Cutar hauhawar jini tare da lalacewar zuciya: alamu da ganewar asali

Halin hauhawar jini ana nuna shi ta hanyar karuwar cutar hawan jini (BP). Tare da ci gaba da cutar, wahayi yana da rauni, kwakwalwa, kodan da sauran mahimman gabobin jikin mutum suna wahala. Cutar hauhawar jini, wanda galibi ana cutar da jijiyoyin zuciya, hanya ɗaya ce ta hauhawar jini.

Babban Bayani game da Cutar Hauka tare da Laifin Zuciya

Wannan shine mafi girman rikicewar tashin hankali, wanda karfin zuciya ya ragu, saboda haka jini ya ratsa cikin kyamarorin a hankali. A sakamakon haka, jiki ba shi da isasshen wadataccen abinci mai gina jiki da isashshen sunadarin oxygen. Cutar hauhawar jini tare da raunin zuciya yana da matakai da yawa na ci gaba:

A cikin farkon matakin, hauhawar ventricular hagu yana faruwa ne saboda karuwa a cikin kaya akan ƙwayar zuciya.
Mataki na biyu ana nuna shi da haɓakar lalatawar jini (cin zarafin ƙarfin myocardium don shakatawa gaba ɗaya, cika jini).
A cikin mataki na uku, lalatawar hanji na ventricle na hagu ya faru (cin zarafin kwancensa).
Mataki na hudu yana gudana tare da babban yiwuwar rikice rikice.

Sanadin cutar

Hauhawar jini tare da lalacewar zuciya mafi yawa (lambar ICD: I11) tana haɓaka akasin yanayin yanayin tunanin-mai haƙuri, saboda damuwa yakan zama kamar jijiyoyi (trigger) don fara aiwatar da cututtukan jijiyoyin jijiyoyin jini. Sau da yawa, ci gaban cutar yana da alaƙa da canje-canje atherosclerotic a cikin tasoshin, saboda babban matakin mummunan cholesterol a cikin jini. Tana tarawa a jikin bangon arteries, suna yin manyan lamuran da ke hana ruwa zub da jini na yau da kullun.

Ba a kafa takamaiman dalilan da suka haifar da ci gaba da cutar ta likitoci ba. An yi imani cewa cutar hauhawar jini ta faru ne sakamakon aikin haɗuwa da abubuwa da yawa, daga cikinsu:

Kiba Accara yawan ƙwayar tsopose nama a cikin jiki yana haɓaka haɓakar cututtukan zuciya, yana haɓaka tasiri na magungunan antihypertensive (rage karfin jini).
Rashin zuciya. An gano ilimin ilimin halittar jini ta rashin yiwuwar samun cikakken jini a jiki sakamakon gazawar aikin famfo na zuciya. Rage yawan fitar jini yana haifar da hawan jini.
Mummunan halaye. Shan taba na yau da kullun, shan giya mai tsami ko kwayoyi suna haifar da ƙarancin ɓarnar tasoshin tare da manyan ƙwayoyin cuta, wanda ke ba da gudummawa ga haɓakar cutar hawan jini da sauran cututtukan zuciya.

A kusan kashi 35% na marasa lafiya, zuciya mai hauhawar jini ba ta haifar da wata alama kwata-kwata. Marasa lafiya na dogon lokaci na iya ci gaba da jagorancin tsarin rayuwa na yau da kullun har zuwa wani lokaci sun ci karo da mummunan ciwon zuciya, wanda ya riga ya kasance tare da mataki na uku na cutar. A wasu halayen, cutar ta bayyana ta bayyanar cututtuka masu zuwa:

karancin numfashi
migraine
hyperemia na fuska,
jin sanyi
bugun zuciya
tashin hankali ko fargaba saboda kara karfin kirji,
tsananin farin ciki
zafi a cikin zuciya da / ko sternum,
na yau da kullum da jini.

Babban Sanadin cutar

Sakamakon haɓakar cututtukan zuciya da hauhawar jini, tsarin jijiyoyin jini ya daina aiki cikakke, saboda raguwar tasoshin jini da hauhawar jini. Kamar yadda aikin likita ya nuna, wannan nau'in cutar yana faruwa a cikin 19% na lokuta mai ɗorewa mai ƙarfi. Kwararru ba su iya gano babban dalilin da ke haifar da bayyanar cutar hauhawar jini tare da lalacewa mafi girma a cikin zuciya ba, amma an gano abubuwan da suka shafi wannan tsarin. Wato:

kiba
abubuwan kwarewa
rayuwa mara kyau
rashin daidaita abinci mai gina jiki
hargitsi a cikin aikin zuciya.

A cewar masana, haƙuri na psycho-tunanin jihar taka muhimmiyar rawa, tun da shi sau da yawa tsokani da ci gaban pathological a cikin arteries da tasoshin. Sau da yawa, saboda canje-canje atherosclerotic a cikin tasoshin, cutar hawan jini. Idan ɗaya daga cikin alamun cutar ya bayyana, yana da muhimmanci a nemi taimakon kwararrun kwararru nan da nan, tunda magungunan kai na iya tayar da haɓakar rikice-rikice. Cutar hauhawar jini tare da raunin zuciya yana da haɗari saboda yana iya ci gaba kuma yana motsawa cikin matakai masu rikitarwa. Don hana sakamako mai haɗari, yana da mahimmanci don hana faruwar rikice-rikice.

Alamomin cutar

Akwai alamu da yawa dangane da abin da zaku iya tantance kasancewar cutar hauka. Wadannan sun hada da:

man fuska,
gumi mai aiki
Tsarin hauhawar jini
damuwar mai haƙuri
bayyanar matsalolin numfashi
bugun bugun zuciya
migraine

A lokuta da yawa, alamu a matakin farko na haɓakar cutar ba su nan. Mai haƙuri yana jin rashin jin daɗi ne kawai a cikin mataki na biyu na cutar hauhawar jini tare da lalacewa mai mahimmanci ga zuciya - a cikin yanayin karuwa mai ƙarfi a cikin karfin jini.

Matakan ci gaba da Pathology

Cutar hauhawar jini tana da haɗari a cikin wannan na iya ci gaba. Da aka ba da canje-canje a cikin karfin jini, likitoci sun rarraba tsarin ci gaban cutar a cikin digiri da yawa. An dauki yanayin rikicewar tsarin zuciya.

A cikin digiri na farko na cutar hauhawar jini (hypertonic) tare da raunin jijiyoyin zuciya, ƙimar systolic (babba) ta hauhawar jini matsakaici yana tashi - a cikin kewayon 135-159 mm. Hg. Art., Iyakar diastolic (ƙananan) darajar daga 89 zuwa 99 mm. Hg. Art.
Mataki na biyu na haɓakar cutar, lokacin da matsin lamba zai iya zuwa 179 mm. Hg. Art.
Na uku ya wuce mil 181. Hg. Art.

Akwai matakai da yawa na cutar hauhawar jini (hauhawar jini) tare da lalata zuciya. Wato:

A matakin farko, ana samun abin da ya faru.
A na biyu, za'a iya gano hauhawar jini daga cikin ventricle na hagu na zuciya.
Mataki na uku ana saninsa ne yayin da ake fama da cututtukan zuciya da gazawar zuciya.

A cikin cututtukan hauhawar jini tare da lalacewar zuciyar babba (lambar 111.9 bisa ga ICD 10), babu tsayayye. A matakin farko na haɓakar cutar, ana iya daidaita matsin lamba tare da taimakon magungunan antihypertensive. A mataki na biyu na cutar, matsin lamba na iya canzawa, saboda haka rikicewar lafiya yawanci yakan tashi. A wasu halaye, magani na kashe kuɗaɗe ba shi da tasiri. A saboda wannan dalili, ana yin tiyata tare da amfani da magungunan da ke daidaita aikin zuciya. A matakin karshe na ci gaba da cutar, yanayin aiki yakan lalace. A cikin marasa lafiya, gabaɗaya rashin lafiyar da ciwo suna bayyana a cikin sashin da abin ya shafa.

Rashin aiki da zuciya

Cututtukan zuciya mai hauhawar jini a ƙarshe yakan haifar da tsayayye. A cikin aiwatar da ci gaban faduwar zuciya saboda asarar elasticity na ganuwar zuciya, zagayarwar jini yana da damuwa, watau, aikin magunan tsoka yana rauni. Sakamakon raguwar kwararar jini a cikin jijiyoyin jini da jijiyoyin jini, hawan jini a cikin zuciya da kanta na iya ƙaruwa, wanda ya zama dalilin lalata aikinsa. A karkashin irin wannan yanayi, jiki baya wadatar isashshen iskar oxygen, kamar zuciya.

Sakamakon karancin oxygen, zuciya takan fara aiki da karfi domin hana ci gaban iskancin oxygen din kwakwalwa. Wannan sabon abu yana kara lalata tsokoki na zuciya. Sakamakon haka, hauhawar jini yana tasowa, kuma hadarin ciwon zuciya yana ƙaruwa sosai.

Matakan bincike

Idan ɗaya daga cikin alamun cutar hauka ya bayyana tare da raunin farko ga zuciya ko kodan, yana da muhimmanci a nemi likita kai tsaye. Kulawar gida na iya cutar da cutar da yanayin. Bayan kyakkyawan nazarin mai haƙuri, likita zai tsara magunguna masu tasiri waɗanda zasu taimaka warkar da cutar da kawar da alamun rashin jin daɗin cutar.

Tare da taimakon bincike na zahiri, CG da duban dan tayi na kodan, ana yin gwaji. Likita ya zabi magani dan ya danganta da hoton asibiti gaba daya. Likitan zuciya yana yin la’akari da tsananin yanayin aikin jijiyoyin zuciya.

Sakamakon bugun zuciya, kodan yayi aiki mara kyau kuma yana iya riƙe ruwa a jiki. A karkashin irin wannan yanayin, mai haƙuri na iya bayyana edema da haɓaka haɓakar jini. Bayan wani lokaci, wannan yakan haifar da bugun zuciya. A yayin da ba a aiwatar da magani na lokaci da cikakken tsari don daidaita ƙimar jini, matsaloli masu rikitarwa na iya faruwa, tunda zuciya da sauri ta yanke jiki. A karkashin irin wannan yanayi, akwai haɗarin cutar zuciya da mutuwa kwatsam.

Da farko dai, lafiyar ta lalace cikin sauri, matsin lamba yana karuwa da sauri kuma zuciya ta daina tsayawa. A mataki na 2 da na 3 na cutar, rikicin ya tashi. A lokacin rikici, matsin lamba na iya tashi da sauri saboda dalilin cewa zuciya ba ta da ikon samar da yanayin jinin da ya wajaba tare da jimre da kara yawan jijiyoyin bugun jini. Harin huhu na tasowa, wanda kuma yakan haifar da mutuwa.

Cutar hauhawar jini tare da koda ko raunin zuciya yana da alamu iri ɗaya kamar hauhawar jini. Saboda wannan, ba a bada shawarar magani na kai ba. Da farko, yakamata ku duba cutar.

Yaya za'ayi maganin jiyya?

Ana kula da cutar hauhawar jini ko bugun jini a daidai kamar hauhawar jini - ana gudanar da aikin kwantar da hankali. Idan ka saba hawan jini, to kaya a zuciya zai ragu. Bugu da kari, ya zama dole a yi amfani da magungunan da ake amfani da su wajen maganin rashin karfin zuciya. A matakin farko na ci gaba da cutar, ana amfani da monotherapy tare da inhibitors na ACE. Cikin aiwatar da magani yakamata ya jagoranci rayuwar lafiya.

Jiyya yana tare da diuretics, antagonists na alli, da masu hana beta. Babu wani tsarin kula da jinya na duniya; likita ya zaɓe shi gwargwadon halayen mutum na haƙuri da ƙimar jini.

Hanyar folki

Game da cutar hauhawar jini tare da lalacewar koda, yana da amfani a yi amfani da wasu hanyoyin magani, amma kamar yadda likitan ya umarce shi.

Don haka, tare da taimakon jiko na rosehip, zaku iya cire ruwa daga jiki, hakan zai rage kaya a zuciya da kawar da kumburi. Don shirya samfurin warkarwa, wajibi ne a zuba shukar da aka murƙushe ta ruwan zãfi kuma nace don ɗan lokaci. Halfauki rabin gilashin sau da yawa a rana.

Ana iya amfani da sabon faski don kula da zuciya. Likitocin sun ba da shawarar ganye a cikin abincin ku.

Shayi na Chamomile, tushen valerian da motherwort suna da tasirin gaske akan aikin zuciya.

Shawarwarin likitoci

Don hana haɓakar cutar tare da lalacewar zuciya, yana da mahimmanci don jagorantar rayuwa mai kyau, dakatar da shan taba. Yana lalata aikin dukkan kwayoyin, tunda nicotine ya cutar da tasirin tasoshin jini.

Yana da mahimmanci don yin wasan motsa jiki na yau da kullun kuma ku ci yadda ya kamata don babu matsaloli tare da kiba. Sha barasa cikin matsakaici ko cire shi baki ɗaya.

Lura don haƙuri

Daga cikin kuskuren da aka saba yi da marasa lafiya shine rashin izinin zuwa likita, magani na kansa da kuma dakatar da jiyya lokacin da bayyanar ingantacciyar farfadowa ta bayyana. Ya kamata a ba da magunguna ta hanyar likita kwatankwacinsu, gwargwadon halayen mutum na jikin mai haƙuri. Lokaci da kwatankwacin karatun suna ƙaddara ta ƙwararrun masani.

Magunguna masu tasiri

Ana magance cututtukan zuciya tare da magunguna masu zuwa:

Godiya ga diuretics, zaku iya kawar da edema kuma ku daidaita ayyukan jijiyoyin jini. Yin amfani da "Hydrochlorothiazide", "Indapamide", "Chlortalidone", "Veroshpiron", "Metoclopramide", "Furosemide" cunkoso a cikin tsarin jijiyoyin jini da kodan an cire, ana cire gubobi da gubobi daga jiki, an cire hauhawar jini da gubobi daga jiki, an daidaita karfin jini.
Tare da taimakon "Bisoprolol", "Carvedilol", "Betaxolol" zaku iya daidaita aikin zuciya.
Godiya ga angiotensin-canza masu hana enzyme aiki, ana iya inganta aikin jijiyoyin bugun gini kuma ya haifar da fadada su. Amfani da Metoprolol, Captopril, Berlipril, Kapoten, Trandolapril, Lisinopril an yi niyyar dawo da cikakken aikin zuciya da jijiyoyin jini.
Rage damuwa a zuciya tare da Amlodipine, Korinfar, Nifedipine, Verapamil, da Diltiazem. Wadannan magungunan ana kiransu tashar alli mai suna alli.
Ingantattun masu karɓar kariyar angiotensin sun haɗa da: "Losartan", "Valsartan", "Telmisartan", "Mikardis".

Idan hauhawar jini ya faru saboda keta tsarin karfin jini ta cibiyoyin kwakwalwa, to ana yin magani ne ta hanyar amfani da “Klofelin”, “Andipal”, “Moxonitex”, “Physiotensa”.

Binciko

Tunda a farkon matakin cutar kowane canje-canje a cikin zuciya ana shawarci mai haƙuri da hauhawar jini. Likitoci suna magana ne game da zuciya mai hauhawar jini yayin ci gaba da cutar, lokacin da ake bincika gwaji, arrhythmia ko hauhawar jini ventricle na hagu ya bayyana a sarari. Ana yin waɗannan hanyoyin bincike don gano cutar hauhawar jini tare da lalata zuciya:

Gwajin jiki. Likita ya yi tsinkaye, bugun bugun jini da auscultation. A kan palpation, an yanke shawarar motsawar cututtukan zuciya. Tare da tsinkaye, likita ya jawo hankali ga fadada dangi da cikakkun iyakoki na zuciya, wanda ke nuna hauhawar jini. Yayin tashin hankali, ana gano sautuna daban-daban na jikin mutum.
Electrocardiogram na zuciya. Amfani da ECG, likita yana tantance aikin kwanciyar hankali na myocardium, iyawarta da rhythm. Ta hanyar ɓoye shinge a kan tef, ana binciken hauhawar jini.
Gwajin Echocardiographic na myocardium. Gano ambaliya a cikin zuciyar zuciya, fadada daga cikin cavites, yanayin bawuloli.
Duban dan tayi na maganin carotid arteries da plexus na mahaifa. Ana kimanta hadaddun kafofin watsa labarai na intima-CIM (CIM) (yanayin magana, taurinwar jijiya, bambancin yadudduka).

Hanyoyin warkewa suna nufin daidaita tsarin abinci da salon rayuwa (kawar da munanan halaye, rashin aiki na jiki, damuwa), daidaituwa da karfin jini. Bugu da ƙari, ana amfani da magunguna don kula da rashin zuciya. Babu hanyoyin jinya na duniya. An zaɓi magani bisa ga mutum, yin la'akari da shekarun mai haƙuri, ƙimar hawan jini, rikice-rikice na tsarin zuciya.

Abincin abinci don hauhawar jini na ƙwayar zuciya ya haɗa da ƙuntatawa na gishiri (har zuwa 5 g / rana). Haramun ne a ci kitse, mai yaji, abinci mai soyayye, kayan abinci da aka dafa, irin kek. Isasshen adadin a cikin abincin ya kamata ya ƙunshi kayan lambu, gurasar hatsi, nau'in kifi mai ƙima, nama, kaji. Kowane takamaiman menu ya kamata a yarda da likitan halartar.

Amma game da magani, a farkon matakin cutar, an tsara monotherapy tare da angiotensin-sauya masu hana enzyme inhibitors. Tare da ci gaba da hauhawar jini tare da mummunar lalacewar ƙwayar zuciya, ana yin amfani da maganin haɗuwa, wanda ya haɗa da rukuni na gaba:

Diuretics. Rage yawan ƙwayar cuta cikin jiki, wanda ke haifar da raguwar hauhawar jini (Furosemide, Hypothiazide, Amiloride).
ACE masu hanawa. Sun toshe enzyme wanda ke haifar da aiki mai karsashi na angiotensin, wanda ke haifar da karuwa a cikin jini (Metiopril, Ramipril, Enam).
Sartanci. Abubuwan da ke aiki da magungunan suna toshe masu karɓa waɗanda ke ba da gudummawa ga canji na rashin aiki na angiotensinogen cikin angiotensin (Losartan, Valsartan, Eprosartan).
Masu maganin kishi. Rage yawan ƙwayar alli a cikin sel, yana shafar motsin ƙwayoyin jikinsa, rage karfin jini (Verapamil, Diltiazem, Amlodipine).
Masu tallata Beta. Beta-adrenoreceptors suna ɗaure, yana hana aikin catecholamine mai shiga tsakanin kwayoyin halittar jini a kansu (Acebutolol, Pindolol, Bisoprolol).

Magungunan diuretic

Lokacin da edema ta faru, likitoci sukan ba da umarnin diuretics - diuretics. Waɗannan sun haɗa da Furosemide. Ana ba da shawarar maganin don edema wanda ke haifar da:

cutar koda
hauhawar jini
hanjin harshe,
hauhawar jini.

Ana amfani da maganin ne ta hanyar likita mai tsananin halartar. Veroshpiron magani ne mai daskarewa wanda ke hana alli barin jiki. Sanya don rigakafin cututtukan edema, da:

da hawan jini,
cirrhosis na hanta,
ascites
nephrotic syndrome
hailonia,
hypokalemia.

Kuma godiya ga Indapamide, zaku iya haɓaka tasirin jijiyoyin jini. Magungunan ba ya cutar da lafiyar jama'a gaba ɗaya kuma baya cutar da matakin glucose a cikin jini. Tare da taimakon miyagun ƙwayoyi, hauhawar jini na hagu na zuciya yana raguwa. Sanya tare da hauhawar jini a cikin tsananin matsin lamba da gajiyawar zuciya.

Bayanin matsala

Babban rikicewar da ya haifar da hauhawar jini shine karancin isashshen jini. Yana da alaƙa da masu zuwa - ƙarfin zuciya da ake buƙata don yin duk ayyuka ya bambanta da ƙarfin ƙungiyar lafiya. “Motar wuta” ta jikin dan Adam baya da karfi kuma yana matse jini da karfi fiye da yadda yake a al'ada. Abinci mai gina jiki da isashshen sunadarin oxygen a cikin zuciya. Jini yana tafiya a hankali ta cikin ɗakunan famfo kuma matsa lamba a cikin atria da ventricles yana ƙaruwa. Cutar cuta ce wacce take buƙatar kulawa da ɗabi'a na yau da kullun, har da maganin inpatient da dubawa.

Tare da hauhawar jini, buƙatar samar da jini zuwa kyallen da gabobin da suke da alaƙa da ƙanana da manyan da'irori na kewaya jini yana ƙaruwa. Akwai naƙasasshe (ventricular hagu) da na huhu (ventricular dama) cututtukan zuciya na hawan jini. A cikin lamari na farko, hauhawar jini na tsari shine abin zargi, watau, haɓakar matsin lamba na hydrostatic a cikin tasoshin babban da'irar, a karo na biyu - huhu, i.e., hawan jini a cikin jijiyoyin bugun jini.

Dalili mai yiwuwa

Babban abin da ke haifar da cututtukan zuciya shi ne yawan hauhawar jini. Irin wannan cutar kusan kashi 90% na rikice-rikice daga kowane yanayi na hauhawar jini. A cikin tsofaffi, kusan 68% na yanayin faduwar zuciya suna da alaƙa da hawan jini. Wannan yana nufin cewa saukar karfin jini a jikin tasoshin ya fi na yau da kullun ilimin halittar jiki. Zuciya, wacce ke bugun jini a karkashin irin wannan yanayi, tana ƙaruwa cikin girma a kan lokaci, kuma ƙwayar zuciya (ɗakin hagu) ya kasance mai yawa da faɗi.

Kowa ya ji labarin irin wannan a matsayin "zuciya mai raɗaɗi." Menene wannan Cutar da take da alaƙa da hawan jini ya shafi wata muhimmiyar sashin jiki, yana tasowa da sauri, kuma a ƙarƙashin wasu dalilai sannu-sannu sai su fara zuwa gazawar zuciya. Wani lokaci myocardium ya zama mai yawa wanda oxygen bashi iya shiga ciki ba. Wannan yanayin ana kiransa angina pectoris kuma ana nuna shi da zafin kirji. Hawan jini kuma yana kara haɓaka mai kauri daga bangon jijiyoyin jini. A ƙarƙashin tasirin adana cholesterol, haɗarin bugun zuciya da bugun jini na ƙaruwa sau da yawa.

Hakanan zamu sanya sunan dalilin wannan cututtukan zuciya - atherosclerosis. Tare da wannan ilimin, ƙwayoyin ƙwayar cholesterol suna fitowa daga saman ciki na jiragen. Tsarin tsari ya tsoma baki tare da rarraba jini na jini kyauta, wanda shine dalilin cutar hawan jini. Har ila yau, damuwa yana da babban tasiri a zuciya.

Hanyoyin ci gaba mai mahimmanci

Duk da cewa cutar cututtukan zuciya ba ta kasu kashi-kashi, ci gaban cututtukan cututtukan cuta an kasu kashi uku ne:

danniya akan zuciya yana ƙaruwa, wanda yakan kai ga barin hawan jini na ventricular,
rashin narkewar cuta na tasowa,
akwai gazawar aikin systolic na ventricle hagu.

Alamun cututtukan zuciya masu hauhawar jini tare da raunin zuciya sun dogara da wariyar nau'in damuwa na farko na tashin zuciya da tsawon lokacin aiwatarwa. Bayyanar bayyanar cututtuka na cutar za a iya ƙaddara a gani, wato:

saman jiki yana samun sauki
alamomi masu yawa wadanda suka fito (fata) daga jikin fatar,
akwai gunaguni na zuciya wanda ke haifar da jijiya-jijiya,
shortness na numfashi faruwa a wasu kwance da kuma a tsaye wurare, da kuma kara, kamar yadda cutar tasowa a sauran,
gajiya daga aikin jiki yana bayyana,
akwai cin zarafin kodan, an kirkiro fitsari kaɗan,
akwai mai jin ƙishirwa koyaushe
nutsuwa take ji
mai raɗaɗi mai rauni a cikin yankin plexus na rana.

Hyaƙwalwar zuciya na iya zama sinus, musamman kafin firamillation na atrial. Contraarfin zuciya da yawan su na iya nuna yawan cututtukan tachycardia.

Symptomsarin bayyanar cututtuka na wannan hauhawar jini shine bugun bugun zuciya na mara ƙurewa (tare da coarctation na aorta), ƙara matsin lamba zuwa matakan sama da 140/90. A cikin marasa lafiya da rauni na zuciya, ana iya lura da jijiyar bugun jijiya. A cikin huhu na iya zama ambaliya da hurawa.

Sauran bayyanar cututtuka

Masu koyar da aikin sun lura da faruwar irin wadannan alamun:

kara girman hanta
na ciki
kumbura da gwiwoyi, fuska da ciki, da makamai da kafafu,
rushewa da tsarin juyayi na tsakiya,
kirji
take hakkin ciki,
jin tsotsewa
tsananin farin ciki
tashin zuciya
dare gumi,
karancin numfashi
tashin hankali, rauni,
wanda bai dace ba bugun zuciya.

Babban hanyoyin kusanci da magani

Ya kamata a gudanar da magani daga cututtukan zuciya na hawan jini. Yakamata yakamata a samarda taimakon likita, da kuma tsarin abinci. Ga marasa lafiya, canza abincin ya zama hanya mafi inganci don kulawa, musamman idan wata cuta mai hauhawar jini ta bayyana kwanan nan.

Magunguna don magani:

diuretics dake rage karfin jini,
statins tare da babban cholesterol,
beta blockers zuwa saukar karfin jini,
asfirin, wanda ke hana ƙyallen jini.

Ya kamata a aiwatar da lura da cututtukan zuciya masu hauhawar jini a karkashin tsananin kulawa daga likita.

A cikin matsanancin yanayi, don kara yawan jini zuwa ga zuciya, aikin tiyata ya zama dole. A wannan matakin, ana shigar da mai haƙuri tare da bugun zuciya a ciki ko kirji. Na'urar tana da alhakin tashin hankali, wanda ke haifar da myocardium don yin kwangila da faɗaɗawa. Shigar da na'urar bugun zuciya ya zama dole lokacin da aikin lantarki na zuciya ya kasance kasa ko kuma gaba daya baya kasancewa.

Yin rigakafin

Matakan kariya don hana cutar hauhawar jini tare da lalata zuciya:

Karkatar da nauyin jiki.
Haɓakar abincin da abincinta (amfanin samfurori da ƙarancin abubuwan guba, ƙarin kayan lambu da 'ya'yan itace, fiber, bitamin, ma'adanai, gami da haɗewar abinci da soyayyen abinci mai mai).
Wajibi ne a ƙi shan sigari da barasa (mummunar shafar ayyukan tasoshin jini).
A kai a kai ana auna matsin lamba akalla sau daya a wata.
Yi ilimin jiki a kowace rana.
Isa ya isa yayi bacci.
Gudanar da damuwa.
Idan ya cancanta, ɗauki magunguna.

Duk wannan yana buƙatar hauhawar jini tare da lalacewar zuciya.

Mafi kyawun aikin jiki don marasa lafiya wahala shine tafiya matsakaici, yin iyo, tseren keke.

Rashin haɗari

A haɗarin masoya giya ne. Da yawa na iya rashin jituwa, kamar yadda masana kimiyya na Faransa suka daɗe da tabbatar da halayen kirki na jan giya akan tsarin zuciya. Duk abin da suke daidai suke, amma akwai ƙananan lambobi. Muna magana ne game da samfurin halitta wanda ake kira busassun giya daga inabi, kuma a cikin adadi kaɗan (babu gilashi sama da ɗaya a rana), kuma ba komai ba game da bukukuwan da muke so, inda shaye-shaye ke zubowa. An riga an faɗi abubuwa da yawa game da haɗarin shan taba kuma babu wani uzuri: shan sigari yana cutarwa ga zukatanmu.

Rayuwa mai tazara ita ce annobar wayewar zamani. Tsarin mu na jijiyoyin jiki yana gyarawa ta dabi'un jiki. Idan zuciya bata jin nauyin, to ya tsufa da sauri. Don haka aiki a cikin iska mai kyau ba mai gamsarwa bane, amma hanya ce ta inganta aiki da ƙwaƙwalwar zuciya da hana kamuwa da bugun zuciya da faɗuwar zuciya.

Babban bayani game da cutar

Hauhawar jini tare da rauni na zuciya yana tasowa a hankali. Babban mai jan hankali shine matsanancin nutsuwa na tunanin mutum ko kuma tunanin mutum wanda yake fallasa shi na dogon lokaci. Yana da shi ke haifar da gaskiyar cewa ANS mummunar cutar ta shafi jijiyoyin bugun jini. An gano wannan cutar a cikin mutanen da suka kai shekaru 40. An bayyana matakan da ke haifar da cutar a cikin tebur da ke ƙasa.

Sanadin cutar

Zuciyar hawan jini ba ya faruwa cikin mutum mai lafiya daga ko'ina. Baya ga aikin juyayi, akwai abubuwa da yawa waɗanda zasu iya zama mahimmancin ci gaba da cutar. Wadannan sun hada da:

Almubazzaranci. Duk da cewa a cikin wallafe-wallafen akwai nassoshi game da fa'idar lafiyar giya da giya, aikatawa sun nuna cewa sun yi gaskiya. Abin sha na yau da kullun a cikin ƙananan abu yana kawo fa'idodi, kuma adana magungunan analogues suna haifar da hauhawar jini.
Sedentary salon. Wasanni yana da amfani ba kawai saboda yana taimaka maka samun jikinka a sikari ba, har ma saboda yana hana zubar jini a cikin ventricle na hagu.
Tsarin kwayoyin halitta. Idan kana da jijiyoyi ko hauhawar jini a cikin danginka, to wataƙila za ka gaji wannan matsalar.
Shan taba. Lokacin da nicotine ya shiga jiki, tasoshin suna da fadi kuma matsin zai tashi.
Rashin rikice-rikice na tsufa a cikin aikin tsarin zuciya.
Wuce kima. Wucewa BMI da canza kashi mai da tsoka a cikin shugabanci na farkon tsokani ya haifar da haɓakar haɓakar cholesterol. An ajiye shi a kan jiragen ruwa, wanda ke haifar da hauhawar jini.

Amma kada nan da nan ku zama ma m. Idan muka cire damuwa mai juyayi, to zuciyar mai hauhawar jini a cikin mutum ta bayyana a yanayin hadewar abubuwan, kuma ba takamaiman matsala guda ba.

Cututtukan zuciya masu hauhawar jini yana haɗuwa da wani tashin hankali ko hauhawar yawan matsa lamba. Gabaɗaya, bayyanar wannan alamar alama ce ta yawancin cututtuka na tsarin zuciya. Har ila yau, rikicin na iya faruwa. A kusan kashi 35% na marasa lafiya, cutar ba ta bayyana kwata-kwata. Sun ci gaba da gudanar da rayuwarsu ta yau da kullun har zuwa wata rana sun sami mummunan rauni, wanda ke tare da matakan uku na cutar. Bugu da kari, rashin jin daɗi na iya zama bugun bugun zuciya ko bugun zuciya. Idan zamuyi magana game da alamun bayyanuwar cutar zuciya, to mai haƙuri na iya fuskantar alamomin masu zuwa:

migraine
tsoro tsoro saboda tsananin kirji,
karancin numfashi
ciwon ciki ko kirji
tsananin farin ciki.

Mutane da yawa masu cutar hawan jini suna fama da ciwon kai wanda aka mayar da hankali a bayan kai. Daki da fari-ɗigo suna bayyana a gaban idanun. Amma sanannen jinin hanci, wanda mutane da yawa suna la'akari da alamar cutar hawan jini, yana fitowa ne kawai a raka'a. Idan mutum yana fama da rashin lafiya na shekaru da yawa, ventricle na hagu zai fara girma cikin girman, ƙodan zai daina aiki kullum.

Rarrabawa

Duk da gaskiyar cewa wata cuta ta jijiyoyin jiki wanda ke haifar da hauhawar hauhawar jini yana da suna gaba ɗaya - hauhawar jini (hauhawar jini), a zahiri, an haɗu da cututtuka da yawa a ƙarƙashinta, waɗanda ke da bambancin etiologies, alamu da kuma bayyanar asibiti.

Dangane da rarrabewar ICD-10, sun mamaye sassan | 10 zuwa | 15. Healthungiyar Lafiya ta Duniya (WHO), don haɓaka bayyanar cututtuka da haɓaka hanyoyin magani na yau da kullun, ya haifar da rarrabuwa na kansa, wanda likitoci a Rasha ke biye da shi lokacin da suke binciken cutar hawan jini.

Yana da al'ada al'ada a rarraba cutar cikin:

Farkon hauhawar jini,
Secondary hauhawar jini.

Babban hauhawar jini shine cuta mai 'yanci da ake kira episodic ko karuwar tsari a hawan jini.

Dangane da ƙayyadaddun dabi'un karuwar hawan jini da sakamakon canje-canje a cikin gabobin ciki, ana rarrabe matakai 3 na cutar:

Mataki na 1 - cutar ba ta shafi gabobin,
Mataki na 2 - ana canza canji a gabobi ba tare da keta ayyukansu ba,
Mataki na 3 - lalacewar gabobin ciki da aiki mai rauni.

Wata hanyar tantance tsari bisa ga tsarin matakai uku shine iyakance darajar wannan matakin karfin jini:

Ana la'akari da BP na al'ada: systolic (S) 120-129, diastolic (D) 80-84,
Ara, amma ba ya wuce matsayin yau da kullun ba: S 130-139, D 85-89,
Hauhawar jini na digiri na 1: S 140-159, D 90-99,
Hauhawar jini 2 digiri: S 160-179, D 100-109,
Hauhawar jini na digiri 3: S sama da 180, D sama da 110.

Rarrabawa

Etiology da pathogenesis

Etiology, ya haɗa da sanadin hauhawar jini da na farko. Da farko an yi la’akari da wata cuta da ke haɓaka da kanta, ba tare da haɗaɗɗiyar cuta ba. Sakandare - sakamakon mummunan ilimin cutar cututtukan ƙwayar cuta na ciki, wanda ke haifar da canji a cikin sautin jijiyoyin jini.

Zuwa yau, hauhawar jini ana ɗauka cuta tare da ilmin etiology wanda ba a sani ba. Wato, ba a kafa ainihin musabbabin faruwar hakan ba. Amma akwai abubuwan sanannu waɗanda ke taimakawa ci gaban hauhawar jini mai taɗi:

Damuwa wata damuwa ce ta jiki da ta hankali wanda ke tare mutum tsawon lokaci. A karkashin wasu yanayi, damuwa na iya haifar da rikici mai hauhawa, wanda zai haifar da hauhawar jini daga jijiyoyin jini ko amai-jini a cikin meninges - bugun jini,
Abubuwan gado - gado na kai tsaye an daɗe sosai tsakanin kasancewar magabatan da suka sha wahala daga hauhawar jini da haɓaka ta cikin yara. Haka kuma, mafi yawan tsararrun masu cutar hawan jini akwai su a cikin sassalar mai haƙuri, alamun farkon cutar sun bayyana,
Kiba - kusan duk marasa lafiya da hauhawar jini - mutane masu kiba, kiba daban-daban. An bayyana abin kwaikwaya: ga kowane kilo 10 na ƙiba mai yawa na visceral, hauhawar jini yakan tashi zuwa mm 2 mm. Hg. Art.har cikin mutane ba tare da hauhawar jini ba,
Professionalwararren ƙwararruwa - damuwa mai juyayi ko damuwa ta jiki, buƙatar tattara hankali na dogon lokaci, haɗuwa da amo ko yanayin aiki mai saurin kusan babu makawa yana haifar da ci gaban hauhawar jini,
Kurakurai a cikin abinci da kuma mummunan halaye - sun bayyana tsarin ci gaban hauhawar jini tare da yawan wuce haddi na abinci mai gishiri. An yi imani cewa ci gaban cutar na taimaka wa shan barasa, maganin kafeyin, shan sigari,
Abubuwan da suka danganci shekaru da canje-canje na hormonal - hauhawar jini na iya haɓaka tun yana saurayi sakamakon yawan wuce haddi na kwayoyin halittar maza - androgens. Kusan koyaushe, karuwar matsin lamba yana haɗuwa da canje-canjen yanayin hawa a cikin mata waɗanda ke da alaƙa da raguwa a matakin ƙwayoyin jijiyoyin mata na mace a cikin jiki.

Abubuwanda ke haifar da tashin hankali

Epidemiology

A halin yanzu, babu wani takamaiman tsari game da yaduwar hauhawar jini. Iyakar abin da ake tunanin zai iya shafar yawan marasa lafiya shi ne matakin birni a cikin wani yanki (jihar). Hawan jini cuta ce ta wayewar kai. Yawan kararraki a biranen ya fi na yankunan karkara. A yankuna da ke da babban ci gaba na masana'antu, ya yi girma sama da wuraren masana'antu da baya.

Wani batun shine matsakaicin shekarun yawan jama'a. An bayyana abin kwaikwaya: mafi tsufa matsakaita shekaru, mafi girma yawan lokuta. Kodayake jariri na iya shan wahala daga hauhawar jini. A cikin rukunin shekarun da suka haura shekara 40, daga 30 zuwa 40% suna fama da hauhawar jini, kuma a cikin wadanda suka tsallaka matakin shekaru 60, zuwa 70%.

Tarbiyya gabobin don hauhawar jini

MUHIMMI ZAI KYAUTA! Hawan jini da hauhawar matsin lamba da ya haifar da shi - a cikin 89% na lokuta, suna kashe mara lafiya da bugun zuciya ko bugun jini! Kashi biyu cikin uku na marasa lafiya suna mutuwa a cikin shekaru 5 na farko na rashin lafiya! “Mutumin da yai shuru,” kamar yadda masana kimiyyar kaduna suka kira shi, suna daukar miliyoyin rayuka a duk shekara. Normalizes matsa lamba a cikin ta farko 6 hours saboda bioflavonoid. Yana maimaita sautin jijiyoyin jiki da sassauci. Babu lafiya a kowane zamani.Haka tasiri a matakan 1, 2, 3 na hauhawar jini. Irina Chazova ta ba da ra'ayinta na gwani game da maganin.

Hawan jini, kamar yadda muka ambata a baya, cuta ce mai rikitarwa da tsari.

Wannan shine, duk tasoshin jiki, sabili da haka duk gabobin da tsarin, ana shafar GB.

Mafi yawan jijiyoyin jiki na jijiyoyin jini suna tasiri sosai yayin cutar hawan jini, gami da:

Zuciya itace sashin tsakiya na tsarin zuciya, wanda sakamakon hakan shine yake haifar da hauhawar jini. Kuma canje-canje da suka faru a cikin myocardium ba tare da izini ba suna haifar da gazawar zuciya. Hypertensive myocardium tsari ne mara kyau.

Kwakwalwa sashin kwayar halitta ce wacce take matukar daukar hankalin hypoxia, wato mafi karancin rikicewar microcirculation a cikin tasoshinta yana haifar da rikicewar rikitawar cuta mai wahala.

Kodan suma gabobi ne da ke da hanyar sadarwa mai gudana Tunda tace jini da kuma fitsari fitsari ke faruwa a cikin tubules na koda, a cikin kalmomi masu sauƙaƙa “tsarkakewa” jini daga cutarwa mai guba da samfuran ayyuka masu mahimmanci, koda ƙaramin tsalle tsalle yake haifar da dubun dubun dubatar jini.

Tsinkayen ido ya ƙunshi ƙananan ƙananan jijiyoyi marasa ƙarfi waɗanda suke “fasa” lokacin da karfin jini ya tashi sama da kashi 160.

Rashin lafiyar zuciya

Duk da cewa hauhawar jini cuta ce mai rikitarwa game da aiki na gado na jijiyoyin bugun gini, lalacewar ƙwaƙwalwar zuciya da bawuloli suna faruwa da farko kuma sakamako ne mara kyau na gaba.

Tun da juriya na jijiyoyin jiki yana ƙaruwa sosai tare da ci gaba da hauhawar jini, myocardium yana da matukar wahala don "jawo" jini a cikin jirgin ruwa. Sakamakon wannan, myocardiocytes sun fara rayayye "girma", ko hauhawar jini.

Ventricle na hagu ya fi shafar GB.

Furtherari, hauhawar jini yana da rikitarwa ta rashin aiki mai narkewa na jini, wanda ke ba da gudummawa ga haɓakar ischemia da asarar ayyukan aiki na sel.

Hauhawar jini na ventricle na hagu yana nuna hanya mai tsawo na cutar da kuma yiwuwar haɗewar zuciya.

Abubuwan da suka haifar da kungiyoyin haɗari

Abubuwan da suke ba da gudummawa ga haɓakar hauhawar jini yawanci ana rarraba su zuwa manyan rukuni biyu:

Rashin daidaituwa - mai alaƙa da halayyar mutane da salon rayuwar marasa lafiya,
Exogenous - mai zaman kanta da izinin mai haƙuri.

Ba shi yiwuwa a rarrabe wasu abubuwa da wasu, tunda cutar ta haɗu sakamakon haɗuwa da yanayin raunin ciki da waje.

Yana da al'ada al'ada ka koma ga endogenous:

Shekaru
Jinsi
Taro na jiki
Cututtukan haɗin ciki (ciwon sukari, cutar koda),
Fasali na tsarin juyayi na tsakiya - excitability mai laushi, halayyar abubuwa masu aiki, mai saukin kamuwa da rashin kwanciyar hankali,
Ciki, menopause, canje-canje na hormonal,
Na asali ko samu matakan uric acid a cikin jiki,
Hyystensive vegetative-na jijiyoyin bugun jini dystonia.

Na waje (na waje) sune:

Aiki na jiki - jagorancin salon rayuwa mai rauni, hauhawar jini yana haɓaka 25% sau da yawa fiye da waɗanda suke motsa jiki ko motsa jiki,
Sakamakon damuwa a wurin aiki da a gida,
Barasa giya da shan sigari.
Abincin da ba a daidaita shi ba yana wuce gona da iri. Cin abinci mai yawa mai-mai yawa, mai yawan kitse. Addua ga gishiri da kayan yaji.

Wanda ke cikin hadarin

Siffofin Ganewa

Likitoci suna kula da karuwar matsin lamba. Yana nuna cewa mai haƙuri yana da nakasu a cikin aikin gabobin. An aika mai haƙuri zuwa:

Duban dan tayi, MRI da x-ray za su taimaka wajen gano canje-canjen ayyuka da na inji a tsarin zuciya. Dangane da sakamakon su, an yi gwaji.

Maganin cutar shine rage tasirin abubuwanda ke haifar da hauhawar haɓaka cikin hawan jini. Tabbas, idan ya zo aiki, to an ba da haƙuri ga ɗan hutu. Idan mai haƙuri bashi da irin wannan damar, to an shawarce shi da ya yi rajista tare da masanin ilimin halayyar dan Adam don rage yawan damuwa. Hakanan a cikin wannan yanayin, hanyar tausa ko azuzuwan yau da kullun a cikin dakin motsa jiki zai taimaka. Hakanan, ana bada shawarar mutanen da ke da cutar bugun zuciya:

Rashin lafiyar zuciya

Haɗuwar jini ana saninsa da ci gaba cikin hawan jini. Yayin da cutar ke ci gaba, canje-canje a cikin aiki na mahimman abubuwan da ke faruwa, hango nesa ba shi da kyau, kodan, zuciya da kwakwalwa suna wahala. Cutar hauhawar jini tare da raunin zuciya shine nau'i ɗaya na hauhawar jini wanda yake shafi jijiyoyin zuciya.

Bayyanar cututtuka na myocardium mai hauhawar jini

Hawan jini tare da lalacewar zuciya shine bayyanar wasu bayyanar cututtuka.

Yanayin alamun bayyanar ya dogara da matsayin ci gaban cutar. Jerin alamun bayyanar ya hada da alamu iri-iri.

Daga cikin dukkan alamu bayyanar cututtuka, manyan sune kamar haka:

Rashin hankali na ɗan lokaci, tsananin farin ciki yana faruwa dangane da take hakkin ƙyallen bugun zuciya, sakamakon abin da jini ya hau zuwa kwakwalwa ya ragu kuma ischemia na lokaci mai narkewa na neurons
Mutane suna cewa hauhawar jini kullum “ruduwa ce,” wata alama ta bayyana saboda tarkacewar tasoshin fuska don mayar da hankali ga raunin tasoshin zuciya.
Yawan bugun zuciya da yawan zuciya.
Jin kamar ance "wata zuciyar tana fitowa daga kirjina."
Marasa lafiya yawanci suna cikin damuwa da tsoro mai rashin fahimta, gogewa ga wani abu.
Yawan tashin zuciya na Cardiac sau da yawa tare da canje-canje kwatsam cikin zafi da sanyi.
Ajiyar zuciya
Sensation na ripple a kai.
Rashin tausayi.
Fuskar fuska, gwiwoyi ne sakamakon rashin zuciya.
Tsarin gani na gani (kwari, kwari, da sauransu).

Kari akan haka, yatsan yatsan yatsu da naƙasasshen sassan na iya bayyana.

Sanadin cutar

Cututtukan zuciya mai hauhawar jini take hakkin tsarin zuciya da jijiyoyi saboda raguwar jijiyoyin jini da kara karfin jini.

Dangane da kididdigar, wannan nau'in cutar yana faruwa a cikin 20% na lokuta mai ɗorewa mai ƙarfi.

Ba a tantance dalilan ci gaba da cutar ba, an yi imani cewa hauhawar jini ya faru ne sakamakon ayyukan hadewar abubuwan, daga ciki:

kiba
bugun zuciya
danniya
mummunan halaye
rashin daidaita tsarin abinci.

Likitocin sun yi imani cewa raunin zuciya sakamakon hauhawar jini ya fi yawa ne saboda yanayin psychoemotional na mara lafiya, kuma yana cikin damuwa cewa abu ne mai jan hankali don fara haɓaka ci gaban jijiyoyin jijiyoyin jijiyoyin jini da jijiyoyin jini.

Daga cikin abubuwanda ke haifar da motsa jiki shine yawan wuce zuci da damuwa.

Sau da yawa haɓakar cutar hauhawar jini tare da lalacewar zuciya yana da alaƙa da canje-canje atherosclerotic a cikin tasoshin. Wannan ya faru ne saboda babban matakin "mummunan" cholesterol a cikin jini, wanda ya tara kan bangon jijiyoyin jini, yana haifar da lamuran dake kawo cikas ga guduwar jini.

Alamomin cutar

An bayyana cututtukan cututtukan hauhawar jini ko hauhawar jini ta hanyar bayyanar cututtuka masu zuwa:

tsawaitar hauhawar jini tare da dabi'ar tsalle,
hyperemia na fuska,
jin sanyi da zufa
amai ko murƙushe ciwon kai a bayan kai,
bugun bugun zuciya
karancin numfashi
jin damuwa.

Bayyanar cututtukan zuciya yawanci suna bayyana a ƙarshen ƙarshen cutar, tare da ƙaruwa mai ƙarfi a cikin karfin jini.

Rashin zuciya yana bayyana kanta a matakai na gaba na cutar

Jiyya na hauhawar jini tare da lalacewar myocardial

Tun da yasan menene wannan zuciyar mai raunin zuciya kuma game da duk cutarwarsa mai haɗari, mai haƙuri ya wajaba ya fara kula da yanayinsa nan da nan.

Yana da mahimmanci a lura cewa a cikin yanayin yayin da mai haƙuri yana da myocardium, to wannan shine mataki na uku na hauhawar jini. Kwararren likitan zuciyar zai iya yiwa irin wannan mara lafiyar. Sharuɗɗa don cimma burin magani shine cikakken sadaukar da haƙuri game da shi.

Da farko an nada:

(diuretics, beta-blockers, Ca inhibitors, ACE inhibitors, da sauransu),
wakilai na cardioprotective
painkillers
nitrates zuwa mafi inganci rage karfin jini, a yanayin saukan cututtukan zuciya da ke tattare da rage karfin bukatar O2,
maganin bitamin
Motsa jiki, motsa jiki. An wajabta su idan mai haƙuri bashi da alamun rugujewar aikin zuciya.

Haka kuma, ma'aunin ramuwar ko sakewa wani canji ne mai ma'ana a rayuwar, wato, kin halaye marasa kyau, ilimin jiki, hutawa, kwanciyar hankali da walwala.

Hauhawar jini, a cikin abin da hauhawar jini ke tashi da tsarin jijiyoyin jini, sakamako ne na keta hadadden hanyoyin aikin jijiyoyi da na rayuwa da kuma gishirin ruwa. Abubuwan da ke haifar da hauhawar jini suna da yawa: matsanancin ƙwaƙwalwar ƙwaƙwalwa, rauni na tunani, motsin zuciyar mutum, rufaffiyar kwanyar rauni. Rashin gado, yawan kiba, ciwon suga, ciwon suga, yawan ƙwayar sodium a cikin abinci suna da hauhawar jini. Sakamakon hauhawar jini, ciwan zuciya, bugun zuciya, bugun jini, da lalata koda wanda ke haifar da uremia (kodan sun kasa fitar fitsari) zasu iya haɓaka. Saboda haka, hauhawar jini ana bambanta shi da rauni na farko na jijiyoyin jini na zuciya, jijiyoyin jini na kwakwalwa ko kodan.

Art., Tare da ciwon kai, amo a cikin kai, hargitsin barci.

Na biyu - lokacin da matsin lamba ya tashi zuwa 200/115 mm RT. Art.

Wanne yana haɗuwa tare da ciwon kai, tinnitus, dizziness, damuwa yayin tafiya, damuwa ta bacci, raɗaɗi a cikin zuciya. Canje-canje na kwayoyin halitta shima ya bayyana, alal misali, karuwa a cikin ventricle na hagu na zuciya, takaita tasoshin retina na asusun.

Na ukun - lokacin da matsin ya hau zuwa 230/130 mm RT. Art.

Kuma da ƙarin da tabbaci kiyaye a wannan matakin. A wannan yanayin, cututtukan kwayoyin suna bayyana sosai: atherosclerosis na arteries, canje-canje dystrophic a cikin gabobin da yawa, gazawar jijiyoyin jiki, angina pectoris, gazawar renal, infarction myocardial, hemorrhage na baya ko kwakwalwa.

Rikice-rikicewar tashin hankali yana faruwa a karo na biyu kuma mafi yawa na uku na cutar.

Hankali! Maganin da aka bayyana ba shi da tabbacin kyakkyawan sakamako. Don ƙarin tabbataccen bayani, KADA KA nemi shawarar kwararrun.

Pathology of the cardiovascular apparatus, haɓakawa sakamakon raguwar cibiyoyin mafi girma na tsarin jijiyoyin bugun gini, hanyoyin jijiyoyin jini da na kiɗa da kuma haifar da hauhawar jijiya, yanayin aiki da canje-canje a cikin zuciya, tsarin juyayi na tsakiya da kodan. Bayyanar bayyanannun alamun cutar hawan jini shine ciwon kai, tinnitus, palpitations, gajeriyar numfashi, zafi a cikin zuciya, mayafi a gaban idanun, da sauransu. Kallon fuska don hauhawar jini ya hada da sa ido kan cutar hawan jini, ECG, echocardiography, duban dan tayi na jijiyoyin hanji da kodan, nazarin fitsari da kuma sigogin biochemical jini. Lokacin tabbatar da ganewar asali, an zaɓi maganin ƙwayar cuta ta yin la'akari da duk abubuwan haɗari.

Abubuwan Lafiya na Rashin hauhawar jini

Babban rawar da ke gudana a cikin haɓakar hauhawar jini ana wasa da shi ta hanyar ƙaddamar da aiki na ƙididdigar ayyukan mafi girma na sassan juyayi na tsakiya wanda ke sarrafa aikin gabobin ciki, gami da tsarin zuciya. Saboda haka, haɓakar hauhawar jini na iya lalacewa ta hanyar damuwa mai saurin taɗowa, tsawaitawa da matsanancin tashin hankali, yawan tashin hankali mai juyayi. Stressarfin damuwa da ke tattare da aikin hankali, aikin dare, tasirin rawar jiki da amo suna ba da gudummawa ga aukuwar hauhawar jini.

Factorayan haɗarin haɓakar haɓakar haɓaka shine yawan ƙwayar gishiri, yana haifar da jijiyoyin jiki da riƙe ruwa. An tabbatar da cewa yawan amfanin yau da kullun> g 5 na gishiri sosai yana kara haɗarin haɓakar hauhawar jini, musamman idan akwai tsinkayar gado.

Kabilanci, wanda ya karu da hauhawar jini, yana taka muhimmiyar rawa a cikin ci gaba a cikin dangi na kusa (iyaye, 'yan'uwa,' yan'uwa). Yiwuwar haɓakar hauhawar jini yana ƙaruwa sosai a gaban haɓakar hauhawar jini a cikin 2 ko fiye da dangi.

Oteaddamar da haɓakar hauhawar jini da haɗin gwiwa tare da tallafawa juna hauhawar jini a haɗe tare da cututtukan cututtukan hanji, hanjin ƙwayar kansa, kodan, ciwon sukari, atherosclerosis, kiba, cututtukan fata na yau da kullun (tonsillitis).

A cikin mata, haɗarin haɓakar hauhawar jini yana ƙaruwa a cikin menopause saboda rashin daidaituwa na hormonal da haɓakawar motsin rai da damuwa. Kashi 60% na mata suna samun hauhawar jini daidai lokacin haila.

Dalilin tsufa da jinsi suna ɗaukar haɗarin haɓakar hauhawar jini a cikin maza. A shekaru 20-30, hauhawar jini yana tasowa a cikin 9.4% na maza, bayan shekaru 40 - a cikin 35%, kuma bayan shekaru 60-65 - riga a cikin 50%. A cikin ƙungiyar shekaru har zuwa shekaru 40, hauhawar jini ya fi yawa a cikin maza, a cikin mazan filin rabo yana canza canje-canje ga mata. Wannan na faruwa ne saboda yawan mace-macen maza masu shekaru a cikin shekaru daga rikicewar hauhawar jini, da kuma canje-canje na menopausal a jikin mace. A halin yanzu, ana samun ƙarin hauhawar jini a cikin mutane tun yana ƙarami da girma.

Mummunar tasiri ga ci gaban hauhawar jini shine shan giya da shan sigari, abinci mara kyau, yawan kiba, rashin motsa jiki, yanayi mara kyau.

Cutar Hauka

Zaɓuɓɓuka don hanya zuwa hauhawar jini ya bambanta kuma sun dogara da matakin ƙara haɓaka da hawan jini da kuma haɗuwa da gabobin masu amfani. A farkon matakan, hauhawar jini ana nuna shi ta hanyar rikicewar jijiyoyin jiki: tsananin farin ciki, ciwon kai na lokaci (yawanci a bayan kai) da nauyi a cikin kai, tinnitus, jefawa cikin kai, hargitsi barci, gajiya, kasala, jin damuwa, bugun kirji, tashin zuciya.

Nan gaba, gajeriyar numfashi yayin tafiya da sauri, gudu, lodawa, hawa matakala. Hawan jini yana tsayawa sama da 140-160 / 90-95 mm RT. (ko kuma 19-21 / 12 hPa). Sweating, jan fuska fuska, jin sanyi-kamar rawar jiki, ƙarar yatsun hannu da hannaye an lura, mara nauyi mai tsawo a cikin zuciya sune hankula. Tare da riƙewar ruwa, ana lura da kumburin hannayen hannu (“alamar ringi” - yana da wuya a cire zobe daga yatsa), fuska, ffulawar ido, tsauri.

A cikin marasa lafiya da hauhawar jini, akwai wani mayafi, faduwar kwari da walƙiya a gaban idanun, wanda ke da alaƙa da jijiyoyin jijiyoyin jini a cikin retina, akwai raguwar ci gaba cikin hangen nesa, bashin huhun ciki na iya haifar da asarar hangen nesa gabaɗaya.

Rashin hauhawar jini

Tare da tsawan lokaci ko mummunar hanya na hauhawar jini, lalacewar ƙwaƙwalwa a cikin tasoshin abubuwan da ke cikin mahaifa ke tasowa: kwakwalwa, ƙodan, zuciya, idanu. Rashin daidaituwa na wurare dabam dabam na jini a cikin wadannan gabobi na tushen ci gaba da cutar hawan jini na iya haifar da ci gaban angina pectoris, myocardial infarction, basur ko kuma ischemic stroke, cardiac fuka, huhun huhun ciki, exfoliating aortic aneurysms, retinal detachment, uremia. Haɓaka mummunan yanayin gaggawa akan asalin hauhawar jini yana buƙatar raguwa a cikin jini a cikin mintuna na farko da awanni, saboda zai iya haifar da mutuwar mai haƙuri.

Hawan hauhawar jini yawanci rikitarwa ne ta hanyar rikice-rikice-rikice-rikice na lokaci-lokaci yakan tashi zuwa hawan jini. Ci gaban rikice-rikice na iya zama gabanin damuwa ko damuwa ta jiki, damuwa, canji a yanayin yanayi, da sauransu. Tare da rikicewar hauhawar jini, ana lura da tashin hankali kwatsam a cikin jini, wanda zai iya ɗaukar sa'o'i da yawa ko kwanaki kuma yana tare da rashi, ciwon kai, zazzabi, bugun zuciya, amai, ciwon zuciya. wahalar hangen nesa.

Marasa lafiya yayin rikicin hauhawar jini suna firgita, jin daɗi ko hanawa, yin barci, a cikin mawuyacin hali, za su iya rasa hankali. A kan asalin rikicin mai hauhawar jini da canje-canje na kwayoyin halittar jini a cikin jijiyoyin jini, infarction na myocardial, mummunan hatsarin cerebrovascular, rauni na ventricular hagu na iya faruwa koyaushe.

Jiyyar hauhawar jini

A cikin lura da hauhawar jini, yana da mahimmanci ba kawai don rage karfin jini ba, har ma don daidaitawa da rage haɗarin rikice-rikice gwargwadon damarwa. Ba shi yiwuwa a warkar da hauhawar jini gaba daya, amma abu ne mai kyau a dakatar da ci gaba tare da rage aukuwar rikice-rikice.

Hawan jini ya buƙaci haɗin gwiwa na mai haƙuri da likita don cimma manufa ɗaya. A kowane mataki na hauhawar jini, ya zama dole:

Bi abincin da ke ƙaruwa mai yawa na potassium da magnesium, iyakance yawan cin,
Tsaya ko tsauraran iyakance barasa da shan sigari
Rasa nauyi
Increara yawan aiki na jiki: yana da fa'idar shiga don yin iyo, motsa jiki, motsa jiki,
Tsarin tsari kuma tsawon lokaci yana ɗaukar magunguna waɗanda aka tsara a ƙarƙashin ikon hawan jini da saka idanu mai ƙarfi daga likitan zuciya.

Game da hauhawar jini, an tsara magungunan antihypertensive cewa hana ayyukan vasomotor da hana ayyukan norepinephrine, diuretics, β-blockers, antiplatelet jamiái, hypoliplera da hypoglycemic, sedative. Zaɓin magani na ƙwayar cuta ana aiwatar da shi ne daban-daban, la'akari da ɗaukacin bakan abubuwan haɗari, hawan jini, kasancewar cututtukan haɗuwa da lalacewar gabobin da aka yi niyya.

Sharuɗɗan ingancin magani na hauhawar jini shine cimma nasarar:

burin-gajere: mafi girman rage karfin jini zuwa matakin yarda mai kyau,
makasudin-matsakaitan lokaci: hana ci gaba ko ci gaba na canje-canje a ɓangaren gabobin masu burin,
burin dogon lokaci: rigakafin cututtukan zuciya da sauran rikice-rikice da tsawanta rayuwar mai haƙuri.

Tsinkaya don hauhawar jini

Abubuwan da suka haifar na tsawon lokaci na hauhawar jini ana tantance su ta hanyar da cutar ta kasance (cutarwa ko cutarwa) a yayin cutar. Tabbatacce, mawuyacin ci gaba da hauhawar jini, hauhawar jini na III mataki tare da raunin jijiyoyin jiki yana ƙaruwa da rikitarwa na jijiyoyin jiki kuma ya dagula ci gaba.

Tare da hauhawar jini, haɗarin infarction myocardial, bugun jini, gazawar zuciya da mutuwa wanda bai kai lokaci ba yayi matukar girma. Hawan jini ba shi da kyau cikin mutanen da suka yi rashin lafiya tun suna ƙarami. Da wuri, tsari da kulawa da karfin jini na iya rage ci gaban hauhawar jini.

Hoto na asibiti

Halin hauhawar jini ana nuna shi ta hanyar hauhawar hankali a bayyanar cututtuka yayin da mataki ɗaya na cutar ya shiga cikin wani, mafi tsananin rauni. Rushewar gabobin ciki baya faruwa lokaci guda. Yana ɗaukar lokaci mai yawa. Sabili da haka, a cikin marasa lafiya tare da hauhawar jini akwai wani lokaci don daidaitawa don canje-canje a cikin jiki. Sau da yawa, marasa lafiya suna ganin yanayin su na al'ada, kuma suna tuntuɓar likita kawai a lokuta inda matsin lamba ya tashi sama da ƙimar da aka saba, kuma jin daɗin cutar ya fi ƙaruwa.

Digiri da matakai na cutar

Cutar hauhawar jini tare da lalata zuciya babbar cuta ce mai ci gaba. An bambanta digiri uku gwargwadon canjin canji a cikin karfin jini; matakai uku ana bambance su ne da yanayin lalata zuciyar.

An nuna digiri na biyu ta hanyar karuwa zuwa matsakaicin 180 mm Hg, na uku - sama da 180 zuwa 120. Tun lokacin da cin zarafin ya kasance tare da raunin zuciya, yana yiwuwa a kara matsa lamba na systolic yayin kiyaye jigilar narkewa a cikin iyakokin al'ada. Wannan yana nuna cin zarafi a cikin aikin ƙwaƙwalwar zuciya.

Dangane da matsayin cutar cututtukan cututtukan zuciya, an rarrabe matakai uku na cutar:

Mataki na 1 - babu cin zarafi, ko kuma marasa ƙima ne,
Mataki na 2 yana dauke da babban hauhawar jini a cikin hagu na zuciya,
Mataki na 3 shine cututtukan zuciya da rashin karfin zuciya.

A matsayinka na mai mulki, a mataki na 1, an lura da hauhawar hauhawar jini a matsakaici, wanda yake an daidaita shi sosai lokacin shan magungunan antihypertensive. A mataki na biyu na cutar, matsin lamba galibi yana birgesu, babban yiwuwar bunkasa rikici. Antihypertensive therapy na iya zama mara amfani sosai saboda hauhawar jini ventricular hagu, saboda haka, ana inganta magani ta hanyar shan magunguna don daidaita aikin zuciya.

Mataki na uku na cututtukan zuciya yana tare da raunin hawan jini da rashin karfin zuciya. Monotherapy ba shi da tasiri, akwai rikice-rikice na yau da kullun, tare da raɗaɗi a cikin zuciya da take hakkin sa.

Zuciyar zuciya

Rashin ƙarfin zuciya yana haɗuwa da keta takewar jini, watau rauni a cikin aikin yin bugun tsoka. Haɓaka irin wannan cin zarafi ya faru ne saboda rauni, gajiyawar elasticity na ganuwar zuciya.

Sakamakon cewa zubar jini a cikin jijiyoyin jini da jijiyoyin jini suna raguwa, hawan jini yana ƙaruwa kai tsaye a cikin zuciya da kanta, wanda ke ƙaruwa da rashin aiki. Hawan jini da isar da oxygen ga jikin duka suna rikicewa, haka kuma abinci mai gina jiki. Sakamakon karancin iskar oxygen, ana tilasta zuciyar yin aiki a cikin yanayin hanzari, don gujewa ci gaban hypoxia na kwakwalwa. Wannan yana kara lalata tsoka, saboda haka tsawon lokaci, hauhawar jini ke ci gaba, kuma hadarin bugun zuciya yana kara yawaita.

Tare da rauniwar zuciya, babban yiwuwar rashin karfin lalacewa

Wataƙila haɗari

Sakamakon rashin karfin zuciya, kodan na riƙe da ruwa a cikin jiki don samar da hawan jini, tunda zuciya ba zata iya jurewa wadataccen jini yana gudana cikin jiki ba. Sakamakon shi ne bayyanar puffness da kuma mafi girma karuwa a cikin jini. A tsawon lokaci, wannan yana haifar da gazawar zuciya.

Idan mara lafiyar baya shan magani don daidaita karfin hawan jini, zuciya da sauri ta yanke jiki. Haƙiƙa masu haɗari sune infarction na zuciya ko mutuwar zuciya, wanda ake ji da mummunar rikicewar rayuwa, da saurin hauhawar matsa lamba da cikakkiyar kama zuciya.

Cutar hauhawar jini ta matakai 2 da 3 tana tare da rikice-rikice, a yayin da matsin lambar ya tashi da sauri. Tunda zuciya ba zata iya samarda cikekken jini ba da kuma daidaitawa da kara karfin jijiya, wani rikici na iya kaiwa ga kamawa. Bugu da kari, rikicin hauhawar jini yana da haɗari ga haɓakar huhun huhu.

Rikicewar hauhawar jini tare da wannan nau'in cutar na iya haifar da kama zuciya

Ka'idojin jiyya

Ana kula da cutar hauhawar jini ko bugun jini a dai-dai matsayin hauhawar jini, wato, tushen shine maganin jiyya. Kawai daidaituwa na karfin jini zai taimaka wajen rage nauyi akan zuciya. Bugu da ƙari, ana amfani da magunguna da aka yi amfani da su don magance rashin nasarar zuciya.

A matakin farko na cutar, ana yin monotherapy tare da masu hana ACE da daidaitawar rayuwa. Tare da ci gaba da cutar, ana amfani da maganin haɗuwa, wanda ya haɗa da:

ACE masu hanawa
kamuwa da cuta
masu maganin tashin zuciya
kwayoyi don daidaita aikin zuciya,
masu hana beta.

Babu wani tsarin kula da jiyya na duniya; an zaɓi magani daban-daban ga kowane mara lafiya, la'akari da lalatawar zuciya da ƙimar jini.

Tare da maganin ƙwayar cuta, ana yin komai don rage nauyin akan tsarin zuciya. Irin waɗannan matakan sun haɗa da canje-canje na rayuwa da daidaitaccen abinci. Sau da yawa likitoci suna ba da abinci na musamman ga marasa lafiya da masu fama da tashin hankali da ƙarancin bugun zuciya - tebur mai lamba 10 ko kuma bambancin wannan abincin. Yawan cin gishiri a kullum da kuma yadda ake shan giya ana rage su ne.

Ana taka muhimmiyar rawa a cikin jiyya ta hanyar canje-canjen rayuwa, ƙin halaye marasa kyau da kuma daidaita tsarin aikin. Duk abin da zai yiwu ya kamata a yi don guje wa damuwa, tunda a kan wannan yanayin, hawan jini koyaushe yakan tashi.

Magungunan magungunan ƙwayoyin cuta waɗanda za a iya haɓaka su tare da maganin ƙwaƙwalwar ƙwayoyi, amma bayan yarda daga likitan halartar, sune maganin cututtukan ganye, magungunan magani na zahiri.

Rosehip - yana aiki a hankali a matsayin diuretic

Jiko na Rosehip yana ba ku damar cire ruwa daga jiki, don haka rage nauyin a kan zuciya. Don shirya shi, zuba manyan cokali 2 na 'ya'yan itace tare da ruwan zãfi a cikin thermos kuma nace 4 hours. Cupauki kofin kwata sau biyu zuwa sau uku a rana. Manyan faski, wanda aka bada shawarar a saka shi a cikin abincin yau da kullun, yana da sakamako iri ɗaya.

Teas tare da ƙari na chamomile, St John's wort, tushen valerian da tsire-tsire na motherwort zasu taimaka rage nauyin a kan tsarin juyayi. Zai fi kyau a sha irin waɗannan abubuwan maye kafin lokacin bacci.

Matakan hanawa

Yin rigakafin yana saukowa zuwa tsarin rayuwa lafiya. Yakamata a daina shan sigari, tunda nicotine wanda yake ɗauka a matsayin ɗayan dalilai na keta alfarmar ganuwar hanyoyin jini. Tabbatar yin motsa jiki a kai a kai kuma ku bi abinci mai kyau don hana kiba. Ya kamata a rage yawan amfani da barasa.

Kuskuren da aka saba yi wa marassa lafiya shi ne dakatar da magani lokacin da ingantaccen ƙarfin murmurewa ya bayyana. Yana da mahimmanci a tuna cewa magunguna don sarrafa hawan jini ya kamata a dauki dogon lokaci, sau da yawa don rayuwa. Magungunan rigakafin ƙwayoyin cuta, lokacin da aka ɗauka cikin gajerun darussan, ba su da tasirin warkewar da ake so, cutar kuma ta ci gaba da ci gaba.

Farkon lalacewar ƙwayar zuciya a hauhawar jini

Cutar hauhawar jini tare da lalacewar zuciya cuta ce da ta zama ruwan dare game da tsarin zuciya, wanda haɓakar hawan jini ya dade. Wannan cuta tana faruwa ne saboda rashin abinci mai gina jiki, yawan abinci mai mai yawa, abinci mai gishiri sosai, sannan kuma saboda tsananin damuwa, damuwa da kuma ƙwarewa sosai. Saboda haka, yana da muhimmanci a san menene yake haifar da cututtukan zuciya da menene babbar hanyar magani.

Cutar hawan jini tana shafar zuciya, wanda ke fama da damuwa sakamakon matsanancin ƙarfi

Mafi yawancin lokuta, ana gano irin wannan cuta a cikin tsofaffi, amma kwanan nan cutar ta sami ƙarami, kuma ana yin wannan binciken ga mutane yayin da suke shekaru 40. Cututtuka na wannan rukuni suna da mahimmanci, suna buƙatar gano asali da magani na dogon lokaci.

Matakan cutar

Cututtukan zuciya mai saurin motsa jiki suna da wasu matakai.

Matsayi Na 1 - Manuniya na hawan jini yana ƙaruwa, zuwa matsakaici a can akwai canjin ventricular a gefen hagu. Matsalar 140-160 / 90-100.
Mataki na 2 - matsin lamba yana canza alamar kullun, akwai ɓoyewar murfin bango na ventricle na hagu, ganuwar arterioles suna lura da canje-canje. A wannan matakin, ana gano bugun zuciya. Matsalar 160-180 / 100-110. Tsarin sanyi na zuciya tare da hauhawar jini yana bayyane tare da gwajin x-ray.
Mataki na 3 - saukar karfin jini yana hauhawa koyaushe. Akwai canji a cikin kodan, rikice-rikice a cikin ƙwayoyin mahaifa. Rashin ƙarfin zuciya yana haɓaka, aiki yana rushewa a cikin kodan, kuma matsalolin aiki yana haɓaka. Tare da hauhawar jini a wannan matakin, zuciya ba ta iya samar da cikakkiyar zagayawa. Hawan jini yana haifar da ganuwar jijiyoyin jini suyi rashin jinkiri. Saboda ƙarancin kwararar jini, ana tilasta matsa lamba ya karu, sakamakon abin da zuciya ba ta jure wa babban aikinsa ba - isar da iskar oxygen zuwa kyallen. Zuciya tana fara aikinta cikin hanzari ta fatar samun karin jini da kuma tabbatar da aiki sauran sassan jikin da suka rage. Amma, abin takaici, zuciya zata fara tsufa da sauri kuma ba zata iya tsayar da tsohon aikinta ba. Matsi ya wuce 180/100.

Haɓakar hauhawar jini yana da matakai uku, wanda halayyar yanayi ke ƙaruwa daban-daban.

Saboda wannan hoton, hauhawar jini tare da mummunar lalacewar zuciya yana haifar da tsayayye a cikin huhu da sauran kyallen takarda na jiki kuma ana kiransa gazawar zuciya.

Yaya jiyya

Lokacin da ake bincika hauhawar jini, abu na farko da ya kamata a huta shine. Wajibi ne a rage matakin damuwa, don kawar da ji da damuwa. Hawan jini ya buƙaci abinci wanda a keɓance sugars, salts, da mai mai.

Jiyya yana buƙatar amfani da magunguna waɗanda ke rage karfin jini da tasoshin sautin, yana ƙara ƙarfin jimirin ƙwayar zuciya.

Tare da hauhawar jijiyoyin jini, an wajabta magunguna waɗanda ke da tasirin diuretic, waɗanda ke tsara hanyoyin da ke faruwa a cikin ƙodan.

Diuretics sun nuna don rage matsin lamba

Rashin hauhawar jini yana sa marassa lafiya su sha magani da kuma teas. Wajibi ne a rage damuwa.Ana iya sanin magunguna na zamani ba kawai ta hanyar raguwa ba, har ma da hana tasirin cutarwa ga sauran gabobin ciki.

Kulawa da hauhawar jini yana buƙatar kwantar da hankalin aikin aikin zuciya. Diuretics sune magungunan yau da kullun waɗanda aka wajabta lokacin hawan jini. Irin wadannan kudade sune tushen rage matsin lamba.

ACE inhibitors an tsara su don dilate tasoshin jini, don haka rage matsa lamba. Ana kiran magunguna kamar su beta-blockers don rage yawan lokutan ƙaddamar da ƙwayar zuciya. Irin waɗannan abubuwan suna taimakawa rage karfin jini a cikin marasa lafiya masu hauhawar jini. An tsara alli na Calcium don daidaita tsarin karfin jini ta hanyar rage juriya na jijiyoyin jiki.

Dole ne a bi da magani da magunguna kawai ta hanyar likita bisa ga nazari da bincike

Lokacin da aka tambaye shi yadda za a rage hawan jini, likita kawai ya kamata ya amsa. Shine wanda, bisa ga sakamakon bincike da nazari, zai iya tsara magani. Hakanan yana da alaƙa da contraindications da sakamako na magunguna waɗanda ke nufin kawar da cutar. Dole ne likita ya lura da mai haƙuri yayin shan magunguna. Iyakokin matsin lamba yayin shan magunguna na iya bambanta, saboda haka kuna iya buƙatar daidaita allurai da tsarin shan magungunan don kada sauran sassan tsarin zuciya, gami da gabobin mahimmanci, ba su tasiri ba.

Yana da mahimmanci kada a manta cewa lura da cutar hawan jini tsari ne mai gudana, bawai ba ne na gaba ba. Yayin magani, ba a yarda da barasa ba. Alkahol yana tayar da matsin lamba, yana sanya zuciya da sauri don tazantar da jini. Saurin distillation zuwa kyallen yana ƙaruwa, wanda ke ƙara nauyin akan tsokoki na zuciya.

Kula da kai shine kuma yanke shawara ba daidai ba, wanda zai haifar da matsaloli da rikice-rikice.

Kar ku manta cewa barasa yana taimakawa ƙara matsa lamba

Matakan hanawa

Cutar tana da sauƙin hanawa fiye da magance ta na dogon lokaci. Hanya mafi mahimmanci don kiyaye cutar ita ce daidaita yanayin tunanin mutum. Bai kamata a sami sakaci ba, damuwa, jin da ba dole ba, takaici. Barci ya zama na yau da kullun, aƙalla 8 hours a rana.

Aikin jiki dole ne ya kasance. Gymnastics kyakkyawan tsari ne na rigakafin cutar. Yana da kyau a jagoranci salon rayuwa, motsawa sau da yawa, tafiya a cikin iska mai kyau, yin yoga, iyo, yin motsa jiki.

Ya kamata abinci ya daidaita, ba tare da gishiri mai yawa ba, yawan sukari mai tsayi. Ya kamata a sami ƙarancin adadin mai a abinci. Ya kamata a tabbatar cewa abincin ya ƙunshi ƙarancin dabino da mai kwakwa kamar yadda zai yiwu. Hakanan ya kamata ku sa ido kan matakin ɓoyayyun kitse da ƙila zai kasance cikin abinci. Kawai sai hauhawar jini ba zai ci gaba ba.

Lokacin da hauhawar jini yana da mahimmanci, kada ku zagi gishiri da sukari

Gymnastics tare da hauhawar jini

Gidan motsa jiki na numfashi shine mafi yawan jiyya. Diaphragm numfashi yana buƙatar zurfin numfashi da kuma sake juyawar diaphragm da kuma tsawon rai na hutu na ciki. Kuna iya numfasawa a cikin hanci na dama, yayin rufe rufe hanci na hagu. Motsa jiki yana taimakawa wanda mutum yayi kamar zaiyi kuka, tare da ƙoshin kumburi.

Motsa jiki Gymnastics

Idan akwai hauhawar jini, kuna buƙatar yin motsa jiki tare da ɗaga kafafu. Yakamata a ɗaga ƙafafun kuma a riƙe su har zuwa dama. Idan ba ku da ƙarfin riƙe ƙafafunku, to, zaku iya jingina su ga bango.

Yin tafiya kuma na iya shafar matsin lamba. Yana da amfani yin tafiya akan yatsun kafa da tare da ɗaga gwiwoyi. Squatting tare da sanda a hannu kuma yana iya inganta tsarin jijiyoyin zuciya. Kuna buƙatar riƙe sanda a ƙarshen ƙarshen. Kuna buƙatar squat sau da yawa.

Likitoci suna ba da shawarar motsa jiki don hauhawar jini, motsa jiki yana da amfani sosai.

Zaune a kan kujera, kuna buƙatar girgiza ƙafafunku a madadin. Dole ne a maimaita motsa jiki sau 6. Juya kan hagu da dama shima motsa jiki ne mai amfani. Juya kanka zuwa hannun dama - sha iska, juya shugaban ka zuwa hagu - exhale.

Kwanciya a ƙasa kuna buƙatar numfasawa tare da diaphragm. Yin numfashi ya kamata ya zama mai zurfi da jinkirin. Irin wannan numfashi yana kunna jijiyoyin zuciya, yana cike sel da iskar oxygen, kuma yana sanya jijiyoyin jini.

Matsayin tsaye. Wajibi ne a shimfiɗa fadin kafaɗun kafaɗa ban da kuma a lokaci guda iri ƙwayoyin hannun da kafafu. An maimaita wannan aikin sau 6. Zama a kan kujera kana buƙatar shimfiɗa hannuwanka zuwa gaɓoɓin ka ɗauki numfashi. To, tattara hannuwanku ku yi ƙarfi. An maimaita motsa jiki sau 4.

Motsa jiki ya zama mai sauƙi, alal misali, zaku iya juyawa kafa

Tsaye, rike a kan kujera, ya kamata ku juya ƙafafunku zuwa bangarorin, a madadin kowace kafa. An maimaita motsa jiki sau 5.

Menene sakamakon hauhawar jini?

Rashin lafiyar zuciya

Ciwon zuciya (hauhawar jini) cutar zuciya - cuta mai ta'azzara da ke buƙatar kwasa-kwasan ɗalibi na asibiti, da magani da gwajin marasa lafiya. Lokacin neman taimako na likita kawai lokacin da aka sami mummunar lalacewa a cikin yanayin, hauhawar jini ta zama abun da ya shafi likita na gaggawa, wanda akasari ke da alaƙa da keta tsarin hanya na magani.

Cututtukan zuciya masu hauhawar jini suna tasowa a cikin martani ga karuwar bukatar samar da jini ga gabobin da kyallen takarda da ke da alaƙa da babba da (ko) ƙananan da'irori na zaga jini. Dangane da haka, an rarrabe tsarin jijiyoyi (ventricular hagu) da huhu (dama ventricular) cututtukan zuciya na hawan jini. Na farkonsu yana da alaƙa da hauhawar jini na tsari, i.e. haɓaka matsin lamba na hydrostatic a cikin tsarin jijiya na babban da'irar, kuma na biyu - hauhawar jini na huhu, i.e. pressureara yawan hawan jini a cikin jijiyoyin bugun jini.

Wasu lokuta, kawai bayyanar cututtukan zuciya GB a tsawon shekaru shine karuwa a cikin karfin jini, wanda ke rikita batun farkon cutar.

Gunaguni da wanda marasa lafiya ke tuntuɓi likita a farkon matakan cutar ba su da takamaiman: gajiya, haushi, rashin bacci, rashin ƙarfi gaba ɗaya, an lura da rashin ƙarfi.

Daga baya, yawancin marasa lafiya suna da gunaguni a farko game da lokaci-lokaci, sannan ciwon kai a kai, yawanci safiya, kamar "babban nauyi", yanayin occipital, ƙara girman matsayin mai haƙuri, ragewa bayan tafiya, shan shayi ko kofi. Wannan nau'in ciwon kai, halayen marasa lafiya tare da GB, wani lokaci ana lura dashi a cikin mutane masu jinin al'ada.

Yayin da hauhawar jini ke ci gaba, rikice-rikice na rashin lafiyar hemodynamic saboda bayyanar rikicewar hauhawar jini ana nunawa a cikin gunaguni na marasa lafiya, da kuma gunaguni da ke da alaƙa da samuwar rikice-rikice - disseculopory encephalopathy (DEP), angioretinopathy tare da rikicewar gani, gazawar renal, da dai sauransu na iya zama mafi mahimmanci a cikin lokacin raunuka na kwayoyin. d.

Kwarewar GB an san shi ta hanyar jigilar ci gaban hauhawar jini da kuma alamun cututtukan wurare dabam dabam na yankin. Tare da wannan a zuciya, ana gabatar da rarrabuwa daban-daban na asibiti tare da rabe-raben matakansa, dangane da kuzari da dama ko da alama guda ɗaya - haɓaka haɓakar jini (alal misali, gano matakan saukar da labile da hauhawar jini) da haɗuwa da bayyanannin asibiti da ke haɗuwa da farawa da ci gaban rikice-rikice.

Ka'idojin bincike na asibiti

Ka'idojin da likita ke jagora wajen yin bincike sun dogara da haɗarin alamun da mai haƙuri ya koka da kuma bayanai daga sarrafawa na haƙiƙa - nazarin kayan aiki da nazarin ƙwayoyin cuta.

A gano farko na hauhawar jini na aji na 1, marasa lafiya na iya samun koke-koken lafiya ko kaɗan. Matsin lamba yana tashi lokaci-lokaci, alamomin da mai haƙuri ke gunaguni da shi: rashin ƙarfi, bugun jini, tsoro, ciwon kai, "taurari" a idanu lokacin da yake canza yanayin jikin.

Domin hauhawar hauhawar jini na 2, alamun alamun lalacewar gabobin tuni sun kasance sifofi:

Canjin atherosclerotic a cikin manyan jijiyoyin jini na tsarin jini (femoral, iliac, carotid, aorta) - binciken da aka gano ta hanyar angiographic,
Hypertrophy na hagu ventricle na zuciya (hauhawar zuciya),
Proteinuria har zuwa 30-300 mg / l,
Canje-canje a cikin tsarin kudus (kekantar da jijiyoyin jikin retina).

Mataki na 3 ana nuna shi ta hanyar lalacewa ta hanyar gabobin ciki:

Daga gefen zuciya - angina pectoris, ischemia, infarction na zuciya,
Daga gefen tsarin juyayi na tsakiya - haɗarin cerebrovascular, bugun jini, encephalopathy,
Gabobin hangen nesa - bashin ciki, kumburi daga jijiya,
Tsarin jijiyoyin jiki cuta ne wanda ke haifar da sake fashewar cututtukan jijiyoyin jiki, jimlar rauni na jijiya,
Kodan - haɓakawa cikin matakan kirkirar halitta fiye da 2.0 mg / dL, gazawar ƙarancin koda.

Kwayar cuta, ba shakka

Mutane sun fara jin alamun farko na haɓakar hauhawar jini bayan shekaru 40-50. A cikin kasala masu alamomin bayyanar cututtuka fara bayyana musamman a cikin shekaru 30-35. A bayyane, yawan haɓakar hawan jini yawanci ana gano shi yayin bincike na zahiri ko tare da aunawa mai zaman kansa.

Haɓaka matsin lamba na iya haɗuwa da ciwon kai, wanda daga ciki kwamfutar hannu ba ta adanawa, dizziness, tinnitus, da rippling a idanu. A tsawon lokaci, mafi munanan bayyanar cututtuka na haɓakawa: haushi, raunin ƙwaƙwalwa, jin zafi a zuciya, gajeriyar numfashi yayin ƙoƙarin jiki.

Binciko na kayan aiki yana nuna haɓakawa a cikin ƙararwar hagu na hagu na zuciya, takaita manyan hanyoyin jini. Sakamakon ƙarshen canje-canje a gado na jijiyoyin bugun gini shine haɓakar rashin zuciya.

Kwayar cutar

Bambancin ganewar asali

Ana gudanar da rarrabuwar kawuna a yanayin da hauhawar jini ta sakandare a dabi'a, wato, ba ta bunkasa da kanta ba, amma sakamakon wata cuta ta kowane sashin. Don gano wane take hakkin yana haifar da hauhawar hauhawar jini, ana yin allurar karatu dabam dabam.

Marasa lafiya tare da asusun hauhawar jini na sakandare don 210-25% na jimlar yawan masu cutar hawan jini. Yawancinsu suna wahala daga ilimin cututtukan cututtukan endocrine. Baya ga cututtukan endocrine, pathologies sun shiga cikin tsarin samuwar hauhawar jini na sakandare: