Yuav ua li cas tau kev pab? hypertensive ntsoog

Niaj hnub nimno cov tshuaj tau mus txog zoo heights nyob rau hauv txoj kev loj hlob cardiology, tab sis hypertensive ntsoog yog tseem lub ntsiab thiab lub ntsiab qhov teeb meem. Ntshav siab - cov no yog cov neeg uas tsim arterial tawg (AH). Raws li statistics, txhua txhua ob hypertensive neeg mob raug kev txom nyem ib hypertensive ntsoog.

Tawg - ib tug kab mob kab nrog nce cov ntshav siab (ntshav siab) thiab ib tug tom ntej hloov nyob rau hauv lub hauv nruab nrog cev. Cov tawg txwv kom muab zais raws li peb lub ntsiab no:

• cov theem ntawm cov ntshav siab: ib txwm, pom; borderline, me me (1) cov neeg kawm ntawv ntawm tawg, mob loj tsawv (2), hnyav (3) (ntau 180/110);
• kwj: benign (qeeb-loj hlob) thiab phem (fast-loj hlob);
• etiology: thawj (qhov tseem ceeb), theem nrab (symptomatic), piv txwv li, thaum tsav tsheb ob lub raum tau txais glucocorticoids thiab contraceptives, adrenal kab mob.

Ua rau qhov tshwm sim ntawm tawg yog: kev xav nyuaj siab, puas siab puas ntsws load, lub taub hau raug mob, kev tsim txom ntawm ntsev, haus luam yeeb, haus dej cawv, lub cev inactivity, advanced muaj hnub nyoog, lawm, atherosclerosis thiab rog.

Lub ntsiab seb mob dab tsi ntawm tus kab mob - lub mob yog laus nyob rau hauv lub occipital cheeb tsam, nrog rau ib tug txiav txim zoo ntawm cov zog thiab "tus kab mob plague" ntawm lub taub hau. Feem ntau nyob rau hauv cov neeg mob uas ntaus cim txo nyob rau hauv kev txawj ntse kev ua si, txob taus thiab lub siab lub ntsws, pluag pw tsaug zog, kiv taub hau, qhov muag plooj tsis pom kev.

Yog hais tias tsis kho tawg, kom paub tseeb tias muaj teeb meem: mob hawb pob, hypertensive ntsoog, pulmonary edema, lub plawv yuav nres, mob stroke.

Yuav ua li cas yog hypertensive ntsoog? Qhov no poob nthav ceev siab dhia mus lub siab tshaj plaws xov tooj nrog tus deterioration ntawm tus tib neeg mob. Tej zaum ntxias ib tug ntsoog yam nram qab no: tshee kev nyuaj siab, kev hloov ntawm huab cua, cov neeg pluag noj haus (kev tsim txom ntawm qab ntsev, khoom kib, zaub mov muaj roj), ib ce muaj zog, haus dej cawv siv.

Nyob rau hauv kho kev xyaum, muaj peb hom: ntsoog thawj thiaj li (hyperkinetic), teebmeem ntawm lub thib ob kev txiav txim (hypokinetic) thiab eukinetic (lub complex thiab mob).

Hypertensive ntsoog thawj kev txiav txim. Nws feem ntau tshwm sim nyob rau hauv cov neeg mob nyob rau hauv thaum ntxov ua sawv ntawm tawg. Cov tsos mob ntawm ib tug hypertensive ntsoog tsim dheev, feem ntau yog nyob rau hauv ib tug tom qab ntawm fee (zoo) noj qab haus huv. Ib tug mob taub hau feem ntau pulsating xwm, kiv taub hau, ntuav, ua daus no, ntswj, thiab kuj sau ntawv lub tachycardia thiab muaj zog systolic cov ntshav siab. Xws li ib tug lub xeev yuav nyob ntev li ntawm ob peb teev ib hnub twg.

Crease thib ob kev txiav txim muaj nyob rau hauv lub tom qab ua sawv thiab nws cov yam ntxwv feature yog ib tug gradual nce nyob rau hauv cov tsos mob. Nyob rau hauv cov neeg mob uas muaj ib tug mob taub hau, nkees nkees, nkees, impaired lub rooj sib hais thiab pom kev zoo, raws li zoo raws li lub zog diastolic siab.

Eukenetichesky ntsoog. Nws yog tsiag ntawv los ntawm cov tsos ntawm tus neeg mob: piav thoob hlo ua cuam tshuam, lub cev muaj zog ntshawv siab, tsis meej pem, hais lus ntshawv siab, qaug dab peg, raws li zoo raws li lub nce nyob rau hauv systolic ntshav siab thiab diastolic.

Pab rau hypertensive ntsoog yuav tsum tau muab sai li sai tau. Yuav pib, tus neeg mob yuav tsum tau pw nrog lub taub hau tsa. Muab cua thiab siv ib tug Diversionary txoj kev kho. Cov no tej zaum muaj xws li: mustard rau lub sacrum los yog calf cov leeg, cupping (mustard), dab tshos, kub ko taw, thiab yuav ua tau tes tuav da dej. Ib tug yuav muab sublingual nitroglycerin, clonidine (0.2) los yog nifedipine (10 mg). Raws li zoo raws li ib tug thaum muaj xwm ceev tus kws kho mob los yog hu rau ib tug tsheb thauj neeg mob.

Muab raws sij hawm kev pab - tus yuam sij rau ib tug hais rov qab thiab preservation ntawm lub neej.