Kulawa ta gaggawa don rikicin hauhawar jini: wani algorithm
Rikicin hauhawar jini wani mummunan yanayin gaggawa ne da ke buƙatar likita na gaggawa. An gano cutar kanjamau ta fuskar hauhawar jini a kodayaushe, sakamakon hauhawar jini. Taimako na farko don rikicin hauhawar jini yana da babban burina - rage hawan jini zuwa matakan matsakaici, a matsakaita da 20-25% a cikin sa'o'i biyu masu zuwa.
Akwai nau'i biyu na rikicin:
- Rashin hauhawar jini ba tare da rikitarwa ba. Ana nuna yanayin mai muni ta hanyar hauhawar jini mai yawa sosai, wanda gabobin da suke da niyya zasu riƙe mahimman aikin su.
- Rashin hauhawar jini tare da rikitarwa. Wannan yanayin yanayin da ake ciki wanda ke shafi gabobin ciki (kwakwalwa, hanta, kodan, zuciya, huhu). Kulawa ta gaggawa wanda ba a santa ba na iya haifar da mutuwar mai haƙuri.
Tushen ilimin cututtukan ƙwayar cuta shine irin wannan tsarin: a bango na cutar hawan jini, yawan zuciya yana ƙaruwa. Koyaya, tare da ƙaruwa da yawaitar tsauraran matakai, ana yin aiki da injin jirgin ruwan da ya fi girma. Saboda wannan, ƙarancin jini ya isa ga gabobin mahimmanci. Suna cikin yanayin hypoxia. Ciwon Ischemic yana haɓaka.
Menene alamu
Bayyanar cututtukan cutar sun bayyana dangane da nau'in rikicin:
- Rashin hauhawar jini tare da cutar mafi yawan cututtukan zuciya.
Wani mummunan yanayin yana haɓaka da sauri. Yawancin lokaci yakan faru ne bayan tashin hankali, damuwa, tsoro, damuwa. Yana farawa da amai da amai, yana jujjuya cikin damuwa, wanda ke tare da tashin zuciya wasu lokutan amai. Marasa lafiya suna koka da ƙarfin ji na tsoro, tsoro da ji na rashin iska, gajeriyar numfashi. A waje, mara lafiya ya firgita, gemunsa suna girgiza, gumi ya bayyana, fuskarsa ta zame, idanunsa suna zagaye. Rikicin hauhawar jini yana daga awa daya zuwa biyar. Yawancin lokaci baya barazanar lafiyar ɗan adam. - Rikicewar hauhawar jini tare da gurgunta metabolism na ruwa-gishiri.
A zuciyar ilimin cuta shine take hakkin aikin hormonal na glandon adrenal. Tsarin gishiri-ruwa yana haɓaka a hankali. Marasa lafiya na tsiro cikin damuwa, bacci, shuru. Fuskar ta jujjuya fuska, ta kumbura. Ciwon kai, amai, amai da amai suna bayyana. Sau da yawa, filayen gani sun faɗi, ƙarancin gani na raguwa. Marasa lafiya suna kwance cikin damuwa kuma sun rasa ikon gane hanyoyin da gidajen da suka saba da su. Fusussuka da aibobi suna fitowa a gaban idanun, kuma ji yana da illa. Tsarin gishiri-ruwa yana haifar da ci gaba na bugun jini da kuma lalatawar zuciya. - Encephalopathy mai hauhawar jini.
Yawancin lokaci yakan faru ne akan asalin cephalgia mai tsawo, wanda ke ƙaruwa da dare kuma tare da jiki. Ana magance ciwon kai a bayan kai, kuma kafin a kai harin ya kai ga gaba dayan kai. Alamar jijiyoyin jijiyoyi suna mamaye ta. Halin yana ci gaba a hankali. Dizziness, ciwon kai, tashin zuciya da ci gaba na amai. Ayyukan kayan lambu suna rikicewa: fuska mai kima, rashin iska, raƙuman rawar jiki, bugun zuciya mai ƙarfi, raunin rashin iska. Hankali shi ne hanawa ko rikicewa. A cikin gira - nystagmus. Tashin hankali yakan ci gaba, magana tana cikin damuwa. - Rikicin ischemic na Cerebral.
A cikin hoto na asibiti, aka bayyana rashin ƙarfi, rashin ƙarfi, rashin tausayi da rauni. Hankali ya warwatse, hankali yana kange. Alamar raunin jijiyoyin jiki ya dogara da wurin da babu isasshen zaga jini. Sannu-sannu yawanci ana rikicewa: hannuwa ya ƙage, firgitaccen abu yakan taso a fuskar. Aikin tsokoki na harshe ya rikice, saboda wane magana magana take. Girgizar girgiza, rage yawan ji na gani, rauni mai rauni a hannu da kafafu.
Kwayar cutar cututtukan da ke haɗaka kowane nau'in, kuma ta hanyar ne zai iya gane rikicewar hauhawar jini (lokacin da ake buƙata, ana buƙatar taimakon gaggawa):
- Yana farawa a tsakanin sa'o'i 2-3.
- Hawan jini ya tashi cikin sauri zuwa babban matakan ga kowane mara lafiya. Misali, idan mutum yana da matsin lamba na 80/50, to kuwa matsin lamba na 130/90 ya riga yayi girma.
- Marasa lafiya na koka da rashin lafiyar a cikin zuciya ko jin zafi a ciki.
- Mai haƙuri yayi kararrakin alamun kwakwalwa: ciwon kai, tsananin farin ciki, da wuya ya tsaya kan ƙafafunsa, hangen nesan sa ya karye.
- Rashin daidaituwa na waje: rawar jiki da hannuwa, rawar jiki, rawaya, gajeriyar numfashi, jin bugun zuciya mai ƙarfi.
Algorithm na ayyukan taimako na farko
Ya kamata ku sani: da taimakon gaggawa na gaggawa zai ceci ran mai haƙuri.
Algorithm na Taimako Na Farko:
- Kun sami alamun cutar tashin hankali. Kira kungiyar motar asibiti ta gaggawa.
- Tabbatar da mai haƙuri. Tare da farin ciki, ana saki adrenaline, wanda ke narke tasoshin. Saboda haka, yana da muhimmanci mutum bai fara jin tsoro ba. Bayyana mutum cewa harin zai kawo karshen nan ba da jimawa ba kuma sakamako mai nasara yana jiransa.
- Bude windows a gida - kana buƙatar tabbatar da yawan fitar da iska. Cire abin wuya, cire abin ɗamarar ko sutura, buɗe ƙyallen a belin.
- Kwance ko wurin zama mai haƙuri. Sanya matasai da yawa a ƙarƙashin kanka. Bayar da mara lafiya kwayoyin cutar don hauhawar jini, wanda yawanci yakan dauka, ba shi da ma'ana. Wadannan magungunan ba a tsara su da sauri don kawar da yanayin: suna aiki ne kawai lokacin da isasshen adadin ya tara a jikin mutum.
- Aiwatar da sanyi a goshin ku da kuma tempel ɗinku: kankara, nama mai sanyi ko berries daga injin daskarewa. Koyaya, da farko kunsa sanyi a cikin zane don magance ƙurajewar fata. Aiwatar da ƙarancin zafin jiki na minti 20, ba ƙari.
- A karkashin harshe, sanya irin waɗannan kwayoyi: Captopril ko Captopres.
- Idan angina pectoris (ciwo mai zafi a baya daga cikin tsananin rauni a cikin zuciya, yadawa zuwa hagu kafada, kafada da muƙamula), ɗauki kwamfutar hannu na nitroglycerin. Biƙa da mintina 15.
- Yi tsammanin motar asibiti ta isa. Idan kun damu, kar a nuna shi ga mara lafiya. Yana da bukata cewa ya ɗanɗana gwargwadon iko.
Nasihun Taimako Na Farko:
- Idan yawan zuciya ya fi 80 a minti daya - kuna buƙatar ɗaukar Carvedilol ko Anaprilin.
- Idan kumburi yana bayyane a fuska da kafafu, kwamfutar hannu ta Furosemide zata taimaka. Wannan diuretic ne dake rage karfin jini.
Sakamakon mai yiwuwa
Rashin hauhawar jini zai iya haifar da irin wannan sakamako:
- Abun rikicewar kwakwalwa. Matsalar jini ko'ina cikin kwakwalwa. Yiwuwar samun bugun jini yana ƙaruwa. Bayan haka, kwarewar mai hankali zai iya raguwa, ya rikice kuma yana iya fadawa cikin rashin lafiya sakamakon cutar mahaifa.
Rikicewar jijiyoyin ƙwayoyin jijiyoyi suna haɓakawa: rawar jiki, paresis, gurgu, magana tana takaici, ji yana raguwa kuma an rage girman ji na gani. - Rashin lafiyar zuciya. Juyayin ya karye, tsananin raɗaɗi a cikin zuciya ya bayyana. Myocardial infarction na iya haɓaka.
- Tasirin huhun huhu. Ciwon zuciya na haifar da ƙwayar zuciya sakamakon raunin zuciya. Jinin jini a cikin jijiyoyin bugun zuciya. Fuskar ta juye shuɗi, gajeruwar numfashi yana bayyana, tari mai ƙarfi mai ƙarfi. Marasa lafiya suna da tsoron mutuwa da motsa rai. A bango daga asma na zuciya, ciwan huhun ciki.
- Sakamakon cututtukan jini. Yiwuwar daidaitawar jijiya yana ƙaruwa. saboda gaskiyar cewa matsin lamba a jikin bangon jirgin yana ƙaruwa sosai, ƙwaƙwalwarsa yana raguwa. Wannan na faruwa har jirgi ya ruɓe. Bayan haka, zubar jini a ciki na faruwa.
Tashin hankali a cikin mata masu juna biyu:
- Preeclampsia An kwatanta shi da ci gaba da cephalgia, hangen nesa mara amfani, tashin zuciya, amai, rage yawan tunani.
- Eclampsia. Bayyanar ta hanyar kushewa da tonic rashi.
Rikice-rikice ba tare da rikitarwa ba yana da kyakkyawan hasashe. Bayan dakatar da mummunan yanayin, mutum baya buƙatar jigilar kaya zuwa ɓangaren kulawa mai zurfi.
Matsaloli suna tasowa tare da rikitarwa mai rikitarwa, wanda ke da tsinkaye mara kyau don dalilai masu zuwa:
- Rikici mai hauhawar jini yana da yiwuwa ga maimaitawa akai-akai.
- 8% na marasa lafiya bayan barin sashin sun mutu a cikin watanni uku, kuma 40% na marasa lafiya suna ƙarewa cikin kulawa mai zurfi kuma.
- Rikici tare da hauhawar jini ba tare da kulawa ba yana haifar da mutuwar 17% a cikin shekaru 4.
- Lalacewa ga sassan jiki. Rikitaccen rikice-rikice yana haɗuwa tare da haɓakar bugun zuciya, bugun zuciya, huhun ciki da kwakwalwa. Yana haifar da nakasa da mutuwar mai haƙuri.
Yaushe za a kira motar asibiti
Za'a buƙaci motar asibiti don kowane nau'in rikicin hauhawar jini. Matsalar ita ce a farkon matakai na haɓaka yanayin rashin lafiya a gida yana da wuya a ƙudura ko wani rikitarwa ko rikitarwa mai hauhawa. A waje ɗaya daga jin daɗin rayuwa na waje, cututtukan ƙwayar mahaifa ko bugun jini na iya haɓaka. Sabili da haka, a kowane yanayi, ya kamata a kira motar asibiti a wurin alamun alamun gaggawa.
Yadda za a magance rikicin hauhawar jini
Ana iya rigakafin mummunan yanayin. Don yin wannan, bi waɗannan shawarwarin:
- Auna karfin hawan jini sau biyu a rana: safe da maraice. Kuna buƙatar auna yayin zaune. Ya kamata a ajiye littafin diary a inda ya zama dole a shigar da alamun safe da maraice. Domin alamu su kasance daidai, kuna buƙatar huta 5 mintuna kafin ma'aunin, kuma kada ku sha kofi ko hayaki a cikin minti 30.
- Gyara wutar lantarki. Iyaka ko kuma cire gishiri daga abincin. Theara yawan 'ya'yan itatuwa da kayan marmari.
- Gudanar da nauyi. Mutanen Obese suna iya zama hauhawar jini da tashin hankali.
- Dosed jiki bada.
- Ricuntatawa ko cikakken cirewa daga salon sigari.
Me yasa ake buƙatar taimakon likita?
Ya kamata a ba da kulawa ta gaggawa don rikicin hauhawar jini da wuri-wuri, kamar yadda Akwai yuwuwar samun yiwuwar samun rikitarwa mai rikitarwa, irin su infitarwar zuciya ko bugun jini, da sauran raunuka na gabobin ciki. Don bayar da taimako na farko a cikin irin wannan yanayi na iya cutar da kansu ko danginsu. Marasa lafiya tare da hauhawar jini ya kamata su san yadda zai yiwu game da rashin lafiyarsu. Da farko, mai haƙuri da iyalinsa yakamata su fahimci abin da alamun halayen HC ke ciki.
Rashin hauhawar jini. Kulawar gaggawa. Kwayar cutar Jiyya
Rashin hauhawar jini shine hauhawar tashin jini. Zai iya tashi zuwa kyawawan ƙima, misali, har zuwa 240/120 mm Hg. Art. har ma da mafi girma. A wannan yanayin, mai haƙuri ya sami rikicewar kwatsam a cikin ƙoshin lafiya. Ya bayyana:
- Ciwon kai.
- Tinnitus.
- Ciwon ciki da amai.
- Hyperemia (jan launi) na fuska.
- Remarfin wata gabar jiki.
- Bakin bushewa.
- Abubuwan bugun zuciya (tachycardia).
- Tsananin gani na gani (fuskokin kwari da kwari ko inuwa a gaban idanun).
Idan irin waɗannan alamun suka faru, ana buƙatar kulawa ta gaggawa don rikicin hauhawar jini.
Sau da yawa, rikici mai hauhawar jini yana tasowa a cikin marasa lafiya waɗanda ke fama da cututtukan da ke haɗuwa tare da karuwa a cikin jini (BP). Amma kuma ana iya haɗuwa da su ba tare da ƙaruwarsa na ci gaba ba.
Cututtukan da ke zuwa ko yanayin zasu iya taimakawa ci gaban HA:
- hauhawar jini
- menopause a cikin mata,
- atherosclerotic aortic rauni,
- cutar koda (pyelonephritis, glomerulonephritis, nephroptosis),
- cututtuka na tsari, misali, lupus erythematosus, da sauransu,
- nephropathy yayin daukar ciki,
- kumarasanna,
- Cutar Itsenko-Cushing.
A karkashin irin wannan yanayi, kowane motsin zuciyar mutum ko gogewa, damuwa ta zahiri ko kuma abubuwan da ke faruwa a jiki, yawan shan barasa ko yawan abinci mai gishiri na iya haifar da rikici.
Duk da irin waɗannan dalilai iri-iri, na kowa a cikin wannan halin shine kasancewar dysregulation na sautin jijiyoyin bugun jini da hauhawar jijiya.
Rashin hauhawar jini. Asibiti Kulawar gaggawa
Hoto na asibiti tare da rikicin hauhawar jini na iya bambanta dan kadan dangane da siffarta. Akwai manyan siffofin guda uku:
- Neurovegetative.
- Ruwan-gishiri, ko edematous.
- Mai Taimakawa
Ya kamata a samar da gaggawa ta gaggawa don rikicin hauhawar jini na kowane ɗayan waɗannan siffofin cikin gaggawa.
Neurovegetative form
Wannan nau'in HA shine mafi yawan lokuta ana tsokanar shi ta hanyar wuce gona da iri a cikin abin da akwai sakin adrenaline. Marasa lafiya suna da damuwa da damuwa, tashin hankali. Akwai hyperemia (jan launi) na fuska da wuya, rawar jiki (rawar jiki) na hannu, bushe baki. Bayyanar cututtukan mahaifa suna haɗuwa, kamar ciwon kai mai tsanani, tinnitus, farin ciki. Akwai yiwuwar raunin gani da tashi a gaban idanunku ko mayafin. An gano tachycardia mai ƙarfi. Bayan cire harin, mai haƙuri ya kara yawan urination tare da rabuwa da adadin fitsari mara haske. Tsawon wannan nau'in na HA zai iya zama daga sa'a ɗaya zuwa biyar. A matsayinka na mai mulkin, irin wannan nau'in HA ba barazanar rayuwa bane.
Rabin gishiri na ruwa
Wannan nau'in HA ana samun mafi yawan lokuta a cikin mata masu nauyin jiki. Dalilin ci gaban harin shine take hakkin tsarin renin-angiotensin-aldosterone, wanda ke da alhakin hauhawar jini na jini, yawan zubar jini da kuma daidaita-ruwa-gishiri. Marasa lafiya da ke da nau'in edematous na HA ba su da tausayi, an hana su, ba su da kyau a sararin samaniya da lokaci, fatar jiki ta yi kyau, tana kumburi fuska da yatsunsu. Kafin farkon harin, ana iya samun katsewa a cikin bugun zuciya, rauni na tsoka da raguwa a cikin diuresis. Rashin hauhawar jini na wannan nau'in na iya wuce sa'o'i da yawa zuwa rana. Idan ana ba da kulawa ta gaggawa lokaci-lokaci don rikicin hauhawar jini, to yana da hanya mai kyau.
Form mai warwarewa
Wannan shine mafi girman nau'in HA, ana kiranta maɗaukakiyar ma'abuta ma'amala (artive encephalopathy). Yana da haɗari saboda rikitarwa: ƙwaƙwalwar hanji, haɓakar ƙwayar cuta ta ciki ko ciwan jini na jini, paresis. Irin waɗannan marasa lafiya suna da tonic ko clossulsions, wanda ke tattare da asarar hankali. Wannan yanayin na iya zuwa kwana uku. Idan ba a ba da kulawa ta gaggawa cikin lokaci don matsalar hauhawar jini ta wannan nau'in ba, mai haƙuri na iya mutuwa. Bayan cire harin, yawancin marasa lafiya suna da amnesia.
Kulawar gaggawa. Algorithm na aiki
Don haka, mun gano cewa mummunan rikicewar hauhawar jini da sauran cututtukan cuta shine rikicin hauhawar jini. Kulawa ta gaggawa - hanyoyin aiwatarwa wanda dole ne a aiwatar dasu a fili - yakamata a samar dasu cikin sauri. Da farko dai, dangi ko dangi yakamata a kira kulawa ta gaggawa. Jerin ayyukan da suka gabata kamar haka:
- Idan za ta yiwu, kuna buƙatar kwantar da hankalin mutum, musamman idan yana da farin jini. Stressarfin tunani yana taimakawa kawai haɓaka hawan jini.
- Bayar da mara lafiyar don komawa gado. Matsayin jikin mutum shine Semi-zaune.
- Bude wani taga. Dole a samar da isasshen iska mai kyau. Ku kwance abin wuya. Yakamata numfashi mai haƙuri ya zama koda. Wajibi ne a tunatar da shi don yin numfashi mai zurfi kuma a ko'ina.
- Sanya wakili mara karfi wanda yake daukar kullun.
- A ƙarƙashin harshen mai haƙuri, sanya ɗayan magungunan gaggawa don rage karfin jini: Kopoten, Captopril, Korinfar, Nifedipine, Cordaflex. Idan ƙungiyar likitanci ba ta shigo cikin rabin sa'a ba, kuma mai haƙuri bai ji daɗi ba, zaku iya maimaita maganin. A cikin duka, ana iya ba da irin wannan hanyar rage gaggawa a cikin karfin jini ba sau biyu ba.
- Kuna iya ba da tincture na mara haƙuri na valerian, motherwort ko Corvalol.
- Idan yana da damuwa game da jin zafi a bayan sternum, ba da kwamfutar hannu na Nitroglycerin a karkashin harshe.
- Idan mutum ya ji sanyi, ya rufe shi da dumin mai ɗumi ko kwalban filastik na ruwan dumi ku rufe shi da bargo.
Bayan haka, likitoci za su yi aiki. Wani lokaci, tare da gano cutar rikicin hauhawar jini, kulawa ta gaggawa - algorithm na ayyukan da dangi da ma'aikatan kiwon lafiya waɗanda suka zo kiran su ya isa, kuma ba a buƙatar asibiti.
Marasa lafiya ni kadai a gida. Abinda yakamata ayi
Idan mara lafiya ya kasance a gida shi kadai, dole ne ya fara daukar wakili na bakin jini, sannan ya bude kofar. Ana yin wannan ne saboda ƙungiyar da ta zo kiran za ta iya shiga cikin gidan idan mai haƙuri ya yi rauni, kuma kawai sai a taimaka masa. Bayan an kulle ƙofar ƙofar, mai haƙuri dole ne ya buga lambar "03" a kansa kuma kiran likitocin.
Taimakon likita
Idan mai haƙuri yana da rikici na hauhawar jini, kulawa ta gaggawa na ma'aikacin jinya ita ce kulawa ta Dibazole da diuretics. Tare da uncomplicated HA wannan ya zama wani lokaci isa.
Game da tachycardia, beta-blockers suna ba da tasirin gaske, waɗannan sune magungunan Obzidan, Inderal, Rausedil. Wadannan magungunan ana iya sarrafa su ta hanyan ciki da jijiyoyin zuciya.
Kari akan haka, yakamata a sanya wakili mai rahusa, Korinfar ko Nifedipine, a ƙarƙashin harshen mai haƙuri.
Idan rikicin hauhawar jini yana da rikitarwa, likitocin sashen kulawa na gaggawa suna bayar da kulawa ta gaggawa. Wani lokacin GC wani lokaci yana rikitarwa ta hanyar alamun rashin nasara ventricular hagu. A wannan yanayin, ganglioblockers a hade tare da diuretics suna da sakamako mai kyau.
Tare da haɓaka ƙarancin ƙwayar cuta, an kuma sanya mai haƙuri a cikin sashin kulawa mai zurfi da kwayoyi "Sustak", "Nitrosorbit", "Nitrong" da analgesics ana gudanar dasu. Idan zafin ya ci gaba, to ana iya tsara magunguna.
Mafi rikicewar rikice-rikice na HA sune haɓakar infarction myocardial, angina pectoris, da bugun jini. A cikin waɗannan halayen, ana kula da haƙuri a cikin kulawa mai zurfi da kuma sake farfadowa.
Shirye-shirye don GC
Lokacin da aka gano matsala ta hauhawar jini, ana ba da kulawa ta gaggawa (misali), a matsayin mai mulkin, tare da taimakon wasu rukunin magunguna. Manufar jiyya ita ce rage ƙanƙan jini zuwa lambobin da suka saba. Ya kamata a ɗauka a hankali cewa wannan raguwa ya kamata ya faru a hankali, saboda tare da saurin faduwa, mai haƙuri na iya tsokanar rushewa.
- Masu hana zirga-zirgar Beta suna toshe tasirin tasoshin jijiyoyin jini da kuma rage tachycardia. Shirye-shirye: Anaprilin, Inderal, Metoprolol, Obzidan, Labetolol, Atenolol.
- ACE inhibitors suna da tasiri akan tsarin renin-angiotensin-aldosterone (wanda aka yi amfani dashi don rage karfin jini). Shirye-shirye: Enam, Enap.
- Ana amfani da miyagun ƙwayoyi "Clonidine" tare da taka tsantsan. Lokacin ɗaukar shi, raguwar bugun jini yana yiwuwa.
- Kwantar da hankalin tsoka - shakata da ganuwar arteries, saboda wannan, saukar karfin jini ya ragu. Shirye-shirye: "Dibazol" da sauransu.
- An tsara allunan tashar alli don arrhythmias. Shirye-shirye: "Cordipine", "Normodipine".
- Diuretics suna cire ruwan wuce haddi. Shirye-shirye: Furosemide, Lasix.
- Nitrates yana faɗaɗa lumen arterial. Shirye-shirye: Nitroprusside, da sauransu.
Tare da kulawar likita a kan kari, tsinkayen HC yana da kyau. Mararrakin lokuta yawanci suna faruwa a cikin rikitarwa mai ƙarfi, irin su huhun bugun zuciya, bugun jini, gajiyawar zuciya, infarction na zuciya.
Don hana HA, kuna buƙatar saka idanu akan hawan jini a kai a kai, da shan magungunan antihypertensive da aka tsara kuma ku bi shawarar likitan zuciya, kuma kada ku cika kanku da aikin jiki, in ya yiwu, kawar da shan sigari da barasa kuma iyakance amfani da gishiri a abinci.
Kulawar gaggawa
Duk da nau'ikan rikicin hauhawar jini, kulawa ta gaggawa don tsalle cikin karfin jini shine daidai. Algorithm na ma'anar shi kamar haka:
- Zai dace don sanya haƙuri a cikin wurin zama na rabin rabin, ta amfani da matashin kai ko hanyoyin inganta.
- Kira likita. Idan mai haƙuri ya ɓullo da rikice-rikicen hauhawar jini a karon farko, to ya zama dole a kira motar asibiti don asibiti na gaggawa.
- Tabbatar da mai haƙuri. Idan mai haƙuri ba zai iya kwantar da hankalin kansa ba, to, ba shi ya dauki tincture na valerian, motherwort, Carvalol ko Valocardin.
- Tabbatar da sauke numfashi na mara lafiya, kwantar da shi daga suturar da ke hana motsi na numfashi. Bayar da iska mai kyau da kuma yawan zafin jiki. Tambayi mai haƙuri ya ɗan ɗauki numfashi mai zurfi.
- Idan za ta yiwu, auna karfin jini. Maimaita ma'aunin kowane minti 20.
- Idan mai haƙuri ya ɗauki wasu magungunan rigakafin ƙwayar cuta wanda likita ya ba da shawarar don kawar da rikicin, to, ba shi ya sha. Idan babu irin waɗannan magunguna, to, ku bayar da 0.25 MG na Captopril (Kapoten) ko 10 MG na Nifedipine. Idan bayan mintuna 30 babu alamun raguwar hauhawar jini, to ya kamata a maimaita magungunan sau ɗaya. Idan babu sakamako kuma daga shan magunguna, dole ne a kira motar asibiti.
- Aiwatar da damfara mai sanyi ko kayan kankara a kanki, da kuma matattarar dumama mai zafi a ƙafafunku. Maimakon murfin murhu, zaku iya sa filastar mustard a bayan kai da tsokoki maraƙi.
- Tare da bayyanar jin zafi a cikin zuciya, ana iya ba wa mai haƙuri gilashin Nitroglycerin da Validol a ƙarƙashin harshen. Ya kamata a ɗauka a cikin zuciya cewa shan Nitroglycerin na iya haifar da raguwa sosai a cikin karfin jini, don haka yakamata a ɗauka tare da Validol, wanda ke kawar da wannan sakamako.
- Tare da ciwon kai na yanayin fashewa, wanda ke nuna karuwa a cikin matsin lamba na intracranial, ana iya ba mai haƙuri maganin kwayar cutar Lasix ko Furosemide.
Tuna! Kafin bayar da magani, yana da matukar mahimmanci ka yi tunani a hankali kuma ka tantance yanayin mai haƙuri. Masu gudanar da aikin sun karɓi kiran ƙungiyar ambulan na iya taimaka maka game da wannan.
Me za a yi bayan dakatar da rikici na hauhawar jini?
Bayan daidaituwa na hauhawar jini, ya zama dole a bayyana wa mara lafiya cewa cikakken kwantar da hankali na jihar zai faru bayan kwanaki 5-7. A wannan lokacin, dole ne a kiyaye da ƙayyadaddun abubuwa da ƙa'idodi waɗanda zasu hana sake maimaita tsalle a cikin hawan jini. Jerin sunayensu ya hada da wadannan shawarwari:
- Yi la'akari da lokacin rigakafin magunguna wanda likitanka ya ba ku shawarar.
- Kula da matakan jini akai-akai da yin rikodin sakamakon su a cikin "Diary of hauhawar jini."
- Usearyata ayyukan jiki kuma kada kuyi motsi kwatsam.
- Usearyata tseren safiyar safe da sauran motsa jiki.
- Ka hada da kallon bidiyo da shirye-shiryen talabijin wadanda ke taimakawa tasirin halin kwakwalwa.
- Iyakance gishirin da ake sha.
- Kar a wuce gona da iri.
- Guji rikice-rikice da sauran yanayin damuwa.
- Guji barasa da shan sigari.
Ba za a iya magance rikicewar hauhawar jini ba a gida da kuma a kan asibiti. A cikin sauran yanayi, ya kamata a kwantar da mai haƙuri a asibiti don cikakken bincike, kawar da rikice-rikice da kuma alƙawarin shan magani.
Gubkinsky Television da Kwamitin Rediyo, bidiyo akan taken "Rikicin tashin hankali":
Bayyanar cututtukan da ke yiwuwa a gane lokacin da hauhawar jini
Sanin alamun cutar tashin hankali, zaku iya amsawa cikin lokaci lokacinda ya sami ci gaba a cikinku ko kusancin mutane.
Rashin hauhawar jini yana da muni, hanyar asymptomatic yana da wuya sosai kuma kawai yana ɗan ƙarami.
Alamun farawa na tashin hankali:
- Zazzabin ciwon kai wanda ya fara bayyana kwatsam zai iya kasancewa tare da rashi mara haske, tashiwa a gaban idanun, raunin bugun jini a cikin haikalin,
- tashin zuciya da amai na iya faruwa a bangon tsananin ciwon kai,
- palpitations da gajerun numfashi suna bayyana
- akwai yiwuwar tsoron mutuwa
- m kirji mai yiwuwa ne,
- hanci
- katsewa
- asarar sani.
Rikici na iya faruwa 1 ko fiye da alamun, lokacin da waɗannan alamun suka bayyana, yakamata a auna karfin jini. Idan wannan ba zai yiwu ba, kira 103 don neman taimako ko kuma ka nemi dangi su kaishi asibiti don taimakon ƙwararru.
Kafin isowar motar asibiti, kulawar gaggawa don rikicewar tashin hankali zai taimaka matuka wajen magance rikice-rikice tare da rage lokacin dawo da jiki bayan tsalle mai karfi.
Abinda yakamata ayi kafin motar asibiti tazo
Yawanci, mutanen da ke da cutar hawan jini koyaushe suna da kwayoyi don hawan jini, tare da matsala ta farko, i.e. lokacin da karo na farko a rayuwa ke fuskantar hauhawar matsin lamba, lamarin ya fi rikitarwa.
- Kira motar asibiti
- Cire mai haƙuri: mafi girman juyayi, da ƙarfi karfin jini ya tashi.
- Ya kamata mai haƙuri ya zauna a gado ko a cikin kujera a cikin wani wuri-kashi zaune.
- Don samun nutsuwa har ma da numfashi a cikin wanda aka azabtar.
- Dambe tawul tare da ruwan sanyi kuma sanya goshin ku.
- Za'a iya saukar da ƙafa a cikin wanka mai ɗumi ko tausa ƙafa don rage yawan jini a cikin kwakwalwa.
- Cire duk kayan daure, ka cire sarƙoƙi da mundaye.
- Bayar da damar samun iska mai kyau.
- Ba da kwaya da ke rage matsin lamba, maganin mara lafiya zai zama maganin da ake zabar, zai riga ya yi amfani da shi, saboda haka, babu wani mummunan halayen.
- A ƙarƙashin harshen captopril, nifedipine, capoten ko wani magani, kawai 1 daga jerin. Idan ya cancanta, bayan mintuna 30 zuwa 40, zaku iya sake shan ta, amma bayan auna karfin karfin jini, kuma idan bai ragu ba kwata-kwata, ko dan kadan. Idan allunan 2 ba suyi aiki ba, to ya kamata kar ku ci gaba, kuna buƙatar isar da mara lafiya zuwa asibiti ko jira motar asibiti.
- Ba da abin sha na tincture na valerian, corvalol ko motherwort (idan ana cikin majallar maganin gida).
- Tare da jin daɗin jin sanyi, mai haƙuri yana buƙatar a lullube da bargo, a cikin wuta - don kwantar.
- Idan akwai jin zafi a cikin fassarar zuciya ko ana lura da arrhythmia (ta bugun jini). Ya kamata a ba da Nitroglycerin, za'a iya ba da Nitrospray a ƙarƙashin harshen. Maimaita tare da ci gaba da azaba tare da tazara na minti 5-7 sau uku. Ba a karba ba.
Idan an bayar da taimakon farko na rikicin hauhawar jini a cikakke, kuma matsa lamba baya raguwa, ana buƙatar asibiti a cikin gaggawa dakin gaggawa. Tare da rage matsin lamba, amma bayyanar jin zafi a cikin zuciya ko wasu rikice-rikice, ana kuma nuna asibiti mai gaggawa.
Hawan jini ya kamata ya ragu a hankali, raguwar hauhawar jini zuwa lambobi na al'ada na iya cutar da mai haƙuri aƙalla babban darajar. Sabili da haka, idan bayan kulawa ta gaggawa, saukar karfin jini ya ragu da 20% a cikin minti 60, wannan alama ce mai kyau, mai haƙuri ya kamata ya kasance a hutawa kuma, in ya yiwu, a bar shi a gado tsawon awanni 2. Normalization na Manuniya na matsa lamba na iya faruwa har zuwa kwanaki 2. Yana da mahimmanci a cikin sa'o'i na farko don cimma nasarar samar da alamun da bai wuce 160/100 mm RT ba. Art.
Taimako na farko
Lokacin da ake bincika rikicin hauhawar jini da kuma tantance alamuncinta, taimakon farko ta ma'aikatan motar asibiti ana aiwatar da su ne bisa ga algorithms da Ma'aikatar Lafiya ta haɓaka.
Hanyar magani za ta dogara da alamomi kamar su darajar ci gaban rikicin, cututtukan cututtukan da suka kamu da shekarun marasa lafiya. Baya ga allunan Kapoten da Nifedipine, akwai shirye-shirye na cikin jijiya a cikin motar motar asibiti wanda ke ba ku damar rage karfin jini ba tare da rage gaggawa ba kuma ba tare da cutar da jiki ba:
- Ana gudanar da Clonidine ga marasa lafiya da karfin jini ya fi ƙarfin 200/140 mm Hg. Art. dil dil tare da saline iv a hankali.
- Ana gudanar da maganin diuretics (Furosemide, Lasix) a cikin jijiya idan akwai matsala mai tsauri a cikin mara lafiya ko kuma idan aka gano alamun rashin lafiyar kwakwalwa.
- Ana magance maganin magnesia na sulfate a / a ko / m, dangane da hawan jini da shekarun mai haƙuri. Tsofaffi sama da shekara 80 sun fi son zaɓar magnesia.
- Ana amfani da Dibazole tun yana ƙarami, yayin da tsai da rikicin tsofaffi ba da shawarar ba.
Taimako na farko don hauhawar jini yana da nufin rage karfin jini da hana haɓaka mummunan rikice-rikice. Baya ga magungunan da ke rage karfin jini, likita yana amfani da kwayoyi dangane da alamun da ke ciki:
- tare da matsanancin rauni na numfashi, ana amfani da Eufillin,
- don ciwon kirji - nitroglycerin, cordaron da sauransu,
- tare da arrhythmias - Anaprilin.
Lokacin da aka dawo da matsin lambar mai haƙuri kuma babu wasu rikice-rikice, mai haƙuri ya zauna a gida. Tare da mummunan dawo da matsin lamba ko gano alamun bayyanar cututtuka, likita ya ba da shawarar asibiti. Karyata kammala magani a asibiti, mara lafiya ya fallasa kansa ga hadarin rikice-rikice da ci gaba.
Abin da za a yi bayan dakatar da rikicin
Jiyya bayan rikicin hauhawar jini shine yanayin zama dole don murmurewar jiki. Ba haɓaka guda ɗaya na matsin lamba ga mahimman ƙimar da ke wucewa ba tare da alama ba. Marasa lafiya na buƙatar aƙalla mako guda don manne wa yanayin nutsuwa kuma baya yin motsi kwatsam.
- Yakamata yakamata ka mallaki yanayin tunaninka da tausayawar, jijiyoyin jiki basu yarda da na jiki.
- Kada vigils na dare ba ya halatta, koda wasa a kwamfuta ko kallon finafinai. Dole ne mai haƙuri ya yi bacci.
- An cire gishiri daga abincin, a nan gaba ana iya dawo da shi, amma ba tare da tsattsauran ra'ayi ba.
- Ya kamata a rage saurin fitar ruwa, musamman da yamma (ana bada shawarar yin amfani da adadi mai yawa na ruwan sha kafin 12 na rana).
- Guji tsawaita aiki ta hanyar juyawa tare da kai ko tare da babban hayaƙi. An ba da shawarar yin aiki a gonar da sanyin safiya, kafin a kafa zafin, kada ku ciyar da lokaci mai yawa kusa da murhun kuma kada ku shirya babban tsabtace shi kaɗai.
- Don kwantar da hankali amsa ga yanayin damuwa.
- Guji jayayya da cin fuska, kar a shiga cikin su kuma kar a yada mara kyau.
- Ana lura dashi akai-akai a therapist of asibitin kuma ana bin umarnin sa.
- Lallai yakamata a manta da lalacewa irin su shan sigari, shan giya, ko bukukuwan daren.
Idan za ta yiwu, ana ba da shawarar kula da wuraren shakatawa, idan babu irin wannan dama, zaku iya yin gwaji a cikin sashen ilimin motsa jiki (ilimin motsa jiki, motsa jiki, tausa).
Daga salon rayuwa mai aiki, zaku iya zabar tafiya, horo kan masu siminti ko iyo.
Farkon alamun bayyanar cututtuka
Jini daga hanci, matsanancin ciwon kai, farin ciki - waɗannan sune alamun farko na hawan jini!
Alamun haɓakarsa ba ɗaya bane. Da yawa basa jin komai kwata-kwata.
Mafi sau da yawa, mutane sukan koka game da:
- ciwon kai da tsananin zafin lokaci,
- tashin zuciya
- karancin gani
- jin zafi a hagu rabin kirji,
- zuciya palpitations
- tashin hankali zuciya
- karancin numfashi.
Likita na iya tantance cutar ta hanyar bayyananniyar dalilai:
- da annashuwa ko hanawa na haƙuri,
- tsoka mai rawar jiki ko sanyi,
- humarin zafi da jan launi na fata,
- increaseara yawan zafin jiki zuwa matakin da bai wuce 37.5ºС ba,
- alamun tsakiyar juyayi tsarin cuta,
- alamun cutar hauhawar jini ventricular,
- tsagawa da girmamawa sauti na II,
- systolic overload na hagu ventricle na zuciya.
A cikin mafi yawan masu fama da cutar hawan jini, ana samun raunin cutar tare da alamun 1 zuwa 2. Kuma kawai a lokuta masu wuya akwai da yawa daga alamun ta. Babban abin nuna alamar tashin hankali shine hauhawar hauhawar jini zuwa matsanancin matakin.
Harin da ke tafiya ba tare da rikitarwa ba yana ɗaukar fewan awanni kawai. Magungunan rigakafin ƙwayoyi suna taimaka wajan magance shi.
Koda rikicin da ba a haɗa shi ba yana haifar da barazana ga rayuwar mai haƙuri, don haka ya zama dole a hanzarta rage hawan jini. Rikici mai tsauri yana da haɗari tare da rikitarwa.Wani lokacin yakan girma a cikin kwana biyu! Hakan yana tattare da rikice rikice na mara lafiya, amai, amai, bugun fuka, farji, da kuma wani lokacin rashin lafiya.
Sanadin cutar sankara
Mafi sau da yawa, haɓakar rikicin hauhawar jini yana sauƙaƙe ta hanyar rashin kulawa ko ƙin haƙuri na shan magungunan antihypertensive. Kuma kawai a lokuta masu wuya, irin wannan yanayin shine farkon alamar hauhawar jini.
Abubuwan da suka haifar da tashin hankali na hawan jini sune:
- akai danniya
- wuce gona da iri aiki,
- ƙi shan magungunan antihypertensive.
Taimako na farko don rikici
Idan kuna zargin alamun farko na hawan jini, kuna buƙatar kiran gaggawa da gaggawa cikin tawagar motar asibiti. Don taimakawa mai haƙuri, kafin isowar likitoci, zaku iya ɗaukar matakan taimako na farko. Mai bukatar hauhawar jini yana kwance a kan gado domin ya ɗauki rabin wurin zama. Zai fi kyau a sanya matasai masu ƙarfi a ƙarƙashin kansa da kafadu.
Don rage yanayin haƙuri, zaku iya sa masa wanka mai ɗumi don kafafu ko makamai. Wani zabin shine a saka mustard plasters a wuya ko maraƙi.
Likita bayan kiran zai yanke hukunci ko asibiti ya wajaba ga mara lafiyar. Idan babu alamun rikitarwa, to magungunan antihypertensive zasu taimaka. A cikin rikitaccen rikicewar tashin hankali, ana buƙatar asibiti mai haƙuri. Kwararrun likita na iya bayar da allura don sauƙaƙa matsa lamba.
Rikicin tashin hankali: alamu, taimako na farko a gida har lokacin gaggawa
Rikicin hauhawar jini yanayi ne wanda hauhawar jini ya hauhawa sosai (ba lallai bane ga mahimman ƙimar), ana bayyana shi ta hanyar wasu alamu, da farko daga tsarin jijiyoyi da jijiyoyin jini. Tun da yanayin yana da haɗari, yana da mahimmanci cewa kowa ya san abin da ake haɗuwa da su, wani tashin hankali na tashin hankali yana bayyana kanta, alamu, taimakon farko a gida kafin motar asibiti tare da shi.
A matsayinka na mai mulkin, sanadin shine hauhawar jini. Kamar yadda al'adar ta nuna, ko ba a bi da shi ba ne, ko kuma ba a yi maganin ba. Da wuya, amma wani tashin hankali na tashin hankali yana faruwa ba tare da alamun alamun hauhawar jini na baya ba. Abubuwan da ke haifar da damuwa: yanayin damuwa, yawan aiki, matsanancin motsa jiki, dakatar da kwayoyi da ƙin yarda da abinci tare da iyakantaccen gishi mai ɗanɗano, yawan shan giya, canjin zafin jiki (misali, a cikin wanka), da sauransu.
Alamun tashin hankali
Rashin hauhawar jini ya kasu kashi biyu, alamomin su kuma sun banbanta.
Nau'in na farko ana samun sa a farkon matakan hauhawar jini. Siffar halayyar sa shine saurin haɓaka. Akwai matsanancin ciwon kai a bayan kai da kewaye da wuya, jin nauyi, rawar jiki ko'ina cikin jiki, matsanancin tashin hankali. Matsin lamba yayi tsalle sosai (musamman babba, systolic) zuwa matakin 200 mm r. Art. kuma bugun yayi sauri. Mai haƙuri yana jin zafi da nauyi a cikin yankin zuciya, rashin iska, ƙarancin numfashi yana faruwa. Harin zai iya kasancewa tare da tashin zuciya da amai.
Wani fasalin halayyar ma duhu ne a cikin idanun, saboda mai haƙuri duk abin da ya faru “kamar a cikin hayaƙi ne”, yana iya yin gunaguni game da girgiza baƙin duhu a gaban idanunsa. Nan da nan ya yi zafi ko, yana magana, sanyi, sanyi ya bayyana. Gumi, jan (wuya) na wuya, fuska, kirji na iya fitowa. Wannan nau'in rikicin na hauhawar jini shine a sauƙaƙe dakatar da shan magunguna, yana haɓakawa tsakanin sa'o'i biyu zuwa huɗu. Idan ya kasance ƙarshen, mai haƙuri sau da yawa yana da sha'awar urin urin.
Nau'i na biyu na matsalar hauhawar jini shine mafi halayyar jijiyoyin jini “gogaggen”, wato, ga mutanen da ke fama da cututtukan zuciya. Haɓaka alamu yana ƙaruwa, sannu-sannu. Na farko, mutum ya koka da wani irin nauyi a cikin kansa, ya yi bacci, bacci ya bayyana. A cikin ɗan kankanin lokaci, ciwon kai yana ƙaruwa sosai (ƙari a cikin ɓangaren occipital) kuma ya zama mai raɗaɗi. Akwai tashin zuciya da begen yin amai, amai.
Hankali kuma yana yin muni, ringing da tinnitus suna faruwa, kuma hankali ya rikice. Mai haƙuri ba shi da amsar tambayoyi. Wani lokaci tare da wannan haɓakar tashin hankali, ana lura da ɗimbin ƙafafun mutum ko tsokoki na fuska. Lowerasa, diastolic, matsin lamba na iya kaiwa har zuwa 160 mm p. Art. Ba kamar nau'in farko ba, bugun jini ya kasance iri ɗaya ne. Fatar ta bushe da sanyi. Bayani ya bayyana a fuska tare da haske mai kyau. Mai haƙuri yana jin zafin zuciya da gajeruwar numfashi yana bayyana. Sha raɗaɗin wata dabi'a ce dabam: jin zafi, matsewa ko hankula ga angina pectoris, yalwaci, shimfiɗa zuwa hagu ko mashin kafada. Ya danganta da tsananin, harin zai iya ɗaukar tsawon lokaci (har zuwa wasu kwanaki).
Taimako na farko na gaggawa don rikicewar hauhawar jini
Da farko, idan kuna zargin rikicin hauhawar jini, nan da nan kira motar asibiti, saboda tana iya buƙatar asibiti na gaggawa na haƙuri (tuna cewa tsari yana haɓaka cikin sauri).
Kafin ƙungiyar likitoci ta isa, dole ne ku taimaki mai haƙuri. Nan da nan a hankali, ba tare da motsi ba kwatsam, taimaka masa ya kwanta: bayar da kwanciyar hankali game da kwance ta hanyar sanya matashin kai, bargo mai ruɓi a ƙarƙashin kafadu da kai, da sauransu. Wannan zai taimaka wajen kawar da mummunan harin daga lalacewa. Kula da tsabtataccen iska (buɗe taga ko taga). Don dumama mai haƙuri da sauƙaƙe rawar jiki, kunsa ƙafafunsa, haɗa musu murfin murhu mai zafi ko shirya ɗamarar ƙafa mai ɗumi. Kuna iya sa filastar mustard a ƙananan kafafu.
Kafin likita ya isa, kuna buƙatar auna matsa lamba na haƙuri kuma ku bayar da kwaya don rage shi (ƙwayar da suke amfani da ita koyaushe). Ba shi yiwuwa a rage karfin a yayin rikicin hauhawar jini (fadada na iya faruwa). Kada ku ɗauki sabbin magunguna. Don dakatar da tsari mai raɗaɗi, ya zama dole a cikin awa ɗaya matsin lamba ya faɗi da kimanin 30 mm / p. Art. in an kwatanta da na asali. Idan mai haƙuri bai taɓa shan magani don zuciya ba kuma yana asara abin da ya kamata a yi amfani da shi a yanzu, to, miƙa shi ya sanya kwamfutar hannu guda ɗaya na Klofelin a ƙarƙashin harshensa. Madadin Klofelin, zaka iya amfani da Captopril. Idan bayan rabin sa'a matsin din ba ya raguwa, ba da ƙarin kwamfutar hannu (amma ba ƙari ba).
Idan mutum yana da ciwon kai mai mahimmanci, yana da kyau a ba shi allunan guda ɗaya ko biyu na diuretic (Furosemide). Don jin zafi a cikin zuciya ko gajeriyar numfashi, Nitroglycerin (kwaya a ƙarƙashin harshe) ko kuma 30-40 hula. "Valocordina."
Idan zub da hanci ya bude, to kuwa kuna buƙatar tsunke hancin ku na mintina biyar kuma ku shafa damfara mai sanyi akan gadar hanci (kai baya jingina da baya).
Yana da mahimmanci a san cewa a lokacin rikicin hauhawar jini, marasa lafiya galibi suna da ƙarfin tsoro. Wannan ya faru ne sakamakon sakin jiki na rashin damuwa. Kuma aikinku ba shine ku nuna tare da ayyukanku ko kalmominku ba damuwa game da yanayinsa, ba don tsoro ba. Yi magana cikin natsuwa, kyautatawa, sake tabbatar da mai haƙuri da gaya masa cewa wannan yanayin ya tafi, ba abin tsoro bane, kuma tabbas likita zai taimaka.
Arin ƙarin alƙawura yakamata a yi ta ƙwararrun likita kuma, idan akwai rikice-rikice, zai kwantar da majinyaci a ɓangaren bugun zuciya don hanyoyin aikin likita.
Ba za ku iya yi ba tare da taimakon likita ba, saboda rikicin hauhawar jini ya kasance sanadiyyar rikice-rikice da yawa: coma (encephalopathy), basur, cerebral hemorrhage, angina pectoris, myocardial infarction, huhun huhun ciki, da sauransu.
Ka tuna cewa jin daɗin kyakkyawan sakamako na cutar ya dogara da ayyukanka na farko.
Hawan jini cree na farko taimako
Apr 12, 2015, 12:30 pm, marubuci: admin
rikicewar hauhawar jini: alamu da taimakon farko
Rikicin hauhawar jini yana nufin yanayin da ke haifar da barazanar kai tsaye ga rayuwar mai haƙuri.
Rashin hauhawar jini shine gaggawa. tasowa saboda hauhawar hauhawar jini a cikin jini, tare da faruwar rikice-rikice na ciki da alamomin bayyanar cututtuka na zuciya, bayyanar cututtukan zuciya da bayyanar cututtuka, wanda aka nuna ta hanyar hoton asibiti na lalacewar ƙungiyar da ke buƙatar kulawa ta gaggawa.
Akasin ra'ayin jama'a, rikicin hauhawar jini bashi da halayen adadi na hawan jini, waɗannan adadi na mutum ne, kuma wani lokacin yana iya kasancewa farkon bayyanuwar hauhawar jini a cikin mutane. Lokacin da rikicewar hauhawar jini ya faru, haɗarin rikicewa daga tsarin da dama da gabobin jiki, rikicewa daga tsarin juyayi na tsakiya, gazawar zuciya, angina pectoris, infarction na myocardial, ciwon huhu, sabo, da sauransu.
Haɓakar hawan jini ya faru ne saboda abubuwa biyu:
Bayyanar cututtuka na tashin hankali:
- increasedara yawan hauhawar jini na jini sama da 110-120 mm Hg
- kaifi mai kaifi, yawanci a bayan kai
- buguwar sha'awa cikin haikalin
- gazawar numfashi (saboda karuwar kaya a hagun ventricle na zuciya)
- tashin zuciya ko amai
- raunin gani (raunin “kwari” a gaban idanun), asarar ɓangaren filayen gani yana yiwuwa
- jan fata
- matsananciyar azaba a bayan jijiyar zai yiwu
- tashin hankali, rashin ƙarfi
Akwai nau'ikan rikice-rikice iri biyu:
Farkon kallon rikicin (hyperkinetic) ana lura dashi musamman a farkon matakan hauhawar jini. Characteristically m farko,
mafi yawan haɓakar haɓakar jini na systolic, ƙarancin zuciya, yawaitar "alamun ciyayi".
Rikicin na biyu (hypokinetic), yawanci yana haɓakawa a ƙarshen matakai na cutar da wani asali na cutar hawan jini, wanda haɓakar haɓakawa (daga sa'o'i da yawa zuwa kwanaki 4-5) da ingantaccen hanya tare da cututtukan cerebral da cututtukan zuciya.
Taimako na farko game da rikicin hauhawar jini:
- ya shimfiɗa haƙuri (tare da ɗaga kai sama ƙarshen),
- ƙirƙiri cikakkiyar nutsuwa ta zahiri da ta hankali,
- lura da hawan jini da bugun zuciya a kowane mintina 15 kafin Likita ya zo,
- Idan akai la'akari da buƙatar kulawa da gaggawa da kuma gudanar da magunguna na kai tsaye wanda ke rage karfin jini, an fara magani nan da nan (a gida, cikin motar asibiti, a cikin asibitin gaggawa),
- idan an lura da tachycardia a kan asalin cutar hawan jini, ana bada shawarar magungunan ƙungiyar masu hana beta-blockers (propranolol),
- Hakanan ana amfani da captopril don dakatar da tashe tashen hankula, musamman idan akwai tarihin cututtukan zuciya, gazawar zuciya, ciwon sukari,
- Nifedipine an bada shawarar yin amfani dashi yayin daukar ciki, tare da keɓantar da ƙwayoyin cuta na kodan da tsarin ƙwaƙwalwar ƙwaƙwalwa,
- hanyoyin jan hankali:
- mustard plasters a bayan kai, a ƙananan baya, a ƙafa
sanyi ga kai tare da matsanancin ciwon kai
- wanka mai zafi.
Mahimmanci don tunawa cewa zaku iya rage hawan jini yayin rikicin hauhawar jini sama da 10 mm Hg. awa daya don gujewa rushewa. A cikin awanni 2 na farko, ana iya rage karfin jini da kashi 20-25%.
Yawancin lokaci, mai haƙuri ya riga ya san irin magungunan da za a ɗauka yayin da ƙaruwar haɓaka hawan jini.
Lokacin da rikicewar hauhawar jini ya taso a karo na farko a rayuwa, rikitarwa ta hanyarsa, mai haƙuri yana buƙatar asibiti da gaggawa.
Dukkanin takardu
Binciken cututtuka da raunin da jijiyoyin jini da kuma bayar da taimakon gaggawa a gare su. Angina pectoris a matsayin nau'i na cututtukan zuciya. Fasali na rashin lafiyar zuciya yayin faduwar jiki.
Babban haddasawa, tashin hankali da kuma nau'ikan rikice rikice. Kayan aiki da ƙarin hanyoyin bincike. Bayanan kula da lafiya. Binciken haɗuwa da hawan jini na systolic da tachycardia.
Sanadin rikicin hauhawar jini a matsayin karuwa a hawan jini. Bayanin bayyanar cututtuka na cutar kansa da kuma cutar bugun jini. Taimako na farko da ayyuka na wani ma'aikacin kula da cuta idan akwai wani rikicin tashin hankali.
Alamar raunin sanyi. Ba da taimakon gaggawa na samar da magani na gaggawa. Canje-canje na ƙwaƙwalwar ƙwayar cuta wanda ke faruwa yayin daskarewa. Nazarin gwaji na musabbabin raunin sanyi a Orsk. Hanyoyi don hana cututtukan cuta.
Manufar taimakon farko kamar yadda matakan gaggawa suka zama dole domin ceton rai da lafiyar wadanda abin ya shafa. Taimako na farko don ƙonewa, rarrabuwarsu. Taimako na farko don suma, hanci, rauni, lantarki, cizon kwari da bugun zafi.
Taimako na farko azaman hadaddun matakan gaggawa wadanda suka dace don sauƙaƙe ƙarin ingantaccen aikin likita. Bayyanar alamun rayuwa da mutuwa, taimako na farko don zub da jini, guba, ƙonewa, ƙanƙarar sanyi, cizo.
Taimako na farko da sake farfadowa. Kurakurai da rikitarwa na samun iska, hanya don aiwatarwa. Alamun asibiti da mutuwar halittu. Algorithm na aiki don tausa zuciya kai tsaye. Doka don rike gawa.
Yanayin gaggawa a cikin ilimin mahaifa. Babu makawa ciki. Rsarshen kafafun kafa na ƙwayar ƙwayar ciki. Rashin abinci mai gina jiki na nono myoma. Fasaha ta samar da kayan kiwon lafiya na farko-na farko domin maganin cututtukan fata. Clinical bayyanar cututtuka da kuma ganewar asali.
Siffofin taimakon likita na farko, likita da taimakon farko. Bayar da ingantaccen taimako ga wadanda abin ya shafa a cibiyoyin kiwon lafiya na mutum. Ciplesa'idoji na keɓancewa da haɗin kai cikin ingantaccen kiwon lafiya. Haɓaka aikin likita.
Bayyanar cutar lalacewar inzali, wuya, ko ragi. Abubuwan da ke tattare da cutarwa: ƙonewa da ƙanƙan iska. Chemical ƙonewa ga idanu da fata. Bayyanar asibitin su. Bayar da taimako na farko, taimako na farko da kuma ingantaccen taimako ga waɗanda suka ji rauni daban-daban.
Rashin jin zafi a cikin yankunan occipital da parietal. Saƙon amo a cikin kunnuwan, fuskoki suna tashiwa a gaban idanun. Rage numfashi ya gauraye. Increaseara yawan jini a cikin jini. Paroxysmal jin zafi a cikin zuciya, constricting. Rage numfashi yayin tafiya.
Abun kayan taimakon farko. Iri karaya da kasusuwa. Kai jigilar kayayyaki. Raunin kwanyar da aikace-aikacen hula. Hanyoyi don dakatar da sankarar jijiyoyin jini da na jijiya. Fata ta sama tana ƙonewa. Contusions da suma. Ba da taimakon farko ga wanda aka azabtar.
Ba da taimakon farko ga wadanda abin ya shafa. Ma'anar "matakan tayar da hankali" da kuma bayanin alamun yanayin jihar. Tsarin ayyukan algorithm na ayyuka da kimantawa game da tasirin farfadowa na cardiopulmonary, bincike na rikitarwa.
Alamar raunin kai. Taimako na farko don raunin kai. Yin gyaran kai. Rarraba raunin kwakwalwa. Bude raunin da ya faru da kwanyar da kwakwalwa. Matsalar tursasawa. Ma'anar hyper- ko hypotensive syndrome.
Tsarin duniya na farko na taimako a wurin. Dakatar da zubar jini. Dokoki don sanya sutura zuwa raunuka. Jiyya da nau'ikan ƙonewa. Taimako a cikin karayawar kasusuwa. Tsarin aiki idan akwai alamar rawar lantarki.
Babban halayyar azaba mai rauni kamar alamomin zuciya game da isasshen ƙwayar jini da oxygen zuwa gare shi. Etiology na spasm da atherosclerosis kamar yadda suke haifar da hare-hare na rauni. Bayanin algorithm na bincike da kuma kulawa ta gaggawa don harin angina.
Cikakken bayanin asibitin asibiti na jamhuriya. Yi aiki tare da kayan aikin likita da kayan aiki. Yarda da tsarin tsabtace-yaduwar cuta a cikin sashen. Bayar da taimako na farko a cikin cututtukan m da hatsarori.
Rahoton aikatawa
Ractarkewa da taimako na farko don karaya. Taimako na farko don kwancewa, bruise, sprains. Babban ka'idodin taimakon farko don raunin raunin da ya faru.Bayanin bayyanar cututtuka, haddasawa, nau'ikan rarrabuwa, shawarwari don ganewar su.
Wani mummunan nau'in marigayi gestosis. Nephropathy, preeclampsia, eclampsia. Rage cikin mahaifa. Placenta previa. Cututtukan cututtukan cututtukan cututtukan jini Bayar da kulawa ta gaggawa ga yara. Volumearar da kulawar likita don yanayin gaggawa a cikin tiyata.
Sharuɗɗa don hanyar amfani da yawon shakatawa daidai, amfani da ingantacciyar hanyar. Dakatar da zubar jini tare da bandeji na matsin lamba. Hanyar amfani da shi a wuya tare da lalacewar carotid artery. Sharuɗɗa don yarda da hanawa aiki. Hanyar amfani da tayoyin Cramer.
Kammalawa
Lokacin da alamun hauhawar jini ya bayyana, ya kamata a fara cikakken magani da wuri-wuri. Yana da mahimmanci a fahimci cewa asymptomatic hanya na hauhawar jini yana ba da izinin damuwa mai zurfi a jikin mutum ya faru, wanda daga baya yakan haifar da yanayin gaggawa. Idan likita ya gano hauhawar jini da kuma wajabta magani, aiwatar da alƙawura na iya hana faruwar wani tashin hankali kuma yana ba da gudummawa ga kiyaye lafiya na dogon lokaci a babban matakin.
Tare da rikici wanda ya riga ya faru, daidaituwa game da salon rayuwa da kulawa akai-akai yana ba da gudummawa ga rayuwar mai haƙuri.