Hypertension halbowle dumarka

hypertension halbowle dumarka

VS Tchistov

First MGMU IM Sechenov

hypertension halbowle waa maanta - mid ka mid ah cudurada ugu caamsan: ogaanshaha of "halbowle
hypertension "maqli maanta oo ku saabsan mid ka mid ah toban dadka waaweyn.
Cudurku wuxuu si qarsoodi ah sanado badan oo ay ku burburin kara xididdada dhiigga iyo waxyaalaha qalbiga ku jira, iyo in maqnaanshaha aqoon a
daaweynta waqtigii, waxay keeni doontaa in wadne, angina, wadnaha tabar-dari muruq, qalbiga
failure, stroke, indho la'aan, kalyo ... liiskan tegi karin on muddo aad u dheer.
Nasiib wanaag, maanta waxaa jira wax badan oo fursado ma ahan oo keliya in la yareeyo cadaadiska dhiigga ee sareeya, laakiin sidoo kale
una xafidno muddo dheer heer si mug leh - oo kaliya aad u baahan tahay si ay u mari kormeerka wakhtiga
iyo in la ogaado cudurka.
Waxaa lagama maarmaan ah in la ogaado: maanta, qof kasta oo dadka waaweyn tobnaad ayaa cadaadis dhiig oo sareeya, laakiin
Kaliya nus ka mid ah dadka ku ogaato oo ku saabsan dhibaatada. Oo dadkii oo xataa ka yar qaata daaweynta saxda ah, qaar ka mid ah
Bukaan-socodka ma arkaan baahida loo qabo in daaweyn caafimaad wanaagsan, dadka kale ma aqaan oo ku saabsan jiritaanka casri ah
aadka wax ku ool ah oo si fiican loo dulqaatay daawooyinka loo isticmaalo yareynta dhiig-karka. Dhanka kale, la bogsiiyo
hypertension loo baahan yahay - xitaa haddii cudurku waa astaamo, waxay keeni kartaa in aad
cawaaqib murugo. Ha halis caafimaadkooda iyo xataa noloshooda.
Cawaaqibka hypertension dumarka
cadaadiska go'doon kordhay dhiig (ie, hypertension aan sababaha halista saameen) ee
70% ka mid ah xaaladaha keenaysaa in stroke in dumarka. Wixii la barbardhigo, in nin hypertension oo aan halista saameen factors darafyadiisa
stroke oo kaliya 30% ka mid ah xaaladaha.
Saamayntii therapy antihypertensive in ragga iyo dumarka la mid ah. Si kastaba ha ahaatee, da'da, wax ku oolnimada
therapy antihypertensive dumarka waa la dhimay, oo ka dhalata ku dhegyadii dayska (oo ku saabsan in hoos).
Si aad u taariikhda, dhibaatooyin hypertension mashquulin kaalinta koowaad, haddii aan ka hadlo dhimashada haweenka
dadweynaha. Qiimaha cadaadiska dhiigga systolic dumarka waa arrin khatar ugu muhiimsan labaad
cudurka wadnaha (CHD).
cudurka wadnaha ischaemic iyo dhiig-karka ee haweenka
Qof dumar ah oo nin ka yahay oo kaliya sifooyinka hoose iyo sare aan galmada, laakiin kala duwan ayaa sidoo kale lagu calaamadeeyey ee
hormoonnada, hiddo, hab nololeed - waxan oo dhan, dabcan, ka muuqataa in koorsada of cudurro kala duwan, ammaanka iyo
waxtarka daawada.
Sanado badan waxaa la rumeysan yahay in halista cudurka wadnaha ee haweenka waa weyn uga yar in ee
oo nin. Dhab ahaantii ma aha, in labada jinsiba, khataraha waa isku mid, oo weliba, waxaa caadi u ah sannadihii la soo dhaafay in
dhimashada ku kordheen tan iyo cudurrada wadnaha waa in dumarka.
Si loo xalliyo dhibaatada this, waa in aad, ugu yaraan, la aqoonsado qodobada halista ugu weyn ee wadnaha
cudurka dumarka, iyo sidoo kale ka qayb galaan si ay search for hababka ay la saxo. , Dhammaan qodobada halista Conventionally waayo wadnaha
cudurada waxa loo qaybin karaa laba qaybood: gaar ah (khaas ah dabaqa, kiiskan, waayo,
haweenka), non-gaar ah (guud oo loogu tala galay dumarka iyo ragga).
Waayo, arrimo aan si gaar ah waxaa ka mid ah da'da, muujinta hore ee calaamadaha cudurada wadnaha ee
qaraabada, sigaarka, diabetes, cayilka, qaab nololeed yah, dulqaad glucose oo yaraada,
kordhiyo kolestaroolkaaga guud, kolesteroolka LDL, hoos kolestaroolka HDL *. In kasta oo xaqiiqda ah in arrimo kuwanu ma gaarka ah ee
muuqaalada saamaynta ay ku formation of cudurada nidaamka wadnaha iyo in ragga iyo dumarka, waxaa jira kala duwanaan.
Iyadoo la tixgelinayo dabeecadaha gaarka ah, ka dibna ay loo saarin karaa cilladaha dheefshiidka inta ay uurka leedahay,
dayska, ka hortagga uurka hormoonnada ah, gisterovariektomiyu.
Waxay caddeeyeen in haweenka la cayilka sidoo kale ku dhicin halista sare ee cudurrada wadnaha, halis
Waxaa kordhay 4 jeer. Farsamo in ka ciyaaraan door ah oo habkan oo aanan weli la yaqaan, laakiin xiriirka ka dhexeeya cayilka iyo
cadaadiska dhiigga si sax ah waa.
Sida nololeed, waxaan ku cadaato in la'aanta ah ee dhaqdhaqaaqa jirka joogtada ah waxay kordhisaa khatarta
ka bixitaanka iyo horumarka ee cudurada wadnaha qeybtii. Ayadoon ah oo miisaankeedu yahay isbedel lagu jiro jirka
hawlaha lagu arkay caadi ah dhiig-karka. Waxaa la rumeysan yahay in saamayn togan
hawlaha jirdhiska la xidhiidha hanaanka dadban iyo si toos ah hadda jira in ay gacan in la yareeyo
cadaadiska dhiigga, oxygen myocardial bixinta, marka lagu daro, jimicsi saamayn faa'iido on
arrimaha xinjirowga dhiigga, gacan ka horumar ah ee spectrum la egyahay dhiigga.
Nasiib darro, in hypertension dalka our dumarka dhexdiisa waa mid baahsan oo ka dhacdaa 41.1%.
hypertension halbowle in dumarka da'doodu kala duwan tahay
Waayo, markii ugu horeysay oo ku saabsan kala duwanaanshaha heerarka cadaadis dhiig sida jinsiga hadli karin
da'da lix. cadaadiska dhiigga Higher arkay gabdhaha lix sano iyo ka kor
qaangaadhnimada. Laakiin ka dib markii la baaluqo iyo dayska ka hor la soo sheegnay waxaa laga yaabaa in dheeraad ah
cadaadiska dhiigga oo hooseeya in haweenka. Ka dib dhalmo-dayska, kala duwan oo dhan baaba'aan, iyo
Haweenka la kulmaan halis dheeraad ah cudurrada wadnaha, dhiig-karka, iyadoo marka la barbar dhigo
oo nin.
Badnaanta hypertension ka mid ah haweenka da'da yar ma aha sare, laakiin ka dib dhalmo-dayska, khatarta ah
iyo horumarinta cudurka u kordho. Laakiin ma naag kasta waxay leedahay cadaadis dhiig oo sareeya
Waxay la kulmeen bilawga noqoshada galmada. Sanadihii la soo dhaafay, korodhka cadaadiska dhiigga, iyo qoraalada
ka mid ah dumarka dhallinyarada ah, oo ay ku jiraan dumarka uurka leh. Waxaa loo arki karaa in 15-30% ka mid ah haweenka uurka leh ee Russia syndrome hypertensive
taas oo horseedaysa in ay dhibaatooyin daran, isaga qudhiisu ma aha oo kaliya in xilliga uurka iyo foosha, laakiin sidoo kale waxa uu leeyahay a negative
raadka ay saadaal muddada dheer ee haweenka. Inta badan waxaa dhacaya in hypertension dhacdaa inta
uurka ... oo weli naagtii weligiis la.
Hypertension ee haweenka iyo piller
Isticmaalka piller waa mid ka mid ah sababaha ugu muhiimsan ee horumarka dhiigkarka
haweenka. Caddeeyeen in haweenka qaadashada daawooyinka, kuwaas oo, hypertensive wejiga 2-3 jeer
inta badan dumarka aan aqbalo lacagaha sida. Intaa waxaa dheer, wakiilada ka hortagga uurka ee afka laga qaato oo awood u leh
hore u arkay hypertension halbowlaha sii xumaanaysay. Halista hypertension ee gelitaanka
wakiilada afka uurka kordhay haweenka ka weyn 35 sano, haddii qof dumar ah oo cabba, iyo / ama in joogitaanka
cayilka.
farsamo soo jeediyey ee cadaadiska dhiigga ee sareeya ee dumarka qaata xakamaynta dhalmada
daawooyinka afka laga qaato: kordhay mass jirka, mugga dhiigga, waxaa jira iska caabin ah insulin,
sodium calaamadeeyay dib u dhac ah ee jirka ku.
Caadi ah cadaadiska dhiigga arkay dhowr toddobaad ka dib ka dib markii dhamaadka dheeri ah. laakiin haddii
naagtii ku saabsan asalka ah ee ka hortaga ayaa soo saartay hypertension, haddii halista ah ee cawaaqibka
uurka suurto gal u noqon lahaa ka sii badan tahay halista ah ee horumarka ah ee hypertension, waxaa lagu talinayaa in la sii wado qaadashada uurka leh
daaweynta isku mar daawooyin antihypertensive.
halista hypertension kordho haddii:
- waxay leeyihiin taariikh hypertension qoyska - waxaa jira cayilka - waxaa jira cudur kalyaha ah - qof dumar ah oo ka badan 35 sano jir ah - qof dumar ah qaadataa uurka muddo dheer - haddii, inta lagu guda jiro horaysa dhiig karka uurka la Qolol.

Hypertension ee haweenka inta lagu guda jiro dayska iyo postmenopause
On korodhka cadaadiska dhiigga inta lagu jiro dayska saamayn ku arrimo badan - hoos u this
dhaqdhaqaaqa jirka, iyo jidhka miisaanka oo kordha, iyo isticmaalka kordhay ee khamriga iyo cusbo.
Inta lagu guda jiro dayska kordhisaa halista cudurka wadnaha. Tan waxa u sabab ah Manhajkooda
nidaamka hormoonada in muddo this iyo sidoo kale Avv estrogen-yari hayso, bixinta saamayn faa'iido on
nidaamka vascular wadnaha.
deficiency Estrogen waxay keeni kartaa in kor u pressor oolnimada angiotensin II, isbeddel in la egyahay
spectrum dhiig ku saabsan asalka ah ee kolestaroolka guud ahaan kor u kacay, Lipoproteins ee mugga aad u yar yar si loo yareeyo
qadarka Lipoproteins cufnaanta sare.
Ka mid ah bukaanka ka yar tahay 40 sano oo cudur hypertensive, haweenka ku xanuunsado inta badan ragga ka yar, laakiin 45-55 sano xaaladda
Waxaa la beddelo, iyo tirada dumarka hypertensive bilaabaa in uu ka adkaan.
Iyadoo la raacayo, fiiro badan ayaa hadda la siiyaa raadinta daawo ammaan ah oo wax ku ool ah oo lagu daweeyo
hypertension dumarka postmenopausal - ma aha oo kaliya in la yareeyo cadaadiska dhiigga, laakiin sidoo kale
ujeeddo ah sixida daliilka dhaleysnimada ka, kaas oo bixin doonaa kale ah in ay hormone replacement therapy.
Daaweynta hypertension dumarka
Maanta, dhibaatada ugu deg-deg ah waa in la ogaado xiriirka ka dhexeeya cudurrada hypertension oo kala duwan iyada oo ujeedadu of
horumariyo hab dhamaystiran fiicnayn in ay ka hortagga iyo daaweynta (Oganov RG, 2007; Moon Anikin, 2009, Jakushin SS,
2010).
Laakiin ku dhowaad dhammaan khubarada casriga ah isku raaceen in daaweyn jiray hypertension
doorbidayaa u yeelaan therapy antigipergenzivnuyu.
meel muhiim ah xeeladaha haweenka la hypertension la siiyo daaweyn non-pharmacological.
Sidaas daraaddeed, tusaale ahaan, cunto low-calorie loogu tala galay dumarka la cayilka keeni kartaa ma aha oo kaliya in ay miisaan lumis, laakiin sidoo kale si ay u
cadaadiska dhiigga hoose, marka lagu daro, cuntada wanaagsan waxay saamayn sababaha halista sida sonkorowga,
adkaysiga insuliinta, hypertrophy myocardial of ventricle bidix, hyperlipidemia.
Ha dhayalsan doorka dhaqdhaqaaqa jirka, socodka caadiga ah, dabaasha, jimicsi on lagtiisa, jimicsi daweynta
jimicsi iyo wixii la mid ah kaa caawin doona inaad si loo yareeyo dhacdo ee khatarta ah ee horumarinta hypertension.
Mawqifkaa waxaa la therapy ah non-pharmacological waa in loo qoro daawooyin antihypertensive.
Ka hor inta dib u daawooyinka ugu doorbiday maanta waa in la yidhaahdo in rajada ee waxtarka
hormone replacement therapy in a saamayn togan suurto gal on cadaadiska dhiigga, ayaa xaq. Waxaa intaa dheer,
Xaaladaha qaarkood (9%) tusay ma hoos u dhac iyo korodhka cadaadiska dhiigga inta lagu jiro
hormone replacement therapy.
Intaa waxaa dheer, waa in la ogaadaa in in kasta oo ay si cadaalad ah u ballaaran, xulashada kala duwan ee daroogada antihypertensive,
Maanta waxtarka daawaynta hypertension weli heer si caddaalad ah u hooseeya. Intaa waxaa dheer, xogta,
kaas oo la helay waxbarashada ee ragga, haweenka si toos ah u gudbiyaan waa wax aan macquul aheyn (Podzolkov nm, 2009;
Tkachev ON, 2010). Sidaas awgeed, muhiimadda ugu weyn waa dhibaato ka mid ah therapy ee kala ah halbowlaha
hypertension dumarka, iyo sidoo kale qiimeynta mid ah farsamooyinka non-invasive functional in kor u qaadi doontaa saadaasha,
tayada therapy muddo dheer. Iyada horumarinta geynta ay awood u individualize daaweyn noqon doonaa
haweenka.
Si aad u taariikhda, ee hypertension halbowlaha in dumarka loo xilsaaray wakiilka kasta antihypertensive, (waayo,
ma sababo) ee koox kasta qaab isku dhafan ama aad keligaa. Si kor loogu qaado hypotensive ah
saamaynta waxaa badanaa lagu qoro hydrochlorothiazide (guide-rohlortiazid). Inta badan daaweynta ee hypertension dumarka
isticmaalka diuretics: arifon faafiyo, arifon, cardioselective beta-blockers (lokren (betaxolol), atenolol,
bisoprolol yar).
Haddii aan ka hadlo celiyeyaasha ACE, waxaa caadi ahaan loo isticmaalaa moexipril, mararka qaarkood - fosinopril (monopril).
Marka la eegayo antagonist calcium ah ee foomka of diyaarinta-daayo joogto ah dihydropyridine (plendil, Norvasc,
kordafleks faafiyo), ay soo dhaweynta waa suurto gal, laakiin waa in la xusuusnaado in bukaanka qaar ka mid ah ayaa laga yaabaa inuu bararka
cagahoodii ku, ama ay u noqdaan inta badan sameysa.

1. Ageev FT, Fomin IV, Mareev Y. et al. baahsanaanta hypertension in qayb ka mid ah Yurub ee Ruushka
Federation. Kuwani waxbarashada DA'DA, 2003;
2. Shlyakhto EV Belousov YB, Kirichenko AA al et. hypertension halbowle dumarka postmenopausal. Wadnaha. 2003;
3. Kobalava Tareenka, Tolkachev aayadaha Moryleva ON Tilmaamo Clinical iyo daweynta hypertension dumarka.
Heart. 2004;
4. Kuban Research Medical Gazette muuqaalada Clinical iyo functional ah ee nidaamka wadnaha iyo in haweenka la hypertension. 2011;
5. Prokhorovich EA, 2006; Tkachev ON 2010; Oganov RG, 2007; Anikin Moon, 2009; Jakushin SS, 2010.