Daaweynta asaasiga ah ee hypertension sambabadu waa in la qaado habka horey loo aqoonsado oo loo daaweeyo sababaha hoose. Si kastaba ha noqotee, bukaanno badan oo qaba xaaladdan, daaweyn heer sare ah ayaa noqota lagama maarmaan.
Qiimaynta Aasaasiga ah
Talaabada ugu horeysa ee lagu daaweynayo hypertension sambabada waa in la qiimeeyo darraanta asaasiga ah ee xaaladda. Tijaabadani waxay ka caawisaa dhakhtarka inuu go'aansado sida uu dagaalku u socdo, iyo wuxuu bixiyaa hab lagu qiimeynayo jawaabta daaweynta.
Tan waxaa badanaa lagu sameeyaa adigoo fulinaya echocardiogram , kaas oo bixin doona qiyaasta cadaadiska halbowlaha sambabada, iyo tijaabo jimicsi si loo cabbiro awooda shaqeynta aasaasiga ah.
Daaweyn lagu Sameeyey Xaaladda Caafimaad ee Aasaasiga ah
Caadi ahaan, si taxadar leh u daaweynaya sababaha hoose ee hypertension waa habka ugu muhiimsan ee daaweynta. Maadaama ay jiraan cilado caafimaad oo badan oo keeni kara dhiig-karka sambabada, daaweyntan waxay qaadan kartaa qaabab badan oo kala duwan.
Daaweynta Inta badan waxtar u leh cid kasta oo leh Dhiirogir Suuxin ah
Marka laga soo tago daaweynta loogu talagalay si gaar ah oo loogu daaweynayo sababaha hoose, waxaa jira daaweynyo badanaa ku caawiya qof kasta oo qaba sambabada sambabada.
Kuwaas waxaa ka mid ah:
- Diuretics sida Lasix ama Bumex ayaa badanaa loo isticmaalaa in lagu daaweeyo dheecaanka dareeraha ah ee si joogto ah ugu dhaco qanjirada sambabada. Inkastoo dheecaantu ay hagaajin karto dyspnea iyo barar (barar), waa in si taxadar leh loo isticmaalo maadama ay ka saarto dheecaanka badan ee bukaanka qaba hypertension sigaarka ay ka sii dari karaan hawlaha wadnaha.
- Daaweynta Oxygen waxay muhiim u tahay qof kasta oo qaba hypertension sambabada oo leh hypoxia (hoos u dhig heerka heerka oksijiinta). Marka uu hypoxia joogo, maamulidda oksijiinka inta badan wuxuu si toos ah u yareyn karaa cadaadiska sanbabada. Bukaan-socodka bukaanshaha sambabada waxaa sababa cudurada sanbabada ama cudurada wadnaha waxay u badan tahay in ay qabaan hypoxia, laakiin qof kasta oo qaba hypertension waa inuu lahaado heerarka oksajiinta dhiigga.
- Daawada xinjirowga lidka ku ah sida Coumadin waxaa badanaa loo adeegsadaa bukaanka qaba hypertension sambabada. Tani waa sababta oo ah hypertension hypertension lafteedu waxay keeni kartaa dhiig baxa socodka wareegga wareegga sambabada, taas oo keeni karta in xinjirta gudaha xididdada dhiigga ee sanbabada. Akhri daawooyinka loo isticmaalo si looga hortago xinjiro dhiig .
- Digoxin waxay hagaajin kartaa hawlaha wadnaha ee bukaanjiifka qaar oo leh dareen-celinta sambabada.
- Jimicsiga ayaa lagu muujiyey inuu si weyn u wanaajiyo kartida shaqeynta dadka qaba hurgunka sanbabada.
Daaweynta Habboon
"Daaweynta Hore" ee loogu talagalay hypertension sambabada ayaa loogu talagalay hypertension sambabada, halkii ay ka dhalan lahaayeen sababaha hoose. Daaweyntan guud ahaan waxay ka kooban tahay isticmaalka dawooyinka vukthiopilator si loo isku dayo in lagu kala saaro wareegga wareegga wareegga iyo in la yareeyo cadaadiska sambabada.
Daaweynta siyaadada ah waxaa loogu yeeraa "horumarsan" maadaama ay ka fiicantahay daaweynaha guud, laakiin maxaa yeelay waa mid adag, halis ah, qaali ah, oo badanaa waa mid khatar ah (tusaale ahaan, waxay u baahan kartaa daaweynta xididka). Daaweynta horumarsan waa in kaliya ay maamulaan dhakhaatiirta khabiir ku ah daweynta sambabada.
Daaweynta horumarsan waxaa loo tixgeliyaa bukaanka qaba hypertension pulmonary naafo ah oo aan si haboon uga jawaabin daaweynta loogu talagalay sababaha hoosta ah, ama, gaar ahaan, haddii aan la ogaan sababta keentay (taasi waa, dadka qaba hypertension).
Daaweynta siyaadada ah sida caadiga ah looma isticmaalo dadka oo dhan kuwaas oo cudurkeenaha sambabada ay sabab u yihiin cudurka wadnaha oo hoosta ka dhaca (meeshii daaweynta horay loo soo bandhigay ay u badantahay in ay waxyeelo u geysato), ama cudur sambab ah (meesha ay jirto xog la'aanta waxtarka) .
Ka hor inta aan la isku dayin daaweyn heer sare ah, daraasad gaar ah oo loo yaqaan 'Coathetization Heart Cardization' ayaa loo sameeyaa si loo qiimeeyo "bacrimisnimada" wareegga wareegga. Waqtiga baaritaanka, daawooyinka waxaa la siiyaa si loo qiimeeyo haddii maraakiibta dhiigga sambabada ay awood u leeyihiin in ay dilaan. Haddii ay sidaas tahay, noocyada qaarkood ee daaweynta horumarsan ayaa aad ugu dhow inay waxtar yeeshaan.
Daawooyin badan ayaa loo sameeyay si loo daaweeyo hypertension sanbabada, oo ay ka mid yihiin:
- Calcium channel blockers sida diltiazem iyo nifedipine
- Prostanoids sida Flolan (epoprostenol), Remodulin (treprostinil), iyo Ventavis (iloprost)
- Endothelin antagonists sida Tracer (bosentan), Letaris (ambrisentan), iyo Opsumit (macitentan)
- PDE5 xannibaadayaasha sida Viagra (sildenafil), Cialis (tadalafil), iyo Levitra (vardenafil)
- Guanylate kicinta duufaanka sida Adempas (riociguat)
Doorashadan dheer ee xulashooyinka waxay ka dhigan tahay habka xulashada daroogada "ugu fiican" ama isku-darka "ugu fiican" ee daroogada aadka u adag. Xaalado dhowr ah ayaa loo baahan yahay in la tixgeliyo marka la samaynayo xulashadan, oo ay ku jiraan cudur ka hooseeya, darnaanta dhiigkarka sambabada, heerka cabsida, daawooyinka qaarkood ayaa daboolaya caymiska caafimaadka, iyo waxyeelada soo foodsaarta. Tani waa sababta ay go'aanka noocan oo kale ah u sameeyaan dhakhaatiirta khubarada ah ee ku daaweynaya dhiig-baxa sambabada.
Soo koobid
Daaweynta ugu wanaagsan ee kudka-diiqda sambabada ayaa noqon karta mid adag oo adag. Bukaannada qaba hypertension sambabada ayaa ugu fiican oo abuuraya iskaashiga udhaxeeya dhakhaatiirtooda, iyagoo qaadanaya door firfircoon marka la go'aaminayo daaweynta, si taxadar leh u ilaalin iyo u wargalinta xaaladda astaamahooda iyo kartida shaqeynaya, iyo raacitaanka habka daaweynta ee la isku raacay.
Ilaha:
Galie, N, Hoeper, MM, Humbert, M, iyo al. Tilmaamaha loogu talagalay ogaanshaha iyo daaweynta hypertension sambabada. Eur Respir J 2009; 34: 1219.
McLaughlin VV, Archer SL, Badesch DB, iyo al. ACCF / AHA 2009 dukumiintiga ra'yiga ee ra'iisul-sinnaanta sare ee warbixinta ka soo baxa Qeybta Aqoon-isweydaarsiga Aasaasiga ah ee Maraykanka ee Wadnaha Wadnaha (Cardiology Foundation) ee Dukumintiyada Consensus Documents iyo American Heart Association ayaa la soo saaray iyada oo lala kaashaday Jaamacadda American College of Chest Physicians; Society American Thoracic, Inc .; iyo Ururka Dhiirrigelinta Sambabka. J Am Coll Cardiol 2009; 53: 1573.
Galiè N, Corris PA, Frost A, et al. Dheeraynta algorithm daaweynta sambabada sare ee sanbabada. J Am Coll Cardiol 2013; 62: D60.