Hypertensive ntsoog: kev faib tawm thiab kev pab thawj zaug

Cov txheej txheem:

Hypertensive ntsoog: kev faib tawm thiab kev pab thawj zaug
Hypertensive ntsoog: kev faib tawm thiab kev pab thawj zaug

Video: Hypertensive ntsoog: kev faib tawm thiab kev pab thawj zaug

Video: Hypertensive ntsoog: kev faib tawm thiab kev pab thawj zaug
Video: Phau nkauj 100 zaj 11 ntawm tswv yexus lub npe 2024, Kaum ib hlis
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Ntau yam pathologies ntawm cov hlab plawv system tuav txoj haujlwm tseem ceeb hauv lub ntiaj teb niaj hnub no. Meteorological dependence, rog rog, tsis tu ncua kev ntxhov siab - tag nrho cov no sai los yog tom qab yuam kom ntau tus neeg tig mus rau ib tug kws kho plawv nrog kev tsis txaus siab ntawm ntshav siab. Kev tsis kam txais kev kho mob hem nrog lub plawv nres lossis mob stroke. Cov xwm txheej zoo li no txaus ntshai thiab tuaj yeem ua rau muaj kev tsis taus lossis tuag taus, yog li ntawd, thaum hnov lub tswb nrov thawj zaug, koj yuav tsum mus ntsib kws kho mob.

me ntsis txog tus kab mob

Kev kub ntxhov siab yog ib yam kab mob uas muaj ntshav siab nce ntxiv.

Hypertensive Crisis Classification
Hypertensive Crisis Classification

Nws tuaj yeem tshwm sim rau txhua lub hnub nyoog, tab sis feem ntau ntawm cov neeg mob yog cov uas tau hla 50 xyoo tseem ceeb. Tsis tshua muaj tshwm sim thaum muaj hnub nyoog 30 lossis 20 xyoo.

Tsis muaj leej twg tiv thaiv kab mob plawv, txawm li cas los xij, cov neeg mob los ntawm kev hloov pauv siab yog qhov txaus ntshai tshaj plaws.

Ib qho teeb meem tuaj yeem tshwm sim tsis muaj laj thawj los yog raws liqhov tshwm sim ntawm qee yam xwm txheej.

Nws yog ib qho tseem ceeb heev rau cov neeg mob no kom tshem tawm qhov khaus ntawm lub sijhawm, muab cov tshuaj tsim nyog, thiab thaum mob hnyav, hu rau lub tsheb thauj neeg mob.

Raws li cov ntaub ntawv kho mob, kev kub ntxhov siab yog qhov laj thawj tseem ceeb rau cov kws kho mob tuaj txog hauv tsev, thiab tsis pub ntau tshaj 25% ntawm cov neeg tuaj yeem muab kev pab raws sijhawm.

Ntau yam

Pathology tuaj yeem ua mus rau ntau txoj hauv kev. Kev faib tawm ntawm kev kub ntxhov siab yog nyob ntawm qhov hnyav ntawm tus neeg mob. Nws tau muab faib ua hom hauv qab no:

  • Thawj (tsis yooj yim). Nws ua tau yooj yim heev thiab tsis ua rau muaj kev hem thawj rau tus neeg mob. Tej zaum yuav ua rau kiv taub hau, mob, hauv siab siab, xeev siab thiab ntuav. Cov tsos mob tuaj yeem kho nrog koj tus kheej. Ua li no, koj yuav tsum tau ua txoj haujlwm kab rov tav thiab haus cov tshuaj uas koj tus kws kho mob pom zoo.
  • Second. Nws yog tus cwj pwm los ntawm kev kawm hnyav. Thaum tsis kho, nws feem ntau cuam tshuam rau lwm yam kabmob. Tus neeg mob zoo li no xav tau kev kho mob xwm txheej ceev heev. Feem ntau, mob plawv lossis mob stroke tshwm sim hauv cov neeg mob zoo li no. Yog li ntawd, lawv tau qhia kom saib xyuas lawv txoj kev noj qab haus huv thiab kev hloov ntshav siab.

Raws li cov xwm txheej uas ua rau muaj kev tsis zoo ntawm kev noj qab haus huv, kev faib tawm niaj hnub ntawm kev kub ntxhov siab tau faib ua cov hauv qab no:

  1. Neurovegetative. Tsis cuam tshuam nrog txhua yam pathologies ntawm lub plawv thiab cov hlab ntsha. tshwm sim raws li qhov tshwm sim rau kev ntxhov siab hnyav. Nws manifests nws tus kheej nyob rau hauv daim ntawv ntawm xeev siab, ntuav, kiv taub hau thiab mob taub hau. Nyob nruab nrabcav 2h. Tsis xav tau kev kho mob hauv tsev kho mob. Ntau tus uas tau ntsib cov tsos mob zoo sib xws ntshai tsam mob stroke lossis plawv nres. Raws li kws kho mob, thaum tsis muaj lwm yam pathologies, tsis muaj kev pheej hmoo rau lub neej.
  2. Dej- ntsev. Nws tshwm sim los ntawm kev ua tsis tiav hauv renin-angiotensin-aldosterone system uas tswj hwm qhov sib npaug sab hauv. Tus neeg mob tuaj yeem cuam tshuam los ntawm cov tsos mob dyspeptic, tsis muaj kev sib koom tes ntawm kev txav, mob taub hau hnyav. Lub xeev no yuav kav ntev li ob peb hnub.
  3. Encephalopathy. Sawv cev qhov kev pheej hmoo loj tshaj plaws ntawm mob stroke thiab plawv nres. Cov neeg mob zoo li no yuav tsum tau txais kev kho mob sai, txwv tsis pub, qaug dab peg tuaj yeem tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev mob cerebrovascular, nrog rau kev puas tsuaj rau nws cov ntaub so ntswg. Feem ntau, cov kws kho mob tsheb thauj neeg mob tsis muaj sijhawm tuaj txog raws sijhawm thiab paub tseeb tias tus neeg mob tuag.

Nws feem ntau tshwm sim tom qab kev mob ntshav siab, tus neeg tsis tuaj yeem nkag siab qhov ua rau nws ua rau nws. Cov laj thawj feem ntau suav nrog:

  • muaj zog txaus siab;
  • hloov pauv huab cua, tshwj xeeb yog qhov hloov pauv hauv huab cua, cua, nag, thiab lwm yam.;
  • noj tej yam khoom noj, tshwj xeeb yog ntsev;
  • noj qee yam tshuaj lossis txwv tsis pub lawv;
  • kev quav cawv, haus luam yeeb.
Hypertensive Crisis Classification Clinic
Hypertensive Crisis Classification Clinic

Raws li kev txheeb cais, feem ntau qhov siab nce siab los ntawm kev zoo siab heev thiabntshai, yog li cov neeg mob no yuav tsum rub lawv tus kheej ua ke, txwv tsis pub nws tuaj yeem ua rau muaj teeb meem kev noj qab haus huv.

yam ntxwv tsos mob

Raws li kev faib tawm ntawm kev kub ntxhov siab, lub tsev kho mob yuav txawv heev. Txhua tus neeg yog tus kheej thiab zam qhov kev nce siab hauv ntau txoj hauv kev. Rau ib qho, 180 tsis yog qhov kev hem thawj tiag tiag, rau lwm qhov, 130 yog qhov tseem ceeb.

Cov cim qhia feem ntau ntawm qhov teeb meem tshwm sim suav nrog:

  • kev ua tsis zoo rau kev noj qab haus huv;
  • qaug zog ntawm caj npab, ceg;
  • tsis khov kho;
  • tshiav thoob lub cev;
  • mob taub hau thiab mob siab;
  • plab nruj;
  • pom cov dub " yoov" ua ntej ob lub qhov muag;
  • kev sib cav;
  • xeev siab thiab ntuav yam tsis muaj kev pab.
Hypertensive crises classification kev kho mob xwm txheej ceev
Hypertensive crises classification kev kho mob xwm txheej ceev

Yog tus neeg mob tsis tau txais kev pab tsim nyog, muaj kev pheej hmoo loj ntawm cov teeb meem uas yuav tshwm sim:

  • fainting;
  • ua tiav lossis ib nrab tuag tes tuag taw;
  • kev hais lus tsis meej;
  • pom kev poob;
  • mob plawv vim myocardial infarction.

Qhov qib ntawm qhov hnyav thiab qhov hnyav nyob ntawm qhov kev faib tawm ntawm kev kub ntxhov siab.

Kev pab ib zaug

Thaum ceeb toom tshwm sim, tus neeg yuav tsum tau pw thiab ntsuas lawv cov ntshav. Yog tias qhov ntsuas tsis txaus siab, nws yuav tsum muab cov tshuaj uas txo cov ntshav siab thiab cov nyiaj ntxiv, nyob ntawmKev faib tawm ntawm kev kub ntxhov siab (sedatives, tshuaj kho mob, thiab lwm yam).

Hypertensive crises classification Clinic kho mob xwm txheej ceev
Hypertensive crises classification Clinic kho mob xwm txheej ceev

Tsis zoo li cov tshuaj tiv thaiv kab mob siab, kev txhaj tshuaj ua haujlwm sai dua, yog li nws zoo dua muab rau lawv thaum twg ua tau.

Koj yuav tsum hnov zoo dua hauv 10-30 feeb. Yog tias qhov no tsis tshwm sim hauv 2 teev, nws yuav tsum tau hu rau tus kws kho mob hauv tsev.

Ua ntej lub tsheb thauj neeg mob tuaj txog rau tus neeg mob:

  • qaij taub hau rov qab me ntsis;
  • siv lub tshuab txias txias rau lub taub hau (hauv qab lub taub hau);
  • free cheeb tsam hauv siab.

Kev haus dej thaum lub sijhawm no tsis pom zoo. Kev noj cov kua dej tuaj yeem ua rau gag reflex, ua rau nce ntshav siab.

Kev noj tshuaj ntawm koj tus kheej yam tsis tau sab laj nrog kws kho mob thiab kuaj qhov tseeb tuaj yeem ua rau txaus ntshai.

ntsuas ntshav siab

txhawm rau txheeb xyuas txhua yam kev kub ntxhov siab, nws txaus kom muaj lub tonometer ntawm tes - lub cuab yeej rau ntsuas systolic thiab diastolic siab.

Nws yuav tsum nyob rau hauv cov khoom pab thawj zaug ntawm txhua tus neeg uas muaj teeb meem no.

Hnub no muaj kev xaiv loj ntawm cov khoom siv ntawm kev muag, lawv tuaj yeem yog:

  1. Mechanical.
  2. Semi-automatic.
  3. Automatic.
  4. Mercury.

Lawv txhua tus ua haujlwm zoo nrog lub luag haujlwm ntawm kev ntsuas qhov siab thiab sib txawv hauv:

  • ntau yam ntxiv;
  • value;
  • kev qhia tshwj xeeb;
  • design.

Txhua tus yuav tuaj yeem xaiv qhov kev xaiv uas haum rau lawv tus kheej.

Kom tau txais txiaj ntsig zoo thaum ntsuas, koj yuav tsum nco ntsoov qee yam ntawm cov txheej txheem;

  • ua ntej pib, koj yuav tsum so li 10-15 feeb;
  • Cov neeg sab xis hnav lub tsho ntawm lawv sab caj npab, sab laug tes rov qab;
  • Lub pas dej uas yuav tau txais huab cua yuav tsum nyob ntawm theem ntawm lub siab thiab tsis nruj ib ncig ntawm lub xub pwg mus rau lub luj tshib.

Thaum ntsuas cov txiaj ntsig, nws yuav tsum coj mus rau hauv tus account tias qhov ntsuas los ntawm 140 sab sauv thiab 90 qis dua, txawm tias txhua tus yog tus kheej.

Kev kub ntxhov hnyav raws li kev faib tawm xav tau kev kho mob hauv tsev kho mob. Kev saib xyuas xwm txheej ceev feem ntau tuaj yeem cawm tus neeg mob txoj sia. Tom qab nkag mus, nws yuav tau txais kev kawm hauv qab no:

  • electrocardiogram;
  • kev saib xyuas mob plawv;
  • electroencephalogram;
  • vascular doppler;
  • echocardiography;
  • Ultrasound ntawm lub urinary system;
  • kuaj ntshav dav dav thiab biochemical.

Kev kho yog xaiv tus kheej, raws li cov txiaj ntsig ntawm kev soj ntsuam.

tshuaj kho mob

Kev xaiv cov tshuaj siv tau zoo yog ua los ntawm kws kho plawv.

Cov pab pawg kws tshuaj tshaj plaws uas tshem tawm kev kub ntxhov raws li WHO kev faib tawm suav nrog:

  1. Nitrates.
  2. Calcium channel blockers.
  3. InhibitorsACE.
  4. Alpha-agonists.

Nws tuaj yeem yog:

Y "Nitroglycerin".

  • "Clonidine".
  • "Captopril".
  • "Corinfar".
  • Cov teeb meem ntawm hypertensive crisis classification
    Cov teeb meem ntawm hypertensive crisis classification

    Ntau tus neeg mob yuav xav tau kev kho mob sib npaug nrog tus kws kho mob nephrologist, kws kho qhov muag, pulmonologist, kws kho mob hlwb. Lawv tuaj yeem teem caij teem sijhawm ntxiv:

    • "Furosemide".
    • Y"Magnesium sulfate".

    • "Arfonade".
    • "Benzohexonium".
    • "Diazepam" thiab lwm tus.

    Lub tsev kho mob yooj yim thiab kev faib tawm ntawm kev kub ntxhov siab tsis tas yuav muaj kev kho mob xwm txheej ceev. Nws txaus los haus cov tshuaj uas tus kws kho mob tau sau ua ntej.

    Txhais tau

    Qhov phom sij tseem ceeb ntawm ntshav siab yog kev txhim kho ntawm cov teeb meem loj. Lub ntsiab load poob rau:

    • raum;
    • paj hlwb thiab hauv nruab nrab paj hlwb;
    • yees.

    Kev mob siab heev ntawm kev kub siab tuaj yeem ua rau:

    • mob plawv lossis mob ntsws tsis ua haujlwm;
    • myocardial infarction;
    • angina;
    • stroke;
    • edema thiab pulmonary thromboembolism.
    Hypertensive Crisis WHO kev faib tawm
    Hypertensive Crisis WHO kev faib tawm

    Txhua yam kab mob no ua rau muaj kev phom sij heev rau lub neej, yog li thawj qhov kev mob ntshav siab, koj yuav tsum tau nqis tes ua.

    Tus kws kho mob pom zoo

    Rau cov neeg mob uas tau ntsib teeb meem ntawm kev kub ntxhov siab, kev faib tawm uas poob rau hauvhom thib ob, koj yuav tsum ua tib zoo saib xyuas koj txoj kev noj qab haus huv thiab ua raws li cov cai yooj yim:

    • ntsuas ntshav siab txhua hnub;
    • sau cov ntawv tau txais hauv phau ntawv cais;
    • khoom noj;
    • ua ce txhua tag kis, sau npe rau pas dej;
    • tsis txhob haus cawv;
    • txiav luam yeeb;
    • mus ntsib kws kho mob plawv ib zaug txhua 6 lub hlis, lwm tus kws kho mob tshwj xeeb yog tias tsim nyog.

    Yog tias tus mob no txawv txav rau tus neeg, koj tseem yuav tsum tau kuaj xyuas. Thaum tsis muaj pathologies, kev ntxhov siab thiab kev ntxhov siab yuav tsum raug zam.

    txwv kev noj zaub mov

    Khoom noj khoom haus ua lub luag haujlwm tseem ceeb hauv kev rov qab los. Lub ntsiab tseem ceeb hauv kev noj zaub mov yog txo cov calorie ntsiab lus ntawm cov tais diav noj.

    Yuav tsum tsis suav nrog:

    • hmoov;
    • fat;
    • sweet;
    • fried;
    • cawv.

    Recommended to eat more:

    • qhuav apricots;
    • prune;
    • rosehip;
    • cabbage;
    • qos yaj ywm;
    • ntsuab;
    • beets;
    • blackcurrant.
    Hypertensive crises kev faib cov teeb meem kev kho mob xwm txheej ceev
    Hypertensive crises kev faib cov teeb meem kev kho mob xwm txheej ceev

    Lawv tag nrho cov nplua nuj nyob rau hauv magnesium thiab poov tshuaj, uas yuav muaj txiaj ntsig zoo rau cov hlab plawv, lub hlwb thiab ob lub raum, uas yog "lub hom phiaj" kabmob hauv cov ntshav siab.

    Hypertensive crises, kev faib tawm, teeb meem thiab kev saib xyuas xwm txheej ceev - cov ntaub ntawv tseem ceeb uas yuav los ua ke raws litus neeg mob nws tus kheej thiab nws cov txheeb ze. Lawv ua rau cov xwm txheej txaus ntshai tshaj plaws uas ua rau muaj kev hem thawj tiag tiag rau lub neej. Cov neeg mob zoo li no yuav tsum muaj lub ntsuas ntshav siab thiab cov tshuaj uas txo cov ntshav siab hauv lawv cov khoom pab thawj zaug.

    Cov neeg uas tsis paub txog lawv cov teeb meem yog qhov txaus ntshai tshaj plaws. Thaum muaj qhov tshwm sim tam sim ntawd, lawv feem ntau tsis muaj cov tshuaj tsim nyog, thiab lawv txoj hmoo ntxiv yog nyob ntawm lub sijhawm tuaj txog ntawm lub tsheb thauj neeg mob.

    Pom zoo: