Hypotension

Kufotokozera kwathunthu kwa matendawa

Ichi ndi matenda omwe kuthamanga kwa magazi kwamunthu kumakhala kotsika kwambiri. Kuthamanga Normal ndi chiŵerengero chapamwamba (amenenso amatchedwa systolic) ndi kutsitsa (kapena wachinyamata) 120/80 mmHg Art., zopatuka zazing'ono ndizovomerezeka. Arterial hypotension imapezeka pamene kuwerengera kwapansi kumakhala kotsika kuposa 90 - 100/60 mm Hg Luso.

Kwa anthu, kuthamanga kwa magazi ndi ubongo ndizofanana. Chifukwa chake, ndi hypotension, mpweya wanjala wa ubongo umachitika.

Kwa anthu ena, hypotension si yachilendo. Matenda achilendo a hypotension amatha kuwonekera mwa achinyamata azaka 20-30, ngati matenda omwe amapezeka. Ngakhale kuti mibadwo yonse imatha kutenga matendawa, komabe, posachedwa kulimbikitsidwa kwasintha kuchoka pagulu laling'ono kupita kwa okalamba, ndipo ndi chimodzi mwazizindikiro za kupwetekedwa kwa ischemic. Anthu okalamba achikulire komanso amayi apakati nawonso amakhala ndi vuto la hypotension.

Mitundu ndi zomwe zimayambitsa hypotension

Arterial hypotension nthawi zambiri samawonedwa ngati matenda odziyimira pawokha, koma monga chimodzi mwazizindikiro za matenda ena. Hypotension imatha kubwera chifukwa cha izi:

• mtima dystonia;
• kumwa mankhwala ena, omwe amatha kukhala ndi vuto la hypotension;
• kobadwa nako matenda a mtima - chilema kapena prolapse;
• kuchepa kwakukulu kwa magazi ndi kuchepa kwa madzi m'thupi kapena ngati magazi atayika;
• matenda monga aimpso kulephera, matenda a shuga, poyizoni, hemoglobin yotsika, yoyaka;
• kuchepa kwa madzi m'thupi;
• kusala kudya kwanthawi yayitali;
• aakulu mtima kulephera;
• zilonda zam'mimba;
• kuchepa kwa kamvekedwe ka mitsempha ngati kuli poizoni, chifuwa kapena matenda odziyimira pawokha wamanjenje.

Kutengera zifukwa zomwe zimayambitsa izi, ochepa hypotension amagawidwa mu:

1. 1 zoyambirira - ndi mtundu wa matenda amitsempha yamagazi. Zitha kuyambika chifukwa chapanikizika kwambiri kapena kupsinjika;
2. 2 yachiwiri - amapezeka ngati matenda opatsirana ndi matenda a chithokomiro, kuvulala pamutu, mankhwala a nthawi yayitali, rheumatism, hepatitis, matenda a oncological, zilonda zam'mimba ndi chifuwa chachikulu.

Nthawi zambiri ochepa hypotension ndi chizindikiro vegetative-mtima dystonia - zowawa momwe muli kusokonezeka kwa kagwiritsidwe ntchito ka autonomic mantha dongosolo.

Physiological hypotension imatha kukhalanso mwa anthu athanzi, pomwe kudwala sikungakhudze moyo wa wodwalayo mwanjira iliyonse. Mitundu ina yamitsempha yamagazi imasiyananso:

• kubweza - imachitika mwa othamanga pakulimbikira thupi, imakhala ngati chitetezo chamthupi. Pa masewera, kupanikizika kumakwera, ndikupuma kumatsika pansipa;
• osatha;
• odziwika kapena malo - okhala m'mapiri ndi mayiko okhala ndi nyengo yozizira kwambiri kapena yotentha kwambiri amadziwikanso. Ngati mulibe mpweya wokwanira mlengalenga kapena watulutsidwa, ndiye kuti anthu amavutika ndi kupsinjika kotsika, magazi amayenda pang'onopang'ono kuti apereke okosijeni ku ziwalo zonse;
• mawonekedwe ovuta ochepa hypotension kapena kugwa - kumachitika ndikuchepa kwakanthawi kwamphamvu chifukwa chovulala pamutu, kulephera kwamtima, kapena poyizoni pachimake.

Zizindikiro za Hypotension

Chizindikiro chachikulu cha hypotension yamagazi ndi kutsika kwa magazi mpaka 100/60 mm Hg. Luso. mwa amuna ndi 90/50 mm Hg. Luso. mwa akazi. Hypotension imatha kutsatiridwa ndi izi:

1. Kupweteka kwa 1 m'dera lamtima;
2. 2 nseru, chizungulire mpaka kukomoka;
3. 3 tachycardia;
4. Manja 4 ndi mapazi ozizira chifukwa cha kusinthasintha kwa kutentha;
5. 5 kukanikiza kupweteka kumutu, nthawi zambiri mma temple;
6. 6 kuchuluka thukuta;
7. Kusokonezeka kwa tulo;
8. 8 kusinza, mphwayi;
9. 9 kuwonekera pakhungu;
10. Kusakhazikika kwamalingaliro a 10;
11. 11 matenda;
12. 12 kusamva bwino m'mawa;
13. 13 phokoso m'makutu;
14. Kutsika kwa 14 pakugwira ntchito.

Matenda a hypotension nthawi zambiri amayamba chifukwa cha malamulo amthupi la munthu. Anthu omwe ali ndi thupi la asthenic amatha kutenga hypotension. Ana ndi achinyamata nawonso nthawi zambiri amavutika ndi hypotension, chifukwa magazi awo samayenderana ndi kukula kwa thupi. Pakati pa achichepere, atsikana ali ndi vuto la hypotonia kwambiri, chifukwa amakhala otengeka kwambiri komanso amakhudzidwa ndi zokumana nazo, kupsinjika kwamaganizidwe ndi malingaliro.

Anthu omwe ali ndi vuto la hypotension amamva kuwawa nyengo ikasintha, kusachita masewera olimbitsa thupi, komanso kupsinjika kwamphamvu. Kudwala Izi kukula chifukwa cha poyizoni ndi matenda opatsirana. ^[4]

Mwa amayi 50% azimayi ali ndi pakati, pali kuchepa kwakukulu pamavuto, mpaka ziwerengero zazikulu. Izi zimakhudza mayi komanso mwana, popeza chiberekero sichimapatsidwa magazi mokwanira, ndipo mwana amatha kubadwa asanakwane.

Okalamba amakonda kudwala matenda a hypotension, popeza ataimirira kwa nthawi yayitali, denga limayima pamitsempha ya m'miyendo, zomwe zimatha kukhala ndi zotsatirapo zoyipa ngati matenda am'mimba kapena matenda amtima.

Zovuta za hypotension

Monga lamulo, hypotension ilibe zovuta zoyipa m'thupi, komabe, pakhoza kukhala zovuta ngati izi:

• chisokonezo mu ntchito ya mtima - odwala hypotensive amakonda tachycardia, chifukwa atapanikizika magazi amayenda pang'onopang'ono kudzera mumitsuko ndipo mtima umayenera kugwira ntchito modzikweza kuti utumikire minofu ndi mpweya;
• Pakati pa mimba, kutsika kwa magazi kumatha kuyambitsa fetal hypoxia, popeza kuti placenta siyapatsidwa mpweya wokwanira. Amayi apakati omwe ali ndi matenda ochepetsa magazi nthawi zambiri amakhala ndi toxicosis;
• achikulire, hypotension amakwiya chitukuko cha atherosclerosis; ^[3]
• Nthawi zina, kukomoka, zikwapu, kukula kwa mantha kapena vuto la hypotonic la ubongo kapena mtima wamtima ndizotheka.

Kupewa hypotension

Pofuna kupewa kukula kwa magazi, muyenera kukhala ndi moyo wolondola:

1. 1 yang'anani ntchito ndi nthawi yopumulira;
2. 2 kudya moyenera;
3. 3 kusiya kusuta ndi zakumwa zoledzeretsa;
4. 4 kuwunika thupi;
5. 5 khalani mumlengalenga nthawi zambiri;
6. 6 amachita masewera;
7. 7 amakayesedwa pafupipafupi kuchipatala.

Anthu omwe ali ndi kuthamanga kwa magazi ayenera kutsatira njira zotsatirazi:

• m'mawa simukuyenera kutuluka mwadzidzidzi pabedi, muyenera kutsitsa miyendo yanu, khalani kaye kwa mphindi imodzi kenako mutadzuka;
• pewani kupsinjika kwamaganizidwe ndi malingaliro;
• kusamba mosiyana m'mawa;
• imwani madzi okwanira - osachepera 2 malita patsiku;
• tengani kukonzekera vitamini;
• kugona osachepera maola 10 patsiku;
• kuyang'anira zowunikira tsiku lililonse;
• pewani kukhala padzuwa nthawi yayitali;
• pewani kupsinjika;
• chakudya cham'mawa chabwino m'mawa.

Chithandizo cha hypotension m'mankhwala ambiri

Kuti mupeze matenda a hypotension, kuthamanga kwa magazi kumayenera kuyezedwa kangapo patsiku ndiyeno avareji ayenera kutengedwa ngati maziko. Ndikofunikira kupanga electrocardiogram kuti mudziwe momwe dongosolo lamanjenje lomvera limakhudzira kugwira ntchito kwa mtima. Komanso, kuti asatenge matenda ophatikizana, a neuropathologist amapereka mayeso a magazi ndi mkodzo, kutsimikiza kwa magazi m'magazi ndi cholesterol.

Pochiza matenda oopsa a hypotension, mankhwala oletsa anti-shock mwa mawonekedwe a magazi amalimbikitsidwa kuti abwezeretse kuchuluka kwa magazi ndikuchotsa poizoni. Ngati mtundu wovuta wa hypotension umachitika chifukwa cha poyizoni, ndiye kuti m'mimba muyenera kupukutidwa ndi katemera ndi mankhwala.

Mu matenda a hypotension, muyenera:

1. 1 sungani moyo: kusiya zizolowezi zoipa, kukhala mumlengalenga tsiku lililonse, kusewera masewera, kupewa kupsinjika, mankhwala a spa amalimbikitsidwa;
2. 2 Pewani kapena tulutsani pang'ono mankhwalazomwe zingayambitse hypotension;
3. 3 yokhala ndi ma endocrine pathologies, ndikwanira kuti muchepetse kuthamanga sankhani chithandizo cholondola cholowa m'malo mwake mahomoni oyenera.

Chenjerani!

Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!