Kupsinjika kwa magazi: m'badwo wabwinobwino, tebulo
Kuwona kuthamanga kwa magazi kwa anthu omwe ali ndi zaka zopitilira 45-50 ndiye kiyi ya moyo wautali, wathanzi komanso kuyankha mwachangu kwa ma pathologies ambiri. Kodi ziyenera kutengera zaka ziti, ndizovomerezeka ziti ku Russia ndi kunja?
Kuwerenga kwa magazi (BP) ndikofunikira, zimawonetsa kugwira ntchito bwino kwa mtima ndi mitsempha yamagazi, zolephera zomwe zimakhudza moyo wa thupi lonse. Ngati pali zopatuka ndikukula kwa chizindikirocho sikunasungidwe, ndiye kuti izi zikuwonetsa kuthekera kwa ma pathologies akulu. Kupatuka kwathanzi labwinobwino nthawi zambiri kumapezeka mwa akulu, chifukwa zimayambitsidwa ndi matenda ndi mavuto ena amthupi omwe amapezeka ndi zaka.
Kodi kuthamanga kwa magazi ndi chiani?
Monga mukudziwa, magazi okhala ndi zinthu zina amayenda m'mitsempha ndi ziwiya za m'thupi la munthu. Chifukwa chake, njira yake imalumikizidwa ndi makina kumakoma. Tiyeneranso kudziwa kuti magazi samangotuluka, koma amayendetsedwa mwadala mothandizidwa ndi minyewa yamtima, yomwe imakulitsa zotsatira zamakoma a mtima.
Mtima "umagunda" osati nthawi zonse, koma umawombera anthu onsechifukwa chomwe kumatuluka gawo latsopano la magazi. Chifukwa chake, mphamvu yamadzimadzi pamakoma imakhala ndi zisonyezo ziwiri. Loyamba ndi kupanikizika komwe kumachitika panthawi yovunda, ndipo lachiwiri ndi pakati pa kupanikizana panthawi yopumira. Kuphatikizidwa kwa zizindikiro ziwiri izi ndikupanga kuthamanga kwa magazi komweko. Pazifukwa zamankhwala, mtengo wapamwamba wa kuthamanga kwa magazi umatchedwa systolic, ndi m'munsi diastolic.
Pakuyeza, njira yapadera idapangidwa yomwe imalola kuti miyeso ipangidwe popanda kuwononga chombo, mwachangu komanso mosavuta. Izi zimachitika mothandizidwa ndi phonendoscope ndi chimbudzi cha mpweya, chovalidwa pamalo pamwamba pa chopondera, pomwe mpweya umawumiriza. Mwa kukulitsa kupanikizika mu pilo, dokotalayo akumvera kumenyedwa mu mtsempha wa m'munsi. Mphepoyi ikangotha, izi zimatanthawuza kupanikizika kofanana mu pilo ndi mitsempha yamagazi - malire apamwamba. Kenako mpweya umachoka pang'onopang'ono ndipo, nthawi inayake, kuwomberanso kumawonekeranso - ichi ndi chizindikiro cha malire apansi. Miyezo yokhudzana ndi ma arterial, komanso kuthamanga kwa zinthu zakuthambo, zimayezedwa m'mamilimita a Mercury.
Kodi magazi ndi abwinobwino?
Pakati pa madokotala, palibe malingaliro osasiyanasiyananso pa kuchuluka kwa magazi abwinobwino mwa akulu. Classical 120/80 imatengedwa ngati muyezo, koma zotengera mu akulu wazaka 25 ndi chinthu chimodzi, anthu okalamba ali ndi chinthu china, ndipo mitundu yonse yamakhalidwe azikhalidwe imathandizanso. Kusiyana powerengedwa kwa magawo a amuna ndi akazi ndi ochepa. Ndikofunikanso kuzindikira kuti kuthamanga kwa magazi kuyenera kuyesedwa modekha, atakhala pansi, ndipo ndikofunikira kuchita magawo awiri osiyanako ndi kotala la ola limodzi. Mwakukwanira, timapereka matebulo kuchokera kumagulu osiyanasiyana omwe akuwonetsa zomwe zimachitika kwa akulu pobadwa.
Chikhalidwe cha kuthamanga kwa magazi pofika zaka
Zizindikiro za kuthamanga kwa magazi zimazindikira mphamvu yomwe magazi amathandizira pazitseko zamitsempha yamagazi.
Kukula kwa magazi kumatengera ntchito ya minofu ya mtima. Chifukwa chake, mulingo wa kupanikizika umayesedwa ndi zizindikiro ziwiri zomwe zimawonetsera mphindi ya kukhudzika kwa minofu yamtima - kukakamiza kwa systolic kapena kukwera ndi diastoli kapena kutsikira.
Mtengo wa diastolic umawonetsa kuchuluka kwa kukana komwe mitsempha imayendera chifukwa cha kunjenjemera kwa magazi ndi kupindika kwakukulu kwa minofu yamtima.
Miyezo ya Systolic imawonetsa kuperewera kwamitsempha yamagalasi pakukhumudwa kwa minofu ya mtima.
Kusiyana pakati pa zizindikirozi kumatchedwa kupanikizika kwa pulse. Mtengo wa kupanikizika kwa mapapu ukhoza kukhala kuchokera 30 mpaka 50 mm Hg. ndipo zimasiyana, kutengera zaka ndi momwe wodwalayo alili.
Mlingo wa kupanikizika ndi ma pulse ndizofunikira kwambiri zomwe zimatsimikizira thanzi la munthu. Komabe, kusintha kwa kusintha kwamkati sikuwonetsa kutembenuka kwakukulu.
Chifukwa chake, kuchuluka kwa kuthamanga kwa magazi kumatsimikiziridwa ndi gawo la kayendedwe ka mtima, ndipo magawo a magawo ake angagwiritsidwe ntchito kuweruza mkhalidwe wazofunikira mthupi la munthu - kuzungulira, kudziyimira palokha ndi endocrine.
Zinthu zoyambitsa
Kupsinjika kwa 120/80 mm Hg nthawi zambiri kumawoneka ngati kwabwinobwino. Koma, ngakhale izi, zizindikiro zotsatirazi zimawerengedwa kuti ndizoyenera kugwira ntchito kwathunthu kwa thupi - kupanikizika kwa systolic kuyambira 91 mpaka 130 mm Hg, diastolic kuchokera pa 61 mpaka 89 mm Hg.
Izi zimachitika chifukwa cha kuthupi kwa munthu aliyense, komanso zaka zake. Mlingo wopsinjika ndi lingaliro laumwini, ndipo ungakhale wosiyana ngakhale mwa anthu athanzi labwino.
Kuphatikiza apo, pali zinthu zambiri zomwe zimayambitsa kusintha kwa kupanikizika, ngakhale palibe ma pathologies. Thupi la munthu wathanzi limatha kudziyimira pawokha mozungulira kuthamanga kwa magazi ndikusintha, ngati pakufunika.
Mwachitsanzo, zochitika zilizonse zolimbitsa thupi zimafuna kuthamanga kwa magazi kuti zithetse minofu yomwe imapereka kayendedwe. Chifukwa chake, panthawi yamagalimoto amunthu, kupsinjika kwake kumatha kuwuka ndi 20 mm Hg. Ndipo izi zimatengedwa ngati chizolowezi.
Kusintha kwazowonetsa magazi kumatheka chifukwa cha zinthu monga:
- kupsinjika
- kugwiritsa ntchito zakudya zolimbikitsa, kuphatikizapo khofi ndi tiyi,
- nthawi yatsiku
- zovuta zakumaso ndi kutaya mtima,
- kumwa mankhwala
- zaka
Kupatuka kwa mibadwo yamapanikizidwe ndi zotsatira za kudalira kwakuthupi kwa munthu.
Popita nthawi yonse ya moyo, kusintha kumachitika mthupi lomwe limakhudza kuchuluka kwa kuchuluka kwa magazi komwe kumakwezedwa ndi mtima kudzera m'mitsempha. Chifukwa chake, zizindikiritso zomwe zimazindikira kuthamanga kwa magazi pazaka zosiyanasiyana ndizosiyana.
Zifukwa zakukula
Matenda oopsa a magazi kapena matenda oopsa ndi matenda osachiritsika omwe magazi amawonedwa tsiku lililonse, mosasamala kanthu za momwe akumvera. Pali mitundu iwiri yamatenda: matenda oyamba ndi owopsa.
Hypertension yapamwamba ndi kuthamanga kwa magazi komwe kumapezeka mu 85-90% ya anthu omwe ali ndi vuto loyenda magazi. Amakhulupirira kuti chitukuko cha matenda oopsa chimalimbikitsidwa ndi zinthu monga izi:
- zaka (pambuyo pa zaka 40, pafupifupi paramu amawonjezeka ndi 3 mm Hg pachaka),
- cholowa
- zizolowezi zoipa (kusuta fodya ndi mowa kumayambitsa kupindika kwamitsempha, kuchepa kwa kukhazikika kwa makoma am'mitsempha ndikuwonjezera mwayi wokhala ndi stroke),
- kuperewera kwa zakudya m'thupi (makamaka kugwiritsa ntchito khansa, mchere, ndi zakudya zamafuta omwe amaphatikizidwa),
- kunenepa kwambiri (ngati kuchuluka kwa mafuta m'thupi ndi kupitirira 25, ndiye kuti pamakhala chiwopsezo chokulitsa matenda oopsa),
- kuchepa thupi zolimbitsa thupi (kusowa masewera olimbitsa thupi pafupipafupi kumachepetsa kulumikizika kwamphamvu kwa thupi pakukhumudwa komanso kulimbitsa thupi),
- kusowa tulo (mwayi wokhala ndi matenda oopsa oopsa ukachulukitsa ngati mumagona maola osakwana 6 patsiku),
- kukhala ndi chidwi komanso kukhalapo kwanthawi yayitali.
Matenda oopsa a sekondale amapezeka mu 10% ya odwala ndipo ndi chifukwa chakukula kwa matenda wamba. Zomwe zimayambitsa kupanikizika kwachuma kwachiwiri ndi izi:
- matenda a impso kapena aimpso (aakulu glomerulonephritis, aimpso mtsempha wamagazi, michere ya dysplasia),
- matenda a endocrine (pheochromocytoma, hyperparathyroidism, acromegaly, Cushing's syndrome, hyperthyroidism, hypothyroidism),
- kuwonongeka kwa msana kapena ubongo (encephalitis, trauma, etc.).
Nthawi zina, chomwe chimayambitsa matenda oopsa ndi mankhwalawa monga corticosteroids (dexamethosone, prednisone, ndi zina), antidepressants (moclobemide, nialamide), mankhwala osokoneza bongo a anti-yotupa, mankhwala oletsa kubereka (atagwiritsidwa ntchito pambuyo pa zaka 35).
Zizindikiro za kuthamanga kwa magazi zitha kuwoneka kwa nthawi yayitali, pang'onopang'ono zikukulira mtima, impso, ubongo, maso, ndi mitsempha yamagazi. Zizindikiro za matenda oopsa kwambiri m'magawo akuluakulu a matenda:
- mutu
- tinnitus
- chizungulire
- kukomoka kwa mtima (tachycardia),
- "Ntchentche" pamaso,
- dzanzi la zala.
Kuthamanga kwambiri kwa magazi kumatha kupanikizika ndi vuto la kuthamanga kwa magazi - vuto lowopsa pamoyo (makamaka ukalamba), lomwe limayendera limodzi ndi kulumpha lakuthwa mu kukakamiza (kumtunda - kupitirira 160), nseru, kusanza, chizungulire, kutulutsa thukuta komanso kusokoneza mtima.
Momwe mungapewere kupanikizika
Kuchepetsa kupsinjika ndi mankhwala kumagwiritsidwa ntchito pachiwopsezo cha matenda oopsa, monga:
- pamizere yokwera kwambiri (mzere wozungulira wa 110/100 mm mercury),
- kuphatikiza kwa matenda oopsa (130/85) ndi matenda a shuga, kulephera kwaimpso, matenda amitsempha yamagazi.
- ndi zolimbitsa zowonetsa (140/90) kuphatikiza ndi matenda a m'mimba, mtima wamagazi (kuthamanga kwa cholesterol, kunenepa kwambiri pamimba, kuchuluka kwa creatinine m'magazi, atherosulinosis, etc.).
Kuti muchepetse kupanikizika, magulu angapo a antihypertensive mankhwala amagwiritsidwa ntchito omwe amakhudzanso mtima dongosolo, lomwe ndi:
- okodzetsa (madicretics),
- calcium blockers,
- alpha adrenergic blockers,
- beta blockers,
- mankhwala ogwiritsa ntchito renin-angiotensin dongosolo,
- mankhwala omwe amakhudza ubongo wamkati,
- mankhwala a neurotropic.
Mankhwala ochizira matenda oopsa amalembedwa molingana ndi kuchuluka kwa matendawa, concomitant pathologies, kulemera kwake ndi zizindikiro zina, etc.
Ngati kuchuluka kwa kupsinjika kumayendera limodzi ndi zizolowezi komanso kudwala, ndiye kuti mutha kuchepetsa zomwe zikugwiritsidwa ntchito pogwiritsa ntchito njira zosavuta:
- pumulani ndikupumula kwa mphindi 15-20,
- khalani ndi masewera olimbitsa thupi kupuma (ziyenera kuphatikizidwa ndi kuchuluka kwa 3 ndikuthiridwa ndi 6, pomwe pakupuma kwakanthawi, dongosolo lamitsempha yamaukwati limatsitsimuka, lomwe limapangitsa kuchepa kwa mavuto ndi kupsinjika),
- tsitsani manja anu m'chiuno kuti mumadzi ozizira kwa mphindi 4-5, chitani zomwezo ndi miyendo,
- ikani compress ndi madzi ozizira ku chithokomiro cha chithokomiro.
- gonani pansi ndikuyika chopukutira pansi pa khosi m'khosi, kenako pukutsani mutu wanu kumanja ndikumanzere kwa mphindi ziwiri.
Popewa kuchuluka kwa nkhawa, m`pofunika kuchepetsa kulemera, kudya moyenera, kuchepetsa mchere ndi mafuta ambiri, kuchita zolimbitsa thupi kwa mphindi zosachepera 30 patsiku.
Zifukwa zakuchepa
Arterial hypotension (hypotension) ndi kuthamanga kwa magazi komwe magawo otsatirawa amawonetsedwa: kwa amuna - pansi pa chizolowezi cha 100/70, ndipo kwa akazi - pansi pa 95/60 mm Hg. Siyanitsani pakati pathupi (zachilengedwe kwa thupi) ndi matenda a m'magazi.
Mkhalidwe wokhathamiritsa thupi umawoneka ngati chizolowezi mwa anthu omwe ali ndi vuto lobadwa nawo, pakati pa okhala m'mapiri komanso pakati pa oimira ena omwe ali ndi masewera olimbitsa thupi kwambiri (ballerinas, othamanga, etc.).
Hypotension monga matenda osachiritsika imachitika chifukwa cha kupangika kwa thupi m'thupi (lotchedwa sekondale hypotension) kapena ngati matenda odziyimira pawokha. Zomwe zimayambitsa matenda osokonekera:
- kupsinjika m'maganizo, kukhala pachiwopsezo,
- asthenic physique,
- hypotonic neurocirculatory dystonia,
- mitral stenosis,
- hypothyroidism
- kuchepa kwazitsulo
- kusowa kwa mavitamini a gulu B.
Zizindikiro za hypotension nthawi zambiri zimasokonezedwa ndi chizindikiro cha kutopa, kupsinjika kwamanjenje ndi kusowa tulo. Kuchepetsa kupsinjika kumawonetsedwa motere:
- kugona, ulesi, ulesi,
- mutu
- kuyang'ana pafupipafupi
- kusowa tulo tulo tofa nato usiku.
Chizolowezi chomangokonda kutulutsa mawu nthawi zambiri chimachitika mwa anthu omwe samazindikira kusintha kwa mlengalenga, komanso amalephera.
Momwe mungakulitsire kupanikizika
Mutha kuwonjezera zisonyezo ndikuthandizira othandizira omwe ali ndi mphamvu yodzutsa thupi. Monga lamulo, ma tinctures a mowa kapena mapiritsi ochokera kuzomera zamankhwala amagwiritsidwa ntchito:
Mankhwala ozikidwa pazomera kuti athetse hypotension amakhala ndi mphamvu ya tonic ndikulimbitsa mitsempha yamagazi. Pankhaniyi, kuthekera kwa mavuto onse obwera chifukwa cha kukwiya kuyenera kuganiziridwa. Kutalika kwa njira ya mankhwalawa zimatengera mikhalidwe ya matenda.
Mankhwala omwe amathandizira poyambitsa kupanikizika amakhala ndi zotsatira zosiyana mthupi ndipo amagawika m'magulu:
- Kukonzekera ndi tiyi kapena khofi
- CNS zolimbikitsa,
- alpha adrenomimetics
- anticholinergics,
- corticosteroids.
Kupsinjika kochepa kumalumikizidwa ndi kuchepa kwa mtima wamatumbo, kotero anthu omwe amakonda kuchita hypotension amafunikira kuchita masewera olimbitsa thupi nthawi zonse, chifukwa kuchita masewera olimbitsa thupi nthawi zonse kumathandizira kuti mtima ukhale m'malo.
Malamulo oyesa kuthamanga kwa magazi
Kukula kopanikizika kunyumba kumachitika ndi njira yausodzi (yokhala ndi mawu) yogwiritsira ntchito makina, a automatic and automatic tonometer:
- Njira yakuyezera kupanikizika ndi chipangizo chamakina ndi kubayirira mpweya mu compuff cuff, pambuyo pake maonekedwe ndi kukula kwa mkokomo wa mtsempha amayang'aniridwa ndi stethoscope.
- Senti-automatic tonometer imaphatikizapo chophimba chapadera chomwe magawo a digito amawonetsedwa, pomwe compuff cuff imadzazidwa ndi mpweya.
- Woyang'anira wamagazi okhazikika safuna kuchitanso zina, popeza jakisoni wa mu mpweya ndi muyeso zimangochitika zokha chipangizocho chitatsegulidwa.
Chomwe chimapangitsa kupsinjika ndi njira yokondweretsa kulembera anthu ochepa, omwe amapita mbali zingapo:
- mawonekedwe a kamvekedwe (kamvekedwe), komwe kumatanthauza kupanikizika kwa systolic,
- kulimbitsa mawu,
- kukulira kwa mawu
- kumveketsa mawu
- kuchepa kwa maboma ochepa - kuchuluka kwa kukakamiza kwa diastolic.
Njira yothandiza kwambiri imavomerezedwa m'mabungwe onse azachipatala ndipo imadziwika ndi kulondola kwakukulu powona njira zoyenera zoyezera.
Malamulo apakati oyezera kuthamanga kwa magazi kunyumba, omwe amayenera kutsatiridwa mosasamala mtundu wa tonometer:
- Pamaso pa njirayi, simungamwe khofi ndi tiyi wamphamvu, mumasuta fodya ndikutsitsa madontho a vasoconstrictor (diso, mphuno).
- Mphindi 5 kuti muyezo usanapume.
- Ndondomeko imachitika mutakhala pansi, pomwe kumbuyo kuyenera kupumula kumbuyo kwa mpando, ndipo miyendo imakhala yaulere kuyimirira.
- Cuff compression imavala pamphumi pamlingo wamtima, pomwe dzanja lopumulirako liyenera kugona pagome, manja.
- Mobwerezabwereza kuyeza kukakamiza pambuyo pa mphindi zitatu kuti mutsimikizire zotsatira. Ngati muyezo wachiwiri wapezeka kusiyana kwa 5 mmHg wapezeka, njirayi iyenera kubwerezedwa.
Kuyeza kwa kuthamanga kwa magazi pogwiritsa ntchito compuff cuff ndi tonometer kumakhala ndi zovuta zingapo zomwe zingayambitse kutsimikiza molondola pazotsatira za njirayi, monga:
- kugwiritsa ntchito tonometer yamagetsi kumafuna maluso,
- kusunthika kwa cuff ndi phonendoscope pa mkono, komanso phokoso lakunyumba kumayambitsa cholakwika,
- Zovala zobayira kumanja zakumaso zimakhudza ntchito,
- Kukhazikitsidwa kwa mutu wa phonendoscope molakwika (osati pamalo okwera kwambiri pamapewa. kumabweretsa zosokoneza pazotsatira.
Ngati magazi abwinobwino azindikiridwa, ndiye pankhani iyi, miyezo imatengedwa nthawi iliyonse masana. Milandu yomwe matenda oopsa kapena oopsa amawonedwa, ndikofunikira kuyang'anira kuthamanga kwa magazi pazotsatirazi:
- kupsinjika kwakuthupi kapena m'maganizo.
- kuwonongeka kwa moyo wabwino,
- m'mawa mutadzuka komanso musanakagone.
- Asanayambe komanso atamwa mankhwalawa omwe amachititsa kuti matenda amtima azigwira bwino ntchito.
Pokonza matenda a mtima, mitsempha yamagazi komanso mtima wofuna kuchita Hypo- kapena matenda oopsa, ndikofunikira kuyeza magawo a magazi tsiku lililonse.
Miyezo ya amuna
Chikhalidwe chakukakamizidwa mwa abambo chimadziwika ndi kuchuluka kwambiri, poyerekeza ndi muyeso wa amayi ndi ana. Ichi ndi chifukwa cha thupi la kugonana kwamphamvu - mafupa olimba ndi minofu amafunikira zakudya zochuluka zoperekedwa ndi magazi. Chifukwa chake, kugunda kwa makoma a zotengera kumawonjezeka.
Kuwonjezeka kwa kupsinjika kwa amuna pazifukwa zachilengedwe ndizotheka, chifukwa cha kusintha kwokhudzana ndi zaka. M'moyo wonse, miyezo ya kukakamiza imasintha, monga momwe mkhalidwe wamtima wamkati. Komabe, kupitiliza mfundo zina kumawoneka ngati chiwopsezo chachikulu pa thanzi pazaka zilizonse.
Nthawi zonse mu akazi
Thanzi la azimayi nthawi zambiri limagwirizanitsidwa ndi kusinthasintha kwachilengedwe m'magulu a mahomoni, omwe sangathe koma kuwonetsa zikakamizo. Chifukwa chake, miyezo kwa akazi imapereka kusintha kwa thupi komwe kumakhala kwakanthawi.
Panthawi yobereka, estrogen ya m'madzi imapangidwa m'thupi la akazi, yomwe imayang'anira kuchuluka kwa mafuta m'magazi. Ma estrogens amaletsa kuchulukana kwa cholesterol ndi mapangidwe omwe amachepetsa lumen ya ziwiya, zomwe zimasunga kuchuluka kwachilengedwe kayendedwe ka magazi.
Ntchito yoberekera ikamaziririka, kuchuluka kwa estrogen m'magazi kumatsika, ndipo chiopsezo chokhala ndi mtima wama cell omwe zimasokoneza chimawonjezeka.
Gulu lamakono
Mankhwala amakono, pali njira zitatu zamavuto omwe munthu angakhale nawo pazovuta zake:
- mulingo woyenera - zosakwana 120/80,
- zabwinobwino - kuyambira 120/80 mpaka 129/84,
- mkulu wabwinobwino - kuchokera pa 130/85 mpaka 139/89 mm RT. Art.
Chilichonse chomwe chimakwanira manambala nchabwinobwino. Malire okha sanatchulidwe. Hypotension ndi mkhalidwe momwe tonometer imaperekera zotsika 90/60. Ndiye chifukwa chake, kutengera mawonekedwe ake, chilichonse pamwamba pamalireyi ndizovomerezeka.
Koma muyenera kumvetsetsa kuti ziwonetserozi osawerengera zaka, kulemera, jenda, matenda, malamulo, ndi zina zambiri. Onani zomwe zakonzedwa pazotsutsana ndi anthu. Koma nthawi yomweyo, mutayang'ana momwe mumayendera, werengani gawo loti "Chifukwa chani kukakamizidwa kumatha kusintha", izi ndizofunikira kumvetsetsa kwathunthu chithunzichi.
Malamulo oyesa kuthamanga kwa magazi
Anthu ambiri amalakwitsa poyesa kukakamiza kwawo, ndipo amatha kuwona kuchuluka kwawamba. Chifukwa chake, ndikofunikira kwambiri kuyeza kukakamizidwa kutsatira malamulo ena. Izi ndizofunikira kupewa kutanthauzira kolakwika kwa deta.
- Mphindi 30 lisanachitike njira yomwe mukufuna, simungathe kusewera masewera kapena kuchita zinthu zina zolimbitsa thupi.
- Kuti mudziwe zowona zowonadi, simuyenera kuchita kafukufuku mukakhala pamavuto.
- Kwa mphindi 30 musasute, musadye chakudya, mowa, khofi.
- Osalankhula panthawi yoyeza.
- Zotsatira zomwe zimapezeka pamanja onse ziyenera kuwunikiridwa. Maziko ndikuwonetsa kwambiri. Adaloleza kusiyana pakati pa zizindikiro pamanja osiyanasiyana a 10 mm RT. Art.
Mndandanda wa miyambo ya kuthamanga kwa magazi ndi zaka
Pakadali pano, miyambo yonse yovomerezeka imagwiritsidwa ntchito ku mibadwo yonse. Komanso pali mitundu yoyenera yamagulu amisinkhu iliyonse. Kupatuka kwa iwo sikuti nthawi zonse kumakhala kuzitsimikizira. Munthu aliyense ali ndi chikhalidwe chake.
Gawo No. 1 - zowonetsa zaukalamba zokha, kuyambira zaka 20 mpaka 80.
Zaka zaka | Mulingo wa kukakamiza |
---|---|
20 – 30 | 117/74 – 121/76 |
30 – 40 | 121/76 – 125/79 |
40 – 50 | 125/79 – 129/82 |
50 – 60 | 129/82 – 133/85 |
60 – 70 | 133/85 – 137/88 |
70 – 80 | 137/88 – 141/91 |
Gome No. 2 - zizindikiro za kuthamanga kwa magazi ndi msinkhu ndi jenda, kuyambira chaka chimodzi mpaka zaka 90.
Zaka zaka | Chikhalidwe chotengera chikakamizo mwa amuna | Chikhalidwe chakukakamiza mwa akazi |
---|---|---|
Mpaka chaka chimodzi | 96/66 | 95/65 |
1 – 10 | 103/69 | 103/70 |
10 – 20 | 123/76 | 116/72 |
20 – 30 | 126/79 | 120/75 |
30 – 40 | 129/81 | 127/80 |
40 – 50 | 135/83 | 137/84 |
50 – 60 | 142/85 | 144/85 |
60 – 70 | 145/82 | 159/85 |
70 – 80 | 147/82 | 157/83 |
80 – 90 | 145/78 | 150/79 |
Zizindikiro pano ndizosiyana ndi zomwe zimatha kuchitika pogwiritsa ntchito njira zowerengera. Mukamawerenga manambala, mutha kuzindikira kuti akamakalamba amawonjezereka. Anthu ochepera zaka 40 amakhala ndi ziwonetsero zambiri mwa amuna. Pambuyo pa chochitika ichi, chithunzicho chimasintha, ndipo kupsinjika pakati pa azimayi kumakulirakulira.
Izi zimachitika chifukwa cha kusintha kwa mahomoni m'thupi la mkazi. Ziwerengero za anthu 50 pambuyo pake ndizofunikira. Iwo ndiwokwera kuposa omwe masiku ano akuti ndi abwinobwino.
Tebulo nambala 3. Anthu ambiri amayeza kuthamanga kwa magazi ndi owunika magazi amakono, komwe, kuphatikiza pazapanikizika, zimachitika zimasonyezedwanso. Chifukwa chake, adaganiza kuti anthu ena adzafunika gome ili.
Tebulo lokhala ndi kugunda kwa mtima pazaka.
Kukakamiza Makonda
Munthu aliyense ndi payekhapayekha ndipo kupsinjika kulinso kwamunthu aliyense. Kukula kwa kutsanulira kumatsimikiziridwa osati ndi zaka zokha, komanso ndi magawo ena: kutalika, kulemera, jenda. Ichi ndichifukwa chake njira zimapangidwira kuwerengera, poganizira zaka ndi kulemera. Amathandizanso kudziwa zomwe munthu angavutike nazo. Monga gawo la nkhaniyi, tikambirana njira ziwiri ndi matebulo awiri awiri okhudzana ndi zaka komanso jenda.
Fomula yoyamba. Fomula ya Volynsky imawerengera nthawi zonse potengera zaka komanso kulemera. Amagwiritsidwa ntchito mwa anthu azaka 17-79 zaka. Payokha, zizindikiro za kukwera (SBP) ndi kutsika (DBP) zimawerengedwa.
GARDEN = 109 + (0.5 * kuchuluka kwa zaka) + (0,1 * kulemera kwa kg.).
DBP = 63 + (0.1 * zaka za moyo) + (0.15 * kulemera mu kg.).
Mwachitsanzo, tiyerekeze zovuta zomwe munthu ali nazo zaka 60 ndi masekeli 70 pogwiritsa ntchito njira ya Volynsky.
GARDEN = 109 + (0,5 * zaka 60) + (0,1 * 70 kg.) = 109 + 30 + 7 = 146
DBP = 63 + (0.1 * zaka 60) + (0.15 * 70 kg.) = 63 + 6 + 10.5 = 79.5
Mulingo wothamanga kwa magazi kwa munthu wazaka zapakati pa 60 ndi wolemera makilogalamu 70 ndi wolingana - 146 / 79.5
Mchitidwe wachiwiri: Mu fomula iyi, njira yamagazi imawerengedwa potengera zaka zokha. Woyenerera wamkulu wazaka 20-80.
GARDEN = 109 + (zaka 0.4 *).
DBP = 67 + (zaka 0.3 *).
Mwachitsanzo, malinga ndi formula iyi, timawerengera zovuta zomwe munthu amakhala nazo wazaka 50.
GARDEN = 109+ (0.4 * zaka 50) = 109 + 20 = 139
GARDEN = 67+ (0.3 * zaka 50) = 67 + 15 = 82
Mulingo wothamanga kwa magazi kwa munthu wazaka 50 ndi - 139/8.
Zomwe kupsinjika kumatha kusintha
Kupsinjika koyenera ndikuti komwe munthu akumva kukhala wamkulu, koma panthawi imodzimodziyo kumagwirizana ndi chizolowezi. Cholowa cham'tsogolo chamankhwala okhudzana ndi matenda oopsa kapena hypotension. Mawonekedwe amatha kusintha masana. Usiku amakhala otsika kuposa masana. Pakudikirira, kupsinjika kumatha kuwonjezera ndi kulimbitsa thupi, kupsinjika. Anthu ophunzitsidwa bwino komanso akatswiri othamanga nthawi zambiri amalemba zomwe sizili zaka zambiri. Mankhwala osokoneza bongo komanso kugwiritsa ntchito zokupatsani mphamvu monga khofi, tiyi wamphamvu amapeza zotsatira za muyeso. Analoleza kusinthasintha m'malo osiyanasiyana 15-25 mm RT. Art.
Ndi zaka, zizindikiritso zimayamba kusintha pang'onopang'ono kuchoka pazabwino kwambiri, kenako ndikukwera pamwamba. Izi ndichifukwa choti kusintha kwina kumachitika mu mtima. Chimodzi mwazinthu izi ndi kuwonjezereka kwa kuuma kwa khoma la mtima chifukwa cha mawonekedwe okhudzana ndi zaka. Chifukwa chake, anthu omwe akhala moyo wawo wonse ndi manambala 90/60 amatha kuwona kuti tonometer idayamba kuwonetsa 120/80. Ndipo izi ndizabwinobwino. Munthu amamva bwino, pamene njira yakuchulukirachulukira ikuyenda mosazindikira, ndipo thupi limayamba kusintha pang'onopang'ono.
Palinso lingaliro la kukakamiza kugwira ntchito. Itha kukhala kuti siyingafanane ndi chizolowezi, koma panthawi imodzimodziyo munthu akumva bwino kuposa, zomwe zimawerengedwa kuti ndizabwino kwa iye. Izi ndi zoona kwa anthu okalamba omwe ali ndi vuto losakanizira matenda oopsa. Kuzindikira kwa matenda oopsa kumakhazikitsidwa ngati kuthamanga kwa magazi ndi 140/90 mm RT. Art. ndi mmwamba. Odwala ambiri okalamba amamva bwino kwambiri poyerekeza ndi 150/80 kuposa pamitengo yotsika.
Muzochitika zotere, simukuyenera kufunafuna njira yomwe mwatsimikiziridwa. Ndi m'badwo, atherosulinosis ya mitsempha yazitsamba imayamba. Kuti muwonetsetsetsetsetsetsetsetsetsa magazi mokwanira, muyenera kukakamiza kwambiri. Kupanda kutero, pali zizindikiro za ischemia: kupweteka mutu, chizungulire, mawonekedwe a nseru, etc.
Vuto lina ndi wachinyamata wodziyerekeza, yemwe adakhalapo moyo wake wonse ndi manambala 95/60. Kukula mwadzidzidzi kwa kupanikizika ngakhale "cosmic" 120/80 mm RT. Art. zimatha kuyipa m'moyo wabwino, monga vuto la matenda oopsa.
Kuphatikiza kwamphamvu kwa malaya oyera. Nthawi yomweyo, adotolo sangadziwe kupsinjika koyenera popeza kudzakhala kwakukulu pa phwando. Ndipo kunyumba, zizindikiro zabwinobwino zimalembedwa. Kuti mudziwe mtundu womwe munthu ali nawo, kungowunikira kunyumba pokha ndi komwe kungathandize.
Pomaliza
Kuwunika zisonyezo za tonometer, dokotala nthawi zonse amayang'ana pamagulu omwe adalandiridwa, ngakhale atakhala kuti ndi wamkulu bwanji. Mlingo womwewo wa kuthamanga kwa magazi uyenera kukumbukiridwa pakawongolera nyumba. Pokhapokha ngati izi zimachitika, thupi limagwira ntchito mokwanira, ziwalo zofunika sizivutika, ndipo chiwopsezo cha mtima ndi kuchepa.
Kusiyana kwake ndi anthu omwe ndi achikulire kapena akuvutika ndi stroko. Pankhaniyi, ndibwino kusungira manambala osaposa 150/80 mm Hg. Art. Nthawi zina, kupatuka kulikonse kuchokera pamitengo kuyenera kukhala chifukwa chopita kwa dokotala. Zomwe zimayambitsa izi ndi matenda omwe amafunikira chithandizo.
Gome la kuthamanga kwa magazi kwa anthu
Monga chitsogozo chodziwira kuchuluka kwa kuthamanga kwa magazi, madokotala amagwiritsa ntchito tebulo la kuthamanga kwa magazi mwa akulu.
M'badwo | wazaka 20 | wazaka 30 | pa 40 | pa 50 | pa 60 | patatha zaka 70 |
Amuna, mwachizolowezi, mmHg | 123/76 | 126/79 | 129/81 | 135/83 | 142/85 | 142/80 |
Amayi, mwachizolowezi, mmHg | 116/72 | 120/75 | 127/80 | 137/84 | 144/85 | 159/85 |
Kupatuka kulikonse mwazomwe zimachitika mwa akulu kumawerengedwa kuti ndi kwam'mbuyomu.
Kuti azindikire kuwonongeka kwaumoyo wake pakapita nthawi, madokotala amalimbikitsa odwala kuti azisunga zolemba, ndikujambulanso zotsatira zake.
Lingaliro la kuthamanga kwa magazi
Mwa BP timatanthawuza mphamvu yomwe magazi amaphatikizidwa ndi mtima "pampu" pamitsempha yamagazi. Kupsinjika kumatengera kuthekera kwa mtima, pa kuchuluka kwa magazi komwe kumatha kupitilira mphindi imodzi.
Chithunzi cha kuchipatala
Kuwerengera kwa Tonometer kumatha kusiyanasiyana pazifukwa zosiyanasiyana:
- Mphamvu ndi pafupipafupi migwirizano, kuchititsa kuyenderera kwamadzi kudzera m'magazi,
- Atherosulinosis: Ngati pali ziwalo zamagazi pazotengera, zimachepetsa lumen ndikupanga zina zowonjezera,
- Kupanga Magazi: machitidwe ena amatha kukhala amodzi payekha, ngati magazi ali ovuta, izi zimangowonjezera kuchuluka kwa magazi,
- Sinthani m'lifupi mwake Zokhudzana ndi kusintha kwam'maganizo pakatipa, nkhawa,
- Kuchuluka kwa zotanuka mtima: Ngati lakhuta, lavala, limasokoneza kutuluka kwamagazi.
- Chithokomiro magwiridwe ake ndi mphamvu ya mahomoni yomwe imayang'anira magawo awa.
Zizindikiro za tonometer zimakhudzidwanso ndi nthawi ya tsiku: usiku, monga lamulo, mfundo zake zimachepa.
Makhalidwe athu, monga mankhwala, khofi kapena tiyi amatha kutsika ndikuchulukitsa magazi.
Aliyense ankamva za kupanikizika kwakanthawi - 120/80 mm Hg. Art. (ziwerengero zotere nthawi zambiri amalemba zaka 20 mpaka 40).
Mpaka zaka 20, kuthamanga kwa magazi pang'ono - 100/70 imatengedwa ngati thupi. Koma chizindikiro ichi ndichofunikira, chifukwa chithunzithunzi ndichofunikira kuganizira nthawi yoyenera yomwe ili ndi malire komanso kutsika kwa chizolowezi.
Kwa chisonyezo choyamba, mutha kupanga masinthidwe pamndandanda wa 101-139, wachiwiri - 59-89. Malire apamwamba (systolic) tonometer panthawi yokhala ndi kuchuluka kwa mtima, otsika - (diastolic) - ndikupumula kwathunthu.
Miyezo yakukakamiza imangotengera zaka, komanso chikhalidwe. Mwa amayi omwe ali ndi zaka zopitilira 40, 140/70 mmHg amatengedwa kuti ndi abwino. Art. Zolakwika zazing'ono sizikhudza thanzi, kuchepa kwakukulu kumatha kutsagana ndi zizindikiro zosasangalatsa.
HELL ili ndi nyengo yake yazaka:
- Zaka 16-20: 100-120 / 70-80,
- Zaka 20-30: 120-126 / 75-80,
- Pofika zaka 50, zipsinjo zambiri za munthu zimafika pa 130/80,
- Pambuyo pa 60, tonometer 135/85 imadziwika kuti ndiyabwinobwino,
- Mchaka cha 70 cha moyo, magawo amawonjezeka mpaka 140/88.
Thupi lathu limatha kuthana ndi magazi: ndi katundu wokwanira, kuchuluka kwa magazi kumawonjezeka, ndipo kuwerenga kwa tonometer kumawonjezeka ndi 20 mm RT. Art.
Zipsinjo ndi kuthamanga kwa mtima ndi zaka: tebulo mwa akulu
Zambiri pa malire a kuthamanga kwa magazi zimaphunziridwa mosavuta pagome. Kuphatikiza pa malire apamwamba komanso otsika, palinso gawo loopsa, lomwe limawonetsa mayendedwe oyipa aumoyo.
Ndi zaka, kuthamanga kwa magazi kumakwera, ndipo kutsika kumangowonjezera hafu yoyamba ya moyo, mutakula, zizindikiro zake zimakhazikika ngakhale kugwa chifukwa chakuchepa kwa kuchepa kwa mtima. Zolakwika mkati mwa 10 mmHg. Art. ma pathologies sagwira ntchito.
Mtundu wamagazi | Mfundo za BP(mmHg) | Ndemanga | |
mphindi | max | ||
Matenda oopsa a 4th century | kuyambira 210 | kuyambira 120 | Zizindikiro za matenda oopsa |
Kuphatikizika kwa zojambulajambula za 3. | 180/110 | 210/120 | |
Kuphatikizika kwa zojambulajambula za 2. | 160/100 | 179/109 | Zizindikiro zowopsa za kuthamanga kwa magazi |
Hypertension 1st Art. | 140/90 | 159/99 | |
Prehypertension | 130/85 | 139/89 | |
Kuthamanga Kwa magazi pang'ono | 90/60 | 129/84 | kuthamanga kwa magazi |
Norma HELL (kwenikweni) | 100/65 | 120/80 | |
Pang'onopang'ono magazi | 90/60 | 99/64 | |
Hypotension yolimbitsa thupi | 70/40 | 89/59 | |
Kutengeka kwakukulu | 50/35 | 69/39 | Zizindikiro zowopsa za kuthamanga kwa magazi |
Hypotension yatchulidwa | Mpaka 50 | Mpaka 35 |
Wokhala ndi vuto la matenda oopsa, wodwala amafunikira kuchipatala mwachangu. Ndi mfundo zoopsa za kuthamanga kwa magazi, muyenera kumwa mankhwala.
Zojambula zamkati mwa akulu
Nthawi zambiri, kugunda kwa mtima mwa munthu wamkulu kumachokera pa 60 mpaka 100 kumenyedwa / mphindi. Machitidwe a metabolic omwe akhazikika kwambiri amakhala ndi zotsatira zabwino. Kupatuka kumawonetsa endocrine kapena mtima pathologies.
Panthawi yodwala, kugunda kwa mtima kumafika pa 120 bpm / min, asanamwalire - mpaka 160.
Mukakalamba, kumenyedwa kumayenera kuunikiridwa pafupipafupi, popeza kusintha kwa pafupipafupi kukhoza kukhala chizindikiro choyamba cha mavuto a mtima.
Kufika kwa mtima kumachepa ndi ukalamba. Zili choncho chifukwa kamvekedwe ka ziwiya za ana ndi kochepa ndipo mtima umagwirizana kwambiri nthawi zambiri kuti athe kunyamula zakudya. Ochita masewera amakhala ndi zolimbitsa thupi mosavutikira, chifukwa mtima wawo umaphunzitsidwa kugwiritsa ntchito mphamvu mwachuma. Kugwiritsidwa ntchito kwachilendo kumawonetsa ma pathologies osiyanasiyana.
- Pafupipafupi phokoso limachitika ndi chithokomiro kukanika: Hyperthyroidism imachulukitsa kugunda kwa mtima, hypothyroidism imachepa,
- Ngati kugunda kwamphamvu m'malo osasunthika kukuchuluka kwazonse, muyenera kuyang'anitsitsa zakudya zanu: mwina thupi lilibe magnesium ndi calcium,
- Kugunda kwa mtima pansi pazomwe kumachitika ndi kuchuluka kwa magnesium ndi pathologies ya mtima ndi mitsempha yamagazi,
- Mankhwala osokoneza bongo amathanso kusintha kusintha kwa mtima,
- Kuthamanga kwa mtima, komanso kuthamanga kwa magazi, kumayendetsedwa ndi katundu wanyumba ndi malingaliro.
Pogona, kugunda kumathandizanso kuti muchepetse, ngati izi sizingachitike, pali chifukwa chowoneka ngati endocrinologist ndi cardiologist.
Powona momwe zimakhalira nthawi, mwayi wopeza vutoli pakukula kwa nthawi. Mwachitsanzo, ngati phokoso limafulumira kudya, kuledzera kwa chakudya ndikotheka. Mphepo zamphamvu zamagetsi mwa anthu omwe amadalira nyengo zimachepetsa kuthamanga kwa magazi. Kuti mubwezeretse, thupi limakulitsa kugunda kwa mtima. Kukoka kwamphamvu kukusonyeza kusintha kwadzidzidzi kwa kuthamanga kwa magazi.
Kupatuka kowopsa kwa kuthamanga kwa magazi
Aliyense akudziwa kuti kuthamanga kwa magazi ndi njira yofunika kwambiri yathanzi, koma kodi kupatuka kuzomwe kumatanthauza kumatanthauza chiyani?
Ngati cholakwacho chimaposa 15 mm RT. Art., Izi zikutanthauza kuti njira za pathological zimayamba mthupi.
Zifukwa zochepetsera kuthamanga kwa magazi zitha kukhala izi:
- Makamaka
- Kugwira ntchito mopitirira muyeso
- Hypocaloric zakudya
- Mikhalidwe yovuta
- Kusintha kwanyengo ndi nyengo.
Hypotension imatha kusiyanitsidwa ndi zododometsa, kufooka mwachangu, kuchepa kwa mgwirizano, kuchepa kwa kukumbukira, kuchuluka thukuta la miyendo ndi manja, myalgia, migraine, kupweteka kwapawiri, komanso chidwi chochulukirapo cha nyengo. Zotsatira zake, kuchuluka kwa ogwira ntchito kumatsitsidwa kwambiri, monganso mkhalidwe wamoyo ambiri. Kuda nkhawa ndi khomo lachiberekero la m'mimba, zilonda zam'mimba, chiwindi, kapamba, cystitis, rheumatism, kuchepa magazi, chifuwa chachikulu, arrhasmia, hypothyroidism, mtima pathologies.
Chithandizo, choyambirira, pakukonzanso: kuwunika magonedwe (maola 9 mpaka 10) ndi kupumula, kuchita masewera olimbitsa thupi mokwanira, kudya zinayi patsiku. Mankhwala ofunikira amatchulidwa ndi dokotala.
Zomwe zimapangitsa kuchuluka kwa kuthamanga kwa magazi ndi:
- Zinthu zoyipa
- Kutopa kwamphamvu
- Zakudya zopanda thanzi
- Kulephera kuchita masewera olimbitsa thupi,
- Kunenepa kwambiri
- Kugwiritsa ntchito molakwika mchere, mowa, kusuta.
Matenda oopsa amatha kusiyanitsidwa ndi kutopa, kugona mokwanira, kupweteka m'mutu (nthawi zambiri kumbuyo kwa mutu), kusasangalala mumtima, kufupika, kuperewera kwa mitsempha. Zotsatira zake - kusokonezeka kwa magazi m'matumbo, aneurysm, neurosis, mtima.
Kupewa komanso chithandizo kuwona zochitika zatsiku ndi tsiku, kusiya zizolowezi zoyipa, kusintha zakudya kuti zichepetse zopatsa mphamvu zake, kuchepetsa mchere ndi zopatsa mphamvu mwachangu.
Zochita zokwanira zolimbitsa thupi (kusambira, kuvina, kuyendetsa njinga, kuyenda mpaka 5 km) ndikofunikira. Njira yoyenera yothandizira mankhwala idzapangidwa ndi dokotala.
Kodi ndizotheka kuchepetsa kuthamanga kwa magazi nokha
Kuchuluka kwa magazi ndi chizindikiro cha nthawi yathu, yomwe achikulire ambiri amadziwa. Choyambitsa vutoli chikhoza kukhala:
- Cholesterol amasindikiza pazitseko zamitsempha yamagazi,
- Mawonekedwe azaka
- Kudziletsa
- Zovuta pantchito ya ziwalo zamkati,
- Zizolowezi zoipa (mowa, kusuta fodya, kudya kwambiri),
- Mbiri yakumaso,
- Kuperewera kwa mahomoni.
Pazizindikiro zoyambirira za matenda oopsa, simuyenera kuyesa mapiritsi, ndibwino kuyamba ndi njira zofatsa, mwachitsanzo, mankhwala azitsamba.
- Hawthorn, makamaka kuphatikiza ndi chiuno cha rose, bwino kubwezeretsa magazi ndi ntchito ya mtima minofu.
- Mwa zina mwa mankhwala otchuka kwambiri a phyto - omwe amateteza magazi kuundana - mizu ya valerian ndi nthombakukhala ndi mphamvu yokopa.
- Otsatira a achire kupumula olimbitsa thupi angakonde machitidwe omwe amachepetsa kufooka komanso kuthamanga (mpaka 160/120) kuthamanga kwa magazi. Pansi limadulidwa kuchokera m'botolo la pulasitiki ndipo limagwiritsidwa ntchito ngati inhaler: muyenera kupumira kuchokera kumbali yayikulu, ndipo mpweya umayenera kutuluka m'khosi (khungwali ndi lotseguka).
- Pulumutsani masautso a minyewa yakhosi ntchito zapadera za khomo lachiberekero. Zovuta zimatenga mphindi 10.
- Mukatha mphindi 3-5 mungathe kugwiritsa ntchito kudzikongoletsa kwamakutu, kugwada ndikusisita khutu ndi auricle (mwachidziwikire, osati m'malo omwe kupanikizika kuli pansi pa 200).
- Kusamba kosangalatsa (ndi kutentha kwa thupi la munthu) ndi mchere (mpaka supuni 10) zimapumula, zimathandiza kugona tulo mwachangu. Tengani mphindi 10-15.
- Yendani mwachangu mkati 20-30 mphindi amathandizira ngakhale kupanikizika pambuyo nkhawa.
- Odwala omwe ali ndi vuto lotenga magazi amapindula ndi kuwotchera dzuwa. M'mayiko otentha pali odwala ochepa kwambiri kuposa omwe ali kumpoto. Patsiku lotentha muyenera kukhala panja nthawi zambiri.
- Kutsika kwamphamvu kwa kuthamanga kwa magazi kumatha kutsimikizira mkaka ndi masamba.
- Chabwino, ndipo ndani sanganenso opanda mapiritsi (ngati kupanikizika kumakula kwambiri) mankhwala a ambulansi: nifedipine (corinfar), physiotens, capoten (Captopril), bisoprolol ndi magulu ena a mankhwala omwe adokotala adawalimbikitsa.
Zachidziwikire, si malingaliro onse omwe ali oyenera pachilichonse, koma ndibwino kuyesa ngati zopatuka sizili zofunikira kwambiri. Kuthamanga kwa magazi pankhaniyi kuyenera kumayezedwa kawiri: isanachitike kapena itatha njirayi.
Ndingakweze bwanji magazi kunyumba
Zomwe zimawakakamiza zimawoneka ngati zabwinobwino, ndipo Kodi chingapangitse kuti magazi achepetse bwanji?
- Kutsika kwakukulu kwa ndende yamagazi,
- Dontho la hemoglobin m'magazi,
- Kugona kwambiri kapena mtundu wina wa ntchito,
- Mavuto amumbo, chakudya chamagaya,
- Kusintha kwa nyengo nyengo ndi nyengo,
- Matenda a chithokomiro
- Masiku ovuta ndi nthawi yokonzekera,
- Zakudya za Hypocaloric.
Ngati magazi atachepa kwambiri, ndikofunikira kuti muchepetse zakudya, musiyanitse zakudya ndi nyama ndi nsomba, tchizi cholimba ndi zinthu zina zamafuta kwambiri.
Zosiyanasiyana zosiyanasiyana ndi zipatso zouma ndizothandiza - tsabola, ginger, mphesa zamphesa, nkhuyu
Kodi tiyi ndi khofi zimakhudza kupsinjika?
Pankhani yamavuto akumwa tiyi wakuda kapena ozizira wakuda, madokotala amasiyana. Ena samalimbikitsa kuti odwala omwe ali ndi matenda oopsa chifukwa cha kuchuluka kwa khofi, ena amakhulupirira kuti chakumwachi chimayamwa ndimitsempha yamagazi ndikuchepetsa kuthamanga kwa magazi. Chofunika kwambiri pamenepa ndi tiyi wobiriwira, kukhala ndi mphamvu yotha kusintha zovuta zilizonse pogwiritsa ntchito nthawi zonse komanso moyenera.
Kofi yachilengedwe imawonjezera kuthamanga kwa magazi kwa odwala omwe ali ndi vuto lalikulu. Sangawonjezere kuchuluka kwa odwala oopsa, koma sayenera kumwa mowa mopitirira muyeso.
Ambiri, mwina, akudziwa zotsatira za kuyesayesa kwa asayansi aku France, kupatsa ana awiri amapasa omwe amakhala m'ndende moyo wawo wonse kuti amwe tiyi tsiku lililonse, komanso khofi kwa mnzake kuti adziwe kuti ndi ndani mwa abale omwe akhala nthawi yayitali. Akaidiwo adapulumuka asayansi onse omwe amatenga nawo mbali pa kafukufukuyu ndipo anamwalira ali ndi zaka zopitilira 80 ndi kusiyana kopanda tanthauzo.
Kupewera kupatuka mu magazi
Njira yapamwamba yochepetsera kuthamanga kwa magazi ndi akuyandamawodwalayo akaikidwa m'chipinda chosindikizidwa chapadera. Pansi pa kapisozi kamadzaza madzi amchere ofunda. Wodwalayo amapatsidwa zofunikira kuti athe kunyalanyaza, kuthetsa kupezeka kwazidziwitso zilizonse - kuunika, kumveka, ndi zina zambiri.
Okhulupirira nyenyezi anali oyamba kuyesa njira imeneyi. Ndikokwanira kulowa njirayi kamodzi pamwezi. Chabwino, chabwino Kufikika kwambiri komanso kosafunikira kwenikweni ndikoyesa kwa magazi.
Kuthekera ndi chizolowezi chogwiritsa ntchito tonometer ndikupewa wabwino kwambiri kupewa matenda ambiri. Ndikofunika kusunga buku, komwe mumanenanso zambiri zowunikira kuthamanga kwa magazi.
Mutha kugwiritsa ntchito malingaliro osavuta koma ogwira mtima:
- Buku lowunikira magazi limatsimikizira kupezeka kwa maluso enaake, aliyense angathe kugwiritsa ntchito mtundu wokha popanda mavuto.
- Kuthamanga kwa magazi kuyenera kuwonedwa m'malo abata, popeza katundu aliyense (minofu kapena kutengeka) akhoza kuwukonza kwambiri. Fodya wosuta fodya kapena chakudya chamasana chopatsa thanzi amasokoneza zotsatira zake.
- Kuyerekeza kuthamanga kwa magazi kuyenera kukhala, ndikuthandizira kumbuyo.
- Dzanja lomwe magazi amayang'aniridwa limayikidwa pamlingo wa mtima, kotero ndikofunikira kuti likhale patebulo.
- Nthawi yamapulogalamuyi, muyenera kukhala chete komanso chete.
- Pakuwona bwino kwa chithunzichi, amawerengedwa amatengedwa kuchokera m'manja awiri ndikupumira kwa mphindi 10.
- Zovuta zazikulu zimafuna chisamaliro chamankhwala. Pambuyo pa mayeso owonjezereka, adokotala angasankhe momwe angapangire vutoli.
Kodi mtima umatha kupopera magazi okwanira? Ndi m'badwo, magazi amakula, kapangidwe kake kamasintha. Mwazi wochepa thupi umayenda pang'onopang'ono kudzera m'matumbo. Zomwe zimayambitsa kusinthaku zimatha kukhala zovuta za autoimmune kapena matenda ashuga. Ma venessels amataya kuchepa kwawo chifukwa cha kuperewera kwa zakudya, kuchuluka kwa thupi, atatha kugwiritsa ntchito mankhwala ena.
Imasokoneza chithunzicho ndi kuchuluka kwa cholesterol "yoyipa" m'magazi. Mahormoni kapena kugwira ntchito molakwika kwa endocrine gonia mwadzidzidzi amasintha lumen.
Gawo lalikulu la zomwe zimayambitsa kuthothoka kwa magazi zitha kuthetsedwa nokha.
Kuthamanga kwa magazi kwachilendo - chitsimikizo cha kugwira mtima kwambiri kwa minofu ya mtima, ma endocrine ndi machitidwe amanjenje, mkhalidwe wabwino wamitsempha yamagazi. Yang'anani kuthamanga kwanu kwa magazi pafupipafupi ndipo khalani wathanzi!
Fotokozani
Matenda a mtima komanso mikwingwirima ndizomwe zimayambitsa pafupifupi 70% ya imfa zonse padziko lapansi. Anthu asanu ndi awiri mwa anthu khumi amafa chifukwa chotseka mitsempha ya mtima kapena ubongo.
Choyipa chachikulu ndikuti anthu ambiri saganiza kuti ali ndi matenda oopsa. Ndipo amaphonya mwayi wokonza kena kake, kumadzipangitsa kufa.
Zizindikiro za matenda oopsa:
- Mutu
- Zosangalatsa pamtima
- Madontho akuda patsogolo pa maso (ntchentche)
- Kupanda chidwi, kusakwiya, kugona
- Masomphenya opanda pake
- Kutukwana
- Kutopa kwambiri
- Kutupa kwa nkhope
- Kunenepa komanso kuzizira kwa zala
- Kupanikizika kumapitilira
Ngakhale chimodzi mwazizindikirozi chikuyenera kukupangitsani kuganiza. Ndipo ngati pali awiri, musazengereze - muli ndi matenda oopsa. lofalitsidwa ndi econet.ru.
Kodi mumakonda nkhaniyo? Kenako tithandizireni kanikiza:
Kuthamanga kwa magazi kwa ana
Kukula mosalekeza kwa thupi la mwanayo ndiye chifukwa chachikulu chowonjezerera, pamene mwana akukula.
Ana m'badwo | Mpaka chaka | Chaka chimodzi | Zaka zitatu | Zaka 5 | Zaka 6-9 | Zaka 12 | Zaka 15 | Zaka 17 zakubadwa |
Atsikana chizolowezi, mmHg | 69/40 | 90/50 | 100/60 | 100/60 | 100/60 | 110/70 | 110/70 | 110/70 |
Anawo chizolowezi, mmHg | 96/50 | 112/74 | 112/74 | 116/76 | 122/78 | 126/82 | 136/86 | 130/90 |
Zizindikiro za kupsinjika kwa ana zimasinthasintha malinga ndi kuwonjezeka kwa kamvekedwe ka misempha komanso kukula kwawo. Ngati mfundo izi ndizochepa poyerekeza ndi zomwe zakhazikitsidwa, ichi chikhoza kukhala chizindikiritso cha dongosolo la mtima.
Popeza pathologies kulibe, sikofunikira kuchitira kuthamanga kwa magazi kapena kuchepa kwa ana - ali ndi zaka, zizindikirozi zimasintha matupi awo.
Kuthamanga kwa magazi
Kupanikizika kowonjezereka kumaganiziridwa komwe zizindikiro zimaposa zomwe zimachitika ndi oposa 15 mm Hg.
Kupatuka kumodzi kwa zoponderezedwa pazomwe zimachitika kungawonedwe ngakhale mwa anthu athanzi lathunthu. Cholinga cha nkhawa ziyenera kuganiziridwa ngati kusungidwa kwa mitengo yayitali kwa nthawi yayitali.
Nthawi zambiri, kulimbikira kwa nthawi yayitali kotereku kukuwonetsa chitukuko cha ma pathologies:
- dongosolo la endocrine
- mtima ndi mitsempha yamagazi
- osteochondrosis,
- michere-mtima dystonia.
Kuphatikiza apo, kuchuluka kwa ziwonetsero za tonometer ndikotheka mwa anthu onenepa kwambiri, opulumuka chifukwa chododometsa ndi nkhawa, oledzera, osuta omwe amakonda zakudya zamafuta, zokazinga, zokometsera komanso mchere. Nthawi zina, matupi amtunduwu amaonetseratu matenda oopsa.
Kuwonongeka kowoneka bwino pakuwoneka bwino kumawonjezera kukakamizidwa:
- mutu ndi chizungulire,
- kupuma movutikira
- kutopa,
- nseru
- kukomoka mtima,
- thukuta kwambiri
- kuda kwa maso, kusokonezeka kowoneka,
- redness la nkhope.
Kudumpha mwadzidzidzi kumafuna chisamaliro chamankhwala. Kupanda kutero, kupanikizika kowonjezereka kwa nthawi yayitali kumatha kubweretsa kusokonezeka kwa ubongo, kukoka kwam'mimba, komanso vuto la mtima kapena stroko.
Momwe mungachepetse?
Thandizo loyamba la kuthamanga kwa magazi limapereka malo abwino komanso odekha kwa odwala, komanso kugwiritsa ntchito mankhwala othamanga a vasodilator omwe adokotala amawauza.
Kuti muchepetse kupanikizika komanso kupewa kugwiriridwa, tikulimbikitsidwa kusintha moyo wawo m'njira yoti tichotsere zinthu zomwe zimadzetsa chitukuko cha matenda oopsa.
Njira zoyenera zodzitetezera ndi izi: dongosolo la tsikulo ndikusinthana koyenera kwa kupsinjika ndi kupuma, kudya mokwanira, kusakhala ndi zizolowezi zoyipa, kuchita masewera olimbitsa thupi, kusowa nkhawa, komanso kukhala ndi malingaliro abwino pamoyo.
Ndi matenda ati omwe angafotokozere?
Hypotension imachitika ndi magazi, kulephera kwa mtima, kuchepa madzi m'thupi, khomo lachiberekero, cystitis, chifuwa, kuchepa kwa magazi, kuperewera kwa m'mimba, kupweteka kwam'mimba, kapamba.
Nthawi zina, kuchepa kwa tonometer kumatha chifukwa chogwira ntchito mopitirira muyeso, kusowa kwa mavitamini komanso kusintha kwakuthwa kwa nyengo.
Zizindikiro zazikulu za hypotension ndi:
- kufooka ndi ulesi,
- zilonda zam'mimba ndi khungu,
- kudalira nyengo,
- zododometsa, kuchepa kwa chidwi ndi kukumbukira,
- mutu kumbuyo kwa mutu,
- dzanzi la miyendo.
Kutsika kwa zisonyezo za tonometer kuphatikiza ndi zilizonse zomwe zalembedwa ndi chifukwa chabwino chofunsa dokotala. Muzochita zamankhwala, mumakhala zochitika zina pamene hypotension ndi chizindikiro chokhacho cha matenda oopsa monga kukhetsa magazi m'mimba, kukhumudwa, kuphwanya magazi, komanso kusokonekera kwa adrenal.
Kodi kuwonjezera kukakamizidwa?
Kugwiritsa ntchito tiyi wamphamvu wokhala ndi shuga wambiri, gawo pang'ono la chokoleti chakuda, kusamba kosiyanako, kuyenda mu mpweya wabwino, kuchezera dziwe, masseur, ndi masewera olimbitsa thupi kumathandizira kukonza bwino komanso kuthetsa kuukira kwa hypotension.
Kugona mokwanira komanso kupumula, kusunga masewera olimbitsa thupi panthawi yolimbitsa thupi, kumwa mankhwalawa moyenera komanso kudya nthawi zonse ndizofunikira kwambiri.
Zomwe zimapangitsa kudziwa magawo ndi izi:
- kugunda kwa mtima
- kuchuluka kwa magazi. Mlingo wamagazi ungasiyane chifukwa cha matenda osiyanasiyana a autoimmune kapena matenda ashuga,
- kuchuluka kwa mitsempha yamagazi,
- kupezeka kwa mafuta am'mafuta m'makoma a mitsempha yamagazi,
- kukulitsa kwachilendo kapena kufupika kwa mitsempha yamagazi mothandizidwa ndi kukondoweza kwa mahomoni kapena kutengeka mtima,
- matenda a chithokomiro.
Ngakhale ndi zinthu zonsezi, mulingo wa kukakamizidwa mwa anthu osiyanasiyana udzakhala wosiyana.
Momwe mungayesere kuthinana?
Kuyeza kuthamanga kwa magazi, zida zapadera zimagwiritsidwa ntchito - tonometer of manual, semi-automatic or automatic, analog kapena digito. Njira yamachitidweyi ndiyofunika kuisamalira mwapadera, popeza kulondola kwa zotsatira zimadalira ndikuwonetsetsa.
Musanayambe muyeso, ndikofunikira kuti mupatse wodwalayo mwayi wodekha. Pamaso pa njirayi, simuyenera kusuta, kuchita masewera olimbitsa thupi kapena kupanikizika ndi thupi, kuphatikizira momwe mukumvera.
Zotsatira zolakwika zolakwika zitha kukhalanso chotsatira cha chakudya chochuluka musanachitike, malo osasangalatsa a wodwalayo kapena zokambirana panthawi yowerengera.
Nthawi yamakonzedwe, wodwalayo ayenera kukhala mwanjira yoti akhale momasuka atakhala pampando ndi chithandizo pansi pa nsana wake. Zowawa za chipangizo choyezera zimakhazikika mbali imeneyo ya kutsogolo yomwe ili pamlingo wamtima.
Kuti mupeze zotsatira zolondola kwambiri, ndikulimbikitsidwa kuti muthane ndi miyeso padzanja lililonse. Kuyesereranso mobwerezabwereza pam mkono umodzi kuyenera kuchitidwa pambuyo pa mphindi zochepa kuti zombozi zizitha kupanga mawonekedwe awo ndi mawonekedwe awo.
Popeza minofu yakudzanja lamanja mwa odwala ambiri imapangidwa bwino kuposa kumanzere, mawonekedwe a tonometer poyesa kuthina pamanja osiyanasiyana amatha kusiyanasiyana ndi magawo khumi.
Odwala omwe ali ndi vuto la mtima komanso mtima wamitsempha akulimbikitsidwa kuti azichita miyeso kawiri patsiku - m'mawa ndi madzulo.
Mosasamala mtundu wa kupatuka kwa kukakamiza, kusungidwa kokha kwa mfundo zaumoyo wathanzi kumatha kukhala kwamtundu wina - masewera, kugona mokwanira, kudya mokwanira, kusakhala ndi zizolowezi zoyipa, kupewa kupsinjika, malingaliro abwino, ndikotheka, malingaliro abwino.