Hypertensive ntsoog: kev kho mob, cov tsos mob thiab txim.

Hypertensive ntsoog - ib qho ntawm lub xeev, uas yog yus muaj los ntawm ib tug ntse nce nyob rau hauv cov ntshav siab. Nws yog yus muaj los ntawm kev poob ntawm lub hom phiaj hloov khoom nruab nrog thiab muaj cov tsos mob ntawm kub siab, tab sis qhia excessively. Muaj ob siab ua mechanism (vascular thiab mob), uas tuab lub hypertensive ntsoog. Cov kev kho mob rau tus mob no yog kev lom zem ntau nyob rau cov mechanisms.

Lub mechanism ntawm txoj kev loj hlob, piav txog ib tug hypertensive ntsoog. Cov kev kho mob yog paub, feem ntau ua rau lub hauv paus ntawm pathogenesis. Nyob rau hauv lub xeev no, lub tsim arteriolar chua, nce lub plawv dhia thiab tag nrho cov peripheral vascular kuj. Tsim ib tug vicious phaum ntawm kev tshua nrog pheej thiab ntse sawv nyob rau hauv cov ntshav siab heev theem.

cov tsos mob:

• mob taub hau, tshwm sim los ntawm kev ua txhaum cai ntawm cerebral ncig. Yog obtuse los yog pulsing cim;

• kiv taub hau, tinnitus, xeev siab thiab ntuav, raws li zoo raws li lub hlwb cov tsos mob;

• qhov muag plooj tsis pom kev vim retinal vascular spasm, thiab edema ntawm lub optic paj;

• palpitations, arrhythmias, ua tsis taus pa.

Vim muaj cov yam tsos mob txawv crises thawj thiab thib ob hom:

- tus thawj hom - hyperkinetic, tshwm sim ntau nyob rau hauv thaum ntxov ua sawv ntawm tawg. Nws pib acutely thiab nrog heev heev vegetative cov tsos mob: tus neeg mob ntxhov siab, tshee, daim tawv nqaij liab liab, muaj zog tawm hws. Qhov no ntsoog kav txog 3-4 teev. Qhov no yuav tsub kev lom zem ntau nyob rau systolic siab diastolic unchanged, ua lub plawv dhia. Ua lub theem ntawm adrenaline nyob rau hauv cov ntshav ncig qhia txog cov hypertensive ntsoog. Cov kev kho mob muaj ib tug xov tooj ntawm cov nta;

- ob hom - hypokinetic, tshwm sim nyob rau hauv lub tom qab ua sawv ntawm tawg. Tsim maj, nws sau ib qho nyuaj. Yus nkees, tsis muaj zog ntawm cov neeg mob, cov heev ntawm mob thiab cerebral cov tsos mob. Nws tsub kom ob leeg systolic thiab diastolic ntshav siab, tab sis rau theem ntawm cov tom kawg yog ntau pronounced. Lub plawv dhia tsis tau hloov. Nyob rau hauv cov ntshav, muaj yog nce theem ntawm norepinephrine.

Nrog rau txoj kev loj hlob ntawm cov teeb meem ntawm cov kab mob no yuav tshwm sim:

- encephalopathy thiab cerebral edema, uas yog yus muaj los ntawm ntau lub hlwb cov tsos mob (tu-sauv, xeev siab, ntuav, impaired nco qab) ,

- lub plawv tsis ua hauj lwm,

- ib tug nres ntawm angina pectoris los yog heart attack myocardial infarction.

Muab cov mechanisms thiab cov tsos mob uas piav qhia txog ib tug hypertensive ntsoog, kev kho mob yuav raug ua lub tsev raws li nram no:

- txo nyob rau hauv diastolic ntshav siab theem mus rau ib tug nqi ntawm 100 mm hg Tej nws yuav tsum tau ceev faj heev kom tsis txhob disturb tus cerebral ncig. Tus neeg mob yuav tsum tau muab ib tug kab rov tav txoj hauj lwm;

- tso dej thawj coj ntawm enalapril (ib tug angiotensin converting enzyme), nifedipine (a calcium channel blocker), clonidine (α-adrenoagonists);

- thaum lub sij hawm thawj 2 teev, lub siab yuav tsum tsis txhob yuav tsawg dua los ntawm ntau tshaj 25% ntawm lub hauv paus. Cov nram qab no 6 teev ntawm sij hawm tuaj txog ua tau ntshav siab 160/100.

- thaum muaj xwm ceev kho mob. Ib tug hu mus rau lub "first aid" - tus thawj tshaj plaws uas yuav tsum tau ua li cas. Ces, tos tuaj txog ntawm tus kws kho mob, nws yog tsim nyog los muab tus neeg mob ib nrab-upright txoj hauj lwm los mus tiv thaiv tawm tsam ntawm breathlessness. Yog hais tias tus tawm tsam tau lawm yav tas los, thiab tus neeg mob yuav siv sij hawm antihypertensive tshuaj, qhov yuav tsum tau haus lub pom zoo koob tshuaj tshuaj kws kho mob. Yog hais tias koj yuav txo tau lub siab rau 40-60mm.rt.st., Nws yog tsis tsim nyog rau siv tshuaj ntau. Tsis xav los kuj txais yuav tshiab thiab txawv tshuaj. Nws yog tseem tau mus haus dej haus ib tug sedative, e.g., Corvalolum.

Hypertensive ntsoog: siv rau

Cov raug rau no unfavorable mob. Rau hypertensive ntsoog yus rov. Tom qab ntsoog yuav tsim mob insufficiency, mob ntawm cerebral ncig, mus txog cerebral edema.