Hypertension vs Hypotension
Cov neeg tsis meej pem ntshav siab thiab hypotension tsuas yog vim lawv suab zoo sib xws. Tab sis, hypotension yog ntshav siab thiab ntshav siab yog ntshav siab.
Hypotension yog dab tsi?
Hypotension yog ntshav siab qis. Lub plawv tso tawm cov ntshav mus rau hauv txoj kev dav dav thiab cov hlab ntsha phab ntsa elasticity, muaj peev xwm ntawm cov hlab ntsha thiab cov hlab ntsha impulses pab tswj cov ntshav siab. Thaum cov ntshav siab qis heev, thiab cov hlab ntsha tsis txaus, tus neeg mob tau hais tias muaj kev poob siab. Ntshav yog qhov thauj nruab nrab rau cov khoom noj khoom haus, gases, thiab cov khoom pov tseg. Nws nqa oxygen los ntawm lub ntsws mus rau cov hlwb uas nws siv hauv cellular aerobic ua pa. Nws thauj carbon dioxide mus rau lub ntsws kom tshem tawm ntawm lub cev los ntawm exhalation. Nws nqa cov as-ham los ntawm lub plab mus rau cov hlwb uas lawv siv thiab khaws cia. Cells thiab ib puag ncig tam sim ntawd dai rau hauv qhov sib npaug me me uas cov ntshav ua lub luag haujlwm tseem ceeb. Ib qho ntshav txaus yuav tsum tau ua kom muaj sia nyob ntawm tes. Yog tsis muaj ntshav txaus kom tsawg oxygen nkag mus rau hauv cov hlwb; tsawg cov as-ham nkag mus rau hauv cov hlwb thiab cov khoom pov tseg hauv cov ntaub so ntswg. Yog tsis muaj cov ntshav txaus yuav tuag.
Ua rau Ntshav Qab Zib: Ntshav siab thiab lub plawv dhia yog ob qhov sib txawv tseem ceeb hauv kev tswj ntshav siab. Ntau lub plawv, pulmonary, gastrointestinal, lub raum, kev raug mob thiab cov kab mob hauv lub cev tuaj yeem ua rau cov ntshav qis. Mob plawv tsis ua hauj lwm (sab laug ventricular tsis ua hauj lwm), lub plawv atherosclerosis abnormality, valve disorders, myocarditis, cardiomyopathies, ischemic plawv kab mob, pulmonary embolism, mob raws plab thiab ntuav, mob ntshav qab zib insipidus, los ntshav, poob siab (hypovolemic, septic, anaphylactic), inflammatory thiab neurogenic disorders. cov protein uas tsis muaj ntshav thiab siv cov tshuaj tsis tsim nyog tuaj yeem txo cov ntshav siab.
ECG, 2d echocardiogram, CKMB, ESR, CRP, ntshav electrolytes, kuaj kab mob, plasma renin kev ua, qib vasopressin, ANA, ADsDNA, rheumatoid factor thiab serum protein tuaj yeem ua raws li kev txiav txim ntawm tus kws kho mob.
Kev Kho Mob Ntshav Qab Zib: Kev tswj hwm cov kua dej hauv cov hlab ntsha, adrenaline, noradrenaline, dopamine infusions yuav raug siv los kho mob hnyav / poob siab.
Hypertension yog dab tsi?
Hypertension yog siab ntshav siab tshaj li cov qauv rau hnub nyoog thiab kev kho mob. Ntshav siab feem ntau nce nrog lub hnub nyoog vim poob ntawm elasticity ntawm cov hlab ntsha. Qhov no yog hu ua qhov tseem ceeb hypertension. Ntshav siab tuaj yeem nce ntxiv vim muaj qee yam mob, thiab.
Ua rau Ntshav Siab: Cov ntshav siab thyroxin, cortisol, adrenaline, noradrenaline, lub raum tsis ua haujlwm, plawv tsis ua haujlwm thiab qee yam tshuaj tuaj yeem ua rau ntshav siab. Kev nce ntshav siab vim yog lwm yam mob hu ua Secondary hypertension. Qhov laj thawj yuav tsum tau tshawb xyuas thiab kho kom txo qis ntshav siab.
ntshav siab ua rau lub plawv ua rau lub plawv tsis ua haujlwm, lub plawv mob thiab lub valve tsis ua haujlwm. Ntshav siab tuaj yeem ua rau cov hlab ntsha me me hauv lub hlwb, tshwj xeeb tshaj yog tias lawv tsis muaj zog (arterio-venous malformation). Qhov no ua rau hemorrhagic strokes (los ntshav rau hauv lub hlwb). Cov ntshav siab ntev kuj ua rau lub raum tsis ua haujlwm.
Kho Mob Ntshav Siab: Angiotensin receptor blockers, ACE inhibitors, xanthine, caffeine, voj diuretics, thiazides, spironolactone thiab ethanol txhawb dej poob thiab txo cov ntshav siab.
ntshav siab thaum cev xeeb tub yog qhov ua rau tus menyuam hauv plab tuag. Kev xeeb tub induced hypertension ua rau pre-eclampsia. Nws nta ntshav siab, tsis muaj protein ntau hauv cov zis thiab o. Eclampsia ua rau haum. Ntshav siab thaum cev xeeb tub ua rau cov placenta puas tsuaj thiab ua rau cov ntshav txaus rau tus menyuam hauv plab. Yog li ntawd, yog tias muaj ntshav siab hnyav, ntshav siab yuav tsum tau tswj hwm sai, haum yuav tsum tau tiv thaiv, thiab cev xeeb tub yuav tsum tau txiav.
Hypertension vs Hypotension
• Ntshav siab ntau dua li hypotension.
• Ntshav siab tsis ua rau cov tsos mob thaum ntxov, tab sis hypotension tam sim ntawd qhia cov tsos mob.
• Hypotension muaj kiv taub hau, nkees, thiab qhov muag tsis pom kev thaum kub siab ua rau mob taub hau, pom halos thiab mob hauv siab.
• Hypotension tsis ua kom haum thaum cev xeeb tub thaum kub siab ua.
• Intravenous kua thiab sympathomimetic kho hypotension thaum diuretics thiab vasodilators kho mob ntshav siab.
