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Letsatsi La Creation: 26 Phupu 2021
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Thope tse Khang  - Nka e bula, Ke ea mo shoela
Video: Thope tse Khang - Nka e bula, Ke ea mo shoela

Khatello ea mali e tlase e ba teng ha khatello ea mali e le tlase haholo ho feta e tloaelehileng. Sena se bolela hore pelo, boko le likarolo tse ling tsa 'mele ha li fumane mali a lekaneng. Khatello ea mali e tloaelehileng hangata e lipakeng tsa 90/60 mmHg le 120/80 mmHg.

Lebitso la bongaka la khatello e tlase ea mali ke hypotension.

Khatello ea mali e fapana ho ea ka batho. Lerotholi le ka tlase ho 20 mmHg, le ka baka mathata ho batho ba bang. Hona le mefuta le lisosa tse fapaneng tsa khatello ea mali e tlase.

Ho imeloa kelellong haholo ho ka bakoa ke ho lahleheloa ke mali ka tšohanyetso (ts'oaetso), tšoaetso e matla, tlhaselo ea pelo, kapa khatello e matla ea khatello ea maikutlo (anaphylaxis).

Orthostatic hypotension e bakoa ke phetoho ea tšohanyetso maemong a mmele. Sena se etsahala hangata ha o tlohela ho robala ho ea ho emeng. Mofuta ona oa khatello e tlase ea mali hangata o nka metsotsoana kapa metsotso e seng mekae feela. Haeba mofuta ona oa khatello e tlase ea mali o hlaha kamora ho ja, o bitsoa postprandial orthostatic hypotension. Mofuta ona hangata o ama batho ba baholo, ba nang le khatello e phahameng ea mali le batho ba nang le lefu la Parkinson.


Hangata hypotension (NMH) hangata e ama batho ba baholo le bana. E ka etsahala ha motho a eme nako e telele. Hangata bana ba feta mofuta ona oa hypotension.

Meriana le lintho tse ling li ka lebisa khatello e tlase ea mali, ho kenyelletsa:

  • Joala
  • Meriana e thibelang ho tšoenyeha
  • Meriana e meng ea ho imeloa kelellong
  • Li-diuretics
  • Meriana ea pelo, ho kenyelletsa le e sebelisetsoang ho alafa khatello e phahameng ea mali le lefu la pelo
  • Meriana e sebelisetsoang ho buuoa
  • Li-painkillers

Lisosa tse ling tsa khatello e tlase ea mali li kenyelletsa:

  • Tšenyo ea methapo ea lefu la tsoekere
  • Liphetoho lipineng tsa pelo (arrhythmias)
  • Ho se noe maro a lekaneng (ho felloa ke metsi 'meleng)
  • Ho hloleha ha pelo

Matšoao a khatello e tlase ea mali a ka kenyelletsa:

  • Pono e lerootho
  • Pherekano
  • Botsoa
  • Ho tepella (syncope)
  • Hlooho e bobebe
  • Ho nyekeloa kapa ho hlatsa
  • Ho robala
  • Bofokoli

Mofani oa tlhokomelo ea bophelo o tla u hlahloba ho fumana sesosa sa khatello ea mali e tlase. Matšoao a hau a bohlokoa (mocheso, ho otla ha pelo, sekhahla sa ho hema le khatello ea mali) a tla hlahlojoa khafetsa. U kanna ua hloka ho lula sepetlele nakoana.


Mofani o tla botsa lipotso, ho kenyelletsa:

  • Khatello ea mali e tloaelehileng ke efe?
  • U noa meriana efe?
  • Na u 'nile ua ja le ho noa ka tloaelo?
  • A na u kile ua ba le bokuli, kotsi, kapa kotsi?
  • U na le matšoao afe a mang?
  • Na u ile ua akheha kapa ua se ke ua falimeha?
  • Na u ikutloa u tsekela kapa u le hlooho e pudufale ha u eme kapa u lutse kamora ho paqama?

Liteko tse latelang li ka etsoa:

  • Setsi sa metabolic sa mantlha
  • Litso tsa mali ho hlahloba tšoaetso
  • Palo e felletseng ea mali (CBC), ho kenyelletsa phapang ea mali
  • Electrocardiogram (ECG)
  • Ho hlahloba urinal
  • X-ray ea mpa
  • X-ray ea sefuba

Khatello e tlase ea mali e tloaelehileng ho motho ea phetseng hantle e sa bakeng matšoao a mangata hangata ha e hloke kalafo. Ho seng joalo, kalafo e ipapisitse le sesosa sa khatello e tlase ea mali le matšoao a hau.

Ha u e-na le matšoao a ho theoha ha khatello ea mali, lula kapa u robale hang-hang. Ebe u phahamisetsa maoto a hau kaholimo ho pelo.


Hypotension e matla e bakoang ke ts'oaetso ke tšohanyetso ea bongaka. O ka fuoa:

  • Mali ka nale (IV)
  • Meriana e eketsang khatello ea mali le ho ntlafatsa matla a pelo
  • Meriana e meng, joalo ka lithibela-mafu

Kalafo ea khatello e tlase ea mali kamora ho ema ka potlako e kenyelletsa:

  • Haeba meriana ke eona sesosa, mofani oa hau a ka fetola litekanyetso kapa au fetisetsa sethethefatsi se fapaneng. U SE KE UA emisa ho noa meriana efe kapa efe pele u bua le mofani oa litšebeletso.
  • Mofani oa hau a ka fana ka maikutlo a ho noa maro a mangata ho phekola ho felloa ke metsi 'meleng.
  • Ho apara li-stockings ho ka thusa ho boloka mali hore a se ke a bokella maotong. Sena se boloka mali a mangata 'meleng o kaholimo.

Batho ba nang le NMH ba lokela ho qoba lintho tse ka bakang mathata, joalo ka ho ema nako e telele. Mefuta e meng ea kalafo e kenyelletsa maro a nooang le letsoai le ntseng le eketseha lijong tsa hau. Bua le mofani oa hau pele u leka mehato ena. Maemong a boima, ho ka fanoa ka meriana.

Khatello ea mali e tlase hangata e ka phekoloa ka katleho.

Ho oa ka lebaka la khatello e tlase ea mali ho batho ba baholo ho ka baka ho robeha ha letheka kapa ho robeha ha mokokotlo. Likotsi tsena li ka fokotsa bophelo bo botle ba motho le bokhoni ba ho itsamaela.

Ka tšohanyetso marotholi a matla a khatello ea mali a bolaoa ke tlala 'meleng oa hao. Sena se ka baka tšenyo ea pelo, boko le litho tse ling. Mofuta ona oa khatello e tlase ea mali o ka beha bophelo kotsing haeba o sa phekoloe hanghang.

Haeba khatello e tlase ea mali e etsa hore motho a fete (a akhehe), batla kalafo hanghang. Kapa, ​​letsetsa nomoro ea lehae ea maemo a tšohanyetso e kang 911. Haeba motho a sa phefumolohe kapa a se na pulse, qala CPR.

Bitsa mofani oa hau hang-hang haeba u e-na le matšoao a latelang:

  • Litulo tse ntšo kapa tsa maroon
  • Bohloko ba sefuba
  • Botsoa, ​​hlooho e bobebe
  • Ho akheha
  • Feberu e phahameng ho feta 101 ° F (38.3 ° C)
  • Ho otla ha pelo ka tsela e sa tloaelehang
  • Phefumoloho e khutšoanyane

Mofani oa hau a ka khothaletsa mehato e meng ea ho thibela kapa ho fokotsa matšoao a hau ho kenyelletsa:

  • Ho noa maro a mangata
  • Ho tsoha butle ka mora ho lula kapa ho paqama
  • Ho se noe joala
  • Ha u eme nako e telele (haeba u na le NMH)
  • Ho sebelisa li-stock stockings hore mali a se ke a bokella maotong

Hypotension; Khatello ea mali - tlase; Postpandial hypotension; Orthostatic hypotension; Hypotension e lumellanang ka tsela e lumellanang; NMH

Calkins HG, Zipes DP. Hypotension le syncope. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 43.

Cheshire WP. Mathata a Autonomic le tsamaiso ea ona. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 418.

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