Hypertensive illness - classification

Arterial hypertension inoratidzwa nekuwedzera kwakasimba mukumanikidza. Zviratidzo: kubva 140 kusvika 90 kana kupfuura. Pamberi pekurapa kwechirwere, zvinokonzerwa nehutachiona zvinowanzojekeswa, uye zvinosvika kune imwe yeropa rekuwedzera kwehutachiona - urongwa hunoenderana nezviyero zve systolic uye diastolic dambudziko rinopfuura kwemwedzi inoverengeka.

Mazuva ano maitiro ehuwandu hwehutano hwepamusoro mumatanho

Kusvika iye zvino, kune marudzi matatu ezvirwere:

1. Nhanho 1, iyo inofanirana nekuwedzera kwenguva refu asi kusingagumi mukuwedzera kweropa, kazhinji inoramba iripo-yakaenzana. Dzimwe nguva kune zvishoma kuchinja mumidziyo ye fundus.
2. Chikamu chechipiri chinoratidzirwa nehutachiona hwemyocardium yemhepo yakasara yemhepo yemhepo. Panguva imwecheteyo, kumanikidzwa kunogara kuchikwidziridzwa uye midziyo ye fundus inosangana nekuchinja kukuru.
3. Chikamu chechitatu chinoperekedzwa nehutano hwemwoyo, kurohwa, hove kana mwoyo kukanganisa.

Zvakakosha kuziva kuti mumakore achangopfuura yakagamuchirwa kusiyanisa pakati pezvinokonzerwa nehutano hwepamusoro (primary) uye zvinoshandiswa (zvinyorwa).

Mhando yekutanga inenge 95% yezviitiko zvose zvinotaridzirwa uye inoratidzirwa nedzimwe nzira yega yega chirwere kunze kwekubatana nezviremera zvenhengo dzomukati.

Yechipiri yakasiyana inooneka nekuda kwekuputsa kwakadaro:

• kukanganisa kwe aorta;
• pheochromocytoma ;
• pathology ye adrenal cortex;
• nephritis, glomerulonephritis uye pyelonephritis;
• iyo Itenko-Cushing syndrome;
• anomalies ye biosynthesis yeorticonic hormone;
• primary hyperaldosteronism;
• matumbo ne hyperproduction ya corticosterone.

Urongwa hwezvirwere zvehutachiwana nehuwandu

Rudzi urwu rwehutano hwehutano hunosanganisira:

1. Kunyanya kufema kwehutachiona hwekutanga (hunokonzerwa nehutano hwemagetsi) uye rudzi rwechipiri (rukuru rwemagetsi eropa). Nhamba idzi dziri 120-129 ye 80-84 mm Hg. Art. uye 130-139 pa85-89 mm Hg. Art.
2. Kunyanya kushanda kweropa. Zviratidzo: kusvika 120 (systolic) uye pasi pe80 (diastolic).
3. 1 degree (140-159 ye 90-99).
4. 2 degree (160-179 pa100-109).
5. 3 degree (pamusoro pe1980 uye kupfuura 110).
6. Systolic hypertension (kurega). Iyo diastolic kudzvinyirira haina kudarika 90 mm Hg. st., asi systolic - inopfuura 140 mm Hg. Art.

Nhanho uye zvidimbu zvehutachiona zvinokonzera njodzi dzezvinetso nenzira yekukuvadza kune izvo zvinonzi "nhengo dzinotarira" (mwoyo, itsvo nemapapu).

Urongwa hwehuwandu hunokonzerwa nehutano hwemungozi

Pane zvikonzero zvinotevera zvinokonzerwa nehuwandu hwehuwandu hwehutachiona:

• age (yevakadzi - makore makumi matanhatu nemashanu);
• kusvuta;
• chinokonzera dambudziko rekuwedzera kwehutano muhupenyu hwemhuri;
• dyslipidemia;
• kuneta;
• ropa rinogadzirwa neC-reactive protein mune chikamu chinopfuura 1 mg / dL;
• kusava nekufamba;
• chirwere chekuregerera kune glucose michina;
• kuwedzera kwezinga re fibrinogen;
• chirwere cheshuga .

Mukuwedzera, kune huwandu hwakawanda hwehutano hwemakirini uye zvirwere zvinowanikwa nehuwandu hwehutachiona.

Maererano nezvinhu izvi, njodzi yekudzivirira zvirwere zvepfungwa ndeyekuti:

1. Pasi (pakuvapo kwema 1-2 zviratidzo kubva pane zvinyorwa zve predispositions, kunyanya kushanda, pamwe nehuwandu hwehutachiona (AH) 1 st degree).
2. Zvichienzaniswa (neAg kusanganiswa kwechiremba chekutanga uye kuvapo kweizvi 1-2 zvinokonzerwa nezviitiko, AH yechipiri chechipiri).
3. Pamusoro (pakuvapo kwemashure matatu kana kupfuura mamwe maitiro eAH 1 st, 2 nddi, AH 3rd degree).
4. Yakakwirira chaizvo (ine imwe nzira yakafanana yeAH yeyero 3rd uye zvinopfuura zvitatu zvinokonzera njodzi, pamwe chete nemagariro echechi).