BP dzemunharaunda nedzevakuru: a tafura. Zvikonzero zvarakasiya ose okumusoro indekisi

BP - rinokosha chokukomborerwa utano kumwoyo naro unogona kutonga mamiriro nhengo rose. Zvarakasiya kubva vasiri ndozvakajairwa chiratidzo munhu matambudziko inokosha utano. Chii maonero vanachiremba pamusoro miganhu BP?

Sei mwero BP?

Zvinowanikwa nemidziyo ropa rine zvokuimba zvaikanganisa kwemasvingo avo. Pamutemo kumanikidzwa ari arteries uye mutsinga anogara ikoko. Asi kana akayera nokuda tonometer nemamwe nguva inokosha.

Kana mwoyo makondirakiti ropa vabudiswa kubva ventricle kupinda midziyo. kupomba ichi kunobereka vanonzi "pamusoro", kana kuti systolic BP. Ipapo ropa vakaparadzira kuburikidza midziyo, uye risingamboshandisi azvipire zvekupfakira, sezvamakaropafadzwa anzwike kurira komoyo stethoscope anopa "yakaderera" kana diastolic zvinoriumba. Saka mugumisiro aumbwa - nemifananidzo inoratidza mamiriro ezvinhu muviri panguva iyoyo.

Normal tsika - chii vanofanira kuva?

kusawirirana zvinoitiswa mune zvokurapa ezvinhu icho zviratidzi kufamba akayera kumanikidzwa. Kakawanda akambochera mitemo neBP nedzevakuru. Tafura rinoratidza dzimwe nhamba kutyiswa cardiologists uye vanachiremba muna USSR munguva.

Chakarurama systolic nevezera rinowanikwa nokushandisa nzira:

- 109 + (0.5 X zera) + (0.1 X uremu)

uye diastolic pamwero - sezvinotevera:

- 63 + (0.1 X zera) + (0.15 X uremu).

Lower panogumira dzose kwainzi ari systolic kumanikidzwa 110 mm HG. Article, pamusoro -. 140 mm. Zvose zviratidzo kuti zvakaratidza mwero izvi, vakatorwa zvokurwara. Saizvozvowo, rezasi muganhu diastolic kumanikidzwa akanga vaifungidzira akaenzana 60 mm HG. Article repamusoro -. 90 mm. Kuunganidza nhamba idzi pamwe chete, tinowana kuti run kuita mitemo kubva 110/60 kuna 140/90. On ichi anotungamirirwa uye vachiri kuvarapi vazhinji uye cardiologists chikoro mutana ake tsika zvokurapa.

Modern maonero pamusoro chokupika BP

Kwapera chinguva, dzimwe BP zvakajairika mune vakuru vakanga wakasuduruka pachishandiswa zveBhaibheri zvakawanda. Tafura inoshandiswa mazuva ano, iri yakaitwa neWHO muna 1999, ari kufa kwazviri, sevamwe-siyana systolic kumanikidzwa kubvira 110 kusvika 130 mm HG. Art, diastolic -. 65-80 mm. Izvi huwandu rondedzera zvikurukuru varwere vaduku pane makore 40.

Parizvino, hapana nokubvumirana pakati vanachiremba pamusoro izvo zviratidzi kuti ndozvakajairwa, uye chii - zvokurwara. At rokuongorora vanotungamirirwa chokwadi sei kufurirwa zvikuru romuzvarirwo, "dzakanaka" nokuda zvikuru murwere, uye kunyora ruzivo urwu nemashoko ake. Gare gare muna chirwere uye kurapwa kunobva chakarurama ichi. Nhamba pazasi 110/60 uye kumusoro 140/90 vacharamba kunzi chiratidzo Kumwe kuchinja kunotanga.

Kushanda kumanikidzwa - chii?

Mashoko aya anogona kunzwika muupenyu hwezuva nezuva. Pfungwa yokuti 'kushanda "dzvinyiriro kureva zviratidzo umo munhu anonzwa hwomutambarakede, pasinei yokuti mumwe wavo kana vose - systolic uye diastolic - yekudyidzana kwakawedzera kana shoma. Kazhinji, akadaro mafungiro inozviitira hunoratidza chete chido vangonyarara.

Cardiologist hapana pfungwa "mushandi" murwere kumanikidzwa. Zviratidzi pamusoro 140/90 mu repakati vanhu dzinoiswa se BP. The kururamiswa chingava chokwadi kuti nezera, rakachengetedzwa pamadziro ropa midziyo remafuta akawandisa kuwanda, kuderedza pamusoro lumen. Akaora, pane chakakomba kudzikira, asi ngozi chirwere inowedzera yekudyidzana.

Opinions masayendisiti vatorwa

Munyika yaimbova Soviet Union, kune rumwe rutivi, uye muUnited States uye Canada - Ukuwo, kushandisa nzira dzakasiyana kuti tsanangudzo mitemo neBP nedzevakuru. Tafura rinoratidza sei murwere mamiriro ezvinhu Classified maererano nemarudzi unongotaura.

BP pana 130/90 anogona kunzi pregipertenziey, kureva hurumende muganhu pamwe zvokurwara. Systolic 110-125 mmHg zviratidzi .st uye diastolic -. Asingasviki 80 anonzi ari West "mamiriro dzokuzorora mwoyo." In nyika yedu kumanikidzwa 130/90 anonzi zvakajairika kuti kukura kwomuviri varume vari kuitika mumitambo, kana vanhu makore anopfuura 40.

In Western Europe, tinosvika kuna mamiriro kumwoyo zvakafanana, asi unogona kuwana mamwe zvakafanana ne post-Soviet zvinodiwa mashoko mumabhuku sayenzi. Pane rudzi Kutarira BP zvakajairika nedzevakuru: tafura ine kujairika mashoko kwatiri - iri "yakaderera kuipa", "kuipa" uye "mukuru romuzvarirwo". Chakagamuchirwa sezvo mureza nechiyero 120/80.

zera-kufanana kuchinja

Vakwegura munhu anova, zvikuru kuchinja rwakavapo ropa midziyo yake uye mwoyo tsandanyama. Stress, murombo zvokudya, masero kubatwa - zvose utano. Vanhu vane chirwere zvinetso inokurudzirwa kuyera kumanikidza ose zuva. Zviri nani kana zviratidzo chichange akanyorwa chaiyo tafura. Ikoko unogona kupinda mashoko pashure nokuyerwa kufamba kweropa.

With zera, BP zvishoma nezvishoma anochinja mwero nedzevakuru. Tafura uye kupomba kuti zvinobatana kupa chinangwa ruzivo pamusoro zvachinja mamiriro nhumbi. Kana nhamba dzimwe nguva vakapfuura zvavaisiita mwero kuti murwere, kuti hachisi chikonzero chokuvhunduka - kuwedzera 10 mm HG. Art. It sechinhu chinogamuchirika pashure muviri, kana iwe uri ndakaneta pashure zuva refu. Asi mberi, ari kutsauka kwenguva - chiratidzo dzichiri zvokurwara.

Ko kumanikidza simuka nezera?

Nemhaka kuchinja mumidziyo ropa, iro kuitika nokuda kuderera mataurire arteries uye remafuta akawandisa deposits pamadziro, uyewo zvachinja myocardium, zera akagadzirisa mwero BP vakuru (ona tafura).

In vakadzi makore 40 paavhareji iri 127/80, mune vanhu zviri zvishoma yakakwirira - 129/81. Izvi zvinotsanangurwa nokuti vamiririri simba pabonde, vanowanzoona kukunda rinorema kurovedza muviri, uye uremu miviri yavo kupfuura vakadzi, nokudaro vachiwedzera kumanikidza.

Dynamics zviri zviratidzo pashure pemakore 50

On BP prices vari nemarererwo pachiyero mahormone siyana, kunyanya steroids. ropa ravo yomuropa kugadzikana, asi kwemakore, muna weboka kugadzirisa muviri, kuwedzera kusaenzana inotanga kuitika. Zvinokanganisawo kwemwoyo uye ropa kuzadza mudziyo. Avhareji yevanhu BP vakadzi makore 50 kunoita kumusoro uye rinova akaenzana 137/84, uye varume akafanana-makore - 135/83. Ndivo kuwanda pamusoro izvo zviratidzi vari mumamiriro zororo havafaniri kumukazve.

Nemhaka zvimwe zvinhu zvinowedzera mwero BP nedzevakuru? Tafura (vakadzi pashure pemakore 50, ngozi yokuva neBP wakakwirira nokuti pazera iri vanotanga sei kuchinja kwemakemikari omuviri, vanonzi kubereka) Chokwadi, haagoni kunongedzera vose. Zvinokosha sezvo vakatsungirira kunetseka kuti muviri - nepamuviri uye pakusununguka (kana). The Statistical ndingangokuvara dzichiri neBP vakadzi vakura kupfuura makore 50 ari kupfuura ari varume zvakafanana zera boka nokuda kusiyana kukwegura kwacho.

Zviratidzi pashure pemakore 60

The Muitiro hwakagadzwa mumakore zvapfuura, rachengetedzwa ramangwana. Anopfuurira kuwedzera mwero BP vakuru (ona tafura). Vakadzi, pashure pemakore 60 avhareji mutengo akaenzana 144/85, varume - 142/85. The bonde simba iri zvishoma mberi maererano kukura prices (nokuti chete kuchinja kwemakemikari omuviri).

Pashure pemakore 60 physiologically zvakajairika BP kwazvo 140/90 mureza zviratidzo, asi haisi hwaro nechirwere kuti "neBP". Practitioners zvikuru kutungamirirwa mamiriro eutano varwere vakwegura uye wakati zvichemo. Kuwedzera kuyera BP, kudzora mamiriro kumwoyo akashandisa cardiogram umo zvokurwara iri zvakawanda yakajeka kupfuura ari kumanikidzwa zviratidzo.

comorbidities

Kunze zera, hurongwa nokuwedzera dzvinyiriro vanotsamwisa metabolic zvirwere, hosha yeitsvo uye dzimwe tsika dzakaipa. Kusvuta induces constriction zviduku midziyo ropa, iro rinoita vasanyanye sezvazviri lumen makuru arteries uye, naizvozvo, BP. Kana itsvo kwebasa zvinoberekwa kemikari aldosterone, izvo inoenda kuwedzera BP. Pane ngozi neBP pavarwere chirwere cheshuga, vane midziyo anonyanya kuita deposits pamusoro yomukati pamadziro. Panguva Chaiyo kuonekwa uye kudzivirira zvirwere zvikuru acharamba kumanikidzwa pasi kwomuzvarirwo ezvinhu uye kurarama chinoshingaira upenyu.

Zvinokonzera hypotension

Kuwedzera mukuvandudza, vanhu vakawanda vari nedzakura zera pane kumanikidza rutapudzo hama nemitemo. Kana chiri mudanga mufananidzo, chikonzero ndechokuti kushanda pasina. Physiologically, pasi BP angava ari vasikana tuduku kana vechidiki asthenic akavaka. Operability haina kuputswa.

Kana pakarepo kumanikidzwa donhwe kunoitika uye kunoita kuti kudzikira pakusava, ipapo ichi zvingaratidza mwoyo kukundikana, vascular dystonia, arrhythmias uye kunyange akazaruka zvemukati kubuda ropa. Kana zviratidzo zvakadaro kudiwa nokukurumidza imwe kuongorora zvakakwana.

How kuongorora chokupika?

Zvakanakisisa kuva kumba BP tarisisa rako uye ishe magadzirirwo ropa nevezera chipimo. Zviri nyore muitiro, uye kuti munhu wose anogona kudzidza. The Data vakawana zvinofanira akapinda mukati dhayari kana spreadsheet. Ikoko unogona zvishoma manotsi nezvoutano hwake, mwoyo zvazvingava, kurovedza muviri.

Kazhinji neBP hakuiti unooneka kwekunze zviratidzo chero chinhu hakurevi kumutsa dambudziko - rakapinza kuwedzera BP. In mamiriro ichi, pane zvakawanda yakaipa zvinouraya, akadai Hemorrhagic sitiroko, kana kurwisa mwoyo. Zvinokurudzirwa kupinda tsika pashure 40-45 Makore kugara uyere kumanikidzwa. Izvi zvichabatsira kuti kuderedza ngozi yokuva neBP.