Yakashata hypertension

Yakashata hypertension yakanyanya kukwirira kweropa inouya nekukurumidza uye nekukurumidza.

Dambudziko iri rinobata vashoma vanhu vane BP, kusanganisira vana nevakuru. Izvo zvinowanzoitika kune vechidiki vanhu vakuru, kunyanya vemuAmerican varume.

Izvo zvinoitika kune vanhu vane:

• Collagen vascular kusagadzikana (senge systemic lupus erythematosus, systemic sclerosis, uye periarteritis nodosa)
• Zvinetso zveitsvo
• Kubata-kunokonzera kukwira kweropa (toxemia)

Iwe uri pangozi yakanyanya yehutachiona hwehutachiona kana ukasvuta uye kana wakambove uine:

• Itsvo kutadza
• Renal hypertension inokonzerwa nerenal artery stenosis

Zviratidzo zvehutachiona hwehutachiona hunosanganisira:

• Kuona kwakashata
• Shanduko mumamiriro epfungwa, senge kushushikana, kuvhiringidzika, kudzika kwekusvinura, kudzikira kugona kuisa pfungwa, kuneta, kusagadzikana, kurara, kana kugona
• Kurwadziwa pachifuva (kunzwa kwekupwanya kana kumanikidza)
• Kukosora
• Kutemwa nemusoro
• Kusvotwa kana kurutsa
• Kuvezwa kwemaoko, makumbo, kumeso, kana dzimwe nzvimbo
• Yakaderedzwa weti kubuda
• Kufenda
• Kufema kwekufema
• Kuneta kwemaoko, makumbo, kumeso, kana dzimwe nzvimbo

Malignant hypertension chirwere chekukurumidzira.

Kuongorora kwepanyama kunowanzo kuratidza:

• Yakanyanya yakakwira BP
• Kuzvimba mumakumbo epasi nemakumbo
• Mwoyo usina kujairika unonzwika uye fluid mumapapu
• Shanduko mukufunga, kunzwa, uye mafungiro

Kuongorora kwemaziso kucharatidza shanduko dzinoratidza kukwirira kweropa, kusanganisira:

• Kubuda ropa kweretina (kumashure kweziso reziso)
• Kuderedza kweiyo tsinga yeropa mune iyo retina
• Kuzvimba kweiyo optic nerve
• Mamwe matambudziko neiyo retina

Kuyedzwa kwekuona kukuvara kune itsvo kunogona kusanganisira:

• Arterial ropa gasi kuongorora
• BUN (ropa urea nitrogen)
• Creatinine
• Kuongorora urinal
• Itsvo Ultrasound

X-ray yechipfuva inogona kuratidza kuzara mumapapu uye nemoyo wakawedzerwa.

Chirwere ichi chinogona zvakare kukanganisa mhedzisiro yeiyi bvunzo:

• Nhamba yealdosterone (hormone kubva kune adrenal gland)
• Cardiac enzymes (mucherechedzo wekukuvara kwemoyo)
• CT scan yehuropi
• Electrocardiogram (EKG)
• Renin nhanho
• Urinary sediment

Iwe unozofanirwa kugara muchipatara kudzamara yako yakakwira BP. Iwe unozogamuchira mishonga kuburikidza nevevine (IV) yekudzikisa yako BP.

Kana paine zvinoyerera mumapapu ako, unozopihwa mishonga inonzi diuretics, iyo inobatsira muviri kubvisa fluid. Chiremba wako anogona kukupa mishonga yekudzivirira moyo wako kana iwe uine zviratidzo zvekukuvara kwemoyo.

Mushure mekunge yakanyanya BP yako yave pasi pekutonga, mishonga yeropa inotorwa nemuromo inogona kudzora BP. Mushonga wako ungangoda kuchinjwa dzimwe nguva. Kuwedzera kweropa kunogona kuoma kudzora.

Masisitimu mazhinji emuviri ari panjodzi yakakura kubva mukukwira kwakanyanya kweropa. Mitezo inosanganisira uropi, maziso, tsinga dzeropa, moyo, neitsvo zvinogona kukuvara.

Tsinga dzeropa dzeitsvo dzinogona kunge dzichikanganiswa neBP. Itsvo kutadza kunogona kukura, uko kunogona kuve kwechigarire. Kana izvi zvikaitika, ungangoda dialysis (muchina unobvisa zvigadzirwa kubva muropa).

Kana ikarapwa ipapo ipapo, hutachiona hwakanyanya hunogona kudzorwa pasina kukonzera zvinetso zvechigarire. Kana ikasarapwa ipapo ipapo, inogona kuuraya.

Aya matambudziko anogona kuitika:

• Kukuvara kwehuropi (sitiroko, pfari)
• Kukuvara kwemoyo, kusanganisira: kurwiswa kwemoyo, angina (kurwadziwa pachipfuva nekuda kwekutetepa mitsipa yeropa kana kushaya simba mhasuru yemwoyo), kusagadzikana kwemoyo mutinhimira
• Itsvo kutadza
• Kupera zvachose
• Fluid mumapapu

Enda kuimba yekukurumidzira kana kufonera yako yemuno emergency emergency (se911) kana uine zviratidzo zvehutachiona hwehutachiona. Iyi ndiyo mamiriro ekukurumidzira anogona kutyisidzira hupenyu.

Fonera wako mupi wezvehutano kana iwe uchiziva kuti hauna kudzora yakakwira BP.

Kana iwe uine BP yakakwira, nyatsoongorora yako BP uye utore mishonga yako nemazvo kuti ubatsire kudzikisa njodzi yako. Idya kudya kunovaka muviri uko kwakaderera munyu nemafuta.

Yakawedzera hypertension; Arteriolar nephrosclerosis; Nephrosclerosis - arteriolar; Hypertension - yakaipa; Yakakwira BP - yakaipa

• Hypertensive itsvo

Bansal S, Linas SL. Hypertensive dambudziko: emergency uye kukurumidza. Mune: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Chinyorwa cheCritical Care. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 87.

Greco BA, Umanath K.Renovascular hypertension uye ischemic nephropathy. Muna: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Yakakwana Kliniki Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 41.

Kaynar AM. Arterial ropa gasi kududzira. Mune: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Chinyorwa cheCritical Care. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 36.

Levy PD, Brody A. Hypertension. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 74.