Sengoli: Gregory Harris
Letsatsi La Creation: 8 April 2021
Ntlafatsa Letsatsi: 12 November 2024
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ASTM F2096 teko ea ka hare ea khatello ea bubble
Video: ASTM F2096 teko ea ka hare ea khatello ea bubble

Ho phekola khatello e phahameng ea mali ho tla thusa ho thibela mathata a kang lefu la pelo, stroke, ho foufala, lefu la liphio le mafu a mang a methapo ea mali.

U kanna oa hloka ho noa meriana ho theola khatello ea mali ea hau haeba liphetoho tsa bophelo li sa lekana ho tlisa khatello ea mali boemong bo lebisitsoeng.

LITLHAKU TSA MOKHATLO OA MADI TSE PHAHAMENG LI SEBELISOA NENG

Boholo ba nako, mofani oa hao oa tlhokomelo ea bophelo o tla leka liphetoho tsa bophelo pele 'me a hlahlobe BP ea hau makhetlo a mabeli kapa ho feta.

Haeba khatello ea mali ea hau e le 120/80 ho 129/80 mm Hg, o phahamisitse khatello ea mali.

  • Mofani oa hau o tla khothaletsa liphetoho tsa bophelo ho tlisa khatello ea mali ea hau maemong a tloaelehileng.
  • Meriana ha e sebelisoe hangata mohatong ona.

Haeba khatello ea mali ea hau e lekana kapa e phahame ho feta 130/80 empa e le tlase ho 140/90 mm Hg, o na le Stage 1 khatello e phahameng ea mali. Ha u nahana ka kalafo e nepahetseng, uena le mofani oa hau le lokela ho nahana:

  • Haeba u sena maloetse a mang kapa mabaka a kotsi, mofani oa hau a ka khothaletsa liphetoho tsa bophelo mme a pheta litekanyo kamora likhoeli tse 'maloa.
  • Haeba khatello ea mali ea hau e lula e lekana kapa e phahame ho feta 130/80 empa e le tlase ho 140/90 mm Hg, mofani oa hau a ka khothaletsa meriana ea ho phekola khatello e phahameng ea mali.
  • Haeba u na le maloetse a mang kapa mabaka a kotsi, mofani oa hau a ka ba le monyetla oa ho khothaletsa meriana ka nako e ts'oanang le liphetoho tsa bophelo.

Haeba khatello ea mali ea hau e lekana kapa e phahame ho feta 140/90 mm Hg, o na le Stage 2 khatello e phahameng ea mali. Mofani oa hau o tla khothaletsa hore o noe meriana mme o khothaletse liphetoho tsa bophelo.


Pele mofani oa mofani oa hau a etsa tlhahlobo ea ho qetela ea khatello ea mali e phahameng kapa khatello e phahameng ea mali, o lokela ho u kopa hore khatello ea mali ea hau e lekanyetsoe lapeng, khemising ea hau, kapa kae kapa kae kantle ho ofisi kapa sepetlele.

Haeba u na le kotsi e kholo ea lefu la pelo, lefu la tsoekere, mathata a pelo, kapa nalane ea stroke, meriana e ka qalisoa ha khatello ea mali e tlase e baloa. Matšoao a khatello ea mali a sebelisoang haholo ho batho ba nang le mathata ana a bongaka a ka tlase ho 130/80.

LITLHAKU TSA KHATELLO E PHAHAMENG EA MALI

Boholo ba nako, ke sethethefatsi se le seng feela se tla sebelisoa qalong. Lithethefatsi tse peli li ka qalisoa haeba u na le khatello ea mali e phahameng ea 2.

Mefuta e mengata ea meriana e sebelisoa ho alafa khatello e phahameng ea mali. Mofani oa hau o tla etsa qeto ea hore na ke mofuta ofe oa meriana o u loketseng. U kanna ua hloka ho nka mefuta e fetang e le 'ngoe.

Mofuta o mong le o mong oa moriana oa khatello ea mali o thathamisitsoeng ka tlase o hlaha ka mabitso a fapaneng le mabitso a tloaelehileng.

E 'ngoe kapa e' ngoe ea meriana ena ea khatello ea mali hangata e sebelisoa ho alafa khatello e phahameng ea mali:


  • Li-diuretics li boetse li bitsoa lipilisi tsa metsi. Li thusa liphio tsa hau ho tlosa letsoai (sodium) 'meleng oa hau. Ka lebaka leo, methapo ea hau ea mali ha ea tlameha ho ts'oara mokelikeli o mongata mme khatello ea mali ea hau ea theoha.
  • Beta-blockers etsa hore pelo e otle butle le ka matla a fokolang.
  • Angiotensin-converting enzyme inhibitors (hape e bitsoa ACE inhibitorsphomotsa methapo ea hau ea mali, e theolelang khatello ea mali ea hau.
  • Moamoheli oa Angiotensin II blockers (eo hape e bitsoang Li-ARBsebetsa ka mokhoa o ts'oanang le li-enzyme tsa inhibitors tsa angiotensin.
  • Lisebelisoa tsa calcium channel khatholla methapo ea mali ka ho fokotsa lisele tsa calcium tse kenang.

Meriana ea khatello ea mali e sa sebelisoeng hangata e kenyelletsa:

  • Alpha-lithibela thusa ho phutholoha methapo ea hau ea mali, e theolelang khatello ea mali ea hau.
  • Lithethefatsi tse bohareng bontša boko ba hau le tsamaiso ea methapo ho phutholla methapo ea hau ea mali.
  • Li-Vasodilator tšoaea mesifa marakong a methapo ea mali ho phomola.
  • Renin inhibitors, mofuta o mocha oa moriana oa ho phekola khatello e phahameng ea mali, sebetsa ka ho fokotsa bongata ba li-precursor tsa angiotensin ka tsela eo o phutholla methapo ea hau ea mali.

LIPHELLO TSE LIPHELLETSENG TSA MANGATA A KHATELLO EA MALI


Bongata ba meriana ea khatello ea mali bo bonolo ho e noa, empa meriana eohle e na le litla-morao. Bongata ba tsona li bonolo 'me li ka feta ha nako e ntse e ea.

Litla-morao tse ling tse tloaelehileng tsa meriana e phahameng ea khatello ea mali li kenyelletsa:

  • Khohlela
  • Letšollo kapa ho patoa
  • Botsoa kapa hlooho e bobebe
  • Mathata a ho emisa
  • Ho ikutloa u tšohile
  • Ho ikutloa u khathetse, u fokola, u otsela kapa u haelloa ke matla
  • Ho opeloa ke hlooho
  • Ho nyekeloa kapa ho hlatsa
  • Ho phatloha ha letlalo
  • Ho theola boima ba 'mele kapa ho nona ntle le ho leka

Bolella mofani oa hau kapele kamoo ho ka khonehang haeba o na le litla-morao kapa litla-morao li u bakela mathata. Boholo ba nako, ho etsa liphetoho tekanyong ea moriana kapa ha o e noa ho ka thusa ho fokotsa litla-morao.

Le ka mohla u se ke ua fetola lethal dose kapa ua khaotsa ho noa moriana u le mong. Kamehla bua le mofani oa hau pele.

LITLHAHISO TSE LING

Ho noa meriana e fetang e le 'ngoe ho ka fetola tsela eo' mele oa hau o monyang kapa o sebelisang sethethefatsi ka eona. Li-vithamine kapa li-supplement, lijo tse fapaneng, kapa joala le tsona li ka fetola tsela eo sethethefatsi se sebetsang ka eona 'meleng oa hau.

Kamehla botsa mofani oa hau hore na o hloka ho qoba lijo, lino, livithamini kapa litlatsetso, kapa meriana efe kapa efe ha o ntse o noa moriana oa khatello ea mali.

Hypertension - meriana

Mohlomphehi RG. Matšoao a khatello ea kelello ea mali. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 67.

Victor RG, Libby P. Ts'ebetso ea khatello ea kelello ea 'mele: tsamaiso. 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 Saunders; 2019: khaolo ea 46.

Whelton PK, Carey RM, Aronow WS, le al. 2017 ACC / AHA / AAPA / ABC / ACPM / AGS / APhA / ASH / ASPC / NMA / PCNA tataiso bakeng sa thibelo, ho lemoha, ho lekola le ho laola khatello e phahameng ea mali ho batho ba baholo: tlaleho ea American College of Cardiology / American Basebetsi ba Mokhatlo oa Pelo mabapi le Litataiso tsa Tloaelo ea Bongaka. J Ke Coll Cardiol. 2018; 71 (19): e127-e248. PMID: 29146535 www.ncbi.nlm.nih.gov/pubmed/29146535.

Williams B, Borkum M. Phekolo ea meriana ea khatello ea meriana. Ho: Feehally J, Floege J, Tonelli M, Johnson RJ, bangoli. Kakaretso ea Nephrology ea Kliniki. La 6th. Philadelphia, PA: Elsevier; 2019: khaolo ea 36.

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