Mhando BP, mhaka

Somugumisiro pokutsvakurudza nemasayendisiti akasika classifications akawanda pamusoro vane chirwere cheBP chirwere , zvichienderana zvinodiwa nzira.

Pakuonekwa murwere

German chiremba Volhard mu mabasa 1913-1920 wacho. Ini dziya chirwere marudzi aya neBP:

• Red neBP kunoratidza tsvuku chiso, makwapa, zvichiratidza kuti pakuwedzera capillaries;
• Pale anoparira spasm pamusoro capillaries, uye ganda akacheneruka anova chando. Izvi zvinoshandawo wamativi.

pamavambo

Mhando neBP maererano mavambo:

• Primary (aka Essential, idiopathic) neBP;
• ane kutarisirwa kuwedzera BP.

Chikonzero chikuru mhando haina kunzwisiswa zvakakwana. Zvimwe kufurirwa siyana zvinhu: pituitary chirwere, adrenal cortex, kuchinja madziro tsinga uye nevamwe.

Pressurization kazhinji kukonzera zvirwere etsvo. Renal neBP Kazhinji pamwe rworuboshwe ventricular hypertrophy uye zvakaoma kurapa.

Symptomatic kana yechipiri neBP vakatsunga chete 10% wevarwere. Chikonzero pressurization ichi zvinowanikwa chirwere chisingaperi kana kudya kuti somushonga zvigadzirwa izvo zvingaita kumanikidzwa.

NeBP Types hunhu of

Dr. G. F. Langom mukupera 30s vakanga dzinounzwa kwemarudzi aya chirwere:

• zvishoma nezvishoma mberi kana "benign" neBP;
• nokukurumidza mberi, kana "nyanyisa" BP.

At kunonoka kuchiita maperembudzi kuchengetwa 3 matanho, izvo vanoparadzaniswa nemashoko rakatsiga kwokudzvinyirira kuwedzera, uyewo kwokuomerwa pathological pezvakaitwa vari chipfuro nhengo.

Akaipa neBP kunotanga muduku, uye dzimwe nguva somwana, vanomhanya nesimba uye ane kwemakemikari anobudiswa hunhu.

Maererano padanho kufurirwa

Munyika dzakawanda dzokuEurope patsanura mhando idzi BP, iro rinoshandiswa nechirwere chirwere:

• "Soft" neBP - yakaderera (kusvika 140 mm HG), pfupi kuwedzera BP, chinoda zvinodhaka kurapa;
• "Moderate" rinoreva neBP kukura danho 1-2 "benign" chimiro, kumanikidza haasi kupfuura 180/110;
• "Heavy" chimiro - a "nyanyisa" kana vari padanho rechitatu kunoitika zvakaoma. yematambudziko uye havaratidzi kugadziridzwa zvinodhaka.

Maererano mwero kukuvadzwa

About murwere nemamiriro achatongwa kwete padanho BP, uyewo machinda avo kutyora ropa rive.

neBP Types pakati zvokukura chirwere:

• Danho rokutanga achabatsirwa zvishoma kuwedzera BP zvakawanda - 140-160 systolic, kumanikidzwa diastolic sezvamakaropafadzwa - iri kuwanda 95-100 mmHg A hunhu pfupi, kwete simba iri achiperekedzwa musoro, hope nenyonganiso, ungaderedza kwepfungwa dzavo. Target nhengo padanho iri haisi zvaparadzwa.
• Danho rechipiri iri pamwe vachiwana yakakwirira kumanikidzwa iyo ichiwedzerwa kunyange panguva yokuzorora uye systolic 160-180, uye 100-110 - diastolic kumanikidzwa tsika. Dzinoratidzwa inotevera zvekuchipatara zviratidzo nhengo kubatanidzwa: kuruboshwe ventricular hypertrophy, kuderedza pamusoro arteries nokuvapo atherosclerotic Dombo, renal kukundikana.
• Wechitatu Danho AD - nevezera pamwero 220-230 / 115-130. Hosha nhengo: angina, chemwoyo, mwoyo kutadza; tutira vascular madziro yeropa, occlusion of arteries; renal kukundikana; murombo kuparadzirwa muuropi, sitiroko; ropa iri fundus.

Mumwewo chimiro

Isolated systolic neBP kunoratidzwa yakawedzera systolic BP apo tiine diastolic chakaipa. Izvi mhando neBP aona imwe wechitatu varwere vakwegura. Kukonzera ichi murombo elasticity mikuru tsinga. The chirwere kungaita myocardial infarction, congestive mwoyo nokukundikana uye akasiya ventricular hypertrophy.