Iindlela ezili-10 zokuKhulisa uxinzelelo lwegazi olusezantsi

Umxholo

• Iimpawu zoxinzelelo lwegazi olusezantsi
• Yintoni uxinzelelo lwegazi?
• Indlela yokunyusa uxinzelelo lwegazi
• 1. Sela amanzi amaninzi
• 2. Yitya ukutya okunezondlo
• 3. Yitya izidlo ezincinci
• 4. Nciphisa okanye unqande utywala
• 5. Yitya ityuwa eninzi
• 6. Jonga iswekile esegazini lakho
• 7. Jonga i-thyroid yakho
• 8. Nxiba izitokhwe zokucinezelwa
• 9. Thatha amayeza
• 10.Nyanga izifo
• Yintoni ebangela uxinzelelo lwegazi oluphantsi?
• Uxinzelelo lwegazi oluphantsi ukusuka kunyango, ukothuka, okanye ukubetha
• Amayeza
• Umothuko
• Ukubetha
• Ukulawula nokusombulula uxinzelelo lwegazi

Uxinzelelo olusezantsi kunye neoksijini egazini lakho

Uxinzelelo lwegazi, okanye uxinzelelo lwegazi, kuxa uxinzelelo lwegazi lusezantsi kunesiqhelo. Okuchasene noxinzelelo lwegazi oluphezulu okanye uxinzelelo lwegazi.

Uxinzelelo lwegazi ngokwendalo luyatshintsha imini yonke. Umzimba wakho uhlala uhlengahlengisa kwaye ulungelelanise uxinzelelo lwegazi. Oku kunceda ekuqinisekiseni ukuba onke amalungu omzimba wakho- kubandakanya nengqondo, intliziyo kunye nemiphunga- ufumana igazi elininzi kunye neoksijini.

Uxinzelelo lwegazi olusezantsi lunokuba yinto eqhelekileyo. Isenokungabangeli naziphi na iimpawu okanye ibe sisizathu sokukhathazeka.

Uxinzelelo lwegazi lunokutshintsha nokuma komzimba wakho. Umzekelo, ukuba uphakame ngequbuliso, inokuwisa okomzuzwana. Uxinzelelo lwegazi luyehla xa uphumla okanye ulele.

Ezinye iimeko zempilo zinokubangela uxinzelelo lwegazi olusezantsi. Oku kungakhokelela kwigazi elincinci kunye neoksijini kwamanye amalungu omzimba wakho. Ukunyanga imeko kuyanceda ukunyusa uxinzelelo lwegazi.

Iimpawu zoxinzelelo lwegazi olusezantsi

Iimpawu zoxinzelelo lwegazi oluphantsi zinokubandakanya:

• ukungaboni kakuhle
• ukudideka
• ukudakumba
• isiyezi
• isiqaqa
• ukudinwa
• ndiziva ndibanda
• ndiziva ndinxaniwe
• ukungakwazi ukugxila
• isicaphucaphu
• ukukhawuleza, ukuphefumla okungaphantsi
• ukubila

Yintoni uxinzelelo lwegazi?

Uxinzelelo lwegazi, okanye iBP, ngamandla egazi ngokuchasene neendonga zemithambo yegazi. Igazi lifakwa emzimbeni wonke ngentliziyo.

Uxinzelelo lwegazi lulinganiswa ngamanani amabini ahlukeneyo. Inombolo yokuqala okanye ephezulu ibizwa ngokuba luxinzelelo lwe-systolic. Olu luxinzelelo ngelixa intliziyo ibetha.

Inombolo yesibini okanye engezantsi ibizwa ngokuba yi-diastolic pressure. Luxinzelelo ngelixa intliziyo ihleli phakathi kokubetha. Uxinzelelo lweDiastolic luhlala luphantsi kunoxinzelelo lwe-systolic. Zombini zilinganiswa ngeemilimitha zemekyuri (mm Hg).

Uxinzelelo lwegazi oluqhelekileyo malunga ne-120/80 mm Hg. Inokutshintsha kancinci nakubantu abasempilweni. Ngokwe-Mayo Clinic, i-hypotension kuxa uxinzelelo lwegazi lungaphantsi kwe-90/60 mm Hg.

Indlela yokunyusa uxinzelelo lwegazi

1. Sela amanzi amaninzi

Ukuphelelwa ngamanzi emzimbeni ngamanye amaxesha kungakhokelela kuxinzelelo lwegazi olusezantsi. Abanye abantu banokuba ne-hypotension nokuba bengenamanzi emzimbeni.

Unokufumana ukomisa amanzi ngokuphulukana namanzi ngokukhawuleza okukhulu.Oku kunokwenzeka ngokugabha, urhudo oluqatha, umkhuhlane, umthambo onzima kunye nokubila okugqithisileyo. Amayeza anje nge-diuretics nawo anokubangela ukuphelelwa ngamanzi emzimbeni.

2. Yitya ukutya okunezondlo

Uxinzelelo lwegazi olusezantsi kunye nezinye iziphumo ebezingalindelekanga zinokwenzeka ukuba awufumani zondlo zaneleyo.

Amanqanaba asezantsi e-vitamin B-12, folic acid, kunye nentsimbi kunokubangela i-anemia. Le meko yenzeka xa umzimba wakho ungenako ukwenza igazi elaneleyo. I-anemia inokuhlisa uxinzelelo lwegazi. Oku kunokubangela uxinzelelo lwegazi olusezantsi.

Ugqirha wakho unokucebisa utshintsho kwindlela otya ngayo imihla ngemihla kunye nokuthatha izongezo.

3. Yitya izidlo ezincinci

Unokufumana uxinzelelo lwegazi oluphantsi emva kokutya isidlo esikhulu, nangona oku kuqhelekile kubantu abadala. Oku kwenzeka ngenxa yokuba igazi lihamba liye kumgudu wakho wokugaya ukutya emva kokutya. Ngokwesiqhelo, izinga lokubetha kwentliziyo yakho liyonyuka ukunceda ukulinganisa uxinzelelo lwegazi.

Unokuthintela uxinzelelo lwegazi oluphantsi ngokutya ukutya okuncinci. Kwakhona, ukunciphisa ii-carbs zakho kunokunceda ukugcina uxinzelelo lwegazi luzinzile emva kokutya. Nazi ezinye iingcebiso zokutya onokukutya kunye nemikhwa yokutya onokuziqhelanisa nayo.

4. Nciphisa okanye unqande utywala

Ukusela utywala kunokukhokelela ekuphelelweni ngamanzi emzimbeni. Inokusebenzisana namayeza kwaye ibangele uxinzelelo lwegazi olusezantsi.

5. Yitya ityuwa eninzi

Isodiyam inceda ukunyusa uxinzelelo lwegazi. Nangona kunjalo, inokunyusa uxinzelelo lwegazi kakhulu. Inokukhokelela nakwisifo sentliziyo. Buza ugqirha wakho ukuba kukulungele kangakanani.

Yongeza itafile yetyuwa kukutya okupheleleyo, okungasetyenziswanga. Oku kunceda ukulawula ingakanani ityuwa oyityayo. Kunqande ukutya okutyiwa okutyhidiweyo nokwenziweyo.

6. Jonga iswekile esegazini lakho

Iswekile kunye namanqanaba eswekile egazini aphezulu kunokubangela uxinzelelo lwegazi.

Sebenzisa iliso lasekhaya ukujonga amanqanaba eswekile yegazi amatyeli aliqela ngosuku. Jonga ugqirha wakho ukuze ufumane okona kutya kulungileyo, umthambo, kunye nesicwangciso sonyango ukunceda ukulinganisa amanqanaba eswekile yegazi.

7. Jonga i-thyroid yakho

Iimeko ze-thyroid ziqheleke kakhulu. I-Hypothyroidism yenzeka xa ungazivelisi ngokwaneleyo iihomoni ze-thyroid. Oku kunokukhokelela kuxinzelelo lwegazi olusezantsi.

Uvavanyo lwegazi olulula lunokuxelela ugqirha wakho ukuba unale meko. Unokufuna amayeza kunye notshintsho kwindlela yokutya ukuze uncede ukonyusa umsebenzi we-thyroid.

8. Nxiba izitokhwe zokucinezelwa

Iikawusi ezirhabaxa okanye iikawusi zinokunceda ukuthintela igazi lingadibani kwimilenze yakho. Oku kunceda ukukhulula i-orthostatic okanye i-postural hypotension ephantsi kwegazi ngenxa yokuma, ukubeka phantsi, okanye ukuhlala kakhulu.

Abantu abalele ebhedini banokufuna uxinzelelo lwe-brace ukunceda ukumpompa igazi emilenzeni. I-Orthostatic hypotension ixhaphake kakhulu kubantu abadala. Kwenzeka ukuya kuthi ga kwiipesenti ze-11 zabantu abaphakathi kunye neepesenti ze-30 zabantu abadala.

9. Thatha amayeza

Ugqirha wakho unokukunika amayeza anokunceda ukunyanga uxinzelelo lwegazi. La machiza anceda ukunyanga i-orthostatic hypotension:

• fludrocortisone, enceda ekunyuseni ivolumu yegazi
• i-midodrine (Orvaten), enceda ukunciphisa imithambo yegazi ukunyusa uxinzelelo lwegazi

Ukuba i-BP yomntu iphantsi ngobungozi kwi-sepsis, amanye amayeza anokusetyenziselwa ukunyusa uxinzelelo lwegazi. Oku kubandakanya:

• I-alpha-adrenoceptor agonists
• dopamine
• epinephrin
• norepinephrin
• UPhenylephrine
• Iimpawu ze-vasopressin

10.Nyanga izifo

Ezinye izifo ezinobungozi, iintsholongwane kunye nefungal zingabangela uxinzelelo lwegazi oluphantsi. Ugqirha wakho unokufumanisa ukuba unosulelo kuvavanyo lwegazi. Unyango lubandakanya i-IV antibiotics kunye namachiza antiviral.

Ukufumana ezinye iindlela zokunyusa uxinzelelo lwegazi, funda izizathu ezingezantsi.

Yintoni ebangela uxinzelelo lwegazi oluphantsi?

Zininzi izinto ezibangela uxinzelelo lwegazi. Ezinye zezethutyana kwaye zinokulungiswa ngokulula.

Uxinzelelo lwegazi oluphantsi lunokuba luphawu lomcimbi wezempilo okanye imeko kaxakeka. Unyango lunokufuneka.

Iimeko ezininzi zempilo zinokubangela uxinzelelo lwegazi. Oku kubandakanya:

• Isifo iAddison (iihomoni ezisezantsi zeadrenal)
• i-anaphylaxis (impendulo engathandekiyo)
• ianemia
• ukopha
• i-bradycardia (izinga lentliziyo eliphantsi)
• ukuphelelwa ngamanzi emzimbeni
• isifo seswekile okanye iswekile esezantsi yegazi
• isifo sentliziyo okanye ukusilela kwentliziyo
• ingxaki yevalvu yentliziyo
• i-hypothyroidism (i-hormone ephantsi ye-thyroid)
• ukusilela kwesibindi
• isifo parathyroid
• ukukhulelwa
• ukothuka okubangelwa sisifo esibuhlungu)
• i-hypotension ye-orthostatic okanye uxinzelelo lwegazi lwasemva
• ukuphakama ngequbuliso
• ukwenzakala okanye ukwenzakala entloko

Ukuchonga nokunyanga le miba kunokunceda ukulinganisela uxinzelelo lwegazi. Ugqirha wakho unokucebisa iimvavanyo ezilula ezinje:

• iimvavanyo zegazi ukujonga amanqanaba ehomoni, amanqanaba eswekile yegazi, kunye nosulelo
• an i-electrocardiogram (ECG) okanye iHolter esweni ukujonga isingqi sentliziyo kunye nokusebenza
• an qeebloyi ukujonga impilo yentliziyo yakho
• an uvavanyo loxinzelelo ukujonga impilo yentliziyo yakho
• a Ukuvavanywa kwetafile ukujonga uxinzelelo lwegazi oluphantsi ngenxa yotshintsho kwimeko yomzimba
• indlela yeValsalva, uvavanyo lokuphefumla ukukhangela inkqubo ye-neva ebangela uxinzelelo lwegazi

Uxinzelelo lwegazi oluphantsi ukusuka kunyango, ukothuka, okanye ukubetha

Amayeza

Amanye amayeza anokubangela uxinzelelo lwegazi olusezantsi. Oku kubandakanya amayeza ukunyanga uxinzelelo lwegazi kunye nezinye iimeko, ezinje:

• i-alpha-blockers
• ii-angiotensin II receptor blockers
• i-angiotensin-eguqula i-enzyme (ACE) inhibitors
• ii-beta-blockers (i-Tenormin, Inderal, i-Innopran XL)
• iicalcium block blockers
• I-diuretics okanye iipilisi zamanzi (iLasix, iMaxzide, iMicrozide)
• iziyobisi ze-erectile dysfunction (Revatio, Viagra, Adcirca, Cialis)
• iitrate
• Amayeza esifo sikaParkinson anje ngeMirapex kunye nelevodopa
• I-tricyclic antidepressants (iSilenor, iTofranil)

Ukusela utywala okanye ukusebenzisa iziyobisi xa uzisebenzisa, okanye ukudibanisa amayeza athile kunokubangela uxinzelelo lwegazi. Kufuneka uhlale uxelela ugqirha wakho ngento oyithathayo ukuqinisekisa ukuba bayayazi nayiphi na ingozi.

Umothuko

Umothuko yimeko esongela ubomi. Kungenzeka ekuphenduleni kwiimeko ezininzi zongxamiseko. Oku kubandakanya:

• isifo sentliziyo okanye ukubetha
• ukwenzakala kakhulu okanye ukutshiswa
• usulelo olunzima
• negazi lakho
• ihlwili legazi

Umothuko ukhokelela kuxinzelelo lwegazi olusezantsi, kodwa uxinzelelo lwegazi olusezantsi kunokubangela ukuba umzimba wakho wothuke. Unyango lunokubandakanya ukunyusa uxinzelelo lwegazi ngamanzi e-IV okanye utofelo-gazi.

Ukunyanga unobangela wothuka kunceda ukunyusa uxinzelelo lwegazi.

Umzekelo, kukothuka kwe-anaphylactic, inaliti ye-epinephrine (EpiPen) inceda ukunyusa uxinzelelo lwegazi ngokukhawuleza. Oku kunokusindisa ubomi kumntu onobungozi obukhulu kumanqwanqatha, ukunyuka kweenyosi, okanye ezinye izilwanyana.

Kwimeko yoncedo lokuqala, kubalulekile ukugcina umntu efikelwa ngumothuko kwaye umjonge de kubekho uncedo lwezonyango. I-Mayo Clinic icebisa ukuba balale phantsi iinyawo zabo ziphakame ubuncinci i-intshi ezili-12 emhlabeni, ukuba nje oku akubangeli zintlungu okanye zingxaki zingaphaya.

Ukubetha

IStrowuku ngunobangela ophambili wokufa. Ikwangunobangela ophambili wokukhubazeka okunzulu kunye nexesha elide.

Uxinzelelo oluphezulu lwegazi ngoyena nobangela wesifo. Kubalulekile ukulawula uxinzelelo lwegazi ukunqanda ukubetha, nokugcina ukubetha kungenzeki kwakhona. Nangona kunjalo, uphando oluthile lwezonyango lubonisa ukuba ukugcina uxinzelelo lwegazi oluphezulu ngokukhawuleza emva kokubetha kunokunceda ukukhusela umonakalo wengqondo. Oku kunceda ukunciphisa umngcipheko wokufa kunye nokukhubazeka.

I-American Stroke Association icebisa ukugcina uxinzelelo lwegazi luphezulu kunesiqhelo ukuya kuthi ga kwiiyure ezingama-72 emva kokubetha. Oku kunokunceda ukungenisa ingqondo ngegazi ngcono kwaye kuncede ukuba iphinde ibuye kwisifo.

Ukulawula nokusombulula uxinzelelo lwegazi

Ukuba noxinzelelo lwegazi oluphantsi kube kanye ngethuba akunakuba sisizathu sokukhathazeka. Abanye abantu banegazi elisezantsi ngalo lonke ixesha.

Tshela ugqirha wakho ukuba unayo nayiphi na impawu. Gcina incwadi yeempawu zakho kunye nento obuyenza xa isenzeka. Oku kunokunceda ugqirha wakho ukuba afumane unobangela wexinzelelo lwegazi olusezantsi.

Ukuba une-hypotension ye-orthostatic, thintela iimpawu ezibangela iimpawu, ezinje ngokuma kakhulu. Kulumkele ezinye izinto ezinje ngeemeko ezikhathazayo ngokweemvakalelo.

Funda ukuqaphela okubangela kunye neempawu. Beka intloko phantsi okanye ulale phantsi ukuba uziva unesiyezi okanye unentloko elula. Ezi mpawu zihlala zidlula ngokukhawuleza. Abantwana kunye nolutsha abanexinzelelo lwegazi oluphantsi ngenxa yokuma komzimba bakhula ngaphandle kwayo.

Unokufuna utshintsho olulula kwindlela otya ngayo imihla ngemihla ukulinganisela uxinzelelo lwegazi. Sela amanzi ngakumbi ngokusebenzisa ibhotile yamanzi ephathekayo. Sebenzisa ialam okanye isibali-xesha ukukukhumbuza ukuthatha ithamo.

Ukuba ucinga ukuba iyeza linokubangela ukuba uxinzelelo lwegazi olusezantsi, cela ugqirha wakho ukuba ancomele eyahlukileyo. Sukuyeka ukuyithatha okanye ukutshintsha iidosi ngaphandle kokuthetha nogqirha wakho kuqala.