino?
Kawirikawiri, mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo amakhala okhudzana ndi kugwiritsa ntchito mankhwala ndi indapamide:
- Ravel-SR;
- Indapamide-MB;
- Arifon-Retard.
Palinso njira yowonongeka yatsopano. Pachifukwa ichi, ndi bwino kugwiritsa ntchito mankhwala osokonekera pogwiritsa ntchito spironolactone kapena eplerenone. Zosakaniza zimenezi zimatha kuchepetsa kupweteka kwa systolic kwambiri, popanda kuwonetsa chiwerengero cha diastolic.
Panthaŵi imodzimodziyo, maphunziro akuchitidwa pogwiritsira ntchito nitrates osiyanasiyana pochiza mtundu wodzitetezera wokhawokha. Mwachitsanzo, isosorbiddinitrate mofulumira komanso mofulumira imayimitsa mavuto apamwamba, makamaka odwala okalamba. Izi zimafuna njira yochuluka ya mankhwala - kuyambira masabata asanu ndi atatu.