Резкое снижение давления у гипертоника приводит к обморочному состоянию. Дело в том, что организм уже привык к постоянно повышенным показателям и если происходит их резкое снижение, то больной испытывает массу неприятных симптомов. Это состояние опасно развитием ишемических нарушений.
Причины резкого падения давления
Резкие перепады давления, когда у человека, страдающего гипертонией, падает АД, возникают в таких ситуациях:
- При сердечной недостаточности. Болезнь характеризуется нарушением насосной функции сердца, что обычно сопровождается снижением давления крови в артериях.
- При вегето-сосудистой дистонии. Это расстройство работы вегетативной нервной системы. Полностью вылечить дистонию нельзя. Возможно, только улучшить самочувствие с помощью правильного режима дня и стабилизации эмоционального состояния.
- При патологиях почек и надпочечников. Надпочечниками вырабатываются гормоны вроде адреналина и ацетилхолина, которые обеспечивают тонус сосудов. Под воздействием адреналина давление в артериях возрастает, повышается тонус организма, а ацетилхолин, наоборот, способствует снижению АД, вызывает чувство усталости и раздражительности. Если эти гормоны вырабатываются в ненормальном количестве вследствие патологий надпочечников, то происходят скачки показателей.
- В результате употребления некоторых лекарственных средств. В качестве побочного эффекта определенных медикаментов выступает резкое снижение АД. Такой эффект наблюдается после употребления антибактериальных препаратов, обезболивающих и спазмолитических средств. сердечных гликозидов и бета-адреноблокаторов. Превышение дозы успокоительных лекарств снижает давление ниже допустимой нормы.
- При интенсивных кровотечениях. Внутренние кровотечения заметить вовремя достаточно трудно. Главным симптомом этого состояния является сильная боль в верхней части живота.
- При отеке легких. Это опасная проблема, сопровождающаяся бледностью кожных покровов, тахикардией, кашлем, проступанием кровавой пены изо рта.
- При инфекционных патологиях. К сильной интоксикации организма и повышению температуры тела присоединяются резкие перепады АД.
- В результате резкого снижения уровня глюкозы в крови у диабетиков. Это состояние называют гипогликемией. Оно может стать причиной серьезных осложнений.
- При различных депрессиях. Они могут быть астеническими, когда человек быстро худеет и постоянно испытывает усталость, апатическими, проявляющимися равнодушием к людям и событиям, ангедоническими, у больного в этом случае отсутствует чувство радости.
У гипертоника низкое давление приводит к тяжелым осложнениям, поэтому при первых признаках необходимо стабилизировать показатели.
Симптомы
Если у человека на протяжении длительного времени артериальное давление выше нормы, то он привыкает к этому и часто не обращает внимания на проявления проблемы.
Больному трудно заметить незначительное снижение АД. Некоторые, если самочувствие ухудшилось, думают, что дело в гипертонии и принимают повторную дозу гипотензивных препаратов.
Это только усугубляет ситуацию и усиливает проявления гипотонии. Поэтому гипертоникам важно знать, признаки гипотонического криза. Это состояние сопровождается:
- бледностью кожных покровов;
- посинением губ и области носогубного треугольника;
- выделением липкого холодного пота;
- похолоданием верхних и нижних конечностей;
- западанием венозных сосудов;
- онемением рук и ног и покалыванием в кончиках пальцев;
- шумом в ушах и снижением слуха;
- потемнением в глазах;
- изменениями поведения в виде шаткости походки, потери ориентации в пространстве и времени.
Отсутствие своевременной помощи грозит потерей сознания и развитием инсульта.
В чем опасность
Резкое падение давления у гипертоника не менее опасно, чем постоянно повышенные показатели. При гипертонии возникают серьезные нарушения кровообращения в головном мозге и сбои в работе сердца. При низком АД таких последствие быть не может.
Но считать это состояние безопасным нельзя. У гипотоников постоянно наблюдается слабость, сонливость, ухудшается качество жизни. При гипотонии хронической формы организм приспосабливается к возникшей ситуации и больной хорошо себя чувствует даже без лекарств.
Но, если резко снижаются показатели давления в артериях при гипертонии. В результате употребления гипотензивных препаратов АД падает достаточно быстро. Это опасно развитием нарушений мозгового кровообращения.
По этой причине при наличии гипертонического криза нельзя сбивать давление быстро, так как существует высокий риск ишемического инсульта. Несоблюдение этого правила приводит к тому, что:
- Кровеносные сосуды быстро расширяются, но количество крови остается прежним, так как ее приток не может увеличиваться за такой короткий срок.
- Сосуды головного мозга резко сужаются. Так организм реагирует на экстремальную ситуацию.
- Снабжение головного мозга кровью нарушается, что сопровождается развитием кислородного голодания, кровоизлиянием в мозг и мгновенной смертью.
Именно поэтому, если резко упало давление у гипертоника до 80/60 мм. рт. ст., необходимо срочно оказать первую помощь. В случае когда проблема вызвана употреблением медикаментов, достаточно внести корректировки в схему лечения.
При падении артериального давления в результате патологических состояний, необходимо определить причину и провести соответствующее лечение.
Что делать: первая помощь
Часто резкое падение АД у человека, страдающего гипертонией, приводит к потере сознания. В домашних условиях в этой ситуации нужно поступить так:
- Вызвать скорую медицинскую помощь.
- Уложить больного в постель так, чтобы ноги находились на возвышении.
- Освободить от давящей одежды и обеспечить доступ свежего воздуха.
- Помассировать уши, но не слишком интенсивно.
- Напоить сладким чаем и дать съесть кусочек шоколада.
- Растереть ноги и хорошо их укутать.
Чтобы состояние больного не ухудшилось, нельзя давать ему понюхать нашатырный спирт, обливать водой низкой температуры, поить алкоголем или каплями для сердца, в составе которых есть спирт. К таким относятся Корвалол и Барбовал.
Обострения хронических заболеваний или возрастные изменения в организме пожилых людей приводят к тому, что подобные приступы становятся более частыми.
Известны случаи, когда гипертоники с годами превращались в гипотоников. За состоянием таких больных должен постоянно следить врач. Близкие должны знать, как оказывать первую помощь, чтобы избежать серьезных осложнений.
Если у гипертоника упало давление, то врач может назначить препараты для устранения проблемы. Повышения АД добиваются с помощью:
- Альфа-адреномиметиков. Они способствуют сужению сосудов и сокращению гладких мышц.
- Антихолинергическими препаратами, которые также сужают сосуды;
- Адаптогенов, стимулирующих функции сердечно-сосудистой системы и устраняющих признаки гипотензивных нарушений.
- Препаратов-стимуляторов. Они усиливают функции Центральной нервной системы и устраняют сонливость и усталость.
Существуют также народные средства для стабилизации показателей артериального давления. Немного поднять АД можно с помощью крепкого чая, кофе, сладостей, массажа. Но использовать эти методики без ведома врача нельзя.
При резком снижении давления у гипертоника необходимо пройти обследование, чтобы определить причины нарушений и устранить их. При первых симптомах приступа следует оказать больному первую помощь вызвать бригаду медиков. До приезда врачей никакие лекарства давать больному нельзя.
Традиционно считается, что приступ гипертонии намного опаснее, чем низкое давление. Однако стремительное снижение цифр на тонометре тоже способно напугать, тем более, если речь идет о человеке с диагнозом «артериальная гипертония». От чего падает давление у гипертоника и как поднять его до нормального уровня?
Причины и симптомы высокого артериального давления
Повышенным считается артериальное давление (АД) выше 130/90 мм ртутного столбца. Стабильно держащееся давление выше 140/90 мм расценивается как первая степень гипертонической болезни.
Причины
Факторов, вызывающих высокое АД, существует довольно много, и диагностикой в каждом конкретном случае должен заниматься врач.
Внезапное пониженное давление появляется по причине того, что сердцу труднее качать кровь
Мы же остановимся на некоторых, наиболее распространенных:
-
Нарушение работы почек. Практически всегда сопровождается повышением кровяного давления. Если высоким цифрам на тонометре сопутствует нарушение мочеиспускательной функции, частые позывы в туалет, боль в нижней части живота и жжение — это признаки воспалительного процесса или мочекаменного заболевания.
Симптомы
Иногда повышение давления у пациента может происходить бессимптомно, но некоторые признаки весьма характерны для гипертонического состояния.
Чаще всего в этом случае отмечаются:
- боли в области головы;
- головокружение;
- тошнота – вплоть до позывов на рвоту;
- озноб;
- пастозность нижних конечностей;
- кровотечения из носа;
- покраснение и отечность лица;
- снижение остроты зрения;
- онемение пальцев;
- появление точек, кругов, «мушек» перед глазами;
- одышка при совершении даже минимальных физических нагрузок;
- повышенная нервная возбудимость;
- беспричинная тревожность.
Почему у гипертоника резко понижается давление до 90/60
Больные-гипертоники зачастую настолько свыкаются со своим состоянием, что уже не мыслят своего давления ниже 140 мм рт. ст. Поэтому резко опустившиеся цифры на тонометре многих приводят в замешательство. Почему у гипертоника может быть низкое давление 90/60? Возможно ли такое на самом деле?
Прием лекарственных препаратов. Такая причина гипотонии является распространенной
Причины
Вероятные причины резкого снижения давления у гипертоника:
- Расстройства кровообращения. Эта причина актуальна у людей, имеющих сердечную недостаточность. Мышца сердца в этом случае не может перекачивать кровь по сосудам в обычном ритме, поэтому ток крови затруднен. Такое обычно наблюдается после воспалительных процессов в миокарде или при патологии сердечных клапанов. В этом случае рекомендуют провести курс лечения, чтобы уменьшить нагрузку на сердце и не допускать скачков кровяного давления.
- Падение давления у гипертоника может быть вызвано психическим перенапряжением, депрессией, особенно на фоне предшествующей вегетососудистой дистонии (ВСД).
- Значительные кровопотери. Вызывают гипотонию со всеми симптомами (шум в голове, сонливость, темнота в глазах). Если наружную травму нетрудно заметить, то кровотечение внутри организма не всегда получается сразу диагностировать. У женщин, страдающих гипертензией, снижение давления может быть во время менструации.
- Побочное действие некоторых препаратов. Принимая медикаменты, нужно внимательно читать инструкцию к ним. К таким средствам, в частности, относятся некоторые анальгетики, антидепрессанты, антибиотики, нестероидные противовоспалительные лекарства.
- Передозировка гипотензивных лекарств. Нельзя превышать назначенную дозировку, иначе показатели тонометра просто спикируют вниз, что так же опасно, как высокое давление.
- Почечные болезни. Почки являются органом, который, кроме основных функций, также регулирует АД. Они вырабатывают ряд веществ и гормонов, влияющих на тонус сосудов. Ситуации, когда давление резко «скачет», часто объясняются функциональным расстройством почек.
- Инфекционные патологии. Провоцируют интоксикацию, из-за которой снижается общий тонус организма.
- Сахарный диабет. Снизившийся уровень глюкозы в крови влечет за собой резкое понижение давления.
Иногда причины низкого давления при гипертонии кроются во внешней среде. Высокая температура воздействует на организм человека специфическим образом. Нахождение на солнцепеке, длительное пребывание в натопленной сауне также может спровоцировать резкое падение АД.
Однако точную причину внезапного приступа гипотензии может выяснить только доктор.
Симптомы пониженного давления у гипертоника
Признаки, которые могут сопровождать низкое давление у гипертоника:
- бледный цвет кожи;
- синюшные губы;
- западение вен;
- тошнота;
- понижение температуры;
- нетрудоспособность;
- нарушение связной речи;
- головокружение;
- холодный пот;
- онемение и покалывания в конечностях;
- сильная усталость;
- невозможность сконцентрировать внимание;
- предобморочное состояние.
Возникает повышение температуры тела, интоксикация организма
Первая помощь гипертонику при резком снижении СД и ДД
Если у гипертоника понизилось и систолическое (СД), и диастолическое (ДД) давление, нужно стараться не паниковать, так как это лишь ухудшит ситуацию.
Чтобы не допустить коллапса и необратимых для здоровья человека последствий, необходимо вызвать скорую помощь.
Приемы первой помощи, которые можно оказать самостоятельно:
- расположить человека в горизонтальном положении на твердой поверхности;
- нижние конечности приподнять (под них можно подложить валик);
- снять одежду, если она сдавливает тело и мешает свободному дыханию;
- переместить пострадавшего в тень, если он находится под прямыми лучами солнца;
- массировать ушные мочки;
- приготовить чай со сладким, шоколад;
- если прохладно, укрыть пледом.
Нельзя употреблять спиртные напитки или бездумно глотать таблетки для повышения давления – это может повысить показатели на тонометре вплоть до критических отметок.
Лечение
При скачках давления необходимо обратиться за квалифицированной помощью к доктору-кардиологу.
Назначенная схема лечения низкого АД может выглядеть так:
- антихолинергические средства («Беллатаминал», «Белласпон»);
- альфа-адреномиметики («Мефентермин», «Мидодрин»);
- адаптогены растительного происхождения («Абисиб», «Аллитера», настойка аралии, родиолы);
- средства, позитивно влияющие на деятельность ЦНС, помогая преодолеть усталость и чувство вялости («Регултон», «Сапарал»).
Название медикамента и его дозировку обязан прописывать врач, иначе давление может подскочить вплоть до гипертонического криза.
Эффективные меры при резком падении давления у гипертоника:
- Лекарственные растения помогут повысить артериальное давление и улучшить состояние сосудов. Это натуральные средства на основе лимонника китайского, женьшеня, пантокрина, эхинацеи, элеутерококка, заманихи.
- Пищу необходимо насыщать витаминами и полезными веществами. Особую пользу принесут белки, кальций, магний, витамин C и витамины группы B. Их стоит искать в свежей моркови, натуральных молочных продуктах, говяжьей печени, морской рыбе, свежих овощах и фруктах, а также в сухофруктах.
- При сниженном давлении рекомендуют съедать с пищей некоторое количество поваренной соли, так как она сужает сосуды и повышает давление.
- Чашка крепкого кофе. Но к этой мере не рекомендуется прибегать слишком часто, так как привыкший к кофеину организм не отреагирует нужным образом.
Заключение
Гипертония – опасное для здоровья человека заболевание, которое может спровоцировать инфаркт миокарда, инсульт, ишемический недуг, отслоение сетчатки глаза. Однако, если у гипертоника наблюдается давление 100/60 мм рт. ст., это способно вызвать не меньший испуг. Падение систолического и диастолического показателей обусловлено множеством причин: вегетососудистой дистонией, нервным перенапряжением, кровотечением в организме, инфекционными заболеваниями и т. д.
Значительное уменьшение уровня АД у гипертоника – ненормально. Чтобы выяснить причину этой патологии и получить грамотное лечение, нужно обязательно обратиться к доктору.
Originally posted 2018-03-26 14:59:34.
Из-за индивидуальных особенностей организма и течения заболевания, а также под воздействием ряда факторов у гипертоников может наблюдаться пониженное давление. Последствия резкого снижения АД могут быть опасными, и в случае несвоевременного обращения к врачу привести к потере сознания и даже коме.
Какое давление у гипертоника
Врачи признают нормальные показатели давления в 120 на 80 мм.рт.ст. Если оно выше нормы — ставят диагноз гипертония, а если ниже — гипотония. Артериальное давление у гипертоников может меняться на протяжении дня, а причиной кратковременного повышения становится физическая нагрузка и неправильный образ жизни. Резко подняться давление может и на нервной почве.
Гипертоническая болезнь — это патология, при которой повышенные показатели АД зависят от физиологических и патологических факторов:
- Эмоциональное перенапряжение,
- Психическая усталость,
- Генетическая предрасположенность,
- Возраст,
- Гормональная перестройка,
- Избыточный вес,
- Сотрясение и другие травмы мозга,
- Патологии эндокринной системы,
- Хронические, инфекционные болезни,
- Превышение допустимого уровня холестерина.
Норма АД гипертоников зависит от степени заболевания:
- 1 степень или легкая: систолическое АД от 140 до 160 мм.рт.ст., диастолическое от 90 до 99 мм.рт.ст.,
- 2 степень или умеренная: показатели систолического АД от 160 до 180 мм. рт.ст., диастолического — от 100 до 110 мм.рт.ст.,
- 3 степень или тяжелая: АД стабильно держится выше 180 на 110 мм.рт.ст.
Причины снижения давления при АГ
Низкое давление у гипертоника свидетельствует о нарушении нормального протекания болезни, и может быть очень опасным. Организм больного привык к повышенному АД, и все органы функционируют в соответствии с ним.
И несмотря на то что уровень кровяного давления может меняться в зависимости от разных факторов, внезапное его понижение — причина срочно обратиться к врачу.
Наиболее опасно резкое падение давления в первые двое суток после перенесенного инсульта. Объясняется это тем, что повышенное АД обеспечивает нормальное кровообращение в головном мозге, и выполняет роль защиты от последствий инсульта. Появление и развитие гипотензивного криза говорит о наличии серьезных патологий и осложнений.
Понижение АД у гипертоников обычно наблюдается по утрам, и сопровождается головокружениями при вставании с кровати вплоть до потери равновесия. Это состояние называется ортостатической гипотензией. Обострение происходит, если человек принял понижающее АД лекарство без измерения давления.
Резкое снижение артериального давления гипертоников возникает и тогда, когда люди ведут активный образ жизни и не знают о наличии гипертонии. Спад АД вызван в этом случае неспособностью организма компенсировать силы, потраченные на обеспечение нормальной циркуляции крови. В результате происходит расслабление сосудов, и давление внезапно понижается.
Еще одна причина, от чего у гипертоника упало давление, одновременный прием медикаментов и продуктов, понижающих АД.
Почему резко падает кровяное давление:
- На перемену погоды,
- Снижение глюкозы у диабетиков,
- Отек легких,
- Сильный кашель,
- Тахикардия,
- Отравление, сопровождающееся высокой температурой,
- Депрессия,
- Внутренние кровотечения,
- Долгое нахождение в положении стоя,
- Патология почек,
- Острая сердечная недостаточность,
- ВСД.
Последствия снижения давления
Низкое давление при гипертонии приводит к снижению объема циркулирующей крови. Нехватка кислорода и важных питательных веществ может привести к развитию ишемии, инсульта и инфаркта.
Результатом того, что давление сильно понизилось, становится:
- Слабость, усталость,
- Чувство подавленности,
- Головокружение,
- Сонливость,
- Раздражительность,
- Плаксивость,
- Ухудшение памяти,
- Снижение работоспособности,
- Невозможность сконцентрироваться, рассеянность,
- Бледность, синеватый оттенок кожи,
- Западание вен,
- Потеря сознания,
- Холодная потливость,
- Онемение и легкое покалывание в конечностях,
- Потемнение в глазах,
- Шум в ушах,
- Ощущение холода в пальцах рук и ног.
Действия при резком падении давления
Наиболее опасно сочетание одного или нескольких симптомов с давлением 100 на 60 мм.рт.ст. и ниже. Что делать, если резко упало артериальное давление у человека, страдающего гипертонией:
- Уложить больного на кровать: это приведет к оттоку крови от ног, и убережет от падения во время потери сознания. Под ноги подложить подушку,
- Расстегнуть пуговицы рубашки или снять одежду для облегчения дыхания,
- Помассировать уши,
- Если больному холодно — укутать одеялом.
Что делать при низком давлении
Для повышения АД можно принять таблетку цитрамона. Употребление более сильных препаратов типа Допамина или Норэпинефрина должно быть только по согласованию с врачом. Эти лекарства приводят к сокращению гладких мышц и снижению просвета в сосудах. Их бесконтрольное применение может вызвать нежелательные побочные эффекты. Можно также принять адаптогены, которые стимулируют работу сердечно-сосудистой системы. Рекомендуются также медикаменты, стимулирующие центральную нервную систему. Они устраняют сонливость и усталость, усиливают концентрацию внимания.
Если у гипертоника резко упало давление, но симптомы выражены слабо, то можно выпить кофе или крепкий чай с сахаром и лимоном.
Повысить давление гипертонику можно и другими немедикаментозными способами:
- Соленой пищей,
- Медом, корицей или шоколадом,
- Небольшим количеством коньяка,
- Эфирными маслами: лимонником или аралией,
- Травяным чаем из чайной ложки корней розовой родиолы.
Как повысить и держать давление в норме
Лечение высокого давления должно производиться под наблюдением врача, который назначает курс препаратов и дает рекомендации по изменению образа жизни.
Советы, как держать давление в норме:
- Для обеспечения терапевтического эффекта, и чтобы давление снизилось, лекарства принимают по схеме, установленной врачом,
- Для результативности лечения гипертензии контролируют количество белковой пищи. Она влияет на усвояемость препаратов,
- Питание должно быть в определенное время, и состоять из нежирной пищи,
- Необходимо контролировать калории и держать вес в норме.
Помогают нормализовать и поддерживать АД умеренные физические нагрузки. Это могут быть:
- Длительные прогулки,
- Скандинавская ходьба,
- Велопрогулки,
- Катание на лыжах,
- Плавание,
- Аква аэробика,
- Танцы,
- Йога,
- Гимнастика,
- Верховая езда.
Гипертоникам важно чередовать периоды отдыха и работы, иметь хобби, приносящее радость и возможности для психологического отдыха.
Как защититься от магнитных бурь
Гипертоники могут ощущать вспышки солнечной деятельности за день или два, а особенно плохо им становится в пиковый период. Самочувствие восстанавливается, когда геомагнитная буря идет на спад. В дни магнитных бурь понижается выработка меланинов, являющихся природным адаптогеном. Они отвечают за стрессоустойчивость, а их недостаток провоцирует нервные средства и головокружения.
Защититься от магнитных бурь можно, если:
- Следить за прогнозом синоптиков,
- Снижать физическую и эмоциональную нагрузку в дни повышенной активности,
- Принимать лекарственные препараты, назначенные врачом,
- Выпивать в дни солнечной активности не менее 1500 мл чистой воды,
- При больном сердце — меньше сидеть и стоять.
Чтобы давление не повысилось, перед вспышкой магнитной бури можно принять аспирин. Хорошо помогают также натуральные травяные чаи, отвары и настои.
Лечение метеозависимости при гипертонии состоит в:
- Прохладном душе по утрам,
- Переходе на травяные чаи,
- Контролировании питания: переедание в начале дня может плохо сказаться на самочувствии,
- Сокращении употребления соли и воды,
- Употреблении мочегонных чаев,
- Пересмотрении дозировки лекарств вместе с врачом.
Если резко упало давление у гипертоника во время магнитной бури, то больно нужно уложить на диван. Обеспечить приток в помещение свежего воздуха, положить под ноги свернутое одеяло или подушку. Дать больному аспирин, крепкий чай или кофе с лимоном. Если показатели артериального давления не приходят в норму — вызвать врача.
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