Tseem ceeb kub siab

Qhov tseem ceeb ntawm kev kub ntxhov siab (kub siab) yog hom kab mob siab tshaj plaws. Xav txog dab tsi yog qhov tseem ceeb hypertension, dab tsi yog qhov tshwm sim ntawm tus kab mob no, thiab ua li cas nws kho.

Dab tsi yog qhov tseem ceeb ntawm txoj kev kub ntxhov siab?

Qhov tseem ceeb tshaj plaws yog txoj kev kuaj ntshav siab tshaj plaws yog thawj hom kab mob ntawm tus kab mob, qhov kev kuaj mob uas yog ua los ntawm kev tshem tawm cov mob ntshav siab ntxiv. Qhov no yog ib qho kev mob ntev nrog mob ntshav nce siab. Hauv nws txoj kev loj hlob, ntau cov hauv kev yuav los koom nrog, xws li:

• hereditary predisposition vim yog kev hloov noob;
• haus luam yeeb, haus cawv;
• noj ntawm ib tug loj npaum ntsev (ntsev ntau tshaj);
• tsis muaj cov vitamins thiab microelements;
• rog ;
• hypodynamia;
• nquag kev nyuab siab;
• laus nyoog, thiab lwm yam.

Cov tsos mob ntawm kev kub ntxhov

Tus kab mob feem ntau tshwm sim asymptomatically, thiab tsuas yog ib qho kev tshwm sim ntawm nws rau ib lub sij hawm ntev tsuas yog ntshav siab. Cov Ciam Tiv Thaiv (Borderline) yog qhov tseem ceeb ntawm systolic ("upper") ntshav siab 140-159 hli Hg. Kos duab. thiab diastolic - 90-94 hli Hg. Kos duab.

Hauv qee zaum, nyob rau theem pib ntawm cov neeg mob, cov kev tshwm sim raws li nram no tshwm sim:

• mob taub hau hauv lub hauv pliaj los yog pas ntoo;
• kiv taub hau;
• plawv palpitations;
• suab nrov hauv pob ntseg ;
• ob lub zeem muag hauv ob lub qhov muag.

Qhov cov tsos mob ntawm tus kab mob no yog qhov ua rau thaum lub siab nce siab hauv ntshav siab (hypertensive teebmeem). Txij lub sij hawm, hloov tsis tau nyob hauv cov hauv nruab nrog cev thiab cov hlab ntsha. Cov hom phiaj ntawm lub cev yog: lub plawv, lub hlwb, lub raum.

Cov theem ntawm tseem ceeb hypertension:

1. Lub teeb - paub los ntawm ib qho kev nce nyob rau hauv ntshav siab (diastolic siab - ntau tshaj 95 mm Hg). Qee qhov ntawm kev kub ntxhov yog ua tsis tau kev siv tshuaj.
2. Moderate - ntxwv los ntawm ib tug ruaj li nce nyob rau hauv cov ntshav siab (diastolic siab - 105-114 mm Hg). Nyob rau theem no, leeg txha nqaj qaum, mob plab hlaub, ntshav hauv lub fundus tuaj yeem kuaj tau thaum tsis muaj lwm cov kab mob pathologies.
3. Hnyav - pom los ntawm ib tug nce siab nyob rau hauv cov ntshav siab (diastolic siab - ntau tshaj 115 mm Hg). Arterial siab tsis zoo li qub txawm tias tom qab daws teebmeem lawm. Nyob rau theem no, cov kev hloov hauv lub fundus ua ntau dua, arterio- thiab arteriolosclerosis, sab laug hauv plab hypertrophy, cardiosclerosis tsim. Tshaj tawm ntawm kev hloov ntawm cov kab mob hauv cov hauv nruab nrog cev.

Kev kho ntawm tseem ceeb hypertension

Lub hom phiaj tseem ceeb hauv txoj kev kho mob tseem ceeb yog txo cov kev mob plawv thiab lwm cov teeb meem, thiab kev tuag los ntawm lawv. Rau qhov kawg, nws yuav tsum tsis txhob tsuas yog txo cov ntshav siab rau qee theem, tab sis kuj yuav txo tau tag nrho cov kev pheej hmoo yam. Kev kho ntawm no pathology yog nqa tawm rau ntau xyoo.

Cov neeg mob raug txhawb kom hloov lawv txoj kev ua neej, xws li:

1. Tsis kam haus dej haus cawv thiab haus luam yeeb.
2. Ntiag lub cev hnyav.
3. Tuaj ua rau hom kev ua haujlwm, so thiab pw tsaug zog.
4. Muab tso rau hauv lub neej txoj sia.
5. Txo qhov kom tsawg ntawm lub rooj ntsev.
6. Saib xyuas cov zaub mov uas muaj predominance ntawm cov khoom noj cog thiab txo qis rau cov khoom noj kom tsawg.

Tshuaj kho mob siv tshuaj xyuas kev siv cov tshuaj antihypertensive, uas tau muab faib ua ntau hom kev kawm:

• diuretics;
• calcium antagonists;
• agonists ntawm imidazoline receptors;
• inhibitors ntawm angiotensin-converting enzyme;
• antagonists ntawm receptors rau angiotensin II;
• α thiab β-adrenoblockers.

Kev xaiv ntawm cov tshuaj (los yog ua ke ntawm ntau cov yeeb tshuaj) yog ua los ntawm tus kws kho mob nyob ntawm seb tus mob ntawm cov kab mob, hnub nyoog ntawm cov neeg mob, cov kab mob sib kis.