Hypotension thaum cev xeeb tub: ua tau, cov tsos mob, kev kho mob, lub siab ib txwm muaj thaum cev xeeb tub, cov lus qhia thiab cov lus pom zoo los ntawm tus kws kho mob gynecologi

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:51

Dab tsi yog hypotension thaum cev xeeb tub? Puas yog ib qho mob yooj yim lossis mob hnyav uas yuav tsum tau kho mob tam sim? Hnub no peb yuav los tham txog hnub no.

Lub sijhawm yug menyuam, txhua tus poj niam tau ntsib ntau yam mob, vim tias lub cev ua haujlwm "ua haujlwm peb zaug", thiab nkees heev. Lub sijhawm no, cov kab mob ntev tau ua rau hnyav dua, nrog rau "pw tsaug zog" ailments awaken, uas tsis tuaj yeem xav tias ua ntej cev xeeb tub.

Dab tsi yog hypotension?

Qhov no yog qhov txo qis hauv ntshav siab, uas tshwm sim tawm tsam keeb kwm ntawm kev txo qis ntawm cov ntshav ncig hauv lub cev. Hypotension thaum cev xeeb tub tuaj yeem ua rau tsis tseem ceeb, thiab tus poj niam feem ntau tsis pom tus kab mob no, nws xav tias tag nrho.zoo. Tab sis nws tshwm sim tias lub siab poob qis dua 20 feem pua ntawm cov qauv, thiab tom qab ntawd tag nrho cov tsos mob tshwm sim, uas peb yuav tham txog tom qab.

Nws yog qhov nyuaj heev los tham txog cov qauv ntawm lub siab thaum cev xeeb tub, vim tias txawm tias ua ntej cev xeeb tub, qhov siab ntawm txhua tus poj niam yog tus kheej. Rau qee tus, tus qauv yog 120/80, rau lwm tus 100/60 lossis 140/90. Cov qauv ntawm lub siab rau cov poj niam cev xeeb tub yog suav tias yog ib qho cim uas deviates los ntawm cov qauv ntawm lub siab ua ntej cev xeeb tub los ntawm tsis muaj ntau tshaj li kaum los yog down. Ntawd yog, yog tias tus qauv yog 120/80, ces qhov sib txawv me me yuav raug suav tias yog ib txwm - 110/70 lossis 130/90.

hom hypotension

Muaj ob hom kab mob:

1. Primary hypotension yog ib hom kab mob predisposition. Tsis tas li, tus kab mob no tshwm sim tawm tsam keeb kwm ntawm cov kab mob ntawm cov hlab plawv.
2. Secondary hypotension yog ib yam kab mob kis tau uas tshwm sim los ntawm lwm yam kab mob.

Cov kab mob hauv qab no tuaj yeem ua rau mob ntshav siab thib ob:

• ntshav qab zib;
• kab mob siab;
• kab mob ntau yam;
• hypothyroidism;
• hypoglycemia;
• cirrhosis ntawm daim siab;
• Addison tus kab mob.

Kuj, qhov txo qis hauv siab tuaj yeem ua rau muaj kev phiv tshuaj los yog tshwm sim tawm tsam keeb kwm ntawm kev noj tshuaj ntau dhau ntawm qee yam tshuaj.

Cov tsos mob ntawm hypotension thaum cev xeeb tub

Kwv yees li kaum ob feem pua ntawm cov poj niam hauv "txoj hauj lwm txaus nyiam" raug kev txom nyem los ntawm qissiab. Hypotension thaum cev xeeb tub hauv 1st trimester yog qhov tsawg heev. Tus kab mob tuaj yeem kuaj pom thawj lub lis piam ntawm kev xeeb tub, tab sis feem ntau cov tsos mob tshwm sim tom qab. Feem ntau, hypotension tshwm sim thaum cev xeeb tub hauv lub peb hlis ntuj 2 - tom qab lub hlis thib peb.

Cov tsos mob qhia tias hypotension yog:

• drowsy;
• poob qab los;
• mob hnyav, qaug zog;
• kev tsis txaus siab, indifference;
• kev qaug zog;
• kev xav tsis thoob;
• txo qis hauv kev mloog;
• kiv taub hau;
• fainting;
• caj npab thiab txhais ceg "txias" thiab ntub - ua txhaum ntawm thermoregulation;
• mob taub hau;
• meteorological dependence;
• poob teeb meem;
• mob hauv cheeb tsam ntawm lub siab;
• tawm tsam rau lub suab nrov thiab lub teeb ci;
• ua tsis taus pa;
• ntuav thiab xeev siab;
• pulse tsis muaj zog;
• daim tawv nqaij;
• varicose leeg;
• mob pob qij txha.

Hypotension thaum ntxov cev xeeb tub yog qhia los ntawm qhov muaj toxicosis ntxov. Yog hais tias xeev siab pib los ntawm thawj hnub ntawm cev xeeb tub, ces nyob rau hauv tsis muaj cov ntaub ntawv tso tawm cov tsos mob no yam tsis muaj kev saib xyuas ntawm kws kho mob, vim hais tias qhov no tej zaum yuav tshwm sim ua ntej ntawm hypotension.

Tsis muaj cov cim saum toj no ntawm tus kab mob txaus ntshai rau leej niam thiab tus menyuam hauv plab tuaj yeem ua rau mob me me thaum cev xeeb tub. Yog tias muaj ib lossis ntau cov tsos mob tshwm sim, koj yuav tsum hu rau gynecologist ua ntej cev xeeb tub kom sai li sai tau. Txoj haujlwm kho mob yuav ua tiavkev kuaj mob ntawm tus neeg mob, teem caij kho kom txaus uas yuav tsis ua rau lub neej tshiab txhim kho hauv plab.

Ua rau hypotension hauv cov poj niam cev xeeb tub

Hypotension thaum cev xeeb tub tshwm sim tawm tsam keeb kwm ntawm kev dhia ntse hauv cov tshuaj hormones hauv poj niam lub cev. Progesterone relaxes tag nrho cov nqaij ntshiv ntawm lub cev, nrog rau cov hlab ntsha, uas ua rau cov ntshav khiav qeeb. Cov nyhuv tib yam yog nyob rau ntawm lub tsev menyuam, thiab nws tsis tso cai rau nws cog lus, tiv thaiv kev yug ntxov ntxov, ua kom tus menyuam. Yog hais tias lub cev xeeb tub tshwm sim ib txwm, ces tsis ntev tus mob nws tus kheej yuav pib txhim kho. Yog tias muaj kev dhia hauv siab ua ntej cev xeeb tub, ces tus mob yuav hnyav dua.

Hypotension thaum cev xeeb tub tuaj yeem tsim rau lwm yam laj thawj. Kev txo qis hauv siab yog cuam tshuam los ntawm kev ua haujlwm tsis zoo ntawm cov qog adrenal. Nws yog lub raum thaum cev xeeb tub uas raug kev txom nyem ntau dua li lwm yam kabmob, ua haujlwm rau ob.

Tsis tas li, hypotension tshwm sim vim qhov pom ntawm lwm cov kab mob - placental.

Kev ua txhaum rau qhov pom ntawm hypotension tuaj yeem yog ntawm tus poj niam cev xeeb tub nws tus kheej. Kev poob siab feem ntau tshwm sim ntawm:

• tshaib plab - tus poj niam noj tsis raug, lossis tshwj xeeb tsis noj ntau dhau, kom tsis txhob noj ntau dua thaum lub sijhawm yug menyuam;
• tsis txaus so;
• kev ntxhov siab rau lub cev lossis kev puas siab puas ntsws;
• kev nyuaj siab;
• xov xwm zoo siab;
• tus cwj pwm phem (piv txwv li, kev haus luam yeeb ua rau cov pa oxygen tshaib plab, uas ua rau qissiab);
• da dej kub.

Vim li cas ntshav siab txaus ntshai rau tus poj niam cev xeeb tub thiab menyuam hauv plab?

Cov ntshav ntws qeeb, uas ua rau cov pa oxygen tshaib plab tsis yog ntawm tus poj niam lub cev xwb, tab sis kuj ntawm tus menyuam hauv plab, vim tias cov ntshav placental kuj qeeb. Lub cev ntawm tus poj niam thiab tus me nyuam tsis tau txais qhov tsim nyog ntawm cov khoom tsim nyog rau lub neej, uas ua rau muaj kev cuam tshuam ntawm kev ua haujlwm ntawm txhua yam hauv nruab nrog cev, thiab tus me nyuam kuj ua rau kev loj hlob qeeb. Dab tsi ntxiv yog fraught nrog hypotension thaum cev xeeb tub?

1. Ib lub sijhawm tsis kaj siab tshaj plaws rau txhua tus poj niam cev xeeb tub yog toxicosis. Ib tug neeg tsis muaj nws kiag li, thaum lwm tus raug kev txom nyem los ntawm nws los ntawm thawj hnub ntawm cev xeeb tub. Thiab yog vim li cas rau qhov no feem ntau yog hypotension, uas ua rau toxicosis thaum ntxov.
2. Vim muaj oxygen tshaib plab, tus me nyuam hauv plab yuav tuag hauv utero.
3. Nyob ntxov yug los yog nchuav menyuam.
4. Kev txhim kho ntawm fetal hypoxia syndrome hauv utero.
5. Hypotonic dysfunction ntawm lub tsev menyuam thaum yug menyuam.

Nws yuav tsum nkag siab tias cov ntshav siab tsis tu ncua yog hypotension, qhov no tsis yog lus dag thiab tsis yog mob me ntsis thaum cev xeeb tub. Qhov no yog qhov txaus ntshai pathology uas ua rau muaj kev phom sij rau kev noj qab haus huv ntawm tus poj niam thiab lub neej ntawm tus menyuam hauv plab. Thaum thawj cov tsos mob ntawm hypotension, koj yuav tsum sab laj nrog kws kho mob.

Txhawm rau txo qhov tshwm sim ntawm qhov tshwm sim thiab kev loj hlob ntawm hypotension, koj yuav tsum mus ntsib koj tus kws kho mob tas li, raws sijhawm, ua raws li txhua qhov kev pom zoo thiab kev kho mob.

Tus kws kho mob twg uas kuv yuav tsum pom rau kev mob ntshav siab?

Nyob hauv rooj plaubpredisposition rau hypotension lossis thawj cov tsos mob ntawm pathology, cov poj niam cev xeeb tub yuav tsum tau kuaj xyuas los ntawm cov kws kho mob tshwj xeeb, cov no yog:

• neurologist;
• kws kho plawv;
• kws kho mob endocrinologist;
• tus kws kho mob;
• kws kho mob.

Diagnosis

Nws tsis yog ib qho yooj yim rau tus poj niam yuav misdiagnosed. Yog vim li cas rau qhov no yuav yog qhov ntsuas tsis raug ntawm cov ntshav siab. Piv txwv li, tus neeg mob tau pw thaum lub sij hawm ntsuas, los yog lub cuff ntawm lub tonometer tsis zoo inflated. Tag nrho cov nuances no cuam tshuam qhov ntsuas qhov tseeb. Tias yog vim li cas, yog xav tias hypotension, ib qho kev ntsuam xyuas loj dua yog:

1. Kev kuaj lub raum ua haujlwm yog ua los ntawm ultrasound.
2. Koj yuav tsum ua ultrasound ntawm lub plawv, qhov txheej txheem no hu ua echocardiography.
3. ECG.
4. Kev kuaj pom cov txheej txheem pathological hauv lub hlwb - electroencephalogram.
5. Differential study.
6. Tshuaj xyuas cov kev hloov pauv hauv cov nyiaj - rau qhov no koj yuav tsum tau mus ntsib kws kho qhov muag.

Kev kho mob hypotension thaum cev xeeb tub

Qhov tseem ceeb tshaj plaws thaum kuaj pom tsis yog kev ntshai, vim tias hypotension tsis yog kab lus, tab sis ib qho kab mob uas yuav tsum tau muab tshem tawm. Kev kho mob tsuas yog homeopathic, uas yog, raws li kev noj cov infusions, tshuaj yej thiab decoctions ntawm cov tshuaj ntsuab. Txoj kev no muaj feem xyuam rau me ntsis hypotension.

Kho mob ntshav siab hauv cov poj niam cev xeeb tub, siv txoj kev kho nyuaj, tsuas yog cov txiaj ntsig yuav tsis pab ntawm no.nroj tsuag, yuav tau noj tshuaj.

Nyob rau theem ob hypotension, uas yog, uas tshwm sim los ntawm lwm yam kab mob, ua ntej ntawm tag nrho cov, kev kho mob yuav tsum tau tsom mus rau tshem tawm qhov ua rau.

Tsis muaj teeb meem koj yuav tsum koom nrog kev kho tus kheej, vim tias koj tsuas tuaj yeem ua mob rau koj tus kheej thiab tus menyuam. Tsis tsuas yog ntau cov tshuaj yog contraindicated rau cov poj niam cev xeeb tub, tab sis kuj tshuaj ntsuab, yog li koj tsis tuaj yeem noj cov decoctions yam tsis tau tham nrog koj tus kws kho mob.

Yuav ua li cas pab cov poj niam cev xeeb tub nce ntshav siab?

Rau cov poj niam cev xeeb tub hypotension tau qhia rau:

1. Siv rosemary, bay thiab basil tseem ceeb roj hauv koj chav.
2. Tsab koom kev kho lub cev.
3. Noj cov tshuaj tonic - tus kws kho mob yuav sau "Pantocrine", ginseng infusions, eleutherococcus extract, Schisandra chinensis infusion.
4. Tsis txhob muab tshuaj ntsuab. Infusions ntawm cov tshuaj muaj txiaj ntsig zoo yuav pab cov poj niam cev xeeb tub kom muaj kev nyab xeeb nce lawv cov ntshav siab - nplooj ntawm qus strawberry, currant, raspberry thiab mint, St. John's wort, sage, yarrow thiab lwm yam.

Cov kab lus muaj cov piv txwv ntawm cov tshuaj ntsuab thiab tshuaj rau kev siv nkaus xwb. Kev noj txhua yam tshuaj, tshuaj thiab tshuaj ntsuab, yuav tsum tau pom zoo nrog tus kws kho mob thiab ua raws li nws tus kheej tswj.

Tiv thaiv hypotension

Kev mob ntshav siab hnyav thaum cev xeeb tub tsis yog tsuas yog tsim txom tus poj niam xwb, tab sis tseem cuam tshuam rau kev yug ntxov ntxov - kev poob ntawm tus menyuam. Txhawm rau txhim kho tus mob los yog tag nrhoTxhawm rau tiv thaiv kev txhim kho ntawm pathology, tus poj niam cev xeeb tub raug pom zoo:

• noj zoo, nyiam dua ntawm teev;
• pw tsawg kawg 9 teev tsaus ntuj, so ob peb zaug rau 30 feeb thaum nruab hnub;
• tsis txhob lub cev hnyav dhau;
• taug kev ntawm qhov qeeb qeeb tsawg kawg ib teev, zoo dua hauv thaj chaw tiaj ua si uas tsis muaj tsheb;
• tshem tawm ua rau muaj kev ntxhov siab;
• tsawg kawg rau lub sijhawm cev xeeb tub tso tseg kev haus luam yeeb thiab lwm yam cwj pwm phem;
• zam chav tsev, nyob ntev sab nraum huab cua kub;
• muab da dej los da dej.

Cov cai yooj yim no yuav pab txhim kho qhov mob ntawm hypotension. Yog tias koj saib cov txij li thawj hnub ntawm cev xeeb tub, tom qab ntawd tus kab mob txaus ntshai yuav tsis tuaj yeem tshwm sim, txawm tias muaj kev cuam tshuam los ntawm keeb kwm.