I-postprandial hypotension yimeko apho umxinzelelo wegazi lomntu wehla emva kokutya. ("I-postprandial" ithetha "emva kokutya.") Kubantu abanesimo sengqondo se-postprandial, isenzo esilula sokuma emva kokutya singavelisa ukuphahlaka okukhulu kwegazi, okubangele iimpawu ezibalulekileyo.
I-postprandial hypotension ininzi ibonakala kubantu asebekhulile.
Kuye kwabadala abathathu abadala baya kuba neqondo elithile le-postpandial hypotension, echazwe njengendlela yokuwa kwe- systolic blood pressure ye-20 mmHg kwisithuba seeyure ezimbini emva kokutya. Kwabaninzi balaba bantu, le meko ilula, kwaye ayinxulumene neempawu. Kwezinye, nangona kunjalo, i-postpandial hypotension ingaba nzima kakhulu.
I-postprandial hypotension yindlela ethile ye -hypotension ye- orthostatic (i-drop in blood pressure when it stands). Zonke iintlobo ze-hypotension ze-orthostatic zinokuchaphazela abantu abanegazi eliphezulu, okanye ngeemeko ezithile eziphazamisa inkqubo ye- nerveous autonomic ezifana nesifo sika-Parkinson nesifo sikashukela .
Iimpawu zePostprandial Hypotension
Abantu abane-postpandial hypotension baya kuqaphela i- head heading , isixinzelelo , ubuthathaka okanye ngisho ne- synncope (ukulahlekelwa kwengqondo) xa bema kwiyure enye okanye ezimbini emva kokutya ukutya.
Iimpawu ziba nzima kakhulu emva kokutya isidlo esikhulu, isidlo esibandakanya ezininzi ze-carbohydrates, okanye ukuba utywala udla ngexesha okanye ngaphambi kokutya. Ezi ziqhelo zihlala zixazulula ngaphakathi kweeyure ezimbini okanye emva kokugqiba isidlo.
Yintoni ebangela i-Postprandial Hypotension?
Nangona imbangela ye-postpandial hypotension ingacaciswanga ngokupheleleyo, kucatshangelwa ukuba ihambelana nokudibanisa igazi kwizitho zangasese ngexesha lokugaya.
Ngenxa yokuxilongwa kwegazi, inani legazi elifumaneka kwi-flow circulation drops, okwenza ukuba uxinzelelo lwegazi luwele, ngakumbi xa limi.
Elinye inani lokuqokelela igazi kwizitho zomzimba emva kokutya kukuqhelekileyo, ekubeni ukutya ukutya kudinga ukunyuka kwegazi. Kuye abantu abane-hyperension postpandial, nangona kunjalo, kucingelwa ukuba ukuhlanganiswa kwegazi emanzini kugxininiswa, okanye ukuba i-reflex evamile eyenza imithwalo yegazi emilenzeni (ukuhlawulela i-blood pooling) iyancipha.
Ukutya ukutya okuphezulu-carbohydrate kubonakala kukugqithiseleyo ukuxilongwa kwe-postprandial hypotension. Lo mbono uye wabangela ezinye iingcali ukuba zithi, kubantu abane-hypotension postpandial, i-insulin okanye ezinye iikhemikhali zegazi ezikhutshwayo ngokuphendula kwisidlo esiphezulu sinokubangela ukuhluthwa ngokugqithiseleyo kwemithwalo yegazi esiswini.
Ngokwezinga elithile, ukuguga ngokwayo kuhambelana nokunyuka kwegazi lokubamba esiswini ngokuqhelekileyo kwenzeka emva kokutya. Uninzi lwabantu abalupheleyo aluzange lube neempawu ezivela kulokhu kwandisa igazi - kodwa abantu abaneempawu ezibalulekileyo kwi-postpandial hypotension bahlala bekhulile.
Ukunyangwa kwe-Postportal Hypotension
Nangona kungekho nonyango oluthile lokuphelisa i-postpandial hypotension, iimpawu zilawulwa ngokwaneleyo kuninzi lwabantu abanalo mqathango.
Ukunyanga iimpawu ze-postpandial hypotension ziquka izinto ezine:
- Yidla amancinci, ukutya okudla rhoqo. Ukutya ukutya okuninzi kudla ukunyusa ukuxilongwa kwegazi esiswini. Ukutya okuncinci kuthetha ukuthatha igazi elingaphantsi.
- Gwema ukutya okuphezulu-carbohydrate.
- Gwema utywala. Utywala ukhulula imivenge yegazi kwaye luyakuthintela ukunyanzelwa kwemithambo yegazi kwimilenze eyayinokuqhelisela ukuxilongwa kwegazi esiswini.
- Hlala uhleli-okanye, ukuba iimpawu zinzima, zilala-ihora okanye ezimbini emva kokutya. Ukuxilongwa kwegazi esiswini kuya kuhlahlela ngaphakathi kweli xesha emva kokutya.
Ukuba le miqathango ayinelanga, ezinye iindlela zokwelapha eziqhelekileyo ezisetyenziselwa ukuphatha i-hypotension ye-orthost often ziyanceda.
Ngokomzekelo, ukuthatha izidakamizwa ezichasayo ezingabhubhisiyo (i-NSAID) ngaphambi kokutya kunokubangela ukuba ityuwa igcinwe, okwandisa umthamo wegazi. Ukongeza, i-caffeine inokubangela ukuba imivenge yegazi ibe namandla kwaye inganciphisa iimpawu. I-gum yokuqinisekisa ingaphinde iphucule iimpawu, mhlawumbi ngokunciphisa ukutshatyalaliswa kwesisu emva kokutya.
Ukufumana umthamo omkhulu phakathi kokutya - njengokuhamba-kunokuphucula i-tilecular tone, kunye nokunciphisa iimpawu ze-postpandial hypotension.
Kuye kwafunyaniswa ukuba, kubantu abane-hypotension ye-postprandial nabo banesifo se- diastolic senhliziyo kwaye baphathwa nge- diuretics , ukuhoxisa i-diuretics kunokuphucula ngokuphawulekayo iimpawu.
Ukuba iimpawu zinzima kwaye azikwazi ukulawulwa ngamanye amanyathelo, ii-injection zangasese ze-octreotide (isilwanyana esiziphatha njenge-somatostatin, i-hormone eveliswa yi-pancreas) ngaphambi kokutya kunokuncedisa ukunciphisa inani legazi eligeleza emathunjini. Nangona kunjalo, olu unyango lubiza kakhulu, kwaye lunokubangela iziphumo ezibi kakhulu.
ILizwi
Nangona i-postprandial hypotension ingaba yinkinga ebalulekileyo, ngokukodwa kubantu asebekhulile, kuninzi lwabantu abaneempawu zeempawu zinokulawulwa ngeenguqu ezincinane zokuphila.
> Imithombo:
> Abdel-Rahman TA. I-Orthopotatic Hypotension Ngaphambi Kwaso Emva kokutya Ukungenwa kwezigulane zesifo sikashukela kunye nabantu abaPheleleyo. J Family Community Med 2012; 19:20.
> Jansen RW, uLipsitz LA. Hypotensional Hypotension: Epidemiology, Pathophysiology, kunye noLawulo lweeKliniki. Ann Intern Med 1995; 122: 286.
> Jones KL, MacIntosh C, Su YC, et al. I-Gum yokuGcina iyanciphisa i-Postprandial Hypotension kubantu abadala. J Am Geriatr Soc 2001; 49: 162.
> IMills PB, Fung CK, Travlos A, Krassioukov A. Ulawulo lwe-Nonpharmacologic lwe-Orthostatic Hypotension: Uhlolo lokuHlola. IArch Phys Med Rehabil 2015; 96: 366.