Umfutho Wegazi Ophansi We-Diastolic: Yini Eyibangela Nalokho Ongakwenza

-Delile

• Ukubuka konke
• Izimpawu zomfutho wegazi ophansi we-diastolic
• Izimbangela zengcindezi yegazi ephansi ye-diastolic
• Ukwelashwa komfutho wegazi ophansi we-diastolic
• Ukuvimbela nokuphathwa komfutho wegazi ophansi we-diastolic
• Umbono

Ukubuka konke

Umfutho wegazi lakho ungamandla angaphakathi kwemithambo yegazi lakho lapho inhliziyo yakho ishaya futhi iphumule. La mandla alinganiswa ngamamilimitha ayi-mercury (mm Hg).

Inombolo ephezulu - ebizwa nge-systolic pressure yakho - ilinganiswa lapho inhliziyo yakho ishaya. Inombolo engezansi - ebizwa ngokuthi ingcindezi yakho ye-diastolic - ilinganiswa lapho inhliziyo yakho iphumula phakathi kokushaya.

Iningi labantu likhathazeka ngomfutho wegazi ophakeme, okungakhuphula ubungozi besifo senhliziyo noma sohlangothi, kepha umfutho ophansi wegazi nawo ungaba yinkinga.

Igama lezokwelapha lomfutho wegazi ophansi yi-hypotension. Uma une-hypotension, isilinganiso sakho sengcindezi se-systolic singaphansi kuka-90 mm Hg futhi inombolo yakho ye-diastolic ingaphansi kuka-60 mm Hg.

Eminyakeni eyi-10 kuya kwengu-15 edlule, odokotela baqale ukukhathazeka kakhulu mayelana ne-diastolic blood pressure engaphansi kuka-60.

Abanye abantu bangaba nengcindezi ephansi ye-diastolic noma ngabe ukucindezela kwabo kwe-systolic kuyinto ejwayelekile. Lesi simo sibizwa ngokuthi yi-diastolic hypotension ehlukanisiwe. Umfutho wegazi ophansi we-diastolic ungaba yingozi kakhulu enhliziyweni yakho.

Ngokungafani nawo wonke umzimba wakho, othola igazi lapho inhliziyo yakho ipompa, imisipha yenhliziyo yakho ithola igazi lapho inhliziyo yakho iphumule. Uma i-diastolic blood pressure yakho iphansi kakhulu, imisipha yenhliziyo yakho ngeke ithole igazi elanele elinomoya-mpilo. Lokhu kungaholela ekwenzeni inhliziyo yakho ibe buthaka, isimo esibizwa nge-diastolic heart failure.

Ungaba sengozini enkulu yalolu hlobo lokwehluleka kwenhliziyo uma unesifo senhliziyo, esinciphisa imithambo yenhliziyo yakho.

Izimpawu zomfutho wegazi ophansi we-diastolic

Izimpawu ze i-diastolic hypotension eyedwa kufaka phakathi ukukhathala, isiyezi, nokuwa.

Ngoba ingcindezi ephansi ye-diastolic inciphisa ukugeleza kwegazi kuye enhliziyweni yakho, ungahle ube nobuhlungu besifuba (angina) noma izimpawu zokwehluleka kwenhliziyo. Izimpawu zokwehluleka kwenhliziyo zingafaka ukuphefumula okuncane, ukuvuvukala kwezinyawo zakho noma amaqakala, ukudideka, nokushaya kwenhliziyo.

Funa usizo lwezempilo ngokushesha uma unezinhlungu esifubeni noma uphefumula kanzima.

Izimpawu ze umfutho wegazi ophansi we-diastolic kanye nomfutho wegazi ophansi we-systolic (hypotension) zifaka:

• isiyezi
• ukuquleka (i-syncope)
• ukuwa kaningi
• ukukhathala
• isicanucanu
• ukungaboni kahle

Funa usizo lwezempilo uma unanoma iyiphi yalezi zimpawu.

Izimbangela zengcindezi yegazi ephansi ye-diastolic

Kunezimbangela ezintathu ezaziwayo ze i-diastolic hypotension eyedwa:

• Imithi ye-alpha-blocker. Le mithi yomfutho wegazi isebenza ngokubangela ukuthi imithambo yegazi yakho ivuleke (ivuleke). Ngoba behlisa ingcindezi ye-diastolic ngaphezu kwengcindezi ye-systolic, bangadala i-diastolic hypotension ehlukanisiwe. Amagama omkhiqizo ajwayelekile afaka iMinipress neCardura.
• Inqubo yokuguga. Njengoba sikhula, silahlekelwa ukuqina kwemithambo yethu. Kwabanye abantu abadala asebekhulile, imithambo yegazi ingaba lukhuni kakhulu ukubuyela emuva phakathi kokushaya kwenhliziyo, kubangele ukuthi umfutho wegazi we-diastolic ube phansi.
• Usawoti omningi ekudleni kwakho. Usawoti wokudla unganciphisa ukuqina kwemithambo yegazi yakho. Uma uthatha usawoti omningi, ungakhuphula ubungozi be-diastolic blood pressure ephansi.

Kunezimbangela eziningi ezivamile ze hypotension jikelele, ezofaka inombolo ephansi ye-diastolic.

• Ukwanda ngokweqile kwengcindezi ephezulu yegazi. Kwabanye abantu, ikakhulukazi abantu abangaphezu kweminyaka engama-60, ukwehlisa umfutho wegazi we-systolic ongaphansi kuka-120 kungadala ukuthi ingcindezi ye-diastolic yehle ingaphansi kwama-60.
• Eminye imithi. Imithi eminingi ngaphandle kwaleyo yomfutho wegazi ingadala i-hypotension. Kubandakanya amaphilisi amanzi (isisu), imithi yesifo sikaParkinson, ama-anti-depressants, nezidakamizwa ezisetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile.
• Izinkinga zenhliziyo. Izinkinga ze-valve yenhliziyo, ukwehluleka kwenhliziyo, kanye nokushaya kwenhliziyo okuhamba kancane (bradycardia) kungaholela ku-hypotension.
• Ukuphela kwamanzi emzimbeni. Uma ungathathi uketshezi olwanele, umfutho wegazi lakho ungawa phansi ngendlela eyingozi. Lokhu kungenzeka uma uthatha isisu bese ulahlekelwa uketshezi oluningi kunalolo oludlayo.

Ukwelashwa komfutho wegazi ophansi we-diastolic

Ukwelapha i-diastolic hypotension eyedwa Kunzima kakhulu ukwelapha i-hypotension ejwayelekile. Uma uthatha i-alpha-blocker, udokotela wakho angakushintshela emithini ehlukile yomfutho wegazi ophezulu.

Uma ukhiphe ingcindezi ephansi ye-diastolic futhi awukho emithini yomfutho wegazi, okuwukuphela kwento ongayenza kungaba ukubona udokotela wakho kaningi ukuze ahlolwe nokubheka izimpawu zokwehluleka kwenhliziyo. Njengamanje, awukho umuthi otholakalayo wokwelapha i-diastolic hypotension eyedwa.

Ukwelashwa kwe- i-hypotension ejwayelekile kuya ngesizathu.

Ukweqisa ngokweqile kwengcindezi ephezulu yegazi kungalawulwa ngokulungisa noma ngokushintsha imithi. Umgomo ukugcina umfutho wegazi we-diastolic uphakathi kuka-60 no-90 mm Hg. Udokotela wakho angashintsha neminye imithi ebangela i-hypotension.

Ukwehla emzimbeni kungalashwa ngokufaka uketshezi esikhundleni salo. Kwezinye izimo, ungadinga imishanguzo eyandisa umfutho wegazi.

Ukuvimbela nokuphathwa komfutho wegazi ophansi we-diastolic

Kunezinto ongazenza ukusiza ukuvimbela nokuphatha ingcindezi ye-diastolic ephansi.

• Zama ukugcina usawoti owudlayo ube phakathi kuka-1.5 no-4 amagremu ngosuku. Inombolo ekahle cishe ingama-3.5 amagremu. Ungakwenza lokhu ngokufunda amalebula okudla nokugwema usawoti ongeziwe ekudleni kwakho.
• Yidla ukudla okunempilo enhliziyweni. Yidla izithelo nemifino eningi, bese ufaka okusanhlamvu okuphelele. Ukuze uthole amaprotheni, namathela enyameni nasenhlanzini. Gwema ukudla okunamafutha.
• Phuza uketshezi olwanele futhi ugweme utshwala, okungakhuphula ubungozi bokuphela kwamanzi emzimbeni.
• Hlala usebenza ngokomzimba bese uqala uhlelo lokuzivocavoca umzimba. Buza udokotela wakho ukuthi hlobo luni nenani lokuzivocavoca okuphephile kuwe.
• Gcina isisindo esinempilo. Uma ukhuluphele ngokweqile, cela udokotela wakho akusize ngohlelo lokuphepha lokwehlisa isisindo.
• Ungabhemi.

Umbono

I-Hypotension ingaba yingozi ngoba kuyimbangela evamile yokuwa. Ukuhlukaniswa kwe-diastolic hypotension kungaba yingozi ikakhulukazi ngoba kunganciphisa ukugeleza kwegazi kuye enhliziyweni yakho.

Ungaba sengozini enkulu uma une-coronary artery disease. Ngokuhamba kwesikhathi, i-diastolic hypotension ehlukanisiwe ingadala ukwehluleka kwenhliziyo. Eqinisweni, kungaba esinye sezimbangela ezivame kakhulu zokwehluleka kwenhliziyo.

Naka inombolo yakho ye-diastolic lapho uhlolwe umfutho wegazi. Uma inombolo yakho engezansi ingama-60 noma ngezansi, buza udokotela wakho ngayo.

Yazisa udokotela wakho uma unezimpawu ze-hypotension noma ukwehluleka kwenhliziyo. Ezimweni eziningi, ukushintsha imithi kanye nokwenza ushintsho endleleni yokuphila kungasiza. Udokotela wakho angafuna ukukulandela eduze ukuze aqinisekise ukuthi ingcindezi yakho ye-diastolic ihlala ingaphezulu kwama-60.