Kodi Postpandial Hypotension Ndi Chiyani?

Zamkati

• Madontho a magazi mutadya
• Kodi zizindikiro za hypotension ya postprandial ndi ziti?
• Zoyambitsa
• Zowopsa
• Zovuta
• Kupeza thandizo
• Matendawa
• Kuchiza ndikuwongolera hypotension ya postpandial
• Chiwonetsero

Madontho a magazi mutadya

Magazi anu akatsika mukamadya, vutoli limadziwika kuti postprandial hypotension. Postprandial ndi mawu azachipatala omwe amatanthauza nthawi yomwe mwadya kumene. Kuthamanga kwambiri kumatanthauza kuthamanga kwa magazi.

Kuthamanga kwa magazi ndikungokhala kuthamanga kwa magazi pamakoma amitsempha yanu. Magazi anu amasintha usana ndi usiku kutengera zomwe mukuchita. Kuchita masewera olimbitsa thupi kumatha kukweza kuthamanga kwakanthawi kwakanthawi, pomwe kugona nthawi zambiri kumachepetsa kuthamanga kwa magazi kwanu.

Postprandial hypotension imafala kwa achikulire. Kutsika kwa kuthamanga kwa magazi kumatha kuyambitsa mutu wopepuka ndikugwa, komwe kumatha kubweretsa zovuta zazikulu. Matenda a postprandial hypotension amatha kupezeka ndikuwongoleredwa, nthawi zambiri ndimasinthidwe ena amoyo.

Kodi zizindikiro za hypotension ya postprandial ndi ziti?

Zizindikiro zazikulu za postpandial hypotension ndi chizungulire, kupepuka mutu, kapena kukomoka mukatha kudya. Syncope ndi mawu omwe amagwiritsidwa ntchito pofotokoza kukomoka komwe kumachitika chifukwa chakutsika kwa magazi.

Kawirikawiri vutoli limayamba chifukwa chotsika magazi anu mutadya. Nambala ya systolic ndiye nambala yayikulu kwambiri pakuwerenga magazi. Kuwona kuthamanga kwa magazi musanadye komanso mutatha kudya kumatha kuwonetsa ngati kusintha kukuchitika mukamaimba.

Ngati muli ndi madontho othamanga magazi nthawi zina omwe sakukhudzana ndi kudya, mutha kukhala ndi zovuta zina zosagwirizana ndi hypotension ya postprandial. Zina mwazomwe zimayambitsa kupanikizika kochepa zingakhale monga:

• matenda a valavu ya mtima
• kusowa kwa madzi m'thupi
• mimba
• matenda a chithokomiro
• kusowa kwa vitamini B-12

Zoyambitsa

Mukamadya chakudya, matumbo anu amafuna kuti magazi aziyenda bwino kuti agwire bwino ntchito. Nthawi zambiri, kugunda kwa mtima kwanu kumakulirakulira pomwe mitsempha yanu yomwe imapereka magazi kumadera ena osati matumbo anu imatha. Mitsempha yanu ikakhala yopapatiza, kuthamanga kwa magazi motsutsana ndi makoma amitsempha kumawonjezeka. Izi zimathandizanso kuti magazi aziyenda bwino.

Kusintha kumeneku m'mitsempha yamagazi ndi kugunda kwa mtima kwanu kumayang'aniridwa ndi dongosolo lanu lamanjenje lodziyimira palokha, lomwe limayang'aniranso njira zina zambiri zamthupi popanda kuziganizira. Ngati muli ndi matenda omwe amakhudza dongosolo lanu lamanjenje lodziyimira pawokha, kugunda kwa mtima kwanu sikungakulire, ndipo mitsempha ina siyingakule. Kutuluka magazi kumakhalabe kwabwinobwino.

Komabe, chifukwa chakufuna kwanu m'matumbo mwanu pakudya chimbudzi, magazi amayenderera mbali zina za thupi zimachepa. Izi zitha kuyambitsa kuthamanga mwadzidzidzi, koma kwakanthawi.

China chomwe chingayambitse matenda a hypotension pambuyo pa prandial ndichokhudzana ndi kuyamwa kwa shuga, kapena shuga, ndipo kumatha kufotokozera chiwopsezo chachikulu cha odwala matenda ashuga.

Komabe, mutha kukhala ndi hypotension ya postprandial ngakhale mulibe vuto lomwe limakhudza dongosolo lamanjenje lodziyimira panokha. Nthawi zina madokotala amalephera kudziwa chomwe chimayambitsa postpandial hypotension.

Zowopsa

Kukalamba kumawonjezera chiopsezo cha postprandial hypotension ndi mitundu ina ya kuthamanga kwa magazi. Postprandial hypotension ndiyosowa pakati pa achinyamata.

Matenda ena amathanso kukulitsa chiopsezo cha hypotension pambuyo pa prandial chifukwa chitha kusokoneza mbali zaubongo zomwe zimayendetsa dongosolo lamanjenje lodziyimira palokha. Matenda a Parkinson ndi matenda ashuga ndi zitsanzo ziwiri zofala.

Nthawi zina, anthu omwe ali ndi matenda oopsa (kuthamanga kwa magazi) amatha kukhala ndi magazi ambiri atadya. Zikatero, kutsika kwa magazi kumatha chifukwa cha mankhwala oletsa kuthamanga kwa magazi. Mankhwala osokoneza bongo omwe amachepetsa kuthamanga kwa magazi nthawi zina amatha kukhala othandiza kwambiri ndikupangitsa dontho losatetezeka.

Zovuta

Vuto lalikulu kwambiri lokhudzana ndi hypotension ya postprandial ndikomoka ndi zovulala zomwe zingatsatire. Kukomoka kumatha kubweretsa kugwa, komwe kumatha kuyipa, kuphwanya, kapena kupwetekedwa mtima. Kutaya chidziwitso poyendetsa galimoto kungakhale koopsa kwambiri. Kuchepetsa magazi kuubongo kungayambitsenso sitiroko.

Matenda a postprandial hypotension nthawi zambiri amakhala osakhalitsa, koma ngati kuthamanga kwa magazi kumakhala kovuta, zovuta zina zimatha kubwera. Mwachitsanzo, mutha kuchita mantha. Ngati magazi m'ziwalo zanu atayikidwa kwambiri, mutha kukhalanso ndi ziwalo zolephera.

Kupeza thandizo

Ngati mumayang'ana pafupipafupi magazi anu ndikuwona kuthamanga kwa magazi mukamadya, uzani adotolo mukadzakumananso. Ngati madonthowo akuphatikizidwa ndi chizungulire kapena zizindikilo zina zowonekera, kapena ngati nthawi zonse mumawona zizindikiro za kuthamanga kwa magazi mukamadya, onani dokotala wanu mwachangu momwe mungathere.

Matendawa

Dokotala wanu adzafuna kuyambiranso mbiri yanu yazachipatala. Ngati mwakhala mukutsata kuthamanga kwamagazi anu ndikuwunika nyumba, onetsani dokotala zomwe mwawerenga zomwe mwapeza, ndikuwona kuti zovuta zimalembedwa pambuyo pa chakudya.

Dokotala wanu ayenera kuyesa kuwerengera koyambirira musanadye kuthamanga kwa magazi kenako kuwerengera kwapambuyo kuti mutsimikizire kuchepa kwanu. Zovuta zimatha kutengedwa pakapita nthawi pang'ono pambuyo pa chakudya, kuyambira mphindi 15 ndikutha mozungulira maola 2 mutadya.

Pafupifupi 70 peresenti ya anthu omwe ali ndi vuto la hypotension pambuyo pa prandial, kuthamanga kwa magazi kumatsika mkati mwa mphindi 30 mpaka 60 mutadya.

Postprandial hypotension imatha kupezeka ngati mungatani kuti magazi anu azikhala ndi magazi osachepera 20 mm Hg pasanathe maola awiri mutadya. Dokotala wanu angathenso kuzindikira matenda opatsirana pogonana pambuyo pake ngati magazi anu musanadye systolic magazi anali osachepera 100 mm Hg ndipo muli ndi kuthamanga kwa magazi kwa 90 mm Hg pasanathe maola awiri mutadya.

Mayesero ena atha kuperekedwa kuti athetse zina zomwe zingayambitse kuthamanga kwa magazi. Izi zikuphatikiza:

• kuyezetsa magazi kuti muwone ngati mulibe magazi kapena shuga wotsika magazi
• electrocardiogram kuyang'ana mavuto amtundu wamtima
• echocardiogram kuti muwone momwe mtima umagwirira ntchito

Kuchiza ndikuwongolera hypotension ya postpandial

Ngati mumamwa mankhwala ochepetsa kuthamanga kwa magazi, dokotala wanu akhoza kukulangizani kuti musinthe nthawi yomwe mumamwa. Mwa kupewa mankhwala odana ndi matenda oopsa musanadye, mungachepetse chiopsezo chanu chotsitsa chakudya mukamadya. Kutenga mankhwala ochepa pafupipafupi masana kungathenso kukhala njira, koma muyenera kukambirana zosintha zilizonse munthawi ya mankhwala anu ndi dokotala musanayese nokha.

Ngati vutoli silikugwirizana ndi mankhwala, kusintha pang'ono pamachitidwe kungathandize. Akatswiri ena azaumoyo amakhulupirira kuti kutulutsidwa kwa insulini komwe kumatsata pambuyo pa chakudya chambiri kumatha kusokoneza dongosolo lamanjenje lodziyimira pawokha mwa anthu ena, zomwe zimapangitsa kuti akhale ndi vuto la hypotension. Insulin ndi hormone yomwe imathandizira maselo kuyamwa shuga (shuga) m'magazi kuti agwiritse ntchito ngati mphamvu. Ngati mwakhala mukukumana ndi vuto la hypotension ya postprandial, tsatirani zomwe mukudya. Ngati mumazindikira zizindikilo mukatha kudya chakudya chambiri, lingalirani zochepetsera zakumwa zanu. Kudya pafupipafupi, koma zakudya zazing'ono, zopanda mafuta tsiku lonse zitha kuthandizanso.

Kuyenda mutatha kudya kungathandizenso kuchepetsa kuthamanga kwa magazi. Komabe, muyenera kudziwa kuti kuthamanga kwa magazi kwanu kumatha kutsika mukangosiya kuyenda.

Muthanso kusungitsa magazi anu mukatha kudya mukamwa mankhwala osokoneza bongo (NSAID) musanadye. Ma NSAID wamba amaphatikizapo ibuprofen (Advil) ndi naproxen (Aleve).

Kukhala ndi khofi kapena gwero lina la caffeine musanadye kungathandizenso. Caffeine amachititsa kuti mitsempha ya magazi ikhale yovuta. Musakhale ndi caffeine madzulo, komabe, chifukwa imatha kusokoneza tulo, zomwe zingayambitse mavuto ena azaumoyo.

Kumwa madzi musanadye chakudya kumatha kuteteza hypotension ya postprandial. Mmodzi adawonetsa kuti kumwa 500 ml - pafupifupi 16 oz. - madzi asanadye adatsitsa izi.

Ngati zosinthazi sizothandiza, dokotala akhoza kukupatsani mankhwala octreotide (Sandostatin). Ndi mankhwala omwe nthawi zambiri amapatsidwa kwa anthu omwe ali ndi mahomoni ochulukirapo m'dongosolo lawo. Koma zatsimikiziranso kukhala zothandiza kwa anthu ena pochepetsa magazi kutuluka m'matumbo.

Chiwonetsero

Matenda a postprandial hypotension atha kukhala ovuta kwambiri, koma nthawi zambiri amachiritsidwa ndikusintha kwa moyo kapena kusintha kwa mankhwala omwe ali ndi anti-hypertensive.

Ngati mukuyamba kuzindikira zizindikiro mukadya, uzani dokotala wanu. Pakadali pano, pezani makina owunika magazi kunyumba, ndipo phunzirani kuzigwiritsa ntchito moyenera. Kutsata manambala anu ndi njira imodzi yolimbikitsira kuchitapo kanthu pankhani yofunika iyi yaumoyo wanu wamtima.