Ungayelapha kanjani umfutho wegazi ophansi (i-hypotension)

-Delile

• 1. Phuza amanzi amaningi
• 2. Gqoka amasokisi anwebekayo
• 3. Khulisa ukusetshenziswa kasawoti
• 4. Yeka ukusebenzisa amakhambi
• 5. Yidla ukudla okuncane izikhathi eziningana ngosuku
• Okufanele ukwenze ngomfutho wegazi ophansi ekukhulelweni
• Uzoya nini kudokotela

Umfutho ophansi, obizwa nangokuthi i-hypotension, wenzeka lapho umfutho wegazi ufinyelela amanani alingana noma angaphansi kuka-9 ngu-6, okungukuthi, 90 mmHg x 60 mmHg. Ngokuvamile, abantu abanengcindezi yegazi ephansi abanazo izimpawu futhi, ngakho-ke, lesi simo ngokuvamile asinankinga, futhi singase sibe yinto ejwayelekile kubantu abahlala benengcindezi yegazi ephansi.

Kodwa-ke, kukhona nabanye abantu abangathola ukwehla ngokushesha kwengcindezi futhi babe nezimpawu ezifana nekhanda, isiyezi, ubuthakathaka noma ukuzwa ukuquleka, ngokwesibonelo. Kulezi zimo, isimo ngokuvamile siyathuthuka ngemuva kokulala phansi nokuphakamisa imilenze ngaphezu kwezinga lenhliziyo, ngakho-ke asikho isidingo sokwelapha. Bheka ukuthi wenzeni lapho ingcindezi yehla ngokushesha okukhulu.

Kodwa-ke, kukhona nabantu abanengcindezi yegazi ehlala iphansi futhi edala izimpawu ezibavimbela ekwenzeni imisebenzi yansuku zonke. Uma lokhu kwenzeka, kungaba wuphawu lokuthi kunegazi elincane elifinyelela inhliziyo ngakho-ke, kungakuhle ukuthi uthintane nodokotela ojwayelekile ukuthola imbangela yenkinga bese uqala ukwelashwa okufanele kakhulu, okungafaka ushintsho ekudleni ngisho nokushiya ezinye izinhlobo zemithi.

Ngakho-ke, ngokuya ngezimbangela, izindlela zokwelashwa eziyinhloko zifaka:

1. Phuza amanzi amaningi

Lesi isinyathelo sokwelapha esilula kakhulu, kodwa futhi esibaluleke kakhulu, esingenziwa kungakhathalekile ukuthi yini imbangela. Lokhu kungenxa yokuthi, abantu abangangeniswa kahle ngamanzi, nenani lamanzi abalidingayo ukuze umzimba usebenze, imvamisa banevolumu ephansi yegazi emithanjeni yegazi, okwenza ingcindezi yehle.

Ngokunjalo, ukusetshenziswa ngokweqile kweziphuzo ezidakayo kufanele futhi kugwenywe, ngoba kukhuthaza ukomiswa kwamanzi emzimbeni, ngaphezu kokubanga ukwanda kwemithambo yegazi, okufaka isandla ekwehleni okubonakala kakhulu komfutho wegazi.

2. Gqoka amasokisi anwebekayo

Lolu hlobo lwezokwelapha luvame ukuphakanyiselwa abantu abanobunzima bokubuyela emithanjeni emilenzeni noma ezigulini ezinokwehluleka kwenhliziyo, ngoba, ezimweni zombili, kunqwabelana kwegazi emilenzeni, okusho ukuthi kunegazi elincane elifinyelela inhliziyo, okuholela ekwehleni komfutho wegazi.

Ukusetshenziswa kwamasokisi anwebekayo kubaluleke kakhulu emini, ikakhulukazi uma umile amahora amaningi, futhi kusiza ekubuyiselweni kwegazi enhliziyweni, kuthuthukise umfutho wegazi.

3. Khulisa ukusetshenziswa kasawoti

Yize kunconywa ukunciphisa inani likasawoti ukuvimbela isifo senhliziyo, abantu abanesifo segazi eliphansi kungadinga ukukhuphula usawoti wabo ukuzama ukukhuphula umfutho wegazi. Kodwa-ke, lokhu kukhuphuka kufanele kwenziwe kuphela ngaphansi kokuqondiswa udokotela noma isazi sokudla, ngoba ukusebenzisa usawoti ngokweqile kungagcina kuyingozi empilweni yakho.

4. Yeka ukusebenzisa amakhambi

Eminye imishanguzo, ikakhulukazi isisu, imishanguzo yezinkinga zenhliziyo kanye nezidambisi zingaba nemiphumela emibi yokwehlisa umfutho wegazi lapho isetshenziswa isikhathi eside. Uma lokhu kwenzeka, udokotela angahlola ukuthi kungenzeka yini ukushintsha umuthi osetshenziswayo noma ukumisa ukusetshenziswa kwawo, uma inzuzo yawo ingacimi izimpawu zengcindezi yegazi ephansi, isibonelo.

5. Yidla ukudla okuncane izikhathi eziningana ngosuku

Le ndlela isetshenziswa kakhulu kubantu abanengcindezi yegazi ephansi ngemuva kokudla, njengoba ingabangelwa ukuchezukiswa kwegazi kuya esiswini, okwenza igazi elincane ligijime futhi lifinyelele enhliziyweni.

Ngakho-ke, inhloso ukuthi kube nokudla okuncane, ukunciphisa inani legazi eliphambukiselwa esiswini, nezikhathi eziningana ngosuku, ukugwema ukungondleki.

Okufanele ukwenze ngomfutho wegazi ophansi ekukhulelweni

Uma owesifazane okhulelwe enezimpawu zokuba nomfutho wegazi ophansi, kufanele futhi alale ngomhlane, agcine imilenze yakhe iphakanyisiwe ukuze kube nokujwayelekile ukucindezela. Kodwa-ke, uma kungekho ukuthuthuka kwezimpawu, kunconywa ukuthi owesifazane abonane nodokotela wakhe wokubeletha ukuphenya izimbangela zale hypotension nokulungiswa kwayo okungenzeka.

Umfutho wegazi ophansi ekukhulelweni uvamile ekukhulelweni kokuqala, kepha imvamisa ayibangeli izinkinga zengane, futhi ihlobene nokwenziwa kwehomoni relaxin emithanjeni. Ngaphezu kwalokho, umbungu udinga inani elikhulu legazi, yingakho ngokwemvelo linciphisa inani legazi emithanjeni kanina, lidale umfutho wegazi ophansi.

Uzoya nini kudokotela

Kunconywa ukuya kudokotela noma kunini lapho kuvela khona umfutho wegazi ophansi, ukuhlola ukuthi ngabe kunesizathu esidinga ukwelashwa, kodwa-ke, ezinye izimpawu ezingakhombisa isimo esibi kakhulu zifaka:

• Kwenzeke ngaphezu kokuquleka;
• Izimpawu azithuthuki emahoreni ambalwa;
• Kukhona ukudideka, ukwanda kokushaya kwenhliziyo noma ukuphefumula okusheshayo.

Kulezi zimo, ukwehla komfutho wegazi ophansi kungadalwa yizimbangela ezimbi kakhulu, njengokuphuma kwegazi, izinkinga zenhliziyo noma ukutheleleka, okudinga ukukhonjwa nokwelashwa ngokushesha okukhulu.

Bona ukuthi yiziphi izimbangela ezivame kakhulu zengcindezi yegazi ephansi nokuthi yini okufanele uyenze esimweni ngasinye.