Ka piki ohorere tō toto toto? Me kōrero tātou mō te mate toto toto tiketike!

Kua whakaaro koe he aha te mea ka puta mēnā ka piki rawa tō toto, te "pēhanga" rānei e mōhiotia ana e tātou katoa? I ētahi wā ka pōuri koe, ka rongo rānei koe i tētahi mea rerekē i roto i tō uma. Koinei te āhua ka kōrerohia e tātou i tēnei rā, e kiia nei ko te mate toto tiketike. He āhua kino tēnei, nō reira he mea tino nui kia mōhio tātou ki te aha te mahi mōna.

He aha te mate toto toto tiketike? Kia mōhio tātou!

Ki te kī ngāwari, ko te mate toto toto tiketike ko te pikinga ohorere o tō toto toto ki te tino teitei. Tērā pea kei te pātai koe, "Me pēhea te nui o tō toto toto noa?" Kia titiro tātou.

Ko te toto toto noa o te tangata hauora me penei:

• Ko te tau o runga (pēhanga systolic) : me iti iho i te 120 mirimita o te mercury (mm Hg).
• Te uara iti iho (pēhanga diastolic) : Me iti iho i te 80 mirimita o te mercury (mm Hg).

Heoi, i te wā o te "Mate Mate Toto Nui" ka piki haere ēnei tau, ā, kāore e taea te whakaaro:

• Teihana o runga : 180 mm Hg, teitei ake rānei, me/ranei
• Uara iti iho : 120 mm Hg, teitei ake rānei.

He mea tēnei hei maumahara: He āhuatanga ohorere hauora te toto toto tiketike. Ko te tikanga, ki te eke tō toto toto ki ēnei taumata, me haere tonu koe ki te rūma ohorere o te hōhipera.

I te nuinga o te wā, ka puta tēnei momo āhuatanga ohorere i roto i te hunga e pāngia ana e te toto toto tiketike (hypertension). Ko te tikanga o tēnei he teitei tonu te toto i te mea noa. E ai ki ngā tohunga, i waenga i te 1% me te 2% o te hunga he toto toto tiketike ka pāngia e te "Cypertensive Crisis". Engari, he mea miharo, ka taea tēnei āhuatanga te puta ahakoa i roto i te tangata kāore anō kia pāngia e te raruraru toto toto i mua.

E rua ngā momo matua o tēnei, tika? He aha ēnei?

Āe, e rua ngā momo matua o tēnei `(Te Mate Hukapapa Toto)`. Me kōrero taipitopito atu tātou mō tēnā.

1. Te Whakararuraru i te Toto Nui:

Koinei te wā ka tino piki ake tō toto toto, ki te 180/120 mm Hg, neke atu rānei, kua whakahuatia ake nei. Engari, ko te mea nui, kāore he kino ki ō whekau o roto. Ka karangahia tēnei e ētahi tākuta ko te "toto toto tiketike kāore i te whakahaeretia" kaua ko te "Hypertensive Urgency". Nō reira, ahakoa te ingoa, ko te mea nui i konei ko te whakahoki wawe i tō toto ki te taumata hauora.

2. Ngā āhuatanga ohorere o te toto toto tiketike:

Koinei te momo tino morearea. Ka tino piki ake hoki tō toto toto, engari ka puta he kino hou ki ngā whekau o tō tinana, ka kino ake rānei ngā kino o mua.Whakaarohia, ka taea e tēnei te kino i ngā whekau nui pēnei i tō ngākau, aorta, kanohi, roro, me ngā whatukuhu. Ahakoa ngā āhuatanga pēnei i te preeclampsia kino me te eclampsia e pā ana ki ngā whaea hāpu ka taka ki tēnei wāhanga o te "Hypertensive Emergency".

Kua rongo pea koe i te kupu "Malignant Hypertension." He kupu tawhito tēnei i whakamahia i te tīmatanga o te rautau 20. Ko tōna tikanga he pikinga ohorere, he nui o te toto toto i kino ai ngā whatukuhu me ngā kanohi. Kei te whakamahi tonu ētahi tākuta i te kupu "Hypertensive Emergency" ina kōrero ana mō te "Hypertensive Emergency." Heoi, he pai ake ki ngā tākuta o ēnei rā te whakamahi i te kupu "Hypertensive Emergency" nā te mea he whakamāramatanga motuhake ake tōna i ēnei rā.

He aha ngā tohu pea? Me pēhea e mōhio ai koe ki tēnei?

Ko ngā tohu o te "Āwangawanga Toto Nui" e whakawhirinaki ana ki te pakaru o ngā whekau, e ai ki te kōrero i mua ake nei.

Ko te Pīrahi Toto Nui (arā, ina tino teitei te toto, engari kāore he kino o ngā whekau) he maha ngā wā kāore e puta he tohu. Ko te huarahi anake hei mōhio mēnā he tino teitei tō toto ko te ine. Heoi, i ētahi wā ka puta pea ngā tohu pēnei i:

• Te āwangawanga me te mataku (Manukanuka)
• He mamae paku o te upoko.
• Te toto mai i te ihu
• He uaua iti ki te manawa

Ko ngā tohu o te mate ohorere toto toto tiketike (arā, ina pāngia ngā okana e te pēhanga) he kino ake, ā, ko ēnei:

• Te huringa o te āhua hinengaro (manukanuka, pōhēhē)
• Mamae o te uma
• Pōuriuri (vertigo)
• Te pupuhi o te tinana (Edema)
• Ngā tere o te ngakau
• He iti ake te putanga mimi i te mea noa
• Ngā wiri (te āhua wiri, he rite ki te taupatupatu)
• He mamae nui o te upoko.
• Ngā tohu o te pararutiki (hei tauira, te piko ohorere o tetahi taha o te mata, te uaua ki te kōrero, te ngoikore ohorere o ngā ringa me/ngā waewae rānei)
• Ngā panonitanga o te tirohanga (pēnei i te mamae o te kanohi, te ngaro o te tirohanga, te pōuri ohorere o te tirohanga)

Ina tirohia koe e te tākuta, tera pea ka kite koe i ēnei tohu i roto i te "Ohorere Ārai Mate Hipertensi":

• Te pupuhi o te uaua jugular
• He tangi pakū ina whakarongo ana ki ngā pukahukahu
• Ngā oro o te ngākau rerekē kāore i kitea i mua (ngā ngunguru o te ngākau)
• Ngā tohu o te kino ki ngā oko toto kei muri o te kanohi
• He ngoikore rerekē, kore-taurite, e whakapaetia ana he mate pararutiki

He aha i puta ai tēnei āhuatanga? He aha ngā take?

He maha ngā take ka puta ai tēnei "Matenga Toto Nui". Me titiro tātou ki ngā mea matua:

• Ko te take tino noa ko te kore e tangohia tika ana tō rongoā toto toto, me te mea hoki i whakaritea. Mēnā ka ngaro tō horopeta mō tētahi take, ka tūpono pea tēnei.
• Te whakamutu ohorere i te rongoā e whakamahia ana mō te toto toto tiketike.
• Ngā rongoā e taunekeneke ana me ētahi atu rongoā e tangohia ana e koe.
• Mate whatukuhu.
• Ngā raruraru endocrine.
• Te preeclampsia, te eclampsia rānei i te wā e hapu ana.
• Te whakamahinga o ētahi raau taero whakawara.
• Te whara o te upoko (whara ki te upoko).
• Puku roro.
• Ko ētahi rongoā ka tangohia e koe mō ētahi atu āhuatanga.

Ko ētahi o ngā rongoā ka taea te whakararu i te "mate toto toto tiketike" ko:

• Ngā momo Steroids
• Ētahi rongoā mō te pouri
• Cyclosporine
• Pseudoephedrine, e kitea ana i roto i ētahi rongoā makariri me te rewharewha

Ko wai kei te mōrearea nui ake? (Ngā āhuatanga mōrearea)

He nui ake te mōrearea o ētahi tāngata ki te pāngia e te "mate toto toto tiketike" i ētahi atu. Kia kite tātou ko wai rātou:

• Mō te hunga momona.
• Mō ngā tāne.
• Mō te hunga mangu (tērā pea i ahu mai tēnei i ngā āhuatanga ira me te pāpori-ōhanga).
• He tika te rongoā e hoatu ana mō te toto toto tiketike mō te hunga kāore e whakamahi tonu.
• Mō te hunga e whakamahi ana i ngā rongoā whakaohooho, kāore he whakahaunga a te tākuta.

He aha ngā raruraru kino ka pā mai?

Ki te piki te pēhanga ki tēnei taumata morearea, ka pā mai pea ngā raruraru nui. Kei roto i ēnei ko:

• Te ngoikore ohorere, tere hoki o te mahi a te ngākau (te ngoikore o te ngākau whakapeka).
• Te kohikohinga ohorere o te wai i roto i ngā pukahukahu (te pupuhi pūkahukahu whakapeka).
• Te ngaronga ohorere o te mahi a te whatukuhu (te ngoikore o te whatukuhu whakapeka).
• Ko te tapahi aortic he pakaru i te uaua toto nui rawa atu o tō tinana, arā, te aorta.
• Te toto i roto i te roro (te toto i roto i te angaanga).
• Ka puta te mate manawa i te hekenga o te rere o te toto ki te manawa.
• He whiu i puta mai i te hekenga o te rere o te toto ki te roro ('ischemic stroke').
• Te ngoikore rangitahi o te mahi a te roro ('hypertensive encephalopathy').

Whakaarohia te kino o tēnei katoa. Koia te mea nui kia mau tonu tō toto toto i raro i te mana whakahaere, kia tere hoki te rapu rongoā mēnā ka puta he "mate toto toto tiketike".

Me pēhea te tātaritanga tika a ngā tākuta i tēnei?

Ka ine tuatahi te tākuta i tō toto toto i ngā ringa e rua. Kātahi ka pātai atu rātou mō tō hītori hauora, ka kōrero mō ō tohumate, ā, ka tirotirohia hoki e rātou te tinana. Tērā pea me mahi ētahi whakamātautau hei āwhina i a koe ki te kimi i te pūtake o tō mate.

He maha ngā momo whakamātautau ka taea te mahi:

• Ngā whakamātautau toto
• Ngā whakamātautau mimi
• Whakamātautau Electrocardiogram (EKG/ECG) e tuhi ana i te tere o te manawa
• Te tirotiro i te taha o roto o te kanohi (te tirotiro i te taha o roto o te kanohi)
• Whakamātautau roro
• Te tirotiro i te ngākau mā te whakamahi i te ultrasound (Transthoracic echocardiogram)
• He "matawai Tomography Rorohiko (CT)" o te uma me te upoko

Mena kei a koe ngā tohu o te pakaru o ngā okana hou, ka tātaritatia koe e tō tākuta he "Ohorere Ātete Toto". Ki te kore he tohu pēnei, ka tātaritatia he "Ohorere Ātete Toto".

Me pēhea te rongoā? Ka taea te whakaora wawe?

Ka rongoatia te "Āwangawanga toto tiketike" i roto i te rūma ohorere o te hōhipera. Ka hoatu e ngā tākuta he rongoā ki a koe, ā, ka whakaheke i tō toto toto ki te taumata haumaru.

• Mena kāore he pakaru o ngā whekau (mēnā he 'Hypertensive Emergency'): Ka taea e koe te hoki ki te kāinga i taua rā anō (me te rongoā hei tango ki te kāinga).
• Engari, ki te mea he "Ohorere Toto Nui" tōu: Me noho koe ki te wāhanga tiaki nui (ICU) o te hōhipera mō ētahi rā. I reira, ka hoatu e ngā tākuta he rongoā tika ki roto i te uaua (he tikanga "IV - intravenous"). Ka aroturukihia tonutia hoki e rātou tō toto.

Mā tō rōpū hauora e whakatau te tere o te whakaheke i tō toto toto, me te whai whakaaro ki ngā mate hauora kē atu kei a koe. I ētahi wā, mā te whakaheke tere rawa i tō toto ka kore e nui te toto e whiwhi i roto i ō whekau me ō kiko. Nō reira, ka whakaheke haere pea ngā tākuta i tō toto toto, i roto i te 24 ki te 48 hāora.

Heoi, ki te mea kei a koe ngā āhuatanga pēnei i te wehenga o te aorta, te preeclampsia nui, te eclampsia rānei, ka tere te whakaheke a ngā tākuta i tō toto toto i te wā o te mate toto toto tiketike. I roto i ēnei āhuatanga, ko ngā painga o te whakaheke tere i tō toto toto he nui ake i ngā mōrearea iti.

Ngā rongoā i hoatu mō te maimoatanga

Anei ētahi o ngā rongoā e hoatu ana hei rongoā mō te "mate toto tiketike":

• `Captopril`
• `Clevidipine`
• `Kronidine`
• `Esmolol`
• `Hydralazine`
• `Labetalol`
• `Nicardipine`
• `Nifedipine`
• 'Nitroglycerin'
• `Nitroprusside`

Mā ngā tākuta e whiriwhiri te rongoā e tino tika ana mōu. Ka whakaarohia hoki e rātou ō mate hauora me ngā rongoā kē atu e tangohia ana e koe. Nō reira, kaua e mataku ina kite koe i ēnei rongoā, mā te tākuta/wahine e whakatau ko tēhea te mea pai mōu.

Āhea ahau me toro atu ki te tākuta?

Mena he 180/120 mm Hg, neke atu rānei tō toto toto, waea atu ki te 911 (1990 Suwaseriya Ambulance Service i Sri Lanka) tonu atu, haere rānei ki te rūma whawhati tata o te hōhipera tata. Me tere te maimoatanga!

I muri i te rongoā mō te "Mate toto tiketike", tirohia tō tākuta. Tērā pea ka whakatau ia ki te "whakatikatika" i tō rongoā toto tiketike. Ka kōrero anō hoki ia ki a koe mō ngā huringa katoa e hiahiatia ana e koe i roto i tō oranga o ia rā.

Hei tauira, ka tohutohuhia pea koe kia whakarerekē i tāu e kai ana (whai i tētahi kai pēnei i te kai DASH) me te tāpiri atu rānei i ētahi atu whakakori tinana ki tō mahinga o ia rā.

Ka pā anō tēnei ki ahau? He aha ngā mea me mōhio ahau?

Ko te "Āwangawanga toto tiketike" he tohu whakatūpato kei te kore tō toto e eke ki te taumata tika. Ka taea e tō tākuta te āwhina i a koe ki te whakaheke i tō toto me te pupuri i tōna taumata hauora. Ko te mea nui ko te pupuri i ō wā tirotiro me te tango i ō rongoā kia rite ki tā tō tākuta e tohutohu ana ki a koe.

He mea noa ki te tangata te mataku ina rongo i te kupu "Crisis." Tērā pea koe e whakaaro, "Āe, ka piki anō taku toto toto pēnei?" Ina whiwhi koe i te tātaritanga mō te "Crisis Hypertensive", tērā pea koe e whakaaro me pēhea te pānga ki tō hauora me tō heke mai.

Engari kia maumahara, he maha ngā take ka pēnei te teitei o tō toto toto. Kua whakangungua ngā tākuta ki te tautuhi i ngā take motuhake mō ia tangata. Kia mōhio koe ki te take, ka taea e koe te mahi i ngā mahi hei whakaiti i tō tuponotanga kia puta anō.

Tērā pea kei roto i tēnei ko te whakatakoto whakamaumahara mō te tango i tō rongoā. Tērā pea ko te kōrero ki tō tākuta mō ngā rongoā e tangohia ana e koe mō ētahi atu take, me te whakarerekē i aua rongoā. Ko ia mahi ka mahia e koe hei whakahaere i tō toto toto ināianei ka āwhina i te tiaki i a koe mai i ngā raruraru nui ā muri ake nei.

Ngā mea tino nui hei maumahara mā tātou mai i tēnei (Karere hei Tango ki te Kāinga)

Āe, me whakamahara anō mātou i a koe ki ngā mea tino nui kua kōrerohia e tātou, me maumahara koe?

• Ko te mate toto toto tiketike te mate ina piki tō toto ki te 180/120 mm Hg, neke atu rānei. He āhuatanga ohorere hauora tēnei.
• E rua ngā momo o tēnei: ​​ko te 'Ohorere Ātete Toto' kāore he kino o ngā whekau, me te 'Ohorere Ātete Toto' me te kino o ngā whekau.
• He rerekē ngā tohu. I ētahi wā, kāore pea he tohu, ka uru atu rānei ki roto ko te mamae nui o te upoko, te mamae o te uma, me te tirohanga pōuri.
• Ko te take matua ko te kore e tango tika i te rongoā kua tohua mō te toto toto tiketike. Ka taea hoki tēnei e te mate tākihi me ētahi rongoā te take.
• Mena he 180/120 mm Hg, neke atu rānei te pēhanga, me haere tonu ki te hōhipera.
• Kei roto i te maimoatanga he rongoā hei whakaheke i te toto toto. Me noho pea koe ki te hōhipera.
• Hei ārai i tēnei mea kei puta anō, me ata whai i ngā tohutohu a tō tākuta, me tango tika i tō rongoā, ā, me whakarerekē i te āhua noho e tika ana.

Hei whakamutunga, kia tiakina tō toto toto. Tirohia i ia wā. Nā te mea, kia ora ai te tangata, he mea nui kia mōhio tātou katoa ki tēnei "kaikōhuru puku". Mena he pātai anō āu, kaua e wehi ki te pātai ki tō tākuta, ki tō kaiwhakawhanau rānei. Mā rātou koe e āwhina!

` Te toto toto tiketike, Te mate urutā toto tiketike, Te toto toto tiketike, Te toto toto tiketike, Te mate manawa, Te toto toto tiketike