Motsoako o phahameng oa khatello ea kelello (khatello ea kelello) ke mofuta o tloaelehileng ka ho fetisisa oa khatello ea meriana. Nahana ka se hlokahalang haholo, ho bonahatsa lefu lena, le hore na le tšoaroa joang.
Ke eng e hlokahalang haholo?
Ntho ea bohlokoa ea ho hatelloa ke mali ke mofuta o ka sehloohong oa lefu lena, ho fumanoa hore na ke eng e entsoeng ka ho felisa khatello ea mali ea bobeli. Ena ke boloetse bo sa foleng bo amanang le khatello ea mali. Ha e ntse e nts'etsopele, ho na le lintlha tse 'maloa tse ka amehang, ho akarelletsa:
- ho iketsetsa lefats'e ka lebaka la phetoho ea liphatsa tsa lefutso;
- ho tsuba, ho sebelisa joala hampe;
- ho sebelisoa ha letsoai le leholo (sodium e feteletseng);
- ho hloka li-vithamine tse itseng le microelements;
- botenya ;
- tšoaetso;
- khatello ea maikutlo hangata;
- botsofali, joalo-joalo.
Matšoao a khatello ea kelello ea bohlokoa
Hangata lefu lena le hlaha ka tsela e sa tšoaneng, 'me ponahalo e le' ngoe feela ea eona e telele e ka ba khatello e phahameng ea mali feela. Moeli o moeli o nkoa e le oa bohlokoa ba systolic ("ka holimo") khatello ea mali ea 140-159 mm Hg. Art. le diastolic - 90-94 mm Hg. Art.
Maemong a mang, likarolong tse qalang tsa bakuli, lipontšo tse latelang tsa nako le nako li etsahala:
- hlooho e phatleng kapa occiput;
- botsoa;
- lipillo tsa pelo;
- lerata litsebeng ;
- pono ea bobeli mahlong.
Matšoao ana a eketseha nakong ea ho eketseha ha khatello ea mali (khatello ea kelello ea mali). Ha nako e ntse e ea, liphetoho tse ke keng tsa qojoa lithong tsa ka hare le likepe tsa arteria li thehoa. Litho tsa bohlokoa ke: pelo, boko, liphio.
Mehato ea khatello ea kelello ea bohlokoa:
- Leseli - le khetholloang ke keketseho ea nakoana ea khatello ea mali (khatello ea diastolic - tse fetang 95 mm Hg). Ho tloaeleha ha khatello ea kelello ho khoneha ntle le tšebeliso ea lithethefatsi.
- E ikhethang - e tšoantšetsoang ke ho eketseha ho tsitsitseng ha khatello ea mali (khatello ea diastolic - 105-114 mm Hg). Nakong ena, ho kenoa ha mokhoa o fokolang, ho eketsa liphallelo, ho bolaoa ke mali ka chelete e ka fumanoa ha ho se na maloetse a mang.
- E boima - e khetholloang ke ho eketseha ho tsitsitseng ha khatello ea mali (khatello ea diastolic - e fetang 115 mm Hg). Khatello ea matla ha e tloaelehe esita le ka mor'a hore bothata bo rarolloe. Nakong ena, liphetoho tsa fundus li fetoha haholo, li-arterio- le arterioloclerosis, li-ventricular hypertrophy li tsoa, lefu la cardiosclerosis le hlaha. Ho bonahala eka mafu a mangata a fetoha litho tse ling tsa ka hare.
Phekolo ea khatello ea mokuli ea bohlokoa
Sepheo se seholo sa ho phekola khatello ea kelello e hlokahalang ke ho fokotsa kotsi ea lefu la pelo le mathata a mang, hammoho le lefu le tsoang ho bona. Ho finyella sena, ha ho hlokehe feela ho fokotsa khatello ea mali ho maemo a tloaelehileng, empa hape ho fokotsa likotsi tsohle tse kotsi. Phekolo ea lefu lena le etsoa ka lilemo tse ngata.
Bakuli ba khothalletsoa hore ba fetole tsela eo ba phelang ka eona, e leng:
- Qoba ho noa joala le ho tsuba.
- Netefatsa boima ba 'mele.
- Fokotsa mokhoa oa mosebetsi, phomolo le ho robala.
- Tela ho phela ka nako e telele.
- Fokotsa ho kenngoa ha letsoai tafoleng.
- Sheba lijo tse nang le mefuta e mengata ea lijo tsa limela le ho fokotsa ho kenngoa ha lihlahisoa tsa liphoofolo.
Meriana ea lithethefatsi e fana ka maikutlo a tšebeliso ea lithethefatsi tse matlafatsang,
- diuretics;
- bahanyetsi ba khalsiamo;
- li-agonists tsa li-receptor tsa imidazoline;
- inhibitors ea enzyme e fetolelang angiotensin;
- bahanyetsi ba li-receptors bakeng sa angiotensin II;
- α le β-adrenoblockers.
Khetho ea lithethefatsi (kapa motsoako oa lithethefatsi tse 'maloa) e etsoa ke ngaka ho itšetlehile ka sethala sa lefu lena, lilemo tsa bakuli, maloetse a khotsofatsang.