Basali ba nang le lefu la ovary syndrome (PCOS) ba ka eketsa khatello ea mokuli lethathamong le lelelele la likotsi tse bakoang ke ts'ebeliso ea metsoako tseo ba leng kotsing e kholo ea tsona. E boleloa e le "'molai ea khutsitseng" bakeng sa matšoao a eona a hlokomelisoang, khatello ea kelello (khatello e phahameng ea mali) ke boemo bo sa lokelang ho nkoa habobebe.
Lintlha tse fumanoeng Thutong ea Pelo ea Pelo ea Dallas li bontšitse hore ha basali ba nang le PCOS ba ne ba bapisoa le basali ba se nang boemo, ba nang le PCOS ba bontšitse ho ata ha khatello e phahameng ea mali, ho sa tsotellehe morabe kapa merabe.
Haeba e sa laolehe, khatello ea mali e phahameng e ka senya methapo ea mali le litho tsa 'mele. Mathata a khatello e matla ea mali a akarelletsa mathata a pono, tšenyo ea liphio kapa esita le lefu la pelo kapa stroke. Ho tseba le ho fokotsa maemo a hao a kotsi (sheba ka tlase), ho ka u thusa ho fokotsa kotsi ea hau.
Lisosa Tsa Likotsi Tsa Ts'oaetso e Phahameng ea Mali
Ho na le mabaka a mangata a kotsing ea ho ba le khatello e phahameng ea mali. Tsena li kenyelletsa:
- Ho ja lijo tse nang le sodium (letsoai)
- Ho tsuba
- Ho hloka boikoetliso
- Ho ba boima bo feteletseng
- Ho feta lilemo
- Ho ba African American
- Khatello ea kelello
- Ho tsuba ha insulin
- Histori ea lelapa
- Ho tepella maikutlong
- Ho noa haholo joala
- Ho ba le maemo a mang a bongaka a kang cholesterol e phahameng kapa mofuta oa lefu la tsoekere
Ho lekanya khatello ea mali
Khatello ea mali e lekanyetsoa ka ho sebelisa khatello ea mali . Mofani ea nang le tlhokomelo ea bophelo bo botle le eena o tla sebelisa stethoscope ho fumana likhaello tse peli tsa khatello ea mali. Ea pele o mametse nomoro ea "top", kapa systolic.
Sena se bontša pelo ea hao e otla. Nomoro ea bobeli ke ho bala diastolic kapa "nomoro e ka tlaase," e leng ho khethollang khatello ea mali ha pelo e lula pakeng tsa ho otloa. Sesebelisoa sa elektronike se ka boela sa sebelisoa lapeng ho hlahloba khatello ea mali.
Haeba tekanyo e bala di-sytolic 110 le 70 diastolic, u tla utloa "110 ho feta 70" kapa u ngole "110/70 mmHg."
Ho lemoha ho hatelloa ke mali
Matšoao a khatello ea mali (systolic le diastolic) a lekanyetsa hore na o na le khatello ea mali e tloaelehileng kapa e phahameng. Mona ke maemo a fokolang ho ea ka Setsi sa Tlhokomelo ea Maloetse:
E tloaelehileng:
Systolic: ka tlase ho 120 mmHg
Diastolic: ka tlaase ho 80mmHg
Systolic: 120-139 mmHg
Diastolic: 80-89 mmHg
Khatello ea mali e phahameng:
Systolic: 140 mmHg kapa e phahameng
Diastolic: 90 mmHg kapa e phahameng
Khatello ea mali e baloang ho feta 180/110 e nkoa e le bothata ba ho tšoaetsoa ke mali , bo hlokang phekolo ea meriana.
Ho thibela khatello e phahameng ea mali
Ho thibela khatello ea mali e phahameng ho qala ka ho phela bophelo bo botle. Ho boloka boima ba hau, ho ja lijo tse nepahetseng le ho ikoetlisa kamehla ke liketso tseo u ka li nkang hona joale ho fokotsa menyetla ea ho ba le khatello e matla ea mali.
Ho Phekola Khatello ea Mali e Phahameng
Seo u se jang se phetha karolo ea bohlokoa ho laola khatello ea mali. Ho lahleheloa ke boima, ho fokotsa joala le ho eketsa boikoetliso bo eketsehileng ke liphetoho tsa bophelo tse ka fokotsa khatello ea mali. Ho phaella moo, mona ke liphetoho tse ling tseo u ka li etsang ha u ja ho fokotsa khatello ea mali.
Ja Peō ea Letsoai
Maamerika a mangata a ja tsela e ngata ea sodium ho feta seo a se khothalletsoang. Maamerika a lokela ho ja makhetlo a fetang 1 500 ka letsatsi (ke feela halofo ea teaspoon ea letsoai!) Ho ea ka American Heart Association.
Hase ntho e sa tloaelehang bakeng sa lijo tsa reschorente tse nang le sodium ea matsatsi.
Ntle le ho ja ka ntle, mehloli e meholo ea sodium ke lijo tse phehiloeng, lijo tse nang le serame, lijo tse nang le makotikoting, 'me ha e le hantle, li sebelisa letsoai la letsoai. Ho bala mangolo a lijo le ho pheha lijo tse ngata lapeng moo u laolang letsoalo la letsoai ho ka etsa phapang.
Eketsa Litholoana le Meroho e Eketsehileng
E, ho na le lebaka la ho ja litholoana le meroho ea hau: li thusa ho fokotsa khatello ea mali. Litholoana le meroho li na le limatlafatsi tse kang magnesium , calcium le potasiamo, tse sebetsang ho loantša liphello tsa sodium e phahameng 'meleng ea rona.
Dash (Dietary Approaches to Stop Hypertension) Lijo ke bopaki ba hore litholoana le meroho li thusa ho fokotsa khatello ea mali ho basali ba nang le PCOS.
Basali ba nang le PCOS ba ileng ba latela lijo tsa DASH ba ile ba bona ntlafatso e kholo ea khatello ea mali, hammoho le tahlehelo ea mafura a mpeng. Liphetoho tsa bohlokoa ho insistin ho hanyetsa le ho ruruha ho ne ho boetse ho bontšoa.
Lijo tsa DASH li khothalletsa li-servings tse 4 ho isa ho tse 5 letsatsi ka leng la litholoana le meroho.
E hatisa linate, peo le limela
Lijo tsa DASH ke limela tse ts'ehetsoeng ho kenyelletsa lijo tse 4 ho isa ho tse 5 ka beke tsa linate , lipeo le limela tse sa tšoaneng (lentile le lierekisi). Lijo tsena ha li fane feela mohloli o motle oa fiber, empa li boetse li na le magnesium le potasiamo ho fokotsa khatello ea mali.
U se ke Ua Lebala Fat!
Li-omega-3 tse nang le mafura a mangata a kang a fumanoang litlhapi tse nonneng, linate, li-avocado le oli ea mohloaare li na le khatello ea mali e theolelang tlaase. Phuputso e phatlalalitsoeng ho American Journal of Hypertension e bapisa ho ja lijo tsa oli ea oli ea mohloaare e nang le polyphenol ho lijo tse sa nang le polyphenols le liphello tsa tsona khatellong ea mali ho basali ba bacha. Ka mor'a likhoeli tse 'nè, sehlopha sa oli sa mohloaare se ne se amana le ho fokotsa khatello ea mali ea systolic le diastolic.
Meriana ea ho Tšoara Phekolo e Phahameng ea Mali
Haeba lijo le mekhoa ea ho iphelisa li sa sebetse, kapa haeba u ntse u e-na le khatello ea mali e phahameng, ngaka ea hao e ka fana ka meriana e loantšang mali e tla u thusa ho e laola.
Mefuta e fapaneng ea meriana e ka sebelisoa ho akarelletsa diuretics, calcium channel blockers, ACE inhibitors, kapa beta blockers.
Diuretics
Diuretics ha e kenye letsoai le feteletseng le metsi ho tsoa 'meleng, ho thusa ho fokotsa khatello ea mali. Ka mohlala, moea oa 'mele o na le potassium-sparing diuretic e atisang ho sebelisoa ho basali ba nang le PCOS. Hase feela khatello ea mali e tlaase ea spironolactone empa e ka boela ea thusa ka matšoao a sa batleheng a hirsutism a kang ho ruruha ha moriri le ho lahleheloa ke moriri.
Li-Blockers tsa Beta
Li-block block li sebetsa ka ho thibela adrenaline hormone epinephrine ho liehisa pelo ea hao.
ACE Inhibitors
ACE inhibitors hlakola methapo ea mali ea hau e le hore pelo e se ke ea sebetsa ka thata ho pompa mali ka lijana tse moqotetsane.
Li-blockers tsa Calcium Channel
Setsi sa calcium se thibela khatello e tlaase ea mali ka ho thibela khalsiamo hore e kene ka hare ho methapo ea mali e fokolang, e fokotsang boholo ba matla ao mesifa e ka e hlahisang ha ho etsoa konteraka.
Hobane ha o tsebe hore na o na le khatello e matla ea mali kapa che, ke habohlokoa hore u latele le mofani oa hao oa bongaka bakeng sa ho hlahloba selemo ho pota. Ho sebelisa litlhahiso tsa bophelo bo holimo ho ka thusa ho thibela le ho tšoara khatello e phahameng ea mali.
> Mohloli
> Asemi Z, Esmaillzadeh A. DASH Lijo, Phekolo ea Insulin, le Serum hs-CRP ho Polycystic Ovary Syndrome: Tlhahlobo ea Kliniki e laoloang ka nako e tloaelehileng. Resume ea Horm Metab. 2014.
> Setsi sa Tlhokomelo ea Mafu Ho lekanya khatello ea mali. E fihletsoe ho 2/22/17: https://www.cdc.gov/bloodpressure/measure.htm
> Chang AY, Oshiro J, Ayers C, Ha ho RJ.Phatlalatso ea morabe / morabe oa likotsi tsa pelo tse bakoang ke polycystic ovary syndrome, Dallas Heart Study. Clin Endocrinol (Oxf). 2016 Moo; 85 (1): 92-9.
> Moreno-Luna R, Muñoz-Hernandez R, Miranda ML. Oli ea mohloaare e bitsoang polyphenols e fokotsa khatello ea mali 'me e ntlafatsa endothelial ts'ebetso ho basali ba bacha ba nang le khatello ea kelello ea' mele. Am J Hypertens. 2012 Dec; 25 (12): 1299-304.