Nyob rau xyoo tas los no, cov kws tshaj lij tau sau tseg tias muaj cov kab mob ntawm lub plawv thiab cov hlab ntsha nce ntxiv. Qhov no yog tshwm sim los ntawm sab nraud thiab sab hauv tsis zoo. Diastolic hypertension yog ib qho mob hnyav ua ke ntawm lub plawv thiab cov hlab ntsha, uas yog qhov txaus ntshai nrog cov teeb meem thiab muaj feem ua rau tuag taus.
piav qhia txog tus kab mob
Diastolic ntshav siab yog ib yam mob uas qhov ntsuas siab siab nyob hauv qhov qub, thiab qhov qis dua nce ntau dua 90 mmHg. Nyob rau theem pib ntawm kev loj hlob ntawm tus kab mob, nws cov tsos mob yuav tsis pom, yog li tus neeg mob tsis mus ntsib kws kho mob. Txawm li cas los xij, pathology txuas ntxiv txhim kho nyob rau lub sijhawm no.
Kev cais diastolic arterial hypertension yog qhov txaus ntshai nrog cov teeb meem. Yog tias koj pib kho raws sijhawm, koj tuaj yeem kov yeej tus kab mob. Hauv qhov no, tus neeg mob yuav tau hloov nws txoj kev ua neej thiab noj cov tshuaj uas kws kho mob tau sau tseg. Kev kho mob tuaj yeem ua neej nyob. Kev pheej hmoo ntawm kev mob ntshav siab nce ntxiv thaum muaj hnub nyoog.
Qhov phom sij tseem ceeb ntawm qhov qhiapathology nyob rau hauv lub fact tias lub plawv yog tas li nyob rau hauv ib tug nruj lub xeev thiab tsis so. Muaj kev ua txhaum ntawm hemodynamics ntawm lub cev. Kev hloov pauv pib hauv cov hlab ntsha ntawm phab ntsa, ua rau lawv tsis yooj yim dua.
Upper (systolic) thiab qis (diastolic) siab yog sib cuam tshuam. Thawj qhov taw qhia tseem ceeb dua, yog li cov neeg mob tsis tas yuav tsum xyuam xim rau qhov thib ob, uas yog qhov yuam kev ntau.
Yog tias qhov pathology tsis tshua muaj, thiab lub cev tseem hluas, ces qhov tshwm sim ntawm cov teeb meem me me (thaum tsis muaj cov kab mob sib kis loj heev). Kev nce siab tas li hauv cov neeg muaj hnub nyoog 45 xyoos muaj qhov tshwm sim tsis zoo hauv 80% ntawm cov neeg mob. Yog tias ob qho kev ntsuas nce tib lub sijhawm, ces qhov kev pheej hmoo ntawm kev mob plawv lossis mob stroke nce.
Yog vim li cas thiaj pom
Diastolic ntshav siab tuaj yeem txhim kho tau ntev. Muaj ntau yam tsis zoo uas ua rau nws zoo li:
- Txoj kev vam meej (kev pheej hmoo siab dua yog tias ib tus txheeb ze muaj qhov teeb meem no).
- Kab mob plawv thiab hlab ntsha.
- Kev muaj cov atherosclerotic plaques hauv cov hlab ntsha.
- Kev cuam tshuam hauv kev ua haujlwm ntawm endocrine system.
- Teeb meem nrog rau kev ua haujlwm ntawm lub raum (kwv dej hauv lub cev) thiab daim siab.
- kab mob thyroid.
Diastolic ntshav siab feem ntau yuav tshwm sim hauv cov neeg rog rog, tsis muaj zog ntawm lub cev, ua rau muaj teeb meem.cwj pwm. Kev noj zaub mov tsis zoo, kev ua si lub cev ntau dhau (kev cob qhia kev ua kis las), kev ntxhov siab tas li lossis kev ntxhov siab tuaj yeem ua rau muaj kab mob. Lub xeev kev noj qab haus huv cuam tshuam los ntawm kev pw tsaug zog tsis txaus, noj qee yam tshuaj.
Diastolic ntshav siab kuj tuaj yeem tshwm sim los ntawm cov ntshav qis, muaj hnub nyoog hloov pauv, thiab poob ntawm vascular tone.
Qib ntawm qhov hnyav thiab hom kab mob
Qhov kev siv ntawm cov cim qhia ntawm tus kab mob nyob ntawm seb qhov kev puas tsuaj rau lub plawv loj npaum li cas. Isolated diastolic hypertension muaj qhov hnyav hauv qab no:
- Hauv qhov no, lub siab qis dua 100 mm Hg. Ntawm no cov tsos mob me me, yog li tus neeg tsis mus ntsib kws kho mob. Muaj tsuas yog malaise thiab dav dav. Mob muaj tsawg zaus, tus neeg mob pib nkees sai.
- Qib thib ob yog tus cwj pwm los ntawm kev nce qis hauv siab txog 110 mm Hg. Tus neeg mob pom qhov tsis zoo, muaj mob hauv lub taub hau, ua tsis taus pa. Cov tshuaj tiv thaiv ntshav siab tuaj yeem tshem tawm qhov tsis xis nyob.
- Thib peb ntawm qhov hnyav. Ntawm no, diastolic siab fluctuates ntawm 110-120 mm. Hg Hauv qhov no, ib tus tsis tuaj yeem ua yam tsis muaj kev saib xyuas kev kho mob.
- Qhov teeb meem nyuaj tshaj plaws yog thaum lub siab nce mus txog 130 mm Hg. thiab ntau dua. Yog tias kev pabcuam khomob tsis tau muab sijhawm sijhawm, tomqab ntawd nyob rau theem no cov txheej txheem rov qab tsis tuaj yeem pib hauv lub cev, kev pheej hmoo ntawm cov teeb meem thiab kev tuag nce ntxiv.
Hais txog ntau yamkab mob, lawv yog:
- Stable systolic-diastolic siab. Nws yog tus cwj pwm los ntawm qhov tsis tu ncua nce siab hauv lub siab. Ib tug neeg yuav tau noj tshuaj mus ntev, thiab coj txoj kev noj qab nyob zoo.
- Labile diastolic ntshav siab. Nws tshwm sim hauv 30% ntawm txhua kis. Muaj ib lub sij hawm luv luv surge nyob rau hauv kev cuam tshuam ntawm cov yam tsis zoo.
Tus kab mob no tshwm sim tau ntev. Tab sis yog tias koj pib kho raws sijhawm, koj yuav muaj peev xwm zam kom tsis txhob chronization ntawm tus txheej txheem.
Symptoms of disease
Systolic-diastolic arterial hypertension tsis yog ib txwm hais. Tab sis yog tias cov txheej txheem pathological tau dhau mus dhau lawm, tus neeg mob muaj cov tsos mob hauv qab no:
- Txhob qaug zog, tsis muaj zog, tsis muaj zog, cov leeg tsis muaj zog.
- Kev ua haujlwm tsis zoo.
- Teeb meem pw tsaug zog thiab tsaug zog ntau.
- Headache, kiv taub hau.
- Ntshai chim heev, tshee excitability.
- Tinnitus.
Yog tias qhov qis qis ntawm qhov siab tau nce mus txog 100 mmHg, ces ib tus neeg yuav hnov qab xeev siab thiab ntuav, ua tsis taus pa, mob hauv siab, thiab lub plawv dhia ceev. Lub qhov ntswg yuav los ntshav.
YKev kuaj mob ntawm pathology
Systolic-diastolic ntshav siab yog ib yam kab mob nyuaj thiab txaus ntshai. Ntawm thawj qhov tshwm sim ntawm nws, nws yog ib qho tsim nyog los sab laj tus kws kho mob thiab ua tiavraug tshuaj xyuas. Kev kuaj mob suav nrog cov haujlwm hauv qab no:
- Sau ib qho anamnesis. Tus kws kho mob yuav tsum paub seb cov txheeb ze ntawm cov neeg mob muaj xws li pathologies, thiab tseem sau nws cov lus tsis txaus siab. Tus kws tshaj lij kuj ntsuas ntshav siab thiab mem tes.
- Kev kuaj ntshav biochemical. Nws yuav pab kom paub seb puas muaj cov txheej txheem inflammatory hauv lub cev, nws qhov xwm txheej.
- Kev tso zis dav dav los txiav txim qhov kev ua haujlwm ntawm lub cev thiab lub raum.
- Electrocardiogram thiab echocardiography. Nyob rau hauv thawj rooj plaub, txoj kev tshawb no tsim lub atherosclerosis ntawm lub plawv, thiab nyob rau hauv lub thib ob - lub physiological yam ntxwv ntawm cov qauv ntawm lub plawv cov leeg.
- 24-teev Holter saib xyuas lub cev ua haujlwm. Ib qho tshwj xeeb me me lub plawv saib clings rau tus neeg mob txhais tes, uas ntes tag nrho cov kev hloov hauv lub plawv dhia rau 24 teev. Nyob rau tib lub sijhawm, tus neeg mob yuav tsum sau txhua qhov xwm txheej uas tuaj yeem ua rau dhia hauv siab thiab nrawm ntawm lub plawv.
- Kev ntsuas qhov xwm txheej ntawm cov nyiaj.
Nws tseem yuav tsum tau kuaj ntshav qab zib kom txiav txim siab qhov ua rau muaj ntshav qab zib. Tus kab mob no tsis zoo rau cov hlab ntsha, thiab yog li ntawd kuj ua rau ntshav siab.
Cov ntsiab cai ntawm kev kho mob
Yog tias diastolic hypertension tshwm sim, kev kho mob yuav tsum tau ua tiav. Yuav tsum tau siv tshuaj kho mob, kho pej xeem tshuaj thiab tswj txoj kev ua neej kom raug. Cov ntsiab cai dav dav ntawm kev kho yog:
- Ua raws li cov tshuaj noj uas kws kho mob tau sau tseg. Koj tsis tuaj yeem hloov lawv tus kheej lossis tsis kam noj tshuaj.
- Tsis txhob siv tshuaj ntawm koj tus kheej, vim lawv tuaj yeem ua rau tus neeg mob hnyav ntxiv.
- Ntau yam sab nraum zoov.
- Ua ib ce sawv ntxov, tawm dag zog ntau li ntau tau.
- Eat right.
- Tsis haus cawv, haus luam yeeb.
Tsuas ua tib zoo ua raws li cov lus pom zoo yuav pab rov ua kom lub siab ib txwm muaj. Yog tias tus neeg mob tsis quav ntsej cov lus qhia no, nws tus mob yuav maj mam zuj zus.
Thaum muaj kev kub ntxhov, ua ntej cov kws kho mob tuaj txog, koj tuaj yeem pab thawj tus neeg mob. Ua li no, nws yuav tsum tau muab tso rau pem hauv ntej ntawm lub plab, thiab ib tug txias compress yuav tsum tau tsau rau ntawm caj dab. Tom qab ib nrab teev, nws tuaj yeem raug tshem tawm, thiab roj los yog qab zib yog siv rau qhov chaw no. Massage lub caj dab cheeb tsam yam tsis muaj siab.
kev kho mob
Yog tias kuaj pom diastolic ntshav siab, qhov ua rau raug tsim, thiab cov kab mob muaj qhov nruab nrab lossis loj ntawm kev loj hlob, ces kev kho mob yuav raug coj mus rau hauv tsev kho mob. Yog tias muaj teeb meem nrog lub aortic valve, kev phais yuav tsum tau hloov nws.
Kev kho mob ntshav siab diastolic nrog cov tshuaj yog muab los ntawm tus kws kho mob thiab kws kho plawv. Cov nyiaj tau raug xaiv tus kheej. Kev kho tshuaj yuav tsum yog qhov nyuaj thiab suav nrog ntau pawg tshuaj:
- YDiuretics:Furosemide, Diuver.
- ACE inhibitors: Captopril, Benazepril. Cov tshuaj no thaiv qhov kev ua ntawm ib qho enzyme uas ua rau muaj kev hloov pauv hauv cov ntshav siab.
- Beta-blockers: Carvediol. Cov tshuaj no txo lub plawv xav tau oxygen. Lawv kuj nthuav cov hlab ntsha zoo, uas ua rau kom txo qis hauv cov ntsuas siab. Lwm cov tshuaj ntawm hom no txo qis cov piam thaj hauv cov ntshav plasma. Koj yuav tsis muaj peev xwm yuav adenoblockers ntawm lub tsev muag tshuaj ntawm koj tus kheej, vim lawv raug muag nruj me ntsis raws li cov tshuaj.
- Calcium channel blockers: "Nifedipine" "Verapamil". Lawv raug tso cai siv tsuas yog nrog cov tsos mob hnyav. Lawv tau qhia yog tias xav tau kev pab sai sai ntawm kev kub ntxhov siab.
- Angiotensin receptor blockers: Losartan.
Txhua yam tshuaj yog txwv tsis pub siv ib leeg. Koj yeej yuav tau mus ntsib kws kho mob. Cov tshuaj yuav tsum tau noj tsis tu ncua.
Kev Kho Mob Neeg
Nyob rau theem pib ntawm kev loj hlob ntawm tus kab mob, kev kho pej xeem tuaj yeem nres nws. Tab sis lawv yuav tsum tau siv nrog rau cov tshuaj. Tab sis ua ntej koj siv cov nroj tsuag tshuaj, koj yuav tsum xav txog tias qee qhov ntawm lawv tuaj yeem muaj qhov cuam tshuam.
Ua ntej ntawm cov npe tshuaj ntsuab rau diastolic ntshav siab yog valerian thiab motherwort. Thawj cov nroj tsuag muaj ib tug calming nyhuv, tshem tawm ntau irritability thiab ntxhov siab vim. Motherwort yog suav hais tias yog ib qho zoo diuretic. Lwm yam tshuaj ntsuab kuj yuav pab tau. Nrog rau qhov nce hauv qis qis, koj tuaj yeem siv cov zaub mov nram qab no:
- Motherwort. Nws yuav siv 20 g ntawm nyom rau ncuav 300 ml ntawm dej kub. Nws yuav siv sij hawm 15-20 feeb kom infuse. Nws yuav tsum tau noj cov tshuaj 100 ml peb zaug ib hnub.
- Valerian. Nws yog ib qho tsim nyog rau chav 10 g ntawm cov hauv paus hniav ntawm cov nroj tsuag nrog ib khob ntawm boiling dej. Qhov sib tov yuav tsum tau infused rau li 8 teev, yog li nws yog qhov zoo dua rau brew cov tshuaj thaum hmo ntuj. Nws yuav tsum tau noj 10 ml 3 zaug ib hnub twg. Haus dej ua ntej noj mov.
- Cov tshuaj ntsuab. Koj yuav tsum tau txuas 1 tbsp. l. sage, motherwort, oregano, St. John lub wort. Tag nrho cov khoom yuav tsum tau muab sib xyaw kom huv si thiab ncuav 2 khob dej kub. Tom qab 30 feeb, cov kua yog lim thiab haus ib nrab khob ib hnub. Cov chav kawm ntawm kev kho mob yog 1 lub hlis. Cov tshuaj no muaj txiaj ntsig zoo normalizes ntshav siab, so lub paj hlwb.
- Peony tincture. Koj tuaj yeem yuav nws ntawm lub tsev muag tshuaj. Cov tshuaj no tshem tawm cov leeg nqaij spasm.
- Cedar cones. Nws yog tsim nyog los muab 3 cones (tsis muaj kev sib tsoo) nyob rau hauv lub khob ntim thiab ncuav 0.5 liv ntawm high-zoo vodka. Tsis tas li ntawd, 10 pieces ntawm refined qab zib, 1 tbsp. l. valerian tincture (muag hauv khw muag tshuaj). Nws yuav siv sij hawm 10 hnub los hais. Khaws cov tincture hauv qhov chaw tsaus. Nws yog siv rau 1 tbsp. l. ua ntej yuav mus pw.
- Raw sunflower noob. Nws yuav siv 2 khob ntawm raw cov ntaub ntawv rau ncuav 2 liv dej ntawm chav tsev kub. Tom ntej no, qhov sib tov yuav tsum tau boiled tshaj kub tsawg rau 2 teev. Tom qab lub broth tau txias, nws yuav tsum tau lim, thiab tag nrho cov ntim yuav tsum tau qaug dej qaug cawv ib hnub twg, muab faib mus rau hauv 100 ml. Yog nojkua dej tsis tu ncua, cov ntshav siab yuav sai sai rov zoo li qub.
- Beet kua txiv. Nws yuav tsum tau noj nyoos, tov nrog zib mu los yog dej (1: 1 ratio). Txawm li cas los xij, koj yuav tsum haus nws kom zoo rau cov neeg uas kuaj pom muaj ntshav qab zib mellitus, gout, pathologies ntawm excretory thiab digestive systems.
Pomegranate kua txiv muaj cov nyhuv hypotensive. Nws yuav tsum haus 0.5 litres ib hnub twg. Tab sis kev kho mob zoo li no yuav tsum tau tso tseg los ntawm cov neeg mob uas tau kuaj pom muaj tus kab mob pancreatitis lossis muaj kua qaub ntau ntxiv ntawm cov kua txiv hmab txiv ntoo.
Kab mob sib kis
Yog tias pom qhov ua rau mob ntshav siab diastolic, kev kho yuav tsum tau pib tam sim. Txwv tsis pub, tus neeg mob raug hem nrog cov teeb meem xws li:
- Lub raum tsis ua haujlwm.
- Abdominal aortic aneurysm.
- Subarachnoid hemorrhage nyob rau hauv lub hlwb (stroke).
- Hloov hauv kev ncig.
- Heart attack.
- Clogging ntawm cov hlab ntsha.
- Hypertensive encephalopathy.
- Txoj ntshav siab tas li tsis zoo cuam tshuam rau qhov pom: qhov pom tseeb zuj zus, qhov mob ntawm qhov conjunctiva tshwm sim.
- Angina.
- Persistent mental impairment (dementia).
Txhua yam teeb meem no tsis yog tsuas yog rau kev noj qab haus huv xwb, tab sis kuj rau lub neej, yog li tsis tuaj yeem ncua sijhawm hu rau tus kws kho mob.
ntsuas kev tiv thaiv
Txhawm rau zam systolic-diastolic siab, nws yog qhov tsim nyogua raws li cov lus pom zoo ntawm cov kws tshaj lij:
- Eat right. Nws yog ib qho tsim nyog kom tshem tawm cov khoom noj uas muaj rog los ntawm kev noj zaub mov, vim lawv pab tsim cov cholesterol plaques uas cuam tshuam rau cov ntshav ncig. Nws tseem tsim nyog muab cawv, kas fes thiab tshuaj yej, khoom noj kib. Cov zaub mov zoo tshaj plaws yog boiled los yog steamed. Ib tug neeg yuav tsum txwv tsis pub noj cov khoom qab zib thiab hmoov nplej, tab sis cov ntsiab lus ntawm zaub thiab txiv hmab txiv ntoo hauv cov khoom noj yuav tsum tau nce ntxiv.
- qoj ib ce. Ib tug neeg muaj kab mob plawv yog qhia tias khiav, ua luam dej, caij tsheb kauj vab. Yog tias tsis muaj txoj hauv kev ua si, tsuas yog taug kev tsawg kawg 40 feeb hauv ib hnub.
- Txwv cov ntsev txhua hnub rau 5 g. Yog tias tus neeg mob o, ces qhov nyiaj no yuav tsum tau txo kom 3 g.
- Saib koj qhov hnyav. Cov neeg rog rog muaj teeb meem ntxiv nrog rau cov hlab ntsha, lub plawv yuav tsum tau ua hauj lwm hnyav, nws tseem nyob rau hauv suspense.
- Zam cov xwm txheej ntxhov siab, ntxhov siab, ntxhov siab ntxhov siab.
- Kho cov txheej txheem inflammatory hauv lub cev hauv lub sijhawm.
Yog tias kuaj pom systole-diastolic hypertension, cov tub rog raug txwv tsis pub nyob rau hauv kev thaj yeeb nyab xeeb yog tias kev nyeem ntawv siab thiab ruaj khov. Hauv qhov no, tus neeg yuav tsum tau kuaj xyuas hauv 6 lub hlis. Nrog rau qib loj ntawm pathology, kev ua tub rog yog contraindicated txhua, zoo li txhua yam kev tawm dag zog lub cev. Nws tsis yog qhov tsim nyog los nqa tus kab mob mus rau theem kawg ntawm kev loj hlob, txij li lub neej expectancy ntawm ib tug neeg tuaj yeem loj heevpoob.
