Isifo se-hypertensive - isigaba

Ukunyuka komfutho wegazi kuhambisana nokunyuka okuqhubekayo kwengcindezi. Izinkomba: kusuka ku-140 kuya ku-90 noma ngaphezulu. Ngaphambi kokuqala kokwelapha, izimbangela ze-pathology zivamise ukucaciswa, futhi kuvela ukuthi yiluphi uhlobo lwe-hypertension - ukuhlukaniswa kusekelwe ngokulinganisa kwesisindo se-systolic ne-diastolic esenziwa ngaphezu kwezinyanga ezimbalwa.

Uhlu lwamanje lwe-hypertension ebalulekile ngezigaba

Kuze kube manje, kunezinhlobo ezintathu zezifo:

1. Isigaba 1, esihambisana nokwanda okungajwayelekile kodwa okungapheli emgodleni wegazi, okungajwayelekile ukuthi kuqhubeka-kulinganiswe. Ngezinye izikhathi kunezinguquko ezincane ezitsheni ze-fundus.
2. Isigaba sesi-2 sibonakala ngokushushumbisa kwe-myocardium ye-ventricle ye-cardiac kwesokunxele. Ngesikhathi esifanayo, ingcindezi ihlale iphakanyisiwe kanti izitsha ze-fundus zihambisana nezinguquko ezinkulu.
3. Isigaba sesi-3 sihambisana nokuhlaselwa kwenhliziyo, ukushaya, izinso noma ukuhluleka kwenhliziyo.

Kubalulekile ukuphawula ukuthi eminyakeni yamuva yamukelwe ukuhlukanisa phakathi kokucindezeleka okubalulekile (okuyisisekelo) kanye nesimpawu (esesibili).

Uhlobo lokuqala lungaba ngu-95% lwawo wonke ama-diagnostic cases futhi lubonakala inkambo ehlukile yalesi sifo ngaphandle kokuxhumeka kwezilonda zamalungu angaphakathi.

Ukuhluka kwesibili kubonakala ngenxa yokuphulwa okunjalo:

• ukuhlanganiswa kwe-aorta;
• pheochromocytoma ;
• i-pathology ye-cortex ene-adrenal;
• i-nephritis, i-glomerulonephritis ne-pyelonephritis;
• i-Itenko-Cushing syndrome;
• ukulimala kwe-biosynthesis yama-hormone e-corticosteroid;
• hyperaldosteronism eyinhloko;
• izicubu nge-hyperproduction of corticosterone.

Ukuhlukaniswa kwezifo eziphakeme kakhulu ngezinga

Lolu hlobo lokuhlukaniswa kwemithi luhlanganisa:

1. Ukwelashwa ngokweqile kohlobo lokuqala (ukucindezela okuvamile kwesifo) futhi uthayiphe 2 (ukucindezela kwegazi okuvamile). Ama-indices angama-120-129 ama-80-84 mm Hg. Art. futhi 130-139 ku-85-89 mm Hg. Art.
2. Umfutho wegazi ophelele. Izinkomba: kuze kube ngu-120 (systolic) futhi ngaphansi kuka-80 (i-diastolic).
3. 1 degree (140-159 for 90-99).
4. 2 degree (160-179 nge 100-109).
5. I-3 degree (ngaphezulu kuka-180 no-110).
6. I-systolic hypertension (esinqunyiwe). Ukucindezela kwe-diastolic akudluli 90 mm Hg. isib., ngenkathi i-systolic - engaphezu kwe-140 mm Hg. Art.

Izitebhisi namazinga e-hypertension aqaphela izingozi zezinkinga ngendlela yokulimala okuthiwa "izitho ezihloswe" (inhliziyo, izinso namaphaphu).

Ukuhlukaniswa komfutho wegazi ophakeme ebungozini

Kunezici ezilandelayo eziyingozi zokuqhubeka komfutho wegazi ophezulu:

• ubudala (abesifazane - eminyakeni engaphezu kwengu-65);
• ukubhema;
• isimo se-hypertension emlandweni womndeni;
• i-dyslipidemia;
• ukukhuluphala;
• okuqukethwe kwegazi kweprotheyini esebenzayo ka-C ngenani elingaphezu kwe-1 mg / dL;
• ukuntuleka kokuhamba;
• i-pathology of tolerance to glucose compounds;
• izinga elengeziwe le-fibrinogen;
• isifo sikashukela .

Ngaphezu kwalokho, kunezimo nezifo ezihambisana nomtholampilo ezihambisana ne-hypertension.

Ngokuhambisana nalezi zici, ingozi yokuthuthukisa izifo zenhliziyo isesimweni:

1. Ephansi (phambi kwezinkomba ezingu-1-2 ezivela ohlwini lwezinto eziphambili, ingcindezi evamile, kanye ne-hypertension (AH) 1 degree degree).
2. Okulinganiselwe (nge-AG inhlanganisela yezinga eli-1 kanye nobukhona bezinto ezimbili zobungozi, i-AH yezinga lesi-2).
3. Okuphakeme (phambi kwezigaba ezintathu noma ngaphezulu ze-AH 1, 2 degree, i-AH 3rd degree).
4. Ephakeme kakhulu (nge-course efanayo ye-AH yezinga lesi-3 kanye nezici ezingaphezu kwezingu-3 ezingozi, kanye nezimo eziphathelene nemitholampilo).