Hypertension halbowle ee dadka waayeelka ah

Hypertension ee dadka waayeelka ah

VS Tchistov

First MGMU IM Sechenov

Xaqiiqada ah in hypertension waa mid ka mid ah cudurada ugu daran, garan dhawaad qof kasta oo u tallaabay marinkii da 'weyn. category ee dadka waayeelka ah, sida caadiga ah, waa nin ay da'doodu u dhaxayso 60 iyo 74 sano iyo haweenka ay da'doodu u dhaxayso 56 ilaa 74 sano. Tani, dabcan, macnaheedu ma aha in hypertension waa cudur kaliya ee dadka waayeelka ah, waxa ku dhici kara qof kasta oo ka dib 35 sano, waxa loogu yeero "da'da saddexaad" a si gaar ah lagu gartaa rabshooyin in hawlaha nidaamka wadnaha la xidhiidha isbedel da'da la xiriira in ay yihiin leexdo Jidka halista dhibaatooyin wadnaha, maskaxda iyo kelyaha.
Hypertension waxaa loo arkaa inay sabab aad uga hornimaadno. Her dad badan dhayalsan, maxaa yeelay marxaladaha hore ee nin wax, madax xanuun lahayn oo aan dareemi karo, in aan wax dhibaato ah la wadnaha. Cadaadis dhiig oo sarreeya ma isla markiiba ka dhigaysa laftiisa dareemay. Qeex waxa suuragal ah keliya in haddii qof si joogto ah loola socdo ay dhiig karka, daryeelka caafimaadka, ama marka xigta ee aad soo booqato dhakhtarka si lama filaan ah waxaa soo baxday in heerka cadaadiska dhiigga waa weyn u badan sidii caadiga ahayd. Taasi waa sababta cadaadiska dhiigga ee sareeya waxaa loo yaqaan "dilaaga aamusan." Tani waxay sidoo kale sharaxayaa statistics dunida, sida laga soo xigtay oo hypertension halbowlaha dhirfinaya bar oo bar dhimashada ee dadka waayeelka ah.
Waa maxay dhiig-karka
By qeexidda of hypertension (WHO) Ururka Caafimaadka Adduunka qaaday in ay ka dhigan tahay in la kordhiyo cadaadiska dhiigga systolic 140 mm Hg cadaadis dhiig diastolic caadi ah ama wax yar hoos u - in ka yar 90 mm Hg In da'da 65 ilaa 75 sano in 2/3 ee kiisaska waxaa laga helaa foomka gaarka ah ee hypertension muhiim ah - go'doonsan hypertension systolic. Foomkaan waxaa ku weheliyay la kordhiyo cadaadiska wadnaha, taas oo kordhinaysa halista ah ee dhacdooyinka wadnaha iyo stroke. In soocidda khubaro WHO ayaa sidoo kale waxay leeyihiin hypertension Xadka, taas oo u muuqdaan in ay kordhiyaan cadaadiska dhiigga systolic in 149 mmHg marka cadaadiska dhiigga ama ka hooseeyo 90 mm Hg
statistics cudurka
Inta badan wadamada horumaray, hypertension dhacdaa 50-60 boqolkiiba dadka waayeelka ah, kuwaas oo tiradoodu waxaa si joogto ah u koraya ee dunida. Waayo, Russia, halkaas oo ay jiraan gabowga joogto ah dadweynaha, iyo Filashada nolosha celcelis ahaan ragga Ruush wuxuu ku saabsan yahay 60 sano, dhibaatadan ayaa noqday gaar ahaan ku habboon. Tan waxa u sabab xaqiiqada ah in cudurka uu yahay mid aad u caadi ah, iyo wacyiga dadweynaha ee xaqiiqda ah in ay hore u jiran, aad u yar yihiin. Kaliya tiro yar oo ah dadka waayeelka ah si joogto ah u hubi cadaadiska dhiigga, taas oo kor u guud arrin halis ah, taas oo ay go'aamiso horumarinta iyo horumarka cudurka. Russia maanta waa mid ka mid ah meelaha ugu horreeyey ee Europe ee dhimashada cudurrada wadnaha iyo xanaajiyeen by hypertension.
Sababaha iyo saamaynta cudurka
Maanta ayaa helay xog ku filan oo muujinaya in la jir tirada bukaannada hypertensive kordhay. faafidda cudurka waxaa sabab u ah isbedel da'da la xiriira ee jirka ku jira, oo ay ku jiraan nidaamka wadnaha. Laga bilaabo 40 sano, qofka dhiigga bilaabmaa dhigaalka ee calcium, collagen, elastin, iyo glycosaminoglycans. Isla mar ahaantaana horumar isbedel atherosclerotic. Nidaamkan waa mid keeni hoos ku barti ah ee quseyo iyo halbowlayaasha waaweyn. xididdada dhiigga, oo luma barti, mar dambe ma ay jawaabaan isbedel ee cadaadiska dhiigga inta lagu jiro systole iyo diastole. xaaladu ay sii xumaanayso atherosclerosis, inkastoo ay degree khasab ma aha in xiriir la kordhiyo cadaadiska.
Isla la isbedel ku xusan in weelasha ku ballaariyo iyo elongate, iyo ugu yar oo iyaga ka mid noqon yar permeable, taas oo horseedaysa in ay sii xumaato oo cunto ah oo jidhka unugyo weeyaan korodhka cadaadiska halbowlayaasha. Si kastaba ha ahaatee, hypertension halbowlaha ee dadka waayeelka ah calaamadeeyay laxanka kirkeydiyanka ee cadaadiska dhiigga. Daraasado ayaa muujiyey in ka badan 50% ka mid ah da'da 65-75 sano bukaan ku filan looma qoro hoos u cadaadiska dhiigga habeenkii marka la seexdo, oo ku hoos jira xaalad caadi ah waa kala duwan ee 10-20 mm Hg Halkii, cadaadiska maratay baxdo habeenkii, ama wax ka badan la dhimay. Waxa kale oo aad marar badan bay soomaan oo waxaa loogu dhawaaqaa kaca subax ee dhiig-karka ah.
All tasina waa kuwan oo xuduudaheedu prognostic dhibaatooyin wadnaha daran ee cadaadiska dhiigga, taasoo keentay in uu noqday dhaawaca maqaarka ee dadka waayeelka ah, maskaxda, ventricle bidix ee wadnaha, kelyaha iyo indhaha. korodhka Baxayn cadaadiska halbowlayaasha iyo bed lama filaan ah in tiro badan kaga xanaajiyey anoxia iyo isha unugyada dheefshiidka. xanuunada wareegga dhiigga oo ka mid ah ileyska iyo hemorrhages in ileyska u horseedi karaa indho la'aan. Isla mar ahaantaana, in ka badan kala bar oo ka mid ah bukaanka hypertensive dadka waayeelka ah, gaar ahaan ragga, xanuunsado hypertrophy (kordhay mass myocardial) ee ventricle bidix ee wadnaha, shaqada kelyaha oo yaraada waxay halis ugu jiraan stroke.
hypertrophy ventricular Left in bukaanka qaba dhiig-karka halbowlaha
Hypertrophy ee myocardium ah ventricular bidix halis ugu dhibaatooyin daran oo ah qaab wadnaha, wadnaha. Waa in la ogaadaa in cudurkan waxaa taagan mid ka mid ah meelaha ugu sarreeya ka mid ah oo dhan waxyaabaha kale ee khatarta la xiriirta dhibaatooyinka ay keento dhiig-karka. heerka uu kordhay mass myocardial waxaa lagu go'aamiyaa marka la eego culeyska caadiga ah. Wadnaxanuun ugu badnaan la ogolaan karo qiimaha mass index ragga loo arkaa in ay 134 g / m2, iyo in yar oo ka yar haweenka - 110 g / m2. Currently, sida ugu fiican ee wax ka baran hypertrophy myocardial waxaa loo arkaa echocardiography. Foomka waxaa ugu caansan ka mid ah ogaanshaha baaritaanka wadnaha - ECG, sidoo kale waxa uu awoodaa in la ogaado hypertrophy ventricular bidix, laakiin kaliya on Xaalad in isbedel ay horey u yihiin u dhow muhiim ah. Natiijooyinka u fiican siin farsamooyinka cilmi sida sida raajito loogu xisaabiyaa iyo magnetic resonance imaging.
Dhimantahay of function kelyaha in bukaanka qaba dhiig-karka halbowlaha
Ku xadgudubka function kelyaha marxalad hore ee hypertension halbowlaha inta badan lama dareemo, taas oo qayb weyn ka horumarka ee kelyaha chronic, lesions vascular intrarenal, iwm Sababaha keenay cudurro kala duwan si daciif ah u socodka dhiigga kelyaha, sida ku dhacaa hypertension vasoconstriction weyn, oo derbiyadeeda ay xir. Kale oo ka mid ah isbedel ugu badan ee halbowlayaasha kelyaha waa atherosclerosis laastikada hyperplastic. Wacan tahay sclerosing Lumen xididdada dhiigga sariirta kelyaha hoos. In labada kiisaska, socodka dhiigga kelyaha waa la dhimay, taas oo horseedaysa hypoxia - yaraanta oksijiinta ee unugyada kelyaha. unugyada Kelyaha atrophies oo waxaa lagu bedelaa unugyo, taas oo aan samayn karo hawlaha kelyaha. Sidaas darteed, formation kaadida lama sameeyo iyo kaadida, waa sunta wax soo saarka, nitrogenous samootravlyaetsya jirka slag ilaa horumarinta uremia oo cadhaysiiyaan dhimasho.
Isbeddellada ku yimaada maskaxda ee bukaanka qaba dhiig-karka halbowlaha
About dhaawac maskaxeed ee hypertension halbowlaha waa dhowr kale oo idhaahdaa. Sida caadiga ah, isbeddel ah ee qaab-dhismeedka maskaxda hor calaamadaha non-gaar ah, taas oo lagu garan karaa iyada oo noocyo kala duwan oo cudurro iyo markii hore ma soo jiitaan dareenka ee inta badan ee dadka waayeelka ah. iyaga ka mid ah xilliyo muuqan iyo baaba'aan madax xanuun, xusuus beelid, xanaaq, dhibaato hurdo, tinnitus iyo astaamaha kale oo badan. Muddadan, isbedel kasta oo la taaban karo ee habka dareemayaasha ma dhici karto, laakiin fundus ah waxaa lagu arki karaa laga bilaabo cidhiidhi ah xididdada isha. Haddii hypertension kabax ah uu yeesho, ka dibna calaamadahan muddo ka sii fahmayaan oo joogto ah. Marka marxaladdan dhacaan xanuunada organic ah habka dhexe ee neerfayaasha. Transition of hypertension ee soo socda, tallaabo saddexaad waxaa durbaba si toos ah oo la xidhiidha halista faaligga.
bukaanka Stroke la hypertension halbowlaha
Marxaladaha dambe ee cudurka, hypertension halbowlaha waxaa ku weheliyay xadgudubyo baaxad weyn oo ka mid ah habka dhexe ee neerfayaasha. Waxaa loo darey dhibaatooyinka hypertensive halis ah, kaasoo noqda dura inta badan soo noqnoqda, iyo sidoo kale dhacdo ee stroke. Si kooban u sharax stroke wuxuu noqon karaa sida soo socota - waxa si degdeg ah u horumariyaan socodka dhiigga maskaxda, taasoo keentay in unugyada maskaxda waxaa dhaawac unrecoverable. Burburintii unugyada maskaxda, qofka waayeelka ah u shaqeeyo uu joogsanayo si caadi ah u shaqeeyaan. laba nooc oo istaroog ah waa distinguished ku dhaqanka caafimaadka dunida, dhiigbaxa iyo ischaemic. stroke dhiigbaxa lagu gartaa qayb dhaawac ama aagga oo dhan of hemorrhage maskaxda ay sabab u tahay tirada kala duwan. At Xanuuno badan Octobar dhimanayaan unugyada dareenka ee qayb cerebral xiga in la joojiyo qulqulka dhiigga sababa xannibaad ah oo halbowle ah cerebral huurada ah atherosclerotic.

Kadib markii tixgelin faahfaahsan oo ka mid ah calaamadaha iyo cawaaqibka hypertension laga yaabaa in lagu soo gabagabeeyey in mustaqbalka fog, ma ahan oo keliya cudurka, laakiin sidoo kale xaalad gaar ah ee jirka, taas oo ku siinayaa asaasmeen tiro badan oo cudurro sii daran iyo xitaa dilaaga ah. Si Loo soo kobo, waxaan ku celinayaa in hypertension noqdo isha of khatarta of Wadnaxanuun myocardial, angina iyo arrhythmia, neefta oo ku qabata iyo sonkorowga, cudurka disc side, osteoarthritis, cudurka cirridka, cholecystitis, gastritis, ulcerös iyo xataa dhowr ah oo nno. Marka tan la eego, waxaa iska cad in ogaanshaha hore ee hypertension, iyo in ay qaadaan talaabo kasta oo suurtagal ah in ay gacanta ku hayaan iyo daaweynta. daaweynta daroogada of hypertension dadka waayeelka ah in si degdeg ah loo magacaabay doonaa baaritaanka ka dib. Selection of daroogada waxaa lagu fuliyaa iyada oo la tixgelinayo kala duwan arrimood, oo ay ku jiraan jiritaanka cudurada saameen.

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