Kuyini i-Postprandial Hypotension?

-Delile

• Amaconsi egazini ngemuva kokudla
• Ziyini izimpawu ze-postpandial hypotension?
• Izimbangela
• Izici zobungozi
• Izinkinga
• Ukufuna usizo
• Ukuxilongwa
• Ukwelapha nokuphatha i-hypotension yangemuva kweprandial
• Umbono

Amaconsi egazini ngemuva kokudla

Lapho umfutho wegazi lakho wehla ngemuva kokudla isidlo, lesi simo saziwa njenge-postpandial hypotension. I-Postprandial yigama lezokwelapha elibhekisa enkathini yesikhathi ngemuva kokudla. I-Hypotension isho umfutho wegazi ophansi.

Umfutho wegazi umane nje ungukugeleza kwegazi kuzindonga zemithambo yakho yegazi. Umfutho wegazi lakho uyashintsha imini nobusuku kuye ngokuthi wenzani. Ukuzivocavoca umzimba kungadala ukukhuphuka kwesikhashana kwengcindezi yegazi, kanti ukulala kuvame ukwehlisa umfutho wegazi.

I-postpandial hypotension ivamile kubantu abadala asebekhulile. Ukwehla kwengcindezi yegazi kungaholela ebunzimeni nasekuweni, okungaholela ezinkingeni ezinkulu. I-postprandial hypotension ingatholwa futhi iphathwe, imvamisa ngokulungiswa kwendlela elula yokuphila.

Ziyini izimpawu ze-postpandial hypotension?

Izimpawu eziyinhloko ze-postpandial hypotension yisiyezi, ikhanda elikhanyayo, noma ukuquleka ngemuva kokudla. I-Syncope igama elisetshenziselwa ukuchaza ukuquleka okwenzeka ngenxa yokwehla kwengcindezi yegazi.

Imvamisa lesi simo sibangelwa ukwehla kwengcindezi yegazi lakho le-systolic ngemuva kokudla. Inombolo ye-systolic iyinombolo ephezulu ekufundeni kwengcindezi yegazi. Ukuhlola umfutho wegazi ngaphambi nangemva kokudla kungaveza ukuthi ushintsho luyenzeka yini ngenkathi ugaya.

Uma unokwehla komfutho wegazi ngezinye izikhathi okungahlobene nokudla, ungaba nezinye izimo ezingahlobene ne-hypotension yangemva kweprandial. Ezinye izimbangela zengcindezi ephansi zingabandakanya:

• isifo senhliziyo senhliziyo
• ukoma komzimba
• ukukhulelwa
• isifo segilo
• ukushoda kukavithamini B-12

Izimbangela

Njengoba ugaya ukudla, amathumbu akho adinga ukugeleza kwegazi okwengeziwe ukuze kusebenze kahle. Imvamisa, izinga lokushaya kwenhliziyo yakho lizokhuphuka ngenkathi imithambo yakho ehambisa igazi ezindaweni ezingaphandle kwamathumbu akho ingancipha. Lapho imithambo yakho yegazi incipha, ingcindezi yokugeleza kwegazi uma iqhathaniswa nezindonga zomthambo iyanda. Lokho-ke kwandisa umfutho wegazi lakho.

Lezi zinguquko emithanjeni yakho yegazi nokushaya kwenhliziyo ziphethwe yisistimu yakho yezinzwa ezilawulayo, ebuye ilawule ezinye izinqubo eziningi zomzimba ngaphandle kokuthi ucabange ngazo. Uma unesimo sezempilo esithinta isimiso sakho sezinzwa ezizimele, izinga lokushaya kwenhliziyo yakho kungenzeka lingakhuphuki, futhi imithambo ethile yemithambo kungenzeka inganqwabani. Ukuhamba kwegazi kuzohlala kujwayelekile.

Kodwa-ke, ngenxa yesidingo sakho esengeziwe segazi lakho ngesikhathi sokugaya, ukugeleza kwegazi kuya kwezinye izingxenye zomzimba kuzoncipha. Lokhu kuzodala ukwehla kwengcindezi yegazi ngokuzumayo, kodwa okwesikhashana.

Enye imbangela engaba khona ye-postpandial hypotension ihlobene nokumunca ngokushesha i-glucose, noma ushukela, futhi kungachaza ubungozi obukhulu besimo seziguli ezinesifo sikashukela.

Kodwa-ke, ungathuthukisa i-hypotension yangemuva kweprandial noma ngabe awunaso isimo esithinta isistimu yezinzwa ezizimele. Kwesinye isikhathi odokotela abakwazi ukuthola imbangela eyisisekelo ye-postpandial hypotension.

Izici zobungozi

Ukuguga kwandisa ubungozi be-postpandial hypotension nezinye izinhlobo zomfutho wegazi ophansi. I-postprandial hypotension ayivamile kubantu abasha.

Izimo ezithile zezokwelapha nazo zingakhuphula ubungozi bakho be-hypotension yangemva komkhumbi ngenxa yokuthi zingaphazamisa izingxenye zobuchopho ezilawula uhlelo lwezinzwa oluzimele. Isifo sikashukela kanye nesifo sikashukela kuyizibonelo ezimbili ezivamile.

Kwesinye isikhathi, abantu abanesifo somfutho wegazi ophezulu (umfutho wegazi ophakeme) bangaba nokwehla okukhulu kwengcindezi yegazi labo ngemuva kokudla. Kulezo zimo, ukwehla kwengcindezi yegazi kungabangelwa yimithi elwa nomfutho wegazi ophezulu. Izidakamizwa ezihlose ukwehlisa umfutho wegazi lakho kwesinye isikhathi zingasebenza kakhulu futhi zidale ukwehla okungaphephile.

Izinkinga

Inkinga ebucayi kakhulu ehlobene ne-hypotension yangemuva kweprandial iyaquleka kanye nokulimala okungalandela. Ukuquleka kungaholela ekuweni, okungadala ukuphuka, ukulimazeka, noma okunye ukuhlukumezeka. Ukulahlekelwa ukwazi ngenkathi ushayela imoto kungaba kubi kakhulu. Ukwehliswa kwegazi ebuchosheni nakho kungadala isifo sohlangothi.

I-postprandial hypotension imvamisa iyisimo sesikhashana, kepha uma umfutho wegazi ophansi uba nzima, kungavela ezinye izinkinga ezinkulu. Isibonelo, ungashaqeka. Uma ukunikezwa kwegazi ezithweni zakho kuthikamezeka kakhulu, ungahle ubhekane nokwehluleka komzimba.

Ukufuna usizo

Uma uhlola njalo umfutho wegazi lakho bese ubona iphethini yokudipha kwengcindezi yegazi ngemuva kokudla, tshela udokotela wakho ekuqokweni kwakho okulandelayo. Uma amaconsi ahambisana nesiyezi noma ezinye izimpawu ezisobala, noma uma uzibona njalo izimpawu zomfutho wegazi ophansi ngemuva kokudla, bheka udokotela wakho ngokushesha okukhulu.

Ukuxilongwa

Udokotela wakho uzofuna ukubuyekeza umlando nezimpawu zakho zezokwelapha. Uma ubulokhu ulandela umfutho wegazi lakho ngomqaphi wasekhaya, bonisa udokotela wakho ukufundwa okuqoqile, uqaphele ukuthi izingcindezi zaqoshwa nini ngemuva kokudla.

Udokotela wakho kufanele azame ukuthola ukufundwa kwengcindezi yangaphambi kokudla ngaphambi kokudla bese ufundwa ngemuva kokudla ukuze uqinisekise ukuhlolwa kwakho kwasekhaya. Ingcindezi ingathathwa ngezikhathi ezithile ngemuva kwesidlo, iqale ngemizuzu eyi-15 iphele cishe emahoreni ama-2 ngemuva kokudla.

Cishe kubantu abangamaphesenti angama-70 abane-hypotension yangemuva kweprandial, umfutho wegazi wehla kungakapheli imizuzu engama-30 kuye kwangama-60 ngemuva kokudla.

I-postprandial hypotension ingatholwa uma uhlangabezana nokwehla kwengcindezi yegazi lakho le-systolic okungenani engama-20 mm Hg kungakapheli amahora amabili udle ukudla. Udokotela wakho angahlola futhi i-postpandial hypotension uma ingcindezi yegazi yakho yangaphambi kokudla yayiyi-100 mm Hg okungenani futhi une-systolic blood pressure ka-90 mm Hg kungakapheli amahora amabili wokudla.

Olunye uvivinyo lungahlinzekwa ukulawula ezinye izimbangela zokushintshwa kwengcindezi yegazi lakho. Lokhu kufaka phakathi:

• ukuhlolwa kwegazi ukuhlola i-anemia noma ushukela wegazi ophansi
• i-electrocardiogram ukubheka izinkinga zesigqi senhliziyo
• i-echocardiogram ukuhlola isakhiwo nomsebenzi wenhliziyo

Ukwelapha nokuphatha i-hypotension yangemuva kweprandial

Uma uthatha imishanguzo yokwehlisa umfutho wegazi, udokotela wakho angakweluleka ukuthi ulungise isikhathi somthamo wakho. Ngokugwema imithi elwa nomfutho wegazi ophakeme ngaphambi kokudla, unganciphisa ingozi yakho yokwehla kokudla ngemuva kwengcindezi yegazi. Ukuthatha imithamo emincane kaningi emini nakho kungaba yinto ongayikhetha, kepha kufanele uxoxe nganoma yiziphi izinguquko kumuthi noma esikhathini sakho semithi ngaphambi kokuzama wedwa.

Uma inkinga ingahlobene nemithi yokwelashwa, izinguquko ezimbalwa zendlela yokuphila zingasiza. Abanye ochwepheshe bezempilo bakholelwa ukuthi ukukhishwa kwe-insulin okulandela ukudla okunama-carbohydrate amaningi kungaphazamisa isimiso sezinzwa sokuzimela kwabanye abantu, okuholele ekucingeni kwe-hypotension. I-insulin yihomoni esiza amangqamuzana ukuthi amunce ushukela (ushukela) ovela egazini ukuze asetshenziswe njengamandla. Uma ngabe ubhekene ne-hypotension yangemuva kweprandial, landela lokho okudlayo. Uma uzibona njalo izimpawu ngemuva kokudla okuphezulu kwe-carbohydrate, cabanga ukunciphisa ukudla kwakho kwe-carbohydrate. Ukudla kaningi, kepha okuncane, ukudla okuphansi kwe-carb usuku lonke nakho kungasiza.

Ukuhamba ngemuva kokudla kungasiza futhi ekulweni nokwehla komfutho wegazi. Kodwa-ke, kufanele wazi ukuthi umfutho wegazi wakho wehla uma uyeka ukuhamba.

Ungase futhi ukwazi ukugcina umfutho wegazi uphakeme ngemuva kokudla uma uthatha umuthi wokulwa nokuvuvukala (i-NSAID) ngaphambi kokudla. Ama-NSAID ajwayelekile afaka ibuprofen (Advil) ne-naproxen (Aleve).

Ukuba nenkomishi yekhofi noma omunye umthombo we-caffeine ngaphambi kokudla kungasiza futhi. I-caffeine yenza imithambo yegazi icindezeleke. Ungabi nayo i-caffeine kusihlwa, noma kunjalo, ngoba ingaphazamisa ukulala, okungadala ezinye izinkinga zempilo.

Ukuphuza amanzi ngaphambi kokudla kungavimbela i-postpandial hypotension. Omunye ukhombisile ukuthi ukuphuza i-500 mL - cishe i-16 oz. - wamanzi ngaphambi kokudla kwehlisa okwenzekayo.

Uma lezi zinguquko zingasebenzi, udokotela wakho angakunika i-octreotide yemithi (iSandostatin). Kungumuthi ovame ukunikezwa abantu abane-hormone yokukhula eningi kakhulu ohlelweni lwabo. Kepha futhi kufakazelwe ukuthi kuyasebenza kwabanye abantu ekwehliseni ukugeleza kwegazi kuya emathunjini.

Umbono

I-hypotension ye-postprandial ingaba yisimo esibi, kepha imvamisa iyelapheka ngezinguquko zendlela yokuphila noma ukulungiswa kwemithi yakho elwa nomfutho wegazi ophezulu.

Uma uqala ukubona izimpawu ngemuva kokudla, tshela udokotela wakho. Okwamanje, thola isilawuli somfutho wegazi wasekhaya, futhi ufunde ukusisebenzisa kahle. Ukulandela ngomkhondo izinombolo zakho kungenye yezindlela zokuzibandakanya ngalesi sici esibalulekile sempilo yakho yenhliziyo.