Kugula kwa tonometer ndi mankhwala pa mndandanda wochokera kwa katswiri wa zamoyo mpaka posachedwa kunkawerengedwa kuti ndi ochuluka a anthu omwe amapita ku penshoni. Tsopano mankhwala ochepetsa kupanikizika kwa magazi kapena mapiritsi, kuwonjezereka kwachulukira, akudalira kwambiri anthu omwe amaliza maphunziro a yunivesite atsopano.
Zizindikiro za kuthamanga kwa magazi ndi kutsika kochepa
Mavuto amenewa amachitika mosavuta, koma nthawi zina odwala amasokoneza zizindikiro zapamwamba komanso kutsika kwa magazi, zomwe zimakhala zoopsa kwambiri panthaƔi ya chisamaliro chisanafike. Mitundu yonseyi imadziwika ndi mutu umene umapezeka kumutu wa mutu wa occipital. Chizindikiro china chachikondi ndi kuchepa kwa kutentha kwa miyendo. Choncho, musanamwe mapiritsi kuchokera ku zovuta zomwe mnzanu akufuna, muyenera kuonana ndi dokotala kapena osagwiritsa ntchito tonometer .
Zizindikiro za matenda oopsa
Mtengo woposa 150/130 millimeters ya mercury (akulu / ana) amaonedwa ngati apamwamba. Nthawi zina, vutoli limangodziwika kokha pakayendera, koma nthawi zambiri zimatsatiridwa ndi zizindikiro zotsatirazi za kuthamanga kwa magazi:
- kuda nkhawa;
- mutu;
- kusokonezeka mu mtima;
- mpweya wosagwirizana;
- chisokonezo;
- mdima m'maso;
- thukuta kwambiri;
- kuthamanga kwa magazi kumaso kwa nkhope ndi manja ozizira;
- mpweya wochepa;
- kutupa.
Zizindikiro za kuthamanga kwa magazi
Mankhwala ovomerezeka amalingalira zizindikiro zochititsa mantha zosakwana 100/60 millimeters ya mercury, koma akatswiri ena amakhulupirira kuti ziwerengero zina sizimanena chilichonse. Pokhala ndi thanzi labwino, munthu sayenera kuganizira za hypotension, choncho, chifukwa chomwa mapiritsi kuchokera ku chipsyinjo, zizindikiro zosokoneza zazitsitsimutso zimayenera:
- ululu mu dera la occipital la mutu;
- kufooka kwakukulu, kulekerera, malaise;
- kusanza ndi kunyoza;
- chizungulire , makamaka mukadzuka mwamsanga kuchokera pabedi;
- kusowa kwa mpweya;
- thukuta lalikulu, kupuma pang'ono ndi kutopa.
Mapepala a normalization of pressure
Mankhwala osokoneza bongo omwe amachititsa kuti chiwonongekochi chiwonongeke, amachigawa malinga ndi mtundu wa mankhwala. Mu gulu lirilonse, mankhwala osokoneza bongo amasiyana ndi mphamvu, choncho mapiritsi omwe amawunikira, amatha kulemba dokotala. Chinthu chinanso chimene chingadabwe ndizovomerezeka osati piritsi limodzi kuti muchepetse kukakamizidwa, koma mndandanda wonse. Izi ndi chifukwa chosowa njira yowonjezereka yothetsa vutoli, kotero simungathe kulanda mankhwala alionse nokha, kuphwanya ndondomeko ya mankhwala.
Ma mapiritsi apamwamba
- Beta-adrenoblockers - Kon-Kor, Metoprolol, Egilok, Talinolol, Coriol, Acebutolol, Nebivolol. Kuchepetsa mphamvu ndi mphamvu, koma zimatsutsana ndi matenda a m'mapapo.
- Otsutsa a calcium - Nifedepine, Cinnarizine, Stanlo, Kordafen, Verapamil, Isoptin, Nimotop, Corinfar, Amlodipine, Phenigidine. Mapiritsiwa kuti athetse kupanikizika kwa mitsempha yosalala ndi ziwiya zamakono, kuchepetsa kuthamanga kwa mtima ndi kuchepetsa ziwiya za ubongo.
- Myotropic antispasmodics - Papaverin, Spazmalgon, No-shpa, Drotaverin, Dibazol, Galidor, Magnesium sulphate, Papazol. Onetsetsani kuti pulogalamu ya calcium yalowa mu selo, kuchepetsani kupanikizika ndi kutulutsa mitsempha yosavuta ya m'mimba.
- Nitrates - Isoket, Nitroglycerin, Sustak, Erinit, Mavitrogeni, Perlingant, Sustonite, Nitrosorbide, Cardicet, Nitro-5. Mankhwalawa amalembedwa kuti ayambe kuchuluka kwa angina pofuna kuthetsa vuto la angina kapena pambuyo pa matenda a mtima, chifukwa amachepetsa kwambiri mitsempha ndi ntchito ya mtima.
- Alpha-blockers - Benzohexonium, Arfonade, Ebrantil, Fentolamine. Zili ndi njira zothandiza kuchepetsa kuthamanga kwa magazi, koma sizigwiritsidwa ntchito pa matenda aakulu a mtima ndi glaucoma.
- Sympatholytics - Reserpine, Raunatin, Isobarin, Rausedil, Octadin, Adelfan, Rauvazan, Antipres. Kufulumizitsa chiwonongeko cha norepinephrine, kuchotsa chikoka cha mchitidwe wamanjenje wachifundo. Musagwiritse ntchito zilonda zam'mimba ndi gastritis. Mapiritsi oterewa omwe ali ndi matenda oopsa kwambiri masiku ano samagwiritsidwa ntchito nthawi zambiri.
- Diuretics - Lasix , Hypothiazide, Ureit, Furosemide, Trifas. Limbikitsani excretion ya ayironi ndi sodium ions, zomwe zimabweretsa kutsitsika kwa magazi.
- Central alpha-stimulants - Methyldofa, Dopegit, Clonidine, Hemiton, Physiotens, Clofelin. Ntchito yotsutsa ya ndondomeko ya mitsempha yachisoni imathetsedwa, koma kugona ndi kufooka zimawonekera. Kafukufuku wam'tsogolo wasonyeza kuti kugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yayitali kungakhale matenda a Alzheimer's provoker.
- ACE inhibitors - Renitek, Enam, Lizinopril, Kaptopres, Amripil, Captopril, Tritace, Enalapril, Enap. Kuchepetsa kuchuluka kwa angiotensin 2, amadziwika mofatsa komanso mosalekerera.
- Sartany - Lozal, Mikardis, Valsakor, Cardosal, Wokonda. Iwo amachita mofananamo ndi mankhwala a gulu lapitalo, pafupifupi samakhudza momwe mtima umagwirira ntchito.
Mapiritsi apansi
Zizindikiro zomwe zili m'munsimu zikufunikanso kuwongolera, chifukwa ntchitoyi imatanthawuza kusintha kayendedwe ka zombo zonyansa. Ma tableti owonjezereka amagawidwa m'magulu otsatirawa:
- glycoside ya mtima - Digoxin, Celanide, Strophantine;
- adrenomimetics - Norepinephrine, Gutron, Metazone;
- sympathomimetics - ephedrine.
Mapiritsi ochokera kupsinjika popanda zopweteka
Mankhwala ambiri amathandiza kwambiri thupi, osati kungochotsa vutoli, komanso kupweteka machitidwe ena. Mankhwala osokoneza bongo popanda kuvulaza mankhwala amadziwikabe, ngakhale kudya kosalamulirika kwa mankhwala osokoneza bongo kungakhale kovulaza. Kukula kwa mapiritsi okhala ndi mwayi wochepa wa zotsatira zosayembekezereka ndikuchitika nthawi zonse, mankhwala amakono okonza ndondomekoyi ndi otetezeka kwambiri.
Mankhwala Ochokera ku New Generation Pressure - List
Njira zamakono kwambiri:
- Indapamide - diuretic, imachotsa sodium ions, imachepetsa kupanikizika, panthawi yoyamba ya matenda oopsa kwambiri amagwiritsidwa ntchito mu monotherapy, kenakake imathandizidwa ndi mankhwala ena kuntchito.
- Hydrochlorothiazite - zomwe zimachitika ndizofanana ndi mankhwala oyamba.
- Ramipril - ACE inhibitor, yogwiritsidwa ntchito pochizira matenda, mtima wa mtima ndi kulephera kwa mtima, amachepetsa mpata wa matenda a mtima m'magulu a shuga.
- Perindopril - amaletsa kupanga angiotensin 2, ali ndi vasodilator ndi diuretic effect, amachepetsa kuthamanga kwa magazi.
- Bisoprolol - beta-adrenoblocker, imachepetsa kuthamanga kwa mtima ndi mtima wothandizira, imaperekedwa kuchiza matenda oopsa.
- Carvedipol ndi beta blocker , amachita mofanana ndi mapiritsi apitalo motsutsana ndi kukakamiza ndi kuchepetsa mitsempha.
- Felodipine - njira yotsekemera ya calcium, imachepetsanso mitsempha, imachepetsa mphamvu ndi mtima wamtima, imachepetsa chiopsezo cha matenda a stroke, matenda a mtima ndi impso.
Kodi mungasinthe bwanji vuto popanda mankhwala?
Malingaliro a momwe mungasinthire kukakamizidwa adzakhala ogwira ntchito panthawi yoyamba ndikuthandizira pa vuto losanyalanyazidwa ngati njira zina. Pamene kutaya mtima kuli kofunika:
- kugona maola 8-9 tsiku, ngati n'kotheka, kugona kwa usana;
- maonekedwe a thupi - masewera, masewera olimbitsa thupi;
- kudya;
- Sintchito yovuta ndi yosiyana;
- kuchoka pang'onopang'ono kuchoka pa kama ndi kuwonetsera pang'ono pamalo opamwamba.
Zotsatira izi ndizoyenera kwa odwala matenda oopsa:
- kuperewera kolemetsa ndi kuwonjezera;
- kuchepa kwa tebulo mchere, shuga, khofi, mankhwala osuta, zakudya zamtundu ndi zakudya zowonongeka mu zakudya;
- kuphatikiza pa menyu kabichi, nsomba, nthochi, adyo ndi zoumba;
- kuyenda nthawi zonse kunja;
- ntchito zakuthupi zomwe adokotala amavomereza.