Takawhita Essential: tohu, Okú, Diagnosis, Treatment

Essential takawhita Ko te momo māuiuitanga ma'i. He rerekē huringa morphological i te papamuri o te mate, i te reira katoa tei runga i te āhua o tona takenga. Next, whakaaro e tohu he takawhita faufaa nekehanga katoa o te pakeke.

Overview

whakaaro te tohu haumanu matua o te mate e ki te waiho i te hua tamau i roto i tohu pēhanga. hāngai ana tātaritanga te i runga i te whakarerenga o ētahi atu momo katoa o te mate. whakaritea takawhita faufaa te i te kau o te heke i roto i te depressant mahi tākihi. Tuatahi o huringa morphological katoa whakawhānui ki te ngakau me te toto oko.

kē o te täkupu

I roto i te āhua hauora, te pēhanga hangaia e te heke i roto i te ana roro maui. I roto i tenei take e tuha te rere o te toto ki te haoraora, a ka haere ki pera iti. Kei te whakaturia te taumata pēhanga i roto i runga i te rōrahi toto i roto i te oko, te tohu o te mānukanuka o te taiepa uaua. He hoki Uara āhua arteriolar (te iti rawa o takere). Takawhita Ko te hua i roto i te oko matua o te porohita nui o te pēhanga hydrostatic. Tikanga, kia rerekē te tohu rite ki te huru o te tangata. Na, i roto i te moe e iho ratou, i kua nui haere te ahotea psycho-aronganui tinana ranei. Heoi, ka rite ki te tikanga, hoki te pēhanga ki noa - i 100/60 ki 140/90. Ki te homai nga whika i runga, ka kitea ai takawhita. Ko te take hoki i te takawhita matua faufaa, rerekē.

āhuatanga mōrearea

whakaaro takawhita faufaa te ki hei te momo tino noa o te takawhita, engari e kore te mea te whakapataritari ki whakakitea tonu taea. Heoi, i roto i te tūroro ki te māuiuitanga, kitea etahi hononga āhuatanga. Hei tauira, puta takawhita faufaa anake i roto i te hunga rōpū i reira nui te taumata kohi tote te 5.8 g / ra. Tohunga mōhio e ko tenei mau pea hei horomanga nui te take nui mōrearea. Ngā pängia ana ki te whakawhanake i takawhita, te kaumātua, te hunga ki te iti hoki tākihi, te mōmonatanga. He he ano hoki te take ira.

mellitus mate huka

I roto i te wahi tuatahi i roto i te tātaritanga o te hītori hauora he nui. Kei te maha takawhita faufaa e pā ana ki te mate huka. Kei te taiaki moutere o ngā pūtau Langerhans. whakaputaina ratou i te taiāki taiki. aroturuki te reira i te kukū o te kūhuka, whakatairanga tona whakawhiti ki te huānga hanganga. Fakataha ki tenei, me taiāki kua he mahi vasodilating. Tikanga whakaongaonga taiki Ko te ahei o mahi i runga i te mahi pukuaroha. I roto i tenei pēhanga toto e kore e puta ke. Otiia i roto i ngā take kino, mo te tauira, mate huka mellitus, kia taea mahi whakaongaonga kaungāongo'i mo te pānga vasodilating.

Ko te take iranga

Tohunga whakaaro reira tetahi o te kī i te whanaketanga o te māuiuitanga. Heoi, i te ira te kawenga mō te takanga o takawhita, kihai i kitea. I teie mahana, Kei te mahi kairangahau i runga i te ako o ngā āhuatanga e pā te pūnaha renin-angiotensin. uru te reira i roto i te kōtuitui o pūhui kaha biologically - renin - takoha ki nui haere te pēhanga. Kei tēnei pūnaha e i roto i te whatukuhu. takawhita faufaa Ko meinga e pā ana ki te 30% o ngā take e āhuatanga ira. Hei tauira, he teitei i roto i African American atu Pākehā ranei Āhia te pā. I tua atu, ko te pängia ana ake ki te whanaketanga o te pathologies hunga e whai tetahi e rua ranei matua mamae i takawhita. I roto i te wā onge, takawhita tino ko te putanga o te mate ira i te repe adrenal.

māuiuitanga iaia

He maha tūroro ki te takawhita i te ātete tiketike (heke elasticity) o arterioles. E whakawhiti ēnei oko ki te tōiti. A, no te tīmata te elasticity mate ki te whakapiki ake i te pēhanga. e kore te mea tino mārama te take mo te taua maumaui o nga arterioles. Otiia i kitea e te whakaiti i roto i te āhuatanga elasticity iaia o takitahi ki takawhita meinga e āhuatanga ira, hoholo, te horomanga tote nui, hohekore tinana. He tūranga i roto i te māuiuitanga me no ki ngā tukanga inflammatory. I roto i tenei whakaaro, rapunga o te pūmua C-urupare i roto i te toto o te pūhui kia mahi rite te take prognostic.

mōmona

Ko tetahi atu take nui mo te takanga o te takawhita faufaa tenei. A, no te taumaha te tūponotanga o te mate i runga 5 wā. Hei tauira, i roto i te United States e pā ana ki e rua-hautoru o te wā katoa o te takawhita e pā ana ki te mōmona. Neke atu i te 85% o te tūroro ki te taupū papatipu tinana nui ake i te 25.

konutai

Ko faufaa i roto i te whanaketanga o te takawhita hoki tenei pūhui. Tata kotahi toru o te wā katoa o takawhita, kua pā ana ki rōpū nui o te konutai. hāngai mate haereraa i runga i te kaha o te pūhui ki te pupuri wai. A, no te nui haere te pēhanga i te taikaha te ihirangi i roto i te bloodstream o te wai.

renin

e pā ana te pānga o tenei pūhui kaha biologically te ki te hua i roto i te reo iaia. ai tenei he hua i roto i te pēhanga. kia takawhita kia pā ana ki e rua ngā taumata iti, me te tiketike o te renin. Hei tauira, te ihirangi o te pūhui heke mahi āhuatanga o Ameliká African. I roto i tenei whakaaro, e whakaaro te therapy whai hua atu Diuretics.

Ētahi atu āhuatanga

I kitea te reira e te tino pānga te whanaketanga o te takawhita mā te ngongoro. Tika tauwehe precipitating noa, me te nui whakaaro tau. Neke atu i te nga tau i roto i te taiepa oko kitea te he hua i roto i te maha o muka collagen. No te mea o tenei, i reira ko ratou thickening me mate o elasticity, whakaiti i te lumen.

pikitia haumanu

Ka rite ki whakakitea takawhita faufaa? Kei te maha ngaro Tohu o mate. Ka rite ki nga faaiteraa motuhake anake protrudes te wa roa nui haere te pēhanga anake. He uara borderline, kia rite ki nei he tātaritanga. Ko te kupu, mo te "runga" (systolic) pēhanga he 140-159 mm HG. Art, hoki diastolic -. 90-94. I roto i ētahi wā, haere tahi te takawhita Essential tuatahi e:

• Ānini i roto i te hoki o te matenga.
• Palpitations.
• kite Double.
• Tinnitus.

whakarei te kaha o enei tohu e te hua koi i roto i te pēhanga (hypertensive raruraru). Ki te huringa tīmatanga i roto i te oko toto me whekau tina heke i runga i te wā. Ka rite ki te "ūnga" Ko te ngakau, whatukuhu, roro.

atamira pathological

I roto i te huru iti nui āhuatanga e wā pēhanga ara (diastolic - nui atu i 95). I roto i tenei take, he taea te huru stabilization waho te whakamahi o ngā rongoā. Ko te pakeke toharite o te māuiuitanga āhuatanga e te ara on i roto i te pēhanga (diastolic - i roto i te whānui 105-114). I roto i tenei taahiraa, e taea te kitea i reira venules roha, arteriolar whāiti, toto fundus kahore atu mate. taahiraa taumaha rerekē hua on i roto i te pēhanga (diastolic - neke atu i te 115). e kore e stabilization kāwanatanga puta noa i muri i te raruraru. I tenei wā te huringa atu korerotia i roto i te fundus. Kei te hoki tahi Herenga i te whanaketanga o te arteriosclerosis me arteriolo-, mahue hypertrophy ventricular, Cardiosclerosis. E kitea ana hoki hanganga pathological o whekau.

Comorbidities

kia aru takawhita e:

• nephropathy mate huka.
• pectoris Angina.
• whakaeke Heart.
• Revascularization o nga iatuku pūngākau.
• raruraru rangitahi i roto i te tohanga kaka.
• Hemorrhagic me patu rere pūroto.
• Huamo o te karere whatu.
• Toto exudate ranei.
• retinopathy Pākaha.
• Aneurysm.
• Tākihi me te kore ngakau congestive.

tātaringa

Kei te hāngai te reira i runga i te aromatawai o tohu o te pēhanga. Hei whakamārama i te tātaritanga titau te iti o inenga motuhake e toru. Ka whakamahia e tēnei te sphygmomanometer mēkuri me te tikanga Korotkoff. Tātaritanga o ngā momo tuarua o te māuiuitanga me te whakatau i te tohu o te kino okana mahi e rangahau atu. I roto i ngā, whakaritea te manawanui ko te mimi me te toto tauira motuhake, me te whānui, ultrasound o whekau, me te ngakau, he momo o ngā whakamātautau, ECG me pera i runga i.

aroturuki rā

A, no te whakamahi i tenei tikanga ki te ako i te manawanui kakahu i te aroturuki pēhanga toto aunoa, whakatika te taumata o te pēhanga toto i roto i te ra. Wā i waenganui i inenga, te tikanga 30-60 meneti 60-120 meneti ra me te po. Ko te hua ko te torutoru tekau o ngā hua. I runga i te raraunga e taea tatou te whakatau i te pēhanga toharite o te ra, po, ra. I tua atu ki tohu tika, he reira taea ki te whiwhi mōhiohio, e autaki tohu te aroaro o te takawhita. Taua kōrero āhei te ine o te tere te whakanui ake me te whakaiti pēhanga i ngā wā rerekē o te ra.

takawhita faufaa: maimoatanga

He ngā tikanga o te stabilization. Ka whakawhirinaki te kōwhiringa i runga i te huru me te pakeke o te mate. Ko te kupu, ngā whakaaturanga takawhita faufaa me renovascular whai rerekētanga i roto i te kaha. Matua kia whakahaua mehua haumanu ki te faahepo stabilization. I te wa ano e hiahia ana tatou ki te whakatika i nga āhuatanga mōrearea katoa. Me mutu te manawanui paowa, me te tahi atu mau peu kino, ki te whakahou i te kai ki te haerenga, taimaha. Hoki te hunga tūroro i pāngia ki te takawhita faufaa, kia whakahaua maimoatanga i te whakakore i nga pathologies te rere: mate huka, me ētahi atu. kia utua ngā whakarongo ki te talena mahi tinana o te tafifi i me te moe. I roto i te tahua kia heke te nui o te tote, me te kararehe ngako. I roto i te kai o kai tipu kia hakari, hua miraka, pata, hua me huawhenua. Fakataha ki enei hua ka rere ki te āhuatanga wahi tinana, me te tahi atu pūhui whai hua, huaora.

pānga Drug

Me kï reira e he ngāwari ngā ki te whakakore takawhita faufaa. I teie mahana, i roto i Russia tūtohu whitu akomanga o taero. takawhita Renovascular (Tuarua) Kei te ruarua whakakorea. I roto i tenei take, e hāngai ana therapy te matua i tohe nui mate. I roto i te raau taero i whakaritea mo mate, ko te whai ake:

• Diuretics (rongoa diuretic). te āwhina ratou te tango wai i te taikaha i te tinana. Ēnei ngā moni "Furosemide", "Hypothiazid" me etahi atu.
• Na blockers peta. whakamahia whakamutunga anake i roto i pathologies te rere. Beta-blockers ngā "nadolol," "acebutolol".
• te raveraa ra konupūmā. Ki tenei rōpū atu o te konupora i roto i kai e taea hoki te whakaaro fariiraa konupūmā enemi.
• inhibitors ACE.
• agonists receptor Imidozalina.
• te raveraa ra receptor Angiotensin (tikanga "losartan").

kawea Tīpakonga o taero i roto i to koutou tākuta.