Inkinga ye-hypertensive: izimpawu kanye nosizo lokuqala

Emhlabeni jikelele, isifo esiwumfutho wegazi esihlushwa kakhulu abantu abaningi. Kwezinye iziguli, ngezikhathi ezithile kunenkinga enkulu yegazi, izimpawu zazo eziyingozi kakhulu ekucindezeni kwegazi, okuholela ekulimazeni enhliziyweni, emithanjeni yegazi, ebuchosheni. Ngalesi simo, izinkomba zokucindezela zivame ukufika ezinombolweni 220/120, kodwa inkinga ingenzeka ngisho nangamagugu aphansi kakhulu - konke kuxhomeke kukho konke okwezempilo we-hypertension.

Indlela yokwenzeka

Izimpawu zezinkinga ze-hypertensive ngendlela yokwanda kwengcindezi yegazi kubangela ukuthi ukwephulwa kwe-balance phakathi kwezwi lemikhumbi nomthamo wegazi wamaminithi kufakwe embhede wamasongo . Ngakho-ke ezitheni ezincane kune-spasm, futhi inhliziyo isanciphisa amandla, okubandakanya ukunyuka kwegazi nokuphulwa kwezidingo nama-oxygen.

Inkinga ye-hypertensive: izimpawu nezinhlobo

Isimo singaba nzima futhi sinkimbinkimbi. Esikhathini sokuqala, ukwelashwa kwenziwa ngesineke, ngokugcwele, ingcindezi ingancishiswa ezinsukwini ezingu-1-2. Esimweni sesibili, inkinga esongela ukuphila ikhula, idinga ukwelashwa okuphuthumayo kanti, uma kwenzeka ukwehluleka ukunikeza usizo olufika ngesikhathi, ngokuvamile kuholela ekukhubazekeni noma ekufeni.

Izimpawu ezinzima ze-hypertensive crisis, ngaphezu kokunyuka kwengcindezi yegazi, kufaka phakathi i-dyspnea, ukujuluka ngokweqile, ukukhanda ikhanda, isicanucanu. Isiguli singase sibhekane nokukhathazeka, ukukhathazeka kwengqondo, ukwesaba, umuzwa wokushisa. Ngenkathi yonke yobuningi bomonakalo obonakalisayo bomonakalo, azikho izitho ezenzekayo, futhi isimo esisongela ukuphila asivuki, esingenakusho ngesimo esiyinkimbinkimbi segazi. Phakathi naso, ukugxuma okubukhali ekucindezelekeni kwegazi kungabangela ukuthuthukiswa kokucindezeleka okunamandla, ukuhlaselwa yinhliziyo noma ukushaya (ukuhlunguphazwa kwesifuba, ukulimazeka kwephunga), i-pulmona edema (izindebe eziluhlaza okwesibhakabhaka, i-dyspnoea eqinile), ukuhluleka komzimba ngokweqile (noma ukuyeka ukuchama), i-optic nerve edema (Umbono wehla ngokujulile). Iziguli ezinjalo kufanele zihanjiswe ngokushesha.

Inkinga ye-hypertensive: usizo lokuqala

Njengoba sekuphawuliwe, inkinga engavamile ayiyingozi empilweni. Noma kunjalo, isiguli esiphezulu kufanele sibe nolwazi mayelana nendlela yokuzisiza uma kwenzeka ukuthuthukiswa kwesimo esinjalo. Kunezinombolo zamathebulethi ezenzelwe ukunciphisa ukucindezelwa kwegazi. Nokho, kudingeka wenze lokhu ngokuhambisana nemithetho ethile. Ngakho, emahoreni amabili okuqala kuvunyelwe ukunciphisa ukucindezelwa kwegazi ngokungabi ngaphezu kwama-20-25%. Kungakapheli amahora angu-6 kufanele kunciphise izinombolo 160/100. Amagugu (amanani 120/80) kufanele afinyelelwe emva kwezinsuku ezingu-1-2. Ngakho-ke, izidakamizwa okufanele uzifeze ukucindezela kwegazi enkingeni ye-hypertensive, zibandakanya imithi "Captopril", "Carvedilol", "Nifedipine", "Furosemide", "Clonidine." Abaningi babo baqala ukwenza cishe isigamu sehora ngemuva kokungeniswa.

Isiguli, esasungula inkinga eyinkimbinkimbi, ngaphambi kokuba kufika i-ambulensi ingasizwa kuphela ngokuqaphela ukuthi yisiphi isici esithintekile. Ngakho, ngesifo senhliziyo, isisulu kufanele sithathe iphilisi ye-nitroglycerin ngaphansi kolimi, uphuze ithebhulethi ye-aspirin. Uma i -edema ye-pulmonary iqala, inkinga ye-hypertensive ingalingwa ngokuthatha i-nitroglycerin ngaphansi kolulwimi, futhi ngaphakathi-40 mg ye-furosemide, isiguli kufanele sithathe isikhundla sokuhlala phansi, sinciphise imilenze yakhe phansi.