Hoʻonuiʻia keʻano o ka hoʻohālikelike āpau ma muli o ka piʻiʻana o ka pihi. Nā hōʻike: mai 140 a 90 aʻoi aʻe paha. Ma mua o ka hoʻomakaʻana o ke olakino, hoʻoponopono mauʻia nā kumu o ka pathology, a ma muli o keʻano o ka hanu - ke kauʻiaʻana ma luna o nā ana o ke kaumaha systolic a diastolic i hanaʻia ma luna o nā mahina he nui.
ʻO ka hoʻohālikelike o kēia manawa i ka nui o ka ikaika nui i nā paepae
I kēia lā, aiaʻekoluʻano maʻi:
- ʻO ka papa 1, e pili ana i ka pinepine pinepineʻole aʻaʻole hoʻomau loa i ke kahe o ke koko,ʻaʻohe mea maʻamau. I kekahi manawa ua hoʻololi ikiʻia nā moku o ka waihona kālā.
- Hanaʻia ka Mokuna 2 i ka hypertrophy o ka myocardium o ka ventricle cardiac hema. I ka manawa hoʻokahi, ua hoʻokiʻekiʻeʻia ke kaomi a me nā moku o ka waihona kālā i nā loli nui.
- Hanaʻia ka papa 3 me nā puʻuwai o ka puʻuwai, nā kīʻaha, ke kīkeʻa a iʻole ka'ōpū o ka naʻau.
He mea pono ke hoʻomaopopoʻia i loko o nā makahiki i hala iho nei uaʻaeʻia e hoʻokaʻawale i waena o nā mea nui o ka hypertension (primary) a me sympt symptmatic (secondary).
ʻO keʻano mua he 95% ia o nā mea a pau iʻikeʻia a uaʻikeʻia heʻano kaʻawale o ka maʻi me ka piliʻole i nā liona o nā mea i loko.
Hōʻikeʻia ka lua o nāʻano i keʻano o ia mau haki:
- ka hoʻohuiʻiaʻana o ka aorta;
- pheochromocytoma ;
- nāʻano pilikino o ke kinikini o ke kino;
- nephritis, glomerulonephritis a me pyelonephritis;
- ka maʻi Itenko-Cushing;
- nā kikowaena o ka pulupili o nā hormones corticosteroid;
- mua hyperaldosteronism;
- nā maʻi koko me ka hyperproduction o corticosterone.
Ka hoʻolahaʻana o nā maʻiʻeha o ka maʻi nui ma ke kēkelē
ʻO kēiaʻano o ka hoʻohālikelikeʻana o nā maʻi pilikino e pili ana i kēia:
- ʻO ka prehypertension o ka pēpē 1 (ka hana maʻamau) a me keʻano 2 (ke kiʻekiʻe o ke kahe maʻamau). ʻO nā helu he 120-129 no 80-84 mm Hg. Nā'Ōlelo. a me 130-139 ma 85-89 mm Hg. Nā'Ōlelo.
- ʻO ke kahe o ke koko. Nā hōʻike: a hiki i 120 (systolic) a emi iho ma lalo o 80 (diastolic).
- 1 kekona (140-159 no 90-99).
- 2 kekona (160-179 ma 100-109).
- 3 kekona (ʻoi aku 180 aʻoi aku i 110).
- ʻO ka'ōlaʻau kiʻekiʻe (ke kaʻawale). ʻAʻole piʻi ka diastolic i 90 mm Hg. st., oiai o systolic - i oi aku i 140 mm Hg. Nā'Ōlelo.
ʻO nā kūlana a me nā kekelē o ka hoʻoholo kiʻekiʻe e hoʻoholo i nā hopena o nā pilikia ma keʻano o ka hōʻino i nā mea i kapaʻiaʻo "nā kikowaena iʻikeʻia" (naʻau, nā pūʻali a me nā mumū).
ʻO ke kūlana o ka piʻiʻana o ka nui no ka pilikia
Aia kekahi mau pilikia ma hope nei no ka piʻiʻana o ka paepae kiʻekiʻe:
- (no nā wāhine -ʻoi aku i nā makahiki he 65);
- puaʻa;
- keʻano o ka piʻiʻana ma ka moʻolelo o kaʻohana;
- dyslipidemia;
- ka momona;
- ka maʻi koko o ka protein C-reactive i kahi nui ma mua o 1 mg / dL;
- nele i ka hele;
- ka pilikino o ka hoʻomana i nā pūpū glucose;
- piʻi piʻi o fibrinogen;
- ka maʻi diabetes .
Eia kekahi, he nui nā maʻi likeʻole e pili ana a me nā maʻi me ka hāpai.
Ma muli o kēia mau kumuhana, hiki i ka pilikia o ke kālaiʻana i nā maʻi cardiovascular ke kauʻia:
- Low (i ke alo o 1-2 mau hōʻailona mai ka papa inoa o nā predispositions, ke kiʻekiʻe o ka'eneke kiʻekiʻe, a me ke kiʻekiʻe (AH) 1 st).
- Ke kūpono (me kahi hui nui o ka helu o ka 1st degree a me ka hikiʻana o nā hopena o 1-2, AH o 2 kēkelē).
- Nui (ma ke alo o 3 aʻoi aku nā kumuhana no ka AH 1 st, 2 balota, AH 3 kēkelē).
- Nui loa (me kahi papahana like o AH o ke kēkelē 3 aʻoi aku ma mua o 3 mau mea pilikia, a me nāʻanoʻoihana pili pili).