Essential neBP: Zviratidzo, Inokonzera, nechirwere, Treatment

Essential neBP chinhu chirwere zvokurwara mhando. Morphological zvachinja pakanyorwa chirwere vakasiyana, zvose zvinoenderana hunhu waro mavambo. Next, funga kuti munhu Essential neBP anomirira madhigirii zvose zvakaoma.

tsananguro

The chikuru kunotoda chiratidzo chirwere anoonekwa kuva kuwedzera kwakuri ari kuitiswa zviratidzo. Chirwere inobva achisiya zvose nezvimwe chirwere. Essential neBP ndee kubva nguva kuderera mune renal shanda depressant. Chekutanga morphological kuchinja zvose kungapfuurira mwoyo uye ropa midziyo.

musiyano pakati ndozvakajairwa

In hwakanaka mamiriro, kumanikidza kunotangira nokuderera ventricle kuruboshwe. Panyaya iyi aibuda ropa vabudiswa mugomba yeropa, uye ipapo achienda arteries zvidiki. kumanikidzwa pamwero wakagarira maererano ropa vhoriyamu nemidziyo, ukuru kusungika yacho tsinga masvingo. Kukosha anenge arteriolar inzwi (duku makwara). NeBP chiri kuwedzera arterial midziyo denderedzwa mukuru hydrostatic kumanikidzwa. Kazhinji zviratidzo ingasiyana ezvinhu munhu. Saka, panguva kurara vari pasi, ukuwo psycho-mupfungwa kana mumuviri kunetseka zvawanzwa. Zvisinei, sezvo mutemo, kumanikidza anodzokera dzose - kubva 100/60 kuna 140/90. Kana nhamba akapiwa kumusoro, ipapo kuziva neBP. Zvikonzero iyo chinhu chinokosha chirwere cheBP, zvakasiyana.

zvinokonzera njodzi

Essential neBP ichaongororwa kuti vakawanda mhando BP, asi zvainditsamwisa kuzarura hazvibviri nguva dzose. Zvisinei, muna varwere zvokurwara, akawana vamwe ukama noruzhinji. Somuenzaniso, Essential neBP rinowanikwa chete idzodzo mapoka apo munyu kuparadzwa pamwero akapfuudza 5.8 g / zuva. Nyanzvi dzinoti ichi vanenge kunyanya kudya kunogona kuva kunokosha ngozi. Zvikurukuru vachichengeta kuva neBP, vakwegura, avo vane renal insufficiency, kufutisa. Panewo majini chinhu.

chirwere cheshuga mellitus

Pakutanga iri nechirwere kare yezvokurapa kunokosha. Essential neBP runowanzotaurwa nezvarwo cheshuga. Rwatata rine nezviduku pamusoro Langerhans masero. Avaindipa insulin. It monitors wevasungwa kuti shuga, unokurudzira kuchinjwa zvayo STRUCTURAL zvinhu. Pamwe chete ichi, uye jekiseni rine vasodilating chiito. Kazhinji anotokonya kemikari anokwanisa kuita pamusoro tsitsi basa. In ropa iri kumanikidzwa hakuna kushanduka. Asi Muzviitiko zvakaipisisa Somuenzaniso, chirwere cheshuga mellitus, tsitsi nekurukurirano basa anogona kukunda pamusoro vasodilating maturo.

The majini chinhu

Nyanzvi funga izvozvo mumwe kiyi kukura zvokurwara. Zvisinei, majini anokonzera panowanikwa BP, akasawanikwa. Nhasi, vatsvakurudzi kushanda kudzidza zvinoita kuti sei renin-angiotensin hurongwa. It paChikoro kwetunhu pakugadzira vanoshingaira yeimwe - renin - mari yakawedzera kuomesa. gadziriro iyi iri neitsvo. Essential neBP anenge 30% nyaya kunokonzerwa masero okutodza. Somuenzaniso, kuitika iri yepamusoro African American pane kuEurope kana Asian. Uyewo, kuti tichikurumidza pokumuka pathologies vaya vane mumwe kana vose vabereki kutambura neBP. Mune zvisingawanzoitiki Muzviitiko, BP Essential ndiyo migumisiro ine majini chirwere kubva adrenal mumasero.

vascular zvokurwara

Varwere vakawanda neBP vane mukuru nemishonga (kuderera elasticity) of arterioles. midziyo iyi zvaive munzvimbo capillaries. Kana kurasikirwa elasticity anotanga kuwedzera kumanikidza. Chikonzero kutyorwa kuri arterioles kwakadaro hakusi pachena zvachose. Asi vakaona kuti zvinoderedza vascular elasticity hunhu vane BP anokonzerwa masero okutodza, kuchembera, kunyanya munyu yaunodya, nokusarovedza muviri. A muchinangwa zvokurwara uye ndezvaiye anogumbura kwendangariro. Panyaya iyi, kuziva miedzo C-reactive mapuroteni muropa remubatanidzwa ave munhu prognostic chinhu.

kufutisa

Ichi chimwe chinhu chinokosha chokufunga kuti panowanikwa zvinokosha neBP. Kana wakafuta mukana chirwere pamusoro 5 nguva. Somuenzaniso, muUnited States vanenge zvikamu zviviri muzvitatu zvose nyaya neBP chokuita kufutisa. Vanopfuura 85% varwere body mass indekisi kupfuura 25.

yavaibvisa

remubatanidzwa ichi kunokoshawo kukura neBP. Ingangoita muzvitatu zvose nyaya BP, inobatanidzwa kunyanya kudya kuti yavaibvisa. Chirwere kunoita inobva mukomboni Kukwanisa varambe mvura. Kana zvakawandisa kumanikidzwa ichiwedzerwa kugutsikana mune muropa nemvura.

renin

Kuvhiringidzwa uyu pakugadzira vanoshingaira remubatanidzwa Rinobatanidzwa kuwedzera vascular matauriro. Izvi zvinokonzera kuwedzera kumanikidza. BP zvinogona chokuita zvose pasi uye yakakwirira kwevari renin. Somuenzaniso, zviri mukomboni kwakaderedza kuita hunhu African America. Panyaya iyi, kuti hubudirire kurapa vanoonekwa diuretics.

zvimwewo

It Vakawana kuti kukura neBP iri yekudyidzana kukanganiswa ngonono. Zvakajairika uye chinokosha precipitating chinhu vaiona zera. Mumakore ari mudziyo rusvingo dzakaonekwa nokuwedzera kwenhamba collagen fibers. Nokuda kwaizvozvi, pane thickening yavo uye kurasikirwa elasticity, achidzikisa lumen.

zvekuchipatara mufananidzo

Sezvo akaratidza zvinokosha neBP? Zviratidzo chirwere kazhinji kushaikwa. Sezvo chete kuratidzwa chaizvo makabuda chete yakawedzera kuomesa kwenguva refu. Kune pamuganhu tsika, maererano iyo chirwere. Saka, nokuti "pamusoro" (systolic) nevamwe 140-159 mm HG. Art, nokuti diastolic -. 90-94. Mune zvimwe zviitiko, chikuru Essential neBP achabatsirwa:

• Nemusoro ari seri musoro.
• Palpitations.
• Double chiratidzo.
• Tinnitus.

Kuwanda Zviratidzo izvi dzinowedzerwa unopinza kuwedzera kumanikidza (chirwere cheBP dambudziko). Pachatanga kuchinja midziyo ropa uye nhengo dzomukati kusingarapiki pamusoro nguva. Sezvo "chipfuro" ndiwo mwoyo, neitsvo, uropi.

pathological Danho

In zvishoma zvikuru ezvinhu dzinoratidzwa nguva nenguva kumanikidzwa richisimuka (diastolic - kupfuura 95). Panyaya iyi, iyo Kudzikamiswa ezvinhu zvinogoneka pasina kushandisa mishonga. Avhareji kwokuomerwa imwe zvokurwara dzinoratidzwa rakadzikama kuwedzera kumanikidza (diastolic - mu kuwanda 105-114). In danho iri, unogona kuonekwa venules kuwedzera, arteriolar aienda, ropa fundus pasina zvimwe zvirwere. Heavy danho anosiyana yakadzikama kuwedzera kumanikidza (diastolic - vanopfuura 115). mamiriro Kudzikamiswa hakuitiki kunyange mushure dambudziko. Panguva iyi ndipo raidudzwa zvachinja fundus. Condition chiri pamwe kukura arteriosclerosis uye arteriolo-, akasiya ventricular hypertrophy, Cardiosclerosis. pathological kugadzirisa nhengo dzomukati vari kuwanikwa.

Comorbidities

NeBP zvingateverwa nezvikuru:

• Shuga nephropathy.
• Angina pectoris.
• Heart kurwisa.
• Revascularization of coronary arteries.
• Zvinopfuura kuvhiringidzika chepfungwa wechiGeorgian.
• Hemorrhagic uye ischemic nesitiroko.
• Kuzvimba optic etsinga.
• Ropa kana exudate.
• Zvakakomba retinopathy.
• Aneurysm.
• Itsvo uye congestive mwoyo nokukundikana.

Diagnostics

It anobva pakuva tinyatsonzwisisa zviratidzo zviri kuitiswa. Kujekesa nechirwere kunoda kushoma matatu akazvimirira zvokuyera. Izvi anoshandisa nemekiyuri sphygmomanometer uye Korotkoff nzira. Chirwere kubva yechipiri siyana zvokurwara uye kuona ukuru kukuvara nhengo kuitwa zvokuwedzera. Kunyanya, murwere ushandiswe maduramazwi uye vakawanda weti uye ropa ivhu, Ultrasound kuti nhengo dzomukati uye mwoyo, akasiyana-siyana nemiedzo, ECG uye zvichingodaro.

daily zvichiongororwa

Kana kushandisa nzira iyi kudzidza murwere kupfeka otomatiki BP tarisisa, kugadzirira padanho BP masikati. Chinguva pakati kuyerwa, kazhinji maminitsi 30-60 60-120 maminitsi masikati nousiku. Zvinoguma makumi mashomanana results. Pachishandiswa mashoko tingaziva avhareji kumanikidzwa zuva, usiku, zuva. Kuwedzera zvakananga zviratidzo, zvinokwanisika kuti vawane mashoko, izvo zvisina kunanga anoratidza kuvapo neBP. mashoko akadaro inoita nokuyerwa pakukurumidza nokuwedzera uye kudzikira kumanikidzwa panguva dzakasiyana zuva.

Essential neBP: kurapwa

Pane nzira dzakasiyana-siyana Kudzikamiswa. Kusarudza achavaponesa nemaitiro nekuomarara chirwere. Saka, zvinokosha uye renovascular neBP kuratidzirana Kusiyana kuchinyanya. Zvikurukuru kuchirapa matanho anofanira kuendeswa kumanikidza Kudzikamiswa. Panguva iyoyo tinofanira kuchinja zvose zvinokonzera njodzi. Murwere anofanira kurega kusvuta uye dzimwe tsika dzakaipa, kuti adzokorore kudya kuti normalize uremu. Nokuti avo varwere vakanga nechirwere zvinokosha neBP, kurapwa inofanira kutaurirwa Achabvisa concomitant pathologies: chirwere cheshuga, uye vamwe. Cherechedzai inofanira kubhadharwa kuti kurovedza muviri zvaiitwa kuti pretty uye kurara. Munguva Muterere uwandu munyu uye nemhuka mafuta zvinofanira kuderedzwa. In zvokudya chirimwa zvokudya zvinofanira kuvapo, nomukaka zvigadzirwa, bota, michero uye miriwo. Pamwe chete zvinhu izvi dzichayerera mumuviri zvisaririra zvinhu uye zvimwe zvinobatsira yeimwe, mavhitaminzi.

Drug migumisiro

Zvinofanira kucherechedzwa kuti zvinokosha neBP zviri nyore kubvisa. Nhasi muRussia akakurudzira makirasi vanomwe zvinodhaka. Renovascular neBP (yechipiri) iri havaratidzi chapedzwa. Muchiitiko chino, kurapa nechinangwa zvikurukuru pane kurwisana nezvirwere zvikuru. Pakati mishonga nachiremba zvirwere, ndedzinotevera:

• Diuretics (diuretic mishonga). Vanobatsira kubvisa zvakawandisa mvura kubva mumuviri. Izvi zvinosanganisira mari "Furosemide", "Hypothiazid" uye vamwe.
• Uye Beta blockers. Last kushandiswa chete paanenge concomitant pathologies. Beta-blockers zvinosanganisira "nadolol," "acebutolol".
• Karusiyamu mhandu. With ichi mamwe yaunodya kuti magnesium mukati zvokudya anogonawo funga kugamuchirwa karusiyamu antagonist.
• ACE FIs.
• Imidozalina Kanotokonya agonists.
• Angiotensin Kanotokonya mhandu (rinoreva "losartan").

Selection zvinodhaka riri kuitwa nachiremba wako.