Ha pelo ea hao e senya mali ka methapo ea hau, e phalla mali ka tlas'a hlooho ea khatello. Lingaka li lekanya khatello ea mali ea hau e le tsela ea ho qeta matla a ho sebelisoa ke mali ana a sisinyehang khahlanong le marako a methapo ea hau.
Hobane pelo e otla, mali a phalla ka methapo ea mollo ha e tsitsitseng (joaloka li-hose hose), empa li-pulsatile, le phallo ea mali, le khatello ea eona, li fetoha ho tloha motsotsoana ho isa motsotsoana.
Ka lebaka lena, tekanyo ea khatello ea mali ea motho e ngotsoe e le linomoro tse peli tse fapaneng - khatello ea mali ea systolic le khatello ea mali ea diastolic. Lipalo tsena tse peli li bonahatsa likarolo tse fapaneng tsa khatello e sebelisoang ke mali a hau ha e ntse e feta ka methapo ea hau.
Ho bala khatello ea mali ho ngotsoe ka tsela ena: 120/80; 'me e buuoa ka tsela ena: "120 ho feta lilemo tse 80." Ts'ebetso ea khatello ea mali ea systolic ke palo e phahameng,' me ho bala khatello ea mali ea diastolic ke palo e tlaase.
Litekanyetso tsena ka bobeli li emela khatello ka har'a methapo ea hau e bontšitsoeng ka limilimithara tsa mercury, kapa mmHg.
Mathata a systolic le diastolic ke a bohlokoa. Haeba lipalo li phahame haholo, khatello ea meriana e ka ba teng. Haeba litlhaloso tsa khatello ea mali li le tlaase haholo, ho ka 'na ha e-ba le phekolo ea mali e lekaneng ho litho tsa bohlokoa, tse kang boko.
Pheko ea Mali ea Systolic ke Eng?
Khatello e bakoang ke mali a hao a phallelang ka methapo ea hau hase ea kamehla, empa e matla, 'me e lula e bonahatsa seo pelo e se etsang ka nako e itseng.
Ha pelo e otla ka matla (ketsahalo e bitsoang "systole"), e thibela mali ho kena methapong. Ho kheloha ho matla ha mali ka methapong ho etsa hore khatello e ka hare ho methapo e eketsehe. Tlhōrō ea mali e fihlile nakong ea ho qhibiliha ha pelo e bitsoa systolic ea mali.
Systolic "khatello ea mali" e tloaelehileng ha motho a lutse ka khutso ke 120 mmHG kapa ka tlase.
Ha motho a ikoetlisa, nakong ea khatello ea kelello, kapa nako efe kapa efe ha pelo e tsosoa ho otla ka matla ho feta ho phomolong, matla a ho thibela pelo a eketseha - mme khatello ea systolic e nyoloha. Ho eketseha ha khatello ea mali ea systolic e etsahalang matsatsing ana a khatello ea kelello ea pelo ke ntho e tloaelehileng ka ho feletseng.
Sena se hlalosa hore na ke hobane'ng ha e le habohlokoa ho lekanya khatello ea mali nakong ea phomolo e pholileng pele o fumana ho ba le khatello ea meriana .
Haeba khatello ea mali ea systolic e le tlaase ho feta e tloaelehileng, ho boleloa hore hypotension ea systolic e teng. Haeba hypotension e matla haholo, e ka etsa hore motho a be le bohlooho bo khanyang , molichaba , syncope , kapa (haeba e nka nako e telele ka ho lekaneng), setho sa 'mele se hlōleha. Hypotension ea motsoako e ka etsahala haeba mali a fetoha a le tlase haholo (joalo ka ho felloa ke metsi a matla kapa sekhahla se seholo sa mali), haeba mesifa ea pelo e fokola haholo hore e se ke ea leleka mali (boemo bo tsejoang e le cardiomyopathy ), kapa haeba methapo ea mali e fetoha ho fokolloa (joaloka ka vasovagal syncope ). Boemo bo tloaelehileng bo hlahisang hypotension systolic ke orthostatic hypotension .
Tlhōrō ea Mali ea Diastolic ke Eng?
Khatello ea mali ea diastolic ke khatello ea mali e kenang ka har'a methapo e pakeng tsa lipelo tsa pelo, ke hore, ha pelo e sa phekole mali ka methapong.
Ka mor'a hore pelo e qete ho etsa tumellano, li-ventricles tsa pelo li khatholoha nakoana e le hore li tle li phele mali, ha li lokisetsoa ho qhibiliha ho latelang. Nako ena ea phomolo ea ventricular e bitsoa "diastole," 'me khatello ea mali nakong ea diastole e bitsoa diastolic ea mali.
"Khatello ea mali" e tloaelehileng ea diastolic nakong ea phomolo e pholileng ke 80 mmHG kapa ka tlase. Ha o e-na le khatello ea kelello ea mali, khatello ea mali ea diastolic hangata e eketseha nakong ea phomolo e pholileng. Hypotension ea Diastolic (ha khatello ea mali ea diastolic e le tlaase) e ka bonoa ka ho felloa ke metsi 'meleng kapa ka mali a tsoang mali, kapa haeba methapo e fetoha ka tsela e sa tloaelehang.
Bohlokoa ba ho Lekola Khatello ea Mali Nakong ea Phomolo ea Khotso
Khatello ea mali ke ntho e matla haholo. Boemo ba khatello ea mali ea hao bo itšetlehile ka mosebetsi oa pelo ea hao le ho satalla ha methapo ea hau. Joalokaha re bone, khatello ea mali e fetoha ka mafolofolo ho tloha metsotsoana ho fihlela motsotsoana ha pelo e phalla pakeng tsa systole le diastole.
Ho phaella moo, khatello ea mali ea systolic le diastolic (e phahameng ka ho fetisisa le e tlaase ka ho fetisisa khatello ea mali e fihletsoeng nako leha e le efe ea pelo) e ka fetoloa haholo ho tloha motsotso o mong ho ea ho o mong ho ea ka boemo ba hau ba mosebetsi, boemo ba khatello ea maikutlo, boemo ba hau ba motlakase le tse 'maloa lintlha tse ling.
Seo se bolelang ke hore, e le hore u fumane lefu la khatello ea meriana ka mokhoa o nepahetseng, ke habohlokoa hore u laole lintho tse ngata tsa "ka ntle" kamoo ho ka khonehang. Mokhoa o khothalletsoang ke litsebi o hloka hore khatello ea mali e nkehe sebakeng se khutsitseng, se futhumetseng ka mor'a hore o phomole bonyane ka metsotso e mehlano. Ho lekanya khatello ea mali ka tsela ena ke phephetso lefapheng la kajeno la ngaka le lemaletsoeng, e leng ho etsa hore ho hlahloba hantle hore khatello ea meriana ea mali e be thata ho feta kamoo e lokelang ho ba kateng. Ke ka lebaka leo litsebi tse ngata kajeno li khothalletsang ho ngolisa khatello ea mali ka nako e telele, le ho hlahloba li-ambulatory pele li etsa hore motho a fumanoe a e-na le khatello ea kelello ea mali.
Lentsoe le Tsoang ho
Likhatello tsa mali tsa Systolic le diastolic li emela likhatello tse ka har'a methapo ea mali nakong ea likarolo tse fapaneng tsa potoloho ea pelo. Ho lekanya ka ho nepahetseng litekanyetso tsena tse peli ke tsa bohlokoa ho hlahloba le ho laola khatello ea kelello.
> Mehloli:
> Siu AL, US Litšebeletso tsa Ts'ireletso. Ho hlahlojoa ha khatello ea mali e phahameng ho batho ba baholo: US Statement Services ea Lihlopha tsa Khothaletso ea Basebetsi. Ann Intern Med 2015; 163: 778.
> Daskalopoulou SS, Rabi DM, Zarnke KB, le al. Lenane la Thuto ea Koetliso ea Chelete ea Canada ea 2015 ea Thibelo ea Mali, Tlhahlobo, Tlhahlobo ea Likotsi, Thibelo le Phekolo ea Chefo ea Mafu. Nka J Cardiol 2015; 31: 549.