Phekolo ea meriana ea mali e bakoa ke keketseho e tsitsitseng ea khatello. Lipontšo: ho tloha ho 140 ho isa ho tse 90 kapa ho feta. Pele phekolo e qala, sesosa sa lefu lena hangata se hlakisoa, 'me se hlahisa mofuta o mong oa khatello ea meriana - sehlopha se itšetlehile ka litekanyo tsa systolic le diastolic khatello e etsoang ka likhoeli tse' maloa.
Mefuta ea morao-rao ea khatello ea kelello e hlokahalang ka mekhahlelo
Ho fihlela joale, ho na le mefuta e meraro ea lefu:
- Mothati oa 1, o lumellanang le keketseho ea khafetsa empa eseng e sa feleng ea khatello ea mali, hangata e phehella-e leka-lekaneng. Ka linako tse ling ho na le liphetoho tse fokolang lijaneng tsa fundus.
- Mothati oa bobeli o khetholloa ke ho phekola ha moririjene oa ventricle ea pelo e letšehali. Ka nako e ts'oanang, khatello e lula e phahame mme lijana tsa fundus li tlas'a liphetoho tse tebileng.
- Mothati oa 3 o tsamaisana le litlhaselo tsa pelo, likoti, liphio kapa pelo ea ho hlōleha.
Ke habohlokoa ho hlokomela hore lilemong tsa morao tjena ho amohetsoe ho khetholla pakeng tsa bohlokoa ba meriana e phahameng ea matšoafo (e ka sehloohong) le matšoao a matšoao (a bobeli).
Mofuta oa pele ke hoo e ka bang 95% ea linyeoe tsohle tse fumanoeng ke lefu lena 'me o khetholloa ke tsela e ka thōko ea lefu lena ntle le ho kopana le liso tsa litho tsa ka hare.
Mefuta ea bobeli e hlaha ka lebaka la litlōlo tse joalo:
- ho arohana ha aorta;
- pheochromocytoma ;
- pathology ea adrenal cortex;
- nephritis, glomerulonephritis le pyelonephritis;
- lefu la Itenko-Cushing;
- ho senyeha ha li-hormone tsa corticosteroid;
- hyperaldosteronism ea motheo;
- li-tumor le hyperproduction ea corticosterone.
Kemiso ea maloetse a nang le khatello ea kelello ka tekanyo
Mofuta ona oa likarolo tsa lefu lena o kenyelletsa:
- Matšoao a feteletseng a mofuta oa pele (khatello ea tlhaho e tloaelehileng) le mofuta oa 2 (khatello e phahameng ea mali). Li-index li 120-129 bakeng sa 80-84 mm Hg. Art. le 130-139 ho 85-89 mm Hg. Art.
- Phekolo e phahameng ea mali. Lipontšo: ho fihlela ho 120 (systolic) le ka tlaase ho 80 (diastolic).
- 1 degree (140-159 bakeng sa 90-99).
- 2 degree (160-179 ka 100-109).
- Di-3 (ka holimo ho 180 le ho feta 110).
- Systolic hypertension (e ka thōko). Khatello ea diastolic ha e felle ka 90 mm Hg. st., ha systolic - ka holimo ho 140 mm Hg. Art.
Mehato le likhato tsa khatello ea meriana li fumana likotsi tsa mathata ka mokhoa oa tšenyo ho seo ho thoeng ke "litho tse tobileng" (pelo, liphio le matšoafo).
Phapanyetsano ea ho ba le khatello ea kelello ea bohlokoa bakeng sa kotsi
Ho na le lisosa tse latelang tsa kotsi bakeng sa tsoelo-pele ea khatello ea meriana:
- lilemo (bakeng sa basali - lilemong tse fetang 65);
- ho tsuba;
- tšebetso ea khatello ea kelello historing ea lelapa;
- dyslipidemia;
- botenya;
- tšelo ea mali ea protheine ea C-reactive ka chelete e fetang 1 mg / dL;
- ho hloka botsitso;
- pathology ea mamello ho metsoako ea tsoekere;
- boholo ba fibrinogen;
- lefu la tsoekere .
Ho phaella moo, ho na le maemo a mangata a kemiso le mafu a amanang le khatello ea kelello.
Ho ea ka lintlha tsena, kotsi ea ho ba le maloetse a pelo e thata:
- Boemong bo tlaasana (ka pel'a lipontšo tsa 1-2 ho tsoa lethathamong la maemo a tloaelehileng, khatello e phahameng ea boemo bo phahameng, hammoho le khatello ea meriana e phahameng ea mali (AH) 1 st).
- E ikhethang (e nang le motsoako oa AG oa boemo ba 1 le ho ba teng ha lintlha tse 2 tsa kotsing, AH ea 2 degree).
- Phahameng (ho na le maemo a 3 kapa a mangata bakeng sa AH 1, 2, degree, AH 3rd degree).
- E phahame ka ho fetisisa (e nang le mokhoa o tšoanang oa AH oa tekanyo ea 3 le maemo a fetang 3 a kotsi, hammoho le maemo a amanang le kliniki).