Iimpawu zoxinzelelo lwegazi olusezantsi (hypotension)

Umxholo

• Iimpawu eziphambili
• Kufuneka wenze ntoni xa uxinzelelo luphantsi
• Iimpawu zoxinzelelo lwegazi oluphantsi xa ukhulelwe
• Izizathu ezinokubangela
• Uya nini kwagqirha
• Indlela yokulinganisa uxinzelelo lwegazi ngokuchanekileyo

Uxinzelelo lwegazi oluphantsi, ekwabizwa ngokuba yinzululwazi njenge-hypotension, inokuchongwa ngeempawu ezithile, ezinje ngesiyezi, ukuziva utyhafile kunye notshintsho kumbono, njengokufiphala okanye ukungaboni kakuhle. Nangona kunjalo, eyona ndlela yokuqinisekisa ukuba uxinzelelo lwegazi lusezantsi kukulinganisa uxinzelelo lwegazi ekhaya okanye ekhemesti.

Uxinzelelo lwegazi olusezantsi luhlala lubonisa ukuba akukho gazi laneleyo liphuma entliziyweni liye kumalungu, okukhokelela kwiimpawu. Kunokuthiwa uxinzelelo luphantsi xa ixabiso loxinzelelo lilingana okanye lingaphantsi kwe-90 x 60 mmHg, eyaziwa ngokuba yi-9 ngo-6.

Ukonyusa uxinzelelo kancinci, ukunciphisa ukungonwabi, ungalala phantsi uphakamisa imilenze okanye ube nekofu eneswekile okanye ijusi, umzekelo. Yazi ukuba uzokutya ntoni xa uxinzelelo luphantsi.

Iimpawu eziphambili

Kwiimeko ezininzi, uxinzelelo lwegazi oluphantsi alubangeli naziphi na iimpawu kwaye, ke, abantu abaninzi banokuba nobomi obuqhelekileyo ngokufumana uxinzelelo lwegazi. Nangona kunjalo, xa kukho ukwehla okukhawulezileyo koxinzelelo lwegazi, ezinye iimpawu ezinokuvela zezi:

• Utywala kunye ne-vertigo;
• Ukungabikho kwamandla kunye nobuthathaka kwiimisipha;
• Ndiziva ndityhafile;
• Intloko ebuhlungu;
• Intloko enzima kunye nokuziva ungenanto;
• IPallor;
• Ubuthathaka;
• Ziva gula;
• Ukubona okungacacanga okanye okungacacanga.

Ukongeza, kuyinto eqhelekileyo ukuziva udiniwe, kunzima ukugxila kunye nokuziva ubanda, kwaye kwiimeko ezininzi iimpawu ezininzi zibonakala ngaxeshanye. Le miqondiso ivela kuba ioksijini kunye nezakhamzimba azisasazwa ngokwanelisayo kwiiseli zomzimba.

Kufuneka wenze ntoni xa uxinzelelo luphantsi

Unyango lwexinzelelo lwegazi olusezantsi luyahluka koonobangela kwaye, ke ngoko, ukuba iimpawu ziqheleka kakhulu, kuyacetyiswa ukuba ubonane nogqirha jikelele, ukuze uqale olona nyango lufanelekileyo.

Nangona kunjalo, kwiimeko ezininzi, uxinzelelo lwegazi oluphantsi kunye neempawu sisiganeko sethutyana nesingaxhaphakanga. Kwezi meko, ukunceda ukunciphisa ukungaphatheki kakuhle, kuya kufuneka:

1. Hlala nentloko phakathi kwemilenze yakho okanye lala uphakamisa imilenze yakho, ukuma ngeenyawo zakho eziphakamileyo kunentliziyo yakho nentloko, kwindawo epholileyo nenomoya ukunqanda ukuba utyhafe;
2. Khulula iimpahla ukuphefumla ngcono;
3. Sela ijusi e-1 yeorenji Ityebile nge potassium kwaye inceda ukunyusa uxinzelelo.

Ukongeza, umntu kufuneka akuphephe ukubekwa elangeni okugqithileyo naphakathi kwe-11 kusasa kunye ne-4 emva kwemini kunye neendawo ezinobumanzi obuninzi.

Xa uxinzelelo lwegazi olusezantsi lwenzeka mihla le, iisokisi zoxinzelelo zinokunxitywa kuba i-hypotension inokwenzeka ngenxa yokufumba kwegazi emilenzeni. Ukongeza, xa i-orthostatic hypotension yenzeka ngenxa yokuphumla ebhedini, umntu kufuneka ahlale imizuzu emi-2 ebhedini ngaphambi kokuba avuke. Jonga ukuba zeziphi iindlela zonyango ezisetyenziswa kakhulu xa kukho uxinzelelo lwegazi.

Iimpawu zoxinzelelo lwegazi oluphantsi xa ukhulelwe

Uxinzelelo lwegazi olusezantsi luxhaphakile ingakumbi ekukhulelweni kwasekuqaleni, nangona kunjalo kunokubangela ukungonwabi kwabasetyhini kwaye kubeka umntwana emngciphekweni ngenxa yeempawu, ezihlala zi:

• Ukuziva ubuthathaka, kunokubangela ukuwa;
• Umbono ongenangqondo;
• Isiyezi;
• Intloko ebuhlungu;
• Ndiziva ndidiniwe.

Ukuba iimpawu zoxinzelelo lwegazi ziphantsi rhoqo ngexesha lokukhulelwa, kubalulekile ukuba owasetyhini adibane nengcali yokubelekisa ukuze kunyangwe olona nyango lusemgangathweni lokunciphisa kunye nokuphepha iimpawu. Jonga ukuba yeyiphi na ingozi enokubakho yoxinzelelo lwegazi olusezantsi xa ukhulelwe kunye nendlela yokuyiphepha.

Izizathu ezinokubangela

Ngokubanzi, uxinzelelo lwegazi luyehla ngenxa yokwehla kwenani legazi, ngakumbi xa kushushu kakhulu, njengoko imithambo yegazi iyanda kwaye ukubila kuyanda, kunciphisa uxinzelelo lwamanzi emzimbeni.

Uxinzelelo lwegazi oluphantsi lunokuba sisiphumo esibi sezinye iziyobisi ezinje nge-diuretics, i-anti-depressants, iziyobisi ezilahlekayo okanye ii-antihypertensives kunye nomthamo ophakamileyo, umngcipheko omkhulu wokuba noxinzelelo lwegazi, ukongeza kwisiphumo sokuzila ixesha elide okanye ukusilela kwe-vitamin B12 .

Ukongeza, ukulala ebhedini ixesha elide, ngakumbi ebusuku okanye ngexesha lotyando emva koqhaqho kunokunciphisa uxinzelelo lwegazi, kubangele uxinzelelo lwasemva kwesithuba, ekwabizwa ngokuba yi-orthotic hypotension, kulapho uvuka ngequbuliso kwaye uzive uphelelwe ngamandla. Funda ngakumbi malunga nezizathu zoxinzelelo lwegazi olusezantsi.

Uya nini kwagqirha

Kubalulekile ukuba uye kwigumbi likaxakeka okanye esibhedlele xa uxinzelelo luhlala luphantsi ngaphezulu kwemizuzu eli-15 kwaye aluphuculi ngezindululo.

Ukongeza, ukuba unempawu ezingaphezulu kwesibini ngenyanga, kuya kufuneka uye kwagqirha ufumanise unobangela wengxaki, njengoko kunokuba yimfuneko ukuthatha amayeza afana ne-ephedrine, phenylephrine okanye fludrocortisone, umzekelo.

Indlela yokulinganisa uxinzelelo lwegazi ngokuchanekileyo

Nantsi indlela yokulinganisa uxinzelelo ngokuchanekileyo: