Mlembi: Lewis Jackson
Tsiku La Chilengedwe: 10 Meyi 2021
Sinthani Tsiku: 26 Okotobala 2024
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Kupanikizika Kwa Magazi Ochepetsa: Zomwe Zimayambitsa Ndi Zomwe Mungachite - Thanzi
Kupanikizika Kwa Magazi Ochepetsa: Zomwe Zimayambitsa Ndi Zomwe Mungachite - Thanzi

Zamkati

Chidule

Kuthamanga kwanu kwamagazi ndimphamvu mkati mwamitsempha yanu yamagazi mtima wanu ukamenya ndi kumasuka. Mphamvu imeneyi imayeza milimita ya mercury (mm Hg).

Chiwerengero chapamwamba - chotchedwa systolic pressure - chimayesedwa mtima wanu ukamenya. Nambala yocheperako - yotchedwa diastolic pressure - ndiyomwe mtima wanu umapumula pakati pa kumenya.

Anthu ambiri amadandaula za kuthamanga kwa magazi, komwe kumatha kuwonjezera chiopsezo cha matenda amtima kapena kupwetekedwa mtima, koma kuthamanga kwa magazi kumathanso kukhala vuto.

Mawu azachipatala ochepetsa kuthamanga kwa magazi ndi hypotension. Ngati muli ndi hypotension, systolic pressure muyeso wanu uli pansi pa 90 mm Hg ndipo nambala yanu ya diastolic ili pansi pa 60 mm Hg.

M'zaka 10 mpaka 15 zapitazi, madokotala ayamba kuda nkhawa kwambiri za diastolic magazi omwe ali pansi pa 60.

Anthu ena amatha kukhala ndi diastolic low pressure ngakhale mphamvu yawo systolic ndiyabwino. Vutoli limatchedwa kuti diastolic hypotension. Kuthamanga kwa diastolic magazi kumatha kukhala koopsa pamtima wanu.


Mosiyana ndi thupi lanu lonse, lomwe limalandira magazi mtima wanu ukapopa, minofu ya mtima wanu imalandira magazi mtima wanu ukapuma. Ngati diastolic magazi anu ndi otsika kwambiri, minofu yanu yam'mtima sikhala ndi magazi okwanira okwanira. Izi zitha kubweretsa kufooka kwa mtima wanu, vuto lotchedwa diastolic mtima kulephera.

Mutha kukhala pachiwopsezo chachikulu cha mtima woterewu ngati muli ndi matenda amtima, omwe amachepetsa mitsempha yanu.

Zizindikiro za kutsika kwa diastolic magazi

Zizindikiro za kudzipatula kwa diastolic hypotension onjezerani kutopa, chizungulire, ndi kugwa.

Chifukwa kuthamanga kwa diastolic kumachepetsa magazi kuyenda mumtima mwako, ukhoza kukhala ndi ululu pachifuwa (angina) kapena zizindikilo za kulephera kwa mtima. Zizindikiro zakulephera kwa mtima zimatha kuphatikizira kupuma pang'ono, kutupa kwa mapazi anu kapena akakolo, kusokonezeka, komanso kugundana kwamtima.

Pitani kuchipatala mwachangu ngati mukumva kupweteka pachifuwa kapena mukuvutika kupuma.

Zizindikiro za kuthamanga kwa magazi kwa diastolic komanso kuthamanga kwa magazi (hypotension) ndi awa:


  • chizungulire
  • kukomoka (syncope)
  • kugwa pafupipafupi
  • kutopa
  • nseru
  • kusawona bwino

Pitani kuchipatala ngati muli ndi zizindikiro izi.

Zomwe zimayambitsa kutsika kwa diastolic magazi

Pali zifukwa zitatu zodziwika za kudzipatula kwa diastolic hypotension:

  • Mankhwala a alpha-blocker. Mankhwala a kuthamanga kwa magaziwa amagwira ntchito popangitsa mitsempha yanu kutseguka (kutambasula). Chifukwa amachepetsa kuthamanga kwa diastolic kuposa kuthamanga kwa systolic, atha kuyambitsa diastolic hypotension yokhayokha. Mayina odziwika ndi monga Minipress ndi Cardura.
  • Kukalamba. Tikamakalamba, timataya mphamvu ya mitsempha yathu. Kwa achikulire ena, mitsempha imatha kukhala yolimba kwambiri kuti isabwerere pakati pa kugunda kwamtima, kupangitsa kuti diastolic magazi azikhala otsika.
  • Mchere wambiri pazakudya zanu. Mchere wamchere ukhoza kuchepa kutsika kwa mitsempha yanu. Mukalandira mchere wambiri, mutha kuwonjezera chiopsezo chotsika magazi.

Pali zifukwa zingapo zomwe zimayambitsa kuchuluka kwa hypotension, yomwe ingaphatikizepo nambala yotsika ya diastolic.


  • Kuwonjezeka kwa kuthamanga kwa magazi. Kwa anthu ena, makamaka anthu azaka zopitilira 60, kutsitsa kuthamanga kwa magazi pansi pa zaka 120 kumatha kuyambitsa kukakamiza kwa diastolic kutsika pansi pa 60.
  • Mankhwala ena. Mankhwala ambiri kupatula omwe amayambitsa kuthamanga kwa magazi amatha kuyambitsa matenda a hypotension. Amaphatikizapo mapiritsi amadzi (okodzetsa), mankhwala a matenda a Parkinson, mankhwala opondereza, komanso mankhwala omwe amagwiritsidwa ntchito pochiza kuwonongeka kwa erectile.
  • Mavuto amtima. Mavuto a valavu yamtima, kulephera kwa mtima, komanso kuchepa kwa mtima (bradycardia) kumatha kubweretsa kukhumudwa.
  • Kutaya madzi m'thupi. Ngati simudya madzi okwanira, kuthamanga kwa magazi kwanu kumatha kutsika moopsa. Izi zikhoza kuchitika ngati mutenga diuretic ndikutaya madzi ambiri kuposa momwe mumalowerera.

Chithandizo cha kutsika kwa diastolic magazi

Kuchiza kudzipatula kwa diastolic hypotension ndi kovuta kwambiri kuposa kuchiza matenda a hypotension. Ngati mukumwa alpha-blocker, dokotala wanu amatha kukusinthani ndi mankhwala ena othamanga magazi.

Ngati mwasankha kuthamanga kwa diastolic kochepa ndipo simumamwa mankhwala a kuthamanga kwa magazi, njira yokhayo yomwe mungakhale ndiyo kupita kukakumana ndi dokotala pafupipafupi kuti akakuyeseni komanso kuti muwone ngati muli ndi vuto la mtima. Pakadali pano, palibe mankhwala aliwonse omwe angachiritse diastolic hypotension yokhayokha.

Chithandizo cha ambiri hypotension zimatengera choyambitsa.

Kuwonjezeka kwa kuthamanga kwa magazi kumatha kuyang'aniridwa ndikusintha kapena kusintha mankhwala. Cholinga ndikuti diastolic magazi aziyenda pakati pa 60 ndi 90 mm Hg. Dokotala wanu amathanso kusintha mankhwala ena omwe amayambitsa matenda a hypotension.

Kutaya madzi m'thupi kumatha kuchiritsidwa ndikubwezeretsanso madzi. Nthawi zina, mungafunike mankhwala omwe amachulukitsa kuthamanga kwa magazi.

Kupewa ndi kuwongolera kuthamanga kwa magazi kwa diastolic

Pali zinthu zina zomwe mungachite kuti muteteze ndikuwongolera kuchepa kwa diastolic.

  • Yesetsani kusunga mchere pakati pa 1.5 ndi 4 magalamu patsiku. Nambala yabwino mwina ndi pafupifupi magalamu 3.5. Mutha kuchita izi powerenga zolemba pazakudya ndikupewa mchere wowonjezera pazakudya zanu.
  • Idyani chakudya chopatsa thanzi. Idyani zipatso ndi ndiwo zamasamba zambiri, ndikuphatikizanso mbewu zonse. Kwa mapuloteni, tsatirani nyama zowonda ndi nsomba. Pewani zakudya zamafuta.
  • Imwani madzi okwanira ndipo pewani mowa, zomwe zingawonjezere chiopsezo chanu chakumwa madzi m'thupi.
  • Khalani olimbikira thupi ndikuyamba pulogalamu yochita masewera olimbitsa thupi. Funsani dokotala wanu mtundu wa masewera olimbitsa thupi omwe ndi abwino kwa inu.
  • Pitirizani kulemera bwino. Ngati mukulemera kwambiri, funsani dokotala wanu kuti akuthandizeni ndi njira yochepetsera thupi.
  • Osasuta.

Chiwonetsero

Hypotension itha kukhala yoopsa chifukwa ndimomwe zimakhalira kugwa nthawi zambiri. Kupatula kwa diastolic hypotension kumatha kukhala koopsa kwambiri chifukwa kumatha kuchepetsa magazi kulowa mumtima mwanu.

Mutha kukhala pachiwopsezo chachikulu ngati muli ndi mtsempha wamagazi. Popita nthawi, diastolic hypotension yokhayokha imatha kuyambitsa kulephera kwa mtima. M'malo mwake, itha kukhala chimodzi mwazomwe zimayambitsa kufooka kwa mtima.

Samalani nambala yanu ya diastolic mukamayeza magazi anu. Ngati nambala yanu yotsika ndi 60 kapena pansipa, funsani dokotala wanu za izo.

Adziwitseni dokotala ngati muli ndi zizindikilo za matenda a hypotension kapena mtima kulephera. Nthawi zambiri, kusintha mankhwala ndikusintha moyo wanu kumatha kuthandizira. Dokotala wanu angafune kukutsatirani kwambiri kuti muwonetsetse kuti kuthamanga kwa diastolic kumakhala pamwamba pa 60.

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