Hypertension bothata: kalafo, matšoao le liphello.

Hypertension maqakabetsi - e mong oa e re, e tšoauoa ka keketseho e bohale ka khatello ea mali. E tšoauoa ke ho lahleheloa ke tsa hlaseloa lekala le ho ba teng ha matšoao a sa kgatelelo ya madi, empa a bolela hore ka ho feteletseng. Ho na le ba babeli ba khatello ea eketseha mochine (vascular le cardiac), e khethollang maqakabetsi hypertension. The kalafo bakeng sa boemo ena ke haholo-holo itšetlehile ka mekgwa tsena.

The mochine oa ntshetsopele, mantsoe ao a hlalosa bothata hypertension. kalafo o tsejoa, 'me hangata ba haha motheong oa pathogenesis. Ka puso ena, tse tsoelang pele spasms arteriolar, e ile ea eketseha ho otla ha pelo le palo yohle pheriferale vascular hanyetsa. Develops potoloho sehlōhō a itšoare ka phehellang le bohale ho phahama ka khatello ea mali ho maemo phahameng haholo.

matšoao a:

• hlooho e opang, e bakoang ke ho potoloha ha mali pherekano ea boko. Ho lerootho kapa throbbing tsa tlhaho;

• ho tsekela, tinnitus, ho nyekoa ke pelo le ho hlatsa, hammoho le matšoao a boko;

• lerootho Pono e loketseng ho retina vascular spasm, le edema ea methapo ea kutlo optic;

• palpitations, arrhythmias, bokhutšoanyane phefumoloho.

Ka lebaka la ho ba teng ha matšoao a itseng khetholla maqakabetsi pele le mefuta e ea bobeli:

- ea mofuta ofe pele - hyperkinetic, le hlaha hangata ho feta ka mekhahlelo ea pele ea kgatelelo ya madi. E qala acutely le le matšoao a tse ngata tse vegetative: mamello pherekano, ha thothomela hohle, letlalo redness, e ile ea eketseha ho fufuleloa. maqakabetsing aa nka ka 3-4 lihora. Sena se eketsa haholo ka systolic khatello ea diastolic sa fetohe, ho eketsa lebelo leo pelo. Eketsa boemo adrenaline ka ajoa mali hlalosa maqakabetsi hypertension. Ho phekola o sebelisa litšobotsi;

- ea mofuta ofe ea bobeli - hypokinetic, le hlaha ka mekhahlelo hamorao ea kgatelelo ya madi. Develops butle-butle, e matha ka thata. Tšoauoa ka lethargy, bofokoli ba bakuli, ka ho tiea matšoao cardiac le bokong. E eketsa bobeli systolic le diastolic khatello ea mali, empa boemo ba bobeli ke ho feta bitsoa. ho otla ha pelo a ke ke a fetoha. Ka mali, ho na le e eketseha maemo a norepinephrine.

Le ntshetsopele ya mathata a ya le lefu lena ka etsahala:

- magazine le edema bokong, tse tsejoang ka matšoao a fapaneng boko (cramps, ho nyekoa ke pelo, ho hlatsa, phytoteratology kelo-hloko) ,

- pelo hloleha,

- e tlhaselo ea angina pectoris kapa myocardial infarction.

Fuoa mekgwa le matšoao a hore hlalosa maqakabetsi hypertension, kalafo tla hahoa ka tsela e latelang:

- fokotseha ka boemo ba diastolic khatello ea mali ho boleng ba 100 limilimithara Hg Theola e lokela ho ba ba hlokolosi haholo ha ho senya ajoa bokong. Mokuli o lokela ho fana ka maemo a tshekaletseng;

- tsamaiso intravenous tsa enalapril (e angiotensin fetola potlakisang tsebetso ea lik'hemik'hale), nifedipine (a k'halsiamo le kanaleng blocker), clonidine (α-adrenoagonists);

- nakong ea pele lihora tse 2, khatello ea lokela ho ba ka tlaase ke ho feta 25% ya ya motheo. Latelang 6 lihora tsa fihla fihlela khatello ea mali 160/100.

- tlhokomelo tšohanyetso. pitso A ho "thuso ea pele" - ntho ea pele e lokelang ho etsoa. Ka nako eo, a emetse ho fihla ha ngaka, ho ke ke ho hlokahala hore ho fana ka ba le mamello Half-lokileng boemo ba ho thibela litlhaselo tsa breathlessness. Ha litlhaselo tsa e ne e bile nakong e fetileng, 'me ho ba le mamello nka lithethefatsi antihypertensive, ho hlokahala hore a noe lethal dose kgothaletswa la ngaka meriana. Haeba u ka fokotsa khatello ka 40-60mm.rt.st., Ha ho hlokahala ea ho sebelisa moriana o eketsehileng. Ha ho hlokahale hore a hape amohela meriana e mecha le a sa tloaelehang. Hape, hoa khoneha ho noa le sedative, mohlala, Corvalolum.

Hypertension bothata: boleloang

The itse'ng ho boemo ena a sa jeseng litheohelang. Bakeng sa bothata hypertension tšoauoa ka relapses. Ka mor'a bothata ka ntshetsa pele cardiac insufficiency, mafu a ea ajoa bokong, ho fihlela ho edema bokong.