Vane chirwere cheBP dambudziko: Zviratidzo uye rwekutanga

Munyika ine zvinokosha neBP anotambura chaizvo vanhu vakawanda. Mune dzimwe varwere neapo kunoitika vane chirwere cheBP dambudziko, zviratidzo izvo vari simba kuwedzera BP, zvichitungamirira mwoyo chirwere, tsinga, uropi. Kana ichi ezvinhu kazhinji kumanikidzwa kuverengwa kusvika nhamba 220/120, asi dambudziko zvingaitika uye panguva zvikuru ezasi tsika - zvose zvinoenderana zvinonyatsorehwa hutano vane chirwere cheBP.

The mashandiro kuti chiitiko

Vane chirwere cheBP dambudziko Zviratidzo muchimiro BP kuwedzera nemhaka imwe kusaenzana pakati tonus midziyo ropa uye ari kusingachakosheswi muropa miniti ropa vhoriyamu. Kana izvi zvaitika munguva duku mumidziyo spasm, asi mwoyo ipfupi zvikuru zvakasimba, iyo inosvitsa kuwedzera BP uye kutyora kukurukura kuti munyama uye nhengo okisijeni.

Vane chirwere cheBP dambudziko: Zviratidzo uye mhando

Mamiriro anogona kuva nyore uye zvakaoma. Kana kutanga kurapwa kunoitwa pamusoro outpatient hwaro, zvizere anogona kuderedza kumanikidzwa kwemazuva 1-2. Kana yechipiri, dambudziko iri kukura, upenyu-kuvhundudzira, anoda nechimbichimbi kurapwa panyaya kurambirwa rubatsiro nenguva kazhinji kunotungamirira kuremara kana rufu.

Nyore vane chirwere cheBP dambudziko zviratidzo asi kuwedzera BP, kusanganisira akadai kupfupika mweya, kunyanya vangadikitira, nomusoro, kuda kurutsa. Murwere kuonekwe kufunganya, mafaro mupfungwa, kutya, manzwiro nokupisa. With zvose zvakawanda zvisingafadzi kuratidzwa kukunda chero mitumbi zvikasaitika, uye mamiriro zvinouraya zvikasaitika, zvisina chokwadi pamusoro kuoma vane chirwere cheBP dambudziko. Panguva yake pakarepo kusvetuka BP zvinogona kukonzera pave rikwanise encephalopathy, mwoyo kurwisa kana sitiroko (marwadzo ari mubhokisi, vakadhakwa kuziva), pulmonary edema (kuonekwa miromo yebhuruu, zvikuru kupfupika mweya), chenjera renal kukundikana (nevabereki kana zvachose kudzivirira weti), edema of optic etsinga (plummets chiratidzo). Vanaamai vakadaro vanofanira muchipatara pakarepo.

Vane chirwere cheBP dambudziko: rwekutanga

Sezvatotaurwa, husina dambudziko haisi ngozi upenyu. Kunyange zvakadaro, mumwe nomumwe vane chirwere cheBP murwere vanofanira ruzivo pamusoro sei panyaya vagumirwe kubatsira pachavo. Kune vakawanda pahwendefa Formulations, yakagadzirirwa tikarega BP. Zvisinei, zvinofanira kuitwa uchiwirirana nemimwe mirayiro. Saka, muna maawa maviri wokutanga bvumidzwa kuderedza BP haasi kupfuura 20-25%. Mumaawa 6, inofanira airarama nhamba 160/100. Standards chete (tsika 120/80) BP zvinofanira kusvika mazuva 1-2. Saka, kune zvinodhaka nako kuti pave normalization ropa nevamwe vane chirwere cheBP dambudziko, zvinosanganisira mishonga "Captopril", "Carvedilol", "Nifedipine" "Furosemide", "Clonidine". Vazhinji vavo kutanga kushanda pashure inenge hafu yeawa pashure yaitonga.

Varwere vanova matambudziko dambudziko, kusvikira nechimbichimbi rubatsiro anosvika anogona kubatsira chete kuziva ndiwo kukundwa muviri yakaitika. Somuenzaniso, mune myocardial akuvara anofanira kutora nitroglycerin Hwendefa pasi rurimi, vanwe asipurini. Kana dzakabudirira pulmonary edema Mufananidzo vane chirwere cheBP dambudziko anogona kuedza kushandisa nokutora nitroglycerine pasi rurimi, uye mukati - 40 MG zviri furosemide, murwere vanofanira agere nzvimbo, kudzikisa makumbo ako pasi.