Inkinga ye-hypertensive - ukwelashwa

Ukwanda okukhulu kwegazi (BP) kuya ku-220/120 mm. i-gt; Art. futhi ngenhla kuthiwa yi-crisis hypertensive. Kuyinto ephuthumayo futhi idinga ukwelashwa ngokushesha. Ngokuvamile inhlekelele iyenzeka kubantu abanesifo sofuba - abantu abanomfutho wegazi ogxilile ngokweqile.

Usizo lokuqala

Ngokusho kwamandla okuthuthukiswa kwezimpawu, le nkinga ihlukaniswa ngamaqembu amabili:

1. Ikhula ngokusheshayo (amahora amathathu kuya kwangu-4), ebonakala ngokugxuma ekucindezelweni kwe-systolic (engenhla) nezimpawu zemifino: ukweqa ngokweqile nokwesaba, ukujuluka, ukuthuthumela, i-tachycardia, ubuhlungu obukhunjini, ukubomvu kwesikhumba, isicanuca, izikhukhula, "izimpukane" ezikhanyayo phambi kwamehlo, ukucindezelwa emahempeli.
2. Ikhula kancane kancane (ezinsukwini ezimbalwa) futhi, njengendlela yokulawula, ezigulini ezinegazi eziphakeme "ezihlangenwe nakho". Ihluke ngokugxuma kwe-diastolic (ephansi) kwengcindezi. Isiguli sibhekene nokuphathwa ikhanda, uzizwa unesilima futhi udinwe.

Ukwelashwa kwengcindezi ye-hypertensive kufanele kuqale ngokuhlinzeka ngosizo lokuqala:

1. Beka isiguli.
2. Nikeza ngokomzwelo, hhayi nje ukuthula ngokomzimba.
3. Faka umkhuhlane ngemuva kwekhanda ukuze unciphise ubuhlungu.
4. Ukugqoka ngemuva kanye ne-caviar lwesinaphi.

Uma i-cabinet yezokwelapha ine-hypotensive (ehlisa igazi), kufanele ithathwe ngokushesha. Ngaphandle kwalokho, balinde udokotela. Izisebenzi eziphuthumayo zivame ukujova futhi zishiye izincomo zokunakekelwa kwesiguli.

Ezimweni ezinzima, inkinga yegazi ephakeme kufanele ilashwe esibhedlela - lokhu kulungile nalokho okuthiwa. ifomu eliyinkimbinkimbi, elihambisana nesifo sokushaya isisu, i-edema ye-pulmay, i-subarchnoid hemorrhage, ukuhluleka kwe-ventricular kwesokunxele, i-eclampsia, i-infarction eyingozi ye-myocardial nezinye izimo eziphuthumayo ezibangelwa ukunqotshwa kwezitho ezihlosiwe (izinso, inhliziyo, ubuchopho) ngaphansi kwethonya lokucindezela kwegazi eliphezulu. Ngemuva kwezinkinga ezibangelwa yi-hypertensive, okwenzeka okokuqala empilweni yami, ukwelashwa kusetshenziswa esibhedlela.

Ifomu elingaqondakali libhekene nesimo esivamile esimaphakathi sezingxenye ezihlosiwe, bese izinga lokuphathwa kosuku lwezinkinga ezibangelwa ukucindezeleka ngokweqile kuphela ekunciphiseni ukucindezeleka kwegazi ngemithi yomlomo.

Ukwelashwa kwesimo esiyinkimbinkimbi esinamandla kakhulu

Ukuze unciphise ukucindezelwa kwegazi ngesimo esiyinkimbinkimbi, izidakamizwa ezilandelayo zisetshenziswa:

• Clonidine - amaphilisi noma ama-droppers;
• Amaphilisi e-Nifedipine ngaphansi kolimi; lapho ukuvuvukala kwamaphaphu nokuhluleka kwenhliziyo kuthatha ngokucophelela;
• i-nitroprusside sodium - injected injected, uma inkinga ihambisana nokungaphumeleli kwe-renal , exfoliana aneurysm ye-aorta, ukucindezeleka okukhulu kwegazi;
• Ama-Captopril - amaphilisi ngaphansi kolulwimi (nge-stenosis yamarridi e-renal, ukushayela kwezinso kungaba nzima);
• Ukudonsa noma ukujova kwe-labetalol; lufanelekile ekuhlulekeni kobuqili nokukhathazeka;
• I-Fentolamine - ilawulwa ngokweqile ekwelapheni kwenkinga ye-hypertensive, eyenzeka ngokumelene nesizinda sepheochromocytoma;
• I-Enalapril - infusions (injectes) engenayo (injection) ne-dilution ye-glucose; lesi sidakamizwa sifanele ukwandisa isifo senhliziyo, ukukhathazeka, ukuhluleka kwenhliziyo okungapheli.

Ukwelashwa kwenziwa ngaphansi kokuqondiswa kukadokotela, isiguli siboniswa ukuphumula okubheke ngokuphelele.

Ukwelashwa kwengcindezi engathí sina kakhulu

Ngendlela engaqondakali, ukuphathwa ngomlomo (ngomlomo) wezidakamizwa ukwelashwa kwengcindezi ye-hypertensive kunqunywe, noma uma injection ye-intramuscular iyadingeka ukuze kube nomphumela osheshayo.

Imithi engcono kakhulu i-Captopril, i-Clopheline (i-clonidine), i-Nifedipine.

Isikhumbuzi! Ukunciphisa izinga lokucindezeleka kwegazi kumele kube kuhle - 10 mm Hg. Art. ngehora. Uma i-tonometer ikhipha izinombolo ezinkulu, akufanele unganqikaze ukubiza i-ambulensi. Kungakhathaliseki ukuthi kuyadingeka yini ukuya esibhedlela, udokotela kuphela onquma!