Kuwedzerwa kwakanyanya kweropa (BP) kusvika ku 220/120 mm. gt; Art. uye pamusoro apa inonzi chirwere chepfungwa. Icho chinotyisa uye inoda kurapwa nokukurumidza. Kazhinji kazhinji dambudziko rinowanikwa kune vanhu vane hutachiona hwehutachiona - vanhu vane dambudziko rakanyanya kuwedzerwa kweropa.
First Aid
Maererano nemasimba ekuvandudzwa kwezviratidzo, dambudziko racho rinorongerwa mumapoka maviri:
- Iyo inokura nokukurumidza (kwemaawa matatu kusvika ku4), inozivikanwa nekukwira mu systolic (kumusoro) kunetseka uye zviratidzo zvekudya: kuwedzeredza uye kutyisa, kutuka, kudengenyeka, tachycardia, kurwadziwa mu nape, kubwinya kweganda, kusuruvara, chills, kupenya "nhunzi" pamberi pemaziso, kudzvinyirira mumatemberi.
- Inokura zvishoma nezvishoma (mazuva mashomanana) uye, sekutonga, muhutachiona hwehutano "vane ruzivo". Icho chinopesana nekusvetuka mu diastolic (pasi) kudzvinyirira. Murwere ari kutambura nemusoro, anonzwa asine usimbe uye aneta.
Kurapa kwehutano hwehutachiona hunofanira kutanga nehupo hwekubatsira kwekutanga:
- Isa murwere.
- Ipa manzwiro, kwete kungoita runyama rwepanyama.
- Isai kutonhora kumusana we musoro kuti usununguke marwadzo.
- Kuisa mushure uye caviar masardard plaster.
Kana mushonga wekhomineti ine hypotensive (kuderedza ropa rinodhaka) mishonga, inofanira kutorwa pakarepo. Kana zvisina kudaro, vanomirira chiremba. Emergency workers vanowanzovhara uye vanosiya mazano kuti varambe vakatarisira murwere.
Mumatambudziko akaoma, dambudziko rehutachiona rinofanira kurapwa muchipatara - izvi zvakakodzera neanodanwa. chimiro chakakomba, pamwe chete nesitiroko, pulmonary edema, subarachnoid hemorrhage, kusara kwe ventricular, eclampsia, yakaoma myocardial infarction nemamwe mamiriro ekukurumidzira anokonzerwa nekukundwa kwenhengo dzinofungidzirwa (mafungiro, mwoyo, uropi) pasi pesimba rekuwedzera kweropa. Mushure mematambudziko ehutachiona, izvo zvakaitika kwekutanga muhupenyu hwangu, kurapwa kunopedzwa muchipatara.
Chimiro chisingaenzaniswi chinoratidzirwa nehutano hwemamiriro ezvinhu anongororwa, uye zvino mutemo wekurapa kwemazuva ano kwehutano hwehutachiona huri mukuderedza kudzvinyirira kweropa nemishonga yemuromo.
Kurapa kwezvinetso zvakakomba zvehutachiona
Kuita kuti kuderedzwa kweropa kuve nedambudziko rakaoma, zvinodhaka zvinotevera zvinoshandiswa:
- Clonidine - mahwendefa kana droppers;
- Nifedipine - mahwendefa pasi porurimi; apo kuvhara kwemapapu uye kukanganisa kwemoyo kungwarira;
- nitroprusside sodium - injected drip, kana dambudziko rinosangana nekukundikana kwechirwere , kuwedzera aneurysm yeaorta, hypertensive encephalopathy;
- Captopril - mahwendefa pasi pemutauro (ne stenosis yemapuraneti emarara, kupisa kweimpempa kungave kwakaoma);
- Dorosi kana injikisi ye labetalol; inobatsira pakutsakatika kwechimbichimbi uye kuwedzerwa kwepfungwa;
- Fentolamine - inotarisirwa mukati-kati mukurapa dambudziko guru rehutachiona, iro rakaitika mushure mekuda kwe pheochromocytoma;
- Enalapril - intravenous infusions (injections) nekuchenesa glucose; iyo mishonga yakakodzera kuwedzerwa kwechirwere chemoyo coronary, encephalopathy, kusingaperi moyo kusakatika.
Kurapa kunoitwa pasi pekutarisirwa kwechiremba, murwere anoratidzwa zvakasimba zororo zororo.
Kurapa kwekusagadzikana kwehutano hwehutachiona
Mune maitiro asina kuoma, kunyora mumuromo (kuburikidza nemuromo) yemishonga yekurapa dambudziko rehutachiona rinorayirirwa, kana kana injenyo yemakumbo inofanirwa kuti iwedzere kuitika.
Mishonga yakanakisisa ndeye Captopril, Clopheline (clonidine), Nifedipine.
Chiyeuchidzo! Kugadziriswa kwehutano hwemhepo kunofanirwa kuve zvakanaka - 10 mm Hg. Art. neawa. Kana iyo tonometer ichibudisa nhamba huru, haufaniri kunonoka kudana ambulensi. Kunyangwe zvichikosha kuenda kuchipatara, ndiye chiremba anogadza!