Yintoni iPostpandial Hypotension?

Umxholo

• Uwisa uxinzelelo lwegazi emva kokutya
• Ziintoni iimpawu ze-postpandial hypotension?
• Oonobangela
• Imiba yomngcipheko
• Iingxaki
• Ukufuna uncedo
• Uxilongo
• Ukunyanga kunye nokulawulwa kwe-hypotension yasemva kokubakho
• Imbonakalo

Uwisa uxinzelelo lwegazi emva kokutya

Xa uxinzelelo lwegazi lwehla emva kokuba utye isidlo, imeko yaziwa ngokuba yi-postpandial hypotension. I-Postprandial ligama lonyango elibhekisa kwixesha elifanelekileyo emva kwesidlo. Uxinzelelo lwegazi luthetha uxinzelelo lwegazi olusezantsi.

Uxinzelelo lwegazi luphela nje kukuhamba kwegazi ngokuchasene neendonga zemithambo yakho. Uxinzelelo lwegazi luyatshintsha emini nasebusuku ngokusekwe kwinto oyenzayo. Ukuzivocavoca kunokubangela ukunyuka kwexeshana koxinzelelo lwegazi, ngelixa ukulala kuhlala kuzisa uxinzelelo lwegazi.

I-postprandial hypotension ixhaphakile kubantu abadala. Ukwehla koxinzelelo lwegazi kunokukhokelela kwintloko elula kunye nokuwa, oko kunokukhokelela kwiingxaki ezinkulu. I-postprandial hypotension inokuchongwa kwaye ilawulwe, ihlala ihlengahlengiswa indlela yokuphila.

Ziintoni iimpawu ze-postpandial hypotension?

Iimpawu eziphambili ze-postpandial hypotension yintlungu, ubunzima obunzima, okanye ukuphelelwa amandla emva kokutya. I-Syncope ligama elisetyenziselwa ukuchaza ukuphelelwa ngamandla okwenzeka ngenxa yoxinzelelo lwegazi.

Ngokwesiqhelo le meko ibangelwa kukuhla koxinzelelo lwegazi emva kokutya. I-systolic number lelona nani liphezulu kufundo loxinzelelo lwegazi. Ukujonga uxinzelelo lwegazi ngaphambi nasemva kwesidlo kunokubonisa ukuba utshintsho luyenzeka na xa usetyisa.

Ukuba une amathontsi egazini ngamanye amaxesha angadibani nokutya, unokuba nezinye iimeko ezingahambelani ne-hypotension yasemva kwepropathi. Ezinye izizathu zoxinzelelo oluphantsi zinokubandakanya:

• isifo sentliziyo
• ukuphelelwa ngamanzi emzimbeni
• ukukhulelwa
• isifo se-thyroid
• ukuswela i-vitamin B-12

Oonobangela

Njengoko ugaya ukutya, amathumbu akho afuna ukongezwa kwegazi ukuze usebenze ngokufanelekileyo. Ngokwesiqhelo, izinga lokubetha kwentliziyo yakho liya kunyuka ngelixa imithambo yakho ehambisa igazi kwezinye iindawo ngaphandle kwamathumbu akho inokuxinana. Xa imithambo yakho imxinwa, uxinzelelo lokuhamba kwegazi ngokuchasene neendonga zemithambo luyanda. Oko, kwandisa uxinzelelo lwegazi.

Olu tshintsho kwimithambo yegazi kunye nokubetha kwentliziyo yakho kulawulwa yinkqubo yakho yemithambo-luvo, elawula nezinye iinkqubo zomzimba ngaphandle kokuba ucinge ngazo. Ukuba unemeko yonyango echaphazela inkqubo ye-autonomic system, isantya sentliziyo yakho sinokunganyuki, kwaye imithambo ethile isenokunganyanzeleki. Ukuhamba kwegazi kuya kuhlala kuyinto eqhelekileyo.

Nangona kunjalo, ngenxa yesisu sakho semfuno eyongezelelweyo yegazi ngexesha lokwetyisa, ukuhamba kwegazi kwamanye amalungu omzimba kuya kuncipha. Oku kuya kubangela ngequbuliso, kodwa okwethutyana, ukwehla koxinzelelo lwegazi.

Esinye isizathu esinokubangela ukuba i-hypotension yasemva kokutya ihambelana nokufakwa ngokukhawuleza kweswekile, okanye iswekile, kwaye inokuchaza umngcipheko ophezulu wale meko kwizigulana ezinesifo seswekile.

Nangona kunjalo, unokuhlakulela i-hypotension ye-postprandial nangona ungenayo imeko echaphazela inkqubo ye-autonomic nervous. Ngamanye amaxesha oogqirha abakwazi ukumisela oyena nobangela woxinzelelo lwasemva kwexesha.

Imiba yomngcipheko

Ukwaluphala kwandisa umngcipheko we-postpandial hypotension kunye nezinye iindlela zoxinzelelo lwegazi. I-postprandial hypotension inqabile kubantu abancinci.

Iimeko ezithile zonyango zinokunyusa umngcipheko we-postpandial hypotension kuba zinokuphazamisa iinxalenye zobuchopho ezilawula inkqubo ye-autonomic nervous. Isifo sikaParkinson nesifo seswekile yimizekelo emibini eqhelekileyo.

Ngamanye amaxesha, abantu abanesifo soxinzelelo lwegazi (uxinzelelo lwegazi oluphezulu) banokubona ukwehla okukhulu koxinzelelo lwegazi emva kokutya. Kwezo meko, ukwehla koxinzelelo lwegazi kunokubangelwa ngamayeza anyanga uxinzelelo lwegazi. Iziyobisi ezijolise ekwehliseni uxinzelelo lwegazi ngamanye amaxesha zinokusebenza kakhulu kwaye zibangele ukwehla okungakhuselekanga.

Iingxaki

Eyona ngxaki inzima enxulumene ne-postpandial hypotension kukufa isiqaqa kunye nokwenzakala okunokulandela. Ukuphelelwa ngamandla kungakhokelela ekuweni, okunokubangela ukwaphuka, ukubola, okanye olunye umothuko. Ukuphulukana nokuqonda xa uqhuba imoto kunokuba nzima kakhulu. Ukuncitshiswa kwegazi kwingqondo kunokubangela ukubetha.

I-postprandial hypotension ihlala iyimeko yethutyana, kodwa ukuba uxinzelelo lwegazi oluphantsi luba mandundu, ezinye iingxaki ezinokubakho. Umzekelo, ungangena kukothuka. Ukuba ukunikezelwa kwegazi kumalungu akho kuye kwancipha kakhulu, unokufumana ukusilela komzimba.

Ukufuna uncedo

Ukuba uhlala ujonga uxinzelelo lwegazi kwaye ubona ipateni yoxinzelelo lwegazi emva kokutya, xelela ugqirha wakho kwindawo yakho elandelayo. Ukuba amathontsi ahamba nesiyezi okanye ezinye iimpawu ezibonakalayo, okanye ukuba uhlala uqaphela iimpawu zoxinzelelo lwegazi emva kokutya, jonga ugqirha wakho ngokukhawuleza.

Uxilongo

Ugqirha wakho uya kufuna ukuphonononga imbali yakho kunye neempawu zonyango. Ukuba ubulandelela uxinzelelo lwegazi kunye nokujonga ekhaya, bonisa ugqirha wakho ukufundwa okuqokelelweyo, uqaphele xa uxinzelelo lurekhodwa emva kokutya.

Ugqirha wakho kufuneka azame ukufumana isiseko sangaphambi kokutya koxinzelelo lwegazi kunye nokufunda emva kweprandial ukuze uqinisekise ngokutshekishwa kwekhaya lakho. Uxinzelelo lunokuthathwa kumanqanaba ahlukeneyo emva kwesidlo, ukuqala kwimizuzu ye-15 kwaye uphele malunga neeyure ezi-2 emva kokutya.

Phantse iipesenti ezingama-70 zabantu abane-hypotension yangemva kweprandial, uxinzelelo lwegazi luyehla phakathi kwemizuzu engama-30 ukuya kwengama-60 emva kwesidlo.

I-hypotension ye-postprandial inokuchongwa ukuba ufumana ukwehla koxinzelelo lwegazi lwe-systolic ubuncinci i-20 mm Hg ngaphakathi kweeyure ezimbini zokutya. Ugqirha wakho unokuphinda afumanise i-hypotension ye-postprandial ukuba uxinzelelo lwegazi lwangaphambi kwesidlo lwaluyi-100 mm Hg ubuncinci kwaye une-systolic yegazi ye-90 mm Hg kwiiyure ezimbini zokutya.

Olunye uvavanyo lunokulawulwa ukulawula ezinye izizathu ezinokubakho zotshintsho lwexinzelelo lwegazi. Oku kubandakanya:

• uvavanyo lwegazi ukukhangela i-anemia okanye iswekile esezantsi yegazi
• i-electrocardiogram ukukhangela iingxaki zesingqisho sentliziyo
• i-echocardiogram ukuvavanya ubume bentliziyo kunye nokusebenza

Ukunyanga kunye nokulawulwa kwe-hypotension yasemva kokubakho

Ukuba uthatha amayeza ehlisa uxinzelelo lwegazi, ugqirha unokukucebisa ukuba uhlengahlengise ixesha ledosi yakho. Ngokuthintela amayeza alwa noxinzelelo lwegazi ngaphambi kokuba utye, unokuwunciphisa umngcipheko wokuhla kokutya emva koxinzelelo lwegazi. Ukuthatha iidosi ezincinci rhoqo emini kunokuba yinto onokukhetha kuyo, kodwa kuya kufuneka uxoxe ngalo naluphi na utshintsho kunyango lwakho ngexesha okanye kumthamo kunye nogqirha wakho ngaphambi kokuba uzenzele ngokwakho.

Ukuba ingxaki ayihambelani namayeza, utshintsho oluncinci kwindlela yokuphila lunokunceda. Ezinye iingcali zezempilo zikholelwa ekubeni ukukhutshwa kwe-insulin okulandela ukutya okune-carbohydrate ephezulu kunokuphazamisa inkqubo ye-autonomic system kwabanye abantu, ekhokelela kwi-hypotension. I-insulin yihomoni enceda iiseli ukuba zifunxe iswekile (iswekile) egazini ukuze isetyenziswe njengamandla. Ukuba ukhe wafumana i-hypotension yasemva kweprandial, landela into oyityayo. Ukuba uhlala uqaphela iimpawu emva kokutya okuphezulu kwe-carbohydrate, cinga ukunciphisa ukutya kwakho kwe-carbohydrate. Ukutya rhoqo, kodwa ukutya okuncinci, okune-carb ephantsi yonke imihla kunokunceda.

Ukuhamba emva kwesidlo kunokunceda ekulweni nokwehla koxinzelelo lwegazi. Nangona kunjalo, kuya kufuneka uqaphele ukuba uxinzelelo lwegazi lunokuhla xa uyekile ukuhamba.

Unokwazi ukugcina uxinzelelo lwegazi emva kokutya xa uthatha i-nonsteroidal anti-inflammatory drug (NSAID) ngaphambi kokutya. Ii-NSAID eziqhelekileyo zibandakanya ibuprofen (Advil) kunye neaproxen (Aleve).

Ukuba nekomityi yekofu okanye omnye umthombo wecaffeine ngaphambi kwesidlo kunokunceda. I-caffeine yenza imithambo yegazi icuthe. Awunayo i-caffeine ngokuhlwa, nangona kunjalo, kuba inokuphazamisa ukulala, kunokubangela ezinye iingxaki zempilo.

Amanzi okusela ngaphambi kokutya anokuthintela i-hypotension yasemva kwepropathi. Omnye ubonise ukuba ukusela i-500 mL-malunga ne-16 oz. -amanzi ngaphambi kokutya kwehlisa imeko.

Ukuba olu tshintsho alusebenzi, ugqirha wakho unokumisela iyeza le-octreotide (iSandostatin). Sisiyobisi esidla ngokumiselwa kubantu abane-hormone yokukhula kakhulu kwinkqubo yabo. Kodwa kuye kwangqineka kusebenza kwabanye abantu ekunciphiseni ukuhamba kwegazi ukuya emathunjini.

Imbonakalo

I-postprandial hypotension inokuba yimeko enzima, kodwa ihlala inyangeka ngokutshintsha indlela ophila ngayo okanye uhlengahlengiso kunyango lwakho olunxamnye noxinzelelo lwegazi.

Ukuba uqala ukuqaphela iimpawu emva kokutya, xelela ugqirha wakho. Okwangoku, fumana uxinzelelo lwegazi ekhaya, kwaye ufunde ukuyisebenzisa ngokuchanekileyo. Ukulandelela amanani akho yenye yeendlela zokuziqhelanisa nalo mbandela ubalulekileyo kwimpilo yakho yeentliziyo.