Sengoli: Clyde Lopez
Letsatsi La Creation: 19 Phupu 2021
Ntlafatsa Letsatsi: 16 November 2024
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Khatello ea mali ke tekanyo ea matla a maboteng a methapo ea hau ha pelo ea hau e pompa mali 'meleng oa hau.

U ka metha khatello ea mali ea hau hae. U ka boela oa e hlahloba ofising ea mofani oa tlhokomelo ea bophelo kapa esita le seteisheneng sa mollo.

Lula setulong u ts'ehetsoe mokokotlo. Maoto a hau a lokela ho phuthoa, le maoto fatše.

Letsoho la hau le lokela ho ts'ehetsoa e le hore letsoho la hau le holimo le be boemong ba pelo. Rola letsoho la hao hore letsoho la hao le hloboloe. Etsa bonnete ba hore letsoho ha lea tlamelloa le ho pepeta letsoho la hau. Haeba ho joalo, ntša letsoho la hao ka letsohong, kapa u tlose hempe ka ho felletseng.

Uena kapa mofani oa thepa ea hau le tla thatela koae ea khatello ea mali khafetsa letsohong la hau le kaholimo. Karolo e ka tlase ea cuff e lokela ho ba lisenthimithara tse 2,5 kaholimo ho koba setsoe sa hau.

  • Hafu e tla tšeloa moea kapele. Sena se etsoa ka ho pompa tleloubu ea pepeta kapa ho tobetsa konopo sesebelisoa. U tla ikutloa u tiile letsohong la hao.
  • Ka mor'a moo, valve ea khafu e buloa hanyane, e lumella khatello hore e oe butle.
  • Ha khatello e oa, ho baloa ha molumo oa ho hula mali ho utluoa pele ho tlalehiloe. Ena ke khatello ea systolic.
  • Ha moea o ntse o tsoela pele ho tsoa, ​​melumo e tla nyamela. Ntlha eo molumo o emisang ka eona e hatisoa. Ena ke khatello ea diastolic.

Ho kenya khafu butle haholo kapa ho se e tšele khatello e lekaneng ho ka baka 'mali oa leshano. Haeba u ka lokolla valve haholo, u ke ke ua khona ho metha khatello ea mali ea hau.


Tsamaiso e ka etsoa makhetlo a mabeli kapa ho feta.

Pele o metha khatello ea mali ea hau:

  • Phomola bonyane metsotso e 5, metsotso e 10 e betere, pele khatello ea mali e nkuoa.
  • U SE KE ua nka khatello ea mali ea hau ha u le tlas'a khatello ea maikutlo, u kile ua noa k'hafeine kapa koae metsotsong e 30 e fetileng, kapa u ikoetlisitse haufinyane.

Nka 'malo oa 2 kapa oa 3 u lutse fatše. Nka lintlha tse baloang motsotso o le mong. Lula fatše. Ha u hlahloba khatello ea mali u le mong, hlokomela nako ea ho baloa. Mofani oa hau a ka fana ka maikutlo a hore u bale ka linako tse ling tsa letsatsi.

  • U kanna ua batla ho nka khatello ea mali ea hau hoseng le bosiu bakeng sa beke.
  • Sena se tla u fa bonyane palo ea 14 'me se tla thusa mofani oa hau ho etsa liqeto mabapi le kalafo ea khatello ea mali.

U tla ikutloa u sa phutholoha hanyane ha khatello ea khatello ea mali e phahame haholo.

Khatello ea mali e phahameng ha e na matšoao, kahoo o kanna oa se tsebe hore na o na le bothata bona. Khatello ea mali e phahameng hangata e fumanoa nakong ea ketelo ho mofani ka lebaka le leng, joalo ka tlhahlobo e tloaelehileng ea 'mele.


Ho fumana khatello e phahameng ea mali le ho e phekola kapele ho ka thusa ho thibela lefu la pelo, stroke, mathata a mahlo, kapa lefu le sa foleng la liphio. Batho bohle ba baholo ba lilemo li 18 ho ea holimo ba lokela ho hlahlojoa khatello ea mali khafetsa:

  • Hang ka selemo ho batho ba baholo ba lilemo li 40 le ho feta
  • Hang ka selemo bakeng sa batho ba kotsing e kholo ea khatello e phahameng ea mali, ho kenyeletsoa batho ba batenya haholo kapa ba nonneng haholo, Maafrika a Amerika, le ba nang le khatello e phahameng ea mali 130 ho ea ho 139/85 ho isa ho 89 mm Hg
  • Lilemo tse ling le tse ling tse 3 ho isa ho tse 5 bakeng sa batho ba baholo ba lilemo li 18 ho isa ho tse 39 ba nang le khatello ea mali e ka tlase ho 130/85 mm Hg ba se nang mabaka a mang a kotsi

Mofani oa hau a ka khothaletsa ho hlahlojoa khafetsa ho latela maemo a khatello ea mali le maemo a mang a bophelo.

Ho bala khatello ea mali hangata ho fanoa ka linomoro tse peli. Mohlala, mofani oa hau a ka u joetsa hore khatello ea mali ea hau e 120 ho feta 80 (e ngotsoeng e le 120/80 mm Hg). E le 'ngoe kapa tse peli tsa lipalo tsena li ka ba holimo haholo.

Khatello ea mali e tloaelehileng ke ha palo e holimo (systolic blood pressure) e le ka tlase ho 120 boholo ba nako, 'me palo e tlase (diastolic khatello ea mali) e ka tlase ho 80 boholo ba nako (e ngotsoeng e le 120/80 mm Hg).


Haeba khatello ea mali e pakeng tsa 120/80 le 130/80 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 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 le kaholimo ho 130/80 empa e le tlase ho 140/90 mm Hg, mofani oa hau a ka khothaletsa meriana ho alafa 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 qala meriana ka nako e ts'oanang le liphetoho tsa bophelo.

Haeba khatello ea mali e phahame ho feta 140/90 mm Hg, o na le Stage 2 khatello e phahameng ea mali. Mofani oa hau o tla u qala ka meriana mme a khothaletse liphetoho tsa bophelo.

Boholo ba nako, khatello e phahameng ea mali ha e bake matšoao.

Ho tloaelehile hore khatello ea mali ea hau e fapane ka linako tse fapaneng tsa letsatsi:

  • Hangata e phahame ha u le mosebetsing.
  • E rotha hanyane ha o le hae.
  • Hangata e ba tlase haholo ha u robetse.
  • Ho tloaelehile hore khatello ea mali ea hao e eketsehe ka tšohanyetso ha u tsoha. Ho batho ba nang le khatello e phahameng ea mali, ke ka nako eo ba leng kotsing e kholo ea ho hlaseloa ke lefu la pelo le stroke.

Ho baloa ha khatello ea mali e nkiloeng hae e ka ba mohato o betere oa khatello ea hau ea mali ho feta tse nkuoeng ofising ea mofani oa thepa ea hau.

  • Etsa bonnete ba hore leihlo la khatello ea mali ea lapeng le nepahetse.
  • Kopa mofani oa thepa ea hau ho bapisa 'malo oa hau oa lapeng le o nkiloeng ofising.

Batho ba bangata ba tšoha ofising ea mofani oa thepa mme ba na le lipalo tse phahameng ho feta tseo ba nang le tsona hae. Sena se bitsoa `` white coat ''. Ho baloa ha khatello ea mali lapeng ho ka thusa ho lemoha bothata bona.

Khatello ea mali ea diastolic; Khatello ea mali ea Systolic; Ho bala khatello ea mali; Ho lekanya khatello ea mali; Khatello ea mali - tekanyo ea khatello ea mali; Khatello e phahameng ea mali - tekanyo ea khatello ea mali; Khutso

Mokhatlo oa Amerika oa lefu la tsoekere. 10. Mafu a Pelo le Tsamaiso ea Likotsi: Litekanyetso tsa Tlhokomelo ea Bongaka ho Lefu la tsoekere-2020. Tlhokomelo ea lefu la tsoekere. 2020; 43 (Tlatsetso ea 1): S111-S134. oi: 10.2337 / dc20-S010. PMID: 31862753. Pubmed.ncbi.nlm.nih.gov/31862753/.

Arnett DK, Blumenthal RS, Albert MA, le al. Tataiso ea 2019 ACC / AHA mabapi le thibelo ea mantlha ea lefu la pelo: tlaleho ea American College of Cardiology / American Heart Association Task Force mabapi le Tataiso ea Tloaelo ea Bongaka. Tsamaiso. 2019; 140 (11); e596-e646. PMID: 30879355 e phatlalalitsoeng.ncbi.nlm.nih.gov/30879355/.

American Heart Association (AHA), Mokhatlo oa Amerika oa Bongaka (AMA). Sepheo: BP. lebakeng.org. E fihletsoe ka la 3 Tšitoe. 9th ed.

Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Mekhoa ea ho hlahloba le lisebelisoa. Ka: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, li-eds. Tataiso ea Seidel ea Tlhahlobo ea 'Mele.La 9th. St Louis, MO: Elsevier; 2019: khaolo ea 3.

Mohlomphehi RG. Ts'ebetso ea khatello ea kelello ea 'mele: mekhoa le tlhahlobo. 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 46.

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; 2019: khaolo ea 47.

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 ncbi.nlm.nih.gov/pubmed/29146535/.

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