Khatello ea mali e kotsi

Hypertension e kotsi ke khatello e phahameng ea mali e tlang ka tšohanyetso le ka potlako.

Boloetse bona bo ama palo e fokolang ea batho ba nang le khatello e phahameng ea mali, ho kenyeletsoa bana le batho ba baholo. E tloaelehile haholo ho batho ba baholo, haholo-holo banna ba Maafrika ba Amerika.

E boetse e hlaha ho batho ba nang le:

• Mathata a Collagen vascular (joalo ka systemic lupus erythematosus, systemic sclerosis, le periarteritis nodosa)
• Mathata a liphio
• Khatello ea mali e phahameng e bakoang ke bokhachane (toxemia)

U kotsing e kholo ea ho ba le khatello e phahameng ea mali haeba u tsuba le haeba u kile ua ba le:

• Ho hloleha ha liphio
• Pherekano ea mali e bakoang ke renal artery stenosis

Matšoao a khatello e phahameng ea mali a kenyelletsa:

• Pono e lerootho
• Fetola maemo a kelello, joalo ka ho tšoenyeha, pherekano, ho fokotsa ho falimeha, ho fokotsa bokhoni ba ho tsepamisa mohopolo, mokhathala, ho hloka botsitso, ho robala kapa ho robala
• Bohloko ba sefuba (maikutlo a ho sithabetsa kapa khatello)
• Khohlela
• Ho opeloa ke hlooho
• Ho nyekeloa kapa ho hlatsa
• Ho shoba matsoho, maoto, sefahleho kapa libaka tse ling
• Phokotso ea moroto
• Inkela ka mahahapa
• Phefumoloho e khutšoanyane
• Bofokoli ba matsoho, maoto, sefahleho kapa libaka tse ling

Malignant khatello ea kelello ke tšohanyetso ea bongaka.

Hangata tlhahlobo ea 'mele e bontša:

• Khatello ea mali e phahameng haholo
• Ho ruruha maotong le maotong a ka tlase
• Pelo e sa tloaelehang e utloahala ebile e le mokelikeli matšoafong
• Liphetoho menahanong, maikutlong le mehopolong

Tlhahlobo ea mahlo e tla senola liphetoho tse bonts'ang khatello e phahameng ea mali, ho kenyelletsa:

• Ho tsoa mali ha retina (karolong e ka morao ea leihlo)
• Ho fokotsa methapo ea mali ho retina
• Ho ruruha ha methapo ea mahlo
• Mathata a mang le retina

Liteko tsa ho fumana tšenyo ea liphio li ka kenyelletsa:

• Tlhahlobo ea khase ea mali
• BUN (mali urogen naetrojene)
• Sebopeho
• Ho hlahloba urinal
• Liphio tsa ultrasound

X-ray ea sefuba e ka bonts'a pherekano matšoafong le pelo e atolohileng.

Lefu lena le ka ama litholoana tsa liteko tsena:

• Tekanyo ea aldosterone (hormone e tsoang ho adrenal gland)
• Li-enzyme tsa pelo (matšoao a tšenyo ea pelo)
• Tlhatlhobo ea CT ea boko
• Electrocardiogram (EKG)
• Boemo ba Renin
• Mokokotlo oa metsi

U tla hloka ho lula sepetlele ho fihlela khatello e matla ea mali e laoloa. U tla fumana meriana ka mothapo (IV) ho fokotsa khatello ea mali.

Haeba ho na le mokelikeli matšoafong a hao, u tla fuoa meriana e bitsoang diuretics, e thusang 'mele ho tlosa mokelikeli. Ngaka ea hau e ka u fa meriana ho sireletsa pelo ea hau haeba u na le matšoao a tšenyo ea pelo.

Kamora hore khatello e matla ea mali e laoloe, meriana ea khatello ea mali e nkiloeng ka molomo e ka laola khatello ea mali. Moriana oa hau o kanna oa hloka ho fetoloa ka linako tse ling. Khatello ea mali e phahameng e ka ba thata ho e laola.

Lits'ebetso tse ngata tsa 'mele li kotsing e kholo ea phahama e phahameng ea khatello ea mali. Likarolo tse kenyeletsang boko, mahlo, methapo ea mali, pelo le liphio li ka senyeha.

Methapo ea mali ea liphio e na le monyetla oa ho senyeha ke khatello e phahameng ea mali. Ho hloleha ha liphio ho ka hlaha, ho ka bang teng ruri. Haeba sena se etsahala, o ka hloka dialysis (mochini o tlosang litšila maling).

Haeba e phekoloa hang-hang, khatello e phahameng ea mali e ka laoloa ntle le ho baka mathata a sa feleng. Haeba e sa phekoloe hang-hang, e ka bolaea.

Mathata ana a ka hlaha:

• Tšenyo ea boko (stroke, ho oa)
• Tšenyo ea pelo, ho kenyelletsa: lefu la pelo, angina (bohloko ba sefuba ka lebaka la methapo ea mali e fokolang kapa mesifa ea pelo e fokolang), pherekano ea morethetho oa pelo
• Ho hloleha ha liphio
• Bofofu bo sa feleng
• Mokelikeli matšoafong

E-ea kamoreng ea maemo a tšohanyetso kapa u letsetse nomoro ea hau ea tšohanyetso ea lehae (joalo ka 911) haeba u na le matšoao a khatello e mpe ea mali. Ena ke boemo ba tšohanyetso bo ka behang bophelo kotsing.

Bitsa mofani oa tlhokomelo ea bophelo haeba u tseba hore u na le khatello e phahameng ea khatello ea mali.

Haeba u na le khatello e phahameng ea mali, hlokomela khatello ea mali ka hloko 'me u noe meriana ea hau hantle ho thusa ho fokotsa kotsi ea hau. Ja lijo tse matlafatsang tse se nang letsoai le mafura a mangata.

Lebelo le phahameng la khatello ea kelello; Arteriolar nephrosclerosis; Nephrosclerosis - arteriolar; Khatello ea kelello - e kotsi; Khatello ea mali e phahameng - e kotsi

• Liphio tse nang le khatello ea mali

Bansal S, Linas SL. Mathata a nang le khatello ea mali e potlakileng: Ka: Vincent JL, Abraham E, Moore FA, Tonakholo ea Kochanek, MP ea Fink, eds. Buka ea sengolo ea Tlhokomelo e Bohlokoa. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 87.

Greco BA, Umanath K. Ho hatelloa ke khatello ea mali le khatello ea kelello. Ho: Feehally J, Floege J, Tonelli M, Johnson RJ, bangoli. Kakaretso ea Nephrology ea Kliniki. La 6th. Philadelphia, PA: Elsevier; 2019: khaolo ea 41.

Kaynar AM. Tlhaloso ea khase ea mali ea mali. Ka: Vincent JL, Abraham E, Moore FA, Tonakholo ea Kochanek, MP ea Fink, eds. Buka ea sengolo ea Tlhokomelo e Bohlokoa. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 36.

Levy PD, Brody A. Hypertension. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 74.