High kumanikidzwa - zvinogona neBP

Kana munhu nguva nenguva pane mukuru kumanikidzwa, anofanira kwachiremba, sezvo iri huru chiratidzo chirwere akadai neBP. Izvi pacharo kunyanya guru kuwedzera BP hakusi ngozi chaizvo, zvisinei, kana ichiwanika dzose nguva, zvino zvingava zvakanaka kutungamirira kukudziri- zvakakomba yematambudziko.

Zvinokonzera yakakwirira BP angava akasiyana. Nhasi akasarudza govera inonzi zvinokosha uye yechipiri neBP. Tsanangudzo yokutanga ndiyo ndiyo kusavapo chero chikonzero kuratidza. Zviya, zvinokosha neBP sezvo chirwere rakaiswa 90% nyaya kana pane chenguva refu kumanikidzwa. Secondary neBP rinowanzoberekera kana kuwedzera nevamwe nokuda hunotovapo chirwere. Kakawanda iri mubvunzo kuti renal chirwere.

NeBP iwayo akaoma rinorapika. Izvi kukonzerwa kuti vagueness zvikonzero parinowanika. Muchiitiko chino, zvinozivikanwa kuti mukuru kumanikidzwa kwakajairika kwazvo vakafutisa vanhu. Mumwe kilogram akandwe kuderedza nazvo 1 mm HG. Somugumisiro, kana munhu ane neBP ndiko kufuta, Saka, pakutanga kwezvose, anofanira kuita izvozvo normalization pamuviri uremu hwavo, nokuti ndicho physiologic uye inobudirira chiito.

Uyezve, kana ari kumanikidzwa ari kumusoro, zvino murwere harifaniri kushungurudzwa yavaibvisa munyu. Hazvina zvakafanira kushandisa vanopfuura 5 magiramu munyu pazuva. Kunyange nani, kana tinogona kuderedza ayo kunwa anosvika 3 g pa zuva. Uyewo, varwere kuti nokushaya muviri inozivikanwa, Zvinokurudzirwa kuita muviri. Ndezvomuzvarirwo kuti ichi anofunga functionality womunhu. Nzira dzakadaro kakawanda chaizvo kana murwere ane mwero neBP rokutanga. Apo chirwere zvasvika 2nd uye kunyanya 3rd dhigirii, zvakakodzera kushandisa antihypertensives. In ichi mukuru-kumanikidzwa kurapwa inowanzopiwa vakatanga mumwe mushonga (kunyanya zvakajairika ACE FIs, izvo, zvisinei, contraindicated vakadzi vane pamuviri). Muzviitiko zvakaipisisa Zvinokurudzirwa chokubatanidza zvinodhaka.

Pakadaro, kana kumanikidzwa zvakakwirira, zvakakodzera kuedza kuidzosera zvisingatomboiti pamwero sezvo uncompensated neBP anopikira akawandisa yematambudziko siyana. Panguva iyoyowo kazhinji kunokanganisa diki midziyo ropa, zvichiguma mberi nokurasikirwa nechaanoona, uyewo kukura matambudziko pamwechete netsvo. Uyezve, kunowedzera ngozi akasiyana-siyana, shamhu, aneurysms uye yomwoyo. Kuramba achiedza yakakwirira kumanikidzwa midziyo vari zvishoma kungoramba gobvu uye pakupedzisira zvose zvishoma vanoteerera kurapwa zvinodhaka. Nokuda kwechikonzero ichi, kana munhu mukuru kumanikidzwa zvinokosha kuti kuedza kuderedza kuti zvisingatomboiti pamwero (zvishoma pane 140/90 mm HG).