Tus kab mob hypertensive - kev faib tawm

Arterial hypertension yog ib yam ua tau los ntawm kev ruaj ntseg nce siab. Qhov Ntsuas: txij 140 mus txog 90 lossis ntau dua. Ua ntej kev pib kho, qhov ua rau pathology feem ntau yog clarified, thiab nws hloov tawm uas yog hom hypertension - qhov kev faib tawm raws li kev ntsuas ntawm systolic thiab diastolic siab nqa tawm ob peb lub hlis.

Niaj hnub qub ntawm kev tawg siab tseem ceeb hauv theem

Txog hnub tim, muaj peb hom kab mob:

1. Theem 1, uas sib sau ua ke tab sis tsis tuaj yeem ua rau cov ntshav nce siab, tsis tshua muaj qhov mob qis-me. Qee lub sij hawm kuj hloov me ntsis hauv cov hlab ntsha ntawm lub fundus.
2. Theem 2 yog ib yam uas yog hypertrophy ntawm myocardium ntawm cov hlab ntsha plawv. Nyob rau tib lub sijhawm, lub siab tseem tuaj yeem nce thiab cov hlab ntsha ntawm lub fundus yuav raug hloov loj.
3. Qib 3 yog nrog lub plawv nres, cwj nrag, lub raum lossis lub plawv tsis ua haujlwm.

Nws yog tsim nyog sau cia hais tias xyoo tas los nws tau txais qhov kev sib txawv ntawm qhov tseem ceeb ntawm txoj kev kub ntxhov (thawj) thiab symptomatic (theem nrab).

Thawj hom yog li ntawm 95% ntawm txhua tus mob kuaj mob thiab nws yog ib qho kev raug rho tawm ntawm tus kab mob uas tsis muaj kev txuas nrog qhov chaw mob ntawm cov hauv nruab nrog cev.

Qhov thib ob yam tshwm sim vim yog kev ua txhaum cai li no:

• coarctation ntawm aorta;
• pheochromocytoma ;
• pathology ntawm cov cortex adrenal;
• nephritis, glomerulonephritis thiab pyelonephritis;
• lub Itenko-Cushing Syndrome;
• anomalies ntawm biosynthesis ntawm corticosteroid hormones;
• thawj hyperaldosteronism;
• qog nrog hyperproduction ntawm corticosterone.

Kev faib tawm ntawm cov kab mob hypertensive los ntawm kev kawm

Hom kev cais ntawm no xws li:

1. Prehypertension ntawm lub hom 1 (kev siab zoo) thiab hom 2 (ntshav siab zoo siab). Cov indices muaj 120-129 rau 80-84 hli Hg. Kos duab. thiab 130-139 ntawm 85-89 mm Hg. Kos duab.
2. Optimum ntshav siab. Qhov Ntsuas: mus txog 120 (systolic) thiab tsawg dua 80 (diastolic).
3. 1 degree (140-159 rau 90-99).
4. 2 degree (160-179 toj ib 100-109).
5. 3 degree (saud 180 thiab dhau 110).
6. Systolic siab tawg (raug rho tawm). Qhov diastolic siab tsis tshaj 90 hli Hg. st., thaum systolic - ntau tshaj 140 mm Hg. Kos duab.

Cov theem thiab qib siab ntawm kev kub ntxhov txiav txim siab qhov teeb meem ntawm cov teeb meem hauv kev tsim kev puas tsuaj rau lub npe hu ua "lub plab" (lub plawv, lub raum thiab lub ntsws).

Kev faib tawm ntawm kev tawg siab tseem ceeb rau kev pheej hmoo

Muaj cov teeb meem hauv qab no rau kev mob ntshav siab:

• hnub nyoog (rau cov poj niam - tshaj 65 xyoos);
• haus luam yeeb;
• qhov phenomenon ntawm kub siab tawg hauv tsev neeg keeb kwm;
• dyslipidemia;
• rog;
• cov ntsiab lus ntawm cov ntshav C-Reactive protein ntau tshaj 1 mg / dL;
• tsis muaj kev sib haum xeeb;
• pathology ntawm kam rau ua kom cov kab sib xyaw nrog piam thaj;
• nce qib ntawm fibrinogen;
• ntshav qab zib mellitus .

Tsis tas li ntawd, muaj ntau tus kab mob uas raug mob thiab kab mob nrog kev siab kub siab.

Raws li cov teeb meem no, txoj kev pheej hmoo ntawm kev tsim cov kab mob plawv yog tsim muaj:

1. Qib tsawg (hauv lub sijhawm muaj 1-2 ntsuas los ntawm daim ntawv teev cov kev ntsuas, kev kub siab, thiab kub siab (AH) 1 st degree).
2. Ntsig (nrog AG ua ke ntawm 1 degree thiab muaj cov kab mob 1-2 yam, AH ntawm 2nd degree).
3. Siab (thaum muaj 3 los sis ntau dua qhov kev pom zoo rau hoob A, qib 1, qib 3).
4. Heev (nrog rau hoob kawm ntawm qib 3 ntawm qib 3 thiab ntau tshaj 3 yam, xws li kev mob sib kis).