Zomwe zimapangitsa magazi a munthu kuchuluka - zimayambitsa komanso kulandira chithandizo

Monga mukudziwa, m'thupi laumunthu, michere ndi okosijeni zimaperekedwa ku ziwalo ndi magazi, omwe amayenda mumitsempha yama diameter osiyanasiyana, kwinaku akumayambitsa kuthina kwinako. Mwa kukhalabe ndi kupanikizika ndikupangitsa magazi kuyenda, mtima umagwirizana. Nthawi zambiri, njirayi imabwerezedwa ka 60 mpaka 80 pamphindi. Pamenepo, mtima umagwirizana (systole), kukakamira kwakukulu kumachitika. Iwo unkatchedwa systolic. Pa nthawi yopuma ya minofu ya mtima (diastole), kutsika, kapena kukakamiza kwa diastolic kwalembedwa. Kunena zowona, kupanikizika kwa diastolic kumawonetsa kukula kwa kamvekedwe ka mtima.

Chida choyesera kuthamanga kwa magazi, tonometer, imalembetsa kuchuluka konse. Mukamajambula, kupanikizika kwa systolic kumawonetsedwa poyamba, kenako kukakamiza kwa diastolic, komwe kumayesedwa mamilimita a Mercury (mmHg). Nthawi zambiri, kukakamira kwa systolic sikuyenera kupitirira 140 mm Hg. Art. Kupanikizika kwabwino kwambiri kwa diastolic kumakhala pansipa 90. Ngati kupanikizika kukukulirakulira, ndiye chiwonetsero cha matenda oopsa otchedwa matenda oopsa.

Malinga ndi ziwerengero, mdziko lathu, anthu opitilira 40% amangokhalira kuthamanga magazi, ndipo zoyipa kwambiri, pafupifupi theka la odwala sakudziwa izi. Kodi chimayambitsa kupanikizika mwa munthu ndi chiani? Funsoli lakhala likuwerenga mwatsatanetsatane lero, koma vuto la matenda oopsa limakhalapo chifukwa nthawi zambiri zimakhala asymptomatic, ndipo zimatha kupezeka mwamwayi. Monga lamulo, kuwonjezeka kwa kupanikizika kumayendetsedwa ndi mutu, kufooka, kufalikira kwa "ntchentche" patsogolo pa maso. Nthawi zambiri, kukhumudwa kwa mtima, thukuta, ndi kukwapulidwa m'mutu kumalumikizana ndi izi. Ngati mavuto akukwera kwambiri, nseru komanso kusanza, mphuno zotheka. Odwala oopsa omwe amadziwa zambiri zotupa za m'mapazi, kutupira pang'ono kumaso ndi manja m'mawa, dzanzi la zala. Zizindikiro zoterezi zikuyenera kukupangitsani kukhala atcheru ndikuwonetsetsa momwe mulili. Munthu aliyense wopitilira 40 amalangizidwa kuti azitha kuthana ndi mavuto.

Kuyimbira koyamba

Kuwonjezeka kwa kupanikizika ndi njira yachilengedwe. Chifukwa chake, bongo limayankha chifukwa chosakwanira kupezeka magazi ndi kuchepa kwa mpweya. Koma zongowonjezereka ndizongowonjezera kwakanthawi ndipo kuthekera kwa thupi kuzisintha modziimira. Izi zitha kuchitika motsutsana ndi maziko a kupsinjika, pamene vasoconstriction imachitika mothandizidwa ndi adrenaline mothamanga. Ngati kupsinjika kumuka mutatha kudya, ndiye kuti palinso njira yokhazikika.

Ndikofunikira kuchitapo kanthu ngati kukakamira kumakulirakulira nthawi zonse, izi zikuyenera kuchitika ngakhale wodwalayo sakumana ndi zosasangalatsa. Zilibe kanthu zomwe zimapangitsa kuti magazi amunthu awonjezeke. Muyenera kusamala ngati moyo wamunthu nthawi zambiri umaphwanyidwa ndi izi:

Kuchokera kwamanjenje - kupweteka m'mutu (kutulutsa khosi kumbuyo kwa mutu, kumachitika pafupipafupi m'mawa), tinnitus, kusokonezeka kwa tulo, kukwiya msanga komanso kutopa, nkhawa,
zovuta zamasamba - kusokonekera kwa mtima, kusokonezeka kwa maonekedwe, kusuntha m'mutu, thukuta ndi hyperemia (redness) kumaso,
mawonekedwe a edema - ngakhale kusungunuka pang'ono kwamadzi m'thupi kumabweretsa kukuwonjezeka kwa nkhawa pama khoma a zotengera, kotero mawonekedwe a kudzikika pamiyendo, nkhope zimagwira monga chisonyezo chachindunji pakuwongolera kupanikizika.

Chimachitika ndi chiani ngati matenda a matenda oopsa alibe chithandizo?

Ntchito ya mtima mwachindunji imadalira kuchuluka kwa kukakamizidwa - kukwera kwake, kulimbikira kuyenera kuchitidwa kuti magazi azisungika bwino. Nthawi yomweyo, makoma amtima amayamba kuzimiririka, omwe amayambitsa kusokonezedwa pantchito yake, kenako nkuchepera, zotsatira zake ndikuti mtima walephera kugwira ntchito yopopa. Izi zimaphatikizidwa ndi kupuma movutikira, kutopa ndi zizindikiro zina zakulephera kwa mtima.

Zatsimikiziridwa kale kuti matenda oopsa amathamangitsa kuwonongeka kwa khoma la chotengera ndi zolembera za atheroscrotic, zomwe, zimayambitsa kuchepetsedwa kwa lumen. Zowonongeka zamitsempha yama mtima yomwe imadyetsa mtima, angina pectoris kapena myocardial infarction imatha. Komanso chiopsezo chokhala ndi matenda amkati chikuwonjezereka kwambiri.

Chifukwa chiyani munthu amawonjezera kuthamanga kwa magazi?

Zomwe zimayambitsa matenda oopsa (chofunikira) matenda oopsa, modabwitsa momwe zimamvekera, sizikudziwika mu 90% ya milandu. Nthawi zambiri zimayenderana ndi cholowa komanso zovuta zomwe zimayenderana ndi moyo wathu. Chifukwa chiyani kuthamanga kwa magazi kwamunthu kumakwera? Zomwe zimayambitsa nthawi zambiri zimagwirizanitsidwa ndi boma la zotengera. Ngati zotsatira za mayeso zikuwonetsa kuti mukuwonjezera kamvekedwe ka misempha ndi mtundu wa hypertonic, ndiye kuti muyenera kusankha mankhwalawo moyenera momwe mankhwalawo angasinthidwire. Chitsanzo cha matenda oopsa choterechi chimatha kukhala chizolowezi chomalumpha m'mlengalenga. Chifukwa chake, ngati kuthamangitsidwa kwamlengalenga kukwera, ndiye mwa munthu wodwala matenda oopsa, mkhalidwewo umakulirakulira.

Mavuto omwe nthawi zambiri amayenda ndi moyo wathu amathanso kubweretsa mavuto. Mwa munthu wathanzi, njirayi imasinthika mosavuta, ndipo mavuto amanjenje atachepa, kupsinjika kumabwereranso ku mphamvu yake yamoyo.

Komabe, pakapita nthawi, kudumpha kotereku kumatha kuwononga mitsempha yamagazi, ndipo thupi silingalimbanenso ndi zochuluka chotere. Muzochitika izi, pambuyo povuta kwambiri, munthu sangathe kungodziwa kuchuluka kwachulukidwe, komanso kuti kutsitsa pang'ono kukhala chovomerezeka kukhala ntchito yovuta kwambiri. Popita nthawi, kuwonjezeka kwa kupanikizika kumachitika ngakhale pamalo opanda phokoso.

Monga tawonera maphunziro angapo, kupatsa thanzi ndizofunikira kwambiri pakupanga matenda oopsa. Zakudya zamafuta ndizofunikira. Izi sizikugwira ntchito kokha ku nyama, mafuta ndi mafuta ena a nyama, komanso zinthu zomwe zimawoneka zotetezeka monga tchizi, chokoleti, soseji, makeke. Kuphatikiza apo, zatsimikiziridwa kuti kuwonjezeka kwa nkhawa pambuyo podya zakudya zambiri.

Chifukwa china chofunikira chomwe chimagwirizanitsidwa ndi kupezeka ndi mchere. Madokotala ambiri masiku ano amalimbikitsa kusiya kugwiritsa ntchito mankhwalawo kapena kuchepetsa kuchuluka kwake. Mchere umakhudza mkhalidwe wamakhoma wam'mimba, umachepetsa mphamvu zake ndikuwonjezereka, ndipo ili ndiye yankho lalikulu ku funso loti chifukwa chiyani kukakamira kwamunthu kumakulirakulira. Zomwe zili ndi chifukwa chomveka chogwiritsira ntchito mchere mopambanitsa. Zonsezi zimasiyanitsa chikhalidwe chamanyazi ndipo zimayika zovuta pamagulu osiyanasiyana a thupi. Kuphatikiza apo, mchere umapangitsa kukhala kovuta kuchotsa zamadzimadzi m'thupi, zomwe zimapangitsanso kukakamizidwa.

Mowa, makamaka pamlingo waukulu, wolimbikitsa kugunda kwa mtima komanso kamvekedwe ka minyewa, ndi chinthu china chofunikira kwambiri chomwe chimayambitsa matenda oopsa.

Kunenepa kwambiri komanso kusachita masewera olimbitsa thupi

Zinthu ziwiri izi nthawi zambiri zimaphatikizira kuwonjezeka kwa kukakamizidwa. Munthu akakhala nthawi yayitali osasunthika, kuthamanga kwa magazi mu bedi lamitsempha kumachepa, kukana kwa zotumphukira kumawonjezeka, ndipo chifukwa chake, kupanikizika kumakula. Ngakhale anthu ambiri amakhulupirira kuti kupanikizika kumawonjezeka panthawi yochita masewera olimbitsa thupi, ndikofunikira pa moyo wabwinobwino.

Zizindikiro zowopsa

Ndi matenda oopsa, osati kuthinana kwa systolic kokha, komanso kuthamanga kwa diastolic kumatha kuwonjezeka, ndipo izi, monga lamulo, zimakhala ndi zotsatirapo zowopsa kwambiri. Zifukwa zazikulu zomwe zimapangitsa kuti magazi achepetse magazi a munthu ndi matenda a impso kapena matenda a metabolic.

Matenda a impso. Nthawi zambiri izi zimachitika pomwe impso sizingachotse madzi owonjezera komanso mchere wambiri mthupi. Poterepa, kuchuluka kwa magazi omwe amayenderera mu kama wamitsempha kumachitika, ndipo chifukwa chake, kuthamanga kwa magazi kumawonjezereka. Kutengera ndi zomwe kupanikizika kumachokera - kuchokera ku matenda a impso (glomerulonephritis, pyelonephritis) kapena chifukwa chophwanya machitidwe a malamulo awo (a zamasamba kapena amanyazi), mankhwalawa adzakhazikitsidwa.
Matenda a metabolism. Monga lamulo, izi zimachitika ndikusowa kwa potaziyamu. Poterepa, kupanikizika kumadzuka kwambiri, ndikukwana. Amaphatikizidwa ndi pallor wakuthwa, thukuta, palpitations ndi kusokonezeka kwa miyendo. Kusanza, kusanza, kapena vuto la chopondapo ndikotheka.

Chithandizo cha matenda oopsa ndichofunikira, mosasamala kanthu chifukwa chake kuthamanga kwa magazi a munthu kumakwera. Zomwe zimachitika izi zitha kukhala zosiyana kwambiri, komanso ngakhale kuti kupatuka sikumakhudza moyo, sikuti chifukwa chokana chithandizo. Mwa chitsanzo cha odwala masauzande ambiri zimatsimikiziridwa kuti kukakamizidwa kumayenera kusintha. Ngakhale kukwera pamwamba pa 140/95 mm Hg. Art. kwa nthawi yayitali imapereka katundu wofunikira pa ziwalo ndi machitidwe. Zachidziwikire, ndikupatuka pang'ono kuchokera ku chizolowezi, kuwongolera kudya zikhalidwe zoyipa, kuwongolera kudya ndi kuyenda tsiku ndi tsiku kumakwanira kuti akonzedwe, koma izi sizingayerekezeredwe mpaka matenda atadzipangitsa okha kumverera!

Mankhwala othandizira

Mu pharmacology yamakono, pali zida zambiri zomwe zimasintha kuthamanga kwa magazi. Nthawi zambiri, madokotala amagwiritsa ntchito mankhwala ovuta, omwe amagwiritsidwa ntchito ndi magulu otsatirawa a mankhwalawa.

Ma diuretics (okodzetsa) - amathandiza kuchotsa madzi owonjezera ndi mchere m'thupi.
Beta-blockers - mankhwala amachepetsa kukula kwa mtima, potero amachepetsa mphamvu yogwiritsa ntchito thupi.
ACE zoletsa ndi vasodilating mankhwala. Amawonjezera lumen ya mtima mwa kuchepetsa kupanga kwa angiotensin (chinthu chomwe chimayambitsa kuphipha kwawo).
Alfa-adrenergic blockers - amathandizanso kuphipha kuchokera ku ziwiya zotumphukira pochepetsa kuyendera kwa mitsempha yomwe imakhudza kamvekedwe ka khoma la chotengera, potero kuchepetsa kukakamiza.
Ma calcium antagonists - osalola ma ions kulowa mkati mwa minyewa ya mtima kapena kukhudza pafupipafupi mtima.

Ngakhale anthu ambiri akukhulupirira kuti pokhapokha ngati mavuto akuchulukirapo afunikira kukonza mankhwala, chithandizo chikuyenera kuchitika mulimonse momwe zingakhalire. Ngati mwapezeka kuti muli ndi matenda oopsa, ndiye kuti kumwa mankhwala kumakhala gawo lalikulu pamoyo wanu. Amayenera kuledzera pafupipafupi, chifukwa ngakhale kukana kwakanthawi kochepa kwa mankhwalawa kumaphatikizanso kubwezeretsa kwa matenda oopsa, ndipo kuyesayesa konse sikungatheke.

Chosangalatsa china sichingakhale anthu omwe adazindikira vutoli m'kupita kwanthawi ndikukwanitsa kumanganso miyoyo yawo, kusiya zizolowezi zoipa ndikuwongolera zolimbitsa thupi. Kuti mupewe matenda opusitsawa pakapita nthawi, muyenera kudziwa zomwe zimapangitsa kuti munthu azikakamira, komanso kuti musatenge zinthuzo m'moyo wanu munthawi yake, chifukwa aliyense amadziwa kuti kupewa matendawa ndikosavuta kuposa kuchiziritsa.

Kodi kuthamanga kwa magazi ndi chiani?

Zakudya zopatsa thanzi komanso mpweya wabwino m'thupi zimalowa m'magazi, zomwe zimadutsa m'mitsempha ndi m'mitsempha. Mukudutsa, magazi amapondera pamakoma amitsempha. Minofu ya mtima, kupopa magazi kudzera m'mitsempha, kenako mapangano, kenako kumasuka.

Nthawi yomwe minyewa yamtima imachita, ikayezedwa, kuthamanga, kwazinthu za systolic kumajambulidwa. Minofu ikapumula, m'munsi, m'miyeso ya diastoli imawonetsedwa pa tonometer.

Tonometer yoyamba imawonetsa malire kumtunda kwa muyeso, kenako wotsikirako. Kukula kwa kuthamanga kwa magazi kumakhazikitsidwa ndikuwonetsa za 120 ndi 80. Kusiyana kwa malire apamwamba ndi apansi mwa magawo angapo sikungakhale kupatuka. Chizindikiro chachikulu ndi pamene malire a systolic akuposa 140.

Ngakhale pali zikhalidwe, poyeza, mawonekedwe amunthu amakhudzidwa makamaka:

zaka
jenda
kulemera
kukhalapo kwa pathologies a pachimake komanso matenda chikhalidwe,
kukhala bwino

Nthawi yam'badwo uliwonse imakhala ndi gawo lake la magawo. Zizindikiro mu achikulire zimatha kuchuluka, ngakhale pang'ono.

Ngati munthu amakhala ndi kuthamanga kwa magazi, kapena mulingo umadumpha, ndiye kuti amakhala ndi matenda oopsa. Ngati mankhwala sanayambike pa nthawi yake, ziwalo zamkati zimathanso kukhudzidwa.

Zifukwa zazikulu zowonjezera

Kuti mumvetsetse chifukwa chake munthu amayamba kuthamanga magazi, muyenera kudziwa chomwe chimapangitsa matenda oopsa.

Mitundu yotsatana yamankhwala oopsa imasiyanitsidwa, yomwe imasokoneza ntchito ya mtima, ndikuyambitsa kukwera kwa magawo:

matenda oopsa. Izi ndi zovuta. Zomwe zimayambitsa matenda a zam'mimba sizikumveka bwino,
vsd
chizindikiro matenda oopsa. Zomwe zimayambitsa chitukuko cha matenda oopsa zimatha kukhala osadya bwino, nthawi zina zovuta, kusuntha pang'ono, kulemera kwakukulu, kusuta, kumwa kwambiri.

Zotsatirazi zikufotokozedwanso, chifukwa chomwe munthu mwadzidzidzi amakhala ndi zisonyezo zazikulu:

zolimbitsa thupi
kukhalapo kwa zizolowezi zoipa: kugwiritsa ntchito khofi wamphamvu, mowa, kusuta fodya.
mutapita kukasamba kapena sauna,
kumwa mankhwala ena
zochitika zopsinja nthawi zonse
Zakudya zopanda thanzi komanso chikhalidwe
kulemera kwakukulu kwa thupi.

Mukayezedwa ndi tonometer, zizindikiro zonsezi zimatha kukwera mwa achikulire, kapena malire okha kapena apamwamba amakwera.

Chifukwa chiyani mtengo wotsikirako ukukwera?

Ngati kutsika kwambiri, kupanikizika kwa diastolic kumatha kuwonetsa zotsatirazi:

matenda a impso,
kuphwanya adrenal ntchito,
cholakwika cha chithokomiro.

Nthawi zambiri, chifukwa chokulirapo kwa kuponderezedwa ndiku kuphwanya njira za metabolic zomwe zimachitika mu ziwalo zosefera - impso. Pankhani ya kuphwanya kagayidwe mu impso, kuphatikiza pazapanikizidwe kakang'ono, zizowonjezera zotsatirazi zilipo:

khungu lakuthwa kwambiri,
kugunda kwa mtima
thukuta
kutsegula m'mimba
arrhasmia,
nseru, nthawi zina kumatha ndi kusanza.

Ngati muli ndi chimodzi mwazizindikiro zomwe zalembedwa, simungachedwe kuthandizira kuchipatala. Ngati mumakhala ndi nkhawa nthawi zonse pamkhalidwe wosasangalatsa, wopanikizika kwambiri pamalire a diastoli, muyenera kukayezetsa zamankhwala ndikuyamba kuchitira matenda othandizira kuti matenda awonongeke.

Womangidwa kumtunda wapamwamba

Dongosolo lalikulu kwambiri la pamwambapa, pamlingo wa systolic, nthawi zambiri limadziwonetsa lokalamba. Ngati systolic malire ikwera, ichi chikhoza kukhala chizindikiro cha kukula kwa matenda a minofu ya mtima.

Ngati simunayesere mayeso munthawi yake, makoma a minofu ya mtima amakula, ndipo magazi amayenda.
Ndikofunikira kuonana ndi dokotala osati kokha ngatiapanikizika pafupipafupi, komanso ngati kuthamanga kwa magazi kukwera nthawi ndi nthawi, ndipo sikuyambitsa kusasangalala. Chachikulu sikuti chifukwa chake magawo a muyezo ndi apamwamba, koma kukhalapo kwa zizowonjezera.

Kulephera kwachilengedwe kwamasamba kumawonekera ndikuphwanya mzere wamkati wamtima, kuthamanga kwadzidzidzi, kumverera kwa kupindika m'mutu, kupindika kofiyira kwa khungu la nkhope, ndi thukuta kwambiri.

Ngati kutupa pankhope, miyendo, manja ndi zala kumasokonezedwa nthawi zambiri, izi zikuwonetsa kukhalapo kwa kuthamanga.Chimodzi mwazifukwa zomwe zimayambitsa kutupa ndi vuto lotulutsa madzi m'thupi.

Kodi chimayambitsa kuthamanga kwa magazi ndi chiyani kwa azimayi?

Mwa azimayi opitirira 40, pali odwala ambiri oopsa. Choyambitsa chachikulu cha kuthamanga kwa magazi mwa akazi ndikonzanso kuchuluka kwa mahomoni, mogwirizana ndi kuyambika kwa kusintha kwa thupi.

Pofuna kupewa mavuto obwera chifukwa cha kusamba, ndikumverera kwabwinobwino, mzimayi akuyenera kuwongolera zipsinjo, kusintha zakudya, kudya zakudya zina kumayambiriro kwa nyengo yatsopano ya mahomoni. Ndikofunikira kukonzanso boma la tsikulo, onetsetsani kuti ziwonetserozo sizikukula.

Amayi amatha kuda nkhawa ndi kuthamanga kwa magazi panthawi yomwe ali ndi pakati, makamaka pa trimester yachiwiri. Ngati wodwalayo ali wathanzi, ndiye kuti pambuyo pobadwa Zizindikiro zimakhazikika.

Mavuto opanikizika pafupipafupi amathanso kukhala chifukwa china cha kuthamanga kwa magazi mwa akazi. Akazi amatengera zochitika zilizonse zomwe zimawakhudza mtima kuposa abambo, amayamba kuda nkhawa, ndikupukusira zochitika m'mutu. Khalidweli silipita popanda kutsatira.

Kunenepa kwambiri, kuphatikiza ndi ochepa kuyenda, kulinso pamndandanda wazomwe zimayambitsa kuthamanga kwa magazi.

Chifukwa chiyani amuna akuwonjezeka?

Amuna amayamba kudandaula za mavuto ndi kuthamanga kwa magazi pafupi ndi zaka 50.

Mwa zina zazikulu chifukwa chomwe gawo lalikulu la amuna limakhazikika, ndi izi:

zakudya zosayenera, mchere wambiri, mafuta ndi osuta alipo?
kumwa kwambiri mowa,
kusuta
kusuntha kochepa, komwe kumakhudza amuna ambiri okalamba.

Amuna nthawi zambiri samalabadira zizindikiro za kuthamanga kwa magazi mosazengereza, zomwe zimabweretsa thanzi lofooka. Koma ngati mutanyalanyaza magawo, ndiye kuti ziwopsezo zam'kati ndi kukhazikika kwa sitiroko sizingapeweke.

Zifukwa zakukakamizidwa

Chifukwa chiyani kuthamanga kwa magazi kwamunthu kumakwera? Pali zifukwa zambiri. Ngakhale kapu ya khofi yoledzera kapena ndudu yosuta ikhoza kukweza mtengo ndi 20 mmHg.

Akatswiri ambiri amati zomwe zimayambitsa kukula kwa matenda oopsa ndi izi: cholowa, zaka ndi mtima wamisala.

Ndi zaka, kugwiritsidwa ntchito kwa mpweya woipa (CO2) m'mwazi kumachepa, zomwe zimachitika ndi metabolism. Zomwe zimakhala zochepa m'magazi zimachepetsa kuchuluka kwa mpweya womwe umalowera minofu ndi maselo amthupi. Mwa anthu okalamba ambiri, mulingo wa CO2, ngakhale wodekha, umakhala wocheperako pang'ono malinga ndi zomwe zimachitika. Ichi ndiye chifukwa chachikulu chowonjezeka chamagazi.

Zinthu zazing'ono zomwe zimapangitsa kuti magazi azikhala ndi matenda oopsa zimaganiziridwa:

zopsinjika pafupipafupi
zakudya zopanda thanzi
calcium wowonjezera ndi sodium m'magazi,
ntchito zamagalimoto otsika.

Mu 30% ya milandu, kuthamanga kwa magazi kumatuluka chifukwa cha kuperewera kwa zakudya m'thupi. Kuwongolera zakudya zamasiku onse ndi kukana zakudya zovulaza kungapulumutse munthu ku zisonyezo za matenda oopsa.

Zinthu zomwe zimayambitsa matenda oopsa

nsomba zamchere, zamchere zamchere, mafuta anyama,
nyama zophika, zakudya zam'chitini, tchizi, mafuta omaliza a nyama,
zokhwasula, tchipisi, zopangira,
zakumwa zoledzeretsa zamphamvu ndi mphamvu, koloko yokoma, khofi.

Zinthu zonsezi zimapangitsa kuti pakhale kuchuluka kwa mchere wamthupi kapena kusungunuka kwa madzi. Ndipo zakumwa zokhala ndi mkaka wowawasa, m'malo mwake, muchepetsani kupanikizika. Tiyi iyi ndi mandimu, mabulosi am'mwera, zipatso zowuma.

Hypertension imatha kukhazikitsidwa chifukwa cha matenda osachiritsika. Kuthamanga kwa magazi nthawi zambiri kumayendetsedwa ndi zovuta ndi impso, chithokomiro cha chithokomiro, matenda a mtima ndi mitsempha yamagazi, komanso cholesterol yayikulu m'magazi. Kuchuluka kwa cholesterol kumapangitsa kuti mapangidwe a atherosselotic achuluke komanso kuchepa kwa mtima wambiri. Zotsatira zake ndi zosasangalatsa za matenda oopsa.

Kuchokera pazomwe kukakamiza kumachitika pazochitika zina, dokotala anganene, akuyesa wodwalayo. Kuzindikira kwakanthawi kumathandizira kuchotsa zovuta zoyipa.

Zowopsa

Mwa anthu ambiri, chomwe chimayambitsa matenda oopsa sichabadwa nako. Ngati makolo onse m'banjamo ali ndi vuto la kuthamanga kwa magazi, mwana amatha kukumana ndi vutoli akamakula.

Koma palinso zinthu zina zowopsa za kuthamanga kwa magazi:

Kukalamba. Kusintha kwachilengedwe kwa thupi kumapangitsa kuti magazi azitha. Ngati pali cholowa chamabadwa, ndiye kuti matenda oopsa amatha kale azaka zapakati pa 35 ndi 50. Ndi zaka, chiopsezo chokumana ndi zodwala matendawa chimapezeka pafupifupi kwa munthu aliyense.
Kugwiritsa ntchito kwambiri. Mothandizidwa ndi mahomoni opsinjika (mtima wa adrenaline), mtima umayamba kugwira ntchito mopitilira muyeso, ndikuponya magazi ambiri mthupi. Kuchokera pamenepa pakuwonjezeka kwa kuthamanga kwa magazi. Zina zomwe zimayambitsa kusokonezeka kwa kagayidwe kachakudya ndi kusagwira bwino kwamanjenje.
Mchere wambiri. Kuchuluka kwa sodium m'magazi, mtima umayamba kugwira ntchito mopitilira muyeso, kutulutsa magazi ochulukirapo ndikuwonjezera kuthamanga kwa magazi. Kuchuluka kwa calcium m'magazi kumatsutsa minyewa ya minofu yomwe imathandizira kukhoma kwa mitsempha. Kuchokera pamenepa mumatuluka magazi.
Zovuta, kupsinjika, kutopa. Chisangalalo, kukwiya, kukwiya nthawi zonse kumayambitsa kukwera kwakanthawi m'magazi. Mikhalidwe yonyansa nthawi zambiri imachedwetsedwa, kusokoneza ntchito ya mtima ndi mitsempha yamagazi. Ndi magazi osayenda bwino, kuwonjezereka kwamphamvu kwa magazi kumawonedwa.
Kuphwanya boma la ntchito ndikupuma. Kukhala ndi chidwi chachikulu, kugwira ntchito munthawi yochezera, kufunikira kodziwa zambiri, kusakhazikika pantchito kungayambitse kuphwanya nyimbo zachilengedwe komanso kupsinjika mosalekeza. Poyerekeza izi, matenda oopsa oopsa nthawi zambiri amakula.
Kunenepa kwambiri Anthu onenepa kwambiri nthawi zambiri kuposa omwe ali ndi vuto la mtima. Ndi kunenepa kwambiri, ntchito zonse za thupi zimaphwanyidwa, kuphatikiza kuyendetsa magazi.
Kulephera kuchita masewera olimbitsa thupi. Kuperewera kwa zochitika zamagalimoto nthawi zambiri kumayambitsa kunenepa kwambiri, kusokonezeka kwa metabolic ndi ntchito za ziwalo zonse, motero, kukulira matendawa.
Kuchita masewera olimbitsa thupi kwambiri. Katundu aliyense wogwira ntchito bwino amakhudza ntchito ya mtima. Koma kulimbikira komanso kuphunzitsira masewera olimbitsa thupi kumafuna kuphwanya ntchito za mtima ndi mtsempha wamagazi. Poona izi, mtima wazambiri umayamba.
Kusuta. Nicotine amachititsa kuphwanya kuchuluka kwa mafuta amitundu mitundu m'magazi. Zimayambitsa kusagwira bwino ntchito kwa ziwalo zosiyanasiyana ndikuwonjezera kuchuluka kwa mtima. Zimapangitsa kuti pakhale mawonekedwe a misempha yam'mimba komanso kuthamanga kwa magazi.
Mowa Mowa umasokoneza dongosolo lamkati lamanjenje komanso matenda amkati. Mowa wambiri umapangitsa kuchuluka kwa ubongo ndipo kumayambitsa chitukuko cha matenda oopsa. Kuphatikiza apo, chiwindi ndi impso, mtima ndi mitsempha yamagazi zimasokonezeka.
Zakumwa zamphamvu za tiyi khofi. Kofi ndi tiyi mwa anthu ena zimapangitsa kuchuluka kwa mtima. Amakhala ndi tiyi kapena khofi wambiri, yemwe amalimbitsa kamvekedwe ka zotengera zamaubongo ndikuthandizira ubongo. Zotsatira zake, zimayambitsa matenda oopsa.
Kuzindikira kwanyengo. Pakati pa odwala matenda oopsa pali anthu ambiri omwe amadalira nyengo. Patsiku lomwe kusintha kwa nyengo kumachitika, muyenera kuyang'anitsitsa kuchuluka kwa kuthamanga kwa magazi ndi mankhwala.
Kusokonezeka tulo. Kusowa tulo kapena kusowa tulo usiku kumabweretsa zosokoneza m'mitima yamatenda, zomwe zimatitsogolera pakupanga matenda oopsa.
Mbiri yapamwamba kwambiri. M'mizinda yayikulu, izi zikuchulukirachulukira zomwe zikuchititsa kukhala ndi vuto la kuthamanga kwa magazi kwa anthu amisinkhu yosiyanasiyana.

Mlingo wa kupanikizika umathanso kusintha m'njira yowonjezereka mukamamwa mankhwala opatsidwa matenda ena.

Izi zikuphatikiza:

chilala choponderezera mapiritsi
njira zakulera za pakamwa zomwe zimakhala ndi mahomoni,
ma glucocorticoids ena (mwachitsanzo, dexamethasone kapena prednisolone),
mankhwala ena odana ndi kutupa (mwachitsanzo, indomethacin).

Kuchepa kwapang'onopang'ono kwa kuthamanga kwa magazi pakapita nthawi kungapangitse kukula kwa matenda oopsa komanso kusokonezeka kwa mitsempha yamagazi ndi mtima. Angina pectoris, ischemia, mtima kulephera, kugunda kwa mtima, matenda amtunduwu - njirazi ndizambiri zomwe zimachitika chifukwa cha kusokonekera kwa kuthamanga kwa magazi.

Zoyenera kuchita ngati kuthamanga kwa magazi kukwera

Ngati mwangozi zitapezeka kuti kuthamanga kwa magazi ndi kwaphweka, ndiye kuti simuyenera kumwa mankhwalawo mwachangu.

Sinthani zochitika za tsiku ndi tsiku zitha kupangitsa kuti:

1) Muyenera kukhazikika ndikugwetsa mpweya wanu. Kupumira kwambiri komanso kutulutsa pang'onopang'ono.
2) Viyikani m'mbale m'madzi otentha ndikuwawotcha bwino. Mwazi umayamba kuyenda kupita kumunsi, ndikupangitsa kuti mtima uzigwira ntchito.
3) Mapulasitala opopera aziphuphu oopsa a magazi. Muyenera kuyika pa minofu ya ng'ombe, chifuwa ndi gawo la mutu.
4) Imwani madontho 25 a Corvalol. Ndipo mtima ukazunzika, ndiye kuti nitroglycerin pansi pa lilime.

Ngati kupanikizika sikunachepe, ndiye muyenera kuyimbira gulu la ambulansi. Ngakhale atakhala kuti akuwonjezeka kwambiri, ndikofunikira kukaonana ndi katswiri wazachipatala.

ZOPHUNZITSIRA NDIPONSE
KULINGALIRA DINSI LAKO PAKUFUNIKIRA

Chifukwa chiyani chikukwera mu achinyamata?

Zizindikiro zoyesedwa zitha kukhala zazitali kwambiri paubwana. Ngati kuthamanga kwa magazi kukwezedwa, zomwe zimayambitsa chisangalalozi ziyenera kufunidwa m'moyo wolakwika wa mnyamata kapena mtsikana.

Achinyamata nthawi zambiri samvera chidwi ndi zomwe akuwonetsa. Koma, kuti muwone mawonekedwe owonetsa kuthamanga kwa magazi ku gawo loyambirira, muyenera kudziwa chifukwa chake munthu amatha kuthamanga kwambiri ndi magazi ali aang'ono.

Zomwe zimatha kukweza magawo mu achinyamata zimaphatikizapo:

matenda a msana. Ichi ndi osteochondrosis, akukula chifukwa chochepa kuyenda komanso kugwira ntchito. Uku ndikuphwanya kaimidwe, kamene kamayambitsa minofu ndi mtima.
kusuta ndi kumwa kwambiri zakumwa zoledzeretsa,
kunenepa kwambiri. Chifukwa ichi chimakhala chimodzi mwazofunikira osati pakati pa okalamba ndi okalamba,
zakudya. Kugwiritsa ntchito nyama zofukiza, zamchere, zokazinga, zotsekemera. Madzi osakwanira. Zotsatira zake, makoma azotengera amatsekedwa ndi ma cholesterol amana, magazi amayenda, ndipo kukakamizidwa kumakhala kwakukulu,
kukanika kwa chithokomiro England
cholowa
zochitika zovuta, komanso kulephera kupeza njira yotulukirapo.

Mkhalidwe wosakhazikika, wopanikizika kwambiri, mwa achinyamata mumayenda ndi mavuto kukumbukira kukumbukira, kusowa kwamaso, kupweteka mutu, ndi thukuta kwambiri.

Pa gawo loyambirira la matenda oopsa, mutha kuchita popanda mankhwala. Kuchepetsa zizindikiro, ndi kusunga ziwiya m'mawu, kumathandizira pazithandizo zakunyumba. Koma, pa izi muyenera kumvetsetsa zomwe zimayambitsa kuthinikizidwa kwakukulu.

Kodi kuthamanga kwa magazi ndi chiani?

Kuyambira masiku asukulu zimadziwika kuti mtima ndi mtima wake umakhala ndi ziwiya zomwe magazi amayenda. Kuyenda kwa magazi kumapereka mtima. Zotengera zimayamwa magazi. Izi zimatchedwa kuthamanga kwa magazi, komwe kumakhala mfundo ziwiri - zapamwamba komanso zotsika. Kuchuluka kapena systolic kumachitika munthawi ya minyewa ya mtima, ndipo ochepera kapena diastolic amapezeka pakupuma. Pankhani ya kufinya kwamkati, diastolic kapena systolic hypertension imasiyanitsidwa.

Kafukufuku adapereka kuchuluka kwa kuthamanga kwa magazi (BP), komabe, ndikofunikira kulingalira za machitidwe a thupi la munthu. Bungwe la World Organisation lakhazikitsa njira zowonetsera bwino zomwe zimasiyana mmadongosolo amlengalenga;

Chizindikiro chotsika - 100-110 / 70
Chizindikiro chapamwamba ndi 120-140 / 90.

Kodi nchifukwa chiyani kuthana kwa maso kumakwera?

Ngati kuthamanga kwa magazi kukuchulukirachulukira, kuunikiridwa kokwanira kumakhala kofunikira kuti mupereke mankhwala, zomwe zimaphatikizapo kuyesa ngongole. Kuzindikira koteroko ndikofunikira kuyeza kuthamanga kwa maso.
Kupsinjika kwakukulu kwa funde kumatha kukhala ndi matenda amtundu zotsatirazi:

pseudo-hypertension,
matenda oopsa.

Vuto lothinana ndi maso ndi chizindikiro cha matenda oopsa - glaucoma.

Kuti mupeze kupanikizika kwa fundus, madontho apadera amayamba kukhazikitsidwa ndi mankhwala ochititsa chidwi. Ndondomeko imatchedwa tonometry, ndipo itha kuchitidwa motere:

Ndi ululu, kapena kudzera m'matope,
transpalpebral njira
Njira ya Goldman,
electrotonography,
Maklakov njira,
pachymetry, pomwe kukula kwa ziphuphu kumayesedwa.

Kupsinjika kwa fundus okwera nthawi zambiri kumachitika molumikizana ndi zizindikiro zowonjezera. Nthawi zina pamakhala kumva kuti diso limatuluka mkati, mutu umapweteka.

Muyenera kudziwa chifukwa chake kuthana ndi maso kumawonjezedwa kuti athe kuyendetsa bwino zinthu komanso kupewa kutulutsa maso ndi khungu. Kuwonjezeka kwa kupanikizika kwa fundus kumatengera zifukwa zotsatirazi:

atherosulinosis
mtima ndi mtima pathologies,
cholowa
katundu wambiri, m'malingaliro ndi m'thupi,
kuwona patali,
pafupipafupi zovuta
kupsinjika kwa malingaliro kumawonekera
monga mavuto pambuyo matenda.

Pa gawo loyambirira la chitukuko cha matenda a fundus, matendawa amatha kukula popanda zizindikiro. Ndikofunika kuzindikira zizindikiritso za matendawo munthawi yake, ndikupita kukalandira chithandizo.

Zizindikiro zazikulu za fundus matenda:

kugunda kwamtima pang'ono, kugunda kochepera 60 pamphindi,
mabwalo achikuda pamaso pa maso
dontho lakuthwa,
fano lamaso pamaso panga,
kupweteka kwambiri mu akachisi ndi pamaso,
kupweteka mutu wothandizirana ndi chizungulire,
zotupa zam'mimba,
wophunzirayo asiya kuyankha.

Kupanikizika kwa ndalama kumayamba chifukwa cha matenda opatsirana, kuchepa magazi, komanso njira zingapo zotupa. Pankhaniyi, zizindikiro sizikula, koma kuchepa.

Pamene zoposa zingapo za kukakamiza kwa intraocular zikuwoneka, simungathe kudzilimbitsa. Ndikofunikira kuyesedwa, ndipo kutengera ndi matendawo, tengani njira zofunika kuti muthane ndi vutoli.

Matenda omwe kupanikizika kumabuka

Kupsinjika kwa magazi kumatha kukwera mwadzidzidzi, kapena kumangokwezeka mosalekeza. Muzochitika zotere, iyi si matenda odziyimira pawokha, ndipo magawo apamwamba ndi chizindikiro cha matenda omwe akudwala.

Kuchulukaku kumatengera matenda otsatirawa:

matenda ashuga
matenda a impso,
Kulakwitsa kwa minofu ya mtima,
chithokomiro.

Kuti mupeze chithandizo, muyenera kuzindikira kaye chomwe chimayambitsa, kumvetsetsa zomwe kupatuka kuzomwe zimadalira. Pambuyo pofufuza chifukwa, chifukwa chomwe panali zisonyezo zakuchulukira kwa magazi, kumafufuza kwathunthu kumachitika.

Pambuyo pakuzindikira, chithandizo chimaperekedwa, kuphatikizapo njira zotsatirazi:

Gawo loyamba ndi mankhwala osokoneza bongo. Tengani mankhwalawa olembedwa m'magulu monga diuretics, beta-blockers, ACE inhibitors, olimbana ndi calcium, sartan, ndizotheka kukhazikitsa zizindikiritso kwa nthawi yayitali. Mankhwalawa amasankhidwa payekha
Dokotala amapereka malingaliro pa kukonza zakudya, tsiku ndi tsiku, amatiuza momwe angayang'anire kulemera.

Matendawa akapezeka koyambira, mankhwalawa sagwiritsidwa ntchito. Zakudya zokwanira komanso kukonza masheya pofuna kukhazikitsa magwiridwe antchito.

Zomwe zimayambitsa kuthamanga kwa magazi

Kuti mumvetsetse chifukwa chomwe kukakamiza kwa munthu kumakwera, muyenera kumvetsetsa matendawa pawokha. Pali mitundu iwiri ya matenda oopsa: matenda oopsa komanso oopsa. Mtundu woyamba ndimachitidwe osachiritsika, zomwe zimayambitsa kuthamanga kwa magazi komwe madokotala sangathe kufotokoza mpaka pano. Ponena za matenda oopsa oopsa, madokotala amawona kuti chomwe chikuwonjezera kukakamizidwa mwa munthu chikhoza kukhala chimodzi mwazinthu zotsatirazi: kudya mosasamala, nkhawa, moyo wokhazikika, zizolowezi zoipa, komanso kunenepa kwambiri.

Zomwe zimayambitsa kwambiri magazi

Odwala amadziwa kuti nthawi zina kupanikizika sikukwera pang'onopang'ono, koma kwambiri. Zifukwa:

kumwa mowa, khofi,
kusuta
kumwa mankhwala ena
kuyendera malo osambira, saunas,
ntchito yayikulu.

Ngati mutayang'ana gulu lowopsa, mutha kuwona kuti amaphatikiza azimayi atatha zaka 40. Izi zimachitika chifukwa cha kusamba. Pakadali pano, pali kusinthanso kwathunthu kwa mphamvu ya mahomoni, yomwe imawonongera magazi. Chifukwa chake, ndi kuyambika kwa nthawi ino m'moyo, ndikofunikira kuchita zopewa matenda a mtima ndikuyezetsa magazi pafupipafupi pogwiritsa ntchito polojekiti yamagazi.

Kuthamanga kwa magazi mwa amuna kumadziwika ndi ziwerengero pafupi zaka 50. Zizolowezi zachimuna zimatha kuthana ndi vutoli:

kumwa mowa
kudya kwambiri zamchere komanso zamafuta,
kusuta
zolimbitsa thupi zazing'ono zomwe zimachitika ndi zaka.

Ndi matenda ati omwe amawonjezera kuthamanga kwa magazi

Kuthamanga kapena kuthamanga kwa magazi osati matenda pakokha, ndi chimodzi mwazizindikiro. Chifukwa chake, ngati muwona kuti kupanikizika kwanu kukuyamba kukwera, muyenera kukaonana ndi dokotala kuti akamupimitseni. Zomwe zimayambitsa kusokonezeka kwa dongosolo lamagazi ndi izi:

matenda ashuga
matenda a impso, mwachitsanzo, pyelonephritis, glomerulonephritis, urolithiasis, polycystic ndi ena,
kupunduka kwa mtima
kuphwanya chithokomiro.

Matenda onsewa amatenga 5% yonse ya zoyambitsa. Zofunikira zamankhwala oopsa zimagwera pansi pa zina, zifukwa zomwe zimapangidwira zomwe zili pamwambapa: kuperewera kwa zakudya m'thupi, mowa, moyo wongokhala, ndi zina zambiri. Kuti mupeze matenda, muyenera kupita kuchipatala, komwe amakayezetsa magazi, kuphatikizapo magazi, mkodzo, electrocardiogram, ultrasound.

Zovuta zomwe zimapangitsa

Ganizirani chilichonse chomwe chimayambitsa kuthamanga kwa magazi:

Zinthu zovuta, zokumana nazo. Njira yamakono yamakono imauza anthu kufunika kwa ntchito yolimbikira. Mitolo imabweretsa nkhawa, kupsinjika kumabweretsa nkhawa. Ngati moyo wanu uli monga chonchi, muyenera kupeza nokha "kutulutsa".
Zakudya zambiri zokhala ndi mafuta achilengedwe. Ngati mumakonda kudya zakudya zamafuta owonjezera, komanso mafuta ochokera ku nyama, ndiye kuti muli pachiwopsezo.
Mchere wambiri. Mchere umakhudza mitsempha ya magazi, imakhala yochepa kwambiri, imalephera kunenepa. Gwiritsani ntchito zokonda zatsopano, zakudya zachilengedwe zopezeka potaziyamu ndi magnesium.
Kumwa mowa. Amakhulupirira molakwika kuti mowa umachepetsa kuthamanga kwa magazi. Palinso njira yofananira kwakanthawi kochepa kuchokera pamiyeso yaying'ono ya mizimu. Komabe, kugunda kwa mtima, komwe kuthamanga kwa magazi kumadalira, kumathandizira kuchokera ku chidakwa chachikulu.
Khalidwe labwino. Kuperewera kwamasewera m'moyo pakati pa achinyamata kudabweretsa "kupangidwanso" kwa matenda oopsa - madokotala asiya kudabwa atazindikira matendawa anyamata ndi atsikana.

Zizindikiro zake komanso kuthamanga kwa magazi

Matenda oopsa oopsa chifukwa ndi asymptomatic koyambirira. Kusokonezeka kwa kuthamanga kwa magazi kungasonyezedwe ndi nkhawa, kupuma pang'ono, chizungulire, komanso kusowa tulo. Pambuyo pake, mtima "umalumikizana", pomwe wodwalayo akumva kusokonezedwa mu ntchito ya minofu ya mtima, kupweteka pachifuwa. Pambuyo pake thukuta, kudetsa khungu m'maso, redness nkhope, "kuponya" kutentha, kuphwanya mgwirizano. Zonsezi zimaphatikizidwa ndi mutu chifukwa chochepetsa ziwiya zaubongo. Mu magawo apambuyo, munthu amayamba kudandaula za zovuta zotere: kufupika, kutupa.

Madokotala ati: kuthamanga kwa magazi kuyenera kuthandizidwa, ngakhale matendawa ali koyambirira. Kukhala ndi moyo wathanzi kumabweretsa zabwino pakadali pano. Wodwalayo akulimbikitsidwa kuti apange menyu wokhala ndi mafuta ochepa komanso mchere wamchere. Mowa, khifi ndi tiyi wamphamvu siziyenera kulekedwera kuchokera kuzakudya zamagazi kwambiri. Kupititsa patsogolo thanzi lanu kumathandiza kuyenda mu mpweya wabwino, kuchita masewera olimbitsa thupi, koma kumbukirani kuti kuthamanga kwa magazi chifukwa chogwiritsa ntchito kwambiri thupi kumakwera.

Matendawa akapita patsogolo, dokotala amakupatsani mankhwala. Mapiritsi ayenera kumwedwa ngati magazi ali m'dera la 160/90. Anthu omwe ali ndi matenda ashuga, kulephera kwa impso, ndi matenda ena amafunika kuyamba kugwiritsa ntchito mankhwalawa chizindikiro cha 130/85. Kuti muchepetse kuthamanga kwa magazi, magulu a mankhwalawa amaperekedwa:

Thiazide okodzetsa ndi sulfonamides. Izi zikuphatikizapo Hypothiazide, Cyclformazide, Indapamide, Noliprel, Chlortalidone.
Beta blockers. Awa ndi Oxprenolol, Carvedilol, Bisoprolol, Atenolol, Metoprolol, Betaxolol ndi ena.
Angiotensin-otembenuza enzyme zoletsa. Izi zikuphatikizapo Kapoten, Alkadil, Zokardis, Lotensin, Edith, Enap, Enalapril, etc.
Asitane. Izi zitha kukhala Vazotens, Blocktran, Lorista, Lozap, Teveten, Atakand, Twinsta ndi ena.
Calcium calcium blockers. Izi zikuphatikizapo Amplodipine, Diltiazem, Cordipine, Verapamil.
Mankhwala opha antihypertensive a pakati. Awa ndi moxonidine ndi clonidine.

Kuphwanya kamvekedwe ka mtima

Izi ndi zomwe zimachitika ngati matenda oopsa azisamba ngati matenda oyima pawokha (matenda oopsa oopsa). Kuyesedwa kwa wodandaula pakudandaula kwa kupanikizika kumaphatikizapo ma electrocardiogram, kuyezetsa magazi ndi mkodzo, kuyezetsa magazi kosiyanasiyana, ndipo ngati pakufunika kuchitika, kuyezetsa zamkati ndi ziwonetsero za chifuwa.

Ngati kuphwanya kwina kwa mtima wamankhwala kumachitika chifukwa cha matenda oopsa, ngati mankhwalawa amachepetsa kuthamanga kwa magazi pamlingo woyenera kwambiri. Kuphatikiza apo, wodwalayo amasankhidwa zakudya komanso zolimbitsa thupi, zomwe zimalimbitsa pang'onopang'ono chotengera cha ziwiya.

Matenda a impso

Kuphwanya kwamikodzo dongosolo nthawi zambiri kumayambitsa kuchuluka. Izi zimachitika ngati kukodza kumakhala kovuta kapena ngati impso sizikugwirizana ndi ntchito zawo.

Kuwonongeka kwa chiyambi cha impso kumadziwika ndi mapangidwe ofunda otupa pamaso, manja ndi miyendo yotsika. Nthawi yomweyo, kupweteka kapena kumva kutentha pakukodza, kukakamira pafupipafupi komwe kumapangitsa madzi ambiri kumawonedwa. Kuyesedwa kwa magazi ndi mkodzo kumawonetsa kukhalapo kwa njira yotupa.

Akuluakulu, matenda oopsa amatha kupezeka ndi kuchuluka kwa matenda a prostatitis.

Mulimonsemo mwa izi, chithandizo cha mankhwala a antihypertensive chokha sichothandiza. Wodwala amafunikira chithandizo cha matenda omwe akudwala.

Matenda a mahomoni

Kugwira ntchito molakwika kwa endocrine kumayambitsa mavuto, omwe, amachititsa kusowa kwamchere wamchere. Magazi a wodwalayo amasintha, katundu pamitsempha imachuluka.

Kuwonjezeka kwa kuthamanga kwa magazi kumachitika pamene:

Matenda a Itsenko-Cushing (kuwonongeka kwa adrenal cortex, kuchititsa kubisalira kwambiri kwa cortisol ndi ACTH),
pheochromocytoma (chotupa chotupa cha adrenal gland yomwe imakwiyitsa kuchuluka kwa secoretion wa norepinephrine ndi adrenaline),
Matenda a Conn's (chotupa chomwe chimapezeka m'matumbo a adrenal omwe amapanga timadzi tambiri tambiri),
acromegaly (kobadwa nako matenda, limodzi ndi zochulukirapo zopanga mahomoni otchedwa kukula),
hyperthyroidism (kuchuluka kwa mahomoni a chithokomiro),
hypothyroidism (vuto la kuchepa kwa chithokomiro),
matenda ashuga glomerulossteosis (kusintha kwa m'mitsempha yama impso yoyambitsidwa ndi matenda a shuga).

Chilichonse mwazinthu izi zimakhala ndi zizindikilo zomwe zimachitika limodzi ndi kufooka kwa matenda oopsa.

Mankhwala ena

Mankhwala aliwonse omwe amalowa mthupi samangopanga chithandizo chokwanira, komanso amachititsa kusintha kwa ntchito pafupifupi ziwalo zonse ndi machitidwe. Zina mwazosinthazi zimawonetsedwa ndi kuwonongeka m'moyo wabwino. Palibe chifukwa kuti anena kuti "wina wachiritsidwa ndipo wolumala."

Chomwe chikuwonjezera kuthamanga kwa magazi chikhoza kukhala kugwiritsa ntchito mankhwala osapweteka a anti-yotupa ndi mankhwala a chifuwa. Madandaulo okhathamira magazi oopsa amakhala ambiri mwa anthu omwe amapondera zakudya.

Mankhwala ena odziwika amachepetsa achire zotsatira za mankhwala a antihypertensive, choncho odwala oopsa amafunika kusamala ndikamamwa mankhwala a matenda osiyanasiyana.

Kuperewera kwa zakudya m'thupi

Mndandanda wazinthu zomwe zimakweza magazi ndizitali. Sipangokhala masamba a mchere, nsomba ndi mafuta anyama okha, komanso chakudya chokhala ndi mchere womwe umabisika: masosefa osuta, mitundu ina ya tchizi, pafupifupi zakudya zonse zamzitini, nyama yotsirizidwa. Ndikosavuta kuchulukitsa thupi ndi mchere ndikuyambitsa madzi kusayenda, kugwiritsa ntchito tchipisi, zokhwasula-khwasula, chakudya, komanso kudya mwachangu ndizowopsa pankhaniyi.

Kuwonjezeka kwa kupsinjika kumakwiyitsa khofi, mowa, mowa wamphamvu, koloko yokoma, mphamvu. Zotsatira zosiyana zimayambitsidwa ndi zakumwa zomwe zimakhala ndi zachilengedwe (popanda kuwonjezera michere ya asidi) kukoma wowawasa: vinyo wowuma, zakumwa za mabulosi, tiyi ndi mandimu.

Mavuto a msana

Zomwe zimapangitsa kuti magazi azichulukirachulukira zitha kukhala kusagwira bwino kwa msana. Cervical osteochondrosis kapena zotsatira za kuvulala kwam'mbuyo nthawi zambiri kumapangitsa kuti kamvekedwe ka minofu kakang'ono, kamene kamayambitsa vasospasm, kuperekera magazi ku ubongo komwe kumavutika, ndikuwukira matenda oopsa. Njira yayikulu yotsatsira pamenepa ndiyosavuta kuyipeza popanga x-ray ya msana.

Mavuto omwewa amakhalanso kwa anthu athanzi omwe amakakamizidwa kuti athetse nthawi yayitali kuntchito yolinganizidwa bwino. Nthawi zambiri iyi ndi ntchito yongokhala yofunafuna kuvutikira kwambiri mu minofu ya khosi ndi maso. Muzochitika zotere, kupanikizika kumadzuka madzuwa ndikudziyimira palokha pakapumula kwausiku.

Matenda a pulayimale (odziyimira) ndi matenda a akulu. Mu odwala azaka zopitilira 40, amakula 90% ya milandu. Pa gululi kuyambira azaka 30 mpaka 39, matenda oopsa amapezeka mwa 75% ya odwala. Pakati pa odwala matenda oopsa omwe sanadutse mzere wazaka 30 (kuphatikiza pakati pa ana ndi achinyamata), odwala omwe ali ndi vuto lalikulu la matenda oopsa sapezekapezeka.

Malinga ndi miyezo yomwe akatswiri amapanga bungwe la World Health Organisation, munthu yemwe magazi ake amathiratu kuposa 140/90 mm Hg amadziwika kuti ndi wodwala kwambiri. Art. Komabe, magawo awa sangatengedwe zenizeni: mawonekedwe a chamoyo chilichonse ndi amodzi ndipo zisonyezo za "kugwira ntchito" (kutanthauza mulingo woyenera) zimasiyana. Mulimonsemo, muyenera kukhala osamala ndi thanzi lanu ndikufunsira kwa dokotala ngati kukakamira kumadzuka mwadzidzidzi, chizungulire, mseru, kusasangalatsa kumbuyo kwa mutu kumachitika. Palibe amene angachite nthabwala ndi izi: zimatha kukhala zizindikilo za ngozi yomwe ikubwera msanga.