Kutenga kwe tonometer nemishonga pakurongwa kubva kune chirwere chemapfupa kusvika munguva pfupi yapfuura kwaifungidzirwa kuti ndiyo yakawanda yevahedheni. Iye zvino mishonga yekuderedza kuwedzera kweropa kana mapiritsi, kuwedzera kukumanikidza, vari kuwedzera kufarira kuchangobva kupedza kudzidza kuchikoro cheyunivhesiti.
Zviratidzo zvepamusoro uye kuderera kweropa
Zvinetso izvi hazviwanzoonekwi, asi dzimwe nguva varwere vanovhiringidza zviratidzo zvepamusoro uye kuderera kweropa, izvo zvinonyanya kuipa panguva yekuchengetwa kuchipatara. Zvose zvakasiyana-siyana zvinoratidzwa nemusoro wepamusoro zvinowanika munzvimbo ye occipital yemusoro. Chimwe chiratidzo chechikoro chinoderera mukushisa kwemakumbo. Nokudaro, usati watora mapiritsi kubva kumanikidziro anotaurwa neshamwari, iwe unoda kubvunza chiremba kana kushandisa kushandisa tonometer .
Zviratidzo zvehutachiona
Kukosha kwemapirogiramu anopfuura 150 / 30m mercury (vanhu vakuru / vana) kunoonekwa sepamusoro. Mune zvimwe zviitiko, dambudziko racho rinozivikanwa chete pane rinotevera kuongororwa, asi kazhinji rinowirirana nezviratidzo zvinotevera zvekuwedzera kweropa:
- kunzwa kunetseka;
- headaches;
- kushungurudzika mumoyo;
- kusina mwoyo moyo;
- nausea;
- kurima mumeso;
- kunyanya kupikisa;
- kushepa kweropa kumeso kwechiso nemaoko anotonhora;
- kupfupika kwemhepo;
- kuzvimba.
Zviratidzo zvekuderedza ropa
Mushonga wepamutemo unotarisa zviratidzo zvinotyisa zvisingasviki mamita 100/60 ye mercury, asi dzimwe nyanzvi dzinofunga kuti mamwe mifananidzo haitauri chinhu. Nehutano hwakanaka, munhu haafaniri kufunga nezve hypotension, saka, pamusana pekutora mapiritsi kubva kumanikidziro, zviratidzo zvinoparadza zvinodzvinyirirwa zvinodiwa:
- kurwadziwa munharaunda ye occipital yemusoro;
- kushaya simba, kunyengera, malaise;
- kurutsa uye kushungurudza;
- chizoro , kunyanya kana iwe uchimuka nokukurumidza kubva pamubhedha;
- kusava nemhepo;
- yakakura kutuka, kupfupika kwemhepo uye kuneta.
Matetetsi ekugadzirisa zvinodzvinyirira
Zvinodhaka zvinodzora ichi chiratidzo cheutano chinorongedzwa maererano nerudzi rwekutsvaga. Muchikamu chimwe nechimwe, zvinodhaka zvakasiyana-siyana mune simba rekuita simba, saka mapiritsi anowanzoita zvinomanikidzwa, anogona kungopa chiremba chete. Chimwe chinyorwa chinogona kukonzera kushamisika ndechokukurudzira kwete imwe piritsi kuti kuderedze kunetseka, asi urongwa hwose. Izvi zvinokonzerwa nekudiwa kwehutano hwakabatana hwekugadzirisa kwakakodzera kwechiitiko, saka haugone kubudisa mushonga chero iwe pachako, kuputsa chirongwa chekurapa.
Mahwendefa akakwirira-anodzvinyirira
- Beta-adrenoblockers - Kon-Kor, Metoprolol, Egilok, Talinolol, Coriol, Acebutolol, Nebivolol. Kuderedza simba uye kupisa, asi zvinopesana nezvirwere zvepapupa.
- Vanopikisa Calcium - Nifedepine, Cinnarizine, Stanlo, Kordafen, Verapamil, Isoptin, Nimotop, Corinfar, Amlodipine, Phenigidine. Aya mahwendefa okuzorora kusununguka kutsvaira mishonga yakachena nemidziyo yemakononary, kuderedza mwoyo uye kuwedzera midziyo yeuropi.
- Myotropic antispasmodics - Papaverin, Spazmalgon, No-shpa, Drotaverin, Dibazol, Galidor, Magnesium sulfate, Papazol. Uyewo kudzivirira kupindira kwe calcium muchitokisi, kuderedza kushungurudzika uye kuvhara mitsipa yakasvibira yematumbo emimba.
- Nitrates - Isoket, Nitroglycerin, Sustak, Erinit, Nitrogen, Perlingant, Sustonite, Nitrosorbide, Cardicet, Nitro-5. Iyi mishonga inorayirwa kuti iwedzere angina kuitira kubviswa kwekurwisa kweAngina kana mushure mekurwadziwa kwepfungwa, nokuti inonyanya kuderedza inzwi remitsipa uye basa remwoyo.
- Alpha-blockers - Benzohexonium, Arfonade, Ebrantil, Fentolamine. Izvo zvine simba rekudzikisa kukanda kweropa, asi haisashandiswi nehutachiona hwemwoyo uye glaucoma.
- Sympatholytics - Reserpine, Raunatin, Isobarin, Rausedil, Octadin, Adelfan, Rauvazan, Antipres. Kurudzira kuparadzwa kwe norepinephrine, kubvisa simba rehukama hwekunzwa tsitsi. Usashandisa zvironda uye gastritis. Mahwendefa akadaro ane hypertension mumazuva ano emakirini emishonga haashandisi nguva nenguva.
- Diuretics - Lasix , Hypothiazide, Ureit, Furosemide, Trifas. Stimulate the excretion of ion fluid and sodium, iyo inokonzera kudonha kweropa.
- Central alpha-stimulants - Methyldofa, Dopegit, Clonidine, Hemiton, Physiotens, Clofelin. Basa rinodzvinyirira remunzwira tsitsi rwenheyo rinodzvinyirirwa, asi kugona uye kushaya simba zvinoonekwa. Zvidzidzo zvenguva pfupi zvakaratidza kuti kushandiswa kwenguva refu kwezvinodhaka zveboka iri kunogona kutyisa chirwere cheAlzheimer.
- ACE inhibitors - Renitek, Enam, Lizinopril, Kaptopres, Amripil, Captopril, Tritace, Enalapril, Enap. Kuderedza kushandiswa kwei angiotensin 2, inoratidzwa nekunaka uye inorega nyore nyore.
- Sartany - Lozal, Mikardis, Valsakor, Cardosal, Candesar. Vanoita zvakafanana nemishonga yeboka rakapfuura, inenge isingaiti maitiro emwoyo.
Mahwendefa akadzikisa
Zviratidzo zviri pasi pemazuva ano zvinodawo kururamiswa, nokuti kushandiswa uku kunoreva kuti kuvandudza inzwi rezvikepe zvinoputika. Mahwendefa ekuwedzera kukamanikidzwa akaparadzaniswa kuva maboka anotevera:
- chirwere chemwoyo glycosides - Digoxin, Celanide, Strophantine;
- adrenomimetics - Norepinephrine, Gutron, Metazone;
- sympathomimetics - ephedrine.
Mapepa kubva pakamanikidzwa pasina michero
Mishonga yakawanda ine simba rakawanda pamuviri, kwete kungoita chete dambudziko, asiwo kukuvadza mamwe maitiro. Zvinodhaka kubva pakamanikidzwa pasina migumisiro yemishonga zvisingazivikanwi, kunyange kutora kusingadzorwi kwemishonga yemasango kunogona kukuvadza. Kubudirira kwemahwendefa ane mukana muduku wekusava nemigumisiro kunongogara iripo, saka mishonga yemazuva ano yekugadzirisa index iyi yakachengeteka.
Zvinodhaka kubva kuNew Generation Pressure - Rongedzo
Nzira dzinoshandiswa mazuva ano:
- Indapamide - a diuretic, inobvisa ionic ion, inoderedza kushandiswa, pamatambo ekutanga ehutachiona yakashandiswa mu monotherapy, gare gare inowedzerwa nedzimwe mishonga kubva pakamanikidzwa.
- Hydrochlorothiazite - chiito chakafanana nemishonga yapfuura.
- Ramipril - an ACE inhibitor, inoshandiswa kurapa hutachiona hwepamusoro, kuora mwoyo nekushaya mwoyo, kunoderedza mikana yehutano hwehutachiwana muhutachiwana hwechirwere cheshuga.
- Perindopril - inodzivirira kubudiswa kwei angiotensin 2, ine vasodilator uye diuretic effect, inoderedza kushanda kweropa.
- Bisoprolol - beta-adrenoblocker, inoderedza kufara kwomwoyo uye mutoro wemwoyo, inorayirwa mukurapa kwehuwandu hwehutano.
- Carvedipol ibheta blocker , inoshanda zvakafanana nemapiritsi apfuura pamusoro pekumanikidzika uye inoderedza mitsetse.
- Felodipine - blocker ye calcium channels, inoderedza mishonga, inoderedza kushushikana uye mutoro wemwoyo, inoderedza ngozi yekurohwa, kurwadziwa kwepfungwa uye zvinetso zvepvo.
Nzira yekusimudzira sei kushungurudzwa pasina mushonga?
Mazano ekugadzirisa kuwedzera kwechisimba achange achishanda pachigamba chekutanga uye anobatsira munyaya isina kukanganiswa seimwe nzira. Apo hypotension inokosha:
- kurara 8-9 maawa pazuva, kana zvichibvira, kurara kwemasikati;
- chimiro chekuita muviri - mitambo, mangwanani gymnastics;
- healthy eating;
- kuoma nekusiyanisa mvura;
- kukwira zvishoma nezvishoma kubva pamubhedha nekushanda kwekudzivirira munzvimbo yakakwirira.
Aya matanho anotevera anoshanda kuvarwere vehutachiona:
- kukanganiswa kuyerwa kunorema nekuwedzerwa;
- kuderedzwa kwemafura emunyu, shuga, kofi, zvinosvuta kusvuta, kudya kwemafuta uye zvokudya zvinokurumidza muzvokudya;
- kuiswa mune menyu kabichi, hove, bhanana, garlic uye mazambiringa;
- kufamba nguva dzose mumhepo;
- mabasa epanyama anobvumirwa nachiremba.