Ho reka tonometer le lithethefatsi lethathamong la setsebi sa lefu la pelo ho fihlela haufinyane ho nkoa e le batho ba bangata ba penshene. Hona joale lithethefatsi ho fokotsa khatello ea mali kapa lipilisi, khatello e ntseng e eketseha, li ntse li thahasella liithuti tse sa tsoa qeta sekolong sa univesithi.
Matšoao a khatello ea mali e phahameng le e tlase
Mathata ana ha a hlokomeloe hangata, empa ka linako tse ling bakuli ba ferekanya matšoao a khatello ea mali e phahameng le e tlase, e leng kotsi haholo nakong ea tlhokomelo ea pele ho sepetlele. Lihlopha tsena ka bobeli li tšoaroa ke hlooho ea hlooho sebakeng sa karolo ea occipital ea hlooho. Matšoao a mang a khale ke ho fokotseha ha mocheso oa maoto. Ka lebaka leo, pele o noa pilisi khatello ea motsoalle, u lokela ho ea ngakeng kapa bonyane u sebelise tonometer .
Matšoao a khatello ea kelello
Bohlokoa ba lik'hilograma tse fetang 150/130 tsa mercury (batho ba baholo / bana) bo nkoa bo le phahameng. Maemong a mang, bothata bo fumanoa feela tlhahlobo e latelang, empa hangata e tsamaisana le matšoao a latelang a khatello ea mali e phahameng:
- ho tšoenyeha;
- hlooho ea hlooho;
- sa phutholoha pelong;
- lebelo la pelo le sa lekanyetsoang;
- ho nyekeloa ke pelo;
- ho fifala mahlong;
- ho fufuleloa haholo;
- ho potlaka ha mali sefahlehong sa sefahleho ka matsoho a batang;
- phefumoloho e khutšoanyane;
- ho ruruha.
Matšoao a khatello e tlaase ea mali
Meriana ea molao e na le lits'oao tse tšosang tse ka tlase ho limilimithara tse 100/60 tsa mercury, empa litsebi tse ling li lumela hore litšoantšo tse ling ha li bue letho. Ka bophelo bo botle, motho ha aa lokela ho nahana ka hypotension, ka hona, ka ho nka pilisi ho tsoa khatello, matšoao a khathatsang a khatello e tlaase a hlokeha:
- bohloko boemong ba occipital ea hlooho;
- bofokoli bo akaretsang, bohale, malaise;
- ho hlatsa le ho nyefoloha;
- ho ba le botsoa , haholo-holo ha u tsoha kapele ho tloha betheng;
- ho hloka moea;
- ho fufuleloa holimo, phefumoloho e khutšoanyane le mokhathala.
Matlapa a ho tiisa khatello
Lithethefatsi tse laolang letšoao lena la bophelo bo botle li aroloa ho ea ka mofuta oa ho pepeseha. Sehlopheng ka seng, lithethefatsi li fapana ka matla a tšusumetso, kahoo pilisi e tloaelehileng khatello, e ka fana ka taelo feela ho ngaka. Ntho e 'ngoe e ka etsang hore ho makatsoe ke khothatso ea sefate se le seng ho fokotsa khatello, empa lethathamo lohle. Sena se bakoa ke tlhokahalo ea kopano e kopanetsoeng bakeng sa khalemelo e nepahetseng ea boemo, kahoo o sitoa ho hlakola meriana efe kapa efe, ho tlōla moralo oa phekolo.
Lipilisi tsa khatello e phahameng
- Beta-adrenoblockers - Kon-Kor, Metoprolol, Egilok, Talinolol, Coriol, Acebutolol, Nebivolol. Fokotsa matla le mokokotlo oa lik'hemik'hale, empa li lumellana le mafu a matšoafo.
- Bahanyetsi ba Calcium - Nifedepine, Cinnarizine, Stanlo, Kordafen, Verapamil, Isoptin, Nimotop, Corinfar, Amlodipine, Phenigidine. Matlapa ana ho khutsisa khatello ea khatello ea methapo e bonolo le lisebelisoa tsa likorone, theola lebelo la pelo le ho theola lijana tsa boko.
- Myotropic antispasmodics - Papaverin, Spazmalgon, No-shpa, Drotaverin, Dibazol, Galidor, Magnesium sulphate, Papazol. Hape thibela ho kenella ka khalsiamo ka seleng, theola khatello le ho phomola mesifa e boreleli ea pampiri ea meno.
- Nitrates - Isoket, Nitroglycerin, Sustak, Erinit, Nitrogen, Perlingant, Sustonite, Nitrosorbide, Cardicet, Nitro-5. Lithethefatsi tsena li laeloa bakeng sa ho eketsa angina bakeng sa ho felisoa ha tlhaselo ea angina kapa ka mor'a lefu la pelo, hobane li fokotsa haholo molumo oa methapong le mosebetsi oa pelo.
- Alpha-blockers - Benzohexonium, Arfonade, Ebrantil, Fentolamine. Li na le mekhoa e matla ea ho fokotsa khatello ea mali, empa ha e sebelisoe bakeng sa ho kula ha pelo le glaucoma.
- Sympatholytics - Reserpine, Raunatin, Isobarin, Rausedil, Octadin, Adelfan, Rauvazan, Antipres. Potlakisa ho timetsoa ha norepinephrine, ho tlosa tšusumetso ea tsamaiso ea methapo ea kutloelo-bohloko. U se ke ua e sebelisa bakeng sa lisosa le gastritis. Matlapa a joalo a nang le khatello ea kelello mehleng ea kajeno ea bongaka ha e sebelisoe khafetsa.
- Diuretics - Lasix , Hypothiazide, Ureit, Furosemide, Trifas. Khothalletsa ho tsoa ha li-ions tse nang le metsi le sodium, tse lebisang ho theohelang khatello ea mali.
- Bohareng ba alpha-stimulants - Methyldofa, Dopegit, Clonidine, Hemiton, Physiotens, Clofelin. Mosebetsi o hatellang oa tsamaiso ea methapo ea kutlo e sitisoa, empa ho otsela le bofokoli li bonahala. Liphuputso tsa moraorao li bontšitse hore tšebeliso ea lithethefatsi tsa sehlopha sena nako e telele e ka ba provoker ea lefu la Alzheimer.
- ACE inhibitors - Renitek, Enam, Lizinopril, Kaptopres, Amripil, Captopril, Tritace, Enalapril, Enap. Ho fokotsa tlhahiso ea angiotensin 2, e khetholloa ka phello e bonolo 'me e bonolo habonolo.
- Sartany - Lozal, Mikardis, Valsakor, Cardosal, Motlatsi. Ba etsa se tšoanang le lithethefatsi tsa sehlopha se fetileng, hoo e ka bang ha se ame ketso ea pelo.
Matlapa a tlaase-tlaase
Lipontšo tse ka tlase ho tloaelehileng li boetse li hloka khalemelo, hobane ts'ebeliso ena e bolela ho ntlafatsa molumo oa lijana tsa lisebelisoa. Matlapa a bakeng sa khatello e eketsehileng a arotsoe ka lihlopha tse latelang:
- li-glycosides tsa pelo - Digoxin, Celanide, Strophantine;
- adrenomimetics - Norepinephrine, Gutron, Metazone;
- sympathomimetics - ephedrine.
Matlapa a tsoang khatello ntle le litla-morao
Meriana e mengata e na le phello e matla 'meleng, eseng feela ho felisa bothata, empa hape e lematsa mekhoa e meng. Lithethefatsi tsa khatello ntle le litla-morao meriana ha li tsejoe, esita le ho noa ho sa laoleheng ha li-decoctions tsa litlama li ka ba kotsi. Tlhahiso ea matlapa a nang le menyetla e fokolang ea liphello tse sa rateheng e ntse e tsoela pele, kahoo meriana ea kajeno ea ho lokisa index ena e sireletsehile haholoanyane.
Lithethefatsi tse tsoang ho New Generation Pressure - Lethathamo
Mekhoa ea mehleng ea kajeno:
- Indapamide - diuretic, e tlosa li-ion, e fokotsa khatello, qalong ea khatello ea meriana e sebelisoa monotherapy, hamorao e tlatsitsoe ke lithethefatsi tse ling ho tloha khatellong.
- Hydrochlorothiazite - ketso e tšoana le meriana e fetileng.
- Ramipril - e leng ACE inhibitor, e sebelisoang ho tšoara khatello ea meriana, lefu la pelo le ho hloleha ha pelo, e fokotsa menyetla ea lefu la pelo lefu la tsoekere.
- Perindopril - e sitisa tlhahiso ea angiotensin 2, e na le vasodilator le phello ea diuretic, e fokotsa khatello ea mali.
- Bisoprolol - beta-adrenoblocker, e fokotsa sekhahla sa pelo le moroalo oa pelo, o laeloa ho phekoloa ke khatello ea meriana ea mali.
- Carvedipol ke beta blocker , e etsa se tšoanang le matlapa a fetileng khahlanong le khatello le ho fokotsa methapo ea methapo.
- Felodipine - e thibelang methapo ea calcium, e fokotsa methapo ea mali, e fokotsa khatello le moroalo oa pelo, e fokotsa kotsi ea ho otloa ke lefu, lefu la pelo le mathata a liphio.
U ka etsa joang hore khatello e se ke ea e-ba teng ntle le meriana?
Litlhahiso tsa hore na u ka boloka khatello joang li tla sebetsa hantle qalong le ho thusa nyeoeng e hlokomolohuoa e le mokhoa o eketsehileng. Ha hypotension e lakatseha:
- robala lihora tse 8-9 ka letsatsi, haeba ho khoneha, boroko ba motšehare;
- ponahalo ea ho ikoetlisa - lipapali, li-gymnastics tsa hoseng;
- ho ja hantle;
- ho thata le ho bapisa ho bapala;
- ho nyoloha butle-butle ho tloha betheng ho e-na le tšebetso e khanyang sebakeng sa supine.
Mehato e latelang e nepahetse bakeng sa bakuli ba nang le meriana e phahameng ea mali:
- ho lahleheloa ke boima ba 'mele ka ho feteletseng;
- ho fokotseha ha tafole letsoai, tsoekere, kofi, lihlahisoa tse tsubang, lijo tse mafura le lijo tse potlakileng lijong;
- ho kenyelletsoa ka har'a k'habeche, tlhapi, libanana, konofolo le morara o omisitsoeng;
- mehato e sa khaotseng;
- mesebetsi ea 'mele e lumelloang ke ngaka.