Kuderera kweropa

Kuderera kweropa kunoitika kana BP yakanyanya kuderera pane zvakajairwa. Izvi zvinoreva kuti moyo, huropi, uye zvimwe zvikamu zvemuviri hazviwane ropa rakaringana. Ropa rinowanzoitika rinowanzo pakati pe90/60 mmHg uye 120/80 mmHg.

Iro zita rekurapa rekuderera kweropa is hypotension.

Kuwedzera kweropa kunosiyana kubva pamunhu kuenda pane mumwe. Kudonha kushoma senge 20 mmHg, kunogona kukonzera matambudziko kune vamwe vanhu. Kune mhando dzakasiyana uye zvikonzero zve low BP.

Kunyanya hypotension kunogona kukonzerwa nekukasika kurasikirwa kweropa (kuvhunduka), hutachiona hwakakomba, chirwere chemwoyo, kana zvakanyanya kukonzeresa kurwisa (anaphylaxis).

Orthostatic hypotension inokonzereswa nekuchinja kamwe kamwe munzvimbo yemuviri. Izvi zvinoitika kazhinji kana iwe uchichinja kubva pakurara pasi kuenda pakamira. Rudzi urwu rweBP yakaderera BP kazhinji runotora masekondi mashoma kana maminetsi. Kana iri mhando yeropa shoma ichiitika mushure mekudya, inonzi postprandial orthostatic hypotension. Rudzi urwu runowanzo bata vakuru vanhu vakuru, avo vane BP, uye vanhu vane chirwere cheParkinson.

Neally mediated hypotension (NMH) kazhinji inobata vechidiki nevana. Zvinogona kuitika kana munhu anga akamira kwenguva yakareba. Vana vanowanzo pfuura urwu rudzi rwe hypotension.

Mimwe mishonga uye zvinhu zvinogona kutungamira mukudzikira kweropa, kusanganisira:

• Doro
• Anti-kunetseka mishonga
• Zvimwe zvinodzvinyirira
• Diuretics
• Mishonga yemwoyo, kusanganisira iyo inoshandiswa kurapa kukwirisa kweropa uye chirwere chemwoyo checoronary
• Mishonga inoshandiswa pakuvhiya
• Marwadzo

Zvimwe zvikonzero zvekuderera kweropa zvinosanganisira:

• Tsinga kukuvara kubva kune chirwere cheshuga
• Shanduko mumoyo mutinhimira (arrhythmias)
• Kwete kunwa mvura yakakwana (kupera mvura mumuviri)
• Kutadza kwemoyo

Zviratidzo zvekuderera kweropa zvinogona kusanganisira:

• Blurry chiratidzo
• Kuvhiringidzika
• Dzungu
• Kufenda (syncope)
• Musoro wakareruka
• Kusvotwa kana kurutsa
• Kurara
• Kushaya simba

Anopa hutano anozokuongorora kuti aone chinokonzera BP yako. Zviratidzo zvako zvakakosha (tembiricha, kupomba, mwero wekufema, uye kuwedzerwa kweropa) zvinotariswa kazhinji. Ungangoda kugara muchipatara kwechinguva.

Iye mupi achabvunza mibvunzo, kusanganisira:

• Chii chinonzi rako reBP?
• Unotora mishonga ipi?
• Wanga uchidya nekunwa zvakajairika here?
• Wakave uine chero chirwere chazvino, tsaona, kana kukuvara?
• Ndezvipi zvimwe zviratidzo zvaunazvo?
• Wakafenda here kana kuti wakaderera kusvinura?
• Iwe unonzwa dzungu here kana musoro wakareruka kana wakamira kana kugara mushure mekurara?

Iyi bvunzo inotevera inogona kuitwa:

• Yekutanga metabolic pani
• Tsika dzeropa kuongorora hutachiona
• Yakazara kuverenga ropa (CBC), kusanganisira kusiyana kweropa
• Electrocardiogram (ECG)
• Kuongorora urinal
• X-ray yemudumbu
• X-ray yechipfuva

Yakaderera pane yakasarudzika BP kumunhu ane hutano isingakonzere chero zviratidzo kazhinji hazvidi kurapwa. Zvikasadaro, kurapwa kunoenderana nechikonzero cheyako yakaderera BP uye zviratidzo zvako.

Paunenge uine zviratidzo kubva pakudonha kweropa, gara kana kurara pasi ipapo ipapo. Ipapo simudza tsoka dzako pamusoro pemwero wepamoyo.

Yakakomba hypotension inokonzerwa nekuvhunduka ndeyekurapa kwekukurumidzira. Unogona kupihwa:

• Ropa kuburikidza netsono (IV)
• Mishonga yekuwedzera kuwedzera kweropa uye nekuvandudza moyo simba
• Mimwe mishonga, yakadai semishonga inorwisa mabhakitiriya

Kurapa kwekuderera kweropa mushure mekumira nekukurumidza zvinosanganisira:

• Kana mishonga iri iyo chikonzero, mupi wako anogona kuchinja chipimo kana kukuchinjira kune chimwe chakasiyana chinodhaka. Usarega kutora chero mishonga usati wataura nemupi wako.
• Wako mupi anogona kukurudzira kunwa mvura yakawanda yekurapa kupera mvura.
• Kupfeka compression masokisi kunogona kubatsira kuchengetedza ropa kubva kuunganidzwa mumakumbo. Izvi zvinochengeta ropa rakawanda mumuviri wepamusoro.

Vanhu vane NMH vanofanirwa kudzivirira zvinokonzeresa, sekumira kwenguva yakareba. Mimwe mishonga inosanganisira kunwa zvinwiwa uye kuwedzera munyu mukudya kwako. Taura nemupi wako usati waedza matanho aya. Muzviitiko zvakakomba, mishonga inogona kupihwa.

Kuderera kweropa kunogona kurapwa pamwe nekubudirira.

Kudonha nekuda kwekudzikira kweropa mune vakuru vakuru kunogona kutungamira kune rakatyoka chiuno kana musana kutsemuka. Kukuvara uku kunogona kudzikisira hutano hwemunhu uye kugona kufamba-famba.

Kamwe kamwe kwakakomba kudonha kweropa rako kunouraya nzara mumuviri wako weokisijeni. Izvi zvinogona kutungamira kukuvadzwa kwemoyo, huropi, uye dzimwe nhengo. Rudzi urwu rwe yakaderera BP inogona kutyisidzira hupenyu kana ikasarapwa ipapo ipapo.

Kana kuderera kweropa kuchikonzera kuti munhu apfuure (ave asingazivi), tsvaga kurapwa ipapo ipapo. Kana, fonera nhamba yemuno yechimbichimbi yakadai se911. Kana munhu wacho asiri kufema kana asina kurova kwemwoyo, tanga CPR.

Fonera waunopa ipapo ipapo kana uine chimwe chezviratidzo zvinotevera:

• Nhema kana maroon zvituru
• Kurwadziwa pachifuva
• Dzungu, musoro wakareruka
• Kufenda
• Fivha yakakwira kupfuura 101 ° F (38.3 ° C)
• Kusarongeka kwemoyo
• Kufema kwekufema

Wako mupi anogona kukurudzira mamwe matanho ekudzivirira kana kudzikisa zviratidzo zvako zvinosanganisira:

• Kunwa zvimwe zvinwiwa
• Kusimuka zvishoma nezvishoma wagara kana kurara
• Kwete kunwa doro
• Kwete kumira kwenguva refu (kana iwe uine NMH)
• Uchishandisa compression masokisi kuitira kuti ropa risatore mumakumbo

Hypotension; Ropa - kuderera; Postprandial hypotension; Orthostatic hypotension; Neyakaenzana Mediated hypotension; NMH

Calkins HG, Zipes DP. Hypotension uye syncope. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 43.

Cheshire WP. Autonomic matambudziko uye manejimendi avo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsuwa 418.