Intolerance ukuwa: Oonobangela, Iimpawu and Treatment

Kukho iinkqubo ezininzi eziyingozi ezenzeka emzimbeni womntu, nto leyo enokuba nefuthe elibonakalayo onakalisayo. Kodwa iSifo ngamanye amaxesha kakhulu zifihlwe emva ilahleko osezingqondweni, nto leyo ekuqaleni babebonakala ngenxa buthathaka okanye ukukhathala. Enyanisweni, kukho ezinye izinto eziyingozi kakhulu leyo enokukhokelela ekubeni isiphumo esifanayo.

Le ukuwa intolerance

Loo urhulumente uzimisele njengoko hypotension intolerance. diagnosis elolu hlobo isetyenziselwa ukubonisa zaneleyo Ukwanda igazi ebuchotsheni ebangwe utshintsho elibukhali omzimba. Loo yokusabela zingenzeka emzimbeni kwaye xa abantu alinde ixesha elide. Le meko ikhuthaza silale emithanjeni okanye wegazi.

Amaninzi, le ngxaki esizibonakalisa abo ithowuni ogama nemithambo buthathaka. Ngokufuthi, isifo onjalo wenziwa kubantu ubudala lokufikisa, kuba eli xesha ke ukuqhwalela kuphuhliso olujikeleza ukusuka neemfuno eziguqu-okukhulayo eziphilayo.

Njani iimpawu

Kukho ezinye iimpawu ingxaki ezifana yokuwa intolerance. iimpawu olufanelekileyo uxilongo, zimi ngolu hlobo lulandelayo:

- nesiyezi;

- ukulahlekelwa lokuqonda;

- imvakalelo yanto okanye ubunzima intloko;

- ngesiquphe wabonakala ngenxa yobuthathaka;

- umbono norhatyazo okanye iimpukane ithemba;

- central imvelaphi ugabhe okanye isicaphucaphu;

- kwimeko Kwiingozi ezimasikizi, oko ukuchama kunokwenzeka lokuzithandela kunye nophuhliso ukuxhuzula.

Ingxaki ezifana ekuweni intolerance, ukuze aphuhlise kwisiqalo yonikezelo igazi kakuhle nje ingqondo. Kulo mzekelo, kufuneka sinikele ingqalelo iimpawu ezifana angina (iimpawu ischemia engabalulekanga), iintlungu kwizihlunu entanyeni nokuphefumla utshintsho.

Livela zezi mpawu ingase zombini kunye kokuhlala ixesha elide kwindawo tye, kwaye apho kukho utshintsho ngesiquphe omzimba. umsebenzi eyomeleleyo ezibukhali emzimbeni nazo kunokukhokelela waphela. Kwezinye iimeko, iimpawu hypotension kunokwenzeka emva nokudla izixa ezikhulu ukutya. Oku kuchazwe yi kokuba uqalile okanye ipoti ye le-luvo vagus.

hypotension intolerance: Oonobangela

Lidla nokunikezelwa igazi iqala ngexesha nokuphakamisa kuloo mandlalo, kuba igxininisa isambuku imithambo ibekwe eziphelweni asezantsi. Le nkqubo sisiphumo sesichengeni womxhuzulane egazini.

ukubuya lwemithambo ukuze intliziyo yehla kakhulu, nto leyo ekhokelela ukuhla ngakumbi ingcinezelo. Baroreceptors, leyo ibekwe sinus carotid kunye arch aortic, ukuba uphendule le nkqubo ingentla kwaye wenze le nkqubo yawo luvo.

Ngenxa yoko, kukho ukwanda ngethoni nemithambo kunye noxinzelelo nokubuya kunye izinga intliziyo eqhelekileyo.

Xa sibhenela uluvo leengcali kunye uzama ukuveza kakuhle ingxaki ngakumbi ngamafuphi, siya kuza kwisigqibo ilandelayo: ukuwa intolerance, enyanisweni, kungekhona isifo, oko kunokuba ngenxa yokuba imithambo yegazi balahlekelwe ukukwazi kwabo ukugcina uxinzelelo ngcembe kuluhlu yesiqhelo. Kwaye mhlawumbi sele ibe eziliqela yezizathu, maxa wambi embi kakhulu.

Ziziphi izifo kukhokelela ekuweni

Kwi imeko nempahla, ekubhekiselwe kuwo ngasentla apha, ikwazi ukuphembelela izifo ezithile neenkqubo:

- luvo ubunzima kunye noxinzelelo;

- izifo zohlobo esosulelayo;

- nelahleko ebonakalayo igazi;

- nezifo ezinxulumene kwinkqubo yonyango;

- ukunxila, esizibonakalisa njengoko ukubila ngokugqithisileyo, ukugabha okanye isifo sorhudo;

- kakubi idayethi ngokunciphisa mpilweni;

- ukusetyenziswa antihypertensives, vasodilators kunye womchamo njengonyango nokuvavanyelwa uxinzelelo oluphezulu lwegazi kangangeminyaka eliqela.

Kodwa ukuba anikezele unobangela engundoqo iimpawu eziphambili okuluphawu ukuwa intolerance, oko kukuthi, ukungabi osezingqondweni, kuyimfuneko ukuba anikele ingqalelo anoxia kobuchopho. Oku kusekelwe iindlela eziliqela ukuba ekubalulekileyo ukuzikhankanya.

Okokuqala, ukuba ukungakwazi myocardium ukwenza imveliso intliziyo ezinqwenelekayo. Ukubonakala yokuwa kwaye kunokubangela ukuba ukubetha kwentliziyo kakubi, nto leyo esisizathu sokuba akukho ilungiselelo perfusion eyaneleyo nedumbe lengqondo.

Awukwazi ngoyaba ekunciphiseni uxinzelelo lwegazi ngenxa vasodilation esebenzayo peripheral. Isiphumo sale nkqubo iba ayanelanga ukuhamba kwegazi lobuchopho.

Imiphumela iziyobisi ezahlukeneyo

Ukongeza ifuthe zizifo ezahlukahlukeneyo, kuyimfuneko ukuba bathathele ingqalelo into yokuba amanye iziyobisi nako kunokubangela ilahleko ithoni semithambo hayi kuphela.

Iziyobisi ezibangela ukuwa intolerance, kufuneka imiselwe igqirha qho ngamnye, emva koko ukusetyenziswa kwazo kuyimfuneko ukumisa okanye ukunciphisa idosi ngokuchanekileyo. Kusenokuba inhibitors ezahlukeneyo, blocker nitrate, vasodilators, womchamo, nezinye izinto umfutho.

Ngoko ke kubalulekile ukukhumbula ukuba hypotension intolerance bangasoloko kunokubangela "Dibazol" kunye namanye amachiza afanayo.

Izinto ukwazi ganglioplegic

Ekuqaleni, amachiza ukuba ngamalungu eli qela kuba sanctions neemvakalelo ngokusebenzisa ganglia yawo. Le isiphumo kufuneka ukunciphisa kwezihlunu le arterioles, venules kunye sphincters precapillary.

Isiphumo yeenkqubo ezinjalo kukuphucula microcirculation emzimbeni, nto leyo ibaluleke kakhulu ngexesha unyango abahlolokazi ezahlukeneyo yokothuka, aqhumisele izifo, toxicosis ezosulelayo, inyumoniya kunye nezinye izifo.

Ukusebenzisa gangliobloktory, uyakwazi ukunyusa izinga ukuqokelelana igazi ngemithambo yaye ngaloo ndlela anciphise ukubuyela entliziyweni, anciphise ukulayisha yayo. Ngamanye amazwi, kukho ukuphucuka kwentliziyo.

Kodwa kule amafutha kwaye siphaphazela neoli - oko kukuthi, ukuwa intolerance xa isicelo ganglioblokatorov. Le yenye iziphumo zokusetyenziswa kweli chiza kunokwenzeka. iingxaki ezinjalo wabonakala kumaqela ezithile izigulane. Izizathu kuba ukusabela okunjalo amaza umzimba elekhtrons iindlela abaza kuzihamba ngakwicala livelana yegazi.

iingxaki Kwakhona kuyenzeka ezifana ukugcinwa wokuchama, ukuqhina atonic, lisibekele iasidi esiswini.

Luluphi uhlolisiso kungaba ezifanele

Ukuba ubhalisile iimpawu yokuba hypotension intolerance zaye, kuyimfuneko ukuba baqhube imizimba zokuhlola. Kubalulekile kwakhona ukuba ukujonga uxinzelelo lwegazi. Kuyimfuneko nokuqhuba uvavanyo intolerance. umongo walo kukuqinisekisa ukuba isigulana uyavuka, kwaye ugqirha ngeli xesha ubukele hemodynamic lithathelwe kwezihlunu.

Kukho kwakhona uhlobo angenzi isampulu. Kuyimfuneko ukuphumeza phezu kwetafile ejikelezayo, kwaye izihlunu bapholileyo.

Inkqubo loxilongo kwakhona kwenziwa ukufunda imbali, ukufunda iziyobisi ukuba aye ubusele ubhalisiwe kwaye ukonakala. Kunye nale, nezinye izinto beza sesichengeni ekukhanyeni, uhlolo olwenziwa, kwakunye isifundo iinkqubo kunye nemibutho malunga nesigulane eso. Kuba ezi iinjongo zingasetyenziswa zezihlokomiso, Ngokucofa, auscultation, kunye nezinye iinkqubo yoxilongo.

Soloko Kuhle ukukhumbula ukuba hypotension intolerance zingabangela iingxaki ezithile, ekubeni kwezinye iimeko, i ngenxa kwezifo (cardiomyopathy, stenosis aortic, arrhythmias, iposi engabalulekanga). Oku kuthetha ukuba xa iimpawu ezicacileyo le ngxaki, kufuneka ubize ugqirha.

Indlela ukuze asinde ekuweni abantwana

hypotension intolerance kwenzeka ndisemncinane kakhulu nzima ngakumbi kubantu abadala. Isizathu sokuba isifo enjalo ingaba ezahlukahlukeneyo iimeko zophendlo lwezifo. Ngokomzekelo, nendlala, emzimbeni, ezikwekwayo okanye udada ukopha, kwakunye ulwelo sequestering kwi nemingxuma peritoneal kunye pleural.

Abantwana kaninzi ukuwa uzenza waziva kwisiqalo kwezifo ezosulelayo kunye toxicosis, kwaye rhoqo kakhulu kubantu abadala. Le meko ihamba sorhudo, ukugabha, kunye nomkhuhlane.

Ngokuphathelele igazi flow kakuhle ebuchotsheni, lisibekele uxinzelelo lwegazi, umzimba womntwana, ukuba kwenzeka kunye hypoxia kakhulu kakhulu ngakumbi, ekhatshwa kwi egqibile efanayo kunye nelahleko seengcamango.

Iindlela zonyango

Ukuze koyiswe hypotension intolerance, unyango kufuneka wenziwe ngokuchanekileyo kwaye inxaxheba oyingcali ofanelekileyo. Ngokubanzi, iindlela zempembelelo kulo mba unokuba iindawo eziphambili ezimbini: utshintsho yokuphila kunye nokusetyenziswa unyango iziyobisi.

Ukuba sithethe ngeendlela endalo kwakhona, la manyathelo alandelayo ingabalelwa kuye:

- ukwamkela iinxenye ezincinane ukutya;

- kokuhlala kwindawo eshushu;

- ukwakhiwa ngexesha ukulala usebenzisa umqamelo phantsi kweenyawo yenduli;

- ukusetyenziswa kwemithwalo isotonic onke amaqela imisipha;

- rhoqo uhamba umoya omtsha;

- xa iimeko zifuna kunjalo, sebenzisa iikawusi ucinezelo, nto leyo inceda ukugcina ithoni yegazi ibekwe yesiqephu asezantsi;

- ukukhuselwa ekunyukeni elibukhali ebhedini okanye isitulo (kufuneka kuqala umyeke imilenze yaye kuphela emva koko lithathe indawo nkqo) ukusuka.

Kuba unyango lwamachiza basebenzisa erythropoietin, vasopressin analogs ( "Vazomirin", "Minimirin"), mineralocorticoid ( "Dezoksikorton", "Florinef"), inhibitors cholinesterase ( "Galantomin", "Neostigmine"), kunye nabanye. Kodwa kufuneka usoloko ukhumbula ukuba, hypotension intolerance ezinokubangela isiyobisi osetyenziselwe ngaphandle ngokuphathelele kwimeko Izimo isigulane othile okanye balawule ayilunganga.

Musa ukulibala malunga nemeko ukukhwezelela ukuze ebangela imbonakalo kokuwa. Ngaphandle unyango ukuze kuphunyezwe iziphumo ezibalulekileyo nekungenakwenzeka ukuba baphumelele.

iziphumo

Ngoko ukuba hypotension intolerance sele esisigxina, musani ukuphakuzela, le ngxaki ahlulwa. Ukuze emva konyango ngempumelelo ekuweni wenze ngokwalo wavakalelwa kwakhona, iyavakala ukuba bazi amanye amanyathelo othintelo njalo.

Abo ziquka ukuhamba ukhankanywe rhoqo esitalatweni, kolawulo ekufumaneni amachiza umfutho, ukutya okusempilweni yaye, Kakade ke, indlela yokuphila esempilweni. Kubalulekile kwimiqondiso yokuqala iingxaki ezinjalo ngaphandle kokulibazisa ukuxilonga, kuba unobangela syncope inokuba isifo kakhulu, kwaye ngoyaba oko izaliswe iingxaki ezibalulekileyo.