Matenda oopsa kwambiri

Kuchuluka kwakukulu kwa magazi (BP) kufika 220/120 mm. gt; Art. ndipo pamwambapa amatchedwa mavuto oopsa kwambiri. Ndizidzidzidzi ndipo zimafuna chithandizo chamankhwala mwamsanga. Kawirikawiri vuto limakhalapo mwa anthu omwe ali ndi matenda oopsa - anthu omwe ali ndi vuto loponderezeka kwambiri la magazi.

Choyamba Chothandizira

Malinga ndi mphamvu za kukula kwa zizindikiro, vutoli limagawidwa m'magulu awiri:

1. Amakula mofulumira (kwa maola 3 mpaka 4), omwe amadziwika ndi kuthamanga kwa systolic (kumtunda) ndi zizindikiro za vegetative: kuthamangitsidwa ndi mantha, kutukuta, kutentha, tachycardia, kupwetekedwa mu nape, khungu lofiira, khungu, ntchentche, kunyezimira "ntchentche" kupanikizika m'kachisi.
2. Amayamba pang'onopang'ono (masiku angapo) ndipo, monga lamulo, odwala matenda oopsa omwe ali ndi "chidziwitso". Zimasiyanasiyana ndi kudumpha m'magulu a diastolic (m'munsi). Wodwala akudwala mutu, amamva kuti ali wolefuka komanso wotopa.

Chithandizo cha matenda oopsa kwambiri chiyenera kuyamba ndi kupereka thandizo loyamba:

1. Ikani wodwalayo.
2. Perekani maganizo, osati kungokhala mwamtendere.
3. Ikani kuzizira kumbuyo kwa mutu kuti muthetse kupweteka.
4. Kuvala kumbuyo ndi caviar mpiru plaster.

Ngati mankhwala a kabati ali ndi hypotensive (kuchepetsa kuthamanga kwa magazi), ayenera kutengedwa mwamsanga. Apo ayi, iwo amadikirira dokotala. Ogwira ntchito zozizira nthawi zambiri amalowerera ndi kusiya malangizo kuti azisamalira wodwalayo.

Pa milandu yoopsa, vuto la hypertensive ndiloyenera kuchiritsidwa kuchipatala - izi ndi zoyenera ndi zomwe zimatchedwa. mawonekedwe ovuta, pamodzi ndi stroke, pulmonary edema, kuchepa kwa mpweya, kusalidwa kwa ventricular, eclampsia, matenda oopsa a myocardial ndi zinthu zina zofulumizitsa zomwe zimapweteka chifukwa cha kugonjetsedwa kwa ziwalo zolinga (impso, mtima, ubongo) mothandizidwa ndi kuthamanga kwa magazi. Pambuyo pa vuto lalikulu la matenda oopsa, limene lachitika kwa nthawi yoyamba m'moyo wanga, mankhwalawa akugwiritsidwa ntchito kuchipatala.

Maonekedwe osamvetsetseka amadziwika ndi ziwalo zowonongeka, ndipo momwemo mankhwala omwe amachititsa matendawa ndi kuchepetsa kuthamanga kwa magazi ndi mankhwala am'kamwa.

Kuchiza kwa mavuto ovuta kwambiri oopsa

Pochepetsa matenda a magazi ndi mavuto ovuta, mankhwalawa akugwiritsidwa ntchito:

• Clonidine - mapiritsi kapena droppers;
• Nifedipine - mapiritsi pansi pa lilime; pamene kutupa kwa mapapo ndi kulephera kwa mtima kusamala;
• nitroprusside sodium - injected drip, ngati vuto limaphatikizapo kusalimba kwa nsomba, kutaya mtima kwa anorta, matenda oopsa a hypertensive;
• Captopril - mapiritsi pansi pa lilime (ndi stenosis ya mitsempha yamphongo, kuyamwa kwa impso kungakhale kovuta);
• Matope kapena jekeseni wa labetalol; ndizofunika kuti munthu asagwire ntchito molakwika komanso kuti asagwirizane ndi vutoli.
• Fentolamine - imayendetsedwa mwachangu pochiza matenda oopsa kwambiri, omwe amachitika motsutsana ndi tsamba la pheochromocytoma;
• Enalapril - intravenous infusions (jakisoni) ndi kuchepetsa shuga; mankhwalawa ndi oyenera kuwonjezereka kwa matenda a mtima, kuperewera kwa ubongo, kuperewera kwa mtima.

Mankhwalawa amachitidwa poyang'aniridwa ndi dokotala, wodwala amasonyezedwa kupuma kolimba.

Kuchiza kwa mavuto osaneneka oopsa

Mu mawonekedwe osamvetsetseka, maulamuliro a pamlomo (kudzera pakamwa) mankhwala osokoneza bongo amachitidwa, kapena ngati jekeseni ya m'mimba imayenera kufulumira.

Mankhwala abwino kwambiri ndi Captopril, Clopheline (clonidine), Nifedipine.

Chikumbutso! Kuchepetsa mlingo wa kuthamanga kwa magazi kuyenera kukhala bwino - 10 mm Hg. Art. pa ora. Ngati tonometer ikupereka chiwerengero chachikulu, musamazengereze kuyitana ambulansi. Kaya ndiyenera kupita kuchipatala, ndiye adokotala yekha amene amadziwitsa!