Hypotension

General tsananguro yechirwere

Ichi chirwere pazviri umo BP yemunhu iri pazasi peavhareji. Kazhinji kumanikidzwa ndiko kuenzana kwepamusoro (uko kunonziwo systolic) uye pasi (kana diastolic) 120/80 mmHg Art., zvishoma kutsauka zvinotenderwa. Arterial hypotension inoonekwa kana kumanikidza kuverenga kuri kuderera pane 90 - 100/60 mm Hg Art.

Muvanhu, kumanikidzwa kweropa uye nehuropi zvakabatana zvakanyanya. Saizvozvo, ne hypotension, okisijeni nzara yeuropi inoitika.

Kune vamwe vanhu, hypotension yakajairika. Iyo isingagumi fomu ye hypotension inogona kuzviratidza kune vechidiki makore makumi maviri nemakumi matatu ekuberekwa seyakafanana hutachiona. Kunyangwe ese mazera emakore ari panjodzi yechirwere ichi, zvakadaro, munguva pfupi yapfuura kusimbiswa kwachinja kubva kuboka rezera diki kuenda kune rakura, uye rinoita seimwe yeanoratidzira eschemic sitiroko. Vakwegura vatete vanhu uye vakadzi vane nhumbu vanowanzo tenderera kune hypotension.

Mhando uye zvikonzero zve hypotension

Arterial hypotension haiwanzo kutariswa sechirwere chakazvimiririra, asi asi sechimwe chezviratidzo zveimwe hutachiona. Hypotension inogona kukonzerwa nezvinhu zvinotevera:

• vascular dystonia;
• kutora mimwe mishonga, iyo inogona kunge iine hypotension mune mhedzisiro;
• kuberekwa kusagadzikana kwemoyo - hurema kana kuwanda;
• kuderera kwakakosha muhuwandu hweropa nekushomeka kwemvura kana kana kurasikirwa kweropa;
• zvirwere zvakadai sekukundikana kwetsvo, chirwere cheshuga mellitus, chepfu, hemoglobin yakadzika, kutsva;
• kupera mvura mumuviri;
• kutsanya kwenguva refu;
• kusingaperi kwemoyo kutadza;
• peptic ulcer;
• kuderera kwezwi revascular kana paine chepfu, allergies kana kuzvidzivirira kwehurongwa hwetsinga.

Zvichienderana nezvikonzero zvinoita kuti arterial hypotension iiswe mu:

1. 1 primary - iri fomu yeurosis-senge hutachiona hwemitsipa yeuropi. Inogona kukonzerwa nekushushikana kwepfungwa kwakanyanya kana kushushikana;
2. 2 secondary - inoitika sechirwere chinosangana pamwe nehutachiona hwehutachiona, kukuvara mumusoro, mishonga yenguva refu, rheumatism, hepatitis, hosha dzezvirwere, maronda emudumbu uye tibhii.

Kazhinji arterial hypotension chiratidzo zvinomera-vascular dystonia - mamiriro anorwadza umo mune kukanganiswa mukushanda kweiyo autonomic nervous system.

Physiological hypotension inogona zvakare kuitika kune vanhu vane hutano, nepo hutachiona husingatapure hupenyu hwemurwere neimwe nzira. Mamwe mafomu earterial hypotension anozivikanwa zvakare:

• kubhadhara - inoitika mumitambo panguva yekushanda nesimba, inoshanda sedziviriro yemuviri. Munguva yemitambo, kumanikidza kunokwira, uye pakuzorora kunodonha pazasi peavhareji;
• tora nguva refu;
• kujairika kana nzvimbo - vagari vemakomo nenyika dzine kutonhora kwakanyanya kana mamiriro ekunze anopisa anoratidzwa kwazviri. Kana pasina oxygen yakakwana mumhepo kana yakaburitswa, ipapo vanhu vanotambura nekudzikira kwakadzikira, ropa rinotenderera zvishoma nezvishoma kuitira kuendesa okisijeni kunhengo dzese;
• fomu yakaoma arterial hypotension kana kudonha - kunoitika nekuderera kwakasimba mukumanikidza nekuda kwekukuvara kwemusoro, kutadza kwemoyo, kana chepfu yakanyanya.

Zviratidzo zveHypotension

Chiratidzo chikuru chearterial hypotension yakaderera BP kusvika padanho re100 / 60 mm Hg. Art. mune varume uye 90/50 mm Hg. Art. pakati pevakadzi. Hypotension inogona kuperekedzwa nezviratidzo zvinotevera:

1. 1 kurwadziwa kunorwadza mudunhu remwoyo;
2. 2 kuda kurutsa, dzungu kusvika kupera simba;
3. 3 tachycardia;
4. 4 anotonhora maoko netsoka nekuda kwekukanganisa kupisa kupisa;
5. 5 kudzvanya kurwadziwa mumusoro, kazhinji mutembere;
6. 6 kuwedzera kudikitira;
7. 7 kukanganiswa kwekurara;
8. 8 kukotsira, kusava nehanya;
9. 9 pallor yeganda;
10. 10 kusagadzikana kwepfungwa;
11. 11 dyspnea;
12. 12 kunzwa kusanzwisisika mangwanani;
13. 13 ruzha munzeve;
14. 14 kuderera mukushanda chinzvimbo.

Arterial hypotension inowanzo kukonzerwa nebumbiro remuviri wemunhu. Vanhu vane asthenic mhando yemuviri vanokanganisa hypotension. Vana nevechiri kuyaruka vanowanzo shupika ne hypotension, nekuti kufamba kweropa kwavo hakuenderane nekuwedzera kukura kwemuviri. Pakati pevechidiki, vasikana vanotambura ne hypotonia zvakanyanya, sezvo ivo vachinyanya kushushikana uye vachinzwisisa zvinoitika, kushushikana kwepfungwa nepfungwa.

Vanhu vane hypotension vanonzwa zvakanyanya kana mamiriro ekunze achinja, kushomeka kwekuita muviri, uye kushushikana kwepfungwa kwakasimba. Ichi chirwere chinowedzerwa kana paine chepfu uye hutachiona hutachiona. ^[4]

Mu50% yevakadzi panguva yekuzvitakura, pane kuderera kukuru mukumanikidza, kusvika kune akaomesesa manhamba. Izvi zvinokanganisa vese amai nemwana, sezvo chibereko chisina kupihwa zvakakwana neropa, uye mwana anogona kuzvarwa nguva isati yakwana.

Vakwegura vanowanzo tenderwa ne hypotension, sezvo kana vakamira kwenguva refu, denga rinomira mutsinga dzemakumbo, izvo zvinogona kuve nemhedzisiro yakaipa nenzira yekurohwa kana kurohwa nemoyo.

Matambudziko e hypotension

Sezvo mutemo, hypotension haina mhedzisiro inokanganisa muviri, zvisinei, panogona kuve nezvinetso zvakadaro:

• kukanganiswa kwebasa remwoyo - varwere vane hypotensive vanowanzo tachycardia, nekuti pakudzvinyirira kwakadzika ropa rinotenderera zvishoma nezvishoma kuburikidza nemidziyo uye moyo unofanirwa kushanda nenzira yakasimbiswa kuitira kuti upe matukisi ane oxygen;
• panguva yekuzvitakura, yakaderera BP inogona kukonzera fetal hypoxia, nekuti iyo placenta haina kupihwa zvakakwana neoksijeni. Vakadzi vane pamuviri vane arterial hypotension vanowanzotambura ne toxicosis;
• muvanhu vakuru, hypotension inokonzera kukura kwe atherosclerosis; ^[3]
• mune zvisingawanzoitika zviitiko, kufenda, kurohwa, kukura kwekuvhunduka kana hypotonic dambudziko recerebral kana yemoyo hunhu zvinogoneka.

Kudzivirira kwe hypotension

Kuitira kudzivirira kukura kweiyo arterial hypotension, iwe unofanirwa kutungamira akararama mararamiro:

1. 1 chengetedza basa uye zororo purogiramu;
2. 2 idya zvakanaka;
3. 3 kurega kusvuta uye zvinwiwa zvinodhaka;
4. 4 kuongorora uremu hwemuviri;
5. 5 iva mumhepo yakachena kazhinji kazhinji;
6. 6 ita mutambo;
7. 7 vanogara vachiongororwa zvekurapa.

Vanhu vane yakaderera BP vanofanira kutora zvinotevera matanho ekudzivirira:

• mangwanani iwe haufanire kubuda kamwe kamwe pamubhedha, iwe unofanirwa kutanga wadzikisa makumbo, gara kweminiti uye chete mushure meizvozvo simuka;
• dzivisa kushushikana kwepfungwa uye kwepfungwa;
• tora mvura yekusiyanisa mangwanani;
• inwa zvakakwana mvura - kanenge 2 litita pazuva;
• tora zvigadzirwa zvevhitamini;
• kurara kanenge maawa gumi pazuva;
• tarisa kumanikidza zviratidzo zuva nezuva;
• dzivisa kuratidzwa kwezuva kwenguva refu;
• dzivisa kunetseka;
• kudya kwemangwanani kwakanaka mangwanani.

Kurapa kwe hypotension mumushonga wepakati

Kuti uongorore hypotension, BP inofanira kuyerwa kakawanda pazuva uyezve avhareji inofanirwa kutorwa sehwaro. Izvo zvinodikanwa kugadzira iyo electrocardiogram kuti uone kuti iyo inonzwira tsitsi tsinga system inokanganisa sei kushanda kwemoyo. Zvakare, kusasiya izvo zvinowirirana, iyo neuropathologist inorayira kuongororwa kweropa uye weti, kutsunga kweshuga yeropa uye cholesterol mwero.

Nekurapa kweacute arterial hypotension, anti-kukatyamadza kurapa nenzira yeropa inokurudzirwa kuitira kudzoreredza huwandu hweropa uye kubvisa chepfu. Kana iyo yakaoma fomu ye hypotension iri nekuda kwehupfu, saka dumbu rinofanirwa kukwizwa uye kubaiwa majekiseni nemishonga.

Mukusingaperi hypotension, iwe unofanirwa:

1. 1 kugadzirisa mararamiro: kurega tsika dzakaipa, kuva mumhepo yakachena mazuva ese, tamba mitambo, kudzivirira kunetseka, kurapa kwekurapa kunokurudzirwa;
2. 2 kusabvisa kana zvishoma kudzima mishongaizvo zvinogona kumutsa hypotension;
3. 3 ine endocrine pathologies, zvakakwana kuomesa kumanikidza sarudza chaiyo yekurapa kurapwa mahormone akakodzera.

Chenjerera!

Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!