Hiki i ka maʻi maʻamau o ke hypertension ke hoʻomaʻamaʻa pinepine ʻia i ke ahulau, mālama ka mea maʻi i ka lōʻihi no ka manawa lōʻihi, akā naʻe ʻaʻole ia he hopena. Hōʻalo ka poʻe maʻi i ka hoʻomaikaʻi ʻana i ko lākou mālama maikaʻi, a me nā keiki i hōʻemi pinepine ʻia.
Ma kahi o 15% o nā hihia o ke kahe o ke koko e pili ana me ka hōʻailona maʻi arterial hypertension i hoʻokumu ʻia e nā pathologies o nā kino kūloko i pili i ka hoʻoponopono o ke kaomi.
Kuhi ʻia kēia maʻi ma 20% o nā maʻi maʻi me ka maʻi hypertension hewa ʻole, pane maikaʻi ʻole i ka maʻi. ʻO ka inoa ʻelua o ka maʻi he hypertension pae lua. Wahi a nā kauka, ʻaʻole ia he maʻi. Ma kahi o 70 mau maʻi i ʻike ʻia i kēia kumu.
Nā kumu a me ka hoʻonohonoho ʻana o nā pathology
Hoʻopilikia ka Symptomatic arertial hypertension ma muli o ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau, no ka laʻana, corticosteroids, oral contraceptives. Nui nā ʻano like o ka patology, ke hilinaʻi nei lākou i ke kumu kumu o ka piʻi o ka pilikia.
Hoʻohana ʻia ka Renal hypertension (renoparenchymal, renovascular). Inā ʻaʻole e loaʻa ka wai i ka nui o ke koko, no ka laʻana, me ka hoʻomohala ʻana i ka atherosclerosis o ka ʻōpū renal, ua hoʻokuʻu ʻia nā mea pili i ka hoʻonui ʻana i ke kaomi.
Hōʻike ʻia ka hoʻokuʻi ʻana me ka hoʻomaka ʻana o kahi mea hoʻohālikelike, comp Tom tom, ultrasound, test laboratory. Hiki ke hoʻoneʻe ʻia i ka hypertension lua e nā hematomas, vasoconstriction congenital, ʻawaʻawa a i ʻole neignlasme benign, a me ke ʻano o ka hoʻōla ʻana.
ʻO nā kumu ʻē aʻe paha e kau ʻia:
- nā hoʻololi atherosclerotic;
- nā kīwaha koko e pā a hōʻili ana i ka venne lumen o nā renal arteri;
- maʻiila nephropathy maʻi;
- papa paʻa o ka pyelonephritis;
- nā hōʻeha
- Mīkopa mycobacterium.
Me ka hypocrension endocrine, ke kamaʻilio nei mākou e pili ana i kahi māhina nui o ka aldeosterone, catecholamines, glucocorticosteroids. I kēia hihia, ʻike ʻia ke ʻano o ka pathological me ka hoʻohana ʻana i nā loea laboratorium, angiography, CT, ultrasound. Hoʻomaʻamaʻa ʻia ka Endocrine hypertension me ka adrenogenital syndrome, acromegaly, ka maʻi Herenko-Cush, hyperthyroidism, endothelin-hoʻohālikelike i ka neoplasms.
Kahi ʻano maʻi hypertension kekahi mea hoʻomohala i ka lāʻau, ulu ia inā ʻike ʻia nā lāʻau lapaʻau i pili ʻole ʻia me ka normalization o ke kahe koko. Loaʻa ia me ka hoʻohana lōʻihi ʻana o nā contraceptives waha, non-steroidal anti-inflammatory drug, cyclosporins, stimulants of the nerve work.
Hoʻopili ʻia nā mea neurogen hypertension me ka palu mua o ka ʻōnaehana o ka wahī:
- he poho;
- nā hōʻeha
- nā maʻi tumio;
- paʻakikī kiʻekiʻe loa;
- ea hanu;
- encephalitis;
- poliomyelitis bulbar.
Hōʻike ʻia kēia mau maʻi i ka wā o ka CT, ka ultrasound o nā kīʻaha koko o ka lolo, ka angiography o nā kīʻaha koko me ka hoʻohana ʻana i kahi ʻano like ʻole.
Me ka congenital a i loaʻa paha ka maʻi o ka ʻōnaehana cardiovascular i ka maʻi maʻi, hiki i ka hemodynamic hypertension. ʻO ka pono no ka hoʻomohala ʻana i ka pilikia, ʻo ka ʻiliʻī o ka aorta, nā puʻuwai pale o ka puʻuwai, aortic aneurysm, erythremia, hoʻopau i ka atrioventricular block. Hōʻike nā hōʻike hewa i kahi electrocardiogram, Echo-KG, angiography.
I ka hoʻomanawanui me ka maʻi maʻi maʻi ʻakiko, hiki ke mālama ʻia ka maʻi a me ke kaumaha. Ma ka hihia mua e kamaʻilio nei mākou e pili ana i ka ʻawaʻawa ʻana o ka ʻawaʻawa, ka meaʻai me nā kiʻekiʻe kiʻekiʻe o ke alakaʻi, tyramine, thallium. Pono e ʻike ʻia nā kumu ʻelua ma nā kūwaha psycho-emotional, nā ʻōpiopio o ka hōʻeha ʻana, nā hōʻuluʻulu hou loa.
Ke lilo nei kahi kūlana o ka pathological i hoʻokahi o nā hōʻailona o ka maʻi, ʻaʻole ia ka hōʻailona nui, ʻaʻole hiki ke haʻi ʻia i ka maʻi ka maʻi.
No ka laʻana, hana kēia me kahi maʻi a i ʻole nā maʻi ʻoenenko-Cush, hoʻōla i ka goiter toxic.
ʻO nā hōʻailona o ke kolohe
I ka nui o nā hihia o nā hōʻike o ka hypertension hypertension e hoʻohuli iā lākou iho i ka hoʻonui o ke koko. ʻO nā hōʻailona ʻē aʻe ke ʻano o ke kani ʻana a me ka tinnitus, nā kīnaha o ke poʻo, ka hōʻalo ʻana, ka ʻūhā a me ka luaʻi ʻana, ke lele ʻana o nā lewa i mua o nā maka, nā hana mau.
Hoʻopili ʻia ke ʻano o ke pathological me ka lou nui loa, ka ʻeha ma ka wahi occipital, i ka naʻau, piʻi ka manawa i ka nui o ke kino o ke kino, ka ʻoluʻolu, a me ka overexcitation.
I ka wā e ʻike maka ai ka ʻike kauka, e hoʻoholo ke kauka i nā hōʻailona o ka hypertrophy o ka ventricular hema, ka manaʻo o ka leo lua ma luna o ka aorta, nā ʻano like ʻole o ke kīʻaha koko o ka waihona ocular.
ʻO ka maʻi e hōʻeha ana i ka hypertension pae lua he mamao loa ia me nā hōʻailona ala. I loko o kēia mau kūlana, he paʻakikī nui ke kānalua i ke ʻano o ke ʻano o ka hypertension arterial.
Pili pinepine ʻia e nā kumu:
- ka ulu ʻana o ka ulu, ka piʻi wikiwiki o ka hypertension;
- makahiki ʻōpio a i ʻole ma hope o 50 makahiki;
- nele i ka mālama pono ʻana i ke koko kiʻekiʻe.
Hoʻomaʻama pinepine nā kaʻina pathological i loko o nā pūpū me nā hōʻailona ʻole, ka hele wale ʻana e ka fickle a scanty i loko o ka urine. Loaʻa ka waiwai Proteinuria i ka waiwai i ka wā e noʻonoʻo ai i ka nui o ka nui o ka protein i nalowale i ka urine. Kuhi ʻia ka Proteinuria ma mua o 1 g i kahi lā i kahi hōʻailona o ka hoʻomohala ʻana o ka hypertension arterial me ka hanaʻino o ka lua.
I ka nui o nā maʻi maʻi maʻi maʻi, ʻaʻole paʻa ka hōʻailona hypertension, mai ka manawa i ka wā e kū ana ka puʻuwai mālama a hoʻemi i ke koko i ka hoʻomaka ʻana. Hōʻike ʻia ko lākou hypertension arterial e ka hoʻonui ʻana i ke kaomi systolic me ka loli diastolic maʻamau maʻamau. Ua kapa ʻia kēia kūlana ma ka atherosclerotic a i ʻole he ʻano makahiki.
Hoʻomaopopo nā hōʻailona o ka atherosclere arterial atherosclerosis i ke kūʻana o ka maʻi o ka hypertension arterial atherosclerotic.
Me ia, nā pulsation i loko o nā ona o nā hopena o ka lalo o ka lalo, e maloʻo loa nā wāwae i ka pā.
Nā hopena ʻokoʻa a ka mīkini maʻi
Hiki i ke kauka ke hoʻoholo i nā kumu o ka maʻi hypertension ma hope o ka hōʻiliʻili ʻana i ka mōʻaukala hanana, pono ia e hoʻokumu i nā hihia o nā hōʻeha, nā maʻi ma mua, a me kahi predisposition e hoʻonui i ke koko.
Pono e ana i ka pākia i nā manawa he nui, ma ka home diabetes maʻi e pono e mālama i kahi diary kūikawā kahi e lawe ai i ka ʻike i nā hōʻailona pili koko.
Ke hoʻomaopopo nei i nā kumu o ke neʻe i ke kaukani e pili ana i ka lawe ʻana mai i nā hoʻokolohua o ka hoʻokolohua: he ʻike koko a me ka biochemical test, kahi hōʻike o nā pae nui o ka hormone, urinalysis, echo-kg, kahi electrocardiogram, ultrasound o nā kauā, ka moku pili, ka angiography, i hoʻopiʻi ʻia i ka tomography.
Ma hope o ka hoʻokau ʻana i ke kūlana o ke olakino, loaʻa ka hopena o nā hoʻokolohua hoʻoliʻi, hiki ke kuhikuhi ʻia i nā hana hoʻomohala hou i ka mea maʻi.
- electroencephalography;
- urology kikoʻī;
- moloai lūlū;
- rheoencephalography
Pono kekahi mau maʻi i ka isotopic renography, kahi aʻo i ka pae o ka paʻakai o ka sodium a me ka pāima i loko o ka urine, ka moʻomeheu urine ma Gulda, a me ka phlebography pili kelepona koho.
I mea e hōʻoia ai i ka hiki ʻana o nā pōhaku o ka peʻa, holomua i hoʻomohala i nā moku nona ka mea e hiki ai i ke micro- a me ka macrohematuria. Me hematuria, i ka haʻalele ai i nā neoplasms, i ka hoʻohui i ka urography excretory, kahi scan kidney, compute tomography, ʻokoʻa cavography, kahi aortography e hōʻike ʻia.
No ka loaʻa ʻana o nā nephritis interstitial, ka mea i hōʻike ʻia e microhematuria, ua hōʻike ʻia kahi maʻi biopsy. Kōkua ke aʻo ʻana e hōʻoia hope i ka hiki ʻana o kaʻino kino o kalo. Inā ʻōlelo ke kauka i ka vasorenal hypertension, hoʻohālikelike ʻia ka angiography. Hoʻohana ʻia nā ʻano diagnostic ʻelua no nā hōʻike koʻikoʻi.
Hoʻohana ʻia ʻo Angiography no nā maʻi maʻi ʻōpio a me nā makahiki waena me ka hypastension hypertension a me ka haʻahaʻa haʻahaʻa o ka lāʻau lapaʻau.
Nā lāʻau lapaʻau
ʻO ka mālamaʻana i ka hypertension hypertension e hoʻomaka ana e hoʻopau i nā kumu o ka piʻi o ke kahe o ke koko. Hoʻohana ʻia ka lāʻau lapaʻau a me ka mea hoʻokele, ʻo ka prognosis o ka kūleʻa pololei e hilinaʻi ana i ka nui o ka maʻi i lalo.
Ua kuhikuhi ʻia nā maʻi Diabetics he papa o nā lāʻau antihypertensive, ua koho ʻia lākou i kēlā me kēia, e pili ana i nā hōʻailona kuhikuhi, ka loaʻa ʻana o nā contraindications i nā mea ikaika, nā kumu o ka hypertension arterial.
Me ka hōʻoia o ka hypertension renal, hōʻike ʻia ia e lawe i ka diuretics, ACE inhibitors. Inā ʻaʻole e hopena ka hopena hypotensive, pono ke lawe ʻia nā P-blockers. No nā pilikia olakino, mālama ʻia ka hemodialysis.
Pono e hoʻomanaʻo ʻia ʻaʻole he hoʻokahi regimen mālama no ka hypertension symptomatic. ʻO kekahi mau lāʻau mai ka papa inoa o nā lāʻau lapaʻau i hōʻike ʻia no ke ʻano maʻamau o nā maʻi i hoʻohālikelike ʻia i nā hihia o nā pilikia mai:
- ka noʻonoʻo;
- ʻōpala
- pili koko.
No ka mea la, ua papa ʻia nā pale o ACE i ka stenosis renal i hana ʻia e ka renorenal hypertension. ʻAʻole hiki ke kuhikuhi i nā mākela Beta no nā ʻano nui o ka arrhythmia, i ka wā e hele pū ai ke keʻena me nā malformations o ka puʻuwai naʻau, ka puʻupuʻu o ka aorta.
Hoʻohui ʻia ka mālama ʻana me ka hoʻohana ʻana i nā lāʻau lapaʻau o nā pūʻulu like ʻole no ka diastolic stabil, a hypertension arterial o kekahi pathophysiology, hypertension.
No ka hoʻokō ʻana i ka leo o nā kīʻaha koko o ka lolo, hoʻomaikaʻi i ka hoʻoponopono ʻana i nā kaʻina o nā mea kūlohelohe, kauka nā kauka i nā wai liʻiliʻi o ka caffeine, Cordiamine. Lawe ʻia nā wahi ma ke kakahiaka, i ka neʻe ʻana o ke koko ma ke ʻano haʻahaʻa loa.
Koho ʻia ke ala o ka mālama ʻana i kēlā me kēia maʻi, ua koho ʻia ke koho ʻana e nā ʻimi pū o kahi neurologist, cardiologist, hōʻona a me ka endocrinologist. He mea nui ia e noʻonoʻo pono i ke koho o ka waiho ʻana o ka hopena o nā lāʻau lapaʻau, ʻike maoli kēia no nā mea maʻi.
ʻO ka hōʻemi iki ʻana i ka hōʻailona o ka neʻe ai e hoʻonāukiuki i ka cerebral, coronary a me ka lōkō i ka lua.
Kuhi, nā ana no ke keʻakeʻa ʻana o nā hoʻopiʻi ʻana
Hiki ke helu pono i ka pau piha ʻana o ka hypertension hypertension aria e pili ana i ka ʻalo manawa pono o kāna kumu. ʻO ka hoʻonui lōʻihi loa i ke kahe o ke koko e hoʻonāukiuki i ka hoʻomohala a me ka holomua o ka arteriosclerosis, a komo pū ka mīkini paʻi renal me ka pathogenesis. I kēia hihia, he mea kānalua ka hopena.
Inā ʻaʻole hiki ke hoʻokō ʻia ka hoʻōla, ka hilinaʻi ʻana ka prognosis i ka nui o ke kūlana pathological, kū i ka lāʻau antihypertensive, nā ʻano o ka maʻi lalo, a me ke ola kino o ka mea maʻi.
ʻO nā hana pale no ka hypertension hōʻailona maʻi e iho mai i ka pale ʻana o nā maʻi e hoʻomoʻa ana ma lalo nei. ʻO kahi mea nui e mālama i ka wā kūpono o ka lāʻau pyelonephritis, glomerulonephritis, atherosclerosis. I ka loaʻa ʻole o ka lāʻau kūpono, lilo kēia mau maʻi i ka moena.
Hāʻawi ʻia ka ʻikepili e pili ana i ka hypertension hōʻailona maʻi i ke wikiō ma kēia ʻatikala.
