Wahi a nā helu hōʻike, ua lilo kēia maʻi hypertension i ka maʻi maʻamau loa. Hoʻopilikia pinepine ia i nā maʻi maʻi maʻi, ʻoi aku paha ma mua o 40 mau makahiki he nui, akā aia ke ola o ka holomua o ka pathology i ka wā ʻōpio a me ka ʻelemakule. Eia kekahi, ʻike pinepine ʻia ka hypertension i nā wahine, a ma nā kāne ua ʻoi aku ka paʻakikī.
Hōʻano maʻi hypertension e ka ulu mau ʻana o ke kahe koko. ʻAʻole hiki ke hoʻōla piha i ka hypertension arterial, akā e hōʻoluʻolu pono ka maʻi. No kēia mau pahuhopu, ua hōʻike ʻia nā lāʻau lapaʻau o ka hypertension a me nā lāʻau lapaʻau ʻole.
Nā kau palena a me nā pae o ka hypertension
Hoʻohana ʻia ka papa kuhikuhi o ka World Health Organization i ka hana lapaʻau, e like me ia he ʻekolu mau kiʻekiʻe o ka hypertension.I ka papa mua, ke kamaʻilio nei mākou e pili ana i ka hypertension borderline, ke koko i ka pae mai 140/90 a 160/100 mm Hg. ʻAniā.
I ka papa lua, e ʻōlelo lākou i ka momona hypertension, ma ka mea maʻi i ke kahe o ke kumu mai ka 160/100 a i ka 180/110 mm RT. Ke kolu o ka pae - hypertension koʻikoʻi, ke nānā aku nei lākou i ke kahe koko i ke kiʻekiʻe o ka 180/110 mm RT. ʻAniā.
Hoʻohui ʻia me ka puʻupuʻu i nā kiʻekiʻe, hōʻike ʻia nā ʻano o ka hypertension. ʻO ka papa hana mua he transient a transient paha, me ia ka mea e hāʻawi ai i ka maʻi i ka neʻe iki o ke kahe koko.
Holo hewa ke koʻikoʻi:
- ʻaʻole hoʻopiʻi ka mea maʻi i ke olakino;
- ke mālama pono nei ke ola kino;
- ʻaʻole i pioloke ka cardiovascular system.
Ua kapa ʻia ʻo Stable ka lua o ka pae o ka hypertension. I kēia pae, no ka hoʻonui ʻia o ka pehi, ua piʻi iki ka ventricle hema, ʻaʻole ʻike ʻia nā hoʻololi i koe. I nā hihia pinepine loa, ulu ʻia ka pale ʻana.
Hōʻike ʻia ke ʻano o ka sclerotic i ka hoʻololi hewa ʻana o ka nui o nā kino o loko, nā hōʻailona o ka myocardial infarction, hōʻeha ka naʻau, a me ka edic optic.
Hoʻokomo pinepine ka maʻi hypertension i nā makahiki he nui, ʻike ka mea maʻi i kahi pilikia wale nō ma hope o kona wā e koi ai, i ka wā e makemake ʻia ka mālama lōʻihi a koʻikoʻi.
Loaʻa kahi ʻano malignant o ke ʻano hypertension. Hōʻike ʻia ia e ka holomua wikiwiki, piʻi nā pae āpau i kahi manawa pōkole. Make koke ihola ka make o kekahi kanaka.
Me ka paʻakikī o ka maʻi, ʻaʻole i haʻalele ʻia ka hoʻomohala ʻana o nā ʻōpiopio. Hōʻike lākou ia e kekahi pilikia hypertensive, ke piʻi aʻe ke kiʻekiʻe o ke koko. Pono kēia ʻano pathological i kahi hopena koke. Hōʻike pinepine ʻia nā pilikia hypertensive me ke kolu o ka maʻi o ka maʻi.
ʻO ka pathogenesis a me ka etiology o ka maʻi ke komo i ka hypertension mua a me ke kiʻekiʻe.
ʻO ka hypertension primati kahi maʻi kūʻokoʻa, ka lua - ka hopena o nā pilikia ʻehaʻeha.
ʻO nā kumu kuʻuna no ka mālama ʻana
Kūpono ʻia nā kumu o ka mālama ʻana i ka maʻi hypertension ma ke kahua a me ka kiʻekiʻe o ka maʻi. ʻO ke kumu o ka hana maʻi ka mea maʻamau o ka hōʻailona ikaika, ka hōʻemi i ka hopena o nā hoʻopiʻi ʻana mai ka puʻuwai naʻau a me nā kīʻaha koko, a me ka pale ʻana o ka make.
No ka hoʻokuʻu i nā kolohe, pono e hoʻohana i nā lāʻau lapaʻau, nā ʻano hana like ʻole e mālama ai, e kāpae i nā mea predisposing: ʻoi aku ka nui, ke kiʻekiʻe kiʻekiʻe, ke kolamu maikaʻi ʻole.
ʻOiaiʻo ka luhi o ka maʻi, ua kau ke kauka ke pili i kahi kīʻaha kūikawā. Pono e hoʻonui ʻia nā huahana me ka magnesium a me ka pāhare. Hōʻike ʻia e hōʻemi i ka komo ʻana o ka paʻakai i loko o ke kino, a ʻoi aku ka maikaʻi o ke haʻalele ʻana i ka sodium.
Pono ka nānā ʻana i nā maʻi maʻi e pale i ka paona, kāpae i ka ulaula, mai inu i ka waiʻona. Mai hana ʻole me ka hoʻoikaika kino pilikino, ʻo ia paha:
- hele
- ʻaʻalo;
- jiki.
Pono ka hoʻomaʻamaʻa ʻana o ka hypertension i ka hoʻohana ʻana i nā lāʻau lapaʻau, lawe ʻia ke koho ʻana i nā papa me ka nānā ʻana i nā hiʻohiʻona o ke kino o ka mea maʻi.
Diuretics, beta-blockers, angiotensin-converting enzyme (ACE) inhibitors, angiotensin, calcium channel blockers lilo nā hua lāʻau mua-laina. Ua hōʻike pinepine ʻia ka maikaʻi o kēia mau kālā i nā hoʻokolohua hoʻokolohua. No kēia kumu, ua koho mua ʻia lākou.
Hoʻokomo ʻia nā lāʻau lapaʻau mua me ka regimen mālama i ke ʻano mua o ka maʻi hypertension, inā he 4 mau malama o ka lapaʻau ʻana ʻaʻole loaʻa ka hopena i manaʻo ʻia. Ma ke ʻano he kānāwai, i ka hoʻomaka ʻana o nā hypertension, ua lawa kekahi pono.
I nā manawa aʻe, ʻōlelo ke kauka i ka lāʻau 2 a 3 paha.
ʻO ka hoʻomaʻamaʻa maikaʻi
Ke hōʻike ʻia nei kahi ʻano hoʻohālikelike o ka hypertension, piʻi koke ke koko, a me nā moku koko o ka ʻili, kālā, ʻōpū, a me nā puʻupaʻa koʻikoʻi.
Ma kahi o ka hypertension koʻikoʻi, ʻaʻole ia e pale ʻia i ke kahakaha ʻana i ke kaomi, inā ʻole e hoʻopili koke ʻia ke kahe koko, e ola ʻia nā hoʻopiʻi ola. No laila, e hōʻike ʻia ana kahi haʻahaʻa o nā paila koko, No ka hoʻomaka, ua lawa ke lawe iā ia i ka 15% mai ka pae mua. A laila, me ka hoʻomanawanui maikaʻi, hoʻomau lākou i ka hoʻohaʻahaʻa i ka pehi, a hōʻea i nā palena maʻamau.
I kēia hihia, ʻōlelo aku ke kauka i ka hoʻohana ʻana o kekahi mau ʻano like ʻole, ʻo ka algorithm ka mea penei:
- diuretic, beta-blocker, ACE inhibitor;
- ACE inhibitor, calcium channel blocker, diuretic, alpha-blocker;
- beta-blocker, kalaka ae hoʻokele kalepona, diuretic, alpha-blocker.
A loaʻa kahi maʻi maʻi maʻi coronary i loko o ka maʻi a me ka palaualelo o ka puʻuwai, ua hōʻike pū ʻia ʻo ia me ke ʻano maʻi. I kekahi mau hihia, pono ke mālama ʻia.
Ma hope o ka loaʻa ʻana o ka hopena maikaʻi, e hoʻomau ka mea maʻi e lawe i nā lāʻau antihypertensive, e mālama ʻia e ke kauka i kēlā me kēia mau mahina.
ʻO kahi ʻōlelo pono e mālama ʻo ia i kahi diary kūikawā kahi i hoʻopaʻa ʻia ai nā heluhelu ikaika a pau.
Hoʻolālāau i ka pae kauā 2 hypertension
Ma mua o ka hoʻomaka ʻana i ke ʻano, ua hoʻomanawanui ka mea maʻi i ka maʻi paʻa o ke kino. Mālama kēia iā ʻoe e ʻike i ke kiʻi piha o ka maʻi, nā loli pathological i kū mai ma kahi o ke koʻikoʻi kiʻekiʻe. Hiki ke kamaʻilio pū kekahi me ka neurologist, koi ʻia ka cardiologist.
Ka papa inoa inoa o nā lāʻau lapaʻau e pili ana i ka diuretics (Diuver, Veroshpiron, Thiazide), nā lāʻau antihypertensive (Artil, Bisoprolol, Physiotens), nā papa anti-kolesterol (Zovastikor, Atorvastatin), a me nā manawaleʻa koko (Aspecard).
ʻO kahi mea makemake no ka mālama holomua e lawe i nā lāʻau lapaʻau e ka hola. Hana ʻia kekahi o nā ʻano hana no kēlā me kēia maʻi maʻi. ʻAʻole kūpono nā hoʻolālā kūpono loa a kūpono i kēlā me kēia kanaka. Inā kōkua i kekahi, laila hiki i ka lua ke hōʻeha.
I ka hoʻomākaukau ʻana i ka lāʻau lapaʻau, noʻonoʻo ke kauka:
- makahiki
- ʻano hana (predisposition a me ka hana ole kino);
- ka hele ʻana o nā maʻi a me nā maʻi ʻē aʻe;
- he pae kolamu nui o ke koko;
- loli i loko o nā kino o loko.
ʻO kēlā mau lāʻau ʻē aʻe a ʻaʻole i pāpā ʻole ʻia i ka mea maʻi i ka hui pū ʻana. Eia naʻe, ke pale aku i nā hopena ʻino, ʻo ka manawa mua e pono ai ʻoe e nānā i ke ʻano o kahi kanaka.
Hōʻike ia i ka pololei o ka lāʻau hoʻoponopono - ke hoʻololi nei i kekahi mau lāʻau me ka analogue, hiki ke hoʻololi i ka dosage, kāpae i ka lāʻau.
ʻO nā peni paila kaulana
Veroshpiron
ʻO ka manawa pinepine, ke kauka nei nā kauka i ka lāʻau antihypertensive ʻo Veroshpiron, ua hana ia i ke ʻano o nā papa, capsules. Aia kēlā me kēia papa i 25 mg o ka waiwai ikaika, i nā kāpena - 100 mg. ʻO ka mea nui o ka spironolactone, mea kōkua: talc, mais starch, silicon dioxide.
Heʻokoʻa nā Veroshpiron ma nā hana hypotensive ikaika a me ka diuretic. ʻO kona hana nui ʻo ka mālama ʻana i ka pāhana i loko o ke kino, no laila ke kapa ʻia ka lāʻau lapaʻau nei me nā lāʻau lapaʻau pili-potassium.
Hoʻomoe ka hopena therapeutic ma muli o ka hopena diuretic, ma muli o ke ʻano o ka hoʻemi ʻana o ke kaomi. Hoʻoholo ʻia ia e hoʻohana i ka lāʻau i ka hihia o ka edema, nā maʻi o ka ʻōnaehana endocrine, cerebral edema, hypertension arterial.
Hoʻokomo ʻia ka lāʻau i ka hypertension me ka hoʻomehana kū ʻole o kēlā me kēia mahele a i ʻole nā mea kōkua. Lā ʻia i ka hoʻohana me nā maʻi:
- pilikia hōʻeha;
- anuria
- hyponatremia;
- hyperkalemia
Eia kekahi, ʻaʻole hiki iā ʻoe ke lawe iā Veroshpiron i ka wā hāpai.
ʻO nā analog o kēia mau lā maikaʻi o ka lāʻau o Spironolactone, Veroshpilactone. ʻO ke kumukūʻai o Veroshpiron ma waena o 100 a 300 mau rubles, e hilinaʻi ana ma ka helu o nā papa i loko o ka pākī. I kūʻai ʻia ʻole i kahi kauoha ʻole mai ke kauka.
Bisoprolol
Hoʻohana nui ka lāʻau Bisoprolol i ka mālama ʻana i ka maʻi hypertension, he waiwai antianginal, antiarrhythmic, hypotensive. Ke hoʻopaʻa nei ka lāʻau lapaʻau i nā mea hoʻokae beta-adrenergic, hōʻemi i ka helu o ka puʻuwai, ka hopena cardiac.
Nā hōʻailona no ka hoʻohana ʻana:
- hana ʻole naʻau;
- maʻi maʻi coronary;
- haʻi maʻi
- ʻeha nā pīhoihoi o ka naʻau.
Hōʻike ʻia ka hopena o ka lāʻau ma hope o nā hola 2-3, kū i ka liʻiliʻi i kahi lā. Koho ʻia ka Doseage no ka maʻi maʻi maʻi kū hoʻokahi. Pono ʻoe e inu i nā papa ma mua o ka ʻaina kakahiaka, ua lawa ia e lawe i hoʻokahi i kēlā me kēia lā. Pio ke papa kahi āpau, holoi ʻia me ka wai nui ʻole ʻole me ka hoka ʻole.
I ka wā mālama, ʻaʻole haʻalele ka hopena i makemake ʻia o ke kino.
Hiki ke hoʻowahāwahā kūponoʻole, nāwaliwali, nā haunaele hiamoe, migraines, kūlohelohe, hopena ʻeha, hōʻeha ʻeha.
ʻO nā ʻano hana e pale ai
Hoʻohana ʻia ka mālama ʻana o ke hypertension ma ka home me ka hoʻohana ʻana i nā lāʻau lapaʻau ʻē aʻe. Hoʻohana nui ʻia ka hua flax, ka meli maoli, lemon. Hoʻohana ka nui nui i nā lāʻau lapaʻau, nā huahana.
Pono ʻoe e lawe i 3 mau wahi o ka motherwort, 2 mau wahi o ka rosemary a me ka mash maloʻo, ʻāpana hapa o kaʻaina. Hoʻohuli i kahi kīʻaha nui o ka ʻano hopena i loko o ka pākī, ninini i kahi aniani o ka wai paʻū a hoʻomo ʻia i ka wai i ka wai no 5 mau minuke. Ma hope o ke kāpī ʻia ʻana o ka ipu i kahi kāwele, hoʻomoʻa i 3 mau hola, eʻai i nā manawa 3 i ka lā ma mua o ka ʻaina.
Hoʻohana maikaʻi ka hoʻohana ʻana i ka lōʻihi o ka tincture o calendula, ua ʻona i 30 kulu ʻekolu manawa i ka lā. Hiki iā ʻoe ke hoʻohui i ka wai o ka pīpī a me ka meli ma nā ʻāpana like ʻole, e ʻai ʻekolu mau manawa i ka lā ma mua o ka pāʻina, hoʻokahi pūpū.
Nui nā mau hoʻolālā ʻē aʻe no ke kahe koko kiʻekiʻe i hoʻomohala ʻia. No ka mālama ʻana, ʻae ʻia i ka hoʻokaʻawale ʻana i nā mea āu i makemake ʻole ai ka mea maʻi, e waiho wale ʻia ana.
I mea e pale ai i ka hypertension, pono e mālama i ka maʻi maʻi i nā kānāwai maʻalahi:
- ʻai maikaʻi;
- alakaʻi i kahi ola kino;
- hāʻawi i nā hana ʻino;
- komo i loko o ke ʻano haʻuki.
Mai haʻalele i nā ʻōlelo kūkākūkā o nā kauka, pili pū kēia i nā poʻe e pilikia ana i ka ʻae ʻana i ka hypertension. Me ka hoʻonui lōʻihi loa i ke kaomi a me ka hōʻoia o ka maʻi maʻi, pono ia e pale i nā hōʻeha hypertensive, a me nā hōʻeha hōʻalo mai nā kino o loko.
ʻAʻole hiki ke pane ʻia ka maʻi mellitus a me ke hypertension; me ka lawa o ka lāʻau, hiki ke hoʻopau i nā hōʻailona a pale i ka hoʻoulu ʻia ʻana o nā pilikia.
Pehea e mālama ai i ka hypertension e haʻi i ka loea i ka wikiō ma kēia ʻatikala.
