Kuthamanga kwa magazi ndi chimodzi mwa zifukwa zazikulu za atherosclerosis, myocardial ischemia ndi kufa kwa achinyamata. Mu mankhwala, matendawa amatchedwa matenda oopsa. Matendawa amatsimikiziridwa ngati kafukufuku wamachiritso kawiri ali ndi chiwerengero chokwanira kaŵirikaŵiri chiwerengerocho chimaposa 140 ndi 90 mm Hg. Art.
Matenda owopsa - magawo, madigiri, chiopsezo
Vuto lomwe likufotokozedwa liri ndi kayendedwe kosiyana, kosiyana malinga ndi zinthu ziwiri. Matenda a hypertensive - chigawochi chimachokera pazifukwa zotsatirazi:
- Gawo - limatsimikizira kukhwimitsa kwa matenda osokoneza bongo komanso kukula kwa chiwongolero cha zamoyo.
- Degree - amasonyeza pafupifupi mlingo wa kuthamanga kwa magazi tsiku lonse.
Matenda owopsa - magawo
Matendawa amachititsa kusintha kwa ntchito ya mitsempha ya mtima ndi yamkati. Malingana ndi kupirira kwa matendawa, pali magawo atatu a kupatsirana kwa magazi:
- Wofewa komanso wodzichepetsa. Makhalidwe otetezeka a magazi. Ngati pali matenda oopsa a paseti 1, amasinthasintha masana, koma sapitirira 179 ndi 114 mm Hg. Art. Mavuto ndi osowa kwambiri, amapezeka mofulumira.
- Zovuta. Matenda a hypertensive a gawo lachiwiri amatsatizana ndi kuthamanga kwa magazi mkati mwa 180-209 ndi 115-124 mm Hg. Art. Zofufuza zachipatala zimatulutsa microalbuminuria, kupyapyala kwa mitsempha ya retinal, kutentha kwambiri kwa creatinine mu plasma, ischemia ya ubongo (kutsika), hypertrophic left ventricle. Mavuto aakulu amapezeka nthawi zambiri.
- Olemera kwambiri. Kupweteka kwa m'mimba kupitirira mtengo wa 200 mm 125 mm Hg. Art. Matenda opatsirana kwambiri m'gawo lachitatu amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda, tizilombo toyambitsa matenda, tizilombo toyambitsa matenda, tizilombo toyambitsa matenda, nephroangiosclerosis. Zophiphiritsira zimakhala zovuta komanso zovuta.
Matenda a hypertensive - digiri
Mchitidwe uwu wa chikhalidwe cha matenda umayambitsa msinkhu wokhazikika wa kupanikizika kwa thupi. Degrees of hypertension:
- Kuwala kapena zozizwitsa. Ndikumayambitsa matenda oopsa kwambiri, vutoli silikuposa 159 ndi 99 mm Hg. Art. Mkhalidwe wa thanzi umakhalabe zizindikiro zosavuta, zosasangalatsa zomwe sizipezeka kapena zosavuta kwenikweni.
- Okhazikika. Kwa matenda a kalasi 2, kuwonjezeka kwa kuthamanga kwa magazi kufikira 160-179 pa 100-109 mm Hg ndi khalidwe. Art. Nthawi zina pali mavuto omwe amabwera mofulumira komanso opanda mavuto.
- Zovuta. Matenda a hypertensive a digiri yachitatu amachititsa kuwonjezeka koopsa kwa magazi (kuyambira 180 mpaka 110 mm Hg). Mavuto amapezeka nthawi zambiri, pamodzi ndi zotsatira zoipa.
- Olemera kwambiri. Matenda opatsirana kwambiri a digiti ya 4 ndi moyo wowopsya. Magazi a magazi amaposa 210 mm 110 mm Hg. Nkhani, mavuto nthawi zina amachititsa imfa.
Matenda a hypertensive - zoopsa
Chofunika kwambiri pakuwoneka kwa matendawa akuwonetsedwa ndi mavuto a dongosolo loyamba la mitsempha lomwe limakhalapo motsutsana ndi zotsatirazi:
- ntchito yoluntha;
- chisokonezo champhamvu;
- nkhawa;
- kukhudzidwa ndi phokoso ndi kumveka;
- kudodometsa kawirikawiri ndi ena.
Palinso zinthu zina zomwe zingayambitse matenda oopsa - chiopsezo chiwonjezeka chifukwa cha:
- kudya madzi ambiri;
- kunenepa kwambiri;
- shuga;
- matenda a chithokomiro;
- kusokonezeka kwa adrenal ndi impso;
- matenda aakulu;
- kusamba kwa mimba;
- zaka (zoposa 60-65 zaka);
- kukhalapo kwa maulamuliro oipa, makamaka kusuta ndi uchidakwa;
- chilengedwe choipa.
Matenda oopsa - amachititsa
Pakadali pano, palibe njira zenizeni zomwe zasokonekera zomwe zimapangitsa kuwonjezeka kwa magazi. Pali zifukwa zokha zokhudzana ndi chifukwa chake matenda oopsa kwambiri amayamba - zomwe zimayambitsa chiyambi, malinga ndi akatswiri a cardiologists, zimakhala ndi kukula kwa matenda a atherosclerosis komanso kuwonongeka kwa mitsempha ya magazi. Chifukwa cha kutsekemera kwa ma puloteni m'makoma awo, mitsempha yowala kwambiri. Zotsatira zake, kupanikizika kwa magazi kumawonjezera ndi matenda a hypertensive matenda debuts. Pamaso pa zinthu zingapo zomwe tazitchula pamwambapa, chiopsezo cha kukula kwake chikuwonjezeka kwambiri.
Matenda owopsa - zizindikiro
Chithunzi cha kuchipatala cha matendawa chimadalira kukula kwake ndi malo ake. Kuphweka kwapopopseza kwambiri, kochepa kwambiri kutanthauza zizindikiro zake zenizeni:
- ululu, kupweteka ndi kupweteka pamutu;
- phokoso m'makutu;
- zovuta za kugona;
- chizungulire;
- kutopa;
- kugona;
- kusamvera;
- chisokonezo;
- mtima;
- mpweya wochepa;
- kunjenjemera kwakukulu;
- thukuta;
- chithunzithunzi cha nkhope;
- ululu mu mtima;
- kusowa kwala zala;
- kupuma kwa maso;
- kudzikuza kumapeto;
- "Ntchentche", "mphezi", "kubisa" pamaso;
- kuwonongeka kapena kutaya kwathunthu kwa masomphenya;
- kukomoka;
- kusanza ndi ena.
Kupezeka kwa "matenda oopsa" kumakhazikitsidwa mothandizidwa ndi:
- kupanikiza kwachangu;
- biochemistry ya magazi ;
- kugwiritsidwa ntchito ndi Nechiporenko;
- Mayeso a Reberg;
- zolemba ndi electrocardiography;
- ophthalmoscopy;
- kufufuza kwa ziwalo zolunjika (mtima, impso, adrenals).
Kuchiza kwa matenda oyenera kwambiri
Kuchotsa kwathunthu matenda omwe akufotokozedwa sangathe, mankhwalawa amayenera kuonetsetsa kuti kuthamanga kwa magazi ndi koyenera komanso kupeŵa mavuto. Ngati munthu ali ndi matenda oopsa omwe ali ndi zaka 2 kapena kuposa, mankhwala amafunika. Ndondomeko yamachiritso imapangidwa ndi katswiri wa moyo mu dongosolo la munthu. Matenda ochepa a hypertonic amatanthauza njira zambiri zothandizira:
- chakudya choletsedwa ndi mchere;
- kupweteka;
- kukana kusuta ndi kumwa mowa;
- maphunziro;
- kuwongolera ulamuliro wa ntchito ndi kupuma;
- kuthetsa nkhawa.
Matenda owopsa - mankhwala, mankhwala
Kuti athetse mphamvu ya magazi, magulu angapo ogwira ntchito zamagetsi akugwiritsidwa ntchito, kusankhidwa kwawo kuyenera kuthandizidwa kokha ndi katswiri. Pamene matenda a hypertension amapezeka, mankhwalawa akulimbikitsidwa motere:
- ma angiotensin-1 omwe amawombera - Irbesartan, Valsartan, Losartan;
- otsutsa kashiamu - Nifedipine, Diltiazem, Amlodipine;
- tizilombo toyambitsa matenda a angiotensin - Ramipril, lisinopril, Enalapril;
- beta-blockers - Metoprolol, Nebivolol, Bisoprolol;
- diuretics - Indapamide , Spironolactone, Hydrochlorothiazide.
Matenda oopsa - mankhwala ndi mankhwala ochiritsira
Malamulo ena othandizira mankhwala ena amathandiza kuchepetsa kuthamanga kwa magazi mwamsanga. Iwo akulimbikitsidwa kuti agwiritsidwe ntchito ngati matenda oopsa a hypertensive akupezeka. Ndi mankhwala opatsirana komanso ovuta, mankhwala oyenera ayenera kuphatikizapo mankhwala othandizira. Popanda mankhwala osokoneza bongo, matenda a mtima wambiri amathamanga ndipo amachititsa mavuto.
Mankhwala olembera mankhwala kuti asamangidwe
Zosakaniza:
- zofiira za pini zofiira - 1 makilogalamu;
- vodka - 400-500 ml.
Kukonzekera, gwiritsani ntchito:
- Pukutani masamba opangira madzi ozizira.
- Thirani makutu mu mtsuko woyera wa magalasi okhala ndi ma lita imodzi.
- Thirani ndi vodka.
- Tsekani chidebecho mwamphamvu ndi chivindikiro.
- Limbikitsani njirayi kutentha kwa masabata 2.5-3.
- Sungani mankhwala kudzera mu cheesecloth iwiri yojambulidwa.
- Tsiku lililonse katatu supani supuni 1 ya tincture Mphindi 25 musanadye. Mukhoza kuwonjezera mankhwala kwa tiyi kapena madzi.