Nengxaki unesifo: unyango, iimpawu kunye neziphumo.

nengxaki unesifo - enye ngamazwe, nto leyo zibandakanya ukwanda elibukhali kwi uxinzelelo lwegazi. Lubonakala yi ilahleko yelungu ekujoliswe kunye nobukho iimpawu wegazi, kodwa wavakalisa ngokugqithiseleyo. Kukho koxinzelelo ezimbini ukwandisa mechanism (semithambo kunye imithambo), eziziimpawu umbhodamo unesifo. Unyango yale meko kuxhomekeke kakhulu kwezi ndlela.

Indlela yophuhliso, ezichaza nengxaki unesifo. Unyango yaziwa, ayeba ngokusekelwe Pathogenesis. Kule meko, i ekuphuhliseni inkantsi arteriolar, ukwanda izinga lentliziyo kunye iyonke ukuxhathisa neuropathy nemithambo. Phuhlisa umjikelezo zikhohlakeleyo reactions kunye ukunyuka zokunyanzelisa ebukhali uxinzelelo lwegazi ukuya kumanqanaba aphezulu kakhulu.

zimpawu:

• intloko ebuhlungu, okubangelwa besaphula ejikeleza lobuchopho. Ingaba ubhalo obtuse okanye kwamaza;

• nesiyezi, ukuduma, isicaphucaphu nokugabha, kwakunye neempawu ingqondo;

• ifiphale umbono ngenxa spasm semithambo semehlo, kunye nokudumba le-luvo optic;

• iyangongoza, arrhythmias, bamba umphefumlo.

Ngenxa yobukho iimpawu ezithile bahlule iingxaki kuqala kunye neentlobo yesibini:

- uhlobo lokuqala - hyperkinetic, kwenzeka qho xa nisaqala wegazi. Kuqala wayibona kunye neempawu ezininzi kwezityalo: ukuphazamiseka nomonde, iingcangcazela, isikhumba ukuba bomvu, ukwanda ukubila. Le ngxaki ithatha malunga 3-4 iiyure. Oku kwandisa kakhulu kwi ukuzala xi iSystolic ingaguqukanga, ukwandisa izinga intliziyo. Ukwandisa izinga adrenaline kwi kwegazi ichaza crisis unesifo. Unyango inenani lweempawu;

- uhlobo lwesibini - hypokinetic, kwenzeka kwi zigaba kamva wegazi. Phuhlisa ngcembe, isebenza nzima. Luphawulwa silale, ubuthathaka yezigulane, yengxinano iimpawu ezesifuba lobuchopho. It kwandisa zombini iSystolic kunye noxinzelelo lwegazi ukuzala, kodwa inqanaba wale mithandazo ucaca ngakumbi. alunako ukutshintshwa rate intliziyo. Egazini, kukho amazinga norepinephrine.

Ngophuhliso iingxaki esi sifo zenzeke:

- Encephalopathy kunye nokudumba yobuchopho, obubonakala ngokuba neempawu ingqondo ezahlukeneyo (amahlaba, isicaphucaphu, ukugabha, ukwazi kakuhle) ,

- ukusilela intliziyo;

- kokuhlaselwa angina sifuba okanye iposi engabalulekanga.

Xa sijonga iindlela iimpawu ezichaza sinengxaki unesifo, unyango iya kwakhiwa ngolu hlobo lulandelayo:

- ukuhla komgangatho uxinzelelo lwegazi ukuzala ukuba ixabiso 100 mm HG Ukwehlisa kufuneka silumke kakhulu ukuba ukuphazamisa kwegazi lobuchopho. Isigulane kufuneka anikwe isikhundla othe tye;

- Ulawulo efakwa ze enalapril (i angiotensin ukuguqula enzyme), nifedipine (a blocker calcium channel), clonidine (α-adrenoagonists);

- ngethuba leeyure-2 zokuqala, hayi kufuneka ibe ngaphantsi ngaphezu kwe-25% ye lokwaNdlalela xi. Iiyure ezi-6 zilandelayo lokufika ukufumana uxinzelelo lwegazi 160/100.

- uncedo olungxamisekileyo. A umnxeba kwi "uncedo lokuqala" - into yokuqala ekufuneka yenziwe. Emva koko, silindele ukufika ugqirha, kuyimfuneko ukunika indawo umguli ukuthintela ukuhlaselwa Ukuphelelwa Half-tye. Ukuba uhlaselo waba ngaphambili, kwaye isigulane sisebenzisa amachiza umfutho, imfuneko asele idosi ekucetyiswa kagqirha amayeza. Ukuba uyakwazi ukunciphisa uxinzelelo 40-60mm.rt.st., Akukho mfuneko ukusebenzisa amayeza ngaphezulu. Akukho mfuneko ukuze nabo bamkele amachiza amatsha kunye angaqhelekanga. Kwakhona kuyenzeka ukuba usele sine, umz, Corvalolum.

nengxaki unesifo: Implications

I-ALS kule imeko engafunekiyo. Kuba intlekele unesifo luphawulwa likakade. Emva amanqam aphuhlise insufficiency kwentliziyo, ukuphazamiseka ejikeleza yobuchopho, ukuya nokudumba lobuchopho.