Iziyobisi ezinokuzimela - iintlobo kunye neendlela zokwenza isicelo

Iimvavanyo zonyango zixhomekeke kwiimeko xa kukho imfuneko yokunciphisa uxinzelelo lwegazi. Iyakwanda ngexinzelelo lwengqondo, kwakunye ne-blood pressure. Ngokuxhomekeke kwindlela yokusebenza kwayo, zonke ezi zi yobisi zihlukaniswe zibe yi-vasodilators, antiadrenergics, i-angiotensin II, abaphikisana ne-calcium kunye ne-diuretics.

Iziyobisi ezinokuzimela - ukuhlelwa kweziyobisi

Izidakamizwa ezichasene nezidakamizwa zithintela kwinkqubo yesantya evelwano, ezi ziyobisi "Clofelin" kunye ne "Methildofa." Ezi zi yobisi zichaphazela ngqo i-receptors yesistim se-central central kwaye ngaloo ndlela kubangela ukuhla kweengcinezelo, ukunciphisa kwi-pulse. Kanti nala ma-antihypertensives anciphisa inani le-renin kwi-plasma, ibe nefuthe lokudambisa, kwaye ukungonakali kwabo kukukwazi ukugcina i-sodium namanzi. Ukuba zithathwa nge-diuretics, umphumo uya kuba ngcono. Nge-reserpine, kungcono ukuba ungathathi, ukuze kungabangeli ukulala nokudakumba. Abantu abadala kufuneka baqaphele ngokuthatha ezi zonyango, njengoko kunokuba kukho izidumbu kunye neemeko ezihlanganisiweyo. Ukuba kukho ukupheliswa kwe-methyldopha kunye ne-clonidine, oku kwenziwa ngokuthe ngcembe.

I-Ganglioblockers iquka amalungiselelo "uBenzohexonium", "Pentamine". Bavimba uvelwano kunye neepasympathetic nerve nodes. Ekubeni la ma-antihypertensiva akhusela i-parasympathetic nodes, kukho i-paresis ye-gallbladder, ukubonakala komlomo owomileyo, ukungabi namandla. Emva kwentsholongwane, isiguli kufuneka silale okungenani iiyure ezingama-2 kunye nentloko ephakanyisiweyo, oku kuyimfuneko ukukhusela i-hypotension ye-orthostatic.

I-Postgangliablocators zibandakanya ezo zonyango njenge "Octadin", "Raunatin", "Reserpine". Ukuba isilwanyana "Reserpine" sisetyenzisiwe, oko kuya kusebenza iiveki ezimbalwa. Kungcono ukuwuthatha kunye ne-diuretics, kuba igcina amanzi kunye ne-sodium emzimbeni. Iyeza elithi "Raunatit" linempembelelo ye-antiarrhythmic effect, kwaye emva kokuthabatha iziyobisi, ukuxinwa kwendoda kunye nokulala.

Ezi-antihypertensi ezinjalo, ezinjenge-alfa-adrenoblockers, zenza ngokukhawuleza kwaye zifutshane, ngoko ziqheleke zisetyenziselwa ukuqala kweengxaki ezixinzelelekileyo. Ezi zezidakamizwa njenge "Tropafen", "Fentolamin" kunye ne "Piroxan". Emva kokuqaliswa kwezi ziyobisi, isigulane kwakhona kufuneka silale phantsi iiyure eziyi-1.5-2. Ezi ziyobisi zingabangela ukungcola, i-tachycardia, ukubetha, ukuvuvukala kwe-mucosa yomnxeba, ukuhlanza kunye nehudo. Awukwazi ukuwathatha phambi kwesifo se-ischemic, ukuphulwa kwegazi ukujikeleza kweengqondo kunye nokungaphumeleli kwentliziyo.

I-Beta-adrenoblockers inciphisa inani leenhliziyo kunye nefuthe lokuguqula, ukungalingani kunye ne-vasodilating. Ezi antihypertensi ziyasebenza kwi-high systolic yegazi.

I-Vasodilators ihlukaniswe ibe yi-venous and arteriolar. Abameli bezilwanyana ze-arteriolar "Minoxidil", "Diazoxide", "Apressin". I-dilator dilator ye-sodium ne-arteriolar emva kokulawulwa kwe-intravenous ineempembelelo eziphawulekayo, njengoko iinqanawa zengxowankulu zanda, kwaye ukunyanzelana kwendlela yokunciphisa.

Izidakamizwa ze-hypotensive, ezifana ne- calcium antagonists (amalungiselelo "Phenigidin", "Nifedipine", "Corinfar") abangela ukuhla kweengcinezelo emva kwesigama seyure emva kokuba bathathwe, kwaye isiphumo esiphezulu sigcinwa emva kweyure kwaye ihlala kwiiyure ezingama-6. Emva kwesicelo sabo, kukho ukubuyiswa kwezandla, intamo, ubuso; Mhlawumbi ukubonakala kokulala, intloko, ukuvuvukala kwemilenze. Musa ukuthatha la mayeza ngexesha lokukhulelwa.

Xa unyanga nokukhusela umfutho wexinzelelo, umntu kufuneka alandele ukutya okunamafutha angaphantsi, rhoqo anikeze umzimba umzimba olinganiselayo, ukulala ngokwaneleyo kwaye, ukuba kuyimfuneko, uthathe iidalatives.