Ọganihu ọbara na-arịwanye elu (BP) na 220/120 mm. gt; Art. na n'elu a na-akpọ hypertensive nsogbu. Ọ bụ ihe mberede na chọrọ nlekọta ahụike ozugbo. Ọtụtụ mgbe, ọgba aghara na - eme mmadụ hypertensive - ndị nwere ọbara mgbali elu dị elu.
Enyemaka mbụ
Dika ihe omimi nke mmepe nke ihe mgbaàmà di iche iche, ekewaputa nsogbu a n'ime uzo abuo:
- Ọ na - eto ngwa ngwa (maka awa 3 ruo 4), nke a na - ebuli na systolic (elu) nsogbu na mgbaàmà vegetative: overexcitation na ụjọ, sweating, tremors, tachycardia, ihe mgbu na nape, acha ọbara ọbara nke anụ ahụ, ọgbụgbọ, mkpuchi, "ijiji" n'ihu anya, nrụgide n'ime ụlọ nsọ.
- Ọ na-amalite nke nta nke nta (ọtụtụ ụbọchị) na, dị ka a na-achị, na ndị ọrịa hypertensive nwere "ahụmahụ". Ọ dị iche site na ịwụ elu na nrụrụ diastolic (ala). Onye ọrịa ahụ na-ata ahụhụ site na isi ọwụwa, ọ na-adị umengwụ na ike gwụrụ.
Ọgwụgwọ nke nsogbu hypertensive kwesịrị ịmalite site n'enyemaka enyemaka mbụ:
- Dịrị onye ọrịa ahụ.
- Nwee mmetụta uche, ọ bụghị naanị udo anụ ahụ.
- Tinye ntu oyi n'azụ isi iji belata ihe mgbu.
- Na-etinye azụ azụ na caviar mọstad.
Ọ bụrụ na ụlọ ọgwụ ahụ nwere ọgwụ mgbochi (ịdata ọbara mgbali), ọ ga-ewe ozugbo. Ma ọ bụghị, ha na-eche maka dọkịta. Ndị ọrụ mberede na-agbanyekarị ma tinye ndụmọdụ maka nlekọta onye ọrịa.
N'ọnọdụ ndị siri ike, a ga-agwọ ọrịa hypertensive na ụlọ ọgwụ - nke a kwesịrị ekwesị na nke a na-akpọ. ụdị mgbagwoju anya, nke na-esonyere ọrịa strok, edema pulmonary, ọbara ọgbụgba, ọrịa ọdịda aka ekpe, eclampsia, nnukwu nchịkwa myocardial na ọnọdụ ndị ọzọ siri ike kpatara mmeri nke akụkụ ahụ (akụrụ, obi, ụbụrụ) n'okpuru mmetụta nke ọbara mgbali elu. Mgbe nsogbu hypertensive, nke mere maka oge mbụ ná ndụ m, a na-eji ọgwụgwọ eme ihe n'ụlọ ọgwụ.
Ụdị a na-agba mgbagwoju anya na-egosi ọnọdụ dị iche iche nke anụ ahụ a na-atụ anya, mgbe ahụ, usoro nke usoro ọgwụgwọ hypertensive nke oge a bụ nanị iji belata ọbara mgbali site na ọgwụ.
Ọgwụgwọ nsogbu nsogbu hypertensive siri ike
Iji belata ọbara mgbali na mgbagwoju anya, a na - eji ọgwụ ọjọọ eme ihe:
- Clonidine - mbadamba ma ọ bụ mmiri ọgwụ;
- Nifedipine - mbadamba n'okpuru ire; mgbe nchapu nke ngụgụ na obi obi na-eji nlezianya;
- nitroprusside sodium - injected drip, ma ọ bụrụ na nsogbu na-esote renal ọdịda , exfoliating aneurysm nke aorta, hypertensive encephalopathy;
- Captopril - mbadamba n'okpuru ire (na stenosis nke akwara akwara, akụrụ mgbasa nwere ike sie ike);
- Dọrọ ma ọ bụ injections nke labetalol; dị mkpa maka nkwụsị aka na encephalopathy;
- Fentolamine - a na-etinye ya n'ụzọ na-emetụta ya na ọgwụgwọ hypertensive, nke mere megide ndabere nke pheochromocytoma;
- Enalapril - infusions infusions (injections) na dilution glucose; ọgwụ ọjọọ ahụ kwesịrị ekwesị maka iwepụ ọrịa obi na-arịa ọrịa obi, ọrịa ihu, ọrịa obi na-adịghị ala ala.
A na-eme ọgwụ na nlekọta nke dọkịta, a gosipụtara onye ọrịa ahụ akwa ụra zuru ezu.
Ọgwụgwọ nke nsogbu nsogbu hypertensive
N'okwu a na-enweghị mgbagwoju anya, a na-edozi nchịkwa ọnụ (site na ọnụ) nke ọgwụ maka ọgwụgwọ ọrịa hypertensive, maọbụ ọ bụrụ na achọrọ injections intramuscular maka mmetụ ngwa ngwa.
Ọgwụ kacha mma bụ Captopril, Clopheline (clonidine), Nifedipine.
Ncheta! Mbelata ọbara mgbali elu kwesịrị ịdị mma - 10 mm Hg. Art. kwa awa. Ọ bụrụ na tonometer na-enye ọnụ ọgụgụ buru ibu, ekwesịghị ịla azụ ịkpọ ụgbọ ala. Ma ọ dị mkpa ịga ụlọ ọgwụ, naanị dọkịta na-achọpụta!