The polojekiti tsiku la magazi: malamulo a

magazi - Njira imeneyi ndiyo mphamvu ndi mwazi amakankhira motsutsa Mitsempha mothamanga. manambalawo sali m'gulu kuchuluka kwa chovomerezeka, akusonyeza pamaso pa matenda mu thupi limene amafuna matenda ndi mankhwala paudindo. Disposable kuthamanga ntchito muyeso sikokwanira. Pamafunika fixation ake mu mphamvu (tsiku kuwunika magazi - BPM). Kodi njira ya matenda ndi mmene kuchitikira m'nkhani.

Tanthauzo la phunzirolo

A mtima kulandira matenda, Mlengi amene ali ndi chipangizo wapadera kuti secures kuthamanga kwa magazi kwa maola 24. Muyeso kumachitika mwa njila makina, ali periodicity ena.

Ngati wodwala anayeza kuwerenga kuthamanga pa phwando, chifukwa cha kanjedza zipolowe angasonyeze zotsatira okwera. The polojekiti tsiku la magazi, malamulo amene zafotokozedwa pansipa, timatha inu kulemba zizindikiro kunyumba, chete, omasuka ndi bwino mlengalenga. phunziro angathe kuchitidwa ndi pamene wodwala ku chipatala.

Kodi chipangizo?

Zida "Daily kuwunika magazi" amamangiriridwa ku thupi la wodwalayo. zigawo zake ndi zotsatirazi:

1. Kaundula - chipangizo, omwe chili lamba wodwalayo. Atatero, muli ntchito mu mphamvu.
2. Mphira chubu - zikugwirizana ndi khafu ndi matepi.
3. Khafu - ndi chobvalidwa pa nkono (mbali pakati pa phewa, kugunda kwa mtima). Zimachitika jekeseni, kenako magazi mpweya.
4. Tcheru SENSOR - ndi khafu amamangiriridwa ndi atakhazikitsa mphindi ya maonekedwe ndi mofulumira mafunde zimachitika.

Masana chipangizo chowunikira polojekiti tsiku la magazi nkhani zotsatira aliyense mphindi 15. Pa usiku zinazo magazi chimaonekera mphindi 30 zilizonse. deta onse amakhalabe kukumbukira.

Malamulo a phunziro

Ngati wodwala Kwalamulidwa tsiku magazi polojekiti ikuchitika ndondomeko iye anati dokotala. Katswiri malangizo momwe zinthu nthawi matenda kuti zotsatira odalirika:

• kwenikweni zimafika ntchito mankhwala;
• kukana ndithu katundu thupi;
• kuletsa kulandira chithandizo madzi;
• kugona usiku ayenera kukhala wangwiro, kuti kupotoza zizindikiro polojekiti;
• Zovala ayenera kukhala kuwala, kuti khafu si kufinya dzanja la wodwalayo;
• tsiku mode ayenera kukhala bwino;
• pamene mpweya jekeseni mu khafu examinee ayenera kuchepetsa dzanja lake pansi anaweramuka pamodzi thupi, siyani;
• amaonetsetsa kuti mphira chubu si wopindidwa, ndi khafu anakhalabe mu malo;
• ngati wodwalayo tilinazo mkulu, dokotala n'kukulemberani iye kulandira hypnotics kapena mitsempha usiku.

Namwino amapereka wodwalayo tsikulo wapadera, komwe mukufuna analanda deta pa ukupeza, zolimbitsa thupi, mankhwala ntchito (ngati dotolo sanathetse iwo pa nthawi ya matenda), kukonza nthawi ya kugona.

Pali kuthekera wa kafukufuku wa amayi apakati. Akazi amene ali pa chiopsezo, achite diagnostics katatu. Kwa nthawi yoyamba pa limatchula koyamba katswiri pa kalembera, ndiye mu trimester yachiwiri, basi asanabadwe. Chotero ndondomeko ndi limachititsa kupewa chitukuko cha matenda oyamba mu wosabadwa ndi thupi la mayi.

Holter polojekiti

Munthawi yomweyo muyeso wa magazi ndi umboni ECG masana - njira zamakono matenda ambiri pathologies mtima, amene amalola kudziwa ngakhale zobisika mawonekedwe.

Njira anayamba kupanga ndi American sayansi Halter. Pachifuwa pa nkhani Ufumuyo maelekitirodi kuti adani deta ntchito mtima magetsi ndi kupereka zotsatira ndi wapadera kunyamula chipangizo. Apa kanjedza ndi kukonzedwa mu mawonekedwe a electrocardiogram ndi kusungidwa mu kukumbukira. Mu kufanana kwa phewa wodwalayo amamangiriridwa khafu kuyeza magazi.

Pankhani ya mikangano Holter polojekiti akhoza anawonjezera masiku ochepa (ngakhale kuti sabata). Ubwino wa njira ndi chipangizo limakupatsani mumpanda kusintha wamng'ono kugunda kwa mtima, omwe si nthawi zonse ukoma yachibadwa ECG.

Holter polojekiti imagwiridwa odwala amene akuda nkhawa zizindikiro zotsatirazi:

• kukanikiza kuwawa pachifuwa ndipo nthawi zambiri yochokera kwa tsamba phewa, phewa, mudzikonzere;
• ululu usiku mu kumanzere kwa chifuwa;
• kufupika kwa mpweya, limodzi ndi chifuwa;
• kumverera mtima likumira;
• Pafupipafupi chizungulire kapena kukomoka.

Kunenepa, zilonda zamoto wa khungu mu malo chofunika wa maelekitirodi - contraindications ndondomeko (kokha chifukwa sungathe kukonza fixation chipangizo).

umboni

Circadian magazi polojekiti chofunika matenda mayiko otsatirawa:

1. Oopsa. mtundu uliwonse zotheka - monga Night oopsa "BP woyera malaya" wabisala, pa mimba.
2. Hypotension - aakulu orthostatic, mwadzidzidzi kukomoka.
3. The kudwala wa mantha dongosolo autonomic.
4. Kuunikira mphamvu ya mankhwala pa nthawi.
5. Insulin amadalira shuga.
6. Okalamba odwala.
7. Kukana kuchititsa mankhwala a matenda oopsa.

Kafukufuku amasonyeza kuti ambiri a ABPM anachita kuti kufotokozera bwino momwe ntchito mankhwala antihypertensive.

contraindications

Circadian magazi polojekiti si ntchito, ngati pali:

• kuwonongeka mawotchi manja, pamene psinjika ndi superimposition wa khafu si zotheka;
• pathologies cutaneous m'makona chapamwamba ndipo m'munsi;
• aggravation matenda kugwirizana ndi mkhutu clotting magazi;
• mtima kudwala kugwirizana ndi kusintha permeability Mitsempha kapena chinthu chimodzimodzi;
• pamaso pa mavuto a matenda chachikulu;
• Zovuta pambuyo polojekiti yapita tsiku.

Matenda ikuchitika mu chipatala, ngati kuthamanga kuwerenga systolic upambana 200 mmHg ndipo pali kuyan'anila za dongosolo mtima conduction. zinthu zimenezi zimafuna kusamala owonjezera.

Ubwino wa njira

Daily magazi kuwunika ubwino waukulu pa muyeso kamodzi. njira limachititsa kuti amanena mmene manambalawo kusintha, ndipo pa nthawi ya tsiku. Zochokera katswiri kafukufuku amanyamula mankhwala makamaka munthu mlandu matenda.

Komanso, polojekiti tsiku la magazi, chilangizo cha zomwe zikusonyeza kuti munthu zosabvuta yokulirapo ya matenda a matenda chachikulu, kudziwa onyenga alibe milandu maphunziro. Kamodzi muyeso tingasonyeze chiwerengero oyenera kuchuluka chovomerezeka, koma kwenikweni wodwalayo hypertensive.

Ubwino waukulu njira:

• kukonza magazi pa nthawi yaitali;
• kuthekera ntchito bata nthawi zonse mlengalenga;
• deta kudula mitengo pa enawo usiku;
• kudziwa yochepa magazi masiyanidwe;
• thandizo singasiyanitsidwe mu mankhwala a odwala matenda aakulu (sitiroko, matenda a mtima, sitiroko).

Kuipa polojekiti tsiku

The drawback waukulu, monga odwala, iwo ankaona kusapeza kumverera pamene jekeseni mpweya khafu lapansi. Kuona dzanzi mu dzanja, ngakhale chitadutsa mwamsanga. The khafu angaoneke totupa, thewera zidzolo.

Wina drawback - ndondomeko yaperekedwa, mosiyana ndi kuthamanga chopanda mwazi.

Kufufuza zotsatira kuphunzira

Patapita maola 24 kuchokera nthawi ya kukonza zida pa thupi wodwalayo kuwunika deta analandira.

Indicators mwalowa pulogalamu yapadera kompyuta kuti amalola kuti azindikire pamaso pa yochepa masiyanidwe a zoipazi, kupenda zotsatira za m'mawa, kuwerengera index ndi hypotension poyerekeza ndi makhalidwe pafupifupi:

• tsiku mlingo - BP 120 ± 6/70 ± 5;
• m'mawa kanjedza - BP 115 ± 7/73 ± 6;
• Madzulo Indicators - BP 105 ± / 65 ± 5.

Zofunika yodziwira kulongosola bwino pamaso pa matenda - tsiku kuwunika magazi. Kodi kuchita izo, kuwauza cardiologist nawo. Mu outpatient Kafukufuku amenewa ikuchitika chifukwa cha kusowa zipangizo zofunika. zimatenga m'zipatala kapena matenda cardiology apadera malo.