Hypertensive syndrome

Muaj hypertensive syndrome vim muaj ntau yam pathological xeev: inflammatory kev ntawm lub paj hlwb, kis kab mob, kev puas hlwb raug mob, raws li tau zoo raws li kev txawv txav nyob rau hauv lub hlwb txoj kev loj hlob. gipertenzionnyj
syndrome rau cov neeg laus muaj ntau nta yam ntxwv neurological, txawm lub ntau yam ntawm cov kab mob uas ua rau ib qho kev nce nyob rau hauv intracranial siab. Lub ntsiab qhov tseeb ntawm tus syndrome yog mob taub hau uas ua los ntawm stimulation ntawm lub vagus thiab trigeminal paj, sinuses ntawm lub paj hlwb thiab hlwb membrane receptors. Paroxysmal mob ncus tshwm sim, nws yog bursting diffuse, amplified tom qab active taw nrog xav ntawm lub taub hau, raws li zoo raws li nyob rau hauv heev raug rau lub hnub. Nyob rau hauv tej rooj plaub, tawm tsam yog nrog ntuav, yog tsis hais txog khoom noj khoom haus kom tsawg. Ntuav tshwm sim mam li nco dheev vim stimulation ntawm lub vestibular analyzer thiab ntuav chaw.

Hypertensive syndrome rau cov neeg laus ua rau lub siab lub ntsws teeb thiab asthenia lub paj hlwb. Ib tug txo nyob rau hauv efficiency, nkees, tsis mloog thiab nco. Cov me nyuam feem ntau muaj fits ntawm ntxhov siab thiab disinhibition. Raws li ib tug txoj cai, hypertensive syndrome nrog gemolikvorodinamicheskimi crises, tom qab uas muaj ib tug nyem. Thaum es ua kom cov ncig ntawm cerebral ncig, cov kev mob ntawm cov neeg mob nrog normalization, nyob rau hauv uas lub cai hypertensive syndrome. Kev kho mob yog yeej aimed ntawm xa cov ua muaj zog intracranial siab.

Pathogenetic txoj kev kho yuav cev qhuav dej hypertonic daws teeb meem. Lawv cov nyhuv yog raws li nyob rau hauv lub siab nyob rau hauv cov hlab ntsha. Qhov no yuav tsub kua feem los ntawm ob lub raum.

Qhov siab tshaj plaws nyhuv muaj lub cev qhuav dej mannitol thiab urea tshuaj. Lawv yog siv rau cov hlwb edema thiab cia li nce
intracranial siab. Ib tug tov ntawm mannitol txo intracranial siab los ntawm kev 60-90% thiab yog zoo rau 4-7 teev. Thaum pib lis nrog raum pom tshwm sim los ntawm cov kev taw qhia ntawm cov tshuaj tej zaum yuav tsis tuaj kawm ntawv, ces nws yog tsim nyog los soj ntsuam cov diuresis. Hypertensive syndrome no kuj kho nrog ib tug sib tov ntawm txiv hmab txiv ntoo kua txiv nrog gitserinom uas siv ob peb teaspoons ib hnub twg. Txawm li cas los, thaum rov ntuav, kom tsawg ntawm lub sib tov yuav tsum tau txiav. Lub urea tshuaj yog tsuj tsawg siv vim tom qab nws daim ntawv thov yuav kom vascular insufficiency thiab hemorrhagic syndrome. Thoob plaws siv nyob rau hauv cov kev kho mob ntawm Syndrome tau txais cov tshuaj diuretic kev txiav txim. Zoo heev ntxim ua siv Lasix (furosemide), uas yog siv ob sab hauv thiab intravenously thiab intramuscularly.

Tom qab cupped intracranial tawg, switching mus rau ib tug softer lub cev qhuav dej siv diakarba, thaum ua ib hnub so txhua txhua 2-4 hnub. Zoo ib koob tshuaj diakarba nrog magnesium sulphate.

Rau lub normalization ntawm intracranial siab yog ib qho tseem ceeb heev point
raws li thoob plaws hauv lub chav kawm ntawm kev kho mob ntawm txaj so. ntev
chav kawm ntawm kev kho mob yog txiav txim los ntawm tus soj ntsuam daim duab ntawm tus kab mob. Raws li ib tug txoj cai,
txoj kev kho yog ua ua ntej lub advent ntawm ruaj nyiaj hypertensive syndrome.
Tom qab lub chav kawm ntawm kev kho mob yuav tsum yog maj mam kho mob thiab ua kom tshem tawm cov ua ua rau decompensation xws li lub siab lub ntsws thiab fizifeskoe overvoltage. Nws tsis pom zoo kom koom rau hauv active kev ua si uas muaj xws li dhia, khiav, yuav tsum tau raug tshem tawm rau ib tug ntev nyob rau hauv lub hnub nrog nws lub taub hau nyo.