Jijiya hauhawar jini a mata

Jijiya hauhawar jini a mata

VS Tchistov

Da farko MGMU IM Sechenov

Jijiya hauhawar jini ne a yau - daya daga cikin na kowa cututtuka: ganewar asali "jijiya
hauhawar jini "ji yau game da daya a goma manya.
A cuta iya shiru shekaru da yawa don halakar da jini da zuciya, da kuma da in babu wani m
dace magani, zai kai ga wani ciwon zuciya, angina, zuciya tsoka rauni, to zuciya
gazawar, a bugun jini, da makanta, koda gazawar ... wannan jerin iya tafi a kan wani sosai tsawon lokaci.
Abin farin, a yau akwai da yawa da dama ba kawai don rage hawan jini, amma kuma
kula da shi na dogon lokaci a ganiya matakin - ku kawai bukatar wuce dubawa a lokaci
da kuma gano cutar.
Wajibi ne a sani: a yau, kowane goma girma mutum yana da hawan jini, amma
Kawai rabin jama'a san game da matsalar. Kuma ko da m mutane da suka sami dace jiyya: wasu
Marasa lafiya ba ga bukatar magani a mai kyau kiwon lafiya, wasu ba su sani ba game da wanzuwar zamani
tasiri sosai da kuma kyau jure kwayoyi don rage jini. A halin yanzu, warkar da
hauhawar jini wajibi ne - ko da idan cutar ne asymptomatic, zai iya kai wa ga sosai
bakin ciki sakamakon. Kada hadarin da kiwon lafiya da kuma ko da rayukansu.
A sakamakon hauhawar jini a mata
Ware ƙãra jini (ie, hauhawar jini ba tare da concomitant hadarin dalilai) a
70% na lokuta take kaiwa zuwa bugun jini a mata. Don kwatanta, a cikin maza hauhawar jini ba tare da concomitant hadarin abubuwan ƙurewar
bugun jini ne kawai a 30% na lokuta.
A tasiri na antihypertensive far a maza da mata guda. Duk da haka, tare da shekaru, da tasiri na
antihypertensive far a mata an rage, wanda aka sa ta peculiarities na menopause (game da cewa a kasa).
Don kwanan wata, hauhawar jini da rikitarwa zauna farko wuri, idan mun yi magana game da mata mutuwar
yawan jama'a. The darajar systolic jini a mata shi ne na biyu mafi muhimmanci hadarin factor
na jijiyoyin zuciya da cututtukan zuciya da (CHD).
Ischemic cututtukan zuciya da hauhawar jini da kuma a cikin mata
A mace daga mutumin ba kawai makarantun firamare da sakandare jima'i halaye, amma kuma da alama bambance-bambance a cikin
hormones, kwayoyin halitta, salon - duk da wannan, ba shakka, nuna a cikin shakka daga cututtuka daban-daban, jami'an tsaro da kuma
da tasiri na magani.
Ga shi shekaru masu yawa da aka yi imani da cewa hadarin jijiyoyin zuciya da cututtukan zuciya a mata ne muhimmanci ƙananan fiye da na
maza. A gaskiya shi ne ba, a duka biyu mata da maza, da kasada ne guda, haka ma, akwai wani hali a 'yan shekarun nan zuwa
ya karu mace-mace daga cututtukan zuciya ne a mata.
Don warware wannan matsala, dole ne ka, a} alla, gane da babban hadarin dalilai na zuciya da jijiyoyin jini
cuta a cikin mata, kazalika da halartar zuwa search for hanyoyin da su gyara. Conventionally, duk hadarin dalilai na zuciya da jijiyoyin jini
cututtuka za a iya raba kungiyoyin biyu: da takamaiman (musamman zuwa bene, a cikin wannan yanayin na
mata), wadanda ba takamaiman (general kuma ga mata da kuma ga mutãne).
Ga wadanda ba takamaiman abubuwan sun hada da shekaru, an farkon bayyanuwar bayyanar cututtuka na zuciya da jijiyoyin jini cututtuka a
dangi, da shan taba, da ciwon sukari, kiba, a sedentary salon, illa glucose haƙuri,
kara a total cholesterol, LDL cholesterol, ragewan HDL cholesterol *. Duk da cewa wadannan dalilai ne ba musamman a
fasali na da tasiri a kan samuwar Pathology na zuciya da jijiyoyin jini tsarin a maza da mata, akwai bambance-bambance.
Game da takamaiman halaye, sa'an nan suka za a iya dangana rayuwa munanan a lokacin daukar ciki,
menopause, hormonal maganin hana haihuwa, gisterovariektomiyu.
Yana tabbatar da cewa mata da kiba kuma fada a cikin babban hadarin da cututtukan zuciya da: hadarin
Yana karu da sau 4. Sassan cewa taka rawa a cikin wannan tsari ba tukuna sani, amma dangantaka tsakanin kiba da kuma
jini ne daidai.
Amma ga salon, mun tabbatar da cewa, rashin yau da kullum da jiki aiki qara hadarin
fitowan da kuma ci gaba da cututtuka na zuciya cuta a cikin rabin. Ko da kuwa da nauyi canje-canje a lokacin jiki
aiki da aka lura daidaita jini. An yi imani da cewa da kyau sakamako
jiki ayyuka dangantaka da data kasance kai tsaye ba da kuma kai tsaye sunadaran da taimako zuwa wani raguwa
jini, tsokar oxygen bayar, a Bugu da kari, motsa jiki da amfani sakamako a kan
jini clotting dalilai, taimakawa ga kyautata na jini sia bakan.
Abin baƙin ciki, a kasar mu hauhawar jini tsakanin mata ne tartsatsi da ya auku a 41,1%.
Jijiya hauhawar jini a mata na shekaru daban-daban
A karo na farko game da bambance-bambance na jini matakan bisa ga jinsi iya magana a
da shekaru shida. Higher jini lura a 'yan mata daga shekaru shida da up
mafarki ba. Amma bayan balagarsa da kuma kafin menopause za a iya ambata more
low jini a mata. Bayan menopause, duk da bambance-bambance bace, da kuma
mata suna fuskantar wata babbar hadarin cututtukan zuciya, hauhawar jini, idan aka kwatanta da
maza.
Yaduwar na hauhawar jini tsakanin mata ba high, amma bayan menopause, haɗarin
da kuma bunkasa cutar ƙaruwa muhimmanci. Amma ba kowace mace tana hawan jini
Yana daidai da farko na jima'i involution. A cikin 'yan shekaru, jini karuwa, da bayanin kula
tsakanin mata, ciki har da mata masu juna biyu. Yana iya gani a 15-30% na mata masu juna biyu a Rasha hawan jinni ciwo
wadda take kaiwa zuwa tsanani rikitarwa, ba kawai a kansa a lokacin daukar ciki da na haihuwa, amma kuma yana da wani mummunan
tasiri a kan dogon lokacin da hangen nesa a cikin mata. Sau da yawa sosai ta faru da cewa hauhawar jini na faruwa a lokacin da
ciki ..., ya zauna, tare da mace har abada.
Hauhawar jini a mata kuma baka hana
Amfani da baka hana shi ne daya daga cikin manyan Sanadin hauhawar jini ci gaba a
mata. Ya tabbatar da cewa mata da shan wadannan kwayoyi, da hawan jinni fuska 2-3 sau
mafi sau da yawa fiye da mata ba su yarda da irin wannan kudi. Bugu da kari, na baka maganin hana haifuwa jamiái iya
baya lura worsen jijiya hauhawar jini. A hadarin hauhawar jini a m
maganin hana haifuwa baka jamiái ƙaruwa a mata a kan shekaru 35, idan wata mace ta smokes, da kuma / ko a gaban
kiba.
Samarwa inji for hawan jini a matan da suka yi haihuwa iko
baka kwayoyi: ƙãra jiki taro, jini girma, akwai insulin juriya,
sodium alama bata lokaci a cikin jiki.
Daidaita jini lura bayan 'yan makonni bayan karshen supplementation. amma idan
da mace a kan bango na hana ta ci gaba da hauhawar jini, idan hadarin da sakamakon
zai yiwu ciki zai zama mafi girma daga hadarin ci gaban hauhawar jini, shi ne shawarar ci gaba da shan hana tare da
lokaci daya da magani tare da antihypertensive kwayoyi.
A hadarin tasowa hauhawar jini ƙaruwa idan:
- da hauhawar jini iyali tarihi - a can ne kiba - akwai koda cuta - a mace a kan shekaru 35 da haihuwa - mace daukan hana na dogon lokaci - idan, a lokacin gabanin ciki jini da aka daukaka.

Hauhawar jini a mata a lokacin menopause da postmenopause
A karuwa a jini a lokacin menopause rinjayar da yawa dalilai - wannan ƙi
jiki aiki, da kuma jiki nauyi riba, kuma Ya ƙãra shan giya da gishiri.
A lokacin menopause kara hadarin cututtukan zuciya. Wannan shi ne saboda da sake fasalin kudin
endocrine tsarin a cikin wannan lokaci da ma gurgunta estrogen kira, samar da wani sakamako a kan m
cardio jijiyoyin bugun gini tsarin.
Estrogen rashi iya kai ga ya karu yadda ya dace pressor angiotensin II, wani canji a sia
bakan da jini a kan bango na ƙãra total cholesterol, lipoproteins na sosai low kuma low yawa don rage
adadin high yawa lipoproteins.
Daga cikin marasa lafiya, matasa, fiye da shekaru 40 na hawan jinni cuta, mata sha kasa sau da yawa fiye da maza, amma a 45-55 shekaru halin da ake ciki
An canza, da kuma yawan hawan jinni mata fara fi.
Haka kuma, da yawa da hankali ne a yanzu biya zuwa search for wani aminci da tasiri magani domin lura da
hauhawar jini a postmenopausal mata - ba kawai don rage hawan jini, amma kuma
domin manufar gyara na menopausal bayyananen, wanda zai bayar da wani zabi ga hormone maye far.
Jiyya na hauhawar jini a mata
Yau, mafi gaggawa matsala ne don gane da dangantakar dake tsakanin hauhawar jini da kuma cututtuka daban-daban, da nufin
ci gaba mafi kyau duka m tsarin kula da yin rigakafi da magani (Oganov RG, 2007; SG Anikin, 2009; Jakushin SS,
2010).
Amma kusan duk zamani masana sun yarda da cewa jiyya na hauhawar jini
zai fi dacewa sanya antigipergenzivnuyu far.
An muhimmanci wuri a cikin dabara da mata tare da hauhawar jini da aka ba da ba-pharmacological magani.
Saboda haka, misali, low-kalori rage cin abinci domin mata da kiba iya kai ba kawai ga nauyi asara, amma kuma ya
ƙananan jini, a Bugu da kari, rage cin abinci gaskiya ma shafi hadarin dalilai kamar ciwon sukari,
insulin juriya, tsokar hypertrophy na hagu ventricle, hyperlipidemia.
Kada rashin sanin cikakken farashi da rawar jiki aiki: talakawa tafiya, iyo, wadancan kan simulators, warkewa darussan
gymnastics da sauransu za su taimake ka ka rage da ya faru na da kasada na hauhawar jini ci gaba.
A layi daya da ba pharmacological far ya kamata a wajabta antihypertensive kwayoyi.
Kafin bita da mafi fĩfĩta kwayoyi a yau shi ne cewa ya yi fatan for tasiri na
hormone maye far wa wani zai yiwu tabbatacce sakamakon a kan jini, aka ba shi barata. Bugu da ƙari,
wasu lokuta (game 9%) ya nuna wani karu da karuwa a jini a lokacin
hormone maye far.
Bugu da kari, ya kamata a lura da cewa duk da fairly m, bambance bambancen selection na antihypertensive kwayoyi,
Yau da tasiri na lura da hauhawar jini ya zauna a wani fairly low matakin. Bugu da kari, data,
wanda aka samu a cikin nazarin da maza, mata ta atomatik canja wurin ne ba zai yiwu ba (Podzolkov NM, 2009;
Tkachev ON, 2010). Saboda haka, bayar da muhimmanci shi ne matsalar bambancin far na jijiya
hauhawar jini a mata, kazalika da kimantawa da aikin ba masu cin zali dabarun da za su inganta hangen nesa,
ingancin dogon lokaci far. Ta hanyar ci gaba da algorithm za su iya individualize magani
mata.
Don kwanan wata, a jijiya da hauhawar jini a mata sanya wani antihypertensive wakili (ga
babu contraindications) na kowane kungiya a cikin nau'i na hade ko shi kadai. Don bunkasa hypotensive
da sakamako mafi yawa ana wajabta hydrochlorothiazide (jagora-rohlortiazid). Sau da yawa da magani daga hauhawar jini a mata
amfani da diuretics: arifon retard, arifon, cardioselective beta-blockers (lokren (betaxolol), atenolol,
kasa bisoprolol).
Idan muka magana game da ACE hanawa, shi ne yawanci amfani moexipril, wani lokacin - fosinopril (monopril).
Game da alli antagonist a cikin nau'i na ci-saki shirye-shirye na dihydropyridine (plendil, Norvasc,
kordafleks retard), su liyafar ne quite yiwu, amma dole ne a tuna da cewa wasu marasa lafiya na iya bayyana edema
a kan ƙafãfunsu, ko su iya zama mafi pronounced.

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3. Kobalava Railway, Tolkachev VV Moryleva ON Clinical fasali da kuma lura da hauhawar jini a mata.
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4. Kuban Research Medical Gazette Clinical da kuma aikin fasali na zuciya da jijiyoyin jini tsarin a mata tare da hauhawar jini. 2011;
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