Ukuphakama kwengcindezi yegazi kungenye yezimbangela ezinkulu ze-atherosclerosis, ischemia ye-myocardial nokufa kwabantu abasha. Ezokwelapha, lesi sifo sibizwa ngokuthi isifo somfutho wegazi ophezulu. Ukuxilongwa kuqinisekiswa ukuthi uma kuzihlolwa ezimbili zezokwelapha ngesilinganiso sokucindezela kabili ama-indices adlula amanani ka-140 nge-90 mm Hg. Art.
Izifo eziphezulu - izigaba, amazinga, ingozi
Inkinga echazwe inephethini ehlukene yokugeleza, ihlukaniswe ngokwezinto ezimbili. Isifo se-hypertensive - isigaba sisekelwe kulezi zindlela ezilandelayo:
- Isiteji - sinquma ubunzima be-pathologies ehambisanayo nobukhulu besifo sezinhlelo zokuphila.
- I-Degree - ikhombisa izinga elijwayelekile lokucindezelwa kwegazi usuku lonke.
Izifo ze-hypertensive - izigaba
Lesi sifo siholela ekushintsheni emsebenzini wezinhlelo zezinzwa ze-cardiovascular and central nervous. Ngokuhambisana nobukhulu balezi zinkinga, kunezigaba ezintathu zomshukela ophezulu:
- I-soft and moderate. Imfanelo yokucindezeleka kwegazi engazinzile. Uma kukhona isifo sofuba esigabeni 1, sishintsha phakathi nosuku, kodwa asidluli 179 ngo 114 mm Hg. Art. Izinkinga ziyinto engavamile kakhulu, zenzeka ngokushesha.
- Kunzima kakhulu. Isifo esine-hypertensive yesigaba sesibili sihambisana nokucindezelwa komzimba ngaphakathi kuka-180-209 ngo-115-124 mm Hg. Art. Ukuhlolwa kwemitholampilo kubhala i-microalbuminuria, ukunciphisa imishanguzo ye-retinal, i-creatinine ephakeme e-plasma, ischemia yobuchopho (okudlulayo), i-hypertrophic ventricle kwesokunxele. Izimpikiswano ezinamandla zenzeka njalo.
- Kunzima kakhulu. Ukucindezela komzimba kudlula inani le-200 nge-125 mm Hg. Art. Isifo se-hypertensive esiteji sesithathu senza ukucindezeleka kwemithambo ye-cerebral, ukuphazamiseka kwengqondo, ukuhluleka kwe-ventricular kanye nokuhluleka kwezintuthwane, i-nephroangiosclerosis, i-aneurysm, i-hemorrhages, i-optic nerve edema nezinye izifo. Okuvamile kukhona izinkinga eziqhubekayo nezinzima.
Isifo se-hypertensive - degree
Lo mgomo wokuhlukaniswa kwemithi ubeka izinga eliqhubekayo lokucindezela komzimba. Izigigaba zomshukela ophezulu:
- Ukukhanya noma ukunqanda. Ngesifo somfutho ophezulu we-hypertension 1, ukucindezela akukhulisi ngaphezu kuka-159 nge-99 mm Hg. Art. Isimo sempilo sigcina izimpawu ezivamile, ezingathandeki ezingekho noma ezingavamile kakhulu.
- I-moderate. Ngesifo sebanga lesi-2, ukwanda kwegazi okwenziwe ku-160-179 nge 100-109 mm Hg isici. Art. Ngezinye izikhathi kunezinkinga ezenzeka ngokushesha futhi ngaphandle kwezinkinga.
- Kunzima kakhulu. Isifo se-hypertensive sezinga lesithathu liholela ekwandeni okuyingozi emzimbeni wegazi (kusuka ku-180 kuya ku-110 mm Hg). Izinkinga zenzeka njalo, zihambisana nemiphumela emibi.
- Kunzima kakhulu. Isifo esiphezulu se-4th degree yisimo esisongela ukuphila. Izinga le-blood pressure lidlula 210 nge 110 mm Hg. Isihloko, izinkinga ngezinye izikhathi ziholela ekufeni.
Izifo ezithathelwana ngokweqile - izici zengozi
Indima eyinhloko ekubukeni kwe-pathology evezwayo idlala yiziphazamiso zesimiso sezinzwa esiyinhloko esenzeka ngokulandelana kwezimo ezilandelayo:
- umsebenzi ohlakaniphile;
- izimpikiswano ezinamandla;
- ukucindezeleka okungapheli;
- ukutholakala komsindo nokudlidliza;
- ukushuswa okuvame ukwesaba kanye nabanye.
Kunezici ezengeziwe ezingabangela ukushisa komfutho wegazi - ingozi ikwanda ngenxa:
- bedla inani elikhulu likasawoti;
- ukukhuluphala;
- isifo sikashukela mellitus;
- izifo ze-gland yegciwane;
- ukuphazamiseka kwe-adrenal nezinso;
- izifo ezingapheli;
- ukusa esikhathini;
- ubudala (eminyakeni engaphezu kuka-60-65);
- ukutholakala kwezibikezelo eziyingozi, ikakhulukazi ukubhema nokudakwa ngokweqile;
- imvelo embi.
Ukugula ngokweqile - kubangela
Kuze kube manje, akukho ndlela eqondile eye yacaciswa eyenza ukwanda kwenyuka kwegazi. Kuneziphakamiso kuphela zokuthi kungani ukucindezeleka komzimba kukhula - izimbangela zokuqala, ngokusho kwezinzwa ze-cardiologists, zihlanganisa ukuqhubekela phambili kwe-atherosclerosis kanye nomonakalo ohambisana nemithambo yegazi. Ngenxa yokuchithwa kwe-cholesterol plaques ezindongeni zabo, imishanguzo yomsindo imincane. Ngenxa yalokho, ukucindezelwa kwegazi kwanda kanye ne-hypertensive disease debuts. Lapho kunezici ezimbalwa ezibalwe ngenhla, ingozi yokuthuthukiswa kwayo ikhula kakhulu.
Isifo se-hypertensive - izimpawu
Isithombe sesitholampilo se-pathology sincike kwizinga kanye nesigaba. I-hypertension ye-arterial elula, engasho kancane izibonakaliso zayo ezithile:
- ubuhlungu, ukukhululeka nokushaywa umoya ekhanda;
- umsindo ezindlebeni;
- ukuphazamiseka kokulala;
- isiyezi;
- ukukhathala;
- ukulala;
- ukunganakwa;
- isicasuli;
- izinhliziyo zomzimba;
- ukuphefumula;
- ukuthuthumela kwemikhawulo;
- ukuthuthumela;
- imicibisholo yobuso;
- ubuhlungu enhliziyweni;
- ukubopha kweminwe;
- ukuvuvukala kwamajwabu amehlo;
- ukuvuvukala emaphethelweni;
- "Izimpukane", "umbani", "shroud" phambi kwamehlo;
- ukuwohloka noma ukulahlekelwa ngokuphelele kwombono;
- ukuphelelwa amandla;
- ukuhlanza nabanye.
Ukuxilongwa "kokucindezeleka okubalulekile" kusungulwa ngesisekelo se:
- isilinganiso sokucindezela okunamandla;
- i-biochemistry yegazi ;
- ukuguqulwa yi-Nechiporenko;
- Uhlolo lukaReberg;
- i-echo- ne-electrocardiography;
- i-ophthalmoscopy;
- ucwaningo lwezingxenye ezihloswe (izinhliziyo, izinso, izidakamizwa).
Ukwelashwa komfutho wegazi ophakeme
Ukuqeda ngokugcwele ukugula okuchazwe akunakwenzeka, ukwelapha kuhloswe ukuba kuvunyelwe ukucindezela kwegazi nokuvimbela izinkinga. Uma umuntu enezifo eziphakeme zegreyidi 2 noma ngaphezulu, imithi iyadingeka. Uhlelo lwezokwelapha lwenziwa yi-cardiologist ngomyalelo owodwa. Isifo esincane somshukela sihilela izinyathelo ezijwayelekile zokwelapha:
- ukudla ngokuvinjelwa kosawoti;
- ukulahlekelwa kwesisindo;
- ukwenqaba ukubhema nokuphuza utshwala;
- imfundo yomzimba;
- ukulungiswa kombuso womsebenzi nokuphumula;
- ukuqeda ukucindezeleka.
Izifo ezithathelwana ngokweqile - ukwelashwa, izidakamizwa
Ukuze kuqiniswe ukucindezelwa kwegazi, kusetshenziswa amaqembu amaningana ama-pharmacological, ukuqokwa kwawo kufanele kuthathwe kuphela ochwepheshe. Lapho i-hypertension ifunyanwa, izidakamizwa zinconywa kanje:
- ama-angiotensin-1 receptor blockers - i-Irbesartan, iValsartan, iLosartan;
- abaphikisi be-calcium - iNifedipine, i-Diltiazem, i-Amlodipine;
- i-inhibitors ye-enzyme yokuguqula i-angiotensin - i-Ramipril, i-lisinopril, i-Enalapril;
- beta-blockers - Metoprolol, Nebivolol, Bisoprolol;
- ama-diuretics - i- Indapamide , i- Spironolactone , i-Hydrochlorothiazide.
Isifo se-hypertensive - ukwelashwa ngamakhambi abantu
Iminye imiyalelo yezinye izindlela zokwelapha isiza ukunciphisa ngokushesha futhi ngempumelelo ukucindezela kwegazi. Kunconywa ukuthi kusetshenziswe uma izifo ezincane ze-hypertensive zifunyanwa. Ngokwelashwa okulinganiselayo okunzima, ama-folk amakhambi kufanele ahlanganiswe nosizo olulondolozayo. Ngaphandle kokwelapha izidakamizwa, isifo senhliziyo esiphezulu sizoqhubekela phambili futhi siholele ezinkingeni.
I-tincture yesigqebhezana yokumisa ukucindezela
Izithako:
- izigaxa ezibomvu ze-pin - 1 kg;
- i-vodka - 400-500 ml.
Ukulungiselela, sebenzisa:
- Hlanza izinto zokusetshenziswa zemifino emanzini abandayo.
- Thela ama-bumps ibe embizeni ehlanzekile engilazi ngevolumu ye-1 litre.
- Ziphule nge-vodka.
- Vala isitsha ngokuqinile ngesembozo.
- Gcizelela isixazululo ekamelweni lokushisa kwamaviki angu-2.5-3.
- Gwema ikhambi ngokusebenzisa i-cheesecloth ephindwe kabili.
- Nsuku zonke kathathu uthathe isipuni 1 se-tincture amaminithi angu-25 ngaphambi kokudla. Ungangezela umuthi itiye noma amanzi.