Ukuthengwa kwe-tonometer kanye nezidakamizwa kuhlu oluvela ku-cardiologist kuze kube yamuva kuthathwa njengabaningi abahola impesheni. Manje izidakamizwa ukunciphisa ukucindezelwa kwegazi noma amaphilisi, ukucindezela okwandayo, kuyaqhubeka nokuthakazelisa kulabo abaphothula iziqu ezinyuvesi.
Izimpawu ze-high and low blood pressure
Lezi zinkinga aziqapheli kangako, kodwa ngezinye izikhathi iziguli zididanisa izimpawu zokucindezela okuphezulu nokuphansi kwegazi, okuyingozi kakhulu ngesikhathi sokunakekelwa esibhedlela. Zombili izinhlobonhlobo zibhekene nezinhloko ezitholakala endaweni yengxenye yekhanda. Esinye isifo sobuciko siyancipha ekushiseni kwamalungu. Ngakho-ke, ngaphambi kokuba uthathe iphilisi ekucindezelweni ngumngane, udinga ukubonana nodokotela noma okungenani usebenzisa i- tonometer .
Izimpawu ze-hypertension
Inani lamaphesenti angu-150/130 we mercury (abadala / abantwana) kubhekwa njengephezulu. Kwezinye izimo, inkinga ibonakala kuphela ekuhloleni okulandelayo, kodwa kaningi kuhambisana nezibonakaliso ezilandelayo zokucindezela kwegazi eliphezulu:
- ukuzwa ukhathazeka;
- ikhanda;
- ukunganaki enhliziyweni;
- isilinganiso senhliziyo esingalingani;
- isicasuli;
- ubumnyama emehlweni;
- ukujuluka ngokweqile;
- ukuqhuma kwegazi ebusweni bombuso ngezandla ezibandayo;
- ukuphefumula;
- ukuvuvukala.
Izimpawu zomshoshaphansi wegazi
Imithi esemthethweni ibheka izinkomba ezishaqisayo ezingaphansi kwamamitha ayi-100/60 we-mercury, kodwa ochwepheshe abathile bakholelwa ukuthi ezinye izibalo azisho lutho. Ngempilo enhle, akufanele ucabange nge-hypotension, ngakho-ke, ngokuthatha iphilisi ekucindezelekeni, izimpawu eziphazamisayo zokucindezela okuphansi ziyadingeka:
- ubuhlungu esifundeni se-occipital sekhanda;
- ubuthakathaka obuvamile, ubuqili, i-malaise;
- ukuhlanza kanye nokucabangela;
- ukuzondwa , ikakhulu uma uvuka masinyane embhedeni;
- ukungabi nomoya;
- ukujuluka okukhulu, ukuphefumula nokukhathala.
Amathebulethi okujwayelekile okucindezelayo
Izidakamizwa ezilawula lesi sibonakaliso sempilo zihlukaniswa ngokohlobo lokuchayeka. Eqenjini ngalinye, izidakamizwa ziyahlukahluka ngamandla, ngakho iphilisi ejwayelekile ukubeka ingcindezi, ingenza kuphela udokotela. Enye i-nuance engabangela ukumangala kuyincoma ye-tablet eyodwa ukunciphisa ingcindezi, kodwa uhlu lonke. Lokhu kungenxa yesidingo sendlela edidiyelwe yokulungiswa okulungile kwalesi simo, ngakho awukwazi ukukhipha noma imuphi umuthi ngokwakho, uphula umthetho wezokwelapha.
Amathebulethi aphezulu aphezulu
- I-Beta-adrenoblockers - Kon-Kor, Metoprolol, Egilok, Talinolol, Coriol, Acebutolol, Nebivolol. Ncipha amandla namandla we-pulse, kodwa aphikisana nezifo zamaphaphu.
- Abaphikisi be-calcium - i-Nifedepine, iCinnarizine, i-Stanlo, iKordafen, i-Verapamil, isoptin, i-Nimotop, i-Corinfar, i-Amlodipine, i-Phenigidine. Lezi amaphilisi ukuze uphumule ukucindezeleka ukuphumula imisipha ebushelelezi nemikhumbi ye-coronary, unciphise izinga lenhliziyo bese uhlanza izitsha zobuchopho.
- Ama-antispasmodics ama-Myotropic - i-Papaverin, i-Spazmalgon, i-No-shpa, i-Drotaverin, i-Dibazol, i-Galidor, i-Magnesium sulfate, i-Papazol. Futhi uvimbele ukungena kwe-calcium esitokisini, ukunciphisa ingcindezi futhi uphumule imisipha ebushelelezi yomuthi wesisu.
- Ama- nitrogen - Isoket, i-Nitroglycerin, iSustak, i-Erinit, i-nitrogen, i-Perlingant, i-Sustonite, i-Nitrosorbide, iCardicet, i-Nitro-5. Lezi zidakamizwa zenzelwe ukwanda kwama-angina ekuqedeni ukuhlaselwa kwe-angina noma ngemva kokuhlaselwa yinhliziyo, ngoba kunciphisa kakhulu ithoni yemifino kanye nomsebenzi wenhliziyo.
- Alpha-blockers - Benzohexonium, Arfonade, Ebrantil, Fentolamine. Zinamandla okunciphisa ukucindezelwa kwegazi, kodwa azisetshenziselwa i-pathologies kanye ne-glaucoma enzima ye-cardiac.
- I- Sympatholytics - I-Reserpine, i-Raunatin, i-Isobarin, i-Rausedil, i- Octadin, i-Adelfan, i-Rauvazan, i-Antipres. Ukusheshisa ukubhujiswa kwe-norepinephrin, ukususa ithonya lesistimu yesifo somzwelo. Ungasebenzisi izilonda ne-gastritis. Amathebulethi anjalo ane-hypertension ezinkampanini zezokwelapha zesimanje azisebenzi njalo.
- I-Diuretics - I- Lasix , i-Hypothiazide, i-Ureit, i- Furosemide, i-Trifas. Khuthaza i-excretion ye-i-fluid ne-sodium ions, eholela ekwehleni kwegazi.
- I-alpha-stimulants ephakathi-i- Methyldofa, iDopegit, i-Clonidine, i-Hemiton, i-Physiotens, i-Clofelin. Umsebenzi ocindezelayo wesistimu yezinzwa ozwelayo uyasuswa, kodwa ukulala nokuqina kubonakala. Ucwaningo lwamuva luye lwabonisa ukuthi ukusetshenziswa kwesikhathi eside kwezidakamizwa zaleli qembu kungaba yisifo se-alzheimer's provoker.
- ACE inhibitors - Renitek, Enam, Lizinopril, Kaptopres, Amripil, Captopril, Tritace, Enalapril, Enap. Ukunciphisa ukukhiqizwa kwe-angiotensin 2, kubonakala ngomphumela omnene futhi kulula ukubekezelela.
- Sartany - Lozal, Mikardis, Valsakor, uCardosal, Okhethayo. Benza okufanayo nezidakamizwa zeqembu langaphambilini, cishe akuthinti ukusebenza kwenhliziyo.
Amathebulethi aphansi okucindezelayo
Izinkomba ezingezansi kwendabuko zidinga ukulungiswa, ngoba lokhu kusho ukuthi ukuthuthukisa ithoni yemikhumbi yangaphandle. Amathebulethi okwenyuka kwengcindezi ahlukaniswe ngamaqembu alandelayo:
- i-glycosides yenhliziyo - i-Digoxin, iCelanide, i-Strophantine;
- i-adrenomimetics - i-Norepinephrin, i-Gutron, i-Metazone;
- sympathomimetics - ephedrine.
Amathebulethi avela kwengcindezi ngaphandle kwemiphumela emibi
Imithi eminingi inethonya elinamandla emzimbeni, hhayi nje ekuqedeni inkinga, kodwa futhi elimaza ezinye izinhlelo. Izidakamizwa ezicindezelayo ngaphandle kwemiphumela emibikweni emithi ayisaziwa, ngisho nokudla okungalawulwa kwemithi ye-herbal ingadala. Ukuthuthukiswa kwamathebulethi anethuba eliphansi lemiphumela engathandeki liqhubeka njalo, imishanguzo yesimanje yokulungisa le nkomba iphephile kakhulu.
Izidakamizwa ezivela ku-New Generation Pressure - Uhlu
Izindlela zanamuhla:
- I-Indapamide - i-diuretic, isusa i- ionic i-sodium, iyanciphisa ukucindezelwa, esigabeni sokuqala se-hypertension isetshenziswe ku-monotherapy, kamuva ihlanganiswa nezinye izidakamizwa kusuka ekucindezelekeni.
- Hydrochlorothiazite - isenzo sifana nemithi yangaphambilini.
- I-Ramipril - i-ACE inhibitor, esetshenziselwa ukwelapha umfutho wegazi ophakeme, ukuhlasela kwenhliziyo nokuhluleka kwenhliziyo, kunciphisa amathuba okuba nesifo senhliziyo yesifo sikashukela.
- I-Perindopril - ivimbela ukukhiqizwa kwe-angiotensin 2, ine-vasodilator nomphumela wesibindi, inciphisa ukucindezelwa kwegazi.
- I-bisoprolol - i-beta-adrenoblocker, iyanciphisa izinga lenhliziyo nomthwalo wenhliziyo, inqunywe ekwelapheni kwe-hypertension.
- I-Carvedipol iyimfihlo ye-beta, yenza ngokufanayo namaphilisi wangaphambilini ngokumelene nocindezelo futhi iyanciphisa imishanguzo.
- I-Felodipine - i-blocker yamashaneli e-calcium, iyanciphisa imishanguzo, inciphisa ukucindezelwa nomthwalo womzimba, inciphisa ingozi yokushaya isifo, ukuhlasela kwenhliziyo nezinkinga zezinso.
Ungavamile kanjani ukucindezela ngaphandle kwemithi?
Amathiphu okuthi ungamisa kanjani ukucindezela uyosebenza ngempumelelo esigabeni sokuqala futhi usize ekwenzeni okungahoxisiwe njengendlela eyengeziwe. Uma i-hypotension iyadingeka:
- ukulala amahora angu-8-9 ngosuku, uma kungenzeka, ukulala kwansuku zonke;
- ukubonakala komsebenzi womzimba - ezemidlalo, ukuvocavoca ekuseni;
- ukudla okunempilo;
- ukuqina okuphambene nokuphambene;
- ukunyuka kancane kancane kusuka embhedeni ngokuzivocavoca kokukhanya endaweni ephezulu.
Izinyathelo ezilandelayo ziyasebenza iziguli eziphezulu:
- ukulahlekelwa isisindo esinengqondo ngokweqile;
- ukunciphisa kwetafula usawoti, ushukela, ikhofi, imikhiqizo yokubhema, ukudla okunamafutha nokudla okusheshayo ekudleni;
- ukufakwa emkhatsini wemenyu, inhlanzi, ubhanana, i-garlic kanye nemifino emisiwe;
- ukuhamba njalo emoyeni ovulekile;
- imisebenzi yemvelo evunyelwe udokotela.