Mumumuviri womunhu, ropa rinopararira mudenderedzwa - kubva pamwoyo kusvika kune nhengo dzomukati uye kumashure. Arterial ndiyo inoshandiswa nehupenyu hwehupenyu pamadziro emidziyo yekufamba kwayo. Muvana inenge iri pasi kudarika vanhu vakuru. Izvi zvinokonzerwa ne-lumen yakakura uye elasticity yemasvingo emidziyo yeropa, yakazara capillary network.
Kuyera kuwedzera kweropa muvana
Sarudza chinangwa chiri mubvunzo chakakosha mumamiriro akadzikama, mwana haafaniri kuva nekutya. Kuti akanga asingatyi, unogona kupa nzira iyo semutambo. Kushandiswa kwepfungwa muvana kunoenzaniswa kushandiswa kwemazinga kana ye electronic tonometer maererano nemitemo inotevera:
- Nguva yakakwana ndiyo mangwanani, mumaminitsi gumi asati apomerwa mwana anofanira kuzorora.
- Kana iyo yakatsvaga ichida kudya kwekudya chamangwanani, zviri nani kudzorerazve nzira yacho, uye kuitora iyo awa mushure mokudya.
- Kuyera kushanda kweropa muvana, unofanirwa kushandisa mapikisi anokosha. Iyo yakakurudzirwa yakakura inobva pazera. Vacheche - 3 cm, gore rimwe chete vana - 5 cm, vasati vaduku - 8 cm.
- Mucheto wakadzika wekombe ndeye 1.5-3 cm kumusoro kwewlnar fossa.
- Vana kusvika pamakore mashanu kusvika kune makumi mashanu vanorayirwa kuti vachinje kudzvinyirira mumuchina we supine. Kana mwana akwegura, unogona kumubvunza kuti agare akanyarara.
- Mukati pakati pemikombe uye ruoko, munwe wemunhu mukuru unofanira kufanirwa zvakakwana.
- Sangano rejoko rinofanira kunge rakanyarara, kuitira kuti pakati pepfudzi iri pahutano hwemoyo.
- Iyo phonendoscope inoiswa pasi pemucheto wakadzika wekombe. Iyo micheche inofanira kuve yakasimbiswa pane ulnar fossa.
- Iko kunofanirwa kuvhara mweya mumucheka kusvika kumazinga 60-90 mm Hg. kusvikira inzwi rekusimudza risati ravapo.
- Mushure mokumanikidza, vheji ye peari inofanira kunge isina simba. Mhepo inofanira kubuda zvishoma nezvishoma.
- Izvo zvinoitika zvekurohwa kwekutanga zvinonzwisisika zvinoratidza chikamu chepamusoro chekumanikidzika kwemishonga, uye yekupedzisira kwemasimbi - pamucheto wakaderera.
- Kudzokorora kunowanikwa mushure memaminitsi gumi nemashanu.
- Tsanangura chirevo chinotsanangurwa chinokurudzirwa mazuva mashomanana mumutsara, kusarudza tsika dzakaderera sekupedzisira.
- Kana uchienzanidza, iwe unofanirwa kuziva ruzivo rwemagetsi eropa mukati mevana - tafura nezera rinoshandisa dhigiriji data, saka kupotsa kuri mukati me 10 mm Hg. Art. inonzi inogamuchirwa.
- Kana iwe usingakwanisi kuzviongorora uchizvienzanisa nean mechanical tonometer, zviri nani kutenga chigadzirwa chemagetsi kana kutaurirana nheyo yehutano.
Kugadziriswa kwemasimba ndiyo inowanzo muvana vane makore
Kukura nokukurumidza kwechiratidzo kunowanikwa mugore rokutanga roupenyu hwomwana. Pakutanga chimiro chekuita kushanda kwevana mucheche ndeyechete kune vose vari vaviri. Pashure pemakore mashanu uye kusvika kumakore gumi nematanhatu, parameter inopfuura yakanyanya kune vakomana, mushure mokunge yakasimbiswazve. Nezera, ropa revana rinoramba richiwedzera. Izvi zvinokonzerwa nekuderera kwechiedza chemidziyo uye kuderera kwekudzika kwemasvingo avo.
Diastolic kushungurudzika inowanzoenderana nezera
Iko inorondedzerwa kukosha inonziwo yepamusoro kana zvishoma. Iyo inoratidzira kukwira kwemidziyo yeperiipheral uye inoratidza kukanda kweropa remukati panguva yekuzorodza kwemutsipa wemwoyo. Kazhinji kuwedzera kweropa muvana ndeye piramende yega, asi kune iyo pane zvikamu. Vanovimba nezera remwana uye kuwedzerwa kweropa panguva yechipupuriro chemoyo (systole). Imwe nzira yakakosha yakagadzirirwa kuverenga diastolic yeropa revana muvana - tafura yezera yakanyorwa maererano neshoko rinotevera:
- kusvika pamwedzi gumi nemaviri - 2 / 3-1 / 2 yehuwandu hwechirwere chechisimba;
- mushure megore - 60 + nhamba yemakore akazara.
Systolic pressure - norm
Iyi parameter inoratidza simba rekuyerera kweropa panguva yekudzvinyirira kwemutsipa wemwoyo nekudzingwa kwezvinhu zvakasikwa mumidziyo. Kukosha kwerudzi rwehupfumi rwevana muvana kunoenderana nezera ravo nekugadzwa kwemuviri. Mukuwedzera pane chinoratidzwa ichi chinokanganisa hutano hwepanyama uye hwepfungwa, chikafu, zvirwere zvekuzvarwa uye kunyange nguva yezuva. Ivhareji systolic inodzvinyiriri muvana inotariswa uchishandisa mazita aya:
- vana - 76 + kaviri nhamba yemwedzi yeupenyu;
- mushure megore - makore makumi mapfumbamwe, + yakawanda ne2.
Nzira dzekumanikidzwa kwekubata vana - tafura
Kuti urege kupedza nguva pane kuverenga nguva dzose uye kuti urege kuvhiringidzika muzviyero zvakagamuchirwa, zviri nani kushandisa maitiro anowanzogamuchirwa. Nzira inofanirwa kuenzanisa chaiyo uye yomuitiro weropa mukati mevana ndiyo tafura. Inoratidza mamiriyoni uye mashoma emiganhu yemuenzaniso wakatarwa kubva kune 0 kusvikira kune makore gumi nemashanu. Izvo hazvina zvikonzero zvekusagadzikana, kana mukati mavo kuyerwa kweropa mukati mevana kuripo - tafura nezera rinoratidzwa pasi apa. Izvo zvinodiwa kuti uzvichengetedze kana kuzvinyorera.
Kuderera kweropa mumwana
Izvo zvinorondedzerwa zvinonzi hypotension kana hypotension. Muzviitiko zvakawanda, kuderedzwa kweropa kwevana muvana kunowanzosangana pasi pesimba rekunze kwezvinhu uye kuzvimiririra zvakasununguka. Dambudziko rakasimbiswa hypotension, iro rinodzivirira kushandiswa kwemazuva ose kwekutya uye endocrine, kunowedzera hupenyu hwomwana.
Kuderera kweropa muvana kunokonzera
Nenguva shomanana hypotension inoberekwa nevana vakakwana. Kuderera kweropa muvana vari pasi pegore rimwe kunogona kuitika nekuda kwezvikonzero zvinotevera:
- pre-day time;
- zvakare yakakwirira yemazimbezi;
- recent feed;
- kuneta.
Zvakakosha kubhadhara kune zvimwe zvikonzero zvinokonzera kukanganiswa kweropa muvana - tafura yezera haifaniri kufunga nezvehupenyu hwemwana, mararamiro ake uye nzvimbo yepamusoro. Ropa rinomanikidzwa muvana vakachema riri pasi pemitemo yakawanda inogamuchirwa. Kunyange zvakadaro hypotonia inocherechedza kana ichishandura kune imwe itsva, kunyanya yakakwirira-kumusoro kana kutonhorera, mamiriro okunze, kugara munzvimbo dzakaderera mumhepo. Kuvhiringidzika kwepfungwa kunowanzowanikwa mumitambo yevana mushure mokudzidziswa kwakasimba.
Kurasika kwepfungwa kunopedzisira kune zvikonzero zvinotevera:
- low mobility;
- intrauterine pathologies;
- kazhinji kupemha zvirwere;
- manzwiro, kusangana kwepfungwa;
- chisingaperi chekuputika;
- Nzira isina kururama yezuva;
- kuwandisa muviri;
- hutano;
- thyroid disease;
- chirwere cheshuga mellitus ;
- anemia;
- kushayikwa kwevhithamini;
- heart failure;
- kukanganisika kwepfungwa;
- zvinokonzera kugadzirisa;
- myocarditis nevamwe.
Zviratidzo, zviratidzo zvekuderedzwa kweropa
Chirwere chemakiriniki chinoenderana nezera revana. Izvo zvakaoma kuona mavambo ekutanga e hypotension mucheche. Kuderera kweropa mumwana pasi pegore rimwe kune zviratidzo zvinotevera:
- kuchema;
- chine mvura uye chando, tsoka;
- kuneta zvakaneta;
- kugona;
- kusava nenzara.
Zviratidzo zvehutambudziro mukukura vana:
- kazhinji manzwiro anochinja;
- chizoro;
- kusimba mumuviri;
- kusafarira;
- shungu;
- sweating ;
- kukurumidza kutsvuka uye kuchena kweganda;
- headaches;
- manzwiro ekudzungaira mumoyo;
- ruzha munzeve;
- kuonekwa kusakanganisika;
- kuneta .
Mwana ane simba rakanyanya reropa - ndinofanira kuitei?
Kurumidza kuderedze zviratidzo zve hypotension zvichatsigira chikamu che chokoti chepanyama uye tei yakawanda nehuga. Kunewo mishonga yemishonga inogona kuwedzera zvishoma nezvishoma kuderera kweropa muvana - kurapwa nemari inobva kuE Eleutherococcus, Ginseng uye Chinese magnolia muzambiringa kwenguva refu, asi inoshanda. Vamwe vana vanoda mishonga yakawanda inokurudzira kupararira kweropa. Ivo vanorayirwa chete nechiremba, saka nekunyarara kwakasimba kunokosha kuratidzira mwana kune unyanzvi.
Pamba, zvakare, zvishoma zvigadziriswa nokuda kwekudzivirira kweropa pasi - chii chaunofanira kuita kumba:
- Batsira mwana kukura uye kuchengeta hurumende yakakwana yezuva.
- Kuenzanisa kudya, kuwedzera menyu nemavhitamini nemaminerari.
- Kurega kushungurudzika, mumuviri uye mupfungwa.
- Deredza nguva yakashandiswa pamberi peTV nekombiyuta, kunyanya panguva yekurara.
- Kudzidzisa mwana kuenzanisa mweya .
- Dzivisa kukakavara mumhuri.
- Kupa nguva yekuita basa. Kushambira kunobatsira, kutamba, kutasva mabhiza.
Kuwedzerwa kuwedzera kwevana
Kuwedzera kwehutano kana huwandu hwepfungwa kunowanzosvika pakuyaruka. Kusimba kwekuwedzera kweropa mukati memwana ari pasi pemakore gumi nemaviri isinganzwisisi uye kunoratidza kukanganisa kukuru mumuviri. Kana iwe uchigara uchikura zviratidzo zvehutachiona, unofanira kutora mwana wako kuchiremba pakarepo. Pasina kurapa kwakakwana, izvi zvinokonzera zvinetso zvinokuvadza.
Kuwedzerwa ropa - zvinokonzera
Chinhu chinonyanya kukonzera ichi chiitiko ndechekugadzirisa hurimoni. Muhuwandu hwemakore , huwandu hweAdrenaline uye aldosterone hunowedzera, hunokonzera kukwirira kweropa mumwana wechidiki - tafura nezera rinoratidza zvakajeka izvi. Kubva pamakore gumi nemaviri kusvika pamakore gumi nematanhatu, chiratidzo chinenge chiri mubvunzo chakakura kupinda mumapoka maduku. Chimwe chikonzero chemuviri chinokonzera dambudziko rekuwedzera kwehutano ndechekushandura mukati mehutachiona. Sezvo mwana akakura, ropa rinowedzera nekuda kwekuchepeta kwechiedza chemidziyo uye uwandu hwenhare ye capillary.
Zviratidzo zvehutano hwezvinoitika kune huwandu hwehutano muvana:
- kidyo chirwere;
- endocrine zvinetso;
- poisoning;
- kukanganisa kuuropi;
- kushungurudzika kwechitema chetema;
- chirwere chemwoyo.
Yakawedzerwa ropa - zviratidzo
Chirwere chemakiriniki chepfungwa yepamusoro yevana inotsamira pakuoma kwayo uye zvinokonzera. Kuwedzera kweropa remuropa mumwana - zviratidzo:
- kurwadziwa mumoyo, musoro;
- kutsamwa;
- kuneta;
- kazhinji pulse;
- kupfupika kwemhepo;
- kunonoka pakukura mumuviri;
- kuwedzerwa kwekuwedzera;
- chizoro;
- kuora kwemaonero;
- nyota;
- stool disorders;
- kugara uchidzoka, kunyanya usiku;
- kushaya hope;
- nzara huru pasina kuwedzera;
- sweating;
- kudedera kwemaoko;
- acne;
- nausea;
- kuwedzera bvudzi bvudzi pamuviri nevamwe.
Zvakadini kana ndine ropa rakanyanya?
Apo iyo chaiyo inodzvinyirira ropa muvana inogara yakakwirira kudarika nhamba inoratidzwa mutafura, unofanira kubvunza chiremba. Vabereki havagoni kusarudza, panzvimbo yekuderedza kushungurudzwa pamwana. Kunyangwe kushandiswa kwemiti inorwisa antihypertensive drugs (tincture ye valerian, mint, motherwort) inofanira kubvumirana nemumwe nyanzvi. Kunyatsoshandisa zvinodhaka (Nifedipine, Andipal) zvinorayirwa chete nechiremba mushure mekunyatsoongorora. Chirongwa chekuzvidzivirira chakakosha kune zviyero zvakakwana zvekusimudzira kushanda kweropa:
- high-grade food;
- kunyatsoteerera zuva rega rega;
- utano hwakanaka;
- kuregererwa kwepanyama uye kwepfungwa kuwandisa;
- kurovedza muviri;
- mamiriro akanaka mumhuri.