Khatello ea mali ke khatello e bakoang ke marako a methapo ea 'mele ha mali a phalla ka nako eo likonteraka tsa mesifa ea pelo (ka nako ea systemole). Ka pontšo e akaretsang ea khatello ea mali, ena ke eona ea pele, kapa palo e ka hodimo (khatello e phahameng ea mali).
Boholo ba khatello ea systolic bo itšetlehile ka lintlha tse tharo tsa bohlokoa:
- matla, eo pelo e kenang ka eona;
- ho hanyetsa ho sebelisoang ke marako a methapo ea mali (moelelo oa bona le elasticity);
- palo ea likarolo tsa pelo ka nako e le 'ngoe.
Mokhoa oa khatello ea systolic ke oa bohlokoa ho tloha ho 110 ho ea ho 120 mm Hg. Art. Empa boleng ba lits'ole tsena bo fetoha le lilemo tsa motho, ka hona e mong le e mong oa rona o tloaelehile ke boleng ba motho ka mong, moo boiketlo ba hae bo tsejoang. Karolo e itseng ho sena e bapaloa ke boteng. Haeba litekanyo tsa khatello e tsitsitseng li bontša mekhoa e tsitsitseng ho tloha ho tloaelehileng ka tsela e le 'ngoe ka 20%, o lokela ho botsa ngaka ea hau.
Lisosa tsa khatello e tlase ea systolic
Khatello e tlaase ea methapo e ka 'na ea tsejoa ka nakoana ka lebaka la lintlha tse latelang:
- ho ima (pele ho trimester);
- ho sebetsa ka thata;
- ho ikoetlisa;
- liphetoho ka tšohanyetso maemo a leholimo kapa maemo a leholimo.
Maemong a joalo, khatello ea tlase e tlaase ha e kotsi ebile e tloaelehile ka mor'a hore ho felisoe lintlha tse ka holimo. Mabaka a tebileng a ho fokotsa khatello ea mali e phahameng ke:
- ho senya pelo ea valve, ka lebaka la hore pelo e senya mali hampe;
- bradycardia (ho fokotseha ha makhetlo a metsoako ea pelo, e ka 'nang ea amahanngoa le liphetoho tse fokolang ka marocardium, ho fokotseha ha mosebetsi oa qoqotho, keketseho ea khatello ea kelello, joalo-joalo);
- lefu la tsoekere (ka lebaka la ho fokotsa sefahleho sa mesifa le ho eketseha ha mali a viscosity);
- tahi (chefo le joala, barbiturates, ethylene glycol, joalo-joalo);
- ho tsieleha ha boko le mokokotlo oa mokokotlo, joalo-joalo.
Ka khatello ea methapo ea mali, motho a ka bona matšoao a kang:
- ho halefa;
- ho otsela;
- ho se tsotelle;
- bohloko bo bohloko bo hloohong;
- botsoa;
- ho lebala;
- ho fufuleloa.
Lisosa tsa khatello e phahameng ea systolic
Ho hatelloa ha systolic ho batho ba phetseng hantle ho ka tlalehoa ka lebaka la:
- matla a maikutlo a feteletseng;
- ho noa joala;
- ho noa kofi, tee e matla, lijo tse letsoai.
Matšoao a bakoang ke ts'ebetso e tsitsitseng ea index e phahameng ea mali e ka ba:
- tšebetso e feteletseng ea qoqotho ea qoqotho kapa li-gland tsa adrenal;
- botenya;
- ho senya sethapo sa aortic;
- lefu la liphio;
- ho felisoa ha methapo ea methapo ea k'holeseterole , joalo-joalo.
Ka nako e telele, khatello e matla ea systolic e ka 'na ea se ke ea hlahisa matšoao, empa hangata ho na le lipontšo tse latelang:
- hlooho (hangata sebakeng sa occipital);
- botsoa;
- "Lintsintsi" ka pel'a mahlo;
- ho nyekeloa ke pelo;
- ho phefumoloha ho thata.
Hlalosa ka ho fokotseha kapa ho eketsa khatello ea systolic
Ho utloisisa hore na ke eng se bakileng phetoho likarolong tsa khatello,
- ho hlahloba 'mele ka pelo ka phonendoscope;
- electrocardiogram ea pelo;
- echocardiography;
- dopplerography ea likepe ;
- teko ea mali (ka kakaretso, tlhahiso ea mali).
Maemong a mang ho ka 'na ha hlokahala hore u etele lingaka tse ikhethang - setsebi sa cardiologist, gastroenterologist, nephrologist, joalo-joalo.