Ọbara mgbali elu

Ọbara mgbali akwara (ọbara mgbali, AH) bụ ọrịa nke ọria akwara nke ọbara mgbali n’ime akwara (system) nke ọbara (system) (ọbara) na - abawanye ike. Na mmepe nke ọrịa, ma esịtidem (homonụ, sistemu ụjọ) yana ihe ndị dị na mpụta (oke nnu, mmanya, ị smokingụ sịga, oke ibu) dị mkpa. Na nkọwapụta ihe ọrịa a bụ, anyị ga-atụlekwu.

Gịnị bụ ọbara mgbali elu?

Ọbara mgbali elu bụ ọnọdụ na-ekpebisi ike na-arịwanye elu na nrụgide systolic na ihe na-egosi 140 mm Hg. Art na ndị ọzọ, yana nrụgide diastolic ruo 90 mm RT. Art. na ndị ọzọ.

Ọrịa dị ka ọbara mgbali elu akwara na - apụta n'ihi ọgba aghara na arụmọrụ nke ebe nchịkwa ọbara. Ihe ndị ọzọ na-akpata ọbara mgbali elu bụ ọrịa nke akụkụ ahụ ma ọ bụ sistem.

Ndị ọrịa dị otu a nwere isi ọwụwa (ọkachasị n'ụtụtụ) na mpaghara occipital, na-eme ka enwe mmetụta nke oke isi na ịdị ọcha nke isi. Na mgbakwunye, ndị ọrịa na-eme mkpesa banyere ụra na-adịghị mma, belata arụmọrụ na ebe nchekwa, yana iwe iwe. Patientsfọdụ ndị ọrịa na-eme mkpesa maka ihe mgbu n'azụ azụ, mkpụmkpụ ume mgbe ha rụsịrị ọrụ anụ ahụ na nkwarụ anya.

Na-esote, mmụba nke nrụgide na-agbanwe mgbe niile, na-emetụta aorta, obi, akụrụ, retina na ụbụrụ.

Ọbara mgbali elu nwere ike ịbụ nke mbụ ma ọ bụ nke abụọ (dị ka ICD-10). N'ihe dị ka otu onye n'ime ndị ọrịa iri na-arịa ọbara mgbali elu, ọ bụ mmebi mebiri akụkụ ya. N'okwu ndị a, ha na-ekwu maka ọbara mgbali elu. Ihe dị ka 90% nke ndị ọrịa na-arịa ọbara mgbali elu.

Ndị ọkachamara WHO na-atụ aro maka nhazi ọkwa nke ọbara mgbali elu:

na-enweghị ihe mgbaàmà nke mmerụ ahụ dị n’ime,
jiri ezigbo ihe ngosi nke mebie akụkụ ahụ (nyocha ọbara, yana nyocha ngwa).
ya na ihe ịrịba ama nke mmebi yana ọnụnọ nke ngosipụta nke akwara (infarction myocardial, ihe mberede ụkọ cerebrovascular, retinopathy nke retina).

Ihe dị na ọbara mgbali elu bụ mmụba na-arịwanye elu na ọbara mgbali na-enweghị ezigbo ihe kpatara ya. Isi bụ ọrịa nwere onwe. Ọ na - ebilite megide ọrịa gbasara ọrịa obi, a na - akpọkarị ya ọbara mgbali elu.

Nnukwu ọbara mgbali (ma ọ bụ ọbara mgbali elu) adịghị etolite n'ihi mmebi ahụ akụkụ ahụ ọ bụla. Nke a gachaa, ọ na-ebute mmebi nke akụkụ ahụ a chọrọ.

A kwenyere na ọrịa ahụ sitere na ọrịa mkpụrụ ndụ ihe nketa, yana nkwarụ nke usoro nke ọrụ ụjọ ahụ dị elu n'ihi ọnọdụ ọgba aghara n'ime ezinụlọ na ebe ọrụ, nrụgide uche oge niile, mmetụta nke ibu ọrụ, yana oke ibu, wdg.

Nnukwu ọbara nke abụọ

N’ihe banyere nke abụọ, ọ na-ebilite n’usoro gbasara ọrịa nke akụkụ ahụ ndị ọzọ. A na-akpọkwa ọnọdụ a ọbara mgbali elu akwara ma ọ bụ ọbara mgbali Symptomatic.

Dabere na ihe kpatara ọnọdụ ha, e kewara ha iche iche:

gbasara akwara
endocrine
hemodynamic
ogwu
neurogenic.

Site na ọdịdị ahụ, ọbara mgbali elu nwere ike ịbụ:

na-ebugharị: a na-ahụ ịrị elu nke ọbara mgbali oge ụfọdụ, na-adịgide site na ọtụtụ awa ruo ọtụtụ ụbọchị, na-ahụ maka enweghị ọgwụ,
Labile: Ejiri ụdị ọbara mgbali elu a na ọkwa mbụ nke ọbara mgbali elu. N'ezie, nke a abụghị ọrịa, kama ọ bụ ala dị larịị, ebe ọ bụ na ihe e ji mara ya bụ enweghị mgbagha na nrụgide na-akwụghị chịm. Ọ kwụsiri ike n'onwe ya, ọ chọghịkwa iji ọgwụ ndị wedata ọbara mgbali elu.
Ọbara mgbali ọgụ. Mmụba na-adịgide adịgide nke a na-eji usoro nkwado siri ike eme ihe.
nsogbu: onye ọrịa ahụ nwere nsogbu ọgbụgba dị ala nke oge,
malignant: ọbara mgbali rute na ọnụọgụ dị elu, ọrịa na-efe efe ngwa ngwa ma nwee ike ibute nnukwu nsogbu na ọnwụ onye ọrịa.

Ọbara mgbali elu na afọ. Ihe dị ka ụzọ abụọ n’ụzọ atọ nke ndị mmadụ karịrị afọ 65 na-arịa ọbara mgbali elu. Ndị mmadụ mgbe afọ 55 ruru n'ọbara dị otú o kwesịrị nwere 90% n'ihe ize ndụ nke ịmalite ọbara mgbali ogologo oge. Ebe ọ bụ na a na-ahụkarị mmụba ọbara na ndị agadi, ọbara mgbali dị otú a “metụtara afọ” nwere ike iyi ihe dị mma, mana mmụba ọbara na-arịwanye elu nwere ike ibute nsogbu na ọnwụ.

Gosipụta ihe kachasị akpata ọbara mgbali elu:

Ọrịa akụrụ
Arụ ọrụ, ma ọ bụ arụ ọrụ.
Ndị nwoke karịrị afọ 55, ụmụ nwanyị karịrị afọ 60.
Akpụ Adrenal gland,
Mmetụta ọgwụ
Mmụba dị ukwuu n’oge atụrụ ime.
Arụ ọrụ, ma ọ bụ arụ ọrụ.
Akụkọ banyere ọrịa shuga.
Mmụba na cholesterol n'ime ọbara (nke dị n'elu 6.5 mol / l).
Ọdịnaya dị ukwuu nnu nwere nri.
Abuse abuseụbiga mmanya ókè.

Ọnụnọ nke otu n'ime ihe ndị a bụ oge iji bido igbochi ọbara mgbali n'ọhụụ. Ileghara ihe ndia anya na ihe puru ime nwere ike iduba mmadu n’otu n’azu.

Chọpụta ihe kpatara ọbara mgbali elu chọrọ nyocha nke ultrasound, angiography, CT scan, MRI (akụrụ, adrenal gland, obi, ụbụrụ), nyocha banyere paramita biochemical na homonụ ọbara, nyocha ọbara mgbali.

Ọrịa ọgbụgba

Dịka iwu, tupu ọdịdị nke nsogbu dị iche iche, ọbara ọgbụgba akwara na-amalitekarị n’enweghị ihe mgbaàmà ọ bụla, naanị ngosipụta ya bụ mmụba nke ọbara mgbali. N'otu oge, ndị ọrịa anaghị eme mkpesa ma ọ bụ enweghị nkọwa, oge ụfọdụ, isi ọwụwa na azụ isi ma ọ bụ n'egedege ihu bụ oge ụfọdụ, mgbe ụfọdụ isi nwere ike ịmịchaa ma mee mkpọtụ na ntị.

Ọrịa mgbali elu nwere mgbaama ndị a:

Ọrịa isi ọwụwa na-eme oge,
Whistling ma ọ bụ tinnitus
Ainta nri na nkụda mmụọ
Nausea, vomiting,
“Ijiji” na anya,
Obi palpitations
Na-enwe ihe mgbu n'obi,
Ọcha na-acha uhie uhie nke ihu.

Mgbaàmà ndị akọwapụtara bụ ihe na-enweghị isi, yabụ, anaghị ebute onye ọrịa enyo.

Dị ka a na-achị, ihe mgbaàmà mbụ nke ọbara mgbali elu na-eme onwe ha obi mgbe mgbanwe mgbanwe nke akwara dị n'ime ahụ. Ihe ịrịba ama ndị a na-abịa na okike ma dabere na mpaghara mmebi.

Enweghị ike ikwu na mgbaàmà ọbara mgbali elu na ụmụ nwoke na ụmụ nwanyị dịtụ iche, mana n'eziokwu ụmụ nwoke nwere ike ibute ọrịa a, ọkachasị afọ 40 na 55. Ihe kpatara nke a bụ n'ihi ọdịiche dị na nhazi ahụike: ụmụ nwoke, n'adịghị ka ụmụ nwanyị, nwere nnukwu ahụ, otu, na oke olu na-ekesa n'ime arịa ha dị elu nke ukwuu, nke na-emepụta ọnọdụ dị mma maka ọbara mgbali elu.

Nsogbu dị egwu nke ọbara ọgbụgba na - akpata nsogbu bụ nsogbu ọbara ọgbụgba, ọnọdụ dị njọ nke e jiri mmụba ihe mberede pụta site na nkeji 20-40. Ọnọdụ a na-achọkarị oku ambulance.

Ihe ịrịba ama ị kwesịrị ị na-elebara anya

Kedu ihe ịrịba ama ndị ọ dị mkpa ị toa ntị na ịkpọtụrụ dọkịta, ma ọ bụ na ọ dịkarịa ala, ị na-amalite iji aka gị tụọ mgbali na iji tonometer ma dee ihe ndekọ nlele onwe gị:

akaji ihe mgbu na aka ekpe nke igbe,
obi rya na nkpagbu,
olu mgbu
oge dizz na tinnitus,
nkwarụ anya, ọdịdị nke ntụpọ, “na-efegharị” n'ihu anya,
mkpụmkpụ ume ume na ndọgbu
cyanosis nke aka na ukwu,
ọzịza nke ụkwụ,
ụkwara ume ọkụ ma ọ bụ nyocha ọbara ọbara.

Ogo ogo ọbara mgbali: 1, 2, 3

A na-emetụta onyonyo nke gbasara ọbara mgbali elu site n'ọkwa na ụdị ọrịa ahụ. Iji chọpụta ogo imebi akụkụ ahụ dị n’ime ya n’ihi ọbara mgbali elu na-arị elu, e nwere nhazi ọkwa pụrụ iche nke ọ̀tụ̀tụ̀ ọbara ji erugharị.

Ọbara mgbali elu	Ọkwa nrụgide
1	Ọbara ọbara rịrị elu 140-159_90-99 mm RT. abụrụ
2	HELL na-ebili na 160-170 / 100-109 mm RT. Art.,
3	Nrụgide ahụ rutere na 180/110 mm RT. Art. na elu.

N’agba nke mbu, enweghi akara ngosiputa nke nsogbu nke akụkụ ahụ metụtara: obi, ụbụrụ, akụrụ.

Kedu ka ọbara ọgbụgba si emetụta ụmụaka

Ọbara ọgbụgba nke akwara na - adịkarị obere karịa ka ndị okenye, ma n'otu oge ahụ ka na-abụ otu n'ime ọrịa ndị na-adịghị ala ala na ọrịa ụmụaka. Dika ihe omumu di iche iche, ihe banyere oria a n’etiti umuaka na umuaka sitere na 1 rue 18%.

Ihe kpatara mmepe nwata na mgbali elu nke nwata, dịka iwu, dabere na afọ nwata ahụ. Ọtụtụ n'ime ọrịa na-akpata site na mmebi akụrụ.

Excessiveụ ọgwụ ọ Unụ excessiveụ na-achịkwa nke ọma site na ìgwè ndị na-ahụ maka ọrịa agrenergic nwere ike ime ka ọbara mgbali elu. Ndị a gụnyere naphthyzine, salbutamol.

Ihe ndị dị ize ndụ maka ọbara mgbali gụnyere:

Ekwesịrị ịme mgbochi ọbara mgbali elu na ọnụ ọgụgụ mmadụ na ezinụlọ ya, yana n'ìgwè ndị dị ize ndụ. Nke mbu, mgbochi gụnyere na nhazi nke ndu umuaka na umuaka ma mezie udiri ihe egwu ahu. Ekwesịrị ịhazi usoro mgbochi kachasị na ezi na ụlọ: ịmepụta ọnọdụ mmụta dị mma, ọnọdụ ọrụ na izu ike, nri na-enyere aka ịnọgide na-enwe ahụ nkịtị, ike zuru oke (ike).

Mbiko na nsonaazụ ya maka aru

Otu n'ime ngosipụta kachasị dị mkpa nke ọbara mgbali elu bụ mmebi nke akụkụ ndị a chọrọ. Ndị ọrịa nwere ọbara mgbali elu, dịka iwu, na-anwụ mgbe ha dị obere. Ihe kacha akpata ọnwụ n’ime ha bụ ọrịa obi. Ọrịa ọgbụgba na ọdịda akụrụngwa na-agakarị, ọkachasị ndị mmadụ nwere nnukwu njide azụ.

Nsogbu kachasị dị mkpa ọbara mgbali elu gụnyere:

ọdụdọ nke ọbara mgbali elu,
ọghọm ọrịa ụbụrụ (ma ọ bụ ọrịa strok),
infarction myocardial
nephrosclerosis (isi shriveled akụrụ),
obi obara
stratified aortic aneurysm.

Diagnostics

A na-eme nyocha ọbara mgbali elu site na nsonaazụ mgbanwe nke mgbanwe ọbara mgbali. Anamnesis, nyocha anụ ahụ na ụzọ nyocha ndị ọzọ si enyere aka ịchọpụta ihe kpatara ya ma dokwuo anya mmebi nke akụkụ ahụ.

Nchọpụta ọbara ọgbụgba sitere n’ụdị nyocha ndị a:

ECG, nyocha glucose na ọnụ ọgụgụ ọbara zuru ezu,
Ultrasound nke akụrụ, mkpebi siri ike nke urea, creatinine n’ime ọbara, nyocha nke mmamịrị - ana arụ iji wepu ụdị ọrịa gbasara izizi,
Ultrasound nke gland adrenal bụ ihe amamihe dị na ya ma ọ bụrụ na a na-enyo pheochromocytoma,
nyocha nke homonụ, ultrasound nke thyroid gland,
MRI nke ụbụrụ
Withgba ahụike na dibia na akwara.

Mgbe ị na-atụle onye ọrịa, ekpughere ọnya:

akụrụ: uremia, polyuria, proteinuria, ọdịda akụrụ,
ụbụrụ: oke ụbụrụ encephalopathy, ọrịa ụbụrụ,
obi: ndiko nke mgbidi obi, ogwe aka ekpe ventricular,
arịa ọbara: warara nke akwara nke akwara na akwara, atherosclerosis, aneurysms, aortic dissection
fundus: ọbara ọgbụgba, ọrịa azụ, ikpu ìsì.

Mata ọbara ọgbụgba na idozi mmetụta nke ihe ọghọm nwere ike belata oke ọghọm nsogbu sitere na akwara dị n’ime. Usoro ọgwụgwọ ahụ gụnyere iji usoro ndị na-abụghị ọgwụ na ọgwụ.

Maka ọgwụgwọ na nyocha maka ọbara mgbali elu, i kwesịrị ịhụ dọkịta. Naanị onye ọkachamara mgbe nyochachara zuru oke na nyocha nke nsonaazụ nyocha ga-enwe ike ịchọpụta n'ụzọ ziri ezi ma dezie ọgwụgwọ ruru eru.

Ọgwụ na-abụghị ọgwụ

Nke mbu, uzo ndi n’abughi ogwu eji eme ya bu igbanwe ndu onye oria na aru oria. Ọ na-atụ aro ịjụ:

a ifụ sịga ma ọ bụrụ na onye ọrịa ahụ ese siga,
na-a alcoholụ mmanya, ma ọ bụ belata ihe ha na-eri: ụmụ nwoke ruo 20-30 gram nke ethanol kwa ụbọchị, ụmụ nwanyị, otu aka, ruo 10-20,
Iri nri nke nnu tebụl nri, a ga-egbunye ya gram ise kwa ụbọchị, ọkacha mma belata
nri nke na - egbochi abụba anụ, ụtọ, nnu na mmiri, ọ bụrụ na ọ dị mkpa,
iji nkwadebe nwere potassium, magnesium ma ọ bụ calcium. A na-ejikarị ha belata ọbara mgbali elu.

Ekwesịrị ịgwọ ọgwụ maka ọgwụ ọgwụ na-eburu n'uche aro ndị a:

Ọgwụgwọ bidoro na obere ọgwụ ọgwụ.
Na enweghị ọgwụ ọgwụgwọ, ọ dị mkpa iji ọgwụ ọzọ dochie isi nke otu ọgwụ.
Oge dị n'etiti ogo kwesịrị ịbụ ihe na-erughị izu anọ, ma ọ bụrụhaala na ịchọghị mgbanye ọbara ngwa ngwa.
Ojiji nke ọgwụ ogologo oge iji nweta ihe elekere 24 na-eji otu ọgwụ.
Ojiji nke ngwaọrụ dị mma.
Usoro ọgwụgwọ kwesịrị ịdị na-aga n'ihu. Anaghị anabata iji ọgwụ eme ihe n'ihe ọmụmụ.
Njikwa ọbara mgbali dị mma n'afọ niile na - enyere aka belata usoro na ọgwụ ị .ụ ọgwụ ọ graduallyụ.

Ọ na-atụ aro ka ọgwụ onye ọkaibe depụtara maka ọbara mgbali mee ka a gbanwee mgbe niile, analogues ọzọ. Ma ọ bụghị ya, a na-ahụ ihe na-eri ahụ mgbe ọgwụ na -emepụta ọgwụ maka ọbara mgbali elu enweghịzi ike idozi ntụgharị ọbara ọbara nkịtị.

N’akụkụ ndụ, a na-elebara oriri na-edozi anya anya na mgbochi nke ọbara mgbali elu. Ikwesiri iri akwukwo nri ndi ozo, n’enweghi ihe ndi ozo, ihe eji echekwa (ma o kwe mee). Nchịkọta nhọrọ kwesịrị ịnwe mkpụrụ zuru ezu, mkpụrụ osisi, abụba na-enweghị afọ ojuju (linseed, mmanụ olive, azụ uhie).

Ekwesịrị itinye agwakọta na nri onye ọrịa nwere ọbara mgbali elu. Ọ na - enyere aka belata cholesterol ọbara ma gbochie ịmịkọrọ ya. Ya mere, o kwesịrị ka ị na-erikwu mkpụrụ osisi na akwụkwọ nri.

Na ọnụnọ nke oke ibu, ọ dị mkpa iji belata ihe kalori kwa ụbọchị gaa na 1200-1800 kcal.

Kedu ihe ka mma ịjụ maka ọbara mgbali elu:

azụ na anụ nke ụdị abụba, sausa dị n'ime ụlọ ahịa, nri mkpọ, anụ a okedụrụ n'ọkụ, mmanu abuba, chiiz,
margarine, bọta achịcha, bọta karịrị akarị (ị nwere ike gbasaa butter na achịcha nwere akwa nwere mkpa, nke na-enye ihe ọmụma),
sweets (achịcha, kuki, swiiti, shuga, achịcha),
ihe ọ alcoụ alcoụ na-egbu egbu, tii siri ike (nke a metụtara ma akwụkwọ ndụ akwụkwọ ndụ na tii), kọfị,
oke nnu, nnu di nma, nri abuba.
ụlọ ahịa na-ere ahịa, sọks na marinade,

Aro maka ndị ọrịa nwere ọbara mgbali elu

Ihe onye ọrịa nwere ọbara ọgbụgba kwesịrị ịma ma rụọ:

jikwa ịdị arọ nkịtị na gburugburu ya,
na-emega ahụ mgbe niile
a consumeụ obere nnu, abụba na kọlesterol,
na-eri ọtụtụ mineral, karị na potassium, magnesium, calcium,
kwụsịlata ị alcoholụ mmanya,
kwụsị ise anwụrụ na ojiji nke psychostimulating bekee.

Ọnụọgụ ọbara dị elu na mgbanwe na-ekwusi ike na arịa nke retina ma ọ bụ ihe ngosi ndị ọzọ nke mmebi na akụkụ ahụ, prognosis ka njọ. Amụma ahụ dabere na ihe nrụgide. N'elu elu ihe ngosipụta ya, ka amamịghe ahụ na-agbanwe n'ime arịa yana n'ime akwara dị n'ime.

Mgbe ị na-achọpụta nyocha nke "ọbara mgbali elu" yana n'oge nyocha nke nsonaazụ ndị ọ ga-ekwe omume, ndị ọkachamara kachasị dabere na ngosipụta nke mgbali elu. N’okpuru ọgwụ ọgwụ niile, a na-ele prognosis anya dị mma. Ma ọ bụghị ya, enwere nsogbu na -eme ka prognosis ahụ ghara ịdị nkọ.

Ihe Ndị Na-akpata Esemokwu

Otu ihe kpatara ya ogologo oge ma na -eche nchekasị neuropsychic, nchekasị ogologo oge.

Ọbara mgbali elu na - apụtakarị n’arụ ọrụ ndị metụtara nrụgide mmetụta uche mgbe niile. Ọ na - emetụtakarị ndị nwere mkparịta ụka.

Ihe nke abuo bu ma ihe a ketara eketa. Dị ka ọ na-adị, ndị ọrịa nwere nyocha nwere ike ịchọpụta ọnụnọ ndị ikwu nwere otu ọrịa.

Otu n’ime ihe ndị dị mkpa na-akpata ọbara mgbali elu bụ arụ ọrụ nkịtị.

Mgbanwe ndị metụtara afọ dị na ahụ (karịchaa, sistemụ akwara) na-emetụta ọdịdị na mmepe nke akara nke ọrịa a. Ọnọdụ dị elu nke ọbara ọgbụgba (ọbara mgbali) n'etiti ndị agadi bụ n'ihi mgbanwe nke arịa ọbara n'ihi mgbakwunye nke atherosclerosis. Enwere njikọ doro anya n'etiti ọrịa ndị a. GB na-enye aka na mmepe na nkwalite nke atherosclerosis. Nchikota a di nkpa n'ihi na obasi ike nke obara n’agha, obbara n’aru n’ahu (n’iru, obi, akụrụ) ezughi oke. Site na spasm gabigara ókè na ọnụnọ nke ite na mgbidi arịa ọbara, ọbara nwere ike ịkwụsị ịgbasa site na akwara akwara. N'okwu a, ọnya afọ ma ọ bụ myocardial infarction pụtara.

N’ime ụmụ nwanyị, GB na - ebido n’oge menopause.

Iji oke sodium chloride (ya bụ sodium, nke bụ akụkụ nke nnu a), ị smokingụ sịga, ị alcoholụbiga mmanya ókè, oke ibu, nke na-abawanye ibu dị na sistem obi, dịkwa mkpa ụfọdụ.

Ihe njikọ ndị kachasị na ihe mere GB bụ:

mebiri usoro nke mkpachapụ na mgbochi na Central ụjọ usoro,
hyperproduction nke ihe na-abawanye ọbara mgbali. Otu n'ime ha bụ adrenaline hormone na-akpata nchekasị. Na mgbakwunye, ihe gbasara akụrụ dịkwa iche. Akụrụ na-emepụta ihe nwere ike ịbawanye ma wedata mgbali elu. Yabụ, mgbe ihe ịrịba ama nke GB pụtara, onye ọrịa kwesịrị ịchọpụta ọrụ akụrụ,
ukwu mkpi na spasm nke akwara.

Gịnị bụ ọbara mgbali (systolic na diastolic)

Ekwesịrị tụọ nrụgide na izu ike - nke anụ ahụ na nke mmetụta uche.

Mgbago elu (systolic) dakọtara na oge nke ngwepu nke akwara obi, na ala (diastolic) - oge ezumike nke obi.

N'ime ndị na-eto eto ahụ siri ike, akọwara ọbara mgbali kwesịrị ka ọ bụrụ 110 / 70-120 / 80 mm Hg. Art. Mana, nyere ikike dabere na ọbara mgbali afọ dị iche iche, njirimara mmadụ na ahụike ya, enwere ike ịkpọ ókèala nke 125 / 65-80 mm Hg. Art. n'ime ụmụ nwoke na 110-120 / 60-75 mm RT. Art. na ụmụ nwanyị.

Site na afọ, ọbara mgbali na-abawanye, maka ndị agadi, ọnụ ọgụgụ nkịtị na-eru nso 140/90 mm Hg. Art.

Esi tụọ ọbara ọgbụgba

Ejiri ngwa pụrụ iche tụọ ya - onye nyocha ọbara mgbali, nke enwere ike zụta ya n'ụlọ ahịa ọgwụ. A na-atụle nrụgide mgbe 5 nkeji izu ike. A na-atụ aro iji tụọ ya ugboro atọ ma tụlee nsonaazụ ikpeazụ nke nha ikpeazụ. Oge dị n'etiti nha kwesịrị ịbụ opekata mpe atọ. Ndị ahụike nwere ike tụta ọbara mgbali otu ugboro n'ọnwa ole na ole. Ndị ọrịa nwere ọbara mgbali kwesịrị tụọ ọbara mgbali ọ dịkarịa ala 1 oge kwa ụbọchị.

Ọrịa ọgbụgba

Isi ọwụwa bụ otu n'ime ngosipụta kachasị nke ọbara mgbali elu. Ihe kpatara mgbaàmà a bụ ọrịa ụbụrụ. N'okwu a, tinnitus na-emekarị, ịgha ““ ijiji ”n'ihu anya, ọhụhụ ụzọ, adịghị ike, arụmọrụ belata, ehighị ụra, isi ọwụwa, isi ọwụwa, palpitations. Mkpesa ndị a na mmalite nke mmepe nke ọrịa bụ neurotic na okike.

Ihe mgbaàmà bụ isi bụ mmụba nke ọbara ọbara ruo 140-160 / 90 mm RT. Art. Dabere na echiche ọhụụ nke ọbara mgbali elu, anyị nwere ike ikwu ma ọ bụrụ na nrụgide n'ime afọ ugboro abụọ agbagoro ruo 140/90 mm RT. Art. ma ọ bụ ọ dịkarịa ala karịa otu akara a. Mgbe ị na-enyocha onye ọrịa, ịtamu ntamu nke obi, ọgba aghara, mgbasawanye nke ike nke obi gaa n'aka ekpe.

N'ime usoro nke ikpeazụ, nkụda obi nwere ike ime n'ihi oke ọrụ akwara obi n'ihi oke ọbara.

Site na usoro a na - aga, a na - achọpụta mbelata nke anya acuity. N'oge nyocha nke fundus nke onye ọrịa, pallor ya, warara ya na ọgbụgba nke akwara ndị ahụ, obere mgbasa nke akwara, na mgbe ụfọdụ ọbara ọgbụgba dị na retina. N'ihe banyere mmebi ụbụrụ, ụbụrụ ọbara nwere ike ime, ihe ọghọm nke ụbụrụ nwere ike ibute, na-eduga n'ụfọdụ ọrịa mkpọnwụ, mmetụ uche n'ụkwụ ya n'ihi akwara vaskụla, thrombosis, na ọbara ọgbụgba.

Ọ dị mkpa iji gosipụta ụdị mgbaàmà njirimara GB, mana ọ bụghị ihe ịrịba ama nke GB.

Ndị a bụ ihe a na-akpọ ọbara mgbali elu. Ha na-ebilite n'ihi ọrịa dị iche iche ma na-ahụta dịka mgbaàmà ha. Ugbu a, enwere ihe karịrị ọrịa 50 na-ebute na mmụba ọbara mgbali. Otu n'ime ha bụ ọrịa nke akụrụ na thyroid gland.

Gịnị bụ ọdụdọ mgbali elu?

Ọgba aghara aghara aghara - Nke a bụ otu n’ime ihe ngosipụta dị oke egwu nke ọbara mgbali elu. Site na mmụba dị ukwuu, nrụgide niile nke GB dị n'elu nwere ike ịgbakwunye ọgbụgbọ, ọgbụgbọ, sweating, ọhụụ na-ebelata. Ọdụdọ nwere ike ịdịru oge ole na ole ruo ọtụtụ awa.

N'okwu a, ndị ọrịa na-enwekarị obi ụtọ, anya mmiri, na-eme mkpesa banyere nkụchi obi. Ọtụtụ mgbe ntụpọ uhie pụtara na obi na cheeks. Mara obi Mwakpo ahụ nwere ike ibute mmetụ ahụ dị mma ma ọ bụ oche tọgbọrọ chakoo.

Ọgba aghara ndị a bụ ihe e ji mara mbido ọbara mgbali elu, a na-ahụkarị ya na ụmụ nwanyị n'oge nwoke, site na nchekasị mmetụta uche, mgbe ihu igwe gbanwere. Ha na-emekarị n’abali ma ọ bụ n’ehihie.

E nwere ụdị ọgbaghara ndị ọzọ. Ha nwere usoro dị njọ karịa, ma jiri nwayọ nwayọ. Oge ha nwere ike iru awa 4-5. Ha na - eme n’azu ọkwa ọbara mgbali elu megide mmalite nke ọbara mgbali elu nke mbụ. Ọtụtụ mgbe, ọgba aghara na-esonye na mgbaàmà ụbụrụ: isi okwu, ọgba aghara, mgbanwe na mmasi na aka. N'otu oge, ndị ọrịa na-eme mkpesa nke oke ihe mgbu na obi.

Ogo nke ọbara mgbali elu

Mee 3 ogo nke GB.

M digri - ọbara mgbali 140-159 / 90-99 mm RT. Art. Ọ nwere oge ịlaghachi n'ọnọdụ nkịtị wee bilite ọzọ.
II - ọbara mgbali sitere na 160-179 / 100-109 mm RT. Art. Ejiri ogo a na-enwewanye mgbali elu, ọ naghị alaghachi na nkịtị.
III - 180 na elu / PO mm RT. Art. na elu. Ọbara ọbara na-abawanye ihe fọrọ nke nta ka ọ bụrụ oge niile, mbelata ya nwere ike bụrụ akara ngosi nke obi.

GB gha ebido gwọọ ya na ogo m, ma ọ ga-erute ogo II na III.

Kedu ka GB si ewere ọnọdụ na afọ dị iche iche

Thedị GB kacha njọ ọbara mgbali ọjọọ. N'okwu a, nrụgide diastolic na-ebili karịa 130 mm Hg. Art. Fọm a bụ njiri mara ndị na-eto eto dị afọ 30-40. Achọpụtaghị ya na ndị ọrịa karịrị afọ 50. Usoro ogwu a malitere ngwa ngwa, ọbara mgbali nwere ike iru ọnụ ọgụgụ nke 250/140 mm RT. Art., Ka ọ na - agbanwe akụrụ akụrụ ngwa ngwa.

GB n'ime ndị agadi nwere njirimara nke ya. Nke a bụ ihe a na-akpọ ọbara mgbali systolic. Mgbalị Systolic dị nso na 160-170 mm RT. Art. N'okwu a, nrụgide dị ala (diastolic) adịghị agbanwe agbanwe. Enwere obere oge n'etiti nrụgide systolic na diastolic. A na - akpọ ọdịiche a na - akpata nsogbu na - adịkarị mma 40 mmHg. Art. Ngosipụta a na ndị agadi na-akpata ọtụtụ ihe adịghị atọ ụtọ, ọkachasị ebe ndị ọrịa a na-ahụ adịghị ike nke usoro obi. Mana ụfọdụ n'ime ha echeghị ọdịiche a.

Ọbara mgbali elu

Ihe ịga nke ọma nke usoro ọgwụgwọ na-ekpebi site na nhazi nke ọnụ ọgụgụ ọbara mgbali elu dabere na afọ, ahụike dị mma, na enweghị ọghọm sitere na ọgwụgwọ ahụ.

Ọgwụgwọ ọbara ọgbụgba kwesịrị ịkpa oke.

Mgbe ị na-ahọrọ ọgwụ, a na-eji ọgwụ ndị na - ebelata ọbara mgbali elu. Nke a bụ nnukwu ìgwè ọgwụ nwere mmetụta dị iche iche. Na mgbakwunye na ha, a na-eji ọgwụ vasodilating na diuretic eme ihe. Ọrụ dị mkpa n'ịgwọ ọrịa nwere ihe ịga nke ọma bụ ndị na-agba ọgwụ mgbochi. A na-ahọrọ doses na oge ị ofụ ọgwụ naanị site na dọkịta, n’otu n’otu maka ndị ọrịa ọ bụla!

Mgbe ha na-edepụta ọgwụgwọ, ndị dọkịta na-elebara ndị na-egosi systolic na nrụgide diastolic anya nke ukwuu. Ọ bụrụ na mmụba na nrụgide systolic, mgbe ahụ, a na-ahọrọ mmasị maka "inhibitory" mmetụta na obi.

Onye ọrịa ahụ ga-ekwenyekwa na ọrụ ezi uche na usoro izu ike; ụra kwesịrị izu ezu; izu ike ehihie bụ ihe a chọrọ. Ihe dị oke mkpa bụ ọzụzụ anụ ahụ - ọgwụgwọ anụ ahụ, ije ije n'usoro nwere ezi ihe na-anaghị egbochi ọrụ obi. N'otu oge ahụ, onye ọrịa ahụ ekwesịghị inwe ahụ erughị ala, ahụ erughị ala n'azụ azụ azụ, mkpụmkpụ ume, palpitations.

Ndụmọdụ ndị a tụrụ banyere nri gụnyere ụfọdụ ihe mgbochi: ịbelata iji nnu (ọ bụghị ihe karịrị 5 g kwa ụbọchị), ihe ọ liquụidsụ (ọ bụghị ihe karịrị 1.5 lita kwa ụbọchị), ị ofụ mmanya na-egbu egbu. Ndị ọrịa bu oke ibu kwesịrị ibelata kalori nri nri, na-a vegetablesụ ọtụtụ akwụkwọ nri na mkpụrụ osisi.

Ejiri anụ ahụ na ọgwụgwọ GB na-ejiwanye ya. N'okwu a, physiotherapist na-ahọpụta usoro ntụsara ahụ, usoro izu ike: electros ụra, electrophoresis nke ọgwụ.

Ọgwụ iji ala magnetotherapy na - arụpụta ezigbo mmetụta, n'ihi ike nke ihe a na - eme ka ọbara mgbali elu belata ma belata ihe mgbu.

Ugbu a, enwere ọtụtụ ọnụọgụ ngwaọrụ na -emepụta ike ndọta nke obere oge. N'ime ha, enwere ike ịdị mfe, enwere ike ịzụta ha na ahịa ọgwụ. Mpaghara mmetụta nke ndọta magnes na GB bụ azụ nke olu.

Na mgbakwunye, mmiri ịsa ahụ dị iche iche bara uru nke ukwuu - coniferous, carbonic, pearl, hydrogen sulfide, yana mmiri ịsa ahụ.

Enwere ike ịgwọ ọtụtụ ndị ọrịa nwere mmalite ọbara mgbali elu n'ụlọ, na nlele oge nke ndị dibịa nọ n'ụlọ ọgwụ, na-agbaso ndụmọdụ nke usoro, nri, na ọzụzụ anụ ahụ.

Ndị mmadụ na-agwọ ọgwụ maka ọgwụgwọ nke ọbara mgbali elu

Ogwu ogwu abaghị ihe dị mkpa na ọgwụgwọ nke ọbara mgbali elu. Nke mbu, ndia bu ogwu ogwu na ego. Enwere ike iji ha rụọ ọrụ (emechara, tinctures na mbadamba).

Ndị a bụ nkwadebe kachasị nke valerian, motherwort, hawthorn. Osisi nwere mmetụta dị jụụ gụnyekwara chamomile, ọgwụ mgbochi lemon, paịmini, hop con na ọtụtụ ndị ọzọ.

Ngwọta ọdịnala na-adụ ndị ọrịa nwere ọbara mgbali ume ka ha rie mmanụ a honeyụ, aronia (200-300 g kwa ụbọchị), mkpụrụ osisi citrus na anụ ọhịa na-eto n’ụdị iko mmanya. Nri ndị a na-ebelata ọbara mgbali elu ma nwee vitamin C, uru akwara obi na-esighi ike.

Igbari a tablespoon mmanụ a inụ na 1 iko nke ịnweta mmiri, tinye ihe ọ ofụ ofụ nke ọkara a lemon. Na-aụ na ukpọk afo ke otu aga. Ogologo oge ọgwụgwọ bụ 7-10 ụbọchị. A na-eji ngwá ọrụ ahụ maka ọbara mgbali elu, nsogbu ehighị ụra, oke iwe.
Kwuo iko abụọ nke cranberries na ngaji ato nke shuga ma rie kwa ubochi n’oge n’otu oge tupu nri. A na-eji ọgwụ a maka ụdị ọbara mgbali elu.
Ihe ọ juiceụ Beụ Beetroot - iko 4, mmanụ a honeyụ - iko 4, ahịhịa ahịhịa cinnamon - 100 g, vodka - 500 g. Gwakọta ihe niile mejupụtara, jikọta ya nke ọma, na-esi ọnwụ ruo ụbọchị 10 na igbe a kekọtara nke ọma na ebe gbara ọchịchịrị, ebe dị jụụ, mmiri, kpoo. Were 1-2 tablespoons ugboro atọ n'ụbọchị ọkara otu awa tupu nri. A na-eji ngwa ahụ maka ọbara mgbali elu nke ogo I - II.
Ihe ọ juiceụ Onụ yabasị na-enyere ọbara mgbali elu, ya mere, a na-atụ aro ịkwadebe ọgwụ ndị a: gbanye mmiri ọ juiceụ fromụ site na kilogram 3 nke yabasị, jikọta ya na 500 g mmanụ a ,ụ, tinye 25 g nke ihe nkiri ukpa ma wụsa 1/2 vodka vodka. Ọnwụ ụbọchị 10. Were 1 tablespoon 2-3 ugboro n'ụbọchị.
St John's wort (ahihia) - 100 g, chamomile (okooko osisi) - 100 g, immortelle (okooko osisi) - 100 g, birch (buds) - 100 g. A na-agwakọta ihe ndị ahụ, ala n'ime kọfị kọfị ma chekwaa ya n'ime ite nwere iko. A na-akwado ya kwa ụbọchị na mgbede: 1 tablespoon nke ngwakọta nke 0,5 l nke esi na mmiri na-agbaji ma sie ọnwụ nkeji 20. Yachazie kwaa ahu ma pịpị nke fọdụrụ. Ọkara na ọkara nke mmanụ a honeyụ na-egbu egbu ozugbo, ma nke fọdụrụnụ na-ewe iwe dị ọkụ n'ụtụtụ ruo 30-40 Celsius C ma drunkụọ mmanya ruo nkeji 20 tupu nri ụtụtụ. A na-eme ọgwụgwọ kwa ụbọchị ruo mgbe ngwakọta ahụ zuru ezu. Ejiri maka nkụchi obi na ọbara mgbali elu.
A na-awụpụ mkpụrụ osisi 10 nke mkpụrụ osisi viburnum na iko esi mmiri, ewe iwe dị ọkụ n'okpuru mkpuchi n'ime mmiri ịsa ahụ maka minit 15, ajụkwa maka minit 45, na-ese, na-agbazi ma gbanye ya na 200 ml. Na-a 1/ụ iko 1/3 iko 3-4 ugboro n'ụbọchị. Chekwaa infusion maka ihe karịrị ụbọchị abụọ.
Iji mezie ọbara ọgbụgba, ọ dị mkpa ị tinụ mmanya tincture nke calendula (na nha nke 2: 100 na ogo ogo 40) maka 20-40 na-ada ugboro atọ kwa ụbọchị. N'otu oge, isi ọwụwa na-apụ n'anya, ụra na-eme ka ọ dịkwuo mma, arụmọrụ yana ịdị mkpa.
Ọ bara uru ị drinkụ ngwakọta nke iko ihe ọ beetụ beetụ beetroot, iko karọt, ọkara iko kranber, 250 g mmanụ a honeyụ na 100 g vodka. Were 1 tablespoon ugboro atọ n'ụbọchị. Still ka nwere ike ịkwadebe ngwakọta ndị a: iko 2 nke ihe ọ beetụ beetụ beetroot, 250 g mmanụ a honeyụ, ihe ọ ofụ ofụ nke otu lemon, iko 1.5 nke ihe ọranụranụ kranberị na 1 iko vodka. Ekwesịrị ị 1ụ ya 1 tablespoon ugboro atọ n'ụbọchị otu awa tupu nri.
Tapawa 100 g nke mịrị na-enweghị mkpụrụ site na egwe ọka, wụsa otu iko mmiri oyi, esi nri maka nkeji 10 n'elu obere okpomọkụ, nje, dị jụụ ma piakota. Na-a theụ ọgwụ ahụ dum n'ụbọchị.
Ihe ọ juiceụụ chokeberry were ọkara awa tupu nri, 1/3 iko ugboro atọ n'ụbọchị. Usoro ya bụ izu abụọ.
Iri ihe ọ juiceụ Blackụ Blackcurrant ma ọ bụ decoction nke tomato kwesịrị ị takenụ iko 1/4 iko ugboro 3-4 n'ụbọchị.
A decoction nke viburnum tomato iji ọkara otu iko ugboro atọ n'ụbọchị.
Ngwakọta nke ọkara otu iko ihe ọ beetụ beetụ biiti, otu ihe ọ ofụ ofụ lemon na 1 iko linden mmanụ a shouldụ kwesịrị ị beụ na 1/3 iko 1 awa mgbe nri.
Were iko cranberries 1 kwa ụtụtụ wee were 5-10 tụlee nke tincture nke hawthorn ifuru na mmiri.
Moisten sọks na mmanya kacha gwara dil na mmiri a ruru nke 1: 1, ma tinye ha n'abali, kechichie ụkwụ gị.
Iji chịkọta ihe ndị ahụ na-esote: ahịhịa motherwort ise-lobed - akụkụ 4, ahịhịa ọka cinnamon - akụkụ 3, mkpụrụ osisi hawthorn na-acha ọbara ọbara - akụkụ 1, akwukwo osisi pepa - 4 nke ọkara, ahịhịa akpa onye ọzụzụ atụrụ - 1 akụkụ, mkpụrụ osisi chokeberry - 1 akụkụ, mkpụrụ osisi chokeberry - 1 akụkụ, mkpụrụ osisi dill - 1 akụkụ, ịgha mkpụrụ flax - 1 akụkụ, akwukwo nke ahịhịa osisi - 2 akụkụ. Iri abụọ ma ọ bụ atọ nke ngwakọta (ọ dabere na ịdị arọ nke onye ọrịa ahụ) wunye iko 2.5 nke mmiri esi na thermos. Ọnwụ ruo awa 6-8. N’echi ya, jikota okpukpo dum okpukpu kporo okpukpu 3 kewara 20-40 tupu nri.
Na-a juiceụ mmiri ọ freshụ freshụ mkpụrụ osisi chokeberry (chokeberry) 1/2 iko n'otu oriri maka izu abụọ. Nwere ike Mike 1 n'arọ nke mkpụrụ osisi a mịrị amị na nke mkpụrụ osisi 700 g nke nwere nnukwu shuga. Were 75-100 g ugboro abụọ n'ụbọchị.
A na-etinye iko garlic cloves na 0,5 lita vodka na ebe gbara ọchịchịrị ma na-ekpo ọkụ. Na infusion ẹka 1 tablespoon 3 ugboro n'ụbọchị tupu nri.
N'akpo nha, na 1 liter nke esi mmiri, iko 1 nke na-anakọta herwort ahịhịa, ala cinnamon, okooko osisi nke hawthorn na oji na-acha ọcha na-acha ọcha, na-enye ma were 100 ml ugboro 3 n'ụbọchị otu ọkara ọkara awa tupu nri.
Gwakọta mkpuru ahihia na ntinye otu: hawthorn (okooko osisi) - 5 akụkụ, motherwort (ahịhịa) - 5 akụkụ, cinnamon (ahịhịa) - 5 akụkụ, chamomile (okooko osisi) - 2 akụkụ. Mpekere abụọ nke ngwakọta wunye 1 liter nke esi mmiri, hapụ maka nkeji 20, nje. Na-a 100ụ 100 ml nke infusion ugboro atọ n'ụbọchị.
Na-agwakọta mkpá akwụkwọ ndị ahụ n'ọtụtụ na-esote: cumin (mkpụrụ osisi) - 1 akụkụ, valerian (mgbọrọgwụ) - akụkụ 2, hawthorn (okooko osisi) - akụkụ 3, mistletoe ọcha (ahịhịa) - 4 akụkụ. Mpekere abụọ nke ngwakọta wunye 400 ml nke mmiri esi, na-ahapụ ruo awa 2, nje. Nwee mmanya n’oge ehihie.
Gwakọta gruel nke lemon ma ọ bụ oroma na bee, mana na-enweghị mkpụrụ, yana shuga granulated nụrụ ụtọ. Were teaspoon ugboro atọ kwa ụbọchị tupu nri.
Gwakọta ahihia na oke nke otu: ahịhịa yarrow nkịtị - akụkụ 3, okooko osisi hawthorn na-acha ọbara ọbara, ahịhịa ahịhịa, ahịhịa na-acha ọcha mistletoee, obere periwinkle - 1 akụkụ nke ọ bụla. Wunye otu iko mmiri dị na tablespoon nke mkpo ahụ na mmiri ọkụ ma sie ọnwụ ka awa 3, sie ya maka minit 5, dị jụụ na nje. Were iko 1 / 3-1 / 4 ugboro 3-4 n'ụbọchị.
Gwakọta mkpuru ahihia na ntule ndị a: okooko osisi nke hawthorn ọbara na-acha ọbara ọbara, ahịhịa na-acha ọcha na-acha ọcha - dokwara. Wunye otu ngaji nke nnakọta na otu iko esi mmiri, hapụ maka nkeji 10 na nje. Were iko 1/3 ugboro atọ n’ụbọchị, otu awa mgbe ị risịrị nri.
A tablespoon nke mkpụrụ osisi nke ugwu uyi nkịtị ime biya 1 iko esi mmiri, na-ahapụ ka ajụkwa, nje. Na-a 0.5ụ iko 0,5 2-3 ugboro n'ụbọchị.
Iji chịkọta ihe ndị dị na obere ihe ndị a: ahịhịa ala ọka, ala ahịhịa losaị ise, ahịhịa abụọ na-acha ọbara ọbara, ahịhịa na-acha uhie uhie - akụkụ m. 20 g nke nchịkọta wụsa 200 ml mmiri, gbanye mmiri na-esi mmiri ịsa ahụ maka minit 15, dị jụụ maka minit 45, nje ma gbakwunye mmiri sie ya na olu mbụ ya. Were iko 1/4 ruo 1/3/3 ugboro 3-4 kwa ụbọchị.
Chịkọta ihe ndị mejupụtara na nha ndị a: tansy (inflorescences), elecampane elu (mgbọrọgwụ) - dokwara. Wunye teaspoon nke ngwakọta na iko abụọ nke esi mmiri, obụpde n'ime mmiri ịsa ahụ maka awa 1.5, nje. Na-a 100ụ 100 ml ugboro atọ n'ụbọchị awa 2 tupu nri.
Gabiga 3 isi isi nke galiki na lemon 3 n'ime anụ a na-egwe anụ, imeju 1.25 lita nke esi esi mmiri, mechie ya ma sie ọnwụ ebe a na-ekpo ọkụ maka otu ụbọchị, na-akpali akpali mgbe ụfọdụ, mgbe ahụ, nje. Na-a 1ụ 1 tablespoon 2-3 ugboro n'ụbọchị nkeji 30 tupu nri.
Site na mgbali ọbara na atherosclerosis 2, gbue isi nke galik ma wụsa 250 ml vodka, inye ya ruo ụbọchị iri na abụọ. Were 20 tụlee ugboro 3 n'ụbọchị 15 nkeji tupu nri. Iji melite uto ahụ, ịnwere ike ịgbakwunye inft infusion na tincture. Usoro ya bụ izu 3.
Itughari okpukpu atọ nke mmiri aloe dị ọhụrụ na teaspoon nke mmiri sie mmiri oyi. Were ubochi na afo efu 1 otu ugboro kwa ụbọchị. Usoro ọgwụgwọ ya bụ ọnwa 2. Nrụgide ahụ nkịtị.
Mike 250 g nke horseradish (saa na peeled) na grater, wunye 3 l nke oyi sie mmiri, obụpde maka nkeji 20. Na-a 100ụ 100 ml ugboro atọ n'ụbọchị. Mgbe ha nabatachara nnabata ọtụtụ, nrụgide ahụ na-agbadata dị ka ọ dị.
20 g nke ahịhịa bekee a mịrị amị, wunye 1 lita mmiri, sie ya na mmiri ịsa ahụ ruo awa 3-4, dị jụụ, nje. Ọthụ drinkụ na-a 0.5ụ iko 0,5 iko 4-5 ugboro n'ụbọchị.
10 g nke okooko osisi adonis mmiri, okooko osisi buckwheat, lily nke mgbọrọgwụ ndagwurugwu, mgbọrọgwụ valerian, 1 iko vodka.
Wunye nchikota vodka 1 nke vodka. Ọnwụ na ọchịchịrị ebe a iko nnukwu efere na mkpuchi nke ụbọchị 20.
Were ugboro atọ n'ụbọchị, 25 tụlee kwa 1 tbsp. l mmiri 30 nkeji tupu nri.
60 g nke mmanya greepu akpọnwụ, 20 mmiri nke ihe ọ yarụ yarụ yarrow ọhụrụ, 20 tụlee mmiri ruta, 10 g nke ahịhịa buckwheat ahịhịa.
Gwakọta ihe ndị ahụ, sie ọnwụ maka otu ụbọchị n'ime ite iko gbara ọchịchịrị n'ebe a na-ekpo ọkụ.
Were oge 1 n’otu ụtụtụ, nkeji iri atọ ruo iri anọ tupu iri nri.
5 g mmiri willow mmiri, 1 g nke ahịhịa wormwood ahịhịa, 15 g nke yarrow ahịhịa, 10 g nke ala flaxseed, 150 ml nke esi mmiri.
1 tbsp. l gbanye nchịkọta n'ime efere enameled, wụsa mmiri esi, mkpuchi, hapụ maka minit 30. Nje ihe na-akpata infusion, afanyekwa akụrụngwa.
Were ugboro 2 n'ụbọchị n’ụbọchị 30 tupu nri ruo otu ọnwa.
10 g nke lemon balm epupụta, 20 g nke ọka stigmas, ihe ọ juiceụ ofụ nke 1 lemon, 0,5 l nke esi mmiri.
Afanyekwa ihe ọ fromụ fromụ si lemon. Wunye nchịkọta ahụ n'ime efere enameled, wụsa mmiri esi. Nọgide na mmiri mmiri maka nkeji 20. Ọnwụ ruo mgbe jụụ. Dichaa na infusion, afanyekwa ngwaọrụ. Tinye ihe ọ lemonụ lemonụ lemon na infusion nke na-apụta.
Were iko 1/2 ugboro atọ n'ụbọchị nkeji iri atọ ka ị risịrị nri. Na-eduzi ọmụmụ 3 nke ụbọchị 7 na ntabi anya kwa izu.
20 g nke ahịhịa ahịhịa, ọka ọka, 10 g nke valerian mgbọrọgwụ, akwụkwọ pepemint, 1 iko esi mmiri.
Gwakọta ihe niile eji eme ihe, 2 tbsp. l nchịkọta tinye n'ime nnukwu efere enameled, wunye esi mmiri. Obụpde na mmiri saa 20 nkeji. Ọnwụ ruo mgbe jụụ. Nwaa, kpachapu akụrụngwa.
Were nri ugboro 2-3 n’ụbọchị.
30 g nke valerian mgbọrọgwụ, ahịhịa anise nkịtị, ahịhịa juru, 20 g nke ahịhịa sunflower, okuko yarrow, 1 iko sie mmiri.
2 tbsp. l ebe a na-anakọta ya na efere enameled, mkpuchi. Ọnwụ na mmiri saa 20 nkeji. Mgbe obi jụrụ, kpachara anya, kpoo ihe ndị ahụ.
Were nri 1/3 ugboro abụọ n'ụbọchị.

Nke mbu, odi nkpa wezuga nri abuba na nri ndi nwere cholesterol n’ime nri, iri nri uto dika nri achicha ohuru, dochie ya na akwa ma obu osikapa. Ngwaahịa niile na-egbu oge mmepe nke atherosclerosis bara uru: mkpụrụ osisi, chiiz ụlọ, ngwaahịa mmiri ara ehi (karịsịa yogọt na whey), akwa ọcha, kabeji, ahụbasị, anụ a mịrị amị, wdg, yana nri bara ụba na vitamin C: radish, eyịm akwụkwọ ndụ, horseradish, ojii currants, lemons. Nri a na-ebelata ogo toxins dị n’ahụ. Nri nnu ekwesịghị gafere 3 g, ma ọ bụ ọkara ngafe kwa ụbọchị.

Ọmụmụ ihe ọmụmụ gara aga achọtala njikọ n’etiti ọnụnọ nke calcium na potassium n’ime ahụ na ọbara mgbali. Ndị mmadụ na-a amountsụ nnukwu nri na potassium na-enwe nrụgide nkịtị na-enweghị ọbụna ịchịkwa oriri nnu. Calcium na potassium na-enyere aka wepu sodium gabigara ókè ma na-achịkwa ọnọdụ nke sistem vaskụla. A na - achota ahihia n’ite n’ite na akwukwo nri na nkpuru osisi, nium - n’ulo ulo.

Mgbochi

Dịka iwu, mgbochi nke ọrịa a gụnyere ịnọgide na-eri nri kwesịrị ekwesị yana ịme mmega ahụ nkịtị nke na-eme ka ọdịmma ndị ọrịa ma ọ bụ ndị mmadụ ike dịkwuo mma. Mmega ahụ ọ bụla n'ụdị ịgba ọsọ, ije ije, igwu mmiri, imega simulators na mmega iku ume naanị na-eme ka mmụba nke ọrụ rụọ ọrụ ma mee ka ọbara mgbali elu dị elu.

Ọ bụrụ na achọpụtara ọbara mgbali elu, enweghị nkụda mmụọ, ọ dị mkpa ikere òkè na nhọpụta ọgwụgwọ dị mma yana dibia bekee.

Ndị ọrịa nwere oria a na-agbanwekarị usoro ha na-eme kwa ụbọchị iji kwụsị inwe ọrịa. Mgbanwe ndị a metụtara ọ bụghị naanị na nri, kamakwa ọ bụ omume, ụdị ọrụ, ọrụ ụbọchị, usoro izu ike na ụfọdụ nuances ndị ọzọ. Naanị dabere na nkwenye ndị dọkịta, usoro ọgwụgwọ ahụ ga-adị irè.

Ozi izugbe

Ngosipụta nke ọbara mgbali elu bụ mgbali ọbara mgbali elu, ya bụ, mgbali ọbara nke na-alaghachighị etu o kwesịrị ma ọ bụrụ na ọnọdụ ebilite n’ihi nsonso mmụọ na mgbali anụ ahụ, mana ọ na-ebelata naanị mgbe ị drugsụchara ọgwụ mgbochi. Dika ntuziaka WHO si kwuo, obara mgbali elu adighi akari 140/90 mm Hg. Art. Nwepu systolic ọnụego karịa 140-160 mm RT. Art. na diastolic - karịrị 90-95 mm RT. Art., Edere na izu ike n’oge nha abụọ n’oge nyocha ahụike abụọ, a na-ahụta ọbara mgbali elu.

Ọrịa ọbara ọbara n'etiti ụmụ nwanyị na ụmụ nwoke dị ihe dịka 10-20%, ọ na - ebute ọrịa na - etolite mgbe afọ 40 gasịrị, ọ bụ ezie na a na - ahụkarị ọbara mgbali ọbụna n'oge ndị ntorobịa. Ọbara mgbali elu so na-ebute mmepe ngwa ngwa na ụzọ siri ike nke atherosclerosis na ihe na-akpata nsogbu na-eyi ndụ egwu. Tinyere atherosclerosis, ọbara mgbali bụ otu n'ime ihe ndị na - akpata ọnwụ na - eto eto nke ndị na - eto eto na - arụ ọrụ.

Ikewapụta ọbara mgbali elu (ma ọ bụ mgbali elu) na nke abụọ (Symptomatic) ọbara mgbali elu. Symptomatic ọbara mgbali na-akpata 5 ruo 10% nke ikpe ọbara mgbali elu. Ọbara nke abụọ bụ ngosipụta nke ọrịa na - akpata ọrịa: ọrịa akụrụ (glomerulonephritis, pyelonephritis, ụkwara nta, hydronephrosis, etuto ahụ, akwara akwara), gland thyroid (thyrotoxicosis), adrenal glands (pheochromocytoma, herenko-Cushing's syndrome, atherosclerosis), isi atherosclerosis, .

Nnukwu ọbara ọgbụgba na - etolite dị ka ọrịa na - adịghị ala ala ma nwee ihe ruru 90% nke ikpe ọbara mgbali elu. Site n'ọbara mgbali elu, ọbara mgbali elu bụ nsonaazụ nke usoro nhazi ahụ.

Usoro mmepe nke ọbara mgbali elu

Ntọala nke pathogenesis nke ọbara mgbali elu bụ mmụba nke olu mmepụta obi na nguzogide ihe ndina akwara. Na nzaghachi maka nrụgide, ọgba aghara na nhazi nke ụda olu mpaghara na-eme site na ebe dị elu nke ụbụrụ (hypothalamus na medulla oblongata). Enwere spasm nke arterioles na mpụta ahụ, gụnyere akụrụ, nke na-akpata guzobe dyskinetic na discirculatory syndromes. Ihe nzuzo nke neurohormones nke usoro renin-angiotensin-aldosterone na-abawanye. Aldosterone, na-ekere òkè na metabolism, na-eme ka njigide mmiri na sodium na ndagwurugwu akwara, nke na-eme ka ụba ọbara na-agagharị na arịa ma na-eme ka ọbara mgbali elu.

Site na ọbara mgbali elu, viscosity na-abawanye, nke na - ebute mbelata nke ọsọ ọbara na usoro metabolic na anụ ahụ. Mgbidi ndị dị n'ime ụgbọ ahụ na-ahụkarị mkpụmkpụ lumen ha, bụ nke na-ejide oke ọkwa nke ngụgụ akwara na - egbochi ma na - eme ka ọbara mgbali elu na - enweghị mgbagha. E mesịa, n'ihi ụba permeability na platsma sataging nke vaskụla mgbidi, ellastofibrosis na arteriolosclerosis na-amalite, nke na-eduga na mgbanwe nke abụọ na akwara nke anụ ahụ: myocardial sclerosis, hypertensive encephalopathy, isi nephroangiosclerosis.

Ogo nke mmebi akụkụ ahụ dị iche iche nwere ọbara mgbali elu nwere ike ịbụ ihe a na-ahazighi, ya mere, a na-ahụta ọdịiche dị iche iche nke ọbara na akwara dị iche iche na mmebi kachasị nke akụrụ, akwara na ụbụrụ.

Nkewa ọbara mgbali elu

A na-ekewa ọbara mgbali elu dịka ọtụtụ akara: ihe kpatara mmụba ọbara ọgbụgba, mmebi nke akụkụ ahụ, ọkwa ọbara mgbali, N'ezie, wdg. Site na ụkpụrụ etiological, ha na-amata ọdịiche dị mkpa (isi) na nke abụọ (Symptomatic) ọbara mgbali elu. Site na okike nke usoro ahụ, ọbara mgbali elu nwere ike ịnwe ezi ndụ (na-eji nwayọ nwayọ) ma ọ bụ malignant (na-aga n'ihu ngwa ngwa).

Ihe kacha dị irè bụ ọkwa na nkwụsi ike nke ọbara mgbali. Dabere na ọkwa ahụ, ha na-amata ọdịiche:

Ezigbo ọbara mgbali bụ 115 mm Hg. Art.

Benign, jiri nwayọ na -agawanye ọbara mgbali elu, dabere na mmeri nke akụkụ ebumnuche ya na mmepe nke ọnọdụ ejikọtara ya na-agafe usoro atọ:

Agba m ọbara ọgbụgba dị nro na nke na - agbanwe agbanwe - anaghị agbanwe agbanwe, na - agbanwe n'oge ụbọchị site na 140/90 ruo 160-179 / 95-114 mm RT. Art., Nsogbu ọgbụgba dị ụkọ bụ ndị na-adịghị obere. Onweghi ihe iriba ama banyere mmebi ahu ma obu akwara.

Agba II (oke ọbara mgbali elu) - mgbali ọbara n’etiti ogo 180-209 / 115-124 mm RT. Art., Ọdụdọ ndị a na-ahụkarị. Ebum n’uche (n’oge nyocha anụ ahụ, nyocha ụlọ nyocha, ihe ọmụmụ, ihe ndị na - eme ihe n’iru), mbelata nke akwara azụ, microalbuminuria, ụba creatinine na plasma ọbara, ọbara mgbali elu ventricular, hyperroral cerebral ischemia.

Ogbo III (oke ọbara mgbali elu) - mgbali ọbara site na 200-300 / 125-129 mm RT. Art. na n’elu, oke ọgba aghara ọgbụgba na-etolite. Mmetụta ọghọm nke ọbara mgbali elu na-akpata ihe ịtụnanya hypertonic encephalopathy, ọdịda ventricular ọdịda, mmepe nke ụbụrụ akwara thrombosis, ọbara ọgbụgba na optic nerve edema, exfoliating vascular aneurysms, nephroangiosclerosis, ọdịda akụrụ, wdg.

Ihe Ndị Na-akpata Egwu Ọgwụ

A na-egwu ọrụ na-ebute mmepe nke ọbara mgbali elu site na imebi usoro nchịkwa nke ngalaba dị elu nke sistemụ akwara na-achịkwa ọrụ nke akụkụ ahụ, gụnyere sistem. Ya mere, mmepe nke ọbara mgbali elu nwere ike ibute site na nsogbu anụrị ugboro ugboro, ogologo oge na nnukwu ọgba aghara, ụjọ ụjọ. Oké nrụgide metụtara ọrụ ọgụgụ isi, ọrụ abalị, mmetụta nke ịma jijiji na mkpọtụ na - eme ka ọbara mgbali elu.

Ihe nwere ike ibute ọgbụgba ọbara bụ ịbawanye ụba nnu, na-eme ka oghere ikuku na njigide mmiri. Ekwuputala na ị dailyụ ọgwụ kwa ụbọchị> nnu nke 5 g na -eme ka ohere nke ibute ọbara rịa elu rịa elu, ọkachasị ma ọ bụrụ na enwere ọgwụ mgbochi.

Ihe nketa, site na ọbara mgbali elu, na-arụ nnukwu ọrụ na mmepe ya na ezi na ụlọ (nne na nna, ụmụnne nwanyị, ụmụnne). Ohere nke ibute ọbara mgbali elu na-abawanye na ọnụnọ ọbara mgbali elu na ndị ikwu ma ọ bụ karịa abụọ nso.

Kwalite mmepe nke ọbara mgbali elu ma na-akwado ibe ya maka ọbara mgbali elu yana ọrịa nke ọrịa adrenal gland, akụrụ, ọrịa shuga, atherosclerosis, oke ibu, ọrịa na-adịghị ala ala (tonsillitis).

N’ime ụmụ nwanyị, ihe egwu nke ibulite ọbara na-abawanye n’ime menopause n’ihi ahaghị n ’ịba ọcha nke homonụ na mmebi nke mmeghachi omume mmetụta na ụjọ. Pasent 60 nke ụmụ nwanyị na-enweta oke ọbara ọgbụgba n'oge ọ na-abụ nsọ nwoke.

Ihe dị afọ ndụ na okike na-ekpebi oke ihe ọghọm nke ibute ọbara mgbali elu n’ime ụmụ nwoke. Na afọ 20-30 afọ, ọbara ọgbụgba na-etolite na 9.4% nke ụmụ nwoke, mgbe afọ 40 gasịrị - na 35%, na mgbe afọ 60-65 gasịrị - ugbua na 50%. N'ime afọ ruru afọ 40, ọbara ọgbụgba na-adịkarị n'ahụ ụmụ nwoke, n'ọgbọ okenye, ogo ihe gbanwere maka ndị nwanyị. Nke a bụ n'ihi ọnụego dị elu nke ụmụ nwoke na-anwụ n'oge etiti site na nsogbu ọbara ọgbụgba, yana mgbanwe nke menopausal n'ahụ nwanyị. Ugbu a, a na-achọpụtawanye ọbara mgbali elu n'ime ndị mmadụ na nwata.

Ndị mmadụ na-enye aka na mmepe nke ọbara ọgbụgba bụ ịhoụbiga mmanya ókè na ise siga, nri na-adịghị mma, oke ibu, enweghị mmega ahụ, gburugburu ebe ọjọọ.

Ọgbụgba Ọbara

Site na ọbara mgbali ogologo ma ọ bụ nke jọgburu onwe ya, mbibi na-adịghị ala ala na akwara nke akụkụ ahụ a na-ele anya na-etolite: ụbụrụ, akụrụ, obi, anya.Ọganiihu nke mgbasa ọbara n’akwara ndị a n’akụkụ ndabere nke ọbara mgbali elu na-adịgide, nwere ike ibute mmepe nke angina pectoris, infarction myocardial, hemorrhagic ma ọ bụ ischemic stroke, cardiac asthma, pulmonary edema, exfoliating aortic aneurysms, retinal detachment, uremia. Mmepe nke ọnọdụ mberede dị egwu megide mmalite nke ọbara mgbali elu chọrọ mbelata ọbara mgbali elu na nkeji na awa ndị mbụ, n'ihi na ọ nwere ike ibute ọnwụ nke onye ọrịa.

Ọbara mgbali elu na-esikarị n'ọbara ndị a na - eme n'ọbara - obere oge dị mkpirikpi na - ebili na ọbara mgbali. Mmepe nke ọgba aghara nwere ike ibute site na mmetụta uche ma ọ bụ nke anụ ahụ, nchekasị, mgbanwe nke ọnọdụ meteorological, wdg ọhụhụ ụzọ.

Ndị ọrịa n’oge nsogbu ọbara ọgbụgba na-atụ ụjọ, na-atọ ụtọ ma ọ bụ na-egbochi, na-ero ụra, na nnukwu nsogbu, ha nwere ike tufuo mmụọ. Na-emegide nzụlite nsogbu ọbara ọgbụgba na mgbanwe mgbanwe anụ ahụ dị na akwara ọbara, infarction myocardial, nnukwu ọrịa cerebrovascular, nnukwu ọdịda ventricular ọdịda nwere ike ịda mgbe.

Ọbara mgbali elu

Na ọgwụgwọ nke ọbara mgbali elu, ọ dị mkpa ọ bụghị naanị iweda ọbara mgbali elu, kamakwa iji dozie ma belata ihe ize ndụ nke nsogbu dị ka o kwere mee. Ọ gaghị ekwe omume ịgwọ ọbara mgbali elu kpamkpam, mana ọ bụ n'ezie ihe ịkwụsị mmepe ya ma belata nsogbu nke ọdụdọ.

Ọbara mgbali elu chọrọ mbọ niile ndị ọrịa na dọkịta na-arụ iji mezuo ebumnuche ha. N'ọnọdụ ọ bụla nke ọbara mgbali elu, ọ dị mkpa:

Soro na oriri nke potassium na magnesium na-abawanye, na-egbochi iri nnu,
Kwụsị ma ọ bụ belata oke mmanya na ise anwụrụ
Igosi ibu
Dịkwuo mmega ahụ: ọ bara uru ịbanye maka igwu mmiri, mmega ahụ, ịme ije,
Jiri nwayọ na ogologo oge were ọgwụ ndị enyere ọgwụ gị ka ọ dịrị n’okpuru mgbali ọbara na ileba anya nke otu onye dibia bekee.

N'ihe banyere ọbara mgbali elu, a na-enye ọgwụ ọgwụ antihypertensive na igbochi ọrụ vasomotor ma gbochie njikọ nke norepinephrine, diuretics, β-blockers, ndị na-egbochi antiplatelet, hypoliplera na hypoglycemic, sedative. A na-eme nhọrọ nke ọgwụ ọgwụ ike na iche iche, na-eburu n'uche ụdị ihe egwu dị iche iche, ọbara mgbali, ọnụnọ nke ọrịa na-emebi emebi na mmebi nke akụkụ ahụ.

Ihe achọrọ maka ịdị irè nke ọgwụgwọ ọbara mgbali elu bụ mmezu nke:

ihe mgbaru ọsọ dị mkpirikpi: mbelata ọbara mgbali elu karịa n’ọkwa nke nnabata mma,
ihe mgbaru ọsọ nke oge-igbochi mmepe ma ọ bụ inwe mgbanwe nke akụkụ ndị a chọrọ.
ebumnuche ogologo oge: mgbochi nke ọrịa obi na nsogbu ndị ọzọ na ime ka onye ọrịa dị ogologo.

Prognosis maka ọbara mgbali elu

Ogologo oge nsonaazụ ọbara ọbara na-ekpebi site n'ọkwa na ọdịdị (oke ma ọ bụ ajọ ihe) nke ọrịa ahụ. N'ezie, ọgbụgba ọsịsọ, mgbali III nke nwere mmebi vaskụla na - eme ka nsogbu vaskụla njọ ma na - ebute prognosis.

Site n'ọbara mgbali elu, ihe ọghọm nke infarction myocardial, ọrịa strok, nkụchi obi, na ịnwụchu ọnwụ. Ọrịa ọbara ọgbụgba bụ ihe ọjọọ ndị mmadụ butere ọrịa n'oge ha bụ nwata. Na mbido, usoro ịhazi ya na ịchịkwa ọbara mgbali elu nwere ike belata ogwe ọbara.