Kev laus yog ib txwm nrog los ntawm kev ua txhaum ntawm lub nruab nrog cev, tshwj xeeb tshaj yog lub plawv. Yog li, cov poj niam muaj hnub nyoog 55 xyoos feem ntau pom tias lawv muaj siab thiab siab qis dua. Txoj kev mob ntsws no hu ua tus mob plab hnyuv hu ua hypersension, nws yog ib qho ntawm qhov tseem ceeb tshaj plaws hauv kev txheeb xyuas qhov kev pheej hmoo ntawm kev tsim muaj kev puas hlwb mob hlwb.
Ua rau siab siab siab thiab qis dua
Kev tawm tsam cov hlab ntsws systolic hypertension tshwm sim vim muaj ntau yam sab nraud:
- cuam tshuam rau kev ntxhov siab;
- kev nyuaj siab;
- tsis pw;
- haus luam yeeb;
- kev muaj zog ntawm lub cev thiab lub hlwb;
- rog dhau ;
- tshaj ntsev nyob rau hauv kev noj haus;
- quav quav cawv;
- prevalence ntawm cov rog nyob rau hauv kev noj haus.
Nws yog tsim nyog sau cia tias cov teeb meem no feem ntau ua rau kev cuam tshuam ntawm lub siab ob leeg hauv systole thiab hauv diastole. Tab sis qhov no yog vim li cas lub siab sab nraud nrog siab qis dua tsis tuaj yeem tsim kho. Cardiologists hais tias qhov no tseem cuam tshuam los ntawm cov kab mob ntawm lub hauv nruab nrog cev:
- ntev li ntawm kev ua haujlwm ntawm cov thyroid caj pas;
- pathology ntawm aortic valve;
- ntau cov haujlwm ntawm qog qog;
- obstructive pw tsaug zog apnea syndrome;
- atherosclerosis ntawm cov hlab ntsha;
- mob raum;
- cov roj cholesterol hauv cov hlab ntsha.
Muaj cov kev tshawb fawb qhia tias cov poj niam piav txog qhov teeb meem tshwm sim tuaj yeem tshwm sim los ntawm qhov txo qis rau cov tshuaj hormones hauv cov menopausal lub sijhawm.
Kuv yuav tsum ua li cas nrog lub siab nrawm thiab ib qho qis dua?
Feem ntau, kev siv tshuaj kho rau cov kab mob uas raug rho tawm (systolic hypertension) yog ua raws li kev siv tshuaj yeeb dawb (indapamide):
- Ravel-SR;
- Indapamide-MB;
- Arifon-Retard.
Muaj kuj yog ib qho kev txav tshiab. Hauv qhov no, nws raug pom zoo kom siv tshuaj raws li spironolactone los yog eplerenone. Cov khoom xyaw dhia no ua tau kom txo tau lub siab lub ntsws kom ntau dua, uas tsis cuam tshuam txog qhov tseem ceeb ntawm kev noj tshuaj.
Tib lub sij hawm, cov kev tshawb fawb tau ua los ntawm kev siv ntau yam nitrates nyob rau hauv kev kho mob ntawm cov hom piav qhia txog kev tawg siab. Piv txwv, isosorbiddinitrate zoo thiab ua rau lub cev qis dua, tshwj xeeb tshaj yog cov neeg mob laus. Qhov no yuav tsum tau ntev ntev ntawm txoj kev kho - ntawm 8 lub lim piam.