Isizathu esiqhelekileyo se-ambulensi yefowuni yinkxwaleko yexinzelelo, iimpawu zazo eziqhelekileyo malunga nesithathu sezigulane ezinegazi eliphezulu. Ingxaki idinga ukunakekelwa ngonyango oluphuthumayo, okuqulethe, okokuqala, ekunciphiseni uxinzelelo lwegazi (BP).
Ukwahlula
Kukho iintlobo zeengxaki ezilandelayo:
- I-Hyperkinetic - iyinto eqhelekileyo kwizigaba zokuqala zengcinezelo yomshushu kwaye ikhula ngokukhawuleza. Kukwahlula kwamashumi eminyaka adlulileyo, le meko ibizwa ngokuba yingxaki yexinzelelo oluxinzelelekileyo lwegazi-iimpawu zayo zibizwa kwi-abizwayo. "Iimpawu zengqolowa". Isigulane sinokugubha kwiimisipha, sithukuthela kakhulu, intliziyo iyanda, ubomvu buyakubonakala esikhumbeni. Ingxaki enjalo ithatha iiyure ezingama-3 ukuya kwi-4.
- I-Hypokinetic - ivakalelwa ngokwasemagqabini ekupheleni kwexinzelelo, kwaye ikhula ngokukhawuleza ize iphele kwiiyure ezine ukuya kwiintsuku eziliqela.
Iimpawu zeengxaki ezixinzelelekileyo
Ngenxa yentlekele yohlobo lokuqala luphawu:
- ukwanda kwimixinzelelo (mhlawumbi umda ophezulu, okt systolic) ukuya kwi-200 mm Hg. Ubugcisa. kunye nokunye;
- ukwanda kwenani lentliziyo;
- ukwanda kwimixinzelelo ye-pulse (umda phakathi kwegazi eliphezulu kunye nezantsi).
Ezi zichazwe ngasentla zichazwe "iimpawu zendalo" ziyabonwa, izigulane zixhomekeke kakhulu. Ngexesha loxinzelelo lwe-hyperkinetic, i-adrenaline ibangele egazini, ngenxa yokuba unyuka uxinzelelo lwegazi lwe-systolic, i- tachycardia kunye ne-hyperglycemia ikhula (ukwanda kwezinga le-glucose). Intloko ibuhlungu kakhulu kwi-nape entanyeni, phambi kokuba amehlo aphephe "iintshulube", uxinzelelo lwenziwa kwiintempile.
Iimpawu eziphambili zeengxaki ezixinzelelekileyo zoluhlobo lwesibini zibandakanya ukwanda kwexinzelelo lwegazi - zombini ophezulu nangaphantsi ufinyelela kumanani amaninzi, nangona kunjalo, ukunyuka kwe-diastolic blood pressure, egazini kukho ininzi ye-norepinephrine. Izigulane zikhangeleka, zinamava okulala, isisu, isisu, isisongela.
Ngokuqhelekileyo, ubunzima be-hypertensive boba neempawu ezibonakalayo kokubili uhlobo lokuqala nolwesibini. Kwezinye iimeko, isigulane sinokuqala ukugubha, ukukhubazeka, ukuphulwa komso.
Iimbangela zeengxaki zexinzelelo
Ukuphuhliswa kweengxaki kubangelwe yizinto ezilandelayo:
- ukupheliswa kwezilwanyana ezinobungozi obuthatyathwe kummandla wengcinezelo yomshukela ophezulu;
- utshintsho olukhawuleza kwiimeko zemozulu;
- ukuxinezeleka kwengqondo, uxinzelelo ;
- ukuthatha utywala okanye utyuwa oluninzi.
Ukongezelela, iimbangela zeengxaki zengxakini zinokuthi zifakwe phambi kwesi sifo, isibonakaliso saso. Ngoko le nkathazo idla ngokuqhubekayo kwizigulane ezine:
- umonakalo kwiinqanawa zeentso;
- pheochromocytoma;
- Isifo sikaCushing;
- Connes syndrome, njl
Nangona kunjalo, abantu abanesifo sengxinzelelo segazi (ukuzinza kwengcinezelo ephezulu yegazi) bachaphazeleka kakhulu kukuphuhliswa kweengxaki.
YoNcedo lokuqala
Ekubeni ingxaki ephezulu yempembelelo yingozi, impawu kufuneka zisuswe ngokukhawuleza. Ukuze wenze oku, sebenzisa iziyobisi ezincitshiswayo (ukunciphisa umzimba).
- propranolol okanye ezinye i-beta-blockers zifanelekile kwi-tachycardia (izinga lentliziyo elikhawulezayo);
- I-Captopril isebenza kakuhle ukuba kukho imbali yesifo sikashukela, ukusilela intliziyo, i-cardiosclerosis;
- i-nifedipine yokususwa kweempawu zeengxaki zexinzelelo eziphezulu zinikezelwa ngokukhulelwa, isifo se-bronchial okanye sesifo sengqondo.
Ekubeni inkathazo ikhula kakhulu kwizigulane ezixinzelelekileyo, kufuneka ukuba iziyobisi ezifanelekileyo zisondele. Ngaphambi kokufika kwe-ambulensi, unokubeka i-mustard plaster emilenzeni okanye kwi-back back, yenza amabhati okufudumala emilenzeni, sebenzisa icompress yakho entloko yakho. Isigulana sidinga ukuphumla okupheleleyo - ngokomzimba nangokomzwelo.
Ukunciphisa uxinzelelo lwegazi akufuneki nakwiimeko ezibukhali, ngokufanelekileyo - 10 mm Hg. ngeyure.