Isifo esiyingozi - isigaba

Uxinzelelo lwe-arterial libhekiselele kwenyuka ngokunyanisekileyo kwingcinezelo. Iimpawu: ukusuka kwi-140 ukuya kwi-90 okanye ngaphezulu. Ngaphambi kokuqala kwonyango, izizathu zentsholongwane zivakala ngokucacileyo, kwaye kuvela ukuba yeyiphi uhlobo lokuxinzeleleka komfutho wokhuseleko lwegazi - isigaba sisekelwe kumyinge we-systolic kunye noxinzelelo lwe-diastolic eyenziwa kwiinyanga eziliqela.

Uhlobo lwamanje lwexinzelelo olubalulekileyo kwiinqanaba

Kuza kubekho, kukho iintlobo ezintathu zesifo:

1. Isigaba soku-1, ehambelana nokunyuka rhoqo kodwa kungekho isigxina kwixinzelelo legazi, okungafanekiyo ngokuqhubekayo-ngokulinganayo. Ngamanye amaxesha kukho utshintsho oluncinane kwimpahla ye-fundus.
2. Isigaba sesi-2 sibonakaliswa ngophethiloli yesimo se-carbohydrium ye-cardiac ventricle. Ngelo xesha, uxinzelelo luhlala luphakanyisiwe kwaye iinqwelo ze-fundus zixhomekeke kwiinguqu ezinzulu.
3. Isigaba sesi-3 sihambelana nokuhlaselwa yintliziyo, ukubetha, intliziyo okanye ukuhluleka kwentliziyo.

Kubalulekile ukuba uqaphele ukuba kwiminyaka yakutshanje iye yamkelwe ukuba ihlukanise phakathi kweengxamiseko eziphambili (eziprayimari) kunye nezibonakaliso (ezisekondari).

Uhlobo lokuqala lu malunga ne-95% yazo zonke iimeko ezixilongwa kwaye lubonakaliswe yinkqubo ekhethiweyo yesifo ngaphandle kokuxhamla nezilonda zamalungu angaphakathi.

Intlobo yesibini ibonakala ngenxa yokuphulwa okunjalo:

• ukuhlanganiswa kwe-aorta;
• pheochromocytoma ;
• isifo se-adrenal cortex;
• i-nephritis, i-glomerulonephritis kunye ne-pyelonephritis;
• I-Itenko-Cushing syndrome;
• ukungafani kwe-biosynthesis yama-hormone ye-corticosteroid;
• hyperaldosteronism oyintloko;
• izicubu kunye ne-hyperproduction of corticosterone.

Ukwahlulelwa kwezifo ezingasenyongweni ngezinga

Olu hlobo lokuhlengahlengiswa kwezilwanyana lubandakanya:

1. Ukunyanzeliswa kwesantya sohlobo lokuqala (uxinzelelo oluqhelekileyo lwe-arterial) kunye nohlobo lwe-2 (uxinzelelo oluphezulu lwegazi). Amanqaku angama-120-129 ama-80-84 mm Hg. Ubugcisa. kunye no-130-139 kwi-85-89 mm Hg. Ubugcisa.
2. Uxinzelelo lwegazi. Iimpawu: ukuya kwi-120 (systolic) kwaye ngaphantsi kwama-80 (i-diastolic).
3. 1 degree (140-159 ngo 90-99).
4. 2 degree (160-179 nge-100-109).
5. 3 degree (ngaphezu kwe-180 nangaphezu kwe-110).
6. I-hypertension ye-Systolic (eyodwa). Uxinzelelo lwe-diastolic aludluli kwi-90 mm Hg. umz., ngelixa i-systolic - ngaphezu kwama-140 mm Hg. Ubugcisa.

Amagatya kunye needriyiti zengcinezelo zibeka ingozi yeengxaki ezinjengezinto ezibizwa ngokuthi "izitho ezijoliswe kuyo" (intliziyo, iintso kunye nemiphunga).

Ukubekwa koxinzelelo olubalulekileyo kwingozi

Kukho izinto ezilandelayo zengozi yokuqhubela phambili komfutho wexinzelelo:

• ubudala (kubafazi-engaphezu kweminyaka engama-65);
• ukutshaya;
• kwimeko yexinzelelo lwengcinezelo kwimbali yentsapho;
• dyslipidemia;
• ukunyanya;
• umxholo wegazi weprotheyini esebenzayo e-C kwisixa esingaphezu kwe-1 mg / dL;
• ukungabi nokuhamba;
• isifo sokunyamezela kwi-glucose compounds;
• ukwanda kwe-fibrinogen;
• isifo sikashukela .

Ukongezelela, kukho inani leemeko ezihambelana nezilwanyana kunye nezifo ezihambisana nexinzelelo.

Ngokuhambelana nale miba, umngcipheko wokwakha izifo ze-cardiovascular is stratified:

1. I-Low (phambi kwimiqondiso ye-1-2 ukusuka kwoluhlu lwezinto eziphambili, uxinzelelo oluqhelekileyo oluphezulu, kunye ne-hypertension (AH) 1 degree).
2. I-Moderate (kunye ne-AG inhlanganisela ye-degree ye-1 kunye nobukho be-1-2 engozi, i-AH ye-2 degree).
3. Ephakamileyo (phambi kwe-3 okanye ngaphezulu kweziphambili ze-AH 1, i-2 degree, i-AH ye-3 degree).
4. Ephakamileyo kakhulu (kunye nekhosi efana ne-AH ye-3rd degree kunye neengxaki ezingaphezu kwe-3, kunye nezimo zeklinikhi).