Izindlela Ezi-10 Zokukhuphula Umfutho Wegazi Ophansi

-Delile

• Izimpawu zomfutho wegazi ophansi
• Yini umfutho wegazi?
• Ungayinyusa kanjani umfutho wegazi ophansi
• 1. Phuza amanzi amaningi
• 2. Yidla ukudla okunomsoco
• 3. Yidla ukudla okuncane
• 4. Nciphisa noma ugweme utshwala
• 5. Yidla usawoti omningi
• 6. Hlola ushukela wegazi lakho
• 7.Hlola i-thyroid yakho
• 8. Gqoka amasokisi aminyanisa
• 9. Thatha imithi
• 10. Phatha izifo
• Yini ebangela umfutho wegazi ophansi?
• Umfutho wegazi ophansi ovela emithini, ukushaqeka, noma isifo sohlangothi
• Imithi
• Ukushaqeka
• Unhlangothi
• Ukuphatha nokubhekana nomfutho wegazi ophansi

Ukucindezela okuphansi kanye ne-oxygen egazini lakho

Umfutho wegazi ophansi, noma i-hypotension, kulapho umfutho wegazi lakho uphansi kunokujwayelekile. Okuphambene nomfutho wegazi ophakeme noma umfutho wegazi ophezulu.

Umfutho wegazi lakho uyashintsha ngokwemvelo usuku lonke. Umzimba wakho ulungisa njalo ulinganise umfutho wegazi lakho. Lokhu kusiza ukuqinisekisa ukuthi zonke izingxenye zomzimba wakho - kufaka phakathi ubuchopho, inhliziyo, namaphaphu - zithola igazi eliningi ne-oxygen.

Umfutho wegazi ophansi ungajwayelekile. Kungenzeka kungabangeli zimpawu noma kube yisizathu sokukhathazeka.

Umfutho wegazi ungashintsha ngisho nokuma komzimba wakho. Isibonelo, uma usukuma ngokuzumayo, lingahle liwele umzuzwana. Umfutho wegazi lakho nawo uyehla lapho uphumule noma ulele.

Ezinye izimo zezempilo zingadala umfutho wegazi ophansi. Lokhu kungaholela egazini nase-oxygen elincane kakhulu kwezinye izingxenye zomzimba wakho. Ukwelapha lesi simo kusiza ukukhuphula umfutho wegazi.

Izimpawu zomfutho wegazi ophansi

Izimpawu zomfutho wegazi ophansi zingabandakanya:

• ukungaboni kahle
• ukudideka
• ukudana
• isiyezi
• ukuquleka
• ukukhathala
• ngizwe kubanda
• ngizwe womile
• ukungakwazi ukugxilisa ingqondo
• isicanucanu
• ukuphefumula okusheshayo, okungajulile
• ukujuluka

Yini umfutho wegazi?

Umfutho wegazi, noma i-BP, ungamandla egazi alwa nezindonga zemithambo yegazi. Igazi lifakwa emzimbeni wonke ngenhliziyo.

Umfutho wegazi ulinganiswa ngezinombolo ezimbili ezihlukene. Inombolo yokuqala noma ephezulu ibizwa nge-systolic pressure. Le yingcindezi ngenkathi inhliziyo ishaya.

Inombolo yesibili noma engezansi ibizwa nge-diastolic pressure. Kuyingcindezi ngenkathi inhliziyo ilele phakathi kokushaya. Umfutho we-diastolic ngokwejwayelekile ungaphansi kwengcindezi ye-systolic. Kokubili kukalwa ngamamilimitha ayi-mercury (mm Hg).

Umfutho wegazi onempilo cishe u-120/80 mm Hg. Ingaguquguquka kancane nakubantu abaphilile. Ngokusho kweMayo Clinic, i-hypotension kulapho umfutho wegazi lakho ungaphansi kuka-90/60 mm Hg.

Ungayinyusa kanjani umfutho wegazi ophansi

1. Phuza amanzi amaningi

Ukuphelelwa ngamanzi emzimbeni kwesinye isikhathi kungaholela ekucindezelekeni kwegazi okuphansi. Abanye abantu bangaba ne-hypotension ngisho nangokuphela kwamanzi emzimbeni.

Ungaphinde uphelelwe ngamanzi ngokulahlekelwa amanzi ngokushesha okukhulu.Lokhu kungenzeka ngokuhlanza, uhudo olunzima, umkhuhlane, ukuvivinya umzimba kanzima nokujuluka ngokweqile. Imithi efana ne-diuretics nayo ingadala ukoma.

2. Yidla ukudla okunomsoco

Umfutho wegazi ophansi neminye imiphumela emibi ingavela uma ungatholi izakhamzimba ezanele.

Amazinga aphansi kavithamini B-12, i-folic acid, ne-iron kungadala i-anemia. Lesi simo senzeka lapho umzimba wakho ungakwazi ukwenza igazi elanele. I-anemia inganciphisa umfutho wegazi. Lokhu nakho kungadala umfutho wegazi ophansi.

Udokotela wakho angancoma ushintsho ekudleni kwakho kwansuku zonke nokuthatha izithasiselo.

3. Yidla ukudla okuncane

Ungathola umfutho wegazi ophansi ngemuva kokudla isidlo esikhulu, yize lokhu kuvame kakhulu kubantu abadala asebekhulile. Lokhu kwenzeka ngoba igazi ligobhoza liye endaweni yakho yokugaya ukudla ngemuva kokudla. Ngokuvamile, izinga lokushaya kwenhliziyo yakho liyakhuphuka ukusiza ukulinganisela umfutho wegazi.

Ungavimbela umfutho wegazi ophansi ngokudla ukudla okuncane. Futhi, ukunciphisa i-carbs yakho kungasiza ukugcina umfutho wegazi uzinze ngemuva kokudla. Nazi ezinye iziphakamiso zokudla ongakudla nemikhuba yokudla ongazijwayeza.

4. Nciphisa noma ugweme utshwala

Ukuphuza utshwala kungaholela ekuphelelweni ngamanzi emzimbeni. Ingasebenzisana futhi nemithi futhi ibangele umfutho wegazi ophansi.

5. Yidla usawoti omningi

I-Sodium iyasiza ukukhuphula umfutho wegazi. Kodwa-ke, ingakhuphula umfutho wegazi ngokweqile. Kungadala nesifo senhliziyo. Buza udokotela wakho ukuthi kungakanani okulungele wena.

Faka usawoti wetafula kukho konke, ukudla okungalungisiwe. Lokhu kusiza ukulawula ukuthi udla usawoti ongakanani. Gwema ukudla okunosawoti ocolisisiwe nocutshiwe.

6. Hlola ushukela wegazi lakho

Isifo sikashukela namazinga aphezulu kashukela angaholela ekucindezelekeni kwegazi okuphansi.

Sebenzisa isilawuli sasekhaya ukuhlola amazinga kashukela egazini lakho izikhathi eziningana ngosuku. Bona udokotela wakho ukuthola uhlelo lokudla okungcono kakhulu, ukuzivocavoca, kanye nemithi ukusiza ukulinganisela amazinga kashukela egazini.

7.Hlola i-thyroid yakho

Izimo ze-thyroid zivame kakhulu. I-Hypothyroidism yenzeka lapho ungakhiqizi ngokwanele ama-hormone e-thyroid. Lokhu kungaholela ekucindezelekeni kwegazi okuphansi.

Ukuhlolwa kwegazi okulula kungatshela udokotela wakho uma unale nkinga. Ungadinga imishanguzo kanye nezinguquko ekudleni ukusiza ukukhulisa umsebenzi wakho we-thyroid.

8. Gqoka amasokisi aminyanisa

Izitokisi ezinamathelayo noma amasokisi kungasiza ekuvimbeleni igazi ekuhlanganeni emilenzeni yakho. Lokhu kusiza ukuqeda i-orthostatic or postural hypotension ephansi umfutho wegazi ngenxa yokuma, ukubeka phansi, noma ukuhlala kakhulu.

Abantu abalele embhedeni bangadinga ama-brace braces ukusiza ukupompa igazi emilenzeni. I-Orthostatic hypotension ivame kakhulu kubantu abadala. Kwenzeka kubantu abangafika emaphesentini ayi-11 abaneminyaka ephakathi nendawo namaphesenti angama-30 abantu abadala asebekhulile.

9. Thatha imithi

Udokotela wakho angakunikeza imithi yokusiza ukwelapha umfutho wegazi ophansi. Le mithi isiza ekwelapheni i-orthostatic hypotension:

• fludrocortisone, esiza ukukhuphula ivolumu yegazi
• midodrine (Orvaten), esiza ukunciphisa imithambo yegazi ukukhuphula umfutho wegazi

Uma i-BP yomuntu iphansi ngendlela eyingozi kusuka ku-sepsis, eminye imithi ingasetshenziselwa ukukhuphula umfutho wegazi. Lokhu kufaka phakathi:

• i-alpha-adrenoceptor agonists
• i-dopamine
• epinephrine
• norepinephrine
• lezinhle
• ama-analogs we-vasopressin

10. Phatha izifo

Ukutheleleka okunzima ngamagciwane, igciwane kanye nefungal kungadala umfutho wegazi ophansi. Udokotela wakho angakuthola ukuthi unegciwane yini uma uhlolwa igazi. Ukwelashwa kufaka phakathi ama-antibiotic e-IV nemithi elwa namagciwane.

Ukuze uthole izindlela eziningi zokunyusa umfutho wegazi ophansi, funda izimbangela ezingezansi.

Yini ebangela umfutho wegazi ophansi?

Kunezimbangela eziningana zokucindezela kwegazi okuphansi. Ezinye zingezesikhashana futhi zingalungiswa kalula.

Umfutho wegazi ophansi futhi ungaba wuphawu lwenkinga yezempilo noma yesimo esiphuthumayo. Ukwelashwa kungadingeka.

Izimo eziningana zezempilo zingadala umfutho wegazi ophansi. Lokhu kufaka phakathi:

• Isifo i-Addison (ama-hormone aphansi adrenal)
• i-anaphylaxis (ukusabela okubi kakhulu)
• i-anemia
• ukulahleka kwegazi
• i-bradycardia (ukushaya kwenhliziyo okuphansi)
• ukoma komzimba
• isifo sikashukela noma ushukela ophansi wegazi
• isifo senhliziyo noma ukwehluleka kwenhliziyo
• inkinga ye-valve yenhliziyo
• i-hypothyroidism (i-hormone ephansi ye-thyroid)
• ukwehluleka kwesibindi
• isifo se-parathyroid
• ukukhulelwa
• ukushaqeka komzimba (umphumela wesifo esibi)
• i-orthostatic hypotension noma i-postural low blood pressure
• esukuma ngokuzuma
• ukuhlukumezeka noma ukulimala ekhanda

Ukuhlonza nokwelapha lezi zimo kungasiza ukulinganisela umfutho wegazi. Udokotela wakho angancoma izivivinyo ezilula njengezi:

• ukuhlolwa kwegazi ukuhlola amazinga ama-hormone, amazinga kashukela egazini, kanye nokutheleleka
• an i-electrocardiogram (ECG) noma i-Holter monitor ukuhlola isigqi senhliziyo nokusebenza
• an bhequza ukuhlola impilo yenhliziyo yakho
• an ukuzivocavoca umzimba ukuhlola impilo yenhliziyo yakho
• a Nyakazisa ithebula test ukuhlola umfutho wegazi ophansi ngenxa yezinguquko esimweni somzimba
• indlela yeValsalva, ukuhlolwa kokuphefumula ukuhlola ukuthi yini imbangela yezinzwa ezibangela umfutho wegazi ophansi

Umfutho wegazi ophansi ovela emithini, ukushaqeka, noma isifo sohlangothi

Imithi

Eminye imithi ingadala umfutho wegazi ophansi. Lokhu kufaka phakathi izidakamizwa zokwelapha umfutho wegazi ophakeme nezinye izimo, njenge:

• i-alpha-blocker
• ama-angiotensin II receptor blockers
• ama-angiotensin-converting enzyme (ACE) inhibitors
• ama-beta-blockers (i-Tenormin, i-Inderal, i-Innopran XL)
• abavimba isiteshi se-calcium
• isisu noma amaphilisi wamanzi (iLasix, iMaxzide, iMicrozide)
• izidakamizwa zokungasebenzi kahle kwe-erectile (Revatio, Viagra, Adcirca, Cialis)
• ama-nitrate
• Imithi yesifo sikaParkinson efana neMirapex nelevodopa
• izidakamizwa ze-tricyclic (Silenor, Tofranil)

Ukuphuza utshwala noma ukusebenzisa izidakamizwa zokuzithokozisa ngenkathi uphuza imishanguzo, noma ukuhlanganisa imishanguzo ethile kungaholela nokwehla kwegazi. Kufanele ngaso sonke isikhathi utshele udokotela wakho ukuthi uthathani ukuqinisekisa ukuthi bayazi nganoma iziphi izingozi.

Ukushaqeka

Ukushaqeka kuyisimo esisongela impilo. Kungenzeka ngokuphendula ezimeni eziningi zezimo eziphuthumayo. Lokhu kufaka phakathi:

• isifo senhliziyo noma isifo sohlangothi
• ukulimala kabi noma ukushiswa
• ukutheleleka okukhulu
• ukusabela okweqile
• ihluli

Ukushaqeka kuholela ekucindezelekeni kwegazi okuphansi, kepha umfutho ophansi wegazi nawo ungadala ukuthi umzimba wakho uthuke. Ukwelashwa kungabandakanya ukukhuphula umfutho wegazi ngamanzi e-IV noma ukumpontshelwa igazi.

Ukwelapha imbangela yokwethuka kusiza ukukhuphula umfutho wegazi.

Isibonelo, ngokushaqeka kwe-anaphylactic, umjovo we-epinephrine (EpiPen) usiza ukukhuphula umfutho wegazi ngokushesha. Lokhu kungasindisa impilo kumuntu onenkinga yokungezwani komzimba namantongomane, izinyosi noma ezinye izifo.

Esimweni sosizo lokuqala, kubalulekile ukugcina umuntu efikelwa ukwethuka efudumele futhi umqaphe kuze kube yilapho usizo lwezokwelapha lukhona. IMayo Clinic iphakamisa ukuthi zilale phansi izinyawo zazo ziphakanyiswe okungenani amasentimitha ayi-12 ukusuka phansi, inqobo nje uma lokhu kungabangeli ubuhlungu noma izinkinga ezengeziwe.

Unhlangothi

Unhlangothi uyimbangela ehamba phambili yokufa. Futhi kuyimbangela enkulu yokukhubazeka okungathi sína nesikhathi eside.

Umfutho wegazi ophezulu uyimbangela enkulu yohlangothi. Kubalulekile ukulawula umfutho wegazi ukuvikela imivimbo, nokugcina unhlangothi ungaphinde wenzeke. Kodwa-ke, olunye ucwaningo lwezokwelapha lubonisa ukuthi ukugcina umfutho wegazi uphakeme ngokushesha ngemuva kokushaywa unhlangothi kungasiza ekuvikeleni ukulimala kobuchopho. Lokhu kusiza ukunciphisa ubungozi bokufa nokukhubazeka.

I-American Stroke Association yeluleka ukugcina umfutho wegazi uphakeme kunokujwayelekile amahora angama-72 ngemuva kokushaywa unhlangothi. Lokhu kungasiza ukufaka ubuchopho ngegazi kangcono futhi kubusize buphinde buphole kohlangothi.

Ukuphatha nokubhekana nomfutho wegazi ophansi

Ukuba nomfutho wegazi ophansi kanye ngezikhathi ezithile akuyona imbangela yokukhathazeka. Abanye abantu banengcindezi yegazi ephansi ngaso sonke isikhathi.

Tshela udokotela wakho uma unezimpawu ezithile. Gcina incwadi yezimpawu zakho nokuthi wenzani lapho zenzeka. Lokhu kungasiza udokotela wakho ukuthola imbangela yengcindezi yakho yegazi ephansi.

Uma une-orthostatic hypotension, gwema izimbangela zezimpawu, njengokuma kakhulu. Futhi gwema ezinye izinto ezifana nezimo eziphazamisayo ngokomzwelo.

Funda ukubona izimbangela nezimpawu. Beka ikhanda lakho phansi noma ulale phansi uma uzizwa unesiyezi noma unekhanda elincane. Lezi zimpawu zivame ukudlula ngokushesha. Izingane nentsha abanengcindezi yegazi ephansi ngenxa yesimo somzimba bavame ukuphuma kuyo.

Ungadinga izinguquko ezilula ekudleni kwakho kwansuku zonke ukulinganisela umfutho wegazi ophansi. Phuza amanzi amaningi ngokusebenzisa ibhodlela lamanzi eliphathekayo. Sebenzisa i-alamu noma isibali sikhathi ukukukhumbuza ukuthatha isiphuzo.

Uma ucabanga ukuthi umuthi ungadala umfutho wegazi ophansi, cela udokotela wakho ukuthi ancoma omunye ohlukile. Ungayeki ukuyithatha noma ushintshe imithamo ngaphandle kokukhuluma nodokotela wakho kuqala.