Menene matsalar hauhawar jini da sakamakonsa?

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Duk abin da kuke buƙatar sani

Bangaren likitanci wanda ke karantar da ido, ilmin jikinta, ilimin kimiya

Kimiyya game da tsari da aikin glandon endocrine

Nazarin Cutar Kwayar Mace

Babban sashe na magani wanda ke nazarin tsarin cututtukan zuciya na mutum

Haɓaka yara har zuwa shekara guda tsawon watanni, kiwon lafiya, kulawa

Lokaci mafi ban mamaki, lokacin ganowa, haɓaka

Haɓaka yara, labarai akan taken, matakan ci gaban yara

Menene ya kamata jariri ya koya, menene alamun mahimmancin ci gaba

Duk game da ta'aziyyar gida: gyara, zane na ciki, kayan daki, feng shui

Bayanin abinci na abinci a duniya da girke-girke

Duk abin da game da abin da ke tsiro, fure da 'ya'yan itace

Ba a tsabtace gida kawai tsaftacewa, wanki, baƙin ƙarfe da dafa abinci. Ingirƙiri coziness da ta'aziyya

Akan aiwatar da shirya ma'aurata domin juna biyu

Kalanda na ciki, gwaji, abinci mai gina jiki, ilimin jiki

Yadda haihuwa take faruwa - abin da mace mai ciki take buƙatar sani game da haihuwa

Haka ne, rayuwa tana canzawa bayan haihuwar jariri, amma ba ta ƙare ba

Aura da duka gidan

Game da lokacin daukar ciki, wannan mawuyacin lokaci a rayuwar mace, an rubuta litattafai da yawa - daga marubutan kasashen waje da na gida. Ba asirin ba ne cewa bayanin da ke cikin waɗannan littattafan an gabatar da shi shi kaɗai (ciki da haihuwa, lamari ne na dindindin kamar rayuwa kanta, kuma ba shi yiwuwa a faɗi wani sabon abu a matakin shahara), bambanci ko dai a cikin bayanin yadda aka gabatar da wannan bayanin, ko a yadda ake amfani da wannan bayanin.

Muna gina rukunin yanar gizon mu ta yadda zai iya zama wa mace mai tsammanin haihuwar jariri, wato don mahaifiyar da take tsammanin samun damar shiga yanar gizon tana da damar fahimtar abin da ke faruwa a jikinta yayin da ciki ke tasowa, wata zuwa wata, sati bayan sati daya ...

Yadda ɗaukar ciki ke faruwa, abin da zai faru na gaba, yadda amfrayo ke girma, menene canje-canje ke faruwa a jikin mahaifiyar, menene cututtukan da kuma a wane lokaci ne zai iya dame ta, yadda za a samu nasarar tsayayya da waɗannan cututtukan - matar za ta sami cikakkiyar amsoshin waɗannan da sauran tambayoyi masu yawa akan gidan yanar gizon mu.

Ba za mu iya watsi da duka lokacin haihuwa da kuma bayan haihuwa ba - a cikin kananan bangarori mun sanya bayanai masu mahimmancin gaske, gami da nasihohin da za su taimaka wa mace cikin sauƙin canja wurin wannan lokacin. Muna fatan duk baƙi da ke wannan rukunin yanar gizon ba za su sami matsala sosai ba game da lafiyar kansu da lafiyar childrena ,an su, kuma rukunin yanar gizonku, wanda kuka yi haƙuri da shi har zuwa ƙarshe, zai taimaka muku game da wannan.

Cutar juna biyu yanayi ne mai kyau, wanda ke buƙatar kyakkyawar hanya da kulawa ta kwararru. Juyawa ga likita da yin rajista, mata da yawa masu juna biyu ba su ma san abin da babban ilimin da iyaye za su buƙaci nan gaba ba.

Mun sami damar tattara muku bayani game da mahimman bayani don iyaye na gaba:

Tsarin ciki, yiwuwar haɗari.
Jadawalin lokaci da yawan ziyartar likitoci.
Nazarin da ake buƙata da fassarar su.
Siffofin abinci mai gina jiki na mahaifiyar gaba.
Yin rigakafin takamaiman cututtuka (alal misali, varicose veins, anemia, basur, da sauransu).
Dukkanin game da haihuwar abokin tarayya, da buƙatar tallafawa mata a cikin aiki daga rabi na biyu.

Anan za ku sami bayanai masu amfani game da sifofin kula da jariri, karanta game da halayen ci gaban jiki da halayyar jariri, koya game da jadawalin alurar riga kafi da mahimmancinsu.

Shawara ta kwarai da shawarwarin da aka buga a shafukan yanar gizon mu zasu taimaka muku wajen kafawa da kuma kiyaye alakantaka da matarka bayan haihuwar yaro, saboda watannin farko ne da suka zama masu matukar muhimmanci ga ma'aurata da yawa.

Sakamakon rikicin hauhawar jini

Marasa lafiya suna sha'awar abin da zai iya zama rikicin haɗari? Mai kwakwalwa da kodiya na iya lalacewa a ƙarƙashin matsanancin ƙarfi. Jirgin ruwan kwakwalwa yana haɓaka tare da karuwa mai yawa a cikin karfin jini, wanda ke ba da damar ruwa ya shiga cikin ƙwayar da ke kewaye da haifar da kumburi. Hakanan zai iya haifar da zubar kwakwalwa.

A cikin kodan, haɓakar hawan jini yana haifar da asarar nama da kuma haɗuwar ƙwayar jini a cikin tasoshin koda. Sakamakon matsanancin ƙarfi, ƙwayar cuta ta lalace sosai, wanda ke haifar da ƙuntatawa ta ƙayyadadden aikin aikin kodan, wanda ake kira ƙarancin ƙwayar cutar koda. Dole ne a magance matsalar gazawar ƙwayoyin cuta da wuri-wuri don hana ƙarin lalacewa na dogon lokaci.

Tare da hauhawar jini, zuciya kuma tana matukar wahala. Idan zuciya ba zata iya yin isasshen jini zuwa matsin lamba a cikin jijiyar jijiya, wannan yana haifar da gazawar ventricular. Hakanan yanayin na iya haifar da ciwon kirji da karawar zuciya. Matsi yana da tasiri mai yawa akan mai haƙuri.

Babban matsin lamba wanda ba a kula dashi na iya haifar da matsaloli daban-daban tare da doguwar hanya. Marasa lafiya suna wahala daga tsarin zuciya, wadatar jini zuwa kwakwalwa da kodan. Sauran cututtukan, irin su ciwon sukari, sau da yawa suna faruwa tare da hawan jini.

Hakanan, babban matsin lamba yana haifar da kullun kaya akan CCC. Wannan yana kara ventricle hagu, wanda zai iya haifar da gazawar zuciya.

Asedara yawan jini kuma yana ba da gudummawa ga ƙirƙirar plaques (atherosclerosis) a cikin tasoshin jijiyoyin jini da sauran sassan jikin mutum. Bayyanar cututtuka irin su angina pectoris ko ciwon zuciya na iya haifar da hakan. Consideredara yawan hawan jini ana ɗaukarsa azaman haɗari don haɓakar cututtukan zuciya na zuciya (CHD), wanda jijiyoyin jijiyoyin zuciya ke faɗa. Arteriosclerosis zai iya haifar da matsalolin wurare dabam dabam a cikin kafafu. Magunguna masu hauhawar jini kuma suna kara haɗarin lalata tasirin aortic bango (aneurysm), wanda zai iya fashewa daga baya kuma zai iya haifar da zub da jini a rayuwa.

Atherosclerosis

Kwakwalwa galibi tana fama da rikice-rikice na tashin hankali: hawan jini shine babban hadarin dake haifar da bugun zuciya. Kusan kashi 70 na dukkan cututtukan jiki a cikin mutane sama da 65 suna faruwa ne sakamakon hauhawar jini.

Hadarin da ya taso daga hawan jini shima yana shafi kodan. Marasa lafiya na iya haɓaka cutar koda (rashin aikin jijiya) ko kuma gazawar koda. Hawan jini shine babban abinda ya zama sanadin ci gaba nephropathy na kullum. Hawan jini yana lalata kananan jijiyoyi a cikin kodan. Sakamakon haka, sassan jikin kodan sun mutu. Janar koda yana aiki. Lalacewar kodan daga hawan jini shine dalili na uku da mutane ke buƙata dialysis (wanke jini).

Yadda ake hana rikicewa

Hanyar likita da sauri da sauri da aka shirya don rage lalacewar ƙwayar cuta suna da mahimmanci don ceton rayuwar mai haƙuri da rage tsananin rikitarwa.

Zaɓin magunguna ya dogara da cututtukan marasa lafiya da keɓaɓɓu da gabobin da cutar ta lalata. Hanyar kulawa da nau'ikan hauhawar jini ya bambanta sosai. Kafin yin amfani da kwayoyi, kuna buƙatar magana tare da likitan ku.

Tsarin tashin hankali na rashin karfin jiki

Tare da hauhawar jini, wanda ta ma'anar ba ya lalata sashin jiki kuma baya haifar da rikicewar aiki, dole ne a rage matsa lamba a hankali zuwa matakin al'ada a cikin sa'o'i 24. Saurin raguwar hauhawar jini zai iya haifar da karuwar jini a cikin jini. Don kauce wa wannan, ana sarrafa magunguna a baki. A matsayinka na mai mulkin, ba a buƙatar asibiti don magance rikicin rikicewar hauhawar jini.

Cutar hawan jini cuta ce ta rayuwa mai hatsari wanda ake buƙatar taimako da wuri-wuri.A cikin farfaɗar da jiyya yana da sauri, amma yana ƙaruwa da raguwar hauhawar jini tare da magunguna waɗanda aka allura ta hanyar jijiya kai tsaye zuwa cikin jini. Rage karfin jini nan da nan ya zama dole don hana ƙarin lalacewar gabobin.

Yakamata a fara jinyar a waje da likitan gaggawa. Bayan sun isa asibiti, ya kamata a sanya marasa lafiya a kula sosai.

A cikin awanni 4 na farko bayan wani hari na hauhawar jini, yakamata a rage dabi'un da kashi 20-25%, amma ba kasa da 180/100 mm RT ba. Art. Idan hawan jini ya ragu da sauri, wannan na iya haifar da raguwar kwararar jini zuwa kwakwalwa, kodan, da zuciya. Nan gaba, yakamata a kawo karfin jini zuwa matakin 160/100 mm RT. Art., Idan mai haƙuri yana cikin koshin lafiya. Wannan matakin ya kamata a kiyaye shi tsawon sa'o'i 12-24. Baya ga magungunan da ke rage karfin hawan jini kai tsaye, masu haƙuri kuma suna karɓar magunguna don kawar da cututtukan edema.

Duk wani raguwa kwatsam a cikin karfin jini zai iya haifar da cerebral, coronary or renal failure, ko ma orthostatic hypotension a hauhawar jini. A cikin tsofaffi mutane masu cutar atherosclerosis, haka kuma a cikin marasa lafiya da cututtukan cerebrovascular, waɗannan haɗarin suna da yawa musamman.

Yana da matukar muhimmanci a sami raguwar matsakaicin karfin jini na kimanin 25% a tsakanin mintuna 15-30. A wasu halaye, ana bada shawarar rage ƙarfin tashin hankali. Misali, hawan jini a cikin mutane masu rikitarwa na hanji (zub da jini ko bugun zuciya) yakamata a hankali a hankali awanni da dama, yayin da matsalar diastolic kada ta zama ƙasa da 100 mm Hg da farko. Hakanan, lokacin yin magani, yana da mahimmanci a yi la’akari da cututtukan da ke tattare da cutar da kuma rikice rikice masu alaƙa.

A baya can, likitoci sun rage karfin jini da sauri ta amfani da tsarin gudanarwar magunguna idan aka samu matsala ta tashin hankali. Amma a yau, ana samun magungunan baka, sakamakon wanda shima yana farawa da sauri. Sabili da haka, a lokuta da yawa, yana halatta a fara da maganin warkewar bakin mutum. Kyakkyawan magani yakamata ya zama yana da ɗan tasiri akan fitowar zuciya kuma yakamata ya haifar da yawan vasodilation. Ya kamata saukar da karfin jini dangane da hawan jini na farko. Koyaya, waɗannan halayen basu cika gamsuwa da magungunan zamani ba.

Nifedipine shine mafi yawan magungunan da ake amfani dasu don hauhawar jini. Nifedipine (daga 3 zuwa 20 MG) ya ba da raguwa mai sauri kuma amintacce a cikin karfin jini a cikin 98% na lokuta a cikin nazarin bude 21 a cikin marasa lafiya na 459 tare da matsanancin hauhawar jini.

Nifedipine

Oflyipine na baki wanda aka sha yana shan hanyoyi daban-daban. Yawancin dogara da hanyar gudanar da magani. Ya bayyana yin aiki mafi kyau azaman ci gaba mai sakin garkuwa. Sakamakon yakan faru ne a tsakanin mintuna 15-30.

Mahimmanci! Dole ne a kula da hawan jini don hana yiwuwar rikice-rikice da yanayi. Tare da cutar hawan jini, matsanancin haɗarin cututtukan zuciya (bugun jini, bugun zuciya da sauransu) yana ƙaruwa.

Yaushe zaka ga likita?

A matsayinka na mai mulki, tare da karuwa mai yawa a cikin karfin jini, ya zama dole a gaggauta isar da marassa lafiya zuwa asibiti. Idan ba a fara jiyya akan lokaci ba, mai haƙuri na iya mutuwa. Sabili da haka, a cikin wannan yanayin, koyaushe kuna buƙatar kiran motar asibiti ko ziyarci asibiti. Da sannu magani yana farawa, mafi kyawun fatan samun cikakken magani ga mai haƙuri.

Likita yakamata yayi nazarin yanayin mai haƙuri da auna karfin jini. Baya ga cutar hawan jini, mai haƙuri kuma yana da ciwon kai da cututtukan fata. Rashin ruwa da amai na iya nuna wata cuta. Idan kana jin tsoro sosai, ya kamata ka nemi taimakon likita.

Hyperemia

Bugu da kari, mara lafiya na iya rasa sani ko lalata kansa. Matsalar hangen nesa kwatsam na iya nuna alamun tashin zuciya. A matsayinka na mai mulkin, ya kamata ka kira likita na gaggawa da wuri-wuri.Idan kana da miyagun ƙwayoyi a kusa, zaku iya shigar da shi kafin motar asibiti ta isa.

Yin rigakafin

Zai fi kyau a hana fiye da maganin hauhawar jini. Marasa lafiya da ke fama da hauhawar jini suna buƙatar kulawa ta musamman ga salon rayuwa. Tafarnuwa na tafarnuwa, koren shayi, giya mai matsakaici, koko da omega-3 mai kitse suna taimakawa wajen kula da kyawawan dabi'u na hawan jini. Yanayi yana ba da duk abin da ya zama dole don daidaita karfin jini.

Mutane da yawa suna tambayar nawa suke rayuwa bayan rikicin? Yawancin ya dogara da rikitarwa masu biyo baya da yanayin haƙuri. Matsakaicin, marasa lafiya tare da rikitarwa rikicewa suna mutuwa a cikin shekaru 10.

A gaban zuciyar kirki, akwai yiwuwar hauhawar jini ya zama sakaci. Idan kuka mai da hankali kan hana cutar a farkon matakin, ba za a sami matsala hauhawar jini ba.

Omega 3

Mahimmanci! Game da kowane irin tuhuma, ana bada shawara a nemi likita. A lokacin farfadowa, ya zama dole a tsaurara kan shawarar likita. Yana da kyau a san cewa matsalar hauhawar jini ba ta barin kanta.

Sanadin

Babban hanyar hana rikice rikice shi ne kauda abubuwan da ke haifar da shi, haƙiƙa na waje ko na ciki. Stressara yawan damuwa a jiki na iya haifar da cututtukan glandar adrenal da kodan, tasoshin su, waɗanda ba sa iya kasancewa da tsufa.

Daga cikin abubuwanda ake haifar da abubuwan da ke haifar da bayyanar wani tashin hankali ya hada da:

Emotionalarancin kwanciyar hankali da nutsuwa, kasancewar neurosis.
Kasancewar babban damuwa na hankali wanda ke haifar da damuwa.
Gasar gado.
Rashin aikin Endocrine.
Rashin daidaituwa na ciki.
Rike da mayukan ruwa da gishiri a sakamakon abinci mai daidaitawa.
Soyayya ga munanan halaye.
Rashin daidaituwa, canje-canje kullun a matsin yanayi.
Cututtukan da ke damun su, yanayin lokutan su.
Rashin lafiyar koda.
Canza magunguna zuwa masu kama ba tare da shawara ta farko tare da gwani ba.
Arthrosis na kashin baya.

Orayan ɗaya ko fiye na abubuwan da aka lissafa abubuwan da ke faruwa na faruwa na iya faruwa gwargwadon siginar ɓangaren ɓangare na tsarin ciyayi. A wannan batun, hauhawar jini yana da rarrabuwa:

Nau'in Hyperkinetic.

Yana da haɓaka don haɓaka tare da haɓaka ingantattun sassan masu juyayi na tsarin mulkin kai. Siffar halayyar shine kasancewar wannan nau'in a cikin mutanen da ke ƙasa da shekara talatin, musamman a cikin maza. Yana da kayan haɗuwa tare da ƙaruwar hauhawar jini, tashin hankali daga tsarin jijiyoyi, karuwar gumi a jiki, ƙaruwar aikin zuciya, tare da tsananin zafin zuciya, wanda shugaban zai iya yin rashin lafiya sosai. A wannan yanayin, sau da yawa alamun wannan nau'in cututtukan cututtukan ƙwaƙwalwa suna rawar jiki, rauni mara nauyi a yankin kirji.

Alamar ja ta fuskar fuska na iya bayyana, mutum yana jin bushewar fuskar mucous na bakin ciki.

Wannan nau'in rikicin hauhawar jini yana haifar da sakamako mai banƙanci saboda rikitarwa mai wahala:

mai rauni rauni na jini a cikin kwakwalwa,
jini na ciki a cikin kwakwalwa,
bayyanar infarction na zuciya daga myocardial,
bayyanar cerebral edema,
koda dysfunction
takewar gabobin hangen nesa.

Samun nau'ikan matsaloli iri ɗaya, marasa lafiya da yawa suna cikin ƙuruciya suna cikin haɗarin kamuwa da bugun zuciya ko bugun jini, wanda kan iya kaiwa ga mutuwa.

Nau'in Hypokinetic.

Yana jin daɗin bayyana a hankali a hankali. Sau da yawa, a cikin marasa lafiya da ke da nau'in na biyu na tashin hankali, yawancin su mata ne masu matsakaitan shekaru. Rashin aiki na asalin hormonal, gabanin menopause, na iya ba da gudummawa ga wannan. Bayyanar cututtuka na farko sun bayyana a gaba, a cikin 'yan kwanaki har sai an sami cikakkiyar bayyanar matsala ta hauhawar jini.Kwayoyin cutar sun hada da:

Rashin wadatar lafiyar mai haƙuri, ƙaruwa da nutsuwa.
Rashin tausayi da raguwa a cikin yanayin aiki.
Cuta mai dawwama.
Mai tsananin zafi a cikin kugu na wucin gadi da kuma a garesu na kai, zafin na iya fashewa a cikin dabi'a.
Kasancewar tashin zuciya, bayyanar amai, wanda baya ƙare tare da ƙarin ci gaba cikin ƙoshin lafiya.
Rashin gani.
Bayyanar pallor, bushe fata.

Wannan nau'in tashin hankalin mai raɗaɗi yana haɗuwa tare da bayyanar kumburi mai isasshen ƙarfi, sakamakon riƙe salts da ruwa mai narkewa a jikin mutum. A wannan bayyanuwar ana kara raguwa a cikin yawan zuciya da karuwa a yawan zubar da jini, wanda yake haifar da manyan matsaloli ga zuciya.

Idan mai haƙuri ya ɓullo da cututtuka na ventricle na hagu, wannan na iya haifar da cututtukan huhun ciki, wanda kuma halayyar nau'in cututtukan cututtukan zuciya ne.

Tashin hankali

Menene matsalar hauhawar jini, menene sakamakonsa? Tare da ci gaba, ilimin ilimin halittu yana da ikon shiga cikin nau'in eukinetic (mai ɓacin rai ko maƙarƙashiya). Daidai ne a gare shi ya kirkiro duka biyu daga na farko kuma daga na biyu irin na tashin hankali hauhawar jini. Wani kwararren likita ne ya shiga cikin matsalar tashin hankalin hauhawar jini. Wannan nau'in cutar ta haifar da take hakkin yaduwar jini. A kan wannan yanayin, marasa lafiya suna da jijiyar wuya. Haka kuma, ana buƙatar hanya ta musamman ba kawai don samar da kulawar likita ba, har ma don samun magani na gaba game da matsalar hauhawar jini. Ya zama na kowa ne nau'in eukinetic ya zama yana tasiri ga jikin mutum kuma yana ɗaukar irin wannan rikice-rikice:

abin da ya faru na ciwon zuciya a cikin haƙuri,
ci gaban zuciya na zuciya arrhythmias,
hadarin bugun jini
matsanancin koda
abin da ya faru na cerebral da huhun ciki edema.

Lokacin ƙirƙirar bayyanar cututtuka, duk kwatancin yanayin lafiyar mai haƙuri, shekarunsa, da alamomin asibiti ana yin la’akari da su. Sannan ana misalta su da alamun cutar hawan jini a ciki:

koda dysfunction,
Rushewar endocrine,
kasancewar raunin kwakwalwa mai rauni wanda ya sha bambam,
neurocirculatory dystonia, yana nuna tsananin tsananin alamun alamun cutar,
ciwan kwakwalwa a gaban hawan jini,
sakamakon yin amfani da nau'ikan abubuwan narkewa (LSD, hodar).

Increaseara yawan jini da ba a sarrafa shi ba yana kara haɗarin rayuwar mai haƙuri. Rushewar zagayarwar jini a cikin kwakwalwa a gaban wani nau'in rikice rikicewar tashin hankali yana haifar da sakamako mara kyau ga mai haƙuri, koda a cikin nama, kafin mutuwa. A cewar likitocin, kusan rabin marasa lafiya da ke fama da rikice-rikice na hawan jini suna da haɗarin mutuwa shekaru da yawa yayin rashin ingantaccen kulawa da kulawa na haƙuri.

Bayan gano abubuwan da ke haifar da bayyanar cutar rikicewar jini a cikin haƙuri, likitoci sun yi amfani da nau'in magani wanda zai dace da sifar bayyana a cikin haƙuri. Koyaya, wannan yana da rikitarwa ta hanyar abin da ba'a zata ba yayin tashin hankali da rashin yarda da kusancin mara lafiya ko mutanen da ke kusa da su don samar da ingantacciyar kulawa ta likitanci lokacin bayyanuwarsa ta farko.

Me zai yi idan mutum yana da matsalar tashin hankali? Yana da kyau a san alamunsa, waɗanda ke faruwa a kowane matakai na ci gaban cutar. Wadannan sun hada da:

Yawan hauhawar jini ba tare da kulawa ba.
Kyakkyawan ciwon kai a cikin yankin na parietal da ɓangaren occipital na shugaban.
Kasancewar rashin farin ciki tare da raguwa a cikin kwarewar gani na mai haƙuri.
Jin zafi a cikin yankin kirji yayin haɓaka bugun zuciya.
Saurin numfashi saboda karancin oxygen a cikin jini.
Ciwon kai tsaye ko amai ba tare da ƙarin cigaba a cikin lafiyar mai haƙuri ba.
Feelingarfin jin nutsuwa ko asarar hankali.

Yin ma'amala da sakamakon

Bayan rikicewar hauhawar jini, da yawa daga cikin marasa lafiya suna jin alamun rashin jin daɗi, kamar ciwon kai da farin ciki, waɗanda ke da alaƙa da tasirin cutar kanjamau a jikin ɗan adam.

Wadannan abubuwan mamaki suna daukar lokaci mai tsawo. Koyaya, koyaushe akwai yuwuwar shawo kan su, tare da ikon kawo jikinka cikin sautin.

Dizziness da ciwon kai

Sau da yawa, tsananin farji da ciwon kai sune sakamakon kai tsaye da ke haifar da wani tashin hankali, tare da rashi gani lokaci, duhu cikin idanuwa, karuwar nutsuwa da rauni da ke aiki na kayan aiki.

Wannan duk yana da alaƙa da tsarin halitta, sabuntawa da sake fasalin jiki don ƙara daidaita tsarin jini. Yana buƙatar samun ƙwarewa ga sabon fasalin aiki. Don shawo kan tsananin rashin nasara da kuma nasarar dawo da jiki, likitoci sun bada shawarar amfani da magunguna da magungunan gargajiya a hade tare da daidaita tsarin abinci.

Dizzness bayan wani tashin hankali hauhawar jini na faruwa a sakamakon take hakkin da uniform jini gudan shiga kwakwalwar mutum.

Sakamakon akai-akai da haɓakar haɓakawa a cikin jini, ganuwar tasoshin suna wahala, wani abin da ya saɓa wa roƙon yana faruwa, kuma lokacinsu zai iya faruwa. Tare da rikicewar hauhawar jini, jiki kuma yana jin karancin abubuwan gina jiki waɗanda ke ba da gudummawa ga aikin da ya dace. Wannan na iya shafar jin daɗin rayuwa, ba wai kawai cikin tsananin damuwa ba. Hakanan akwai yuwuwar asarar hankali ko kasala.

Rashin kwanciyar hankali a wasu yanayi na iya faruwa sakamakon raguwar farin jini da ba'a zata ba. Dizziness shima yana da mallakin bayyana kansa idan mara lafiyar yana cikin yanayin cikakken kwanciyar hankali da rashin rayuwa, ko kuma tare da dan wani motsi na kai. Za a iya taɓar da cutar koda da rufe idanu, tare da hanzarta hanzarta yin tafiya, da ƙananan motsi, bayan canji mai ƙarfi a cikin yanayin jikin mutum, tsawan zamansa, yayin bacci.

Abubuwa da yawa na iya shafar rikitarwa bayan rikicewar hauhawar jini kamar haɓaka tazarar mita da ƙarfin ƙarfin zuciya:

canza yanayin meteorological,
canjin bangarorin yanayi,
rikicewar hormonal,
rashin kwanciyar hankali
lalata mutum lafiyar jiki,
amfani da abubuwan sha wanda ke dauke da maganin kafeyin da sauran abubuwan motsa jiki na zahiri (Coca-Cola, koren shayi, makamashi),
shan taba da barasa.

Masana sun dage kan neman karin magani bayan sun sha fama da matsalar hauhawar jini, da nufin maido da zagayarwar jini da rike sautin jijiyoyin jiki. Kawai tare da tsananin kiyayewar shawarwarin likitan ne mai haƙuri zai iya kawar da tsawaita tsawaita akai-akai.

Babban makasudin magani game da rikice-rikicen jini shine hana abin da ya faru. Amfani da kwayoyi na kan lokaci na taimaka wajan hanzarta dawo da mara lafiya.

Likitoci sun ce tsananin farin ciki da alaƙa da sakamakon tashin hankali da kuma mummunan bayyanar sa yakan haifar da rashin atherosclerosis. Don hana lalacewa a cikin lafiyar mai haƙuri, likita na iya tsara magunguna masu alaƙa da maganin diuretics, masu hana ACE, maganin antispasmodics.

Hakanan, mafi mahimmancin hanyar hana ciwon kai da taushi shine amfani da facin fata na musamman don hauhawar jini, wanda ya haɗa da ganyayyaki da dama, magunguna waɗanda aka murƙushe sosai har zasu iya shigar da jijiyoyin jini ta fata da shiga cikin jiki saboda yaduwar jini na halitta.

Babban ayyukan patch yana taimakawa don cire manyan alamun rashin farin ciki, taimakawa ga mafi kyawun sha daga magungunan antihypertensive. Hakanan, kyakkyawan tasirin magungunan sun hada da inganta aikin kwakwalwa, da inganta sautin jijiyoyin jiki da kuma taushi, da kuma rage gajiya. Koyaya, yakamata a ɗauka a zuciya cewa tare da yin amfani da facin patch, tsananin farin ciki da matsanancin ciwon kai na iya ƙaruwa.

Hanyar magani ta amfani da hanyoyin magungunan gargajiya, galibi ya ƙunshi liyafar farar roba, amfani da ruwan 'ya'yan itace wanda aka matse daga kayan lambu da' ya'yan itace iri-iri.

Shin shugaban yana zube bayan lura da wani rikici na tashin hankali? Wannan na iya nuna cewa magani da aka bayar bai wadatar ba, kuma ya kamata a tsawaita shi gaba ɗaya don cire alamun rashin jin daɗi, kuma wannan duk da cewa matsanancin matsin lamba na iya daidaita al'ada. Ci gaba da magani yana buƙatar mai haƙuri ya kasance mai kwantar da hankali, na ciki da na waje. Kare kanka daga dukkan abubuwanda masu cutarwa daga waje. Tryoƙarin kasancewa cikin hutawa a duk lokacin da zai yiwu, ka sake kwantar da dakin sau da yawa don numfasawa iska mai ƙarfi wanda ke wadatar da jini tare da oxygen sau da yawa. Idan har yanzu kuna da ciwon kai bayan wannan - yakamata ku tuntuɓi likitan ku.

Tare da ƙara yawan damuwa da aikin haƙuri, likitoci suna ba da shawarar yin amfani da maganin hana maye. Ba kwa buƙatar jinkirtar da likita sau da yawa idan yanayin lafiyarku ya tabarbare.

Cikakken cikakken magani ne likita ya wajabta shi. Hankali game da magunguna na kwararru hanya ce ta kai tsaye zuwa maimaita rikice rikice. Rashin raunin jiki da ƙarancin lafiya alamomi ne na hanyoyin tafiyar da cuta, waɗanda ke haifar da lalacewa a mafi kyawun lokacin.

Hanyoyin hanawa

Hanyoyin rigakafin da ake nufin hana bayyanar wani tashin hankali shine yawanci a kan kawar da manyan abubuwan da ke haifar da cutar, musamman idan mai haƙuri yana da hauhawar jini a gabani. Hanyoyin rigakafin sun hada da:

Yarda da tsarin yau (aiki, hutawa, abinci).
Yin amfani da magunguna na yau da kullun waɗanda ke ba da gudummawa ga mafi kyawun daidaituwa na hauhawar jini.
Banda daga abincin abincin da ya kunshi gishiri da kitsen dabbobi.
Yin rigakafin ci gaban arthrosis na kashin mahaifa da sauran cututtukan da suka shafi daidai tsarin tafiyar jini.
Yana motsa jiki na motsa jiki, amfani da tausawa.
Lokaci na ciki inpatient magani.
Yin amfani da maganin maye.
Jiyya a cikin sanatoriums ko sanatorium hadaddun.
Barin munanan halaye kamar shan sigari da shan giya.

Hawan jini ya fara fitowa kwatsam kuma cikin sauri, wanda hakan ke nuna cewa yana da matukar wahala a hana ci gaba da cutar.

Ya dogara gaba ɗayan rayuwar mutumin da kansa. Tattaunawa da lokaci da likita yayi zai taimaka wa mutum gaba daya ya hana bayyanar wani tashin hankali.

An yi amfani da hanyoyin bayanan da ke gaba don shirya kayan.

Dalilan da ke haifar da tashin hankali

Kamar yadda al'adar ta nuna, rikici na iya faruwa duka biyu game da yanayin hawan jini, da kuma cikakkiyar lafiya. Karin dalilai na wannan tsari sune:

rashin cire magungunan kashe rigakafi,
rashin amfani da ilimin hawan jini,
barasa giya
sakamakon rauni kwakwalwa,
atherosclerosis na aorta,
glomerulonephritis,
ciwon sukari mellitus
lupus kumarar,
Itsenko-Cushing cutar,
miyagun ƙwayoyi
periarteritis nodosa.

Dukkanin wadannan cututtukan ba dalilai ne na tashin hankali ba.Tasirin shi ne damuwa, rashin lafiyar yau da kullun, rage cin abinci mara kyau, shan giya, shan sigari, yawan motsa jiki, tashin hankali na hormonal. Hakanan yana da daraja a tuna cewa marasa lafiya koyaushe ba za su iya fama da hauhawar jini ba, akwai lokuta da yawa yayin da wasu magunguna suka ba da sha'awa.

Nuna shine ƙididdigar waɗanda ke fama da rikicin. Mafi yawan lokuta, wannan cutar tana bayyana kanta a cikin maza fiye da mata. A cikin mata, ana rubuta wannan yanayin daga shekaru 50 zuwa 60, yayin haila.

Bayyanar asibiti, nau'in rikice-rikice

Don samar da taimako na farko ga mutum yadda yakamata, kuna buƙatar sanin ba kawai alamun cutar tashin hankali ba, har ma da nau'ikansa.

Ganin cewa a lokacin tsufa mutum yana da cututtukan cututtukan cututtukan daji masu yawa, canje-canje masu girma a cikin tsarin zuciya, mutum ba koyaushe yake karɓar magani na ƙwararru ba, amma yana ɗaukar kwayoyi don kansa, yana da wuya a ƙaddara sakamako bayan rikicewar hauhawar jini.

Likitoci sun bambanta nau'ikan rikicin biyu:

Sympathoadrenal. Abubuwan da ke haddasawa sune juyayin ƙwayar cuta, ƙoshin abinci. Mafi sau da yawa, wannan matsalar tana bayyana kanta a cikin matasa waɗanda ke da tsarin rayuwa na yau da kullun, waɗanda suke yin watsi da hutawa da suka dace. Wani fasalin wannan nau'in shine saurin haɓaka. A cikin marasa lafiya, hawan jini nan da nan ya tashi, bugun jini yayi saurin, sweating ya bayyana, kuma ana jin bugun jini a kai.
Tare da nau'in hypokhenic, haɓaka yana faruwa a hankali kuma koyaushe ba mai lura bane ga mai haƙuri. Mutane ba su kula da manyan abubuwanda ke faruwa ba: gaskiyar cewa ciwon kai na fiye da kwana biyu, tashin zuciya, santsi, da raunin gani. Rikicin hypokenic yana faruwa tare da sakamako, sau da yawa yakan haifar da rikitarwa.

Zamu gano yadda za'a gane matsalar hauhawar jini a cikin mutum. Yana bayyana kanta a sarari, yana da bayyane hoto na asibiti. Daga cikin manyan alamomin akwai masu zuwa:

hauhawar hawan jini,
kaina na fara ciwo
amai da tashin zuciya sun bayyana
rauni ya tashi a jiki,
da jin tsoro ne kullum girma da kuma ƙaruwa,
akwai zafi a yankin zuciya,
samarin
mara lafiya ba zai iya yin numfashi mai zurfi ba
sweating na ƙarshen, jin sanyi, shortness na numfashi,
Yana da wuya mutane da yawa su jujjuyawa yayin matsala,
a cikin lokuta daban, akwai raɗaɗi,
rikicewar hankali har zuwa cikakkiyar asara.

Kada ku jira cikakken hoto na asibiti na mai haƙuri, ya kamata a fara taimakon farko da zaran shugaban ya kamu da rashin lafiya, farin ciki ya bayyana.

Dokoki don samar da taimakon farko

Jiyya da rage girman mummunan sakamako kai tsaye ya dogara da taimakon da aka baiwa mai haƙuri kafin isowar ƙungiyar likitocin. Jerin ayyukan kowane mutum ya zama kamar haka:

Kira "motar asibiti".
Don zama wurin mai haƙuri, roƙe shi ya kwantar da hankali. A cikin halin da ake ciki na rikici da karuwar tsoro, yana da matukar mahimmanci ga mara lafiyar ya bayyana a fili cewa za a ba shi taimako a yanzu. Daidaita yanayin karfin jini zai dogara da yadda ya huta da sauri.
Don tilasta mutum ya numfasa daidai: inhalation ya zama mai zurfi, kuma konawa ya zama mai jinkiri da tsawo.
Aiwatar da murfin dumama mai sanyi na mintuna 10-15 zuwa kan shugaban idan mai haƙuri yana da ƙyau bayan tashin jini.
Don kwance makullin maɓallin mai haƙuri, damfara kirji, makogwaro.
Ka ba wa mara lafiyar magani na rashin lafiya wanda ya ke ta shan wahala har zuwa wannan lokacin, yana jiran isowar jirgin motar daukar marasa lafiya.
Sanya kwaya “Corvaltapa”, “Validol” a ƙarƙashin harshen, idan wannan maganin bai kusa ba.
Ku bauta wa kowane ruwa mai saukad da ruwa, kamar Corvalol, Motherwort ko Valerian.
Bayan harin ya fara murmurewa, mara lafiya zai fara jin sanyi sosai.Don rage bayyanarsa, ya zama dole a lullube mutum da bargo mai ɗumi ko saka murfin murhu.

Yana da mahimmanci a tuna! Idan mai haƙuri yana da matsanancin matsin lamba ko ya tashi sosai, to kuna buƙatar ɗaukar haƙuri da sauri zuwa asibiti, tunda kowane jinkiri na iya kashe rayuwar mutum.

Marasa lafiya likita

Ana iya kulawa da marasa lafiya a asibiti ko a kan marasa lafiya, duk ya dogara ne da jin daɗin rayuwa gaba ɗaya da kasancewar wasu cututtukan na kullum. Don hana rikice-rikice da daidaita al'ada bayan tashin hankalin hauhawar jini, likitoci suna amfani da rukunonin magunguna masu zuwa:

kamuwa da cuta
vasodilators,
masu hana beta
masu maganin tashin zuciya
idan akwai damuwa mai zurfin jijiya, jin tsoro, fargaba, fargaba, magunguna, shakatawa.

Tambaya mai dacewa ta taso: abin da za'a yi bayan rikicin hauhawar jini. Yakamata likitan da ke halartar yakamata ya bayarda cikakkiyar amsa game da ita. Kuskure ne a yi tunanin cewa magani guda a asibiti zai iya hana rikice-rikice a nan gaba. Yana da kyau a fito da ingantaccen tsarin hanyoyin kariya don rage irin wannan yanayin.

Sakamakon sakamako da rikice-rikice

Ganin cewa tsalle-tsalle mai karfi a cikin jini zai iya faruwa a cikin mutum a kowane zamani, sakamakon tashe-tashen hankulan da suke jinkirtawa (GC) zasu bambanta.

Mata yayin rikicewar hormonal - lokacin haila, lokacin haihuwa, lokacin balaga - yawanci suna fuskantar irin wannan bayyanuwar. Hakanan, kar ku manta cewa ita ce jima'i na adalci wanda yake aiki sosai don amsawa ga yanayin damuwa, ƙwarewa. Idan mace ta kasance tana cutar HA, to, sakamakon zai iya zama kamar haka:

hanji harshe,
na huhun ciki,
m ko duka asarar hangen nesa, ji,
bugun jini
encephalopathy
angina pectoris
bayan matsalar hauhawar jini, mata da yawa suna jin daɗi na dogon lokaci,
bugun zuciya.

Yana da matukar mahimmanci ga irin waɗannan marasa lafiya su ba da kulawa ta asibiti a cikin sa'o'in farko na harin, saboda kowane jinkiri na iya haifar da mutuwa. Maza kuma suna da haɗuwa da HA, yayin da ƙarfin damuwa ke ƙaruwa, saboda haka, daga cikin rikice-rikicen na iya kasancewa:

lalata
m ko duka asarar hangen nesa,
bugun jini
tafiyar matakai na rayuwa a cikin tsarin zuciya,
bugun zuciya
angina pectoris
paresis
inna
m sakamako.

A lokacin daukar ciki, mata da yawa suna fuskantar tasirin cutar hawan jini. Idan irin waɗannan yanayi sukan bayyana akai-akai, to wannan na iya zama barazana ga rayuwar mai ciki ko wacce ba a haife ta ba. Matan da ke da juna biyu yakamata su yi cikakken isasshen amsa ga ciwon kai, gazawar numfashi, amai, da kuma neman taimakon likita. Game da cigaban HA, alamuran wadannan suna iya bayyana:

hypoxia fetal,
cuta cuta a cikin ci gaban tayin,
lahani na zuciya
bugun jini
na gazawar
na huhun ciki,
micro shanyewar jiki.

Mafi haɗari sune sakamakon rikicewar hauhawar jini a cikin tsufa. Bayan tsalle mai tsayi cikin matsin lamba, marasa lafiya na iya ji da gogewa:

kirji a zuciya,
tsananin farin ciki
tashin zuciya, amai,
m tashin hankali, tashin hankali, overexcitation,
hannuwa mai rawar jiki
gyara man fuska
gumi.

Zasu iya zama dabam dabam har zuwa sakamako mai mutuwa.

Bayyanar cututtuka da alamun cutar tashin hankali

Babban bayyanuwar rikicin hauhawar jini shine kwatsam mai saurin hauhawa a cikin jini, wanda ke tattare da babban barkewar haɓaka a cikin mahaifa, yaduwar cutar, wanda hakan ke haifar da haɗarin haɗarin cututtukan zuciya (bugun jini, taɓar jini na zuciya, zubar jini na jini, zubar da cutar aortic aneurysm, ciwon huhu, rashin lafiyar koda babban rauni na ventricular hagu tare da cututtukan huhun ciki, matsanancin rashin jijiyoyin jini, da sauransu).

Haɓakar rikicin hauhawar jini yana tare da alamomin masu zuwa:

juyayi mai juyayi
damuwa
damuwa
bugun zuciya
jin rashin iska, "rawar jiki"
gumi mai sanyi
Fata "Goose"
rawar jiki (rawar jiki) na hannu,
jan fuska.

Sakamakon raunin ƙwayar cuta na hanji, farji, tashin zuciya, amai, da matsalolin hangen nesa suna faruwa.

Cutar cututtukan cututtukan hawan jini ya bambanta sosai, amma cutar da aka fi sani da aka gano a farkon matakan haɓaka tashin hankali shine ciwon kai, wanda za'a iya haɗa shi da tashin zuciya, amai, amai, amai. Yawancin lokaci ciwon kai yana ƙaruwa tare da motsi na kai, hancin, hanjin motsi. Bugu da kari, ana iya kasancewa tare da daukar hoto da azaba a idanun yayin da suke motsawa.

G.F. Lang ya bambanta ire-iren ciwon kai da ke fama da tashin hankali da hauhawar jini.

Zazzabin ciwon kai wanda yake aiki da neurosis, wanda yayi aiki da tushen bayyanuwar hauhawar jini,
hankula ciwon kai na wani paroxysmal, yanayin pulsating, wani lokacin maras nauyi ko azzalumi,
ciwon kai ya lura cikin tsananin tashin hankali.

Yawancin ciwon kai wanda yake da hauhawar jini yawanci yakan faru da dare ko da safe kuma ana samunsa ne a ɓangaren gaba, na wucin gadi ko occipital. Irin wannan ciwon kai yana da alaƙa da raunukan jijiyoyin bugun jini - kashin ciki - da kuma jijiyoyin wuya. take hakkin jijiyoyin mara amfani da jijiyoyin jiki da kuma jijiyoyin jijiyoyi, har da matakin matsa lamba na jijiyoyin cerebrospinal.

Dangane da yanayin mummunar cutar hauhawar jini, ciwon kai yana haɓaka sakamakon gagarumar karuwa a cikin jijiya da matsin lamba a cikin mahaifa, kuma yana tare da tashin zuciya, raunin gani.

Wata alama kuma ta yau da kullun game da rikice-rikice ta hauhawar jini ita ce tsananin farin ciki - tsinkayewar yanayin jujjuyawar abubuwan kewayen.

Akwai nau'i biyu na tsananin farin ciki tare da hauhawar jini:

tsananin farin ciki wanda ke faruwa ko yayi muni lokacin da matsayin kansa ya canza,
fitsari, wanda ya bayyana komai matsayin kai kuma baya tare da jin motsi.

Dalilin rashin nauyi, tare da jin motsi, shine dystonia a cikin jijiya ta jijiya.

Dizzness, ba tare da wata ma'anar motsi ba, yana da alaƙa da dystonia a cikin jijiyar carotid.

Rashin rikicewar jijiyoyin cuta (rikicewar tsarin juyayi), wanda aka lura tare da rikicewar hauhawar jini, an ƙaddara mafi yawan matakan hauhawar jini.

A matakin farko na hauhawar jini, ana lura da mafi yawan cututtukan neurotic, ba sau da yawa - ciwo na diencephalic (in ba haka ba - cututtukan hypothalamic, wanda aka san shi da endocrine, autonomic-vascular, metabolic da sauran rikice-rikice).

A mataki na II, raguwar ayyukan hypothalamus suna da yawa.

Yawancin cututtukan hypothalamic shine mafi yawancin lokuta ana lura dashi a cikin menopause a cikin mata masu fama da hauhawar jini na II.

Ya kamata a lura cewa a mataki na II na hauhawar jini, rikicewar focal-discirculatory cuta (cuta na yau da kullun) shima yana faruwa.

Rikice-rikicen hauhawar jini yana haifar da farawa kwatsam kuma yana iya wuce kwanaki da yawa. Bayyanar cututtuka ta bayyana a cikin fewan mintuna ko awanni 1-3. increasearuwar hauhawar jini a cikin marassa lafiya daban-daban mutum ne na yanayi, wato, yana iya kaiwa matakin daban. Thewararrun masu nuna alamun a cikin marasa lafiya daban-daban suna da yawa sosai - daga 130/90 zuwa 240/120 - kuma an ƙaddara shi da matakin farko na hauhawar jini. A cikin waɗannan maganganun lokacin da mai haƙuri koyaushe yana da matsin lamba na matsin lamba, koda ƙaramin ƙara ƙaruwa zai iya tayar da haɓakar tashin hankali.

Sanadin hauhawar jini

Dalilin faruwar wani tashin hankali na iya zama wani yanayi na damuwa da matsanancin motsa jiki, wanda ke tsokanar bugun zuciya da haɓaka.

Yawanci, rikicin hauhawar jini yana faruwa ne akan asalin cutar hauhawar jini, lokacin da mara lafiya ya ɗauki magunguna akai-akai don rage karfin jini, da kansa ya canza sashi ko cin mutuncin kofi, giya da gishiri.

Menene zai tsokani hauhawar jini?

Raunin raunin kwakwalwa.
Cututtukan ƙwayar cuta (aortic atherosclerosis, ciwon sukari, lupus, periarteritis nodosa, cutar koda).

Tabbas, rikici ba koyaushe yake faruwa ba saboda dalilai na sama. Sau da yawa, damuwa ko hauhawar jini, yawan motsa jiki ko kuma amfani da magunguna na hormonal, canje-canje kwatsam a yanayin, ko gazawar hormonal suna ba da gudummawa ga shi.

Dangane da lura da lamarin, galibi tsofaffi ke fama da matsalar hauhawar jini, musamman ma yayin da ya fi ƙarfin jima'i daga shekaru hamsin da biyar.

Sanadin rikicin hauhawar jini

Rikici mai hauhawar jini yana faruwa a kowane mataki na hauhawar jini, gami da cutar hawan jini. Wani lokacin rikicewar hauhawar jini yana tasowa koda a cikin mutum mai lafiya. Koyaya, yawancin rikice-rikice masu hauhawar jini suna faruwa a ƙarshen ƙarshen hauhawar jini ta rikitarwa ta atherosclerosis.

Maimaita tashe-tashen hankula na hauhawar jini, yawan komawarsu akai-akai a wasu yanayi sakamakon rashin daidaituwa ne. Bugu da ƙari, abubuwan da ke kara haɗarin rikice-rikicen tashin hankali sun haɗa da damuwa, amfani da kofi mai yawa da / ko giya, yawan shan giya, katse magunguna waɗanda ke rage karfin jini, tasirin canje-canje na meteorological, rikicewar hormonal, kazalika da wasu cututtuka na kwakwalwa, zuciya da kodan.

Rikice-rikicen rikice-rikice na iya haifar da cututtukan huhun ciki da na maza.

Rikice-rikicewar hauhawar jini a kan asalin cutar atherosclerosis, haɓaka cikin tsofaffi marasa lafiya, yawanci mai tsanani ne kuma mai tsawo. Irin waɗannan rikice-rikice yawanci suna faruwa ba zato ba tsammani, tare da rikicewar yanayin jijiyoyin ƙwayar cuta da hauhawar hauhawar hawan jini.

Rikice-rikice kan asalin cutar atherosclerosis ana nuna shi ta hanyar haɓaka tsinkaye na gani da jijiyoyin jiki, fitar da kai, ƙaiƙayi, tashin zuciya, amai, hayaniya da ringing a cikin kai da kunnuwa, duhu cikin idanu.

Wani lokacin ciwon kai na iya zuwa tare da tashin hankali na jijiyoyin jiki na lokaci-lokaci, da azaba a idanu da azanci mai ratsa jiki yayin motsi, daukar hoto. Kari akan haka, alamu kamar wawanci, karuwa ga damuwa, matsanancin damuwa, jan launi ko fuskar fuska, jin sanyi, urination mai yawa, da kuma wani lokacin gazawar ɗan lokaci.

Rikice-rikicewar hauhawar jini tare da bayyana na gida game da asalin cutar atherosclerosis ana danganta su da rikice rikicewar jini a cikin tasoshin cortex na ƙwaƙwalwar ƙwaƙwalwa. Abubuwan da ke tattare da rikicewar jijiyoyin cutar a cikin wannan yanayin shine ƙyallen fuska, tsinkayewar hankali a wasu yankuna na fatar fuska, wata gabar jiki, yatsunsu, wani lokacin rikicewar psychomotor, dizzness, diplopia (hangen nesa biyu), raguwar gani na gani, raguwar “ƙudaje” a gaban idanun, haske, da sauransu. Haka nan akwai cin zarafin tasirin tendon, da sauransu, hanci, wasu lokuta masu mahimmanci, amai da jini.

Takaddun cuta na rikicewar hauhawar jini

Akwai rarrabuwa daban-daban na rikice-rikicen hauhawar jini saboda dalilai daban-daban: hanyar kara hauhawar jini yayin ci gaban rikicin, tsananin rikitarwa, bayyanuwar asibiti, da dai sauransu, yana da mahimmanci a tuna cewa ba tare da la’akari da irin matsalar hauhawar jini ba, mai haƙuri yana buƙatar kulawar likita ta gaggawa.

Hyperkinetic, hypokinetic da eukinetic rikicin. Dangane da halayen kayan aiki don haɓaka hawan jini, nau'ikan tashe-tashen hankula ana rarrabe su: hyperkinetic, hypokinetic da eukinetic. Bambanci tsakanin ire-iren wadannan matsalolin shine ko fitar jini daga zuciya yana karuwa ko juriya daga tasoshin jijiyoyin yana karuwa, ko kuma duka biyun lokaci guda.

A cututtukan hyperkinetic an lura da karuwar fitowar zuciya tare da al'ada ko rage juriya na tasoshin yanki (matsin lamba systolic ya tashi).

Rikicin Hyperkinetic yana haɓaka a farkon matakan hauhawar jini (I - II), yawanci cikin sauri kuma ba tare da ambaton ɓarkewar da ta gabata a cikin lafiyar mai haƙuri ba. Nan da nan akwai ciwon kai mai kaifi, wanda ana iya jan jini, kuma a wasu halaye tare da murza “kwari” a gaban idanun. A wasu halaye, mai haƙuri yana jin tashin zuciya, wani lokacin amai yana faruwa.

Ci gaban rikicin yana tattare tare da jin daɗin mai haƙuri, jin daɗin rawar jiki da zafi a cikin jiki duka, haɓaka gumi, bugun jini. Sau da yawa fatar ta jike, ana ganin bayyanar jan tabo a kanta. Dakyar tayi sauri (wannan na iya hade da zafi a zuciya da kara karfin bugun zuciya).

A gaba da asalin hauhawar hauhawar jini na systolic, matsi na diastolic yakan hau zuwa matsakaici, kusan 30-40 mm RT. Art., Haifar da ƙara matsa lamba na bugun jini. Ana iya gano cin zarafin zuciya ta amfani da kayan lantarki.

Halayyar rikicewar hyperkinetic ana saninsa ta hanyar haɓaka saurin ci gaba da gajeren hanya - daga mintuna da yawa zuwa sa'o'i da yawa Rikicewar wannan nau'in na iya haɓaka tare da hauhawar jini kuma tare da wasu siffofin hauhawar jini na sakandare. Rikice-rikice masu rikicewa bayan rikicewar hyperkinetic suna haɓaka da wuya.

A rikicewar hypokinetic akwai raguwa a cikin fitarwa na zuciya da karuwa mai yawa a cikin juriya na tasoshin yanki (wato, diastolic matsa lamba ya tashi).

Rikicin Hypokinetic yawanci yakan faru ne a cikin marasa lafiya da ke fama da hauhawar jini na dogon lokaci (matakan I - III na cutar). Bayyanannun alamun rikicin sannu a hankali. Za'a iya samun raunin gani da ji. Yawan bugun zuciya ya kasance al'ada ko an rage raguwarsa (bradycardia). Mafi yawa, hauhawar jini na jini ya tashi.

Tare da rikicewar nau'in hypokinetic, electrocardiogram, a matsayin mai mulkin, yana nuna rikice-rikicen da aka ambata fiye da rikicin hyperkinetic.

Irin wannan rikicin yana ƙara haɗarin haɓakar bugun zuciya.

Rikicin Eukinetic halin da alamu na yau da kullun na fitowar zuciya da karuwar juriya na tasoshin yanki (wato, haɓakar systolic da haɓakar bugun jini).

Rikicin Eukinetic, a matsayin mai mulkin, yana faruwa ne a cikin marasa lafiya da ke fama da hauhawar jini a matakai na II - III a bango na ƙararren hauhawar jini a wasu fannoni na hauhawar jini.

Rikicewar wannan nau'in yana haɓaka da sauri tare da farkon haɓaka hawan jini, amma ba shi da hanya mai ƙarfi, sabanin tashe-tashen hankula na hyperkinetic.

Rikice-rikice masu rikitarwa da rikitarwa. Ya danganta da kasancewar lalacewar gabobin wadanda ke tare da rikicin, an sami rarrabuwar kawuna a wurare marasa rikitarwa da rikitarwa.

Rikice-rikice marasa rikitarwa a matsayin mai mulkin, za su iya haɓakawa a farkon matakan hauhawar jini. A wannan yanayin, akwai karuwa mai sauri kwatsam a cikin karfin jini, amma babu alamun alamun lalacewar gabobin da aka yi niyya.

A cikin rikice-rikicen rikice-rikice, matsala ta wucin gadi a cikin gudanawar ƙwayar cerebral, da yawa na rikicewar jijiyoyin jijiyoyin jini, kazalika da rikicewar hormonal (alal misali, sakin mahimmancin adrenaline) na iya faruwa. Bayyanar cututtuka na rikicewar tashin hankali wanda ba a canza shi ba ana tantance shi ta hanyar bayyananniyar da ke tattare da hauhawar hauhawar jini, kazalika da keta alfarmar hauhawar jini.

Yawancin lokaci tashin hankalin hauhawar jini yana farawa da ciwon kai mai tsananin zafi kwatsam, yawanci tare da rashi, tashin zuciya, amai, da hargitsi na gani. Bugu da kari, akwai alamura kamar tashin hankali, tashin hankali, zazzabi da zufa, suna cudanya da jin sanyi da rawar jiki a cikin gabar jiki, jin rashin iska, gajeriyar numfashi, wani lokacin zafin zuciya, bayyanar jan tabo a fata, musamman kan fuska, wuya da hannaye, haɓaka ƙwaƙwalwar zuciya, haɓaka mai ƙarfi a cikin karfin jini, musamman systolic (babba).

Bayyanar yau da kullun na rikicewar tashin hankali wanda ba a daidaita shi ba, ji ne na rawar jiki, gumi mai sanyi da sanyi.

Rikice-rikicewar cututtukan da ba su iya rikicewa ba yawanci suna haɓaka cikin hanzari kuma suna ɗan gajeren lokaci (galibi sa'o'i 2-3), kuma ana iya tsayawa sauƙin tare da taimakon magungunan antihypertensive. Koyaya, duk da kasancewar rikice-rikice a cikin gabobin da aka yi niyya, har yanzu rikicin yana haifar da wata barazana ga rayuwar mai haƙuri, saboda haka, dole ne a rage hawan jini a cikin 'yan awanni.

Rikice-rikicen Rashin Tsayi ƙarin hankula don ƙarshen matakan hauhawar jini (II - III).

Mafi na yau da kullun a rikice rikicewar hauhawar jini shine rikice-rikice na jijiyoyin jini, wanda mafi yawan shine encephalopathy mai hauhawar jini (hypertensive).

Babban haɗarin encephalopathy mai hauhawar jini shine rikitarwarsa, ciki har da bugun jini, cutar Parkinson, rage hankali, da dai sauransu, rikicin hauhawar jini na iya kasancewa tare da ischemic stroke, kumburi na kwakwalwa, huhu, retina, myocardial infarction, m renal failure, m hagu ventricular failure, angina pectoris, cardiac arrhythmias, raunuka na jijiyoyin jiki, tashin hankali ischemic attack, da sauransu.

Haɓakawar rikice rikice rikicewar jini yawanci yakan faru a hankali kuma yana iya wuce kwanaki da yawa. Bayyanar farko na irin wannan rikice-rikice galibi suna ƙaruwa da nutsuwa, jin nauyi a kai da sautin cikin kunnuwan. Hakanan ana lura da waɗannan alamomin: matsanancin ciwon kai, tsananin farji, tashin zuciya, amai, matsananciyar zafi a yankin zuciya, rauni da ji, rashi, jinkirin motsa jiki, asarar hankali, gazawar numfashi, shaƙuwa, sanyin jiki a huhun huhu.

A cikin matsayi na supine, ƙarancin numfashi na iya zama da ƙarfi, amma ya raunana a cikin rabin wurin zama. Fata na mai haƙuri tare da rikitaccen rikicewar hauhawar jini ya zama sanyi da bushe, kuma fuskar ta sami launin shuɗi-ja. Canje-canje da aka bayar da sanarwar canje-canje a cikin magudanar ba galibi ba sa lura da su. Increaseara yawan matsa lamba tare da rikitarwa rikice-rikice ba shi da kaifi da ƙarfi kamar na rikicin hawan jini.

Rikice-rikicen rikice-rikice suna haifar da barazana ga rayuwar mai haƙuri kuma suna buƙatar rage hanzarin jini. Wani fasali na rikice-rikice masu hauhawar jini shine cewa suna haɓaka hankali, kuma alamu na ci gaba na kwanaki da yawa kuma wani lokacin bayan rage karfin jini.

Yawancin nau'ikan rikice-rikice masu hauhawar jini ana rarrabe su dangane da ainihin cutar ta rauni: cerebral (babban rikice-rikice yana shafar kwakwalwa), jijiyoyin jini (jijiyoyin zuciya (jijiyoyin jijiyoyin jijiyoyin jiki) suna cikin jijiya)) da asthmatic (damuwa a hagu na hagu na zuciya).

Harafin rikicewar hauhawar jini na iya haifar da haɓakar mummunan haɗarin cerebrovascular - encephalopathy mai hauhawar jini, haɗarin tashin hankali na lokaci mai guba, shanyewar jiki.

Rikicin mahalli da ke fama da cutar sankara yana faruwa ne sakamakon halin bacci (rashin kwanciyar hankali), karuwar fitowar fitsari.

Rikicin cerebral mai hauhawar jini tare da cututtukan hypothalamic shine bayyanar da kasancewar a cikin marasa lafiya na tsinkayar komawar neurosis, wanda ke da alaƙa da lalatawar hypothalamus. Marasa lafiya tare da hauhawar jini na II wanda ke da alamun lalacewar hypothalamus suna da matukar damuwa ga canje-canje a yanayin yanayi.

Babban mahimmancin meteorological wanda ke da tasirin sakamako akan waɗannan marasa lafiya shine canjin matsin lamba na barometric a cikin shugabanci na raguwa. A cikin irin waɗannan marasa lafiya, rikicewar hauhawar jini, a matsayin mai mulkin, yana inganta yanayin data kasance mai aiki na aikin hypothalamus, yana ba da gudummawa ga rushewar cibiyoyin subcortical. Hakanan, a kan asalin rikice-rikicen tashin hankali tare da rikicewar hypothalamic, rikicewar jijiyoyin ƙwayar jijiyoyin ƙwayar cuta na hanji sau da yawa, alamomin wanne ne mai tsananin fushi, hangen nesa biyu, nystagmus, da sauransu.

Harshen Coronary tashin hankali na hauhawar jini na iya haifar da ci gaban rashin wadatar zuciya, bayyanar cututtukan cututtukan zuciya ne ko kuma cututtukan zuciya.

Neurovegetative, edematous da rikicewar tashin hankali. Bayyanarwar wani rikici na neurovegetative wanda ke haɓaka cikin sauri yana da alaƙa da gagarumar sakin hormone adrenaline cikin jini, wanda galibi yakan faru ne sakamakon damuwa. Bayyanar cutar rikicewar neurovegetative sun haɗa da matsanancin tashin hankali, amai, tashin zuciya, wani lokacin amai, jin rashin iska, tashin hankali, damuwa, damuwa, huhun fata, jin sanyi, ƙara yawan zufa, hannayen da ke rawar jiki, karuwa sosai a matsa lamba na systolic (babba), wataƙila ƙara girman zafin jiki jiki. Irin wannan yanayin, a matsayin mai mulkin, ba ya wuce awanni 1-5 kuma baya haifar da barazanar ƙarawa ga rayuwar mai haƙuri. Sau da yawa bayan rikici, ana lura da yawan urination.

Edematous, ko ruwa-gishiri, rikicin hauhawar jini yana da alaƙa da rashin daidaituwa na tsarin renin-angiotensin-aldosterone, wanda ke da alhakin ci gaba da kasancewa cikin yanayin jiki na yau da kullun, gami da hauhawar jini. Irin wannan rikice-rikicen hauhawar jini sau da yawa yana faruwa a cikin mata kuma yawanci sakamakon shan ruwa mai yawa.

Bayyanar cutar rikicewar edematous sune kumburi fuska da hannaye, matsanancin ciwon kai, tashin zuciya, amai, raunin ƙwayar tsoka, haɓaka ƙwaƙwalwa, tashin hankali, wani lokacin disorientation a sararin samaniya da lokaci, raunin gani daban-daban, da kuma rauni na ji. Wadannan bayyananniya na iya tsawan kwanaki da yawa.

Mai Taimakawa Rashin hauhawar jini yana da wuya kuma yana ɗaya daga cikin manyan rikice-rikice. Wani lokacin sakamakon rikicewar hauhawar jini na iya zama jini a cikin kwakwalwa.
Alamomin halayen wannan nau'in rikicin, ban da na yau da kullun ga rikice-rikicen hauhawar jini, tashin hankali ne da asarar hankali.

Jiyya da rigakafin rikice-rikice na tashin hankali, taimako na farko

Kamar yadda aka riga aka ambata, rikice-rikicen hauhawar jini yawanci yakan fara faruwa ba zato ba tsammani, sau da yawa akan asalin mai gamsarwa ko jin daɗin haƙuri. A wasu halaye, shine dakatar da shan magani mai zaman kansa wanda likitan ya umurce shi, salon da bai dace ba wanda dole ne mai haƙuri da hauhawar jini ya lura, kuma ya kai ga ci gaban tashin hankali.

A alamun farko na tashin hankali, yana da mahimmanci mara haƙuri da danginsa ba su yi asara ba, amma ɗauki matakan da suka dace a kan kari.Zai yuwu cewa, ban da kulawar gaggawa, mara lafiya zai buƙaci asibiti cikin gaggawa, musamman idan rikicin yana da rikitarwa.

Kafin likita ya isa, ya kamata a saka mara lafiya a cikin wurin zama-rabi, wanda zai taimaka wajen magance hare-haren asma ko kuma raunana su sosai. Tunda marasa lafiya da ke fama da matsalar hauhawar jini yawanci suna fuskantar jin tsoro da rawar jiki, ya zama tilas a haɗa ƙafafun mai haƙuri da ƙananan ƙafafun, dumama su da matattarar dumama, wanka mai ɗumi ko saka filastar mustard a ƙananan ƙafafunsu. Marasa lafiya suna buƙatar kwararar sabon iska.

Yana da mahimmanci ga mara lafiya ya ɗan ɗauka wani magani na musamman wanda likita ya tsara. Rage raguwar karfin jini kada ya zama mai kaifi: a cikin 1 h ya kamata a rage shi da 25-30 mm RT. Art. idan aka kwatanta da na asali.

Tare da kaifin ciwon kai, ana bada shawarar mai haƙuri ya ɗauki kwamfutar hannu guda ɗaya na maganin diuretic. Tare da ciwo mai raɗaɗi a cikin zuciya, mai haƙuri na iya ɗaukar kwamfutar hannu guda na validol ko nitroglycerin a ƙarƙashin harshen. Koyaya, bai kamata ku yi amfani da sababbin magunguna don kanku ba wanda mai haƙuri bai ɗauka ba. Idan akwai buƙatar ƙarin ƙarin magunguna, ya kamata likita ya tsara su.

A matsayinka na mai mulkin, likitocin motar asibiti suna yin allurar rigakafi don hanzarta magance alamun rikicin. An tsara ƙarin aikin likita ta halartar likita ko a asibiti idan mai haƙuri yana asibiti.

A lokacin rikicin hauhawar jini, mai haƙuri kuma yana buƙatar tallafin tunani daga dangi, kamar yadda mai haƙuri yake fuskantar damuwa, damuwa, da tsoron mutuwa. Saboda haka dangi yakamata, kada su bugu da tsoro, suyi kokarin sake tabbatarwa da mai cutar, suna tattaunawa dashi cikin nutsuwa da kuma abokantaka.

Ba a buƙatar asibiti don rikicewar hauhawar jini don duk marasa lafiya. Yawancin lokaci, a cikin rikicewar rikicewar hauhawar jini, sauƙin bayyanar cututtuka ta hanyar allura ta allurar rigakafin magunguna tare da magani na waje ya isa. Asibiti ya zama dole ga marassa lafiya wanda rikicin ya samo asali a karo na farko, ba tare da la’akari da kasancewar matsaloli ba, haka kuma ga marasa lafiya da matsalolin rikice-rikice.

A cikin asibiti ko yayin kulawa da marasa lafiya, saka idanu akan hawan jini da alamun da ke nuna rikicewar tsarin juyayi ya kamata a sa ido. Yana da matukar muhimmanci a fassara koke-koke da alamu daidai, kuma ba cikakken matakin saukar karfin jini ba.

Tare da rikice-rikice mara rikicewa, ana ba da tasirin sakamako sau da yawa ta hanyar ɗaukar allunan 1-2 na captopril, da dai sauransu.

Idan babu sakamako mai warkewa daga gudanar da wadannan magungunan, allurar dibazole, obzidan, clonidine, sodium nitroprusside, nimodipine, furosemide, magnesium sulfate, magnesium sulfate, enalapril maleate suna allurar. A wasu halaye, an ba da maganin pentamine.

Clonidine yana da tasiri mai tasiri a cikin tashe-tashen hankula na hauhawar kowane nau'i, raguwar bugun zuciya, fitowar zuciya da juriya na jijiyoyin jiki, yadda yakamata rage karfin jini, musamman a cikin rikice-rikice tare da tachycardia. Don allurar ciki ko allurar ciki, ana amfani da clonidine a cikin nau'in maganin 0.01% a kashi na 0.5-1 ml. Ana lura da tasirin antihypertensive bayan mintuna 3-5 bayan allura ta wucin gadi kuma ya kai tsawon bayan mintuna 15-30. Ya kamata a gudanar da miyagun ƙwayoyi a hankali, musamman tare da rikicewar hypokinetic, don kauce wa rushewa (watau, rashin ƙarfi na jijiyoyin bugun gini). Bayan allurar, mai haƙuri ya kamata ya kasance yana hutawa a cikin kwance a kwance na tsawon sa'o'i 2-3.

Dole ne a ɗauka cikin zuciya cewa tare da rikice-rikice na hauhawar jini, mutum bai kamata ya nemi ƙaddamar da ƙayyadadden ma'adanin yanayi zuwa al'ada ba. Ya isa ya rage shi ga alamomi wanda lafiyarsa ke inganta.

Idan alamun farko na rikicin rikicin alamari ne ba tare da alamun rikice-rikice ba, ana iya amfani da allurar rigakafin droperidol don dakatar da irin wannan rikicin.Wannan magani yana ba da gudummawa ga ci gaba cikin haɓaka cikin nutsuwa da raguwar matsakaici a cikin karfin jini. Droperidol ya fara aiki a cikin mintuna 2-4. Bayan minti 10-15, ana lura da sakamako mai tasiri, amma yawancin lokuta sakamakon maganin yana da ɗan gajeren lokaci (1 awa).

Don haɓakawa da haɓaka tasirin da aka samu sakamakon yin amfani da droperidol, ana bada shawara don shan diuretics a ciki tare da sauran magungunan antihypertensive. Diuretics shima yana kawar da kumburi.

Baya ga magunguna, aikin wanda ke da niyyar rage hawan jini, idan ya cancanta, likita ya tsara magungunan da ke kawar da rikice-rikice na tsarin zuciya, da sauransu, wanda ya haifar da mummunan tashin hankali.

Tunda haɓaka tashe-tashen hankula masu yawan tashin hankali suna nuna rashin cancantar magani, da alama yana iya zama dole don daidaita tsarin warkewar mutum.

Bai kamata mai haƙuri ya ɗauki magunguna kawai ba, har ma ya bi shawarar likitan game da salon rayuwa da abinci. Nan gaba, lokacin da yanayin tashin hankali ya kasance a baya gare mu, ana ba da shawarar aikin motsa jiki, ba shakka, ba tare da kaya masu nauyi ba.

A lokacin dawowa, dole ne a yi watsi da amfani da gishirin tebur gaba ɗaya, sannan sai a bi cin abinci mai ƙoshin gishiri ko abincin da ke da ɗan gishiri kaɗan, daga shan sigari da shan giya, kuma, idan ya yiwu, ku guji yanayin damuwa.

A cikin matsalar hauhawar hauhawar jini, kulawa ta gaggawa sau da yawa tana farawa da allurar shiga ciki na dibazole. Wannan magani yana da tasirin antispasmodic kuma yana taimakawa rage fitowar zuciya. Hyarfin rashin daidaituwa na dibazole yana da matsakaici, kuma wani lokacin ya ɗan faɗi, saboda haka, a hade tare da shi, dole ne a yi amfani da wasu kwayoyi.

Tare da rikici na wannan nau'in, musamman tare da tachycardia da arrhythmias na zuciya, yin amfani da beta-blockers yana ba da sakamako mai tasiri.

Don dakatar da rikicin, ana yin allurar rigakafin anaprilin, waɗanda aka allurai. Ragewar saukar karfin jini yana faruwa ne a cikin 'yan mintoci bayan aiki, kuma ana lura da mafi girman tasirin bayan mintuna 30. Nan gaba, don hana sake sake rikici, ana wajabta anaprilin a baki a 60-120 mg / rana.

Koyaya, yakamata a ɗauka a hankali cewa baza a iya amfani da masu hana-kututtukan ƙwayar cuta ba idan akwai cutar asma, da rage ƙarfin zuciya da hargitsi mai ƙwayar cuta.

Idan rikicin hyperkinetic yana haɗuwa da matsanancin tashin hankali da tachycardia, allurar ciki ko inram ɗin murfin 0.1% na racedil (1 ml) za'a iya amfani dashi azaman dakatarwa. Wannan magani yana rage karfin jini na minti 30-50, kuma yana da tasirin magani mai narkewa (kwantar da hankali). Wani lokacin akwai ɗan ƙaramin sakamako na hypnotic.

Don sauƙaƙe rikice-rikice na hypokinetic, ana amfani da magungunan hypotensive, wanda ke ba da gudummawa ga raguwar juriya na tasoshin yanki, zai fi dacewa kuma yana da tasirin magani. A cikin rikicewar hypokinetic, yana da kyau don gudanar da magungunan rigakafin ƙwayar cuta ta hanyar magudanar ruwa, tunda wannan yana ba da damar cimma raguwar hauhawar jini ba tare da haɗarin rushewar (rashin isasshen jijiyoyin bugun zuciya) da mummunan yaduwa ba.

Hanya mai tasiri wacce zata iya dakatar da rikicin hypokinetic shine dibazole. Hakanan ana amfani da maganin 2.5% na chlorpromazine, wanda ana sarrafa shi ta hanyar wutsiyar ruwa a saurin 15-30 na minti daya. Aminazine tana taimakawa rage haɓakar tasoshin tashoshin motar da kuma kawar da damuwa na damuwa, sannan kuma ta kawar da aikin adrenaline da norepinephrine.

Hakanan za'a iya amfani da magani don gudanar da aikin jet na ciki.Ya kamata a gudanar da Aminazine a hankali a cikin sassan 2-3 ml, tabbatar da auna matakan jini a wannan bangaren. Bayan gudanar da maganin, mai haƙuri ya kamata ya kwanta a gado na 1-2 na sa'o'i. Sakamakon antihypertensive na chlorpromazine yana bayyana a farkon mintuna bayan aiwatarwa kuma ya isa matsakaicin tasiri a cikin minti na 10-15.
Don dakatar da rikicin eukinetic, yana yiwuwa kuma a yi amfani da chlorpromazine da dibazole.

Kafin a kwantar da mara lafiya a asibiti, maganin 5% na pentamine zai iya zama a hankali a allurar a hankali, ci gaba da sa ido kan hawan jini. Koyaya, gudanar da aikin jet na maganin pentamine na iya haifar da haɓaka jihar mai lalacewa. A wannan yanayin, kuna buƙatar shigar da maganin kafeyin ko mesatone.

Lokacin dakatar da rikicewar tashin hankali wanda rikitarwa ta hanyar cututtukan zuciya da tashin hankali gaba ɗaya, likitoci, a matsayin mai mulkin, suna amfani da haɗakar masu toshewar ganglion tare da droperidol, wanda ke taimakawa kawar da farin ciki da haɓaka sakamako mai banƙyama na masu toshe ganglion.

Brwararrun brigade a matsayin magungunan kashewa masu saurin motsa jiki na iya yin amfani da shirye-shiryen asibitin kafin lokacin, wanda aka gudanar dashi. Ayyukan wannan miyagun ƙwayoyi suna tasowa a cikin minti 3, amma da sauri ya tsaya - mintuna 10-25 bayan kammala jiko.

Ba da taimako na rikice-rikice masu rikicewar cututtukan zuciya da ke tattare da rashin ƙarfi shine ke faruwa tare da yin amfani da magunguna na ciwo lokaci guda.

Idan rikicewar hauhawar jini yana rikitar da mummunan rikicewar ƙwayar cuta, ana fara amfani da wakilai na hypotensive. Bugu da ƙari, allurar intramuscular ta maganin 25% na magnesium sulfate (10 ml) da kuma maganin 2.4% na aminophylline (10 ml a cikin 20 na ml 20 na maganin glucose na 20-40). Bugu da ari, ana buƙatar magani na musamman, wanda yakamata a gudanar da shi ta hanyar ƙwararrun masana ilimin kimiyya.

Ana aiwatar da sauƙin tashin hankali mai narkewa tare da pheochromocytoma ta amfani da phentolamine ko tropafen, magunguna daga ƙungiyar masu hana ruwa. Ana amfani da maganin 0.5% na phentolamine (1 ml) ko kuma 1-2% na maganin tropafen (1-2 ml) azaman shigar ciki ko allurar ciki. Hakanan, don dakatar da hauhawar jini tare da pheochromocytoma, ana iya amfani da chlorpromazine.

Matakan rigakafin da ke hana ci gaban tashe-tashen hankula suna kama da hana hauhawar jini. Wajibi ne a sanya ido a kan zubar da jini a kai a kai tare da gudanar da aikin hauhawar jini. Idan rikici ya faru, ya kamata a fayyace abubuwan da ke haifar da su don ci gaba da guje wa abubuwan da ke haifar da ci gaban rikici.

Babban shawarwarin yanayin hanawa, hakika, tsarin tunani ne na aiki da hutawa, abinci mai dacewa don dacewa da hane-hane masu mahimmanci don hauhawar jini, ƙin halaye mara kyau, rashin halayen yanayi, rashin rigakafinsu na lokaci da nasara cin nasara idan akwai faruwar hakan.

Bugu da kari, a cikin rigakafin tashe-tashen hankula masu hauhawar jini, yardawar marasa lafiya tare da rubutattun likitocin game da gudanar da magungunan antihypertensive ya kamata a hada su. Ko da tare da ƙoshin lafiya, bai kamata ku daina shan magungunan da likitanku ya tsara ba, saboda wannan na iya zama tushen ci gaba na tashin hankali.

Bayyanar cututtuka na tashin hankali

An yarda dashi gaba ɗaya cewa babban shaci don gane cutar shine tsalle tsalle cikin matsin lamba zuwa alamar 200 da sama. Koyaya, wannan ba koyaushe yake nuna alama daidai ba.

Ga mutane daban-daban, akwai alamu daban-daban na mummunan yanayin. Dukkanta yana dogara da matsin aiki na haƙuri.Misali, idan mutum yayi matukar farin jini a alamomi 90/60, to alama alamar 140/90 zata zama mai mahimmanci a gareshi, wanda hakan yana nufin farkon farawar tashin hankali.

Bayan haka kuma, idan mai haƙuri ya ji daɗin matsa lamba na 140/90, to haɓaka alamu zuwa 160/110 kuma har zuwa 170/120 ba zai haifar masa da mummunan sakamako ba.

Sabili da haka, haɗuwa da alamu suna taka muhimmiyar rawa wajen tantance rikicin hauhawar jini. Zai iya kasancewa:

- ciwon kai da farin ciki,

- tashin zuciya da rauni,

- jin tsoro da tsoro,

- ciwon zuciya da tachycardia,

- gumi ko sanyi,

- katsewa da iyakataccen motsi,

- nessarfin numfashi da kuma asarar hankali.

Option, duk waɗannan alamu za su kasance yayin tashin hankali. Ta yaya za a bincika wannan yanayin?

Ma'anar rikicin hauhawar jini

Don wannan, da farko, ya zama dole don auna matsin lamba akai-akai kowane mintina 15. Idan an kula da matsanancin matsin lamba na dogon lokaci (ana yin la'akari da manuniya dangane da matsin aiki na haƙuri), to mai haƙuri yana da matsalar tashin hankali.

Bugu da kari, binciken bugun zuciya, auna zafin jiki na jikin mutum, sauraron zuciya da huhu, da kuma gudanar da tsarin zuciya za a dauki mahimman matakan gano cutar.

Ee, rikicin hauhawar jini yanayi ne mai matukar hatsari. Amma rikice-rikicen rikicin hauhawar jini ba shi da hatsari. A cewar kididdigar, sama da kashi arba'in cikin dari na marasa lafiya da suka kamu da cutar hawan jini ya mutu a cikin shekaru uku masu zuwa sakamakon tasirinsa.

Sanannen abu ne cewa ana magance nau'in rikicin hauhawar jini gwargwadon wahalar sa. Bari muyi magana game da wannan dalla-dalla.

Matsaloli masu yuwuwar cutar

Abubuwan da ke haifar da rikici na tashin hankali shine:

Cerbral infarction. Rikicin rikicin mafi yawanci yana faruwa ne a cikin kashi 24 cikin dari na marasa lafiya.
Fitsari na farji. An lura dashi a cikin 22% na marasa lafiya.
Harshen edema. An lura dashi a cikin 17% na marasa lafiya.
M hagu ventricular gazawar. Yana faruwa a cikin 14% na marasa lafiya.
Saukar jini na Myocardial. An lura dashi a cikin 12% na marasa lafiya.
Eclampsia. An lura da shi a cikin 4.6% na marasa lafiya.

Matsaloli da ka iya faruwa na rikicin cuta sun hada da:

- basur na siffofin daban-daban,

- wani nau'i ne mai daukar hoto,

Bari mu tattauna shi daki daki.

Rikice-rikice na yau da kullun

Rikice-rikice masu rikice-rikice bayan wani tashin hankali hauhawar jini suna da alaƙa da kwakwalwar mutum. Misali, maganin sikari, ko cutar ischemic. Wannan wani mummunan tashin hankalin ne sakamakon toshewar hanyoyin tarkon kwakwalwa. Ko kuma cututtukan hanji (cerebral edema), a cikin abin da fashewar ƙwayar cerebrospinal ke rikicewa, kuma saboda karuwa da ƙaruwarta, matsin lamba akan kyallen yana ƙaruwa.

Wadanne alamu ne sauran rikice rikicen rikice rikice ke faruwa? Harshen cutar huhu wani mawuyacin hali ne sanadin wannan cutar. An gano shi ta hanyar lalacewar adadin da fashewar ƙwayar intercellular, da kuma yawan tarawa a cikin huhu.

Wane tasiri mara kyau a zuciyar zuciyar ɗan adam ke haifar da hauhawar jini? Rikicewar hauhawar jini na iya haifar da irin wannan haɗari da ciwo mai zurfi kamar gazawar zuciya da faɗuwar zuciya. Na farkonsu ya faru ne sakamakon cin zarafin zubar jini, wanda a lokacin da jini, ba tare da shiga aorta, stagnates a cikin ventricle na hagu ba, kuma madaidaicin yana cike da iyakokin da ba a yarda da su ba.

Myocardial infarction yana tare da necrosis na wannan rukunin yanar gizo saboda isasshen jini.

Rikicin haɗaka ɗaya da haɗari na rikicewar hauhawar jini shine eclampsia, wanda ke faruwa kwatsam. Yana bayyana kanta lokacin daukar ciki ko haihuwa, kuma ana haifar dashi ne sakamakon cutar hawan jini, wanda hakan ke haifar da barazana ga rayuwar uwa da jariri.

Sauran rikitarwa

Matsaloli da ka iya faruwa na rikice rikicen jini sun hada da basur a karkashin mechrane arachnoid na kwakwalwa da bashin jini na jini. Nau'in farko na rikitarwa sakamakon cin zarafin yaɗuwar ƙwayar cuta ne, a lokacin da jini ya taru ƙarƙashin bakin ƙwalƙwalwar arachnoid na kwakwalwa.

Abun ciki na ciki yana faruwa ne ta hanyar lalata ganuwar tasoshin kwakwalwa da kuma ci gaban jini zuwa cikin kwakwalwa.

Abubuwan da ke haifar da rikici na tashin hankali shine encephalopathy da hemiparesis. Encephalopathy cuta ce da ba ta-kumburi da kwakwalwa wacce a cikin canjin kwakwalwar mutum ke faruwa, wanda hakan ya keta aikinta. Hemiparesis yana tare da lalacewar neurons kwakwalwa kuma wani yanki ne mai rauni na tsoka.

Menene sauran cututtukan da suke haifar da rashin lafiyar da ke haifar da tashin hankali? Rikici a cikin kodan yana haifar da raguwa a cikin jini saboda rikicin hauhawar jini. Wannan yanayin ya cutar da tsarin aikin. Clounƙwasa jini yana gudana a cikin abubuwan ƙwanƙwasawa da urination bangare ko kuma tsayawa gaba ɗaya. Jiki yana wahala da maye, wanda hakan yana karawa mutum karfin guiwar wasu gabobin.

Bugu da kari, sakamakon rikicin na iya zama mummunan rashin aiki na yara, wanda kuma hakan ke haifar da cikas ga aikin tacewa da aiwatar da aikin. Rashin ruwa, nitrogen, electrolyte da sauran nau'ikan metabolism.

Shin rikicin hawan jini yana haifar da rikicewar ido? Haka ne, tunda sakamakon hauhawar jini, cututtuka masu rikitarwa da maras kyau kamar retinopathy da amaurosis na iya faruwa.

Retinopathy wani tsari ne mai kumburi a cikin retina wanda ke haifar da rikicewar jini a ciki, wanda hakan na iya haifar da lalacewar kashin baya har ma da makanta. Amaurosis kuma mummunar rauni ne na retina, harma da jijiya na optic, wanda na iya haifarda wani bangare ko makanta gaba daya.

Kamar yadda kake gani, rikice rikicewar tashin hankali yana haifar da mahimmancin sassan jikin mutum, irin su zuciya, huhu, kodan, da idanu. Zasu iya haifar da mummunan ciwo mai wahala ko sakamako mai cutarwa.

Koyaya, kar a zargi hauhawar jini a cikin dukkan cakudaddun cututtukan da basu da lafiya. Ya kamata a tuna cewa rikice-rikicen tashin hankali ba su haɗa da cututtukan zuciya ba, na koda da sauran cututtukan da tsokane ke haifar da su, tunda waɗannan cututtukan cututtukan sune sakamakon cututtukan da ke haifar da cutar.

Don haka, mun gano abin da ke haifar da rikici mai hauhawar jini da rikitarwa. Thearshe daga abubuwan da aka gabata sune kamar haka: hanyoyin da za a bi don magance matsalar hauhawar jini ya dogara da nau'in rikitarwarsa.

Rikicin hauhawar jini: rikitarwa da magani

Tunda matsalar hauhawar jini na iya yin tasiri ga wasu bangarorin jikin mutum, ya kamata a fara kula da abin da gabobin ya shafa da kuma tsananin wannan cutar.

A cikin waɗannan halayen, rage matsin lamba ba fifiko bane da fifiko. Koyaya, domin jinya yana da sakamako mai sauri, yakamata a yi ƙoƙarin rage saukar jini da aƙalla raka'a ashirin.

Yaya ake magance rikice rikicewar cutar hawan jini? Da farko dai, ana yin wannan ne akan tsarin inpatient, ba akan kangararrun marasa lafiya ba. Ka tuna, kawai a cikin cibiyoyin likita ne kawai za ka kasance a ƙarƙashin kulawa da kulawa koyaushe. Kuma a can ne kawai za a samar muku da ingantaccen magani.

Da farko dai, yana iya zama infusions na nitroglycerin ko sodium nitroprusside, wanda zai buƙaci a soke shi nan da nan da zub da jini ya zama al'ada. Ayyukan waɗannan magunguna suna farawa a cikin minti uku zuwa biyar, amma gabatarwar su cikin jiki na iya haɗuwa da tashin zuciya da amai, amai da tachycardia da sauran halayen da ba su da kyau. Bugu da kari, ya kamata a tuna cewa wadannan allurar an wajabta su don haɗarin encephalopathy, ƙarancin ventricular ventricular, dissection aortic. Koyaya, ba'a basu umarnin maganin koda ko gazawar hanta, glaucoma da wasu cututtukan musamman.

Sauran magunguna don rikicin hauhawar jini na iya zama masu hana-jini, wanda ba kawai saukar karfin jini ba, har ma da rage bugun zuciya. An tsara waɗannan magunguna don ischemia na myocardial myocardial da kuma ɓarke da aoicic aneurysm, amma bai kamata a sha su ba ga waɗanda ke da tarihin rashin lafiyar zuciya, asma, da kuma rauni na sinus.

Ana amfani da rukuni na gaba na kwayoyi - alpha-blockers - kawai tare da babban matakin catecholamines.

Don rikice rikicewar tashin hankali, Methyldopa da magnesium sulfate an wajabta su akan kwakwalwa. Magunguna na farko yana da tasirin gaske akan hanyoyin kwakwalwa. Hakanan za'a iya amfani dashi don hare-haren hauhawar jini a cikin mata masu juna biyu. Koyaya, ya kamata a tuna cewa pheochromocytoma, bugun zuciya, cutar cerebrovascular, da sauransu sune contraindications don amfani da wannan magani.

Magnesium sulfate an wajabta shi don barazanar cututtukan ƙwayar cuta na hanji da kuma rauni. Yakamata a gudanar dashi a hankali, saboda kada ya haifar da cututtukan huhun huhun mahaifa da kuma tashin zuciya. Magungunan yana farawa minti 20 bayan allura kuma yana ba da sakamako a cikin sa'o'i shida.

Wata magunguna don rikicewar hauhawar jini na iya zama hydralazine, wanda ake amfani dashi don eclampsia, don faɗaɗa tasoshin jijiyoyin jini. Magungunan yana da tasiri har mintuna goma bayan gudanarwa kuma yana da sakamako mai daɗewa.

Enalaprilat magani ne mai tasiri sosai don maganin encephalopathy, gazawar zuciya, syndromes na jijiyoyin jini. Tun da magani ya fara aiki kusan nan take, ya kamata a gudanar da shi a hankali a hankali.

Wadannan magungunan da aka ambata a sama sune wakilai na ƙwararrun magunguna wanda yakamata a yi amfani da shi kamar yadda likitan halartar ya umurce shi.

Hanyoyin warkewa

Koyaya, ban da allura da kwaya, likitan na iya ba da maganin warkewa. Da farko dai, dama ce ga mara lafiyar ya huta ya huta, ko dai mafarki ne, barcin ko tausa. Hakanan ya kamata ku guji kowane irin damuwa da damuwa, komai tausayin halin su.

Baya ga kwanciyar hankali da kwanciyar hankali, mai haƙuri zai buƙaci abinci na musamman, wanda zai zama dole don guje wa abincin da ke sanya ƙarin damuwa akan ƙwayar zuciya. Ya kamata ku bar gishirin da kayan ƙanshi gabaɗaya, ku ci a ƙaramin rabo kuma kawai abincin da yake da laushi.

Bugu da kari, jiki zai buƙaci ciyar da abubuwa masu amfani da abubuwan da ake amfani da su tare da bitamin, wanda za'a iya rubuto magunguna ko abinci mai gina jiki (kayan lambu da 'ya'yan itatuwa).

Gaggawa na gaggawa

Kuma yanzu bari muyi magana a takaicce game da abin da yakamata a yi idan rikice rikice ya hauhawa. Kulawa ta gaggawa ga mara lafiya ita ce a samar masa da kwanciyar hankali da kwararar sabon iska, don sake tabbatarwa da kuma tabbatar da isowar kulawar da ta dace.

A matsayin magani mai kantad da hankali, zaka iya amfani da kowane magungunan da aka inganta - valerian, corvalol, motherwort. Hakanan kuna buƙatar saka idanu don ko da fitar da numfashi na haƙuri, don wannan zaka iya taimaka masa ya cire rigunansa da sanyaya dakin.

Menene mafi kyawun matsayi don ɗauka? Ya kamata a sanya mai haƙuri a cikin wani wuri na Semi-zaune. Idan yana jin sanyi, dole ne a gwada dumama shi. Koyaya, yana da kyau har yanzu sanya damfara mai sanyi a goshin ka.

A cikin lokuta masu mahimmanci, ya kamata a kira motar asibiti. Hakanan zaka iya ɗaukar magunguna na musamman don rage karfin jini.

Koyaya, babban ƙa'idar ta shafi anan: kar ku cutar da cuta! Sabili da haka, idan ka yanke shawara don taimakawa mai haƙuri ya rage matsin, dole ne a yi hakan a hankali kuma a hankali, zai fi dacewa da kwayoyi da aka riga aka san shi ko ku.

Sau da yawa, mara lafiya da kansa yana da ilimin yadda za a toshe wani harin.Yawancin lokaci koyaushe yana tare da shi magunguna waɗanda za a iya ɗauka idan ya cancanta. Taimako daga waje na iya zuwa cikin aiki anan. Wataƙila kuna buƙatar kawo ruwa don hadiye maganin kafe. Ko kuma kuna buƙatar yin allura ta wucin gadi.

Koyaya, don taimakawa mara haƙuri ƙaƙƙarfan halaye ne. Kira motar asibiti, taimaka muku don murmurewa, kawai ku kasance kusa - irin wannan rashin son kai zai ceci ran wani kuma tabbas zai sami lada.