Usizo lokuqala lwezinkinga ezibangelwa yi-hypertensive kufanele kube ngokushesha futhi lunikezwe ngaphambi kokufika kwe-ambulensi, ngoba lesi simo singaholela ekufeni noma kuholele emiphumeleni engaphenduki.
Njengomthetho, inkinga yegazi ephezulu ivela ngokuzumayo, lapho "izinkinga ezingabikezelwa", kodwa kwezinye izimo zingase zilandelwe utshwala, ukushisa okuphezulu ngaphakathi endlini noma ngaphandle, izinguquko ngokungazelelwe ezimweni zesimo sezulu. Uma izitsha zisesimweni esibi, futhi abantu abaningi banesithombe esinjalo ngemva kweminyaka engama-50, isimo sokucindezeleka ngokungazelelwe se-cardiovascular system singabangela ukugwinya ngendlela yokucindezeleka okubalulekile.
Kubalulekile ukucabangela ukuthi isimo sengqondo somzimba nesiguli sengculazi singabangela nobunzima obuthakathaka kakhulu: ngokwesibonelo, ukuhlala isikhathi eside ekucindezelekeni noma ngokuthuthukiswa kwemizwa kanye nemibandela efanayo kufana nokwandisa amathuba enkinga.
Izibonakaliso zenkinga ye-hypertensive: nini ukuzwakala i-alamu?
Abantu abaningi bane-ambulensi ehambisana nezimo ezimbi kakhulu zesimo esibucayi, ngakho-ke ngezinye izikhathi kungase kube khona uhlobo oluthile lokuvimbela kwengqondo nemibuzo, kodwa kufanelekile ukubiza i-ambulensi - mhlawumbe kungenzeka ukuthi uyenze ngokwakho ngamaphilisi avela esifubeni semithi yomkhaya?
Ngakho-ke, sibeka amachashazi ngenhla "i" - ithebula elingezansi libonisa izinkomba zokuzilawula ezizimele ezizimele. Cabangela idatha yokukala futhi ngokuqonda ukucindezela kwayo okuvamile, okuvamile.
Enkingeni ye-hypertensive, ukwelashwa okuphuthumayo kuyadingeka uma ukucindezelwa kwegazi okuphezulu kuhambisane okungenani okukodwa kwezimpawu ezilandelayo:
- isimo esingazinzile ngokomzwelo (ukuzonda, ukuzwa ukwesaba, injabulo engenakulungiswa);
- izikhukhula;
- i-edema;
- ukufaneleka kokuhlanza;
- isiyezi ;
- ukuwohloka kombono;
- ukwephulwa kwemicabango;
- ukugwinya kwamalungu;
- ukuphazamiseka emsebenzini wenhliziyo;
- Ubuhlungu enhliziyweni.
Uma unikeza usizo lokuqala olungalungile enkingeni ye-hypertensive, noma uma ungayinikezi nhlobo, kungaholela ekushayweni, bese kuyoba ngumsebenzi onzima ukubuyisela yonke imisebenzi.
Yini okufanele uyenze ngenkinga enkulu yegazi?
I-algorithm yokunakekelwa okuphuthumayo inkinga ye-hypertensive iqukethe izinto ezilandelayo:
- Shayela i-ambulensi. Ukuqaphela okuvela kuchwepheshe oqeqeshiwe kuyadingeka ezimweni ezibucayi. Uma uqiniseka ngolwazi lwakho lokuthi ungabangela kanjani ukucindezela nokuziphatha kahle ezimweni ezinjalo, khumbula ukuhlakanipha kwabantu: "inhloko eyodwa inhle, kepha kabili kungcono."
- Ngesikhathi ulinde udokotela, qiniseka ukuthi isiguli asihambanga, asizange sibhekane nokuzikhandla ngokomzimba, futhi sithatha isikhundla samanga ngenhloko ephakanyisiwe kancane. Ukukhulisa ikhanda kubaluleke kakhulu kulokhu, kuzosiza ukunciphisa umthwalo ezitsheni zobuchopho.
- Linganisa i-BP njalo ngemizuzu engu-15.
- Uma umfutho wegazi ophezulu usuvele usuvele uvele, futhi udokotela ubeke iphilisi ukuze linciphise, vumela isiguli ukuba sithathe imithi efanelekile ebekwe udokotela ngaphambili. Nansi ingxenye yemithi yokunciphisa ukucindezelwa kwegazi - i-kaptopres, i-nifidipine, noma yisiphi isenzo esilula.
- Uma i-ambulensi ingafiki futhi ingcindezi inganciphisi kungakapheli ihora ngemuva kokuthatha isidakamizwa segazi esinciphisa igazi, phinda iphilisi. Qaphela ukuba unganciphisi ukucindezeleka okukhulu, ngoba ngaleso sikhathi isiguli singase siphumelele futhi lokhu kuzobangela ukucindezeleka kwesimo.
- Uma izinhlungu zesifuba, unikeza isiguli i-tablet ye-nitroglycerin, ehlanza imithwalo yegazi. Yazi ukuthi lokhu kungaba uphawu lwe-infarction ye-myocardial.
- Uma isimo somzwelo sishintsha futhi besaba, nikeza isiguli uCorololum, i-valeriac. I-Valokardine izosebenza kangcono.
- Ukuqapha okukhethekile kudinga abantu asebekhulile. Uma "uphulukisa" futhi unciphisa kakhulu
ukucindezela - ukubangela ubuthakathaka, ukulala, ukuzithemba, ugozi nokuvusa ukungeneli kwegazi ebuchosheni, lokhu kungaholela esivinjweni .
Usizo lokuqala lokuqala lwezinkinga ezibangelwa uketshezi lwegazi luhlanganisa izikhathi ezimbalwa zokubusa:
- ventilate ekamelweni lapho isiguli lilele khona, ekumboze ngendwangu yokukhanya;
- njalo urekhode izilinganiso zegazi;
- Nciphise ukukhanya kokukhanyisa ekamelweni;
- ukuthulisa isiguli.