The richiona zuva nezuva BP: mitemo

BP - chiyero kuti anosarudza simba nako ropa achisunda pamusoro pamasvingo midziyo ropa kufamba. Nhamba haana kuiswawo pakati yezvinoreva bvumidzwa, anoratidza kuvapo kwezvirwere mumuviri kuti zvinoda kuongororwa uye kurapa kugadza. Disposable kumanikidzwa waivako chipimo hakuna kukwana. Zvinotora Kuda kutamba kwayo emuchina (zuva richiona nezvezvabuda BP - BPM). Chii nzira iyi nechirwere uye sei kuitwa, inokurukurwa munyaya.

Zvinoreva pakudzidza

A murwere kugamuchira chirwere, batanidza zano rinokosha kuti awane BP kwemaawa 24. Tambo kunoitika munguva zvoga nenzira, ine imwe periodicity.

Kana murwere akayera nevezera kuverengwa pamabiko, nekuti mhirizhonga manhamba anogona kuratidza dzakakwirira zvabuda. The daily richiona nezvezvabuda BP, mitemo iyo dzinokurukurwa pazasi, hunobvumira kuti kunyora zviratidzi kumba, kunyarara, vakasununguka uye nomuzikamwi mhepo. Kudzidza kunogona kuitwa uye kana murwere ari muchipatara.

mudziyo sei?

Midziyo "Daily richiona nezvezvabuda BP" wanamatira muviri murwere. zvinoriumba ayo zvinotevera:

1. Registrar - zano iri nde bhandi murwere. With payo, pane zvinyorwa kuita mune simba.
2. Rabha chubhu - rinobatanidza cuff uye wezvaiitika.
3. Cuff - zvinopfekwa pazuva ruoko (pakati chikamu bandauko, mwoyo mwero). Zvaitika kuti jekiseni, uye ipapo ropa mhepo.
4. Vasanonoka Switch - the cuff wanamatira uye unocherekedza nezvenguva chitarisiko uye kunyangarika kurova kwemwoyo mafungu.

Masikati mudziyo kuti richiona zuva nezuva BP anonyora migumisiro ose maminitsi 15. Munguva usiku rokuzorora kweropa kunoyerwa ose maminitsi 30. date All anoramba achiyeukwa.

Nemitemo kudzidza

Kana murwere ushandiswe zuva BP zvichiongororwa rinoitwa muitiro, anotsanangura chiremba. Nyanzvi waachadzidzisa sei kuti kuzvibata nechirwere nguva kuti yakavimbika results:

• hako akadzima mishonga kushandiswa;
• kurambwa yakawanda mumuviri mutoro;
• Kurambidza kugamuchira mvura kurapa;
• hope usiku chinofanira kuva vakakwana, kuti arege vasataura zvichiongororwa zviratidzo;
• Clothing inofanira chiedza, saka kuti cuff haasi kudzvinya murwere ruoko;
• zuva muoti vanofanira toziva;
• munguva mhepo jekiseni kupinda cuff examinee anofanira kudzikisa ruoko rwake pasi anombotwasanudza pamwe pamuviri, kurega;
• anosimbisira kuti rabha chubhu haisi wakakokonyara uye cuff akagara panzvimbo;
• kana murwere ane mukuru nehanya, chiremba prescribes iye kugamuchira hypnotics kana sedatives usiku.

Mukoti anopa murwere chaiyo dhayari, apo uchida andobata umboo pamusoro mamiriro utano, kurovedza muviri, mishonga inoshandiswa (kana chiremba haana kukanzura navo panguva nechirwere), kugadzirisa nguva kurara.

Pane mukana mukuru kuongorora vakadzi vane pamuviri. Vakadzi vari pangozi, aite Diagnostics katatu. Kokutanga pakutanga nezve nyanzvi kuti vaverengwe, ipapo yechipiri trimester, uye chete asati aberekwa. nzira kwakadaro zvinoita kudzivirira kukura yematambudziko ari mudumbu uye muviri ramai.

Holter zvichiongororwa

Mawa nokuyerwa BP uye rekodhi ECG masikati - nzira ano nechirwere vakawanda zvemwoyo pathologies, izvo zvinoita kuti tizive kunyange chimiro yakavanzwa.

muitiro uyu neAmerican musayendisiti risingadi kudzorwa. Pamusoro bhokisi iri nyaya yakabatanidzwa electrodes kuti kubatwa kwazvinoita cardiac zvemagetsi basa nekufambisa migumisiro kuti inotakurika mudziyo unokosha. Pano nhamba dziri kupatsanurwa muchimiro unonzi, electrocardiograph uye zvakachengetwa achiyeukwa. In newokuti murwere papfudzi wanamatira cuff kuti anoyera BP.

Kana kusawirirana Holter zvichiongororwa inogona chokuwedzera mashoma (kunyange kusvikira vhiki). Zvakanakira nzira ndechokuti mudziyo unokubvumira andobata duku kuchinja mwoyo zvazvingava, zvisina nguva dzose chakanaka muupenyu ECG.

Holter zvichiongororwa rinoitwa varwere vari hanya anotevera zviratidzo:

• kudzvanya marwadzo ari mubhokisi, kazhinji zvichiratidza kuti fudzi chipande, mafudzi, ruoko;
• Night marwadzo ari kurutivi pechipfuva rworuboshwe;
• kupfupika mweya, achiperekedzwa chikosoro;
• kunzwa moyo kunyura;
• Kakawanda dzungu kana kufenda.

Kufutisa, hudiki ganda munzvimbo kunodiwa electrodes - contraindications kuti nzira (chete nokuda kutadza kugadzirisa Kuda kutamba mudziyo).

umboo

Ritmos BP zvichiongororwa kunodiwa rokuongorora zvinotevera inoti:

1. BP. Its zvinogoneka siyana - akadai Night neBP "neBP chena majasi", hwakavigwa, panguva yepamuviri.
2. Hypotension - chisingaperi orthostatic, kungoerekana kufenda.
3. The zvokurwara of autonomic tsinga.
4. Monitoring kubudirira zvinodhaka pamusoro nguva.
5. Jekiseni-muyanzvi chirwere cheshuga mellitus.
6. varwere vakwegura.
7. Kupikiswa kuitisa nokurapa neBP.

Nhamba dzinoratidza kuti vakawanda ABPM akaita kuti kujekesa sei zvinobudirira kushandisa antihypertensive zvinodhaka.

Contraindications

Ritmos BP tarisisa haina kushandiswa, kana varipo,

• zvokuimba kukuvara maoko, kana compression uye superimposition pamusoro cuff hazvibviri;
• cutaneous pathologies pamusoro okumusoro migumo;
• kusembura zvirwere chokuita zvakanaka kweropa;
• vascular zvokurwara chokuita nokuchinja permeability rwengarava ropa kana Rigidity;
• Kuvapo yematambudziko chaicho chirwere;
• Matambudziko pashure yapfuura daily zvichiongororwa.

Chirwere rinoitwa muchipatara, kana systolic kumanikidzwa kuverengwa 200 mmHg uye pane kutyorwa kuri cardiac conduction hurongwa. ezvinhu akadaro dzinoda zvokungwarira.

zvakanakira nzira

Daily BP zvichiongororwa ane zvakwakanakira zvikuru pamusoro mumwe-nguva chipimo. Nzira runoita kuti kufungidzira chaizvo mifananidzo zvinochinja, uye panguva ipi nguva zuva. Zvichienderana zvokutsvakurudza nyanzvi otora zvinodhaka kuti chiremba nyaya yakati mumwe.

Uyezve, zuva nezuva richiona nezvezvabuda BP, kurairira zvingareva wandei anoitwa nechirwere chaicho chirwere, kuona nyaya dzenhema negative zvidzidzo. Imwe-nguva chipimo anogona kuratidza nhamba vakwane munzvimbo bvumidzwa zvezvinotaurwa, asi chaizvoizvo ari murwere vane chirwere cheBP.

The chikuru zvakanakira nzira:

• kugadzira BP pamusoro yakareba nguva;
• mukana kushandisa kwake dzose kudzikama chadenga;
• date kutema usiku kuti zororo;
• Pakusarudza pfupi-rokuti BP variability;
• chinokosha chinobatsira pakurapa varwere nezvirwere zvakakomba (sitiroko, chemwoyo, sitiroko).

Zvazvakashatira zvichiongororwa daily

Huru drawback, maererano varwere, zviri vaiona kunzwa kusagadzikana apo Kubayiwawo jekiseni mhepo iri cuff. Kunzwa chiveve muruoko, kunyange zvazvo inomhanya. The cuff kuonekwe mapundu, mutambo nekumhanyirira.

Chimwe drawback - muitiro iri kubhadharwa, kusiyana kuraswa BP.

Kunyatsoongorora dzokudzidza zvabuda

Mushure maawa 24 kubvira panguva kugadzira ari midziyo iri muviri murwere kuongorora mashoko yapihwa.

Zviratidzi vakapinda purogiramu yepakombiyuta chaiyo unobvumira iwe kuziva pamberi pfupi-rokuti variability kwokudzvinyirira, kuongorora migumisiro mangwanani, kuverenga indekisi uye hypotension zvichienzaniswa avhareji tsika:

• zvazvingava daily - BP 120 ± 6/70 ± 5;
• mangwanani nemifananidzo - BP 115 ± 7/73 ± 6;
• Evening zviratidzi - BP 105 ± / 65 ± 5.

Zvinokosha chirwere nzira kujekesa pamberi chirwere - zuva richiona nezvezvabuda BP. Where kuzviita, uudze kupinda cardiologist. In outpatient kuongorora kwakadaro Musakukurwa kunze nokuda kwokushayiwa zvakakodzera mano. The nzira inowanikwa muzvipatara kana chirwere cardiology unyanzvi nzvimbo.