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.
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.
Артериальная гипертензия – заболевание при котором диагностируется стабильное повышенное давление, но иногда у гипертоников падает давление до предельно низких показателей, что же делать в таких случаях?
Когда систолическое давление падает ниже показателя в 90 мм РТ. ст., и диастолическое давление падает ниже 60 мм РТ. ст., это классифицируется как низкое кровяное давление.
Причины снижения давления у гипертоников
Гипотензия может быть вызвана различными факторами и появляется у людей всех возрастов. Однако существуют определенные типы гипотензии, которые воздействуют на людей преклонного возраста.
Ортостатическая или постуральная гипотензия – возникает при внезапном падении артериального давления, чаще происходит, когда человек резко встает из сидячего или лежачего положения и затрагивает как правило людей пожилого возраста. Нейрально-опосредованная гипотензия – появляется после длительного ожидания или переутомления, чаще затрагивает детей и подростков, опосредованную гипотензию иногда называют обмороком. Постпрандиальная гипотензия – понижается давление после приема пищи.
Если у гипертоника резко упало давление ниже, чем 100 на 70 необходима медицинская помощь, ее можно вызвать по номер 112 с мобильного телефона любого оператора.
Другие факторы, которые могут вызвать низкое кровяное давление:
Обезвоживание: когда в организме недостаточно жидкости, кровяное давление человека может упасть. Обезвоживание может быть вызвано рвотой, лихорадкой, тяжелой диареи, или физическими нагрузками. Заболевания, понижающие давление: Заболевания щитовидной железы Болезнь Аддисона Гипогликемия (низкий уровень сахара в крови) Проблемы с сердцем (например, сердечный приступ, сердечная недостаточность, клапанная болезнь сердца, очень низкий сердечный ритм) Расстройства нервной системы (например, болезнь Паркинсона) Прием лекарств: некоторые лекарства, используемые для лечения гипертонии, стенокардии, болезни Паркинсона или депрессии повышают риск развития гипотензии. Беременность: во время беременности у женщины меняется кровеносная система. Кровеносные сосуды слегка расширяются, снижая кровяное давление. Эти изменения обычно проходят после родов.
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