Chithandizo choyamba cha kuthamanga kwa magazi: ambulansi kunyumba, zomwe zimayambitsa ndi zizindikiro za matenda oopsa

Momwe mungapereke chithandizo choyamba ndi kuthamanga kwa magazi, ndikofunikira kudziwa zonse kwa odwala omwe ali ndi vuto losakanizira kwa magazi ndi achibale awo, izi zimathandiza kupewa mavuto obwera chifukwa cha matenda oopsa, kuphatikizapo kulowerera m'mitsempha, kumenya, kugunda kwamtima kwambiri, ndi zina zambiri.

Ambulansi imafunikira pakuwonjezeka kwambiri kwa kuthamanga kwa magazi (BP), komanso ndikuwonjezera kwakukulu. Ngati kuukira sikuchitika koyamba, mutha kutsitsa nokha, kutsatira malangizo a dokotala. Cholinga chofunafuna chithandizo chamankhwala nthawi yomweyo chimayenera kukhala chowonda m'magazi a wodwalayo, kupweteka kwambiri m'mutu komwe sikungathe kuyimitsidwa ndi analgesics, kupweteka kwa mtima, kukweza kwambiri kapena kutsika pang'ono.

Kugonekedwa kwa chipatala kumafunika poyambitsa vuto lalikulu la matenda oopsa, pakakhala kupweteka kwambiri m'malo a mtima omwe satha kuyimitsidwa ndi nitroglycerin, ndikulingalira komwe kumachitika chifukwa cha kukhumudwa kwa pachimake (kuchepa kwa chikumbumtima, kufooka kwa mtima, kutsekeka kwamphamvu.

Ndikofunikira kuganizira kuti kuthamanga kwa magazi kuyenera kuchepetsedwa pang'onopang'ono, osapitirira 30 mm Hg. Art. mu 1 ora. Ngati wachitika msanga, chiopsezo chokhala ndi myocardial ischemia imakulanso.

Kusamba kwa phazi lotentha, phazi lopondera ndi viniga ya patebulo, ndi mpiru pa minofu ya ng'ombe imathandizira kuchepetsa magazi.

Kodi ndi mankhwalawa kapena omwe mugwiritse ntchito mulingo woyenera kutsitsa magazi ayenera kutsimikiziridwa ndi dokotala. Kusankhidwa kwa mankhwala ena kumadalira zomwe zimayambitsa kukonzekera kwa matenda, ziwonetsero zamankhwala, kupezeka kwa zovuta, zotsutsana ndi zina zingapo. Kudzipatsa nokha mankhwala osokoneza bongo ndikosayenera, kungangokulitsa mkhalidwe wa wodwalayo.

Kuti muchepetse kupanikizika, mankhwala wowerengeka azitsamba angagwiritsidwe ntchito, komabe, ayenera kukumbukiridwa kuti nthawi zambiri samakhala ndi vuto mwachangu, chifukwa chake sangagwiritsidwe ntchito ngati pakufunika kuchepetsa zovuta mwachangu.

Chithandizo choyamba cha kuthamanga kwa magazi kunyumba

Asanafike ambulansi atapanikizika kwambiri, thandizo ladzidzidzi liyenera kuperekedwa kwa wodwalayo, izi zimawongolera kwambiri kutha kwa matendawo.

Choyamba, muyenera kumuthandiza wodwalayo kuti azigona pakama kapena kukhala pansi pang'ono, ndikuika mapilo angapo pansi pake. Ndi malo awa a thupi, katundu pa minofu ya mtima amachepa ndipo magazi amayenda bwino. Wodwalayo akulangizidwa kuti abwezere kupuma mwa kupumira pang'ono pang'ono ndikuyesetsa kuti muchepetse. Ndikofunikira kuti muzitha kupeza mpweya wabwino, womwe umatsegula windo kapena zenera, kumasula zovala zomwe zimakanikizira thupi.

Asanafike ambulansi, ndikofunikira kuyeza kuthamanga kwa magazi kangapo, zotsatira zomwe zapezeka ziyenera kudziwitsidwa kwa ogwira ntchito kuchipatala. Kuthamanga kwa magazi kuyenera kuyezedwa pafupifupi mphindi 15 zilizonse. Atafika, adotolo ayenera kufotokozera za izi, komanso zamankhwala onse omwe wodwala amamwa.

Ambulansi imafunikira pakuwonjezeka kwambiri kwa kuthamanga kwa magazi (BP), komanso ndikuwonjezera kwakukulu.

Ngati munthu amene ali ndi kuthamanga kwa magazi ali kunyumba yokhayokha, atayimba ambulansi ndikofunikira kuti azitsegula chitseko, ndikukhala pansi, ndikuyika mankhwala oyendera omwe angafunike antchito azachipatala asanafike, komanso tonometer.

Ambulansi Yovuta Kwambiri

Ngati wodwala walamula kale mankhwala aliwonse a dokotala, ayenera kugwiritsidwa ntchito. Mankhwala ena okhala ndi kuthamanga kwa magazi amatha kumwa pamlomo kapena kumamwa pansi pa lilime, kumapeto kwake, kuthamanga kwa mankhwalawa ndikwambiri.

Pazinthu zotere, mankhwala a antihypertensive omwe amagwira ntchito nthawi zambiri amaloledwa (mwachitsanzo, Captopril). Piritsi imayikidwa pansi pa lilime, pomwe imayenera kusungidwa mpaka itasungunuka kwathunthu.

Mphindi 15 mpaka 20 mutatha kugwiritsa ntchito Captopril kapena analogue yake, mutha kumwa mankhwala osokoneza bongo (mwachitsanzo, Furosemide, Lasix). Monga lamulo, kupanikizika kumacheperachepera mphindi 20.

Hafu ya ola mutatha kumwa mapiritsi a Captopril, mutha kupanga malire pazowopseza. Ngati chizindikiro chatsika ndi magawo 20-30 kuchokera koyambirira, kugwiritsanso ntchito mankhwalawa sikofunikira. Ngati piritsi loyambirira la Captopril mulibe zotsatira, mutha kumwa lina pambuyo pa mphindi 30. Mapiritsi oposa awiri sayenera kumwa.

Mankhwala azadzidzidzi akuphatikiza Validol, yomwe imagwiritsidwa ntchito pakukhudza mwachangu, arrhythmias, kupweteka pachifuwa. Mofananamo, tikulimbikitsidwa kutenga Nitroglycerin.

Panthawi ya mtima arrhythmias ndi angina, Anaprilin (Propranolol) amagwira ntchito.

Kuchepetsa nkhawa, mutha kugwiritsa ntchito Valocordin kapena Corvalol, tincture wa valerian, mamawort.

Kuthamanga kwa magazi kuyenera kuyezedwa pafupifupi mphindi 15 zilizonse. Atafika, adotolo ayenera kufotokozera za izi, komanso zamankhwala onse omwe wodwala amamwa.

Kusamba kwa phazi lotentha, phazi lopondera ndi viniga ya patebulo, ndi mpiru pa minofu ya ng'ombe imathandizira kuchepetsa magazi.

Ma ambulansi omwe ali ndi nkhawa kwambiri amakhala ndi jakisoni wa mankhwala a antihypertensive (Dibazol, Papaverine), koma izi siziyenera kuchitikira zokha, uku ndi luso la akatswiri azachipatala.

Zizindikiro zapamwamba

Iyenera kutha kusiyanitsa pakati pa kuthamanga kwambiri kwa magazi. Njira yoyenera kwambiri yodziwira phindu la kuthamanga kwa magazi ndi kugwiritsa ntchito polojekiti ya magazi kunyumba. Chipangizocho chikuwonetsa zofunikira zenizeni, kutengera zomwe mungachite pazoyenera.

Kuthamanga kwa magazi kukwera mpaka 140-150 mm Hg. Itha kutsagana ndi zizindikiro zapadera, koma njira zapadera sizofunikira nthawi zonse. Nthawi zambiri zimakhala zokwanira kumwa diuretic kapena antispasmodic, kotero kuti kuthamanga kumatsikira mofulumira ndi magawo 10-20.

Kupanikizika kwakukulu ndi kupitirira 160 mm Hg. Zizindikiro pamenepa ndi munthu payekha, odwala ena amamva kuwonongeka kwakukulu pakuwoneka bwino ndikuwonjezeka kwa kuthamanga kwa magazi kufika pa 160 pa 100, pomwe ena akumva zabwinobwino. Kudumpha mu kuthamanga kwa magazi kungayende limodzi ndi:

kupuma movutikira
kuzizira
mutu
ntchentche zikuuluka m'maso
kugwedeza kupweteka mkombero wa mphuno
kupweteka kumbuyo kwa chifuwa
arrhythmia.

Nthawi zambiri wodwalayo amakhala ndi nkhawa, amakhala ndi mantha akulu. Pankhaniyi, redness la khungu la nkhope ndikugwedezeka kwa zala ndikotheka. Nthawi zambiri odwala sangathe kupuma movutikira, kudandaula chifukwa cha chizungulire komanso kumva kukoka kwa chotupa cha carotid.

Anthu osiyanasiyana amakhala ndi zisonyezo zazikulu komanso zamphamvu mosiyanasiyana

Kuyitanira ambulansi?

Ambulansi iyenera kuyitanidwa pamene kuthamanga kwa magazi kukwera pazofunikira kwambiri. Kuphatikiza apo, lingaliro lamavuto azovuta kwa aliyense ndi munthu payekha. Munthu yemwe amakhala ndi matenda oopsa a digiri yachiwiri samva kupweteka kwambiri chifukwa cha kukakamizidwa kwa 180, koma kwa munthu wina kufunika kwake kumakhala koopsa.

Popeza mwapeza kupanikizika kwambiri, muyenera kuyitanitsa akatswiri, ndipo panthawiyi yesani kupumula. Ndikulimbikitsidwa kutenga malo okhala pang'ono ndikutsegula mawindo kuti muwonetsetse kuti mukuyenda mpweya. Pamene ambulansi ikuyenda, kuthamanga kwa magazi kuyenera kuwayeza kangapo.Ndikofunikira kusintha kupumira ndikuyesera kuti musakhale amantha, apo ayi zotsatira zake zidzapotozedwa.

Gulu la madotolo litafika, muyenera kupereka zolemba zosintha pamagazi ndikufotokozera onse mankhwala omwe wodwalayo adatenga asanayitanidwe. Izi zikuthandizani kuti muzitha kusintha zochita za madokotala kuti azitha kuthana ndi magazi mwachangu komanso mokwanira.

Kujambulitsa kuchuluka kwa kuthamanga kwa magazi mutamwa mankhwalawa kumathandizira adokotala kuti agwirizane ndi zomwe achite

Cholinga choitanira ambulansi ndi:

kupanikizika kwa 180 mpaka 120 kapena 200 mpaka 140,
tachycardia kapena bradycardia,
kuwonongeka kochita bwino,
kupweteka mumtima.

Onse tachycardia ndi bradycardia motsutsana kumbuyo kwa kuthamanga kwa magazi amatha kukhala owopsa, chifukwa chake ngati zimachitika zimakhala zocheperapo kuposa 60 kapena kupitirira 100 kumenyedwa pamphindi, ndikulimbikitsidwa kuyimbira dokotala kunyumba.

Kupanikizika Kwambiri Algorithm

Zoyenera kuchita ngati kupanikizika kukwera mwadzidzidzi, koma nthawi yomweyo munthuyo amakhala 1 kunyumba, ndipo palibe amene angamuthandizire - algorithm yotsatirayi iphunzitsa izi, zomwe zimakupatsani mwayi wokhala ndi magazi ochepa nokha.

Poyamba, muyenera kukhala pabedi, ndikuyika mapilo angapo pansi kumbuyo. Izi mawonekedwe amthupi amachepetsa katundu pamtima ndikuthandizira magazi. Nthawi yomweyo, tikulimbikitsidwa kuti titsegule mawindo m'chipindacho - kuchuluka kwa mpweya wabwino kumathandizira kupumira.
Muyenera kuyesetsa kubwezeretsa kupuma mwa kupumira pang'ono pang'ono. Tiyenera kuyesera kuti tisiyane ndi zokhazikika kuti tipewe mantha. Kupsinjika ndi nkhawa panthawi yamavuto oopsa ndizo adani enieni amtima.
Mankhwala omwe amagwira ntchito kwa nthawi yayitali, mwachitsanzo, Captopril, akhoza kutengedwa. Piritsi limodzi limayikidwa pansi pa lilime ndipo limagwira mpaka litasungunuka kwathunthu.
Kwa ululu wamtima kapena arrhythmias, tikulimbikitsidwa kumwa nitroglycerin.
Mutha kusamba phazi lotentha, ikani compress yotentha kapena mpiru. Izi zimathandizira magazi kulowa m'miyendo, zomwe zikutanthauza kuti zimachepetsa kuthamanga kwa magazi mu mtima, zomwe zimapangitsa kukhala bwino ndikuchepetsa chiopsezo chodwala mtima.
Ngati theka la ora silinatsikire ndi 10-20, mutenge piritsi ina la Captopril.
Muyenera kuyimba ambulansi ngati mutatha kumwa mankhwalawo, thanzi lanu silinasinthe kapena kuipiraipira.

Kuthamanga kwa magazi kuyenera kutengedwa mphindi 15 zilizonse. Ngati mukufunikira kuyitanira ambulansi, muyenera kujambula zonsezo poyeza magazi, komanso nthawi yakumwa mankhwalawo.

Mutamwa mankhwala oledzera, simuyenera kuchita zinthu zina - muyenera kudikirira kotala limodzi ndi kuyeza kuthamanga kwa magazi

Momwe mungachepetse kuthamanga kwa magazi?

Ngati thandizo loyamba atapanikizika kwambiri, mutha kugwiritsa ntchito:

nitroglycerin kapena Validol,
Captopril
Pamalo otsika,
okodzetsa.

Kuphatikiza kwamoto kapena kusamba kwamapazi kumathandizira kuchepetsa kukakamiza mwachangu. Ndikulimbikitsidwa kuti muzikhala otentha kwa mphindi 20. Mutha kutenga captopril panthawiyi. Kukonzanso mobwerezabwereza piritsi kumaloledwa pambuyo pa mphindi 20.

Pankhani ya arrhythmia, kukoka kwakukulu kapena kupweteka m'dera la mtima, piritsi limodzi la halidi kapena glycerol liyenera kuyikidwa pansi pa lilime. Ngati pakadutsa mphindi 15 chisangalalo sichinatsike, muthanso kumwa mankhwalawo. Mlingo wachitatu umaloledwa nthawi zonse.

Mphindi 15 mutatha Captopril, mutha kumwa diuretic iliyonse. Mankhwalawa amagwira ntchito limodzi bwino ndipo amatenga magazi kutha msanga. Mutha kumwa Furosemide kapena Lasix. Mankhwalawa amagwira ntchito mwachangu, kotero kuchepa kwa kukakamizika kumadziwika mphindi 20 mutamwa mapiritsi.

Njira yothandiza kuti muchepetse kupanikizika popanda kugwiritsa ntchito mankhwalawa ndi kusamba kwamapazi

Momwe mungachepetse kukakamizidwa kwa 140 mpaka 100?

Pazifukwa zingapo, munthu wathanzi labwino kwambiri amatha kukhala ndi kukakamizidwa kwa mpaka 140 mm Hg.Nthawi zambiri vutoli limakhala lakanthawi kochepa, koma ngati kulumikizaku sikunachitike mwa iko kokha, mutu ndi kusokonekera kumatha kuchitika.

Ngati kuthamanga kwa magazi kukwera pang'onopang'ono ndipo palibe funso la vuto la matenda oopsa, mutha kutenga antispasmodic iliyonse kuti muchepetse kusasangalala. Izi ndizothandiza pokhapokha ngati ndi funso lowonjezera kuthamanga kwa magazi kufika ku 140 mm Hg. Antispasmodics (No-Shpa, Combispasm) amachepetsa mutu chifukwa cha kuchuluka kwa kuthamanga kwa magazi ndikupumula kwamitsempha yamagazi, yomwe imaphatikizapo kuchepa kwa kukakamizidwa ndi pafupifupi mfundo 10. Ndi kuwonjezeka kwa kuthamanga kwa magazi kufika pa 140 pa 100, ndikuthandizanso kutenga zoledzeretsa za valerian, mamawort kapena madontho a Corvalol. Kuti muchite izi, tengani madontho 30 a malonda ndi shuga, omwe amayikidwa pansi pa lilime kapena kumizidwa.

Kuthandizanso kutenga mapiritsi okhala ndi diuretic, decoction yamtchire yamtchire kapena parsley.

Mapiritsi Akuluakulu a Ambulansi

Ngati kupanikizika kwachulukirachulukira, choti muchite, ndi chithandizo chiti choyenera pankhaniyi, zimatengera luso lenileni la kuthamanga.

Pamavuto, mutha kumwa imodzi mwamankhwala otsatirawa:

Captopril - imodzi mwamankhwala odziwika kwambiri

Kuvomerezedwa pa chiwembu - piritsi limodzi mkati kapena lilime. Pambuyo pa theka la ora, muyeso wopanikiza uyenera kuchitika. Ngati watsika ndi pafupifupi 20 mayunitsi, simukufunikiranso kumwa mankhwalawo. Ndi kusakhazikika kwa piritsi yomwe mumamwa, mutha kutenga mphindi yachiwiri.

Mapiritsi oposa awiri ndi oletsedwa. Corinfar saledzera ndi tachycardia, chifukwa mankhwalawa angayambitse kugunda kwa mtima kwambiri.

Ndi nkhawa yokwezeka pang'ono, ndibwino kuchita ndi diuretics kapena antispasmodics.

Zapamwamba Zamatenda a Mtima

Thandizo loyamba la kuthamanga kwa magazi limaphatikizapo osati chithandizo chamankhwala, chifukwa chake mtima wanu ukapweteka, mutha kumwa piritsi ya nitroglycerin kapena mankhwala ofananawo. Ndikupangika kwa arrhythmias, angina pectoris ndi kuthamanga kwa mtima. Nitroglycerin imayikidwa pansi pa lilime, mutatha mphindi 15 mutatha kumwa mankhwalanso. Mlingo woyenera wovomerezeka ndi mapiritsi atatu okhala ndi mphindi 15.

Komanso, ndi arrhythmias ndi angina pectoris, mutha kumwa Anaprilin. Mankhwalawa amatithandizanso kukoka kwamkati, koma sikukhudza kuthamanga kwa magazi. Mlingo wovomerezeka umodzi ndi 10 mg.

Mitsempha ya mtima monga Cardomed, Tricardin ali ndi tanthauzo la antispasmodic. Amatha kutengedwa ndi kuthamanga kwambiri, chifukwa amachepetsa kuthamanga kwa magazi, pomwe amachepetsa arrhythmia ndikudziyendetsa bwino. Ndi vuto kapena kuthamanga kwa magazi, muyenera kumwa madontho 20 a malonda.

Corvalol ndi Valocordin panthawi yamavuto amagwiritsidwa ntchito ngati chothandiza kuchepetsa nkhawa. Mankhwalawa sakhala ndi vuto la kukakamira kapena kukoka.

Nthawi zambiri mumatha kumva malingaliro okhudza kutengaolol ndi kuwonjezeka kwa kuthamanga kwa magazi. Mankhwalawa amagwiritsidwanso ntchito ngati sedative. Kukoma kwawoko kumakupatsani mwayi woti musunthireni piritsi lanu. Poterepa, mankhwalawa amateteza kugunda kwa mtima, komwe kumathandizira zovuta. Validol imaloledwa kutengedwa kawiri, ndikupanga mphindi 20.

Validol - yoyesedwa, yodziwika sedative

Majekesedwe opsinjika

Kuti muchepetse vuto la matenda oopsa, jakisoni amagwiritsidwa ntchito nthawi zambiri. Ndizosatheka kugwiritsa ntchito mankhwalawa pawokha, chifukwa sanapangidwe pofuna kuthana ndi matenda oopsa, koma amangogwiritsidwa ntchito pothana ndi magazi.

Jekeseni nthawi zambiri amaperekedwa ndi madokotala azadzidzidzi. Kuphatikiza wogwira ntchito kwa mankhwala - papaverine wokhala ndi dibazole (Papazol) kapena triad (papaverine ndi diphenhydramine ndi analginum).

Zosiyanasiyana zitha kukhazikitsidwa pazokha, ngati kale mankhwalawa adagwiritsidwa ntchito motsogozedwa ndi dokotala. Mankhwalawa ali ophatikizidwa mu shuga, glaucoma, komanso anthu azaka zopitilira 65.

Matatuwa amayikidwa ndi adokotala okha.Simungathe kugula nokha mankhwalawa, chifukwa amakonzekera pomwepo kuchokera pamankhwala atatu osiyanasiyana omwe samapezeka popanda mankhwala.

Nthawi zambiri, poyitanitsa ambulansi, mankhwalawa amagwiritsidwa ntchito kuti athetse mavuto. Kunyumba, mutha kuyika magnesia. Chida ichi sichimachepetsa kukakamiza, koma chimasinthasintha kugunda kwa mtima ndikuletsa zotsatira zowopsa zavuto.

Ndikosatheka kumwa nokha mankhwala aliwonse popanda mankhwala a dokotala panthawi yamavuto. Kuchepetsa kwambiri kuthamanga kwa magazi kumatha kukhala ndi zotsatirapo zoyipa.

Mukafuna kuyitanira ambulansi pakukakamizidwa kwambiri

Palibe yankho losatsutsika lafunso, pamlingo wamagazi wotani womwe mumayimbira gulu la ambulansi. Ndikofunikira kuchita molingana ndi momwe zinthu zilili. Mwachitsanzo, ngati munthu nthawi zambiri amakhala ndi kuthamanga kwa magazi (hypotension), koma mwadzidzidzi kupanikizika kumakwera mpaka 130/85 mmHg. Art. ndipo pamwambamwamba, ndiye nthawi yakumveketsa mawu.

Milandu yotsatirayi imawerengedwa kuti ndi chitsimikiziro choyitanitsa ambulansi:

Uku ndiko kukwera koyamba komanso kowonjezereka kwamphamvu pamavuto pamoyo wa munthu,
mankhwala a antihypertensive omwe adafotokozeredwa ndi adokotala sanatsike magazi atatha ola limodzi atatengedwa,
panali chifuwa: kupsa, kupweteka,
nkovuta kwa wodwala kupuma
kuzizira, kugwedeza kwa mikono, miyendo,
Zizindikiro za vuto la matenda oopsa zinaonekera: kulumikizika, kulumikizika, miyendo imakhala galimoto.

Popeza kuti mwayimba nambala ya ambulansi, ndikofunikira kudziwitsa omwe akutulutsa zotsatira za zoyeserera zaposachedwa, kuti anene za madandaulo onse omwe wodwala adandaula. Ndikofunika kufunsa za thandizo loyamba lomwe muyenera kupatsa munthu madokotala akupita.

Gonekerani wodwala pabedi pamitunda yayitali ndikudzigudubuza pansi pa mawondo ake.
Ngati ndi kotheka, jekeseni mankhwala othinkhiritsa omwe amapezeka pakamwa patsekemera (mtundu uwu wa mankhwalawa umachepetsa kuthamanga kwa magazi m'mphindi 5),
yatsani nyimbo zaphokoso ndi zida zamagetsi zomwe zimapanga phokoso: makina ochapira, mafuta owunikira, chowumitsira tsitsi,
thimitsani magetsi ndikujambulani makatani
khazikitsa chipinda

Musayatse nyali zonunkhira kapena kugwiritsira ntchito magetsi, chifukwa kununkhira kwamphamvu kumapangitsa kuti anzanu azikula.

Mankhwala omwe madokotala azadzidzidzi amapereka

Pothamanga kwambiri, choyambirira, wodwalayo amapatsidwa mankhwala kuchokera ku gulu la ACE inhibitors. Mankhwalawa amaletsa kupanga angiotensin amtundu wachiwiri (amachititsa vasospasm). Mankhwalawa amaletsa kupanga enzyme kwakanthawi, chifukwa choti kuunikira kwa ziwiya kumakula, ndipo magaziwo amadutsa mwakachetechete kudzera mwa iwo. Izi zimabweretsa matenda a kuthamanga kwa magazi.

ACE zoletsa ali ndi zotsutsana:

mimba
chiwindi / kulephera kwa impso,
ziwengo kuti zikuchokera.

Oimira abwino kwambiri a ACE zoletsa:

Captopril. Simalola kuti angiotensin 1 asinthe kukhala angiotensin 2. Mwanjira iyi yosinthira, chinthu ichi ndichabwino kwa anthu. Mankhwalawa amapezeka pamapiritsi. Mankhwalawa amayenera kumwedwa pamimba yopanda kanthu, chifukwa mukamagwiritsa ntchito Captopril mutangodya, mphamvu yake imachepa. Amawonetsera kulephera kwa mtima ndi matenda oopsa, komanso pa nthawi ya kulowetsedwa kwamtima kwamatumbo. Dokotala wa ambulansi amasankha mlingo malinga ndi kuopsa kwa vuto la wodwalayo. Zimatithandizanso kudziwa ngati wodwalayo adamwa kale mankhwalawa, chifukwa nthawi zonse kugwiritsa ntchito mlingo umakhala wokwera kwambiri (75 mg) kuposa ndi woyamba (25 kapena 50 mg),

Burlipril. Mosiyana ndi mankhwala am'mbuyomu, mankhwalawa amatengedwa popanda kutchulidwa pakudya. Chogulacho chimapezeka ngati mapiritsi ozungulira. The yogwira ndi enalapril malea. Mothandizidwa ndi chinthuchi, onse m'munsi (diastolic) ndi kupanikizika kwapamwamba (systolic) amachepetsa nthawi imodzi.Mankhwalawa amamulembera matenda oopsa, osagwira ntchito pamitsempha yamtima, pambuyo povunduka kwamtima, komanso ngati mtima walephera. Sizingatengedwe ndi edema ya Quincke, yomwe imatha kuchitika chifukwa ch kumwa mankhwalawa omwe amasokoneza mapangidwe amtundu wa angiotensin m'thupi la munthu. Burlipril amaletsedwa mu porphyria komanso panthawi yomwe ali ndi pakati. Kusamala makamaka kuyenera kuthandizidwa pakumwa mankhwalawa ngati wodwala wachita opaleshoni impso, akudwala matenda a coronary, ali ndi matenda a shuga kapena stenosis amitsempha yamagazi ndi aorta. Odwala a zaka zopitilira 65 amatha kungotenga pamaso pa madokotala. Mlingo watsiku ndi tsiku umachokera ku 20 mpaka 40 mg.

Ma diuretics omwe amateteza kuthamanga kwa magazi

Nthawi zambiri, madokotala azadzidzidzi amapereka okodzetsa odwala kwambiri. Ngati kupanikizika kwakwera kwambiri, ndiye kuti jakisoni amaperekedwa m'malo mwa mapiritsi, chifukwa yankho lake limalowa nthawi yomweyo m'magazi ndikuyamba kuwonetsa chidwi. Kuphatikiza apo, jakisoni amatenga nthawi yayitali kuposa mankhwala amkamwa.

Kuchepa kwa kuthamanga kwa magazi chifukwa chodwala okodzetsa kumachitika chifukwa chochotsa madzimadzi owonjezera m'matumbo. Kuchuluka kwa magazi kumachepetsedwa, mitsempha yamagazi imapumula ndipo kuthamanga kwa magazi kumatulutsa.

Nthawi zambiri, ma ambulansi amagwiritsa ntchito:

Zoyipa zama diuretics ndikuti amatsuka calcium kuchokera ku thupi la munthu, chifukwa chake, atatha kuthira mafuta othandizira, ndikofunikira kubwezeretsanso kuchuluka kwa mankhwala omwe agwiritsidwa ntchito popanga vitamini-mineral complexes.

Kuphatikiza pa okodzetsa magazi kuti muchepetse magazi, kunyumba madokotala amagwiritsa ntchito mankhwala a magulu ena:

Beta blockers (Leveton, Atenol, Bisoprolol). Chepetsani kuthamanga kwa adrenaline, komwe kumalola mtima kugwira ntchito mwachizolowezi. Chowonadi ndi chakuti kuchuluka kwa timadzi tating'onoting'ono kameneka kukwera m'magazi a munthu, mtima umalandira chisonyezo kuchokera muubongo kuti tipeze timadzi tachilengedwe kawiri kwambiri mwachizolowezi komanso kupanikizika.

Ma calcium calcium (Norvask, Adalat, Amlodipine, Nifedipine). Gululi la mankhwalawa limatsitsa kamvekedwe ka minofu ndikukula.
Angiotensin-2 Receptor Antagonists (Losartan, Eprosartan, Valsartan). Mankhwala ochokera pagululi amatsitsimutsa mitsempha yamagazi, chifukwa chomwe kupanikizika kumafalikira.

Mapiritsi pansi pa lilime

Kuthamanga kwambiri kumachepetsedwa ndi mapiritsi omwe sayenera kumwa, koma ikani pansi pa lilime. Amasungunuka ndi malovu ndikukalowa m'magazi m'mphindi.

Mankhwala otchuka kwambiri:

Corfid. Chosakaniza chake (nifedipine) ndi cha calcium blockers. Izi zimachepetsa kanthawi kochepa calcium, zomwe zimabweretsa kutsitsimutsa kwa mitsempha yamagazi komanso kuchepa kwa magazi. Chowonadi ndi chakuti kuchuluka kwa calcium kambiri kuzungulira kumayambitsa kukulira kwa mawu, ndipo izi zimaphatikizira kuchuluka kwa magazi. Corinfar amateteza mtima ku zotsatirapo zoyipa zowonjezera magazi: kuthamanga kwa mtima, kulephera kwamitsempha yamanzere, komanso kusokonezeka kwa mitsempha. Ngati mavuto akwera kwambiri, adokotala amatha kupatsa odwala mapiritsi awiri. Njira zitha kumwedwa kokha mwa mankhwala. Pogwiritsa ntchitoCorffar, zimachitika izi: edema yokhala m'munsi, kufooka kwakukulu ndikuchepetsa zimachitika,

Physiotens. Njira ina yothandizira kale. Ambulansi imapatsa wodwala mapiritsi awiri. Kupanikizika kumachepa mphindi 20 mutatha kumwa mankhwalawo.

Nitroglycerin

Ambulansi yokhala ndi kuthamanga kwa magazi nthawi zambiri imagwiritsa ntchito nitroglycerin. Mankhwalawa amateteza mtima ku mavuto obwera chifukwa cha kudumpha kwa magazi, kubwezeretsa kugunda kwa mtima, komanso kumatha mphamvu. Nitroglycerin imalimbikitsidwa kupweteka kwapweteka kapena kukanikiza kumbuyo kwa sternum.

Piritsi imayikidwa pansi pa lilime ndipo imatengedwa kwathunthu.Ngati vuto silinayende bwino, ndiye kuti pakatha mphindi 15 imodzi iyenera kugwiritsidwanso ntchito.

Kupanikizika Kwambiri

Ngati kuthamanga kwa magazi kukwera kwambiri ndipo pamakhala chiwopsezo cha matenda oopsa, wodwalayo amapatsidwa jakisoni omwe amayambitsa kuthamanga kwa magazi. Mankhwala omwe amaperekedwa kwa wodwala i / m, iv kapena subwayane amapangidwa kuti athe kupereka chithandizo mwadzidzidzi, chifukwa chake sangathe kugwiritsidwa ntchito momwe mungafunire. Katswiri wazachipatala yekha ndi amene ayenera kuyamwa, yemwe amayang'anira momwe munthuyo aliri kwa maola osachepera atatu pambuyo poti jekeseni.

Mankhwala omwe madokotala azadzidzidzi amapangira jakisoni:

Zoyipa Kuphatikiza kwa papaverine ndi dibazole. Kusakaniza kumakhala ndi kupuma thupi lonse, kumakulitsa kuwunikira kwamitsempha yamagazi, mankhwala oletsa ululu,
Triad. Jakisoni amatha kuperekedwa ndi dokotala. Izi sizikugulitsidwa ku pharmacy. Osakaniza amakonzedwa kuchokera ku ampoules omwe sanagawidwe posagwirizana ndi mankhwala. Triad imakhala ndi zinthu zitatu - Diphenhydramine, Papaverine, Analgin. Chifukwa chake dzina. Kuphatikiza kwa mankhwalawa kumachepetsa munthu, kumachepetsa mutu, kumachepetsa kuthamanga kwa magazi,
Magnesia. Amayendetsa intramuscularly, kuti munthu asavulale, novocaine ampoule imawonjezeredwa syringe. Kukhazikitsidwa kwa 10 ml ya njirayi kumapangitsa kuti kuchepa kwamphamvu kukakamize. Kuti mankhwalawo afalikire mwachangu kudutsa m'magazi, botolo lamadzi otentha kapena phata lotenthetsera limayikidwa pamalo operekera jakisoni.

Kupanikizika kunachuluka - chochita?

Ndi kuwonjezeka kwa kuthamanga kwa magazi pamwamba pazomwe zikuchitika, njira zoyenera zimafunikira kuti zikhale bwino.

Njira zingapo ndi zida zosiyanasiyana zitha kugwiritsidwa ntchito kubweretsa kuthamanga kwa magazi, monga mankhwala, kutikita minofu, kapena maphikidwe achire.

Kusankhidwa kwa njira zowonekera kumadalira kuchuluka kwa kupatuka kwa chizindikirocho komanso machitidwe a wodwala.

Zimakhala zovuta kusankha pomwepo ngati mungathe kupirira nokha kapena ngati mukufunikira thandizo mwachangu ndikuyitanira ambulansi.

Zizindikiro zotsatirazi ndi chidziwitso chokwanira chopita kwa dokotala:

Mwadzidzidzi, mutu wowopsa komanso wowopsa, makamaka ndi mseru komanso kusanza.
Kuchita dzanzi ndi mawonekedwe amoto oyendetsa nkhope, mikono ndi miyendo, makamaka mbali imodzi.
Kutaya gawo
Kupweteka kwambiri kuphika kumbuyo kwa kumbuyo, kufikira nkono, phewa, nsagwada, makamaka kuphatikiza ndi kusowa kwa mpweya komanso kumva kuti mtima ukulephera.
Kutentha kwa mtima, kupweteka komanso kulemera m'mimba motsutsana ndi kuthamanga kwa magazi.
Kupuma pang'ono, kupindika kwamkono wa nasolabial ndi zala ndi zala.
Chilonda chachikulu, limodzi ndi chitho chamkamwa kuchokera pakamwa.

Muzochitika zoterezi, mosakayikira - thandizo lazachipatala likufunika.

Choyambirira, simuyenera kutaya mutu komanso kukhala wodekha. Pali zinthu zingapo zomwe zikufunika kuchitika kunyumba mosasamala kanthu za zomwe zingachitike:

kumuyika wodwalayo pamalo opingasa okhala ndi bolodi yokhala pamwamba, mutha kuyika mapilo angapo, kumasula kolala kapena kumangiriza, kupereka mtendere komanso kuchuluka kwa mpweya wabwino,
ngati kugwedezeka, kuzizira, kuphimba ndi bulangeti, kutentha, kukulani miyendo yanu,
ikani choziziritsa kukhosi kumbuyo kwa mutu komanso mwina pamphumi.
kusamba phazi lotentha (mutha kuthanso manja anu) kapena kuyika chotenthetsera kapena mpiru pa minofu ya ng'ombe - izi "zododometsa" izi zithandiza kuonetsetsa kuti magazi akuyenda miyendo ndi "kumasula" mtima.
mutha kutenga tincture ya mamawort, hawthorn kapena valerian, corvalol, valocordin, validol, omwe amapangidwa kuti azithandiza kuthana ndi kupsinjika,
pamaso pa chidziwitso, ndizothandiza kukopa mfundo zina za kapangidwe kake kapena kugwiritsa ntchito njira zina zopopera.

Osakakamiza munthu kuchita izi motsutsana ndi kuvomera kwake, "zivute zitani" - chinthu chachikulu ndicho kukhala wodekha osakhumudwitsa, zomwe zimayambitsa vasospasm yowonjezera.

Zitachitika kuti zizindikiro zizioneka mumsewu, pamalo owonekera anthu - zochita zake zimakhala zofanana. Kukhala pansi kapena, ngati kuli kotheka, kugona wodwalayo, ndikukweza mutu wake ndikutsitsa miyendo yake, kutsegula mawindo kapena kuyatsa fanayo, kumasula tayi yake, kumugwetsa.

Ngati munthu ali ndi mankhwala abwinobwino kwa iye, thandizani kumwa mapiritsi kapena madontho, khalani naye kufikira vutolo litakwana kapena kuti ambulansi ya ambulansi ifike.

Madontho a matenda oopsa

Makamaka ovuta kwambiri, madokotala azadzidzidzi amagwiritsa ntchito otsitsa kuti athetse matenda oopsa:

Dibazole Amaloledwa kulowa kokha ndi mtundu wosavuta wa matenda oopsa, ndiye kuti, ngati wodwalayo alibe kulephera kwa impso, arrhythmias yamtima ndi zina zomwe zimayambitsa kudumpha mu magazi. Kugwiritsa ntchito dontho lokhala ndi magazi kumathandizanso kuti magazi azituluka muubongo, zomwe zingalepheretse sitiroko, kuthetsa kukokana,
Aminazine. Chida ichi chimayendetsedwa ndi nkhawa komanso mantha. Dokotala amayenera kuwerengera mankhwalawa mosamala kwambiri, chifukwa mankhwalawa amachepetsa kwambiri kuthamanga kwa magazi, ndipo izi ndizowopsa kuumoyo: pali kuthekera kwakukulu kwa edema ya m'magazi, kulephera kwa impso.

Ndi mankhwala ati omwe ndingathe kumwa kunyumba?

Ndi kuthekera koyenera, ndikosavuta komanso kothandiza kupanga jakisoni. Palinso zosankha zingapo za izi. Mankhwala omwe amagwiritsidwa ntchito masiku onse ndi Dibazole ndi Papaverine. Mutha kuwonjezera pa Analgin kapena ma painkillers, okodzetsa, kapena enalapril kwa iwo.

Njira yothandiza kwambiri ndi magnesium sulfate (magnesia). Ndiwothandiza kwambiri komanso motetezeka kuupereka mwachangu pakapukusidwa bwino - kusintha kwa mankhwala a vasodilating, antispasmodic ndi sedative. Mochulukirapo, kuyambitsa minofu ndikotheka, koma kumakhala kowawa, jekeseni wotsatira amalowerera kwa nthawi yayitali ndipo amathanso kuyambitsa mavuto ena. Simungathe kulowa mankhwalawa ndi kulephera kwa aimpso, kutsekeka m'matumbo, matenda a kupuma.

Kuchepetsa kwa mankhwalawa nthawi zambiri kumachitika kokha m'malo azachipatala moyang'aniridwa ndi ogwira ntchito kuchipatala. Madontho amagwiritsidwa ntchito pazovuta kwambiri pomwe zotsatira zake zikuyenera kukwaniritsidwa mwachangu, popeza pali chiwopsezo chamoyo.

Ponena za malingaliro azikhalidwe zamakhwala, adazindikira zotsatira zake akamagwiritsa ntchito mankhwala othandizira kapena mankhwala a zitsamba - zomwe watchulidwa kale, mayi wachikazi ndi valerian, komanso meadowsweet, sinamoni wouma, timbewu tonunkhira, timbewu ta geranium. Mutha kupaka mafuta odzola ndi zitsamba pakhosi, nape, mapewa. Koma ndalamazi ndizotheka kuthandizira ndipo sizileka kumwa mapiritsi ndi kufunsa madokotala.

Pali mankhwala ambiri omwe amapangidwa kuti achepetse kuthamanga kwa magazi, momwe amagwirira ntchito ndi "machitidwe omwe amagwiritsidwa ntchito" ndiosiyana kwambiri.

Kwa chisamaliro chodzidzimutsa, magulu angapo a mankhwalawa ndi oyenera:

Zodzikongoletsera Zomwe zimatchedwa diuretics - Furosemide, Lasix, Indapamide ndi ena - zimapangidwa kuti zichotse mwachangu madzi m'thupi kuti muchepetse kuchuluka kwa magazi omwe amayenderera m'magazi. Nthawi zambiri, othandizira “othamanga” limodzi ndi mkodzo amachotsa mchere wama mchere wofunikira m'thupi, chifukwa chake muyenera kusamala, kusamala, kuwerenga malangizo kapena kukaonana ndi dokotala.
Mankhwala osokoneza bongo omwe amakhudza kugwira ntchito kwa mtima - Nifedipine, Amlodipine, Norvask, Bisoprolol, Atenol, Anaprilin, etc. Monga mankhwala aliwonse, ali ndi zotsutsana zambiri komanso zoyipa. Mwachitsanzo, mankhwalawa Nifedipine, Corinfar, Pharmadipine, Cordipine nthawi zambiri amatengedwa pa 10 mg mg, amachepetsa magazi mosavuta, koma amatsutsana ndi angina pectoris, kugunda kwa mtima, edema.Anaprilin, komanso bisoprolol ndi atenol, amachepetsa kugunda kwa mtima ndikuwononga kugunda kwa mtima.
Nitroglycerin. Mankhwala othandizira kukonzekeretsa magazi kupita ku minofu ya mtima amathetsa mitsempha ya magazi, zomwe zikutanthauza kuti amathandizanso kupsinjika. Amawonetsedwa makamaka chifukwa cha ululu mumtima, koma amatha kupweteketsa mutu.
Enalapril, Burlipril, Captopril - otchedwa ACE inhibitors nthawi zambiri amakhala othandiza, koma amagwira ntchito bwino akamatengedwa mobwerezabwereza. Vuto la impso kapena pakati ndi contraindication kuti mugwiritse ntchito.
Clonidine, Clonidine pa mlingo wa 0,075 mg amagwira ntchito mwachangu, koma zotsatira zake sizoyendetsedwa bwino motero osatetezeka.

Nthawi zambiri amalimbikitsidwa kumwa Mexicoidol - mankhwala omwe amateteza ziwalo ndi minyewa ku chakudya cha okosijeni mthupi la vasospasm.

Njira zopewera

Munthu akayamba kuthamanga magazi, chidwi choyamba ndi kuti amwe kumwa mankhwala kawiri nthawi yomweyo kuti akwaniritse zotsatira zake ndikuchotsa zosasangalatsa.

Machitidwe oterewa ali ndi zoopsa zambiri ndipo mwanjira iliyonse sizovomerezeka ndi madokotala aluso. Thupi limalolera kuchepa kwapang'onopang'ono - osapitirira 25-30 mm Hg. kwa ola lililonse.

Ndikofunikira kupewa kukakamizidwa kutenga mlingo watsopano mkati mwa theka la ola pambuyo pa woyamba (kupatula mankhwala oyeserera), popeza mwanjira imeneyi mutha kuwonjezera kwambiri chiopsezo chotsatira cha ischemia, kuperewera kwa mpweya ndi minyewa komanso zovuta zina.

Kumbukirani kuti achikulire, anthu ofooka, komanso odwala omwe ali ndi vuto la chiwindi ndi impso, mulingo wa mankhwala onse uyenera kuchepetsedwa ndi theka, izi zimalembedwa nthawi zonse m'malangizo a mankhwalawa. Kupanda kutero, mutha kuvulaza, osathandiza.

Ndizosatheka kunena za zomwe ziyenera kuchitidwa kuti mupewe mavuto motere:

Yang'anirani zakudya. Muchepetse mafuta a nyama, mowa, mchere komanso nyama zosuta. Chulukitsani zakudya zamasamba, zipatso ndi chimanga, idyani zakudya zomwe zili ndi omega-3 mafuta acids omwe amalepheretsa kusintha kwamitsempha kumabweretsa matenda oopsa,
Siyani kusuta.
Muzichita masewera olimbitsa thupi pafupipafupi - masewera olimbitsa thupi amathandizira kuphunzitsa mtima ndi mitsempha yamagazi, kudyetsa ziwalo ndi minyewa ndi mpweya, ndikuthandizira kupewa matenda ambiri.
Chotsani kulemera kwambiri, komwe ndi chimodzi mwazinthu zazikulu zoopsa zomwe zingayambitse matenda oopsa kwambiri, matenda a atherosclerosis, ndi matenda ena a CVD.
Pewani kupsinjika, kuchuluka kwambiri, kukhazikitsani kugona mokwanira komanso chizolowezi chogwira ntchito, kukhala ndi nthawi yambiri mumlengalenga.

Kuphatikiza apo, muyenera kuyang'anitsitsa kuchuluka kwa kuthamanga kwa magazi komanso kumayesedwa pafupipafupi.

Momwe mungachepere kupanikizika kunyumba ikufotokozedwa mu kanema m'nkhaniyi.

Zomwe zimayambitsa komanso zowopsa za matenda oopsa

Kuthamanga kwa magazi ndi kukakamiza komwe magazi amapereka pa khoma lamitsempha yama mitsempha. Kufunika kwa chizindikirochi kumadalira mphamvu yamapazi a mtima, kuchuluka kwa magazi mthupi, komanso kamvekedwe ka mitsempha yamagazi.

Nthawi zambiri, kuthamanga kwa magazi ndi 120 mpaka 80 mmHg. Art., Mtengo uwu ukhoza kupatuka pang'ono pang'ono.

Kupanikizika kowonjezereka (matenda oopsa, matenda oopsa) kumawerengedwa kuti ndi index womwe umapitilira 140 ndi 90 mm Hg. Art. Kuopsa kwa matenda oopsa kwambiri, poyambira, kumakhala kuti sikungakhale ndi zizindikiro kwa nthawi yayitali ndipo nthawi zambiri sikokopa chidwi cha wodwalayo mpaka atakumana ndi vuto lothetsa matenda oopsa.

Matenda oopsa a arterial amakhala ngati wodwala ali ndi matenda amtima, mafupa am'mimba, impso, vuto la endocrine, kusintha kwa mahomoni, zizolowezi zoipa, komanso moyo wongokhala.Kuwonjezeka kwakanthawi kothamanga kwa magazi kumatha kuchitika nyengo ikasintha, kulimbitsa thupi kwambiri, kugwiritsa ntchito zakudya zina ndi zakumwa, kupsinjika kwa m'maganizo, kumwa mankhwala ambiri.

Kupsinjika, kuchita masewera olimbitsa thupi, kusintha kwa nyengo, komanso matenda ena kumatha kubweretsa vuto lalikulu kwambiri. Nthawi zambiri, chomwe chimayambitsa vuto la kuthamanga kwa magazi ndi kupanikizika kwamphamvu kwa mitsempha.

Kuchepetsa nkhawa, mutha kugwiritsa ntchito Valocordin kapena Corvalol, tincture wa valerian, mamawort.

Zizindikiro za kuthamanga kwa magazi

Chizindikiro chachikulu cha kupsinjika kwakukulu ndikumangokhalitsa, kupweteka kwa kukanikizika ndi kuphulika, kosatheka kupumula ndi ochiritsira ochiritsira. Kuphatikiza apo, munthu amatha kudandaula chifukwa cha kuzizira, kupuma movutikira, kuzimitsa miyendo. Ali ndi vuto la nkhope, kukoka kwa mitsempha ya carotid, mantha. Nthawi zina, matenda oopsa amadzimva ngati amakula mtima, kukhumudwa, kugona tulo masana, kutupa kwa nkhope ndi / kapena miyendo. Nthawi zambiri ndi kuthamanga kwa magazi, pamakhala kuwonongeka m'makutu ndi kuwona, chizungulire.

Ndi vuto la matenda oopsa chifukwa cha kuthamanga kwambiri komanso kuthamanga kwa magazi, katundu pa makoma amitsempha yamagazi ndi mtima ukuwonjezeka, zomwe zimasokoneza magazi kupita kwa ziwalo ndi minyewa. Vutoli limawonekera mwa kuwonongeka kwadzidzidzi komanso kofunikira mu thanzi: kupweteka kwambiri pamutu, mseru mpaka kusanza, kuthinana kwa madontho akuda pamaso pa maso, phokoso kapena kufinya m'makutu, kumva zala ndi / kapena minofu yamaso, kuwona kwamaso, kuchuluka thukuta, ndipo nthawi zina kumangobisala khungu.

Kupewa

Pofuna kupewa kukhazikika kwa matenda oopsa, tikulimbikitsidwa kukhala ngati ntchito ndi kupumula, kusiya kuthupi ndi mwamalingaliro komanso malingaliro oyipa. Kugona mokwanira usiku (osachepera maola 8 patsiku), chakudya choyenera, moyo wokangalika, chithandizo cha panthawi yake cha matenda omwe angayambitse kuchuluka kwa magazi ndizofunikira. Odwala omwe ali ndi matenda oopsa oopsa amayenera kutsatira malingaliro onse a adokotala, kuwunika magazi pafupipafupi komanso kumwa mankhwala okonza.

Tikukupatsani kuti muwone kanema pamutu wankhani.

Zofunikira zamapiritsi oopsa

Sikuti mankhwala aliwonse opangidwa ndi kampani yopanga mankhwala ndi oyenera kwa wodwala aliyense. Mankhwala amasiyana pamapangidwe amachitidwe ndi chinthu chachikulu. Izi zimabweretsa kuwoneka ngati zoletsa zomwe zimaganiziridwa posankha chithandizo.

Mankhwala omwe amachepetsa kuthamanga kwa magazi, amakhudza khoma lamitsempha, myocardium ndi ziwalo zina. Ndalama zikasankhidwa, njira ina yodziwika bwino imawerengedwa. Pachifukwa ichi, mapiritsi ochokera kuthamanga kwa magazi ndi zinthu zawo amagawika m'magulu angapo:

Kuchita motalika. Zotsatira zawo zochiritsira zimatheka chifukwa chopewa pang'ono pang'onopang'ono kuchokera m'mimba, zomwe sizimalola kukakamizidwa kuti kukwere pamwamba pazabwino. Adzapezeka kuti adzachepetsera zizindikiro, amatenga muyezo wa mankhwalawo kamodzi, amawerengedwa kwa tsiku limodzi.
Kuchita mwachangu. Mankhwala amatha kupewa zovuta zomwe zingatheke ndikuchulukitsa kwadzidzidzi. Odwala ambiri omwe ali ndi matenda oopsa amakhala ndi chidwi chofuna kutsitsa manambala ambiri popanda kuvulaza thanzi. Mapiritsi ochokera pagululi amasiyana mosiyanasiyana pakuthandizidwa pokhapokha ngati pakufunika kutero. Amawatchula ngati mankhwala azidzidzidzi popanga vuto la matenda oopsa kuti muchepetse kuthamanga kwa magazi.

Palibe ndalama zomwe wodwala yemweyo amagwiritsa ntchito nthawi zonse. Ndi mapiritsi ati okhala ndi vuto lalikulu kwambiri angathe kungonenedwa ndi dokotala munthawi iliyonse. Mankhwala aliwonse amaperekedwa kwa wodwala, poganizira zaka zomwe zingachitike, zovuta zomwe zingachitike ndi matenda omwe amakhala nawo.Thupi likazolowera ziwalo, njira yoikidwiratu yochizira imasinthidwa.

Magulu a mankhwala osokoneza bongo

Pofuna kupitiliza magwiridwe antchito oletsa odwala osavomerezeka, njira yolumikizana imalimbikitsidwa. Kuphatikiza kwa mankhwala angapo sikungathandize kuchepetsa kuthamanga kwa magazi, komanso kungachepetsa chiopsezo cha zovuta. Mndandanda wamagulu azamankhwala ochizira matenda oopsa:

ACE zoletsa.
Beta blockers.
Nitrate.
Zodzikongoletsera
Calcium calcium blockers.
Alfa oletsa.
Asitane.

Kutenga mapiritsi angapo m'magulu osiyanasiyana kumakupatsani mwayi wochepetsera Mlingo watsiku ndi tsiku chifukwa cha mgwirizano pakati pawo. Njira zina zimaperekera mlingo umodzi wa mankhwala a matenda oopsa, omwe amatha kumwa tsiku lonse.

Beta blockers

Beta-blockers amachepetsa kupanikizika pakuchepetsa mphamvu ya ma amine a Pressor (adrenaline, norepinephrine) pama receptors omwe ali mumisempha yamtima. Ndalamazi zimakhudza mgwirizano wam'magazi komanso kutsitsa phokoso, zomwe zimakhudza zolimbitsa thupi. Musanagwetse nkhawa zanu zambiri, muyenera kuwerengera zamkati. Kuchita koteroko ndikofunikira kuti musankhe mlingo woyenera komanso osachulukitsa vutoli, ndikupangitsa vuto losalimba. Ma blocker ndi mapiritsi abwino opsinjika, kutengera mphamvu ya minofu ya mtima agawika m'magulu angapo:

Mankhwala a gulu loyamba amasankha myocardium. Ubwino wawo waukulu ndikulepheretsa kukula ndi kupitilira kwa kulephera, kuchepetsa mawonetseredwe a matenda a coronary. Kuphatikiza apo, amachepetsa kugunda kwa mtima komanso chiwopsezo cha kufa mwadzidzidzi.

Mankhwala osasankhidwa ndi oponderezedwa odwala omwe ali ndi mphumu ya bronchial ndi bronchitis mu njira yokhazikika yotsekera. Ofanana beta-blockers samalimbikitsidwa kwa osewera komanso odwala atherosulinosis. Ndi matenda ofatsa, adotolo amatipatsa muyeso wochepetsetsa, womwe ungakhale yankho labwino kwambiri pochiza odwala. Ndi mankhwala osasankha omwe amaphatikizidwa mu protocol yothandizira kuperewera kwa mtima.

Mapiritsi olimbitsa mtima omwe amagwira gululi amapatsidwa mankhwala ambiri kwa achinyamata. Ngati mankhwalawa sanaphatikizidwe ndi ena, ndiye kuti mankhwalawo satha milungu inayi. Kenako, mankhwalawa ogwirizana ndi wodwala amaphatikizidwa ndi mankhwala ochokera m'magulu ena. Izi ndizofunikira kujambula njira yayitali yothandizira. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi awa:

Mankhwala a gululi sakhazikitsidwa kwa odwala omwe ali ndi vuto la myocardial conduction, zilizonse zomwe angakakamize. Kwa iwo, pali njira ina yoyendetsera kuphatikiza ina, yosagwiritsa ntchito njira zomwe zimachepetsa msangawo mwachangu.

Alfa oletsa

The achire zotsatira zimatheka pochita monga mtima receptors. Zotsatira zake, ntchito yamachitidwe omvera ena omvera amatsekedwa. Kuchepa kwa ndende yogwira ntchito kumapangitsa kuti makhoma azisungunuka, zomwe zimabweretsa kubwezeretsa pang'onopang'ono kwa magazi.

Mapiritsi ochokera ku gululi ndi mankhwala othandiza kuchepetsa magazi. Zogwiritsidwa ntchito kwambiri:

Monga mankhwala aliwonse okakamizidwa, zithandizo za gululi zili ndi zovuta. Pambuyo makonzedwe, achire zotsatira amakhala osakhalitsa. Chifukwa cha izi, chiopsezo chokhala ndi ngozi ya mtima kapena kugunda kwamtima kumawonjezeka. Kudziwa momwe mungachepetse kuthamanga kwa mapiritsi, muyenera kukhala okonzekera zovuta. Kutsika kwakuthwa kwa zidziwitso kumayambitsa minofu yakanthawi yochepa, yomwe imasokoneza thupi. Nthawi zambiri, kudumpha kotereku kumachitika chifukwa chokhala ndi nkhawa kwakanthawi kochepa.

Zodzikongoletsera

Ntchito ya okodzetsa ndikuchotsa mchere wambiri ndi zamadzimadzi m'thupi.Mwa njira zoterezi, ndizotheka kuchepetsa mofulumira kupanikizika ndikuchepetsa mkhalidwe wa wodwalayo. Kumayambiriro kwa zamankhwala, mphamvu yotsitsa imatchulidwa kwambiri. Mankhwala ambiri ochokera pagululi sangangochepetsa kuthamanga kwa magazi, komanso amachepetsa kutupa kwa zotumphukira, ndikuchotsa ma electrolyte (potaziyamu, magnesium). Kuti musunge zinthu zofunikira bwino, mumalimbikitsidwa kudya zipatso zouma, nthochi kapena mbatata zophika, kapena kumwa mankhwala omwe amabwera.

Kugwiritsa mapiritsi opanikizika ndi diuretic zochita:

Kusunga potaziyamu mthupi osamwa ena owonjezera, mutha kuthira mafuta okodzetsa pogwiritsa ntchito potaziyamu. Pa mndandanda wonse wa mapiritsiwo, ndi Veroshpiron ndi Torasemide okha omwe amasunga. Ndi vuto lakelo, odwala amamva kukokana kwambiri m'mawa m'matumbo a ng'ombe ndi zizindikiro zina za kuchepa.

Kutengera kuuma ndi mankhwala omwe dokotala angakupatseni, kuti muchepetse kuthamanga kwa magazi mofulumira kuchitike bwino kuphatikizidwa kwa okodzetsa ndi a beta-blockers.

Othandizira a CNS

Njira zochepetsera kuthamanga kwa magazi m'gululi zikulepheretsa zochitika zamanjenje. Zotsatira zake, zoletsa za Reflex zopangidwa kapena chipika chake zimawonedwa pa siteji ya kufalitsa kwa synaptic. Amatha kuchepetsa kuthamanga kwa magazi ndi chithandizo chawo pamavuto alionse ovuta kapena pamene akuipiraipira zomwe sizidalira zovuta.

Mankhwala abwino kwambiri a alpha:

Mankhwala omwe atchulidwa pamwambapa amapatsidwa mankhwala ochepa. Ndizofunikira ngati ndizosatheka kuthetsa zomwe zikupangitsani mwa zina. Kugwiritsa ntchito nthawi yayitali sikulimbikitsidwa chifukwa chopanga zovuta. Zochitika zachilendo zimakhala zofooka ndi kugona pambuyo pakutenga zopatsitsa ubongo. Kupitiliza chithandizo mosalekeza ndi mankhwala kuti muchepetse kuthamanga kumabweretsa kusokonezeka kukumbukira ndi mgwirizano. Mukachedwa mankhwalawa kwa zaka zingapo, ndiye kuti mankhwalawa amatha kuyambitsa matenda a dementia kapena matenda a Alzheimer's.

ACE zoletsa

Ntchito yamankhwala ndi yolepheretsa kapangidwe ka angiotensin II. Zinthu zimakhala ndi vasoconstrictive, komanso zimachepetsa kuchuluka kwa mtima, komwe kumapangitsa kutsika kwa hypertrophy (kukonzanso mtima). Mankhwalawa samangoletsa magazi msanga. Ali ndi zida zoteteza ku ziwalo zomwe zimakhala chandamale choyamba cha matenda oopsa.

Pamaso pa kuvulala mu minofu ya mtima, njira zowonjezera mofulumira kupanikizika zimachepetsa kuuma kwawo ndikusintha zakutsogolo kwa moyo. Zomwezi zimawonedwa ndi kulephera kwa mtima ndikugwiritsa ntchito kosalekeza.

Njira yabwino kwambiri yothetsera kuthamanga kwa magazi ndi yomwe adokotala adamuuza mwachangu momwe wodwala angayambire matendawo.

Izi ndi monga mankhwalawa:

"Kapoten", "Captopril", "Enalapril", "Diroton".
Physiotens, Moxogamm, Ebrantil.
"Nifedipine."
Metoprolol, Anaprilin.

Chithandizo chabwino kwambiri cha matenda oopsa kwambiri pakatha kulumpha lakuthwa ndi Captopril. Amawalemba ngati thandizo loyamba pamavuto oopsa kwambiri. Mankhwalawa sangatengedwe kwa nthawi yayitali chifukwa cha chiwopsezo chachikulu cha kufa, hypotension komanso mawonekedwe okomoka.

Poyamba, m'masiku oyamba kapena sabata, mankhwalawa amatha kuonekera. Mapiritsi ochokera kwa odwala othamanga omwe amachititsa chidwi amayambitsa kufooka, chizungulire komanso kusintha kwa malo amthupi. Ena amadandaula za chifuwa chowuma - chifukwa chachikulu chosinthira mankhwalawa. Zoletsa sizilimbikitsidwa kwa amayi apakati.

Zogulitsa zophatikiza ndi mitsempha si mapiritsi abwino opanikizika. Monga mankhwala odziimira pawokha sagwiritsidwa ntchito. Makina a antihypertensive amapezeka chifukwa cha vasodilation. Nthawi zambiri, Nitrosorbide ndi Nitroglycerin amagwiritsidwa ntchito pazolinga izi.

Antispasmodics

Popanda ma ambulansi, odwala amasamala momwe angathandizire kupanikizika mwachangu. Chepetsani kukana kwamitsempha yamagazi m'magulu a antispasmodics. Mwa awa, mankhwala abwino kwambiri:

Ndikofunika kuti wodwala aliyense adziwe momwe angachepetse kupanikizika ndi mapiritsi pawokha kuti apewe zovuta za matenda oopsa. Ma antispasmodics amachepetsa ziwiya zing'onozing'ono ndikugawa zamadzi zomwe zimayenda m'magazi. Zotsatira zake ndikuchepa kwapang'onopang'ono kwa kupanikizika.

Musanachepetse kupanikizika, ndikofunikira kuyeza mulingo wake. Ndi mitengo yapamwamba komanso mitundu yayitali ya maphunzirowa, ma antispasmodics satha ntchito. Chifukwa chake, ndalama zidzafunika zomwe zimakhumudwitsa mtima.

Calcium calcium blockers

Kukhalabe kamvekedwe ka mtima, calcium imafunika. Kuchulukitsa kwa chinthu chofufuza kumathandizira kuti minofu ichoke. Pofuna kuchepetsa, mankhwalawa amagwiritsidwa ntchito omwe amasokoneza njira zomwe amalowera m'maselo. Kashiamu yotsika imatsitsa khoma la chotengera, lomwe limakupatsani mwayi wochepetsa kupanikizika kwambiri pazovomerezeka.

Nthawi zambiri, odwala matenda oopsa amapereka mankhwala otere:

Musanayambe chithandizo, muyenera kudziwa kuti ndi mapiritsi ati opanikizika omwe ali bwino. Njira zimagawika m'magulu angapo kutengera nthawi yochitapo komanso kuopsa kwa vutoli.

Ma blockers omwe ali ndi kufupikitsa amayenera kugwiritsidwa ntchito kuti aletse kuukira kwa matenda oopsa. Amakulolani kuti muchepetse kuthamanga kwa magazi kunyumba. Kwa chithandizo chakanthawi yayitali, mankhwala osokoneza bongo (omwe amakhala nthawi yayitali) amagwiritsidwa ntchito.

Othandizira a gululi amatha kuletsa ma receptor enieni. Zotsatira zake, amachepetsa kupanikizika ndi maola 48. Kuuma chifuwa, monga mbali imodzi, sikuvutitsa odwala. Ma Sartan samayambitsa zoyipa zomwe zimakhudzana ndi kusiya kubwereza komwe kumadziwika kuti ndi beta-blockers) ndi "slipping" ("opanda" ACE inhibitors). Njira yabwino yothandizira matenda oopsa, pogwiritsa ntchito bwino komanso kulolera, imakhala chisankho choyenera kwa odwala omwe amakakamizidwa kumwa mankhwala tsiku lililonse. Zogwiritsidwa ntchito kwambiri:

Chodabwitsa cha magome ndikuchotsa kuphipha kwa makoma amitsempha. Izi zimawathandiza kupatsidwa mankhwala ochizira matenda a impso.

MaSinthina

Ngati kupanikizika kukukwera komanso sikuchepa, ngakhale mutagwiritsidwa ntchito bwanji, mankhwala omwe amalepheretsa pakati pa vasomotor Center. Zambiri mwa izo sizimagwiritsidwa ntchito kawirikawiri, zomwe zimagwirizanitsidwa ndi mwayi wokonda izi. Mankhwala abwino kwambiri okhala ndi mawonekedwe ndi "Clonidine". Okalamba m'mavuto, ndi omwe amasankhidwa ngati thandizo. Mutha kuchepetsa kuthamanga ndi mapiritsi ena kuchokera pagulu la anthu achifundo:

Andipal.
"Moxonidine."
"Zowona."
Reserpine.
"Dopepeg."

Reserpine imagwiritsidwa ntchito kwambiri pochiza pamitengo yotsika mtengo, koma imakhala ndi zovuta zingapo. Chifukwa chida ichi chikulimbikitsidwa kugwiritsidwa ntchito ngati njira yomaliza. Kutsika kwapang'onopang'ono kwa kupanikizika kumatheka ndi mtundu wofatsa wamankhwala mothandizidwa ndi "Moxonidine" ndi "Andipal".

Mapiritsi ogwira ntchito mwachangu kwambiri

Odwala omwe ali ndi matenda oopsa amakhala ndi nkhawa nthawi zonse kuti atha kuthamangitsa kuthamanga kwa magazi kunyumba ndikukhazikitsa kwa zovuta. Pali mndandanda wonse wa ndalama kuchokera m'magulu osiyanasiyana. Nthawi zambiri amagwiritsidwa ntchito mapiritsi oterewa kuthamanga kwa magazi:

Chotsani mwachangu zizindikiro za mavuto zidzachitika mothandizidwa ndi mapiritsi "Adelfan" kapena "Captopril", omwe amaikidwa pansi pa lilime. Pakati pa mphindi 10 mpaka 20, kupanikizika kumachepa. Mphamvu yomwe mankhwalawa amapereka mwachangu imachepetsa chizindikirocho, koma kwakanthawi kochepa.

Ngati chithandizo ndi Furosemide ndi chofunikira, mawonekedwe a kukodza amapezeka nthawi yochepa. Njira yothetsera kuthamanga kwambiri mu mulingo wa 40 mg imathamanga diuresis, yomwe imakhalabe chimodzimodzi kwa maola 6.

Kupititsa patsogolo kumayenderana ndi izi:

Kuchotsa madzi owonjezera, omwe amasungidwa mu minofu.
Kutsika kwa kuchuluka kwa magazi omwe amayenderera m'matumbo.

Pali mankhwala omwe amachepetsa kuthamanga kwa magazi, omwe amapereka zotsatira zokhalitsa. Mndandandandawu umaphatikizapo:

Kusavuta kwa mankhwala ndi mankhwalawa kumachitika pafupipafupi pakukhazikitsa (osaposera kawiri masana). Mankhwala othandizira matenda oopsa omwe amakhala ndi nthawi yayitali amalembedwa kwa odwala, kuyambira gawo lachiwiri la matenda.

Kuti mupeze zotsatira zosatha, mankhwalawa amayenera kupitilizidwa ndi mankhwala osachepera milungu itatu. Chifukwa chake, mavuto akakula, amayenera kutengedwera kupitilira.

Mankhwala osokoneza bongo amasankhidwa poganizira mawonekedwe a wodwalayo komanso kuopsa kwa vuto lakelo. Kutengera ndi momwe zinthu ziliri, mapiritsi amagwiritsidwa ntchito njira imodzi yokha, kapena kuphatikiza ndi njira zina. Njirayi imapereka kuchepa kwa njira yochizira komanso kukulitsa zovuta komanso mavuto. Odwala omwe apezeka ndi matenda oopsa amalandila Mlingo wokonza moyo wawo wonse.

Zotsatira zotsatirazi zinagwiritsidwa ntchito kukonzekera.

Zoyenera kuchita ndi kuthinikizidwa kwambiri - thandizo loyamba kunyumba

Aliyense akuyenera kupereka chithandizo choyamba atapanikizika kwambiri, apo ayi wodwala akhoza kukumana ndi vuto la matenda oopsa, omwe amatha kuthandizidwa pokhapokha ngati ali ndi mankhwala amphamvu kwambiri. Werengani momwe mungachitire pangozi. Ndizotheka kuti zomwe mumachita zikuthandizirani kupewa zovuta.

Kodi mumangoyitanitsa ambulansi?

Kwa munthu aliyense, funso ili ndi lokha. Ndizovomerezeka kuti ambulansi iyenera kuyitanidwa pa tonometer 160/95, koma pali zopatuka zambiri kuchokera pamalamulo awa. Kwa ma hypotonics, mwachitsanzo, ngakhale manambala 130/85 amawonedwa ngati ovuta. Lingaliro la kulumikizana ndi akatswiri limapangidwa kutengera zina zowonjezera.

Ma ambulansi omwe ali ndi nkhawa kwambiri ayenera kubwera kudzapereka chithandizo paka:

Kuukira kumachitika mwa munthu kwa nthawi yoyamba m'moyo wake.
Kukhazikitsa koyamba komanso mobwerezabwereza kwa mankhwalawa kuti muchepetse kuthamanga kwa magazi komwe amagwiritsidwa ntchito ndi odwala matenda oopsa m'mbuyomu sanapereke zotsatira pambuyo pa ola limodzi.
Panali kupweteka kumbuyo kwa sternum.
Zizindikiro za vuto lalikulu kwambiri lodziwika.

Zoyenera kuchita ndi kuthamanga kwa magazi

Onetsetsani kuti wodwalayo wagona, kuti muwonetsetse malo opanda phokoso. Ndizosatheka kugwira ntchito iliyonse ndi kukakamizidwa kwambiri, kaya mwakuthupi kapena m'maganizo. Vinilani malo m'chipindacho momwe wodwalayo aliri, kuwalako Mafungo amphamvu m'chipindacho sayenera kukhala. Ngati munthu wadwala kale, mupatseni mankhwala omwe amamwa. Ngati matendawo akuipiraipira kapena palibe mphamvu zowonjezera kwa ola limodzi, itanani dokotala.

Kuchepetsa kukakamiza kunyumba mwachangu

Pali zosankha zambiri:

Ndikulimbikitsidwa kumwa mankhwala apadera mwachangu kuti muchepetse kuthamanga kunyumba.
Mutha kuyesa njira zachikhalidwe zomwe zimakuthandizani kuti muthane ndi mavuto ambiri.
Zotsatira pazinthu zina zaulimbidwe ndi njira zina zopangira kutikita minofu ndizothandiza kwambiri.
Kuchita masewera olimbitsa thupi kumathandizira kuchepetsa zizindikilo.

Mexicoidol pa matenda oopsa

Chofunikira chachikulu cha mankhwalawa ndi ethylmethylhydroxypyridine suppinate. Ntchito yayikulu ya Mexicoidol mu matenda oopsa ndikupangitsa ziwalo ndi minofu kukhala yokhazikika panthawi yanjala ya oxygen chifukwa chopewa zovuta zoyipa zama radicals. Mankhwalawa ali ndi mndandanda waukulu wazowonetsa. Mapiritsi amatha kuyambitsa kukhumudwa pang'ono.

Montidol amatengedwa motere:

Kawiri kapena katatu, mapiritsi 3-6 patsiku.
Njira yovomerezeka yosavomerezeka ndi masiku 14, ovuta mpaka mwezi umodzi ndi theka.
Yambani ndikusiya kumwa pang'onopang'ono.Choyamba, kupitirira masiku atatu, muyezowo umayamba pang'onopang'ono kuchoka pa piritsi limodzi kapena awiri kupita kwa omwe adalimbikitsa ndi dotolo, ndiye kuti amachepetsa mpaka kuthetsedwa.

Khomo la kukakamiza pansi pa lilime

Mankhwalawa ndi otchuka kwambiri chifukwa amachita zinthu mwachangu. Piritsi yotsenderezedwa pansi pa lilime iyenera kuyamwa. Zida zake zimalowera m'magazi ndikufikira minofu ya mtima, kudutsa ziwalo zam'mimba. Pankhaniyi, zinthu sizimalumikizana ndi asidi am'mimba, zomwe zimawakhudza molakwika. Pali mankhwala ambiri omwe amamwa pansi pa lilime. Ndikofunikira kufotokozera zotchuka kwambiri.

Correfar pansi pa lilime

The yogwira mankhwala mapiritsi ndi nifedipine (10 mg). Corinfar pansi pa lilime imachepetsa kuthamanga kwa magazi, imachepetsa nkhawa pamtima, ndipo imakulitsa kuunikira kwamitsempha yamagazi. Mankhwalawa amagwiritsidwa ntchito kawiri kawiri pazovuta zamkati, komanso kuchitira mankhwala pafupipafupi. Amawonetsedwa kwa iwo omwe ali ndi vuto lochepa kwambiri kwa ziwengo ndi angina pectoris. Ndivuto, mapiritsi 1-2 ayenera kumwa, kusunga pansi pa lilime. Mankhwala amachita pambuyo mphindi 20, zotsatira zake ndizokwanira kwa maola 4-6.

Mankhwalawa ali ndi zotsatirapo zingapo zoyipa, chifukwa chake muyenera kumamwa pokhapokha ngati mukupatsidwa mankhwala ndi dokotala. Kugwiritsa ntchito mapiritsi kumatha kuputa:

Corinfar ndi oletsedwa kutenga ndi:

hypotension
kuyamwa
kulephera kwa mtima,
trimester yoyamba ya mimba.

Physiotens pansi pa lilime

Mankhwalawa, chinthu chachikulu chomwe chimagwiritsidwa ntchito ndi moxonidine. Mapiritsi okhala ndi 0,5 mg wa chigawo chake ndi pinki, ali ndi 0,3 mg - ma coral, okhala ndi 0,4 mg - ofiira. Ma physiotens pansi pa lilime amachepetsa kuthamanga kwa magazi pochita zinthu zina zolandirira. Mankhwalawa amagwira ntchito mwachangu kwambiri. Ngati chisamaliro chofunikira chikufunika pamavuto oopsa kwambiri, piritsi limodzi kapena awiri okhala ndi Mlingo wa 0 mg ayenera kuyikidwa pansi pa lilime. Mlingo wa tsiku ndi tsiku sayenera kupitirira 0,6 mg. Mankhwalawa ali ndi zovuta zingapo, koma zimawonekera pokhapokha poyambira kutsata, kenako zimatha.

Kupanikizika Kwambiri

Intravenous makonzedwe a mankhwala akuwonetsedwa pamavuto oopsa. Wotsika pakukakamizidwa kwambiri, monga lamulo, amayikidwa, ngati zizindikiro ndizofunikira, pamakhala ngozi pamoyo. Lowetsani limodzi la angapo mwa awa mankhwala:

Dibazole Amawerengera ngati chithandizo choyamba cha kuthamanga kwa magazi popanda zovuta. Mankhwala amathandizanso kupuma, amatulutsa magazi mu ubongo, mtima. Antihypertensive zotsatira za wogonja mpaka maola atatu, pambuyo pake pamakhala kukonzanso bwino. Dibazole nthawi zina samathandiza anthu okalamba.
Magnesia Mankhwala amathiridwa kamodzi kapena kawiri pa tsiku, kuchuluka kwake sikuyenera kupitilira 150 ml. Mpumulo waumoyo umachitika theka la ola pambuyo poyambira njirayi. 25% yankho la magnesium yokha ndi yomwe imaloledwa, popanda zina. Mankhwalawa ali ndi contraindication ambiri.
Aminazine. Mankhwalawa amawonetsedwa kwa odwala oopsa omwe ali ndi zizindikiro monga mantha, nkhawa. Mankhwalawa amachepetsa kuthamanga kwa magazi, choncho ayenera kugwiritsidwa ntchito mosamala kwambiri. Zizindikiro zimayamba kugwa mukangoika chikwangwani, ndipo patatha ola limodzi zimasintha. Mankhwala amawononga chiwindi.

Kupanikizika Kwambiri

Nthawi zambiri, thandizo loyambirira la matenda oopsa limaperekedwa ndi jakisoni wamkati ndi mtsempha. Palibe amene amapangira jakisoni pakukakamizidwa kwambiri. Ndondomeko imachitidwa mchipatala kapena madotolo azadzidzidzi. Kusankha ndi kuchuluka kwa mankhwalawa kumachitika malinga ndi zomwe wodwala akuonetsa. Thandizo loyamba lothamanga magazi kunyumba limachitika ndi mankhwalawa:

kopambana: Papaverine, Analgin, Diphenhydramine,
Enalapril
Papaverine ndi Dibazole,
Clonidine,
Furosemide
Magnesium sulfate.

Ku chipatala, amatha kutumiza jakisoni:

Nitroglycerin
Sodium nitroprusside,
Metoprolol
Pentamine.

Pokhala ndi vuto la kuthamanga magazi, amatha kuyika majakisoni otentha:

calcium chloride solution,
Magnesia

Mtima umagwa kwambiri

Kugwiritsa ntchito mankhwala monga Corvalol ndi Valocordin ndikothandiza. Kudontha kwamtima pakuwapanikizika kwambiri kumathandizira kuchepetsa kugunda kwa mtima, kuthetsa nkhawa. Corvalol nthawi zambiri imasungunuka m'madzi kapena supuni ya shuga. Valocordin imagwiritsidwanso ntchito. Amathandizanso mitsempha yamitsempha yamagazi. Ngati kupanikizika kudumpha kwambiri, mutha kuyesa kusakaniza ndi hawthorn, motherwort ndi valerian ndikumwa gawo laling'ono, lophatikizidwa ndi madzi.

Kukakamiza kuthana ndi wowerengeka azitsamba mwachangu

Pali njira zingapo zothandiza. Kuti muchepetse kupanikizika ndi njira zochizira wowerengeka, mwachangu chitani izi:

Gwirani mapazi anu m'madzi otentha kwa mphindi 10.
Chotsani nsalu mu viniga (apulo kapena gome) ndikuziphatikiza ndi zidendene.
Ikani pulasitala wa mpiru pa ana anu ndi mapewa.

Zitsamba kuchokera kukakamizidwa

Kumbukirani maphikidwe ena:

Malinga ndi 1 tbsp. l mamawort ndi hawthorn, meadowsweet ndi kutsokomola komanso 1 tsp. sakanizani muzu wa valerian, kutsanulira theka la lita imodzi ya vodika. Siyani zitsamba kuchokera kukakamizidwa milungu iwiri. Katatu patsiku, kumwa 1 tbsp. l (musanadye).
Pangani mwamphamvu timbewu tonunkhira. Imwani, ndikupanganso odzola khosi, khosi, mapewa.

Kanema: Momwe mungachepetse kuthamanga kwa magazi

Mavuto akakula, ndimayesetsa kumwa Burlipril nthawi yomweyo. Ngakhale zimathandiza popanda kulephera. Kawiri konse panali vuto la matenda oopsa ndipo linayambitsa ambulansi, chifukwa kuchita zina ndekha zinali zowopsa. Madokotala adabayira patatu nthawi yoyamba, ndipo chachiwiri - Clonidine. Poti palibenso zovuta, ndimayesetsa kudya zakudya zopatsa thanzi, ndakhala munthu wodekha.

Zovuta zanga sizimachepa, koma ndimamva bwino nthawi yomweyo, motero ndimayimbira ambulansi. Sananditengere kuchipatala, koma adabaya Papaverine ndi Diabazole, akangotentha. Pazifukwa zina, mapiritsi samandithandiza nkomwe, chifukwa chake sindigula. Sindinayesere mankhwala azikhalidwe, ndinkaopa kutaya nthawi.

Ngati ndikumva bwino ndipo tonometer amawonetsa kukwiya kwambiri, ndiye ndimayesetsa kuti ndikhale pansi, ndikugona m'chipinda chamdima ndikupanga compine ya viniga pamapazi. Chithandizo choyamba chachikulu cha kuthamanga kwa magazi kwa ine ndekha. Ngati sichingalephereke, ndiye kuti ndimayika Corfini pansi pa lilime langa, koma nthawi zambiri ndimayesetsa kugwiritsa ntchito mapiritsi kuti thupi lisazizolowere.

Kusamalira mwadzidzidzi vuto la matenda oopsa

Amapereka chisamaliro chodzidzimutsa pamavuto oopsa kwambiri, poyesetsa kukwaniritsa kuchepetsa kuthamanga kwa magazi mwa wodwala mwachangu kuti kuwonongeka kwambiri kwa ziwalo zamkati kusachitike.

Mankhwala a mavuto oopsa:

Kapoten (Captopril),
Corffar (nifedipine),
Clonidine (Clonidine),
Physiotens (moxonidine).

Onaninso kuchuluka kwa piritsi lomwe mumamwa pambuyo pa mphindi 30 mpaka 40. Ngati kuthamanga kwa magazi kwatsika ndi 15-25%, ndiye kuti ndikosayenera kuchepetsa kwambiri, izi ndizokwanira. Ngati mankhwalawo alephera kuthetsa vuto la wodwala, ayenera kuyitanira ambulansi.

Kufikira adokotala mwachangu, kuitana ambulansi chifukwa cha matenda oopsa kwambiri kumapereka chithandizo chokwanira ndikuthandizira kupewa zovuta zosasinthika.

Kuchira ku matenda oopsa m'milungu itatu ndikowona! Werengani:

Phunzirani momwe magazi anu angakhalire okhazikika popewa kusokonekera kwa magazi

Werengani za mankhwalawa matenda ogwirizana ndi matenda oopsa:

Matenda a mtima
Myocardial infaration
Stroko
Kulephera kwa mtima

Mukayimba ambulansi kuti itane gulu lodzidzimutsa, muyenera kufotokozeranso madandaulo a wodwalayo kwa otulutsa ndi ziwerengero zamagazi ake. Monga lamulo, kugonekedwa kuchipatala sikuchitika ngati vuto la matenda oopsa siliri lovuta chifukwa cha kuwonongeka kwa ziwalo zamkati. Koma khalani okonzekera kuti kuchipatala kungafunike, makamaka ngati vuto la matenda oopsa lidayamba chifukwa choyambira.

Kusamalira mwadzidzidzi mavuto azovuta kwambiri ambulansi isanabwere ndi motere:

Wodwala amayenera kukhala pansi pakama mothandizidwa ndi mapilo.Ichi ndi gawo lofunikira popewa kuperewera, kufupika.
Ngati wodwalayo amathandizidwa kale ndi matenda oopsa, ndiye kuti ayenera kumwa mankhwalawa. Kumbukirani kuti mankhwalawa amagwira ntchito moyenera ngati mumamwa pang'ono, ndiye kuti, Sungunulani piritsi pansi pa lilime.
Iyenera kuyesetsa kuchepetsa kuthamanga kwa magazi ndi 30 mm. Hg. Art. kwa theka la ora ndi 40-60 mm. Hg. Art. mkati mwa mphindi 60 za manambala oyambira. Ngati kunali kotheka kukwaniritsa kuchepa kotero, simuyenera kumwa mankhwala owonjezera omwe amachepetsa kuthamanga kwa magazi. Ndizowopsa "kutsitsa" magazi pazowoneka bwino, chifukwa izi zimatha kubweretsa vuto losasintha la magazi.
Mutha kumwa mankhwala osokoneza bongo, monga Corvalol, kuti muthe kusintha wodwalayo m'maganizo, kuti mumuchotsere mantha, chisangalalo, nkhawa.
Wodwala wodwala matenda oopsa sayenera kumwa mankhwala ena aliwonse atsopano, pokhapokha ngati kuli kofunikira, kulandira dokotala. Uwu ndiwopsezo wopanda chifukwa. Ndikwabwino kuyembekezera kubwera kwa gulu lachipatala ladzidzidzi, lomwe lidzasankhe mankhwalawa oyenera ndikuwaba. Madokotala omwewo, ngati pakufunika kutero, aganiza za kukhazikitsidwa kwa wodwala kuchipatala kapena chithandizo chanthawi (kunyumba). Pambuyo pakuletsa zovuta, muyenera kuwona katswiri kapena wamankhwala kuti apeze mankhwala othandizira kwambiri othandizira odwala matenda "okonzedwa" a matenda oopsa.

Matenda oopsa oopsa amatha kuchitika pa chimodzi mwazifukwa ziwiri:

Kugunda kumalumphira, nthawi zambiri pamakhala kugunda 85 pamphindi,
Mitsempha yamagazi yachepa, ndipo magazi amayenda kudzera mwa iwo ndikovuta. Pankhaniyi, zimachitika kuti si wowonjezera.

Njira yoyamba imatchedwa vuto la hypertensive ndi zochitika zachisoni kwambiri. Lachiwiri - ntchito zachisoni ndizabwinobwino.

Mapiritsi azadzidzidzi - zomwe mungasankhe:

Corinfar (nifedipine) nthawi zambiri samalimbikitsidwa. Gwiritsani ntchito pokhapokha ngati palibe china.
Clonidine (clonidine) ndiye wamphamvu kwambiri, komanso zovuta zake nthawi zambiri.
Samalani ndi Physiotens (moxonidine) - cholowa m'malo mwa clonidine. Sungani Physiotens mu kabati yanu yamankhwala azidzidzidzi.
Ngati zimachitika kuti silikuwonjezeka, ndiye kuti 1-5farum (Captopril) ndiyoyenera.
Ngati zimachitika ndikukweza (> 85 kumenyedwa / mphindi), ndiye kuti ndibwino kutenga clonidine kapena Physiotens. Captopril ingathandize pang'ono.

About mankhwala oletsa vuto la matenda oopsa - werengani:

Tinachita kafukufuku wofanizira mphamvu ya mapiritsi osiyanasiyana - nifedipine, Captopril, Clonidine ndi physiotens. Odwala 491 adatenga nawo mbali omwe adafuna chithandizo chamankhwala othamanga. Mwa 40% ya anthu, kupanikizika kumadzuka chifukwa choti zimachitika zimakwera kwambiri. Anthu nthawi zambiri amatenga magazi kuti athe kuthana ndi mavuto, koma zimathandiza odwala omwe ali ndi vuto lodzikhulukira pamtima. Ngati ntchito zachisoni ndi zapamwamba, ndiye kuti kugwiritsa ntchito kwa captopril sikupitilira 33-55%.

Ngati zimachitika ndi wokwera, ndibwino kutenga clonidine. Idzachitapo kanthu mwachangu komanso mwamphamvu. Komabe, clonidine mu mankhwala popanda mankhwala sangagulitse. Ndipo vuto la matenda oopsa lakhala litachitika kale, ndiye kuti tachedwa kwambiri kuvutikira zomwe takupatsani. Clonidine amakhalanso ndizotsatira zoyipa komanso zosasangalatsa zambiri. Njira ina yabwino kwambiri ndi mankhwalawa physiotens (moxonidine). Zotsatira zoyipa kuchokera kwa izi ndizosowa, ndipo kugula kwa mankhwala ndi kosavuta kuposa clonidine. Osachiza matenda oopsa ndi clonidine tsiku ndi tsiku! Izi ndizowopsa. Chiwopsezo cha matenda a mtima ndi stroke chikuwonjezereka. Matenda amoyo ochepa kwambiri amachepetsa zaka zingapo. Ma physiotens atapanikizika amatha kutengedwa tsiku ndi tsiku pokhapokha ngati adokotala adawauza.

Mu kafukufuku omwewo, madokotala anapeza kuti nifedipine amachepetsa kuthamanga kwa magazi mwa odwala, koma nthawi yomweyo, ambiri aiwo amawonjezera kukoka. Izi zimayambitsa vuto la mtima.Mapiritsi ena - kapoten, clonidine ndi physiotens - samachulukitsa zimachitika, koma amachepetsa. Chifukwa chake, ali otetezeka.

Owerenga athu amalimbikitsa izi!

Palibenso kupuma pang'ono, kupweteka mutu, kupsinjika ndi zizindikilo zina za HYPERTENSION! Owerenga athu akugwiritsa ntchito kale njirayi kuthana ndi kukakamizidwa. Phunzirani zambiri.

Zotsatira zoyipa zam'mapiritsi posamalira mwadzidzidzi zovuta zamankhwala oopsa

Zindikirani Ngati chizungulire, kupweteka mutu komanso kumva kutentha kwa thupi chifukwa chotenga physiotenz kapena clofenin, ndiye kuti zimadutsa mwachangu popanda mavuto. Izi sizoyipa zoyipa.

Izi ndi malingaliro othandizira kupweteka pachifuwa, kuwotcha, kupsinjika.

Ngati zoterezi zitakhala koyamba, tengani piritsi limodzi la nitroglycerin kapena nitrosorbide pansi pa lilime, piritsi 1 la aspirin ndikuyitanira ambulansi!
Ngati pakadutsa mphindi 5 mpaka 10 mutamwa piritsi limodzi la nitroglycerin pansi pa lilime, ululu umapitilizanso kumwa. Zokwanira zitha kugwiritsidwa ntchito motsatizana osati magome atatu a nitroglycerin. Ngati ululu, kupsa, kupsinjika ndi kusasangalala pambuyo pa sternum zikupitilira, muyenera kuyitanitsa ambulansi mwachangu!

Zokhudza mavuto a mtima pamavuto oopsa kwambiri - onaninso:

Ngati muli ndi vuto la mtima, "kusokoneza" mu ntchito ya mtima

Amawerengera zamkati, ngati zikugunda kuposa 100 pamphindi imodzi kapena ngati sikusintha, itanani ambulansi! Madokotala atenga electrocardiogram (ECG) ndikupanga chisankho choyenera panjira zina zamankhwala.
Simungadziwe nokha mankhwala osokoneza bongo ngati simunayezebe ndi dokotala wamtima wamtima ndipo dokotala sanakupatseni malangizo ena ngati angakuyambitseni.
Osati m'malo mwake, ngati mukudziwa mtundu wanu wa arrhasmia, kufufuza kumakhazikitsidwa ndikuwunika kwathunthu ndi dokotala wamtima, mumamwa kale imodzi mwa mankhwala othandizira, kapena, mwachitsanzo, mukudziwa chomwe ndimankhwala omwe "amathandizanso" arrhythmia yanu (ndipo ngati adavomerezedwa ndi dokotala), ndiye kuti Mutha kugwiritsa ntchito mlingo womwe adokotala adawonetsa. Nthawi yomweyo, kumbukirani kuti arrhasmia nthawi zambiri imachoka yokha pakangotha mphindi zochepa kapena maola angapo.

Odwala omwe ali ndi vuto la kuthamanga kwa magazi ayenera kudziwa kuti njira yabwino kwambiri yothandizira matenda oopsa kwambiri ndi kugwiritsa ntchito magazi pafupipafupi ngati mankhwala opangidwa ndi dokotala. Wodwala sayenera, popanda kufunsa katswiri, amangochotsa mwadzidzidzi mankhwala oopsa, achepetse Mlingo kapena osinthanso ndi wina.

Momwe mungathandizire ndi vuto la kuthamanga kwa magazi - onaninso:

Matenda oopsa: mayankho a mafunso a odwala

Ndi mankhwala ati opondera omwe angalowe m'malo mwa Anaprilin? Kwa iye ziwengo zinayamba kukhala ngati mawanga ofiira kumaso.
Yankho.

Mwamuna wazaka 54 akulembera inu. Mwadzidzidzi ndinazindikira kuti ndili ndi kuthamanga kwa magazi 160/100. Mutu suvulala, palibe chosasangalatsa. Sindikufuna "kukhala pansi" pamankhwala. Kodi mumalangiza kuchita chiyani?
Yankho.

Kwa zaka 2, adatenga Concor 5 mg kuchokera ku matenda oopsa. Kenako, atakambirana ndi dokotala wamtima, anasintha kupita ku Enap (10 mg). Tsopano, nthawi zina kupanikizika kumakwera kufika pa 150 pofika 90. Funso: Ndi mankhwala ati omwe ali oyenera kwambiri pakulamulira kwa moyo wonse?
Yankho.

Zambiri zidziwitso: mabuku ndi magazini pazogwiritsa ntchito matenda oopsa
Zambiri patsamba lino sizilowa m'malo mwa upangiri wa zamankhwala.
Osamamwa mankhwala olembetsa magazi popanda kuuzidwa ndi dokotala!

Chofunika cha njira zomwe zikugwiritsidwa ntchito

Kuthamanga kwa magazi kumakhudza anthu ambiri. Kuwerengedwa kwa Tonometer kupitilira pa 140/90 mmHg kumawonetsa matenda oopsa. Kuwoneka kwa vuto lotere kumachitira umboni choyamba kuntchito yayikulu yam'thupi, yomwe ikumana ndi katundu wolemera.

Chifukwa cha izi, mtima umakakamizidwa kukankha magazi ambiri kudzera m'mitsempha. Zotengera, komabe, nthawi zambiri zimachepetsedwa.Ndi kuchuluka kwambiri kwa magazi, munthu amatha kudwala mutu. Kulandila kwa analgesics pamenepa sikuti kumapereka zotsatira zabwino. Osatulutsa mawu, m'malo mwake, okhawo omwe amatha kudwala matendawa amatha kungobisa zizindikiro za ngozi yomwe ikubwera. Izi zikufunika kuyankhidwa mwachangu.

Mkhalidwe woyamba wa chisamaliro choyenera cha vuto la matenda oopsa ndi kusasintha komanso kuwerenga. Kupanikizika sikuyenera kutsitsidwa kwambiri. Ichi ndiye chikhalidwe chachikulu cha ambulansi pamayesero akulu. Ndikofunikira kuti kuthamanga kwa magazi kutsike msanga kuposa 30, komanso bwino - ndi 25 mamilimita mu ola limodzi. Kuchepetsa kwambiri kuthamanga kwa magazi sikungopindulitsa, komanso kuvulaza.

Ndikofunikira kuonetsetsa kuti wodwalayo alibe arrhythmia. Chisamaliro chiyenera kuchitidwa kuti wodwalayo akhale wodekha. Pofuna kuthana ndi kusokonezeka kwa malingaliro. Choyamba, ndikofunikira kuthetsa zomwe zimayambitsa kukwera kwa kuthamanga kwa magazi.

Kuwonetsetsa wodekha kukhala wodekha ndikofunikira. Nthawi zambiri ndi kuthamanga kwa magazi, mantha amamugwira. Vutoli limakhudza ntchito ya dipatimenti yachifundo yamanjenje, chifukwa chake kuthamanga kwa magazi kumakulanso. Ichi ndichifukwa chake, asanapereke mapiritsi olimbana ndi kuthamanga kwa magazi, wodwalayo ayenera kulimbikitsidwa.

Ma ambulansi isanafike, muyenera:

ikani mutu wa wodwala papilo yayitali,
perekani mpweya wabwino wokwanira
ikani mapulasitala kumapeto kwa ng'ombe ndi kumbuyo kwa mutu,
ngati kupuma kumachepa, ndiye kuti wodwalayo ayenera kupuma komanso kutulutsa mpweya wambiri.

Kumwa mankhwala motsutsana ndi kuthamanga kwa magazi, muyenera kusintha zosinthika - kamodzi kamodzi pakatha mphindi 20 zilizonse. Ngati kupanikizika sikunachepe, ndipo makamaka ngati kupweteka kwa sternum kulumikizana ndi kuthinikizidwa kowonjezereka, muyenera kuyitanitsa gulu la ambulansi: izi zitha kukhala zizindikiro za kupunduka kwa myocardial.

Njira Zothana ndi Mavutowa

Mapiritsi otsatirawa akhoza kumwedwa panthawi yamavuto kuti achepetse kuthamanga kwa magazi:

1. Captopril (aka Kapoten, Capril, Kapofarm, etc.) mwachangu imakhala ndi zotsutsana. Pachifukwa ichi, piritsi imayikidwa pansi pa lilime. Mlingo - Malinga ndi malangizo kapena malangizo a dokotala. Sikoyenera kuwonjezera kuchuluka kwa mankhwalawa, chifukwa amatha kupangitsa kuti anzanu azitsika kwambiri, osafunika kwenikweni.
2. Nifedipine (Corinfar, Nifedicap, ndi ena otero.) Onetsetsani kuti ndi kutafuna ndikumamwa ndi madzi. Ndi mphamvu yofooka ya Nifedipine, tikulimbikitsidwa kubwereza mankhwalawa kwa theka la ola. Ndi angina pectoris, mbiri ya vuto la mtima, mapapu a edema, simungathe kutenga Nifedipine.
3. Anaprilin (analogues - Carvedilol, Metoprolol) samangochepetsa kukakamiza kokha, komanso amachepetsa kugunda kwa mtima. Chifukwa chake, mankhwalawa ali contraindicated mu bradycardia, Cardiogenic mantha, pachimake gawo la mtima kulephera.
4. Nitroglycerin (Nitrogranulong) - mankhwala omwe amagwiritsidwa ntchito kwambiri omwe ali ndi kuthamanga kwa magazi. Kuchitikaku kumachitika chifukwa cha kuchuluka kwa mitsempha yamagazi. Kugwiritsa ntchito kwake kwa angina pectoris. Imachepetsa kuthamanga kwa magazi mwachangu, ndichifukwa chake imalembedwa kuti muchepetse kuthamanga kwa magazi. Amapangidwa osati mu mawonekedwe a piritsi, komanso mawonekedwe a kutsitsi, yankho la mowa. Komabe, mukamagwiritsa ntchito mankhwala ngati awa, munthu ayenera kusamala, chifukwa zimayambitsa mutu.

Kugwiritsa ntchito Captopril

Captopril (Kapoten) ndi mankhwala omwe angagwiritsidwe ntchito pochiza matenda oopsa. Chitetezo cha mankhwalawa chimaphunziridwa ndikutsimikiziridwa m'mayesero ambiri azachipatala.

Zomwe mungasankhe posankha mankhwala ndikuti zimathandizira kuthamanga magazi. Mphamvu ya antihypertensive ya captopril imayamba mkati mwa mphindi 15 pambuyo pa makonzedwe. Mlingo wowonjezera wa mankhwalawa sayenera kumwa.Kuchuluka kwa mankhwalawa kumagwera ola limodzi pambuyo pa kayendetsedwe ka mkati.

Kugwiritsa ntchito kwa captopril kumatsimikizira kuchepa kwakanthawi kovutikira. Komanso, mukamagwiritsa ntchito mankhwalawa, kutsika kwamphamvu kwa magazi kungapeweke, komwe sikutetezeka nthawi zonse.

Wodwala akayamba kuthamanga mwadzidzidzi ndi kuthamanga kwa magazi, ayenera kumwa mankhwalawa. Ndi bwino ngati itengedwa pansi pa lilime. Mukhozanso kutafuna kapena kusungunula piritsi: zitatha izi, kuchuluka kwa kuthamanga kwa magazi kumatsika ndi 15 - 20 peresenti. Mulingo uwu ndi woyenera kwambiri kupumula kwamilandu yowopsa ya kuthamanga kwa magazi.

Mankhwala alibe mavuto ena a antihypertensive mankhwala: mutu, nseru, redness khungu, mtima palpitations.

Kugwiritsa ntchito clonidine

Clonidine (Clonidine hydrochloride, Katapres) ndi mankhwala othandiza omwe amachepetsa kuthamanga kwa magazi chifukwa chakuchepa kwapang'onopang'ono kwa kupanga kwa norepinephrine. Zotsatira za kulandira ndi kuchepa kwa kuthamanga kwa magazi, kuchuluka kwa mitsempha yamagazi. Samalani: mankhwalawa ali ndi tanthauzo lakusintha.

Mlingo wakhazikitsidwa ndi katswiri mogwirizana ndi mkhalidwe wa wodwalayo, mikhalidwe yake ndipo zimatengera kuzindikira kwake komanso kuopsa kwa zizindikiro.

Clonidine amachepetsa kuthamanga kwa magazi, koma madokotala sawalimbikitsa kuti agwiritse ntchito kwa nthawi yayitali. Zotsatira zoyipa za kumwa mankhwalawa ndi monga:

kugona ndi kuwononga magwiridwe antchito yoyendetsa galimoto,
kamwa yowuma, mphuno,
zolota
kukhumudwa

Zingwe zofunikira kuchitapo kanthu mwachangu

Chida chodziwika kwambiri chomwe chimachepetsa kuthamanga kwa magazi chinali chisakanizo cha Dibazole ndi Papaverine wa jakisoni wamkati. Masiku ano pali mankhwala ena amakono ochotsa msanga ziwonetsero zamavuto oopsa, kuphatikiza kotero sikugwiritsidwanso ntchito, chifukwa sikuthandiza.

Kunyumba, mutha kulowa mu magnesium sulfate intramuscularly. Popeza ichi ndi jakisoni wowawa, magnesia imaphatikizidwa ndi novocaine. Iwo contraindicated kuchepetsa pafupipafupi mtima mtima, kulephera kwa impso.

Poyimitsa kukakamiza kwadzidzidzi, Papaverine amagwiritsidwanso ntchito. Imachepetsa komanso kuwachepetsa, imasintha magwiridwe antchito a mtima ndi mtima. Monga analogi ya Papaverine, No-shpa (Drotaverinum) angagwiritsidwe ntchito.

Jakisoni wa diphenhydramine amathandizanso kuthamanga kwa magazi. Zotsatira zake zoyipa ndi kugona. Pano sichigwiritsidwa ntchito.

Kugwiritsa ntchito mofatsa

Corvalol kapena Valocordin ndi madontho omwe amathandizira kuthamanga kwamphamvu komanso mwadzidzidzi kuthamanga kwa magazi. Corvalol imagwiritsidwa ntchito:

zovuta zamitsempha
mavuto atulo
zokonda mtima
nkhawa
kusakhazikika.

Ndi kuwonjezeka kowopsa kwa kuthamanga kwa magazi, limodzi ndi kuwonjezeka kwa kugunda kwa mtima, ndikulimbikitsidwa kumwa madontho ochepa a mankhwalawa nthawi. Itha kutengedwa ndikusungunuka m'madzi, kapena pachidutswa cha shuga. Kutalika kwa kuvomerezedwa kuyenera kutsimikiziridwa ndi dokotala. Kugwiritsa ntchito nthawi yayitali kwa Corvalol osavomerezeka. Nthawi zambiri, pakatha theka la ola, mkhalidwe wa wodwalayo umayenda bwino chifukwa cha kuchepa kwa kuthamanga kwa magazi.

Valocordin imagwiritsidwa ntchito chimodzimodzi. Ndi vasospasm, komanso ndi kuwonjezeka kwambiri kwa kupanikizika, ndikofunika kumwa madontho ochepa a mankhwalawa. Ndikulimbikitsidwa kukonzekera chisakanizo cha madontho a tincture wa hawthorn, valerian, mamawort ndi Valocordin ngati chithandizo chodzidzimutsa chodumpha mwadzidzidzi m'magazi. Ndi kuwonjezeka kowopsa kwa kupanikizika, ndikokwanira kutenga zosakaniza zochepa izi, ndikuzipaka m'madzi ochepa.

Kumbukirani zoopsa!

Kuwonjezeka kwadzidzidzi kwa kuthamanga kwa magazi ndi chizindikiro chakuti matenda amkati mwa mtima, impso, ndi ubongo zimakula m'thupi. Palibe chifukwa chomwe mungasiye izi osakonzekera.Ngakhale odwala alibe chipatala chotchedwa matenda amtima, samatetezeka ku myocardial infarction kapena stroke.

Kwa munthu amene akuvutika kwambiri ndi kuthamanga kwa magazi, ndikofunikira kwambiri kusintha chizindikiritso cha ma tonometer mofulumira. Kunyumba, aliyense angathe kuzichita.

Kugwiritsa Ntchito Mitundu Yotsatira ya Kuthanso Kwa Thupi Lotsatira

Ngati, njira zadzidzidzi zomwe zafotokozedwa pamwambapa, kuthamanga kwa magazi sikuchepa, pali zizindikiro za mtima wamatenda ndi mtima wamatenda - kuchipatala chofunikira ndikofunikira.

Mwina munthu amakhala ndi vuto la mtima kapena stroke. Ndikofunikira kuti musataye mphindi, chifukwa zotsatira za chithandizo ndi moyo wa wodwala zimadalira izi.

Ndipo pang'ono zinsinsi.

Kodi mudayamba mwadanapo ndi KUMVA MTIMA? Poona kuti mukuwerenga nkhaniyi, kupambana sikunali kumbali yanu. Ndipo zowonadi mukuyang'anabe njira yabwino yobweretsera mtima wanu.

Kenako werengani zomwe katswiri wazamtima wazaka zambiri Tolbuzina E.V. akunena pankhaniyi. pamafunso okhudza njira zachilengedwe zochizira mtima ndi kuyeretsa mitsempha yamagazi.