Litaba

Tataiso ea Boitlhahlobo ba Bophelo bo Botle | 'Mele oa Hao o Mokhahlelong ofe?

Na u ferekantsoe ke liphetho tsa hau tsa moraorao tsa tlhahlobo ea 'mele? Ua ipotsa hore na u ka ntlafatsa bophelo bo botle ba hau joang joalo ka ha u eletsoa ke ngaka ea hau? Tataiso ena e arola litsamaiso tse peli tse tsebahalang tsa tlhahlobo ea bophelo bo botle ho u thusa ho tseba boemo ba hau ba bophelo bo botle.

I. Mekhahlelo e Mehlano HbopheloKarolelano
Hangata e sebelisoa mekhatlong ea bongaka ea machaba:

1. Boemo bo nepahetseng

• Matšoao ohle a bophelo bo botle ka har'a mekhahlelo e tloaelehileng + maemo a phahameng a matla
• Keletso: Metsotso e 150 ea boikoetliso bo itekanetseng ka beke

2. Boemo bo Botle

• Ho opeloa ke hlooho ka linako tse ling / ho hlobaela + BMI ea moeli
• Tlhokomeliso: Ba nang le cholesterol e phahameng ea LDL ba lokela ho itebela khahlanong le vascular sclerosis

3. SuboptimalBophelo bo botle

• Mokhathala o tsitsitseng> likhoeli tse 3 + lintlha tsa matšoenyeho 22-25
• Tsepamiso ea bohlokoa: Palo e sa tloaelehang ea lisele tse tšoeu tsa mali e hloka lipatlisiso bakeng sa mafu a sa foleng (mohlala, ho se tloaelehe ha immunoglobulin e hlokang ho lokisoa phepong)

4. Naha ea Pele ho Lefu

• Ho fumanoe khatello ea mali / hyperglycemia + 20% ea ho fokotseha ha manonyeletso
• Moralo: Tlhahlobo ea pelo bakeng sa koetliso e hlophisitsoeng (latela keletso ea ngaka bakeng sa lefu la pelo)

5. Boemo ba Mafu

• Tšenyo ea setho + lintlha tsa KPS <50 tse hlokang tlhokomelo ea booki
• Ntho ea bohlokoa: Phekolo ea lihlopha tse fapaneng

II. Tekanyetso ya Dintlha Tse nne
Maemo a mane a bophelo bo botle a WHO:

1. 'Meleng

• Khatello ea mali e ka tlase ho 140/90 mmHg (e tloaelehileng ea 2025)
• BMI 18.5-23.9

2. Tsa kelello

• Lintlha tsa sekhahla sa khatello ea maikutlo <53
• Lintlha tsa tšehetso ea sechaba>40

3. Ho ikamahanya le maemo sechabeng

• Nako ea ho ikamahanya le tikoloho
• Ho nka karolo mosebetsing ho fihlela Kereiting ea B

4. Polokelo ea Mosebetsi

• Teko ea metsotso e 6 ea ho tsamaea> 550 metres
• Matla a ho ts'oara a fetang litekanyetso tse ikhethileng tsa lilemo

III. Mokhoa o nepahetseng oa ho Itekola

1. Basic Screening

• Ho fetoha ha sekhahla sa pelo e phomotseng hoseng <10 bpm
• Tekanyo ea khoeli le khoeli ea thekeng-to-hip (e tšehali ≤0.85/e motona ≤0.9)

2. Tekolo e Tsoetseng Pele

• Liteko tse tlamang tsa AFP/CEA ha u le lilemo li 40
• Pheta liteko tsa tšebetso ea qoqotho bakeng sa maemo a sa tloaelehang a TSH

3. Tlhokomelo e Matla

• Ho kenella haeba boroko bo tebileng <1.5 lihora
• Ho noa letsoai letsatsi le leng le le leng ≤5 dikgerama

IV. Maano a Tsoelopele ea Lekala la Bophelo

Boronse → Silevera

• 211 Mokhoa oa ho ja: Meroho e 2 + protheine e le 1 + setaele se le seng (fetola lierekisi bakeng sa batho ba nang le lefu la tsoekere)
• Metsotso e 5 ea ho squats leboteng hora e 'ngoe le e 'ngoe

Khauta → Platinum

• 2-3 lithupelo tsa ho hanyetsa beke le beke (ba baholo ba shebane le mesifa ea maoto / ea morao)
• WHODAS 2.0 tekanyo ea tekolo

Tlhokomelo ea Taemane

• Liteko tsa kotara tsa mosebetsi oa pelo
• Theha polokelo ea nalane ea bophelo ba lelapa

Likhopotso tsa Bohlokoa:

• Bakeng sa bana ba nang le tieho ea kholo, sheba litekanyetso tsa ± 2SD (beha papali ea ho etsisa bakeng sa lilemo tse 3-4 pele)
• Boikoetliso ba ka mor'a ho buuoa bo latela sehlopha sa ASA (ba baholo ba eketsa koetliso ea ho leka-lekana bakeng sa thibelo ea ho oa)
• Lintlha tsa ho khathala mosebetsing > 50 li bontša tlhokomeliso ea ho sebetsa ho feta tekano

Ho itlhahloba khafetsa le taolo ea bophelo bo botle ba mahlale ke tsa bohlokoa bakeng sa ho boloka bophelo ba haubophelo bo botlematlotlo!