Nws yog qhov tsis zoo los hu rau cov tsos mob ntawm kev mob ntshav siab. Qhov teeb meem no tsuas yog suav tias yog ib qho kev mob loj dua, kev txawv txav ntawm kev ua haujlwm ntawm lub nruab nrog cev los yog cov kab ke uas muaj feem xyuam rau kev tswj fwm. Muaj cov kab mob siab ntsws hypertension tsis yog li ntawd. Thiab tsis tau, yuav tsum paub txog qee yam ntawm lawv cov nta yuav tsis muaj teeb meem loj.
Dab tsi yog qhov ua rau kev mob siab thib ob?
Kev ntsuam xyuas cov tsos mob ntawm kev mob ntshav siab tau muab tso rau ntau yam. Nws yog tshwm sim los ntawm ntau yam kab mob:
- tuberculosis ntawm ob lub raum;
- pyelonephritis;
- glomerulonephritis;
- kab mob hauv lub raum;
- tus mob plab;
- kev poob plig thiab lub taub hau qog;
- mob hauv plab thiab nrhiav tau lub plawv;
- diffuse toxic goiter;
- hypoplasia;
- dystopia;
- urolithiasis;
- qhov txhab ntawm vertebral arteries;
- atherosclerosis ;
- thrombosis thiab lwm tus.
Kev cais tawm ntawm cov kab mob siab ntsws (arterial hypertension)
Nyob ntawm seb qhov teeb meem yog ua li cas, cov kws kho mob tshwj xeeb tau txhim kho qee yam ntawm kev mob siab thib ob. Nws zoo li no:
- Kev kub ntxhov los ntawm kab mob hauv lub raum yog hu ua lub plab lossis tus mob nephrogenic.
- Symptomatic endocrine arterial hypertension tsim tawm tsam tus keeb kwm ntawm Cushing's syndrome, thawj hyperaldosteronism, pheochromocytoma, hypothyroidism, thyrotoxicosis.
- Hemodynamic hypertension yog los ntawm cov kab mob ntawm cov hlab plawv (nrog rau cov kab mob ntawm cov hlab ntsha loj).
- Yog tias ob yam kab mob siab ntsws hypertension tsis zoo los tiv thaiv keeb kwm ntawm lub pob los yog lub hlwb raug mob, nws yog cais raws li centrogenic.
- Nws kuj tshwm sim los ntawm qhov teeb meem ua rau qhov kev siv ntawm cov tshuaj siv. Xws li cov kab mob hypertension yog feem ntau hu ua iatrogenic.
Cov tsos mob tseem ceeb thiab txoj kev ntsuam xyuas ntawm kev mob ntshav siab
Cov tsos mob ntawm tus mob qib siab thiab cov ntshav siab txawv txawv me ntsis. Qhov sib txawv ntawm qhov sib txawv - nrog kev mob siab symptomatic, cov cim tseem ceeb ntawm qhov teeb meem yog muaj nrog tshwm sim ntawm tus kab mob uas ua rau nws.
Thiab cov cim tseem ceeb ntawm kev kub ntxhov mas feem ntau yog cov hauv qab no:
- ntxiv ntshav siab;
- cov tsos nrov thiab suab nrov hauv pob ntseg;
- nquag thiab mob taub hau heev;
- mob hauv plawv;
- darkening nyob rau hauv ob lub qhov muag (qee zaum nrog los ntawm cov tsos ntawm "yoov");
- kev ntshai thiab kev ntxhov siab;
- mob ntev dhau.
Yog tias cov tsos mob ntawm kev mob ntshav siab tsis kuaj nyob rau lub sij hawm, muaj teeb meem tshwm sim, ntawm cov:
- cerebral hemorrhage;
- myocardial infarction;
- raum tsis ua hauj lwm;
- mob plawv tsis ua haujlwm;
- angina pectoris ;
- arrhythmia, raws qab tam sim ntawd tuag.
Diagnosing tib theem secondary arterial hypertension tuaj yeem ua tiav nrog kev pab los ntawm kev sim thiab cov kev tshawb fawb:
- raum pob txha;
- cov kev kuaj zis;
- radionuclide cov kev tshawb fawb;
- ultrasonography;
- computed tomography;
- X-rays siv nruab nrab ntawm qhov nruab nrab.
Kev kho mob ntawm kev mob ntshav siab
Yuav pib kho cov kev mob siab thib ob, nws yog qhov tsim nyog yuav tau xyuas seb yam twg ua rau nws loj hlob. Tom qab ntawd sib ntaus nrog tus kab mob-ua rau pib.
Nyob rau hauv parallel nrog noj tshuaj, nws yog ib qhov zoo heev kom ua raws li ob peb yam yooj yim cov cai thaum kho:
- Koj yuav tsum rov qab noj koj cov zaub mov: tshem ntsev, kua txob, kib thiab cov tais diav.
- Nyob hauv txhua hnub, ntxiv mus kev hauv cov cua.
- Tsis txhob ua kom muaj kev cob qhia ntau dua thiab yooj yim.