Essential hypertension

Inokosha hypertension (hypertension) ndiyo inowanzovhiringidzika yehushanda. Funga nezvezvinokosha zveupemha, zvinoratidzei zvechirwere ichi, uye kuti zvinorapwa sei.

Ndeipi inonyanya kukosha yeupinha?

Zvinokosha arterial hypertension ndiyo nzira yakakosha yechirwere, kuongororwa kwacho kunoitwa nekubvisa dambudziko rekuwedzera kwehutano. Ichi chirwere chisingaperi chine chokuita nekuwedzerwa kweropa. Mukukudziridza kwayo, zvinhu zvakawanda zvinogona kubatanidzwa, kusanganisira:

• unhu hwekuzvarwa hunokonzerwa nejen mutation;
• kusvuta, kudhakwa;
• kushandiswa kwehuwandu hwemunyu (kunyanya sodium);
• kushayikwa kwevamwe mavitamini uye microelements;
• kuneta ;
• hypodynamia;
• kugara mupfungwa;
• kukwegura, nezvimwewo.

Zviratidzo zvehutano hwepamusoro hunokosha

Chirwere ichi kazhinji chinowanzosvibiswa, uye chete kuratidzwa kwaro kwemazuva mazhinji kunogona kungova kukwira kweropa. Borderline inofungidzirwa kuti inokosha ye systolic ("kumusoro") yeropa rega 140-159 mm Hg. Art. uye diastolic - 90-94 mm Hg. Art.

Mune zvimwe zviitiko, mumatanho ekutanga evarwere, zvinotevera zviratidzo zvenguva dzinoitika:

• musoro muhuma kana occiput;
• chizoro;
• moyo palpitations;
• ruzha munzeve ;
• kuona kaviri mumaziso.

Izvi zviratidzo zvinokurudzirwa panguva yakakwira kuwedzerwa kweropa (dambudziko rehutachiona). Nokufamba kwenguva, kuchinja kusingadzoki kunhengo dzomukati nemidziyo yekubata inogadzirwa. Nhengo dzinotarisirwa ndezve: moyo, uropi, itsvo.

Zvikamu zvehutano hwepamusoro hunokosha:

1. Chiedza - chinoratidzwa nekuwedzera kwe periodic muropa (diastolic pressure - inopfuura 95 mm Hg). Normalization yehutachiona yakakosha pasina kushandiswa kwemishonga.
2. Muchidimbu - inoratidzwa nekusimudzira kuwedzera kweropa (diastolic pressure - 105-114 mm Hg). Panguva ino, arteriolar kuderedza, kuwedzera kwevenule, kuora ropa pamusana we fundus kunogona kuonekwa musipo kwehumwe hutachiona.
3. Inorema - inoratidzwa nekusimudzira kuwedzera kweropa (diastolic pressure - inopfuura 115 mm Hg). Kushandiswa kwepfungwa hakusi kuenzaniswa kunyange mushure mokunge dambudziko racho ragadziriswa. Panguva ino, kuchinja mu fundus kunowedzera kunzi, arterio- uye arterioloclerosis, yakasiya ventricular hypertrophy, cardiosclerosis inokura. Kunoratidzika kushaya humwe hunochinja mune dzimwe nhengo dzomukati.

Kurapwa kwehutano hwepamusoro

Chinangwa chikuru mukurapa kwekukosha kwehutano hwepamusoro ndiko kuderedza dambudziko remwoyo uye mamwe matambudziko, pamwe nekufa kubva kwavari. Kumugumo uyu, zvinotarisirwa kuti kwete kuderedza kuwedzera kweropa kune dzimwe nharaunda, asiwo kuderedza dambudziko rose. Kurapa kwechirwere ichi kunoitwa kwemakore mazhinji.

Varwere vanokurudzirwa kuchinja mararamiro avo, kureva:

1. Rega kunwa doro uye kusvuta.
2. Normalize muviri wekutakura.
3. Ramba uchitarisa nzira yebasa, zororo nekurara.
4. Rega kurarama hupenyu hwako.
5. Deredza kudyiwa kwetafura yemunyu.
6. Cherechedza kudya kune zvakanyanya zvezvokudya zvezvirimwa uye kuderera kwekudya kwemafuta emhuka.

Kurapa zvinodhaka kunoreva kushandiswa kwemishonga inopesana nemishonga, izvo zvakakamurwa kuva makirasi akawanda:

• diuretics;
• vanamashikiti;
• agonists yemidazoline receptors;
• inhibitors ye-angiotensin-kuchinja enzyme;
• vanopikisa zvemitambo yeangiotensin II;
• α na β-adrenoblockers.

Kusarudzwa kwemishonga (kana kusanganiswa kwemishonga inoverengeka) kunoitwa nachiremba zvichienderana nesero rechirwere, nguva yevarwere, zvirwere zvinokonzera.