Hypotonic kab mob yog ib qho mob uas raug hu ua hypotension. Nws manifests nws tus kheej nyob rau hauv ib tug tseem ceeb txo nyob rau hauv cov ntshav siab. Ntau yam ntawm vain tsis muab qhov tseem ceeb rau nws. Cov xwm txheej zoo li no, tau kawg, tsis tshua muaj ua rau muaj cov kab mob loj, tab sis vim nws, yuav luag txhua tus neeg mob muaj kev tsis xis nyob.
Vim li cas thiaj hloov tau? Dab tsi yog qhov yuav tsum tau ua ua ntej? Cov tsos mob dab tsi yuav qhia tau tias muaj hypotension (hypotension)? Yuav kho li cas? Cov lus teb rau cov lus nug no thiab ntau lwm cov lus nug tau piav qhia hauv kab lus.
Norms and deviations
Koj tuaj yeem tham txog hypotension yog tias ib tus neeg cov ntshav siab qis dua 20% qis dua li qub. Tus qauv yog 120/80. Qhov taw qhia me ntsis hloov pauv hauv lub sijhawm ntawm lub neej los ntawm 13 txog 55 xyoo. Raws li lawv loj hlob tuaj, qhov nruab nrab ntawm 1-2 cov ntsiab lus tau ntxiv rau qhov ntsuas txhua 5 xyoos.
Txawm li cas los xij, yog tias cov nuj nqis tsis tu ncua qis dua 90/60, koj yuav tsum xav. Rau qhov no yog cov qauv rau cov me nyuam xwb.
Primary hypotension
Nov yog ib daim ntawv tsis tshua muaj qhov noxeev. Primary hypotension yog neurosis ntawm cov chaw vasomotor.
Qhov no yog ib qho kab mob sib cais. Nws txoj kev loj hlob yog provoked los ntawm kev raug mob mus ntev thiab kev ntxhov siab. Lwm yam predisposing yam muaj xws li kev nyuaj siab, tsis tsaug zog tas li, qaug zog ntev thiab kev puas siab puas ntsws.
Txawm li cas los xij, feem ntau ua rau yog neurocirculatory dystonia. Qhov no yog lub npe ntawm cov teeb meem nyuaj uas cuam tshuam rau cov hlab plawv, uas tau tsim los ntawm cov kab mob neuroendocrine.
Secondary hypotension
Nws yog ntau dua. Hypotonic kab mob ntawm hom no yog hais txog cov kab mob uas tshwm sim los ntawm lwm yam pathologies. Nws tuaj yeem nrog cov xwm txheej hauv qab no:
- Kev raug mob rau lub hlwb thiab cov kabmob sab hauv.
- Lub plawv tsis ua hauj lwm.
- Hepatitis.
- Osteochondrosis.
- Cirrhosis ntawm daim siab.
- Peptic ulcer.
- Mob ntshav qab zib mellitus, kab mob qog adrenal, lwm yam teeb meem nrog endocrine system.
- Addison tus kab mob.
- Amyloidosis ntawm cov qog adrenal lossis lawv cov kev phais tshem tawm.
- Teeb meem nrog cov thyroid caj pas.
- Anemia.
- mob ntshav qab zib thiab mob hnyav.
- kab mob sib kis.
- Anaphylactic shock.
- Kev tsim txom cov tshuaj diuretics, tshuaj tiv thaiv ntshav siab, ntau dhau ntawm nitroglycerin.
Yuav tsum tau muab sau tseg tias lub npephysiological hypotension. Nws tsis yog nrog los ntawm kev hloov pauv ntawm cov kabmob hauv nruab nrog cev txhua. Nws txhim kho, raws li txoj cai, hauv cov neeg uas koom nrog cov pab pawg xws li:
- kis las.
- Cov neeg nyob hauv thaj chaw huab cua kub.
- Cov neeg ua haujlwm hauv khw kub (metallurgical, feem ntau).
- Cov neeg nyob hauv toj siab.
Thiab tseem muaj lub tswv yim ntawm kev cob qhia hypotension. Cov xwm txheej no tau pom nyob rau hauv cov neeg ncaws pob thaum lawv raug lawv tus kheej kom nce, ntau dhau.
Symptoms
Yog li, qhov ua rau hypotension yog qhov tseeb. Tam sim no peb yuav tsum tau sau cov cim qhia tias nws muaj. Tau kawg, cov tsos mob tseem ceeb yog kev nyeem ntawm tonometer. Tab sis kuj qhia txog qhov muaj tus kab mob no:
- Drowsiness, lethargy thiab general qaug zog.
- Tshuaj tsis haum.
- poob teeb meem.
- ntxub tawm hws.
- ua tsis taus pa.
- Dull headache localized nyob rau hauv lub cev nqaij daim tawv thiab frontal regions.
- Kev tsis txaus siab thiab kev chim siab.
- Metrological rhiab heev.
- kiv taub hau.
Qee zaum muaj kev ntxhov siab. Qhov kev pheej hmoo ntawm kev tsis nco qab yog qhov tshwj xeeb tshaj yog thaum nyob hauv chav tsev tsis muaj zog. Thiab feem ntau, cov neeg uas muaj cov kab mob no tshwm sim tsis zoo txawm tias qhov kev hloov pauv tsis tseem ceeb tshaj plaws nyob rau hauv ib puag ncig sab nraud - txawm tias nws yog av noo, huab cua kub, lossis txawm tias lub siab xav.
Orthostatic hypotension
daim ntawv kab mob no tshwm sim heevtsis tau ntau zaus. Thiab txij li thaum peb tab tom tham txog qhov ua rau thiab cov tsos mob ntawm hypotension, ces nws yuav tsum tau txiav txim siab.
Orthostatic pathology yog tus cwj pwm los ntawm kev txo qis hauv cov ntshav siab uas tshwm sim thaum lub cev hloov pauv. Feem ntau pom ntawm cov hluas. Qhov no yog qhov tseeb ntawm lub cev - lub cev loj hlob yuav tsum tau ua haujlwm hnyav dua ntawm cov hlab ntsha.
Yog li ntawd, koj yuav tsum tau sawv tsis sai. Yog hais tias ib tug neeg tau nyob rau hauv ib tug upright txoj hauj lwm rau lub sij hawm ntev, thiab tom qab ntawd ces "mob", kiv taub hau yuav tshwm sim. Hauv qee tus neeg mob, nws darkens hauv lub qhov muag, txawm tias tsis nco qab yog ua tau. Qhov no yog vim hais tias thaum ib tug neeg nyob rau hauv tib txoj hauj lwm, cov ntshav mus rau lub hlwb yog muab nyob rau hauv me me.
Kev nyuaj siab
Lawv kuj yuav tsum tau txiav txim siab. Ntau tus neeg paub txog cov theem thiab qib ntawm kev pheej hmoo ntawm kev kub siab - puas yog hypotension ib yam li txaus ntshai? Hmoov tsis muaj. Tus mob no yuav luag ib txwm tsis zoo rau kev ua haujlwm ntawm ntau lub cev.
Yog tias koj tsis quav ntsej txog qhov hypotension, nws yuav ua rau cov ntshav ntws mus rau hauv nruab nrog cev yuav txo qis. Qhov no yog fraught nrog kev loj hlob ntawm cov teeb meem loj, nrog rau cov plab hnyuv ischemia, lub raum tsis ua haujlwm, myocardial infarction thiab stroke.
Txawm li cas los xij, qhov tshwm sim phem tshaj plaws ntawm kev poob siab tsis tu ncua yog poob siab thiab tuag.
Diagnosis
Lub ncauj lus no kuj tsim nyog tau txais kev saib xyuas. Kev kuaj mob hypotension tsis yooj yim. Nws yog txaus los ntsuas qhov siab los yog paub koj tus kheej nrog cov duab kho mob. Thiab ntawm no yog qhov txhais ntawm qhov laj thawj yog vim li cashypotension, nyuaj dua. Nws yog ib qho tseem ceeb kom paub seb tus mob no yog dab tsi.
Hypotension ntawm hom thib ob yog raug kawm los ntawm cov kws kho mob ntau dua, vim tias nws yuav yog cov tsos mob ntawm txhua yam kab mob. Ua ntej tshaj plaws, cov kab mob ntawm cov hlab plawv tsis suav nrog, tom qab ntawd lub paj hlwb.
Nws kuj tseem ceeb heev rau kev sib txawv ntawm cov tsos mob los ntawm kev tshwm sim ntawm lub raum pathology, mob tonsillitis, thiab lwm yam. Yog li ntawd, kev kuaj mob feem ntau yuav tsum muaj kev tshawb fawb ntau. Nov yog cov haujlwm uas feem ntau siv rau:
- Kev tshuaj ntsuam zis thiab ntshav.
- Hormon tshuav nyiaj li cas.
- Kev ntsuas qab zib nkhaus.
- Ultrasound ntawm lub siab.
- ECG.
- Biochemical kuaj lub siab.
- Residual nitrogen test.
- Ultrasound ntawm cov hlab ntsha ntawm lub hlwb thiab caj dab.
Drug therapy
Kev saib xyuas tshwj xeeb yuav tsum tau them rau cov tshuaj uas qhia tias muaj ntshav siab. Koj tus kws kho mob tuaj yeem sau cov tshuaj hauv qab no:
- Psychomotor stimulants uas txhawb cov kab ke adrenergic. Lawv pab tiv nrog cov tsos mob asthenic, inhibition ntawm cov tshuaj tiv thaiv, ua kom tsaug zog, tsis txhob tso tseg kev ua haujlwm tsis muaj peev xwm. Cov tshuaj zoo tshaj plaws yog Sidnofen, Mesocarb thiab Sidnocarb.
- Analeptics. Lawv qhov kev noj haus muaj kev txhawb nqa ntawm cov pa ua pa thiab vascular chaw ntawm medulla oblongata. Kev xav zoo dua, qaug zog txo qis, kev ua haujlwm nce ntxiv. Tsis tas li ntawd, noj cov tshuaj no muaj txiaj ntsig zoo rau lub sijhawm luv luv. Cordiamin thiab Centedrin ua haujlwm zoo. Lawv qhov kev txais tos yog qhia hauv qhov xwm txheej lossis hauv cov chav kawm luv. Kev siv mus ntev ua rau muaj kev cuam tshuam tsis zoo thiab lub xeev ntawm kev zoo siab.
- Stimulators ntawm tus txha caj qaum ua haujlwm. Securinin ua haujlwm zoo heev. Tsis pub rau thyrotoxicosis, qaug dab peg thiab hawb pob.
- Adrenergic tshuaj. Gutron feem ntau yog tshuaj, uas muaj cov nyhuv ntev yam tsis muaj kev cuam tshuam rau lub hauv paus paj hlwb.
- Cholinolytics. Kev txais tos ntawm Ballataminal, Bellaspon thiab Belloid pab. Cov no tseem yog cov tshuaj tseem ceeb rau cov kab mob hypotensive. Lawv pab cov xwm txheej nrog vagotonia hnyav.
- Nootropics. Lawv tsis muaj cov nyhuv vasoconstrictive ncaj qha, tab sis ua kom cov txheej txheem metabolic nyob rau hauv lub hauv paus paj hlwb, txhim kho cov ntshav ncig hauv cheeb tsam. Raws li txoj cai, Phenibut, Aminalon, Patogam, Pyriditol thiab Piracetam raug tshuaj.
Vitamins Vitamins
Tham txog cov yam ntxwv ntawm daim duab kho mob tau pom nyob rau hauv cov kab mob hypotensive, nws tseem yuav tsum tau ua kom muaj kev tshwj tseg tias kev kho mob yuav tsum tau noj cov vitamins. Lawv tsim cov nyhuv anabolic thiab antihypoxic. Tsis tas li ntawd, cov vitamins muaj cov teebmeem neurotropic thiab adaptive-trophic.
Txhua txoj kev siv tau zoo heev. Multivitamin, suav nrog cov kab lus xaiv zoo thiab cov vitamins, muaj cov teebmeem hauv qab no:
- Txhawb nqa cov txheej txheem rov qab los tom qab kev ntxhov siab thiab kev ntxhov siab.
- Normalization of vegetative reactions.
- Txhawbload kam rau ua. Thiab ob lub cev thiab kev xav.
- Qu siab tag nrho.
- Tsis txhob qaug zog.
Thiab txawm tias lub cev xav tau cov vitamins me me, lawv ua kom lub cev tiv thaiv kab mob, thiab tseem pab lub cev tiv thaiv kab mob.
kev kho neeg zoo
Ntau tus neeg txaus siab - yog tias lub siab qis, yuav ua li cas hauv tsev? Cov kev kho neeg hauv tsev twg tuaj yeem pab tau? Qhov tseeb, muaj ntau ntau ntawm lawv, tab sis ntawm no yog cov zaub mov txawv rau qhov zoo tshaj plaws:
- Y Mix May Lily ntawm Hav (10 g), peppermint (30 g), Manchurian aralia cag (30 g), Suav magnolia vine (15 g) thiab spiny eleutherococcus (25 g). Noj 1 tbsp. l. sau, ncuav ib khob ntawm boiling dej. Cia nws brew rau 20 feeb, lim. Noj 1/3 khob ob zaug ib hnub - sawv ntxov thiab yav tav su, ib txwm ua ntej noj mov.
- YCombine horsetail ephedra (10 g), hawthorn txiv hmab txiv ntoo (20 g), woolly-flowered astragalus (20 g), ginseng (20 g) thiab tshuaj ntsuab chamomile (15 g). Lub hauv paus ntsiab lus ntawm kev npaj thiab txais tos zoo ib yam li yav dhau los.
- Y Ua ib phau ntawm cov txiv hmab txiv ntoo hawthorn (20 g), raum knotweed (15 g), safflower leuzea (15 g), tshuaj chamomile (10 g) thiab Suav lemongrass txiv hmab txiv ntoo (30 g). Ua noj thiab haus raws li tib lub tswv yim raws li tau piav qhia hauv thawj daim ntawv qhia.
- Ntxuav rau txiv qaub, ncuav nrog dej npau npau, tshem cov noob. Sib tov cov txiv hmab txiv ntoo nrog nqaij grinder, ncuav lub resulting loj nrog dej txias (1 l). Tawm hauv lub tub yees rau 24 teev. Tom qab lub sij hawm, ntxiv zib mu (500 g). Xa mus rau lub tub yees rau peb hnub. Noj peb zaug ib hnub rau 50 g.
- Tau cov tshuaj ginseng. Ntsuas 10-15 tee rau hauv ib khob, dilute nrog 2 tbsp. l. dej. Haus ib gulp ib nrab teev ua ntej noj mov. Thiab yog li - peb zaug ib hnub twg. Koj tuaj yeem noj tincture ntawm Eleutherococcus, Manchurian Aralia, Schisandra chinensis thiab Rhodiola rosea.
Thiab koj tuaj yeem ua tshuaj yej kho dua tshiab. Ua li no, sib tov rosehips (20 g) thiab qus sawv (15 g), lure paus (20 g), nettle (15 g), perforated St. John's wort (10 g) thiab liab rhodiola keeb kwm (20 g).
Noj 1 tbsp. l. sau, ncuav ib khob ntawm boiling dej, npog thiab teem rau ib teev. Tom qab ntawd lim thiab haus cov ntim hauv ob zaug ua ntej noj mov. Nws raug nquahu kom tsis txhob brew lub ntim loj ib zaug, kom cov khoom tsis poob nws cov khoom tshwj xeeb thaum lub sijhawm ua haujlwm tsis ua haujlwm.
Kev pab ib zaug
Txhua tus neeg uas muaj ntshav siab yuav tsum paub txog cov ntsiab cai ntawm nws qhov kev muab. Yuav ua li cas hauv tsev yog tias muaj kev tawm tsam ntawm hypotension? Kev ua yog raws li hauv qab no:
- Puag rau ntawm qhov chaw xis nyob. Nco ntsoov muab tus menyuam rau hauv qab koj txhais ko taw.
- Koj tuaj yeem zaum nrog koj lub taub hau hauv qab koj lub hauv caug.
- Ua pa tsis tu ncua. Nws yuav tsum ntiav tab sis txawm.
- Tsuas yog nyob rau hauv rooj plaub, npaj ib daim ntaub paj rwb moistened nrog ammonia. Yog tias koj mus txog qhov muaj peev xwm ua rau tsis nco qab, koj yuav tsum tau nqus cov vapors ntawm cov tshuaj no.
- Tom qab zoo lawm, koj yuav tsum haus ib khob kas fes nrog qab zib lossistshuaj yej muaj zog.
Cov lus pom zoo tib yam yuav tsum tau coj los rau hauv tus account los ntawm txhua tus neeg nyob hauv nws lub voj voog ze muaj cov neeg mob ntshav siab.
