Nyob rau hauv tib neeg lub cev, cov ntshav circulates nyob rau hauv ib lub voj voog - los ntawm lub plawv mus rau sab hauv nruab nrog cev thiab rov qab. Arterial yog lub siab sib dhos los ntawm kev txheeb ze rau ntawm phab ntsa ntawm cov hlab ntsha ntawm qhov ncaj ncaj. Hauv cov menyuam nws yog qis dua cov laus. Qhov no yog vim muaj cov dav hlau nrawm thiab elasticity ntawm cov phab ntsa hauv cov hlab ntsha, lub tuam txhab kim heev uas muaj peev xwm.
Ntsuas cov ntshav siab hauv cov menyuam yaus
Txiav txim siab qhov ntsuas hauv nqe lus nug tseem ceeb nyob hauv lub xeev calm, tus me nyuam yuav tsum tsis txhob ntshai. Tias nws tsis ntshai, koj tuaj yeem qhia txoj kev ua ib qhov kev ua si. Qhov siab ntsws ntawm cov menyuam yaus raug ntsuas raws li siv cov txheej txheem los yog electronic tonometer raws li cov cai hauv qab no:
- Lub sij hawm zoo tshaj plaws yog thaum sawv ntxov, ua ntej 10 nas this ua ntej kev ntxias tus me nyuam yuav tsum tau so.
- Yog hais tias tus pluav plua plav xav noj tshais, nws yog qhov zoo dua rau ncua txoj kev ua haujlwm, thiab ua rau nws noj ib teev tom qab noj mov.
- Yog xav ntsuas ntshav siab hauv cov menyuam yaus, koj yuav tsum siv cov pob ntsej muag tshwj xeeb. Qhov pom zoo dav yog nyob ntawm hnub nyoog. Cov me nyuam mos - 3 cm, ib tug me nyuam me - 5 cm, cov me nyuam kawm preschool - 8 cm.
- Qhov qis ntawm lub cuff yog 1.5-3 cm saum toj no lub ulnar fossa.
- Cov menyuam yaus txog li ntawm 1.5-2 xyoo yog qhia kom hloov siab rau txoj haujlwm supine. Yog me nyuam loj, koj tuaj yeem nug nws kom zaum ntsiag to.
- Nyob rau hauv qhov chaw nruab nrab ntawm lub cuff thiab tes, tus ntiv tes ntawm ib tug neeg laus yuav tsum ua siab dawb.
- Lub luj tshib yuav tsum nruj me ntsis, yog li ntawm nruab nrab ntawm lub xub pwg nyom nyob rau theem ntawm lub plawv.
- Lub phonenoscope yog muab tso rau hauv qis ntug ntawm lub cuff. Nws lub membrane yuav tsum tau superimposed ntawm lub ulnar fossa.
- Nws yog ib qho tsim nyog rau hno cua mus rau hauv lub cuff mus rau ib theem ntawm 60-90 hli Hg. kom txog rau thaum lub suab ntawm pulsation disappears.
- Tom qab siv tag, lub valve ntawm pear yuav tsum me ntsis tsis muaj zog. Cov pa yuav tsum tawm los maj.
- Qhov tshwm sim ntawm cov neeg ntaus thawj cov lus piav qhia txog qib siab ntawm kev sib deev, thiab qhov kawg ntawm lub suab qis - nyob rau sab qis.
- Rov ua dua yog ntsuas tom qab 10-15 feeb.
- Txhais cov ntsiab lus piav qhia yog pom zoo ob peb hnub ua ke, xaiv qhov tseem ceeb tshaj plaws li qhov kawg.
- Rau kev sib piv, koj yuav tsum paub cov ntshav siab nyob rau hauv cov me nyuam - lub rooj ntawm cov hnub nyoog muaj cov ntaub ntawv nruab nrab, yog li ntawd qhov txawv ntawm 10 hli Hg. Kos duab. yog xam tau tias yog.
- Yog hais tias koj tsis tuaj yeem ntsuas nrog ib tus neeg kho tshuab tonometer, nws yog qhov zoo dua yuav khoom siv hluav taws xob los yog hu rau chaw kho mob.
Arterial siab yog qhov txawv ntawm cov menyuam hnub nyoog
Qhov kev loj hlob sai tshaj ntawm qhov ntsuas tau pom hauv thawj xyoo ntawm tus me nyuam lub neej. Thaum xub thawj tus qauv ntawm kev siab daj siab hauv cov me nyuam yaus yog tib yam rau ob qho tib si. Tom qab 5 thiab mus txog 9 xyoo, qhov kev ntsuas yog me ntsis siab dua rau cov tub hluas, tom qab uas nws rov qab ua dua. Nrog lub hnub nyoog, cov me nyuam cov ntshav siab yog qhov nce ntxiv tuaj. Qhov no yog vim qhov qis ntawm lub lumen ntawm cov hlab ntsha thiab qhov txo ntawm lub elasticity ntawm lawv cov phab ntsa.
Diastolic siab yog qhov txawv ntawm hnub nyoog
Tus nqi piav kuj tseem hu ua tus nqi qis dua lossis qis tshaj. Nws ua rau pom kev ntawm cov hlab ntsha ntawm peripheral thiab qhia txog qhov siv ntawm cov ntshav siab thaum lub sij hawm ntawm relaxation ntawm lub plawv mob. Qhov ntshav siab ntawm cov menyuam yaus yog qhov ntsuas tus kheej, tab sis vim nws muaj ntau qhov ntau. Lawv nyob ntawm seb tus menyuam muaj hnub nyoog li cas thiab cov ntshav siab thaum lub sij hawm ntawm lub plawv (systole). Lub cev tshwj xeeb tau raug tsim los txheeb xyuas cov ntshav siab nyob rau hauv cov menyuam yaus - hnub nyoog cov lus sau los ntawm cov qauv hauv qab no:
- mus txog 12 lub hlis - 2 / 3-1 / 2 ntawm qhov siab tshaj qhov siab;
- tom qab ib xyoo - 60 + cov xyoo tag nrho.
Systolic siab - feem ntau
Qhov kev ntsuas no qhia tau hais tias lub zog ntawm cov ntshav ntws ntawm lub sij hawm ntawm kev ntxhov siab ntawm lub siab ntawm cov leeg thiab lub ntu tawm ntawm cov kua qaub ntsha mus rau hauv cov hlab ntsha. Tus nqi ntawm hom ntshav siab nyob rau hauv cov menyuam yaus yog nyob ntawm lawv lub hnub nyoog thiab kevcai ntawm lub cev. Ntxiv nrog rau qhov ntsuas no cuam tshuam rau lub cev thiab kev xav hauv lub cev ntawm tus me nyuam, noj cov zaub mov, kev mob cov kab mob thiab txawm tias lub sijhawm ntawm hnub. Qhov nruab nrab lub suab ntawm cov menyuam yaus raug suav los ntawm cov qauv hauv qab no:
- cov me nyuam mos - 76 + ob zaug lub hlis ntawm lub neej;
- tom qab lub xyoo - 90 + hnub nyoog, multiplied by 2.
Cov paib ntawm cov nyhuv hauv cov menyuam yaus - rooj
Yuav kom tsis txhob siv sij hawm rau cov lus teb tsis tu ncua thiab tsis tau tsis meej pem hauv cov ntawv tau txais, nws yog qhov zoo dua los siv cov nqi tseem ceeb tshaj plaws. Ib txoj hauv kev yooj yim los sib piv cov ntshav siab thiab cov ntshav siab yog qhov rooj. Nws qhia qhov tsawg thiab ntau qhov ciam ntawm qhov kev ntsuas ntawm qhov kev ntsuas ntawm 0 txog 15 xyoos. Tsis muaj qhov tsim nyog rau kev tsis sib haum, yog tias hauv lawv cov ntshav siab ntsuas hauv cov menyuam nyob rau hauv - cov lus qhia los ntawm hnub nyoog yog qhia hauv qab no. Nws yog ntshaw kom txuag nws lossis luam tawm.
Ntshav siab hauv tus me nyuam
Tus mob tau hu ua hypotension lossis hypotension. Feem ntau, ntshav siab me ntsis hauv cov menyuam yaus tsis tshua pom muaj nyob hauv tus cwj pwm sab nraud thiab nws tus kheej tau ruaj ntseg. Qhov teeb meem no ruaj khov heev, uas ua rau lub lag luam tsis tu ncua ntawm qhov kev poob siab thiab txoj kev ua kom muaj zog, ua rau lub neej zoo ntawm lub cev.
Ntshav siab hauv cov menyuam ua rau muaj ntshav siab
Lub sijhawm luv luv yog tshwm sim hauv cov menyuam noj qab nyob zoo. Cov ntshav siab me me nyob rau hauv ib xyoos tau tshwm sim rau cov hauv qab no:
- pre-hnub sijhawm;
- qhov chaw sov siab kub;
- nyuam qhuav pub mis;
- nkees.
Nws yog ib qho tseem ceeb uas yuav tsum tau them sai sai rau lwm yam kev cuam tshuam txog ntshav siab hauv cov menyuam yaus - lub hnub nyoog tsis ua tib zoo xav txog tus me nyuam lub cev, nws txoj kev ua neej thiab thaj chaw. Ntshav siab hauv cov me nyuam ntshiv yog nyob hauv qab ntawm cov kev cai feem ntau. Tseem hypotonia yog cai thaum hloov mus rau ib qho tshiab, tshwj xeeb tshaj yog high-altitude los yog tauj, kev nyab xeeb, nyob hauv cov cheeb tsam uas tsis tshua muaj siab atmospheric. Kev mob siab ntawm cev nqaij daim tawv feem ntau pom nyob rau hauv cov me nyuam ncaws pob tom qab kawm tiav.
Kev txo qis siab yuav tshwm sim rau cov hauv qab no:
- tsis muaj kev sib haum xeeb;
- intrauterine pathologies;
- nquag kis kab mob;
- kev xav, kev xav ntawm lub hlwb;
- ntev foci ntawm kev mob;
- tsis yog hom hnub;
- cev nqaij daim tawv tshaj;
- heredity;
- thyroid kab mob;
- ntshav qab zib mellitus ;
- anemia;
- deficiency ntawm cov vitamins;
- lub plawv tsis ua haujlwm;
- kev puas siab puas ntsws mob hlwb;
- kev tsis haum tshuaj;
- myocarditis thiab lwm tus.
Cov tsos mob, cov tsos mob ntawm cov ntshav siab
Cov ntaub ntawv kho mob sib raug rau cov hnub nyoog ntawm cov me nyuam. Nws yog qhov nyuaj rau pom qhov tshwm sim rau thaum me nyuam mos liab. Ntshav siab hauv ib tus menyuam hauv ib xyoos muaj cov tsos mob li nram qab no:
- tearfulness;
- moist thiab txias taw, xib teg;
- ceev ceev qaug zog;
- nkees nkees;
- tsis qab los noj mov.
Cov tsos mob ntawm kev kub ntxhov hauv kev loj hlob me nyuam yaus:
- hloov kev hloov siab heev;
- kiv taub hau;
- tsis muaj zog hauv lub cev;
- apathy;
- kev chim siab;
- tawm hws ;
- ceev xim liab thiab daus ntawm daim tawv nqaij;
- mob taub hau;
- hnov ntawm tingling nyob rau hauv lub plawv;
- suab nrov hauv pob ntseg;
- tsis pom kev;
- tsaus muag .
Tus menyuam muaj ntshav siab tsawg - kuv yuav ua li cas?
Yav tas txhua yam kev mob tshwm sim ntawm hypotension yuav pab tau ib txoj kab ntawm ntuj chocolate thiab dub tshuaj yej nrog qab zib. Nws kuj muaj kev kho mob tshuaj ntsuab uas ua rau cov ntshav siab me me uas tsis muaj ntshav siab - kev kho mob raws li Eleutherococcus, Ginseng thiab Suav teb magnolia vine ntev, tab sis zoo. Qee tus me nyuam yuav tsum muaj cov tshuaj noj kom ntau ntxiv uas pab txhim kho ntshav. Lawv tsuas yog kws kho los ntawm ib tug kws kho mob xwb, yog li nrog kev mob siab khov kho nws yog qhov tseem ceeb kom qhia tus me nyuam mus rau ib tus kws kho mob tshwj xeeb.
Nyob rau hauv tsev, dhau lawm, me ntsis kho rau cov ntshav siab - ua dab tsi tom tsev:
- Pab tus menyuam txhim kho thiab tswj kom muaj kev cia siab rau hnub ntawd.
- Sib npaug ntawm kev noj haus, ua kom zoo dua cov zaub mov muaj vitamins thiab minerals.
- Tshem tawm kev ntxhov siab, lub cev thiab kev siab ntsws tshaj.
- Txwv cov sij hawm siv lub TV thiab lub computer, tshwj xeeb tshaj yog thaum mus pw.
- Kom qhia tus menyuam kom sib txawv rau tus ntsuj plig .
- Tsis txhob sib ceg hauv tsev neeg.
- Txhawm rau muab sij hawm rau kev siv lub cev. Pab ua luam dej, seev cev, caij nees.
Muaj zog hauv cov me nyuam
Mob siab lossis kub siab heev yog feem ntau ua rau cov hluas. Cov ntshav siab nyob hauv ib tug me nyuam uas tsis tau muaj 12 xyoos nws tsis tshua muaj thiab nws ua txhaum loj hauv lub cev. Yog tias koj niaj zaus pib muaj cov cim ntshav siab, koj yuav tsum coj koj tus menyuam mus rau ib tus kws kho mob tam sim ntawd. Yog tias tsis tsimnyog kho, qhov kev mobnkeeg no ua rau muaj mob txaus ntshai.
Ntshav siab - ua rau
Lub ntsiab qhov tseem ceeb ua rau qhov tshwm sim no yog hormonal restructuring. Nyob rau hauv pubertal lub sijhawm , qhov concentration ntawm adrenaline thiab aldosterone tsub kom, uas ua rau cov ntshav siab nyob rau cov menyuam hluas - cov lus qhia los ntawm lub hnub nyoog kom meej qhia qhov txheej txheem no. Los ntawm 12 mus rau 15 xyoo qhov ntsuas hauv nqe lus nug yog loj tshaj hauv cov pawg me. Lwm yam kev ua rau ntawm kev kub ntxhov yog ib qho kev hloov hauv lub cev. Thaum tus menyuam loj hlob tuaj, ntshav nce siab vim qhov qeeb ntawm lub lumen ntawm cov hlab ntsha thiab lub vev xaib ntawm cov kab hauv capillary.
Cov kab mob ntsws los ntawm kev tshwm sim ntawm kev kub ntxhov hauv me nyuam:
- mob raum;
- endocrine mob;
- lom lom;
- kev puas tsuaj rau lub hlwb;
- kev ntshawv siab ntawm vascular laus;
- kab mob plawv.
Siab ntshav siab - cov tsos mob
Daim duab kheesxawj ntawm cov ntshav siab nyob ntawm cov menyuam yaus yog nyob ntawm seb nws qhov mob hnyav npaum licas thiab ua rau dabtsi. Ntsuas ntshav siab nyob hauv tus me nyuam - cov tsos mob:
- mob hauv plawv, lub taub hau;
- txob taus;
- nkees;
- nquag pulse;
- txog kev ua tsis taus pa;
- qeeb hauv kev loj hlob ntawm cev;
- nce excitability;
- kiv taub hau;
- deterioration tsis pom kev;
- nqhis dej;
- quav mob;
- nquag tso zis, tshwj xeeb tshaj yog thaum tsaus ntuj;
- tsis pw tsaug zog;
- mob tshaib plab uas tsis muaj phaus;
- tawm hws;
- tshee txhais tes;
- pob txuv;
- xeev siab;
- nce cov plaub hau kev loj hlob ntawm lub cev thiab lwm tus.
Yog tias kuv muaj ntshav siab?
Thaum cov ntshav siab nyob hauv cov me nyuam tas li siab dua cov duab uas teev hauv lub rooj, koj yuav tsum nrog tus kws kho mob tham. Cov niam txiv tsis tuaj yeem xaiv, tsis txhob txo tus me nyuam. Txawm tias siv cov nroj tsuag antihypertensive tshuaj (tincture ntawm valerian, mint, motherwort) yuav tsum tau pom zoo nrog ib tus kws kho mob tshwj xeeb. Cov tshuaj siv yeeb tshuaj (Nifedipine, Andipal) yog tus kws kho mob sau tseg tsuas yog tom qab kuaj tag nrho. Kev kho kev ywj pheej tsuas yog siv rau kev ntsuas kom tswj tau ntshav siab:
- zaub mov qib high school;
- ua raws li kev niaj hnub ua;
- pw tsaug zog zoo;
- cais tawm ntawm cev nqaij daim tawv thiab lub hlwb dhau;
- qoj ib ce;
- zoo nyob rau hauv tsev neeg.