Hypertension hu ua ntshav siab. Cov kab mob no tau kuaj pom nyob rau hauv yuav luag txhua txhua peb tus neeg nyob hauv ntiaj teb thiab yuav tsum tau kho kom tsim nyog, vim nws ua rau muaj teeb meem loj hauv daim ntawv mob stroke lossis kab mob plawv.
Hnub no, muaj ntau yam tshuaj nyob rau hauv khw muag tshuaj uas pab tiv thaiv kub siab. Nco ntsoov nrog koj tus kws kho mob ua ntej noj cov tshuaj ntshav siab.
Cov pab pawg tseem ceeb ntawm cov tshuaj uas tshem tawm cov ntshav siab
Cov tshuaj uas txo cov ntshav siab mus rau qib qub yog hu ua antihypertensives. Lawv raug cais tsis tsuas yog los ntawm kev ua tau zoo, tab sis kuj los ntawm txoj kev ua tshuaj.
Cov pab pawg tseem ceeb hauv qab no ntawm cov tshuaj tiv thaiv ntshav siab yog qhov txawv:
- tshuaj neurotropic uas txo cov suab nrov ntawm lub paj hlwb sympathetic;
- tshuaj uas inhibit renin-angiotensin;
- tshuaj myotropic uas nthuav cov hlab ntsha;
- Ydiuretics;
- calcium antagonists thiab sartans.
Neurotropic antihypertensivecentral action pab
Ntawm cov tshuaj no, Clonidine, Moxonidine, nrog rau Methyldopa lossis Guanfacine feem ntau tau sau.
Cov tshuaj "Clonidine" txhawb nqa adrenoreceptors ntawm medulla oblongata thiab inhibitory vagus neurons, uas muaj peev xwm tswj tau qhov chaw vasomotor. Qhov no txo cov stimulation ntawm cov hlab ntsha thiab lub plawv, uas ua rau ib tug txo nyob rau hauv lub plawv tso zis thiab vascular tone, ua rau ib tug txo nyob rau hauv cov ntshav siab.
Raws li txoj cai, cov tshuaj no yog siv rau kev kub ntxhov. Nws yuav tsum tau muab sau tseg tias nrog nws siv mus sij hawm ntev, tej yam sedative nyhuv yuav tshwm sim, uas yog nrog los ntawm qhuav qhov ncauj, kev nyuaj siab thiab impotence. Clonidine tuaj yeem ua rau muaj kev tshem tawm cov tsos mob, tus cwj pwm los ntawm kev nce siab hauv cov ntshav.
Moxonidine, tus kws tshuaj tshuaj uas txo qis kev ua haujlwm ntawm vasomotor chaw, tuaj yeem siv rau kev kho mob mus ntev ntawm kev kub siab, vim tias qhov kev tshem tawm mob me me.
Cov tshuaj "Methyldopa" thiab "Guanfacine" txhawb nqa cov alpha-adrenergic receptors, txo cov ntshav siab, tab sis muaj ntau yam kev mob tshwm sim (xeev siab, ua haujlwm tsis zoo ntawm daim siab, amenorrhea, kiv taub hau thiab kev nyuaj siab).
Neurotropic peripheral antihypertensives
Tshuaj uas txo cov ntshav siab los ntawm kev ua rau lub siab xav innervation tau muab faib ua peb pawg:
- ua rau kev sib hlub ganglia (ganglion blockers);
- cuam tshuamadrenoreceptors ntawm lub plawv thiab cov hlab ntsha (blockers);
- uas qhia lawv qhov kev ua ntawm qib postganglionic fibers ntawm sympathetic NS (sympatholytics).
Ganglioblockers (piv txwv li, tshuaj "Trimetafan", "Azamethonium") ua rau tsis muaj zog ntawm myocardial contractility thiab dilate cov hlab ntsha, uas ua rau muaj cov nyhuv hypotensive. Cov tshuaj no tsis tsim nyog rau kev siv, vim lawv muaj ntau yam kev mob tshwm sim - lawv ua rau mob hnyav, tachycardia thiab lub qhov ncauj qhuav, nrog rau plab hnyuv atony thiab kev sib deev tsis zoo.
Sympatholytics (piv txwv li, tshuaj "Guanitedin" lossis "Reserpine") - cov tshuaj uas txo cov ntshav siab los ntawm kev txo cov synthesis ntawm norepinephrine. Lawv yog cov yam ntxwv los ntawm cov nyhuv hypotensive mus sij hawm ntev, uas tseem muaj txawm tias tom qab tshem tawm cov tshuaj.
Adrenoblockers (Prazosin, Tenormin, Labetalol) feem ntau tau sau tseg, vim tias lawv txo cov ntshav siab ntev ntev thiab muaj cov khoom tiv thaiv kev mob arrhythmic.
Renin-angiotensin inhibitor tshuaj
Cov tshuaj hauv qab no pab txo cov ntshav siab:
- Cov tshuaj "Accupro" txo cov haujlwm ntawm ACE thiab txo cov synthesis ntawm bradykinin, ua kom cov hlab ntsha. Nws tuaj yeem siv tsis yog rau kev kub siab xwb, tab sis kuj tseem muaj lub plawv tsis ua haujlwm.
- Tshuaj "Captopril" txo qhov tsis kam ntawm cov hlab ntsha peripheral, siab hauv cov hlab ntsws thiab sab xis atrium, yog muab rau kev kub ntxhov, nrog rau kev kho mob ntshav siab.
- Txo cov ntshav siab zoo pab cov tshuaj ua ke "Capozid". Nws muaj captopril thiab hypothiazide, yog li nws tuaj yeem siv rau kev kub siab tsis tu ncua.
- Txhais tau tias "Lizinopril" - rau lub sijhawm ntev txo cov ntshav siab, yog tshuaj rau ntau hom ntshav siab. Yog tias qhov ntau npaum li cas los ntawm tus kws kho mob tsis ua raws li, kiv taub hau, mob taub hau, xeev siab thiab hnoos, nrog rau orthostatic hypotension thiab ua xua pob liab liab tuaj yeem tshwm sim. Thaum mob hnyav, lub siab thiab lub raum puas lawm.
Cov neeg ua haujlwm Myotropic hauv kev kho mob ntshav siab
tshuaj Myotropic yog cov tshuaj uas txo cov hlab ntsha thiab ua rau lawv nthuav dav, ua rau muaj cov nyhuv hypotensive.
Cov lus tshaj tawm yog cov hauv qab no:
- Cov tshuaj "Nitroglycerin" - yog siv nyob rau hauv kev kub ntxhov, txo cov load ntawm myocardium nyob rau hauv mob plawv tsis ua hauj lwm, zoo expands cov hlab ntsha thiab cov hlab ntsha.
- txhais tau tias "Sodium Nitroprusside" - yog ib qho vasodilator zoo. Nws raug sau tseg rau sab laug ventricular tsis ua haujlwm thiab thaum ua haujlwm (tej zaum yuav txo cov ntshav siab).
- Tshuaj "Minoxidil" - siv rau hauv cov mob ntshav siab, thaum lwm yam tshuaj tsis zoo.
- Y Cov tshuaj "Hydralazine" - nthuav tawm cov nyhuv xaiv, nthuav tsuas yog qee cov hlab ntsha, tuaj yeem ua rau muaj kev cuam tshuam tachycardia.
- Cov tshuaj "Bevdazol" - ntxiv rau cov teebmeem hypotonic, muaj cov nyhuv immunostimulating, yooj yim tshem tawm hypertonicCrisis.
- txhais tau tias "Magnesium Sulfate" - dilates cov hlab ntsha thiab inhibits vasomotor center, thiab kuj yog yam ntxwv los ntawm anticonvulsant zog.
YDiuretics
Cov tshuaj no yog siv rau kev mob ntshav siab tsis sib xws. Diuretics tau muab faib ua ntau pawg. Cov tshuaj twg uas txo cov ntshav siab tau zoo tshaj plaws yog txiav txim siab los ntawm tus kws kho mob, leej twg coj mus rau hauv tus account ntawm cov ntshav siab thiab cov yam ntxwv ntawm nws cov chav kawm.
Cov pab pawg hauv qab no yog qhov txawv ntawm cov tshuaj diuretics:
- thiazide tshuaj ("Cyclomethiazide", "Ezidrek") - tau muab tshuaj me me hauv kev kho mob nyuaj, vim lawv tsis zoo rau cov metabolism;
- tshuaj zoo li thiazide (Hydrochlorothiazide, Xipamide, Metolazone);
- voj diuretics ("Lasix", "Ethacrynic acid", "Piretadine", "Torasemide") - nthuav tawm cov nyhuv diuretic, tshem tawm calcium, magnesium, sodium, thiab potassium ntawm lub cev, yog siv rau kev kub siab (Thaum muaj xwm txheej ceev), nrog rau mob plawv tsis ua hauj lwm;
- tshuaj noj cov tshuaj potassium-sparing ("Mannitol", "Amiloride", "Isobar") - yeej tsis siv rau kev kho mob monotherapy, tab sis tsuas yog ua ke nrog cov tshuaj thiazide.
Calcium antagonists thiab sartans
Calcium antagonists tau muab tshuaj rau ntshav siab, tshwj xeeb tshaj yog tias ntshav siab tau kuaj pom hauv cov poj niam cev xeeb tub lossis cov neeg mob uas muaj kev hloov pauv atherosclerotic hauv cov hlab ntsha peripheral.
Nws yuav tsum nco ntsoov tias nrog lub plawv tsis ua haujlwm lossis thaum lub sijhawmTom qab lub plawv nres, calcium antagonists yog contraindicated.
Sartans yog cov tshuaj uas thaiv cov tshuaj angiotensin receptors. Los ntawm cov txheej txheem ntawm kev ua, lawv zoo ib yam li ACE inhibitors, tab sis tau yooj yim dua los ntawm cov neeg mob, vim lawv tsis tshua muaj kev phiv. Tsis tas li ntawd, cov tshuaj no tiv thaiv lub hlwb thiab muaj cov nyhuv rov qab los tom qab mob stroke, txhim kho lub raum ua haujlwm thiab muaj txiaj ntsig zoo rau kev ua haujlwm ntawm sab laug ventricle ntawm lub plawv.
Dab tsi txo cov ntshav siab hauv tus neeg mob ntshav siab? Nws tag nrho yog nyob ntawm tus kheej tus yam ntxwv ntawm lub cev thiab cov lus teb rau kev kho tshuaj pharmacological tsis tu ncua. Raws li txoj cai, txoj kev kho mob nyuaj dhau los ua qhov ua tau zoo tshaj plaws, uas suav nrog tsis yog siv tshuaj xwb, tab sis kuj tseem muaj lwm txoj hauv kev kho mob, noj zaub mov kom tsim nyog thiab kev ua neej kom zoo nrog kev tsis txhob haus cawv thiab haus luam yeeb, uas tuaj yeem ua rau muaj kev nce ntxiv hauv cov ntshav. siab.
Valocordin rau kev kho hypotonic
txhais tau tias "Valocordin" yog cov tshuaj sib xyaw ua ke uas qhia txog kev ua haujlwm tshuaj. Nws muaj phenobarbital, uas muaj cov nyhuv sedative thiab vasodilating, thiab tseem muaj cov nyhuv hypnotic me ntsis. Ethyl bromisovalerianate, uas yog ib feem ntawm Valocordin, muaj cov nyhuv sedative thiab antispasmodic, thiab peppermint roj ua rau cov hlab ntsha dilatation, yog li tshem tawm lawv spasm.
Cov tshuaj "Valocordin" yog siv rau kev ua haujlwm tsis zoo ntawm cov hlab plawv.vascular system, neurosis thiab insomnia, nrog rau kev zoo siab, uas yog nrog los ntawm cov lus pom zoo vegetative, nrog rau kev nce ntshav siab.
Noj ua ntej noj mov, 20 tee peb zaug ib hnub twg. Txawm cov me nyuam raug tso cai siv cov tshuaj no, raws li nws zoo zam.
Nws yuav tsum tau muab sau tseg tias ntshav siab yuav tsum tsis txhob raug suav hais tias yog kab mob. Txawm tias nyob rau hauv cov neeg noj qab haus huv, lub siab tuaj yeem nce thiab raug txiav txim siab los ntawm kev tawm dag zog lub cev, kev ntxhov siab lossis huab cua rhiab heev. Hauv qhov no, lub teeb sedative (xws li Valocordin) txo cov ntshav siab, txhim kho kev noj qab haus huv. Yog li, lub sij hawm luv luv ntawm ib qho etiology zoo sib xws yuav tsum tsis txhob muab tshem tawm nrog cov tshuaj antihypertensive. Koj yuav tsum tsom mus rau qib ntawm diastolic siab. Yog tias nws siab tshaj 90 mm Hg. Art., no twb yog vim li cas mus ntsib kws kho mob.
Tshuaj ntsuab kho mob ntshav siab
Ntau tus neeg tsis paub cov tshuaj twg txo cov ntshav siab. Ib qho tshuaj zoo tshaj plaws yog mistletoe. Nws yuav tsum nco ntsoov tias qhov no yog cov nroj tsuag muaj tshuaj lom, yog li koj yuav tsum nruj me ntsis ua raws li cov lus pom zoo. Yog li, 1 tsp. cov nroj tsuag no yuav tsum tau nchuav nrog ib khob ntawm boiling dej thiab insisted rau 30 feeb, ces lim thiab noj thawj 2 tbsp. l. peb zaug ib hnub, thiab tom qab ntawd rau kev kho mob raws li Art. l. ob zaug ib hnub.
Nws muaj txiaj ntsig rau txhua tus neeg mob ntshav siab kom noj cov tshuaj hawthorn berries thiab paj. Nws ntxiv dag zog rau cov hlab ntsha thiab normalizes lawv lub suab, txo qhov siab. Ib qho infusion ntawm cov nroj tsuag no tuaj yeemua noj hauv tsev, bay 1 tbsp. l. raw cov ntaub ntawv nrog ib khob ntawm boiling dej, los yog yuav ib lub chaw muag tshuaj infusion thiab noj 40 tee ua ntej noj mov peb zaug ib hnub twg.
Nyob rau theem pib ntawm kev kub siab, motherwort tshuaj ntsuab infusion yog zoo li nws muaj ib tug calming nyhuv ntawm lub paj hlwb.
Yog tias peb tham txog cov tshuaj twg txo cov ntshav siab, peb yuav tsum hais txog liab clover, valerian, flax noob thiab viburnum.
Kev noj qab haus huv rau ntshav siab
Nrog kev nyiam ua kom siab, nws yog ib qho tseem ceeb rau kev npaj khoom noj khoom haus raws li kev tiv thaiv kev nce hauv cov roj cholesterol, uas ua rau muaj cov plaques ntawm phab ntsa ntawm cov hlab ntsha thiab yog qhov ua rau muaj kev loj hlob. ntawm hypertension.
Cov neeg mob ntshav siab tau qhia kom tshem tawm cov hauv qab no los ntawm lawv cov zaub mov:
- -nqaij cov nqaij, qe, cov nqaij haus thiab lard;
- khoom noj ntsim thiab cawv;
- yuav tsum txwv cov ntsev, uas khaws cov dej thiab ua rau muaj ntshav siab;
- khoom qab zib thiab khoom qab zib uas ua rau qhov hnyav nce sai, uas tuaj yeem cuam tshuam rau ntshav siab.
Koj tuaj yeem txo qhov siab yog tias koj nce cov khoom hauv qab no:
- fish;
- zaub thiab txiv hmab txiv ntoo, tshwj xeeb tshaj yog beets, zucchini thiab taub dag, Jerusalem artichoke, dos thiab qej, txiv qaub, persimmon thiab txiv tsawb, nrog rau txiv hmab txiv ntoo thiab txiv duaj;
- qhiav txo cov ntshav siab los ntawm kev txo cov suab nrov ntawm lub paj hlwb, yog li nws yuav tsum tau suav nrog hauv kev noj zaub mov kom ntshav siab;
- seafood;
- buckwheat;
- txiv hmab txiv ntoo qhuav.
Cia li txo ntshav siab
Hmoov tsis zoo, ntshav siab yog ib qho teeb meem tshwm sim tsis tau tsuas yog los ntawm cov neeg laus, tab sis kuj los ntawm cov hluas. Muaj ntau txoj hauv kev los daws qhov kev ua txhaum cai no. Kev kho mob nyuaj yuav suav nrog kev siv tshuaj ntsuab tshwj xeeb.
Ib qho dej haus zoo tshaj plaws yog hibiscus, tseem hu ua hibiscus. Cov nyhuv ntawm cov tshuaj yej los ntawm cov paj ntawm cov nroj tsuag no, raws li kev siv niaj hnub, tuaj yeem sib npaug rau cov tshuaj pharmacological ntawm cov tshuaj antihypertensive.
Hibiscus muaj anthocyanins (flavonoids), uas ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntsha thiab tswj cov ntshav siab (thaum txias, tshuaj yej nthuav tawm cov nyhuv hypotonic, thiab thaum kub, ntawm qhov tsis sib xws, nws nce ntshav siab). Cov tshuaj yej no kuj tiv thaiv lub plawv los ntawm kev puas tsuaj dawb radical vim nws cov khoom antioxidant.
Txo cov ntshav siab thiab haus tshuaj yej ntsuab, linden tshuaj yej, kua txiv hmab txiv ntoo, txiv pos nphuab, txiv lws suav, blackcurrants thiab rowanberries, nrog rau cranberries thiab beets.
Rau qhov kub siab, nws tseem pom zoo kom dilute peb tee ntawm aloe kua txiv hauv ib teaspoon ntawm dej txias thiab muab tso rau ntawm lub plab khoob ib hnub ib zaug li ntawm ob lub hlis.
Zaj lus
Tsis muaj ib tus neeg uas tsis tau hnov txog ntshav siab lossis tsis tau ntsib tus kheej tshwm sim ntawm ntshav siab. Raws li txoj cai, tus kab mob no yog ib qho kab mob ywj pheej, txawm hais tias nws yuav tshwm sim los ntawm lwm yam pathologies. Yog li ntawd,Kev puas tsuaj rau lub raum, lub ntsws, cov hlab plawv, lossis cov qog endocrine tuaj yeem nrog cov ntshav siab hloov pauv.
Yog tias tsis kho kom raug, cov kab mob no tuaj yeem ua rau myocardial infarction, mob stroke thiab qhov muag tsis pom kev. Kev kub siab ua rau lub neej tsis zoo thiab tuaj yeem ua rau tus neeg mob tsis taus.
Yog vim li cas cov chaw soj ntsuam tshuaj tau ua haujlwm tas li ntawm kev txhim kho cov tshuaj tiv thaiv kab mob ntau dua thiab zoo dua. Muaj ntau hom tshuaj nyob rau hauv kev ua lag luam uas tuaj yeem txo cov ntshav siab, tab sis nws yuav tsum nco ntsoov tias lawv cov kev siv cais tawm tsis tshua muaj txiaj ntsig zoo.
mob ntshav siab. Yuav ua li cas txo qis thiab tiv thaiv tus lej ntawm cov teeb meem loj?
Nws yog ib qho tseem ceeb uas kev kho tshuaj kho mob tau sau tshwj xeeb los ntawm kws kho mob. Cov neeg mob ntshav siab yuav tsum noj zaub mov kom raug, zam kev ntxhov siab thiab ua haujlwm hnyav, suav nrog hauv lawv cov zaub mov noj uas muaj txiaj ntsig zoo rau cov hlab plawv, thiab kho cov kab mob sib kis uas tuaj yeem ua rau muaj kev nce ntshav siab raws sijhawm.
