Chii chinonzi Postprandial Hypotension?

Zvemukati

• Anodonha muropa mushure mekudya
• Ndezvipi zviratidzo zve postprandial hypotension?
• Zvinokonzera
• Njodzi zvinhu
• Matambudziko
• Kutsvaga rubatsiro
• Kuongorora
• Kurapa uye kugadzirisa postprandial hypotension
• Outlook

Anodonha muropa mushure mekudya

Kana yako BP ichidonha mushure mekudya kudya, mamiriro acho anozivikanwa seyemaprandial hypotension. Postprandial ishoko rezvechiremba rinoreva iyo nguva nguva mushure mekudya. Hypotension zvinoreva kushomeka kweropa.

Ropa kumanikidza rinongova iro simba reropa kuyerera pamadziro etsinga dzako. Ropa rako rinoshanduka mukati mehusiku nehusiku zvichienderana nezvauri kuita. Kuita maekisesaizi kunogona kukonzera kukwira kwenguva pfupi kweropa, nepo kurara kazhinji kunounza BP yako pasi.

Postprandial hypotension yakajairika kune vakuru vakuru. Kudonha kweropa kunogona kutungamira kune husina musoro uye kudonha, izvo zvinogona kutungamira kumatambudziko akakomba. Postprandial hypotension inogona kuongororwa uye kutarisirwa, kazhinji iine mamwe maratidziro ehupenyu akareruka.

Ndezvipi zviratidzo zve postprandial hypotension?

Zviratidzo zvikuru zve postprandial hypotension dzungu, hurema, kana kufenda mushure mekudya. Syncope ndiro izwi rinoshandiswa kutsanangura kupera simba kunoitika nekuda kwekudonha kweropa.

Kazhinji chiitiko ichi chinokonzereswa nekudonha mune yako systolic BP mushure mekudya. Iyo systolic nhamba ndiyo yepamusoro nhamba mukuverenga kweropa kuverenga. Kuongorora BP yako usati wadya uye mushure mekudya kunogona kuratidza kuti shanduko inoitika here iwe uchidya.

Kana iwe uine madonhwe eropa panguva dzimwe nguva izvo zvisina kubatana nekudya, unogona kunge uine mamwe mamiriro asina hukama neprostepandial hypotension. Zvimwe zvikonzero zvekumanikidza kwepasi zvinogona kusanganisira:

• chirwere chevhavha yemoyo
• kupera mvura mumuviri
• nhumbu
• chirwere chetachiona
• vhitamini B-12 kushomeka

Zvinokonzera

Sezvaunogaya kudya, ura hwako hunoda kuwedzerwa kweropa kuyerera kuti ushande nemazvo. Kazhinji, kurova kwemoyo wako kwaizowedzera nepo tsinga dzako dziri kuendesa ropa kune dzimwe nzvimbo dzisiri ura hwako dzinogona kutetepa. Kana tsinga dzako dzakatetepa, kumanikidza kweropa kuyerera pamadziro etsinga kunowedzera. Izvo, zvakare, zvinowedzera yako BP.

Iko kushandurwa mumidziyo yako yeropa uye nemoyo kurohwa kunotarisirwa neyako autonomic nervous system, iyo zvakare inodzora mamwe akawanda maitiro emuviri pasina iwe kufunga nezvazvo. Kana iwe uine chirwere chekurapa chinokanganisa yako autonomic nervous system, kurova kwemoyo wako kunogona kusawedzera, uye mamwe arteri anogona kutadza kuumbana. Kuyerera kweropa kunoramba kuripo.

Nekudaro, semhedzisiro yematumbo ako kuwedzerwa kuda kweropa panguva yekugaya, kuyerera kweropa kune zvimwe zvikamu zvemuviri kuchaderera. Izvi zvinokonzeresa kamwe kamwe, asi kwechinguva, kudonha kweropa.

Chimwe chinokonzeresa kuti postprandial hypotension ienderane nekutsvaira glucose, kana shuga, uye inogona kutsanangura njodzi yakanyanya yemamiriro acho kune varwere vane chirwere cheshuga.

Zvisinei, iwe unogona kukura postprandial hypotension kunyangwe iwe usina mamiriro anobata iyo autonomic nervous system. Dzimwe nguva vanachiremba havakwanise kuona chinokonzera chikonzero chekushomeka kwepashure kweprandial.

Njodzi zvinhu

Kuchembera kunowedzera mukana wako wepashure pekukwirisa hypotension uye mamwe mafomu ekuderera kweropa. Postprandial hypotension isingawanzo pakati pevechidiki.

Mamwe mamiriro ekurapa anogona zvakare kuwedzera njodzi yako ye postprandial hypotension nekuti inogona kukanganisa mativi ehuropi ayo anodzora autonomic nervous system. Chirwere cheParkinson uye chirwere cheshuga mienzaniso miviri yakajairika.

Dzimwe nguva, vanhu vane hypertension (yakakwira BP) vanogona kuwana madonhwe akakura muropa ravo mushure mekudya. Mune izvo zviitiko, kudonha kweropa kunogona kukonzerwa nemishonga inorwisa-hypertensive. Zvinodhaka zvine chinangwa chekudzikisa BP yako dzimwe nguva zvinogona kunge zvichinyanya kushanda uye zvichikonzera kudonha kwakachengeteka.

Matambudziko

Dambudziko rakakomba rakanangana neprostepandial hypotension kufenda uye kukuvara kunogona kutevera. Kufenda kunogona kutungamira kudonha, uko kunogona kukonzera kutsemuka, kupwanya, kana kumwe kushungurudzika. Kurasika kuziva paunenge uchityaira mota kunogona kuve kwakakomba zvakanyanya. Kuderedzwa kweropa kuuropi kunogona kukonzera sitiroko.

Postprandial hypotension inowanzo kuve yechinguvana mamiriro, asi kana yakaderera BP ichawedzera, mamwe matambudziko akakomba anogona kukonzeresa. Semuenzaniso, unogona kuenda mukuvhunduka. Kana kuwedzerwa kweropa kunhengo dzako kukakanganiswa zvakanyanya, iwe unogona zvakare kusangana nekutadza kwemuviri.

Kutsvaga rubatsiro

Kana iwe uchigara uchitarisa yako yeropa uye iwe ukaona maitiro eiyo BP inonyura mushure mekudya, udza chiremba wako pane yako inotevera musangano. Kana madonhwe acho achiperekedzwa nedzungu kana zvimwe zviratidzo zviri pachena, kana kana ukagara uchiona zviratidzo zvekuderera kweropa mushure mekudya, saka ona chiremba wako nekukurumidza sezvaunokwanisa.

Kuongorora

Chiremba wako anozoda kuongorora nhoroondo yako yezvokurapa uye zviratidzo. Kana iwe wanga uchiteedzera yako yeropa neimba yekutarisa, ratidza chiremba wako kuverenga kwawakaunganidza, uchicherekedza apo kumanikidzwa kwakanyorwa mushure mekudya.

Chiremba wako anofanirwa kuyedza kuverenga yekutanga-kudya kweropa kuverenga uyezve kuverenga kwepashure kuti usimbise cheki yako yekumba. Dzvinyiriro dzinogona kutorwa panguva dzinoverengeka zvichitevera kudya, kutanga pamaminetsi gumi nemashanu uye kupera kusvika panenge maawa maviri mushure mekudya.

Munenge makumi manomwe kubva muzana yevanhu vane postprandial hypotension, BP inodonha mukati memaminitsi makumi matatu kusvika makumi matanhatu zvichitevera kudya.

Postprandial hypotension inogona kuongororwa kana iwe ukawana kudonha mu systolic yako yeropa inosvika makumi maviri mm Hg mukati maawa maviri uchidya chikafu. Chiremba wako anogona zvakare kuongorora postprandial hypotension kana yako pre-yekudya systolic BP yaive yakaderera 100 mm Hg uye uine systolic yeropa ye90 mm Hg mukati maawa maviri ekudya.

Mimwe bvunzo inogona kupihwa kutonga zvimwe zvinokonzeresa rako reropa kuchinja. Izvi zvinosanganisira:

• kuongororwa kweropa kutarisa kushaya ropa kana shuga shoma muropa
• electrocardiogram kutsvaga matambudziko emwoyo mutinhimira
• echocardiogram kuongorora mamiriro emoyo uye mashandiro

Kurapa uye kugadzirisa postprandial hypotension

Kana iwe ukatora kumanikidza kweropa-kudzikisa mishonga, chiremba wako anogona kukuraira iwe kuti uchinje nguva yenguva yako. Nekudzivirira anti-hypertensive mishonga usati wadya, unogona kudzikisa njodzi yako yekudonha-mushure mekudya muropa. Kutora madiki madiki kakawanda mukati mezuva kunogona zvakare kuve sarudzo, asi iwe unofanirwa kukurukura chero shanduko mumushonga wako nguva kana muyero nachiremba wako usati waedza wega.

Kana dambudziko racho risina kuenderana nemishonga, mashoma maitiro ehupenyu anogona kubatsira. Dzimwe nyanzvi dzehutano dzinotenda kuti iyo insulin kuburitswa iyo inotevera yakakwira-makabhohaidhiretsi kudya kunogona kukanganisa iyo autonomic nervous system mune vamwe vanhu, zvichitungamira kune hypotension. Insulin ihormoni inobatsira maseru kutora glucose (shuga) kubva muropa kuti ishandiswe sesimba. Kana wanga uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchita. Kana iwe uchigara uchiona zviratidzo mushure mekudya kwakanyanya-makabhohaidhiretsi, funga nezve kudzora kwako kudya kwehydrohydrate. Kudya kakawanda, asi zvidiki, zvakaderera-carb kudya mukati mezuva rese zvinogona zvakare kubatsira.

Kufamba mushure mekudya kunogona zvakare kubatsira kupokana nekuderera kweropa. Nekudaro, iwe unofanirwa kuziva kuti yako BP inogona kudonha kana iwe warega kufamba.

Iwe unogona zvakare kukwanisa kuchengetedza rako reropa kumusoro mushure mekudya kana iwe ukatora nonsteroidal anti-inflammatory drug (NSAID) usati wadya. Kazhinji NSAID dzinosanganisira ibuprofen (Advil) uye naproxen (Aleve).

Kuva nekapu yekofi kana imwe sosi ye caffeine usati wadya kunogona kubatsira, zvakare. Caffeine inoita kuti tsinga dzeropa dziwedzere. Usave ne caffeine manheru, zvakadaro, nekuti inogona kukanganisa kurara, inogona kukonzera mamwe matambudziko ehutano.

Kunwa mvura usati wadya kunogona kudzivirira postprandial hypotension. Imwe yakaratidza kuti kunwa 500 mL - ingangoita 16 oz. - yemvura usati wadya yakadzikisa zvinoitika.

Kana shanduko idzi dzisingashande, chiremba wako anogona kukunyorera mishonga octreotide (Sandostatin). Icho chinodhaka chinowanzo gadzirirwa kune vanhu vane yakawandisa mahormone ekukura mune yavo system. Asi zvakare zvave zvichiratidzwa kuti zvinoshanda mune vamwe vanhu pakuderedza kuyerera kweropa kuenda muura.

Outlook

Postprandial hypotension inogona kuve yakakomba mamiriro, asi inowanzo kurapwa nekuchinja kwehupenyu kana kugadziridzwa kwemishonga yako inopesana nehutachiona.

Kana iwe uchitanga kucherechedza zviratidzo mushure mekudya, udza chiremba wako. Parizvino, tora yekutarisisa ropa repamba, uye dzidza kuishandisa nemazvo. Kuchengeta nhamba dzako ndeimwe nzira yekushingairira pamusoro peichi chakakosha chikamu chehutano hwako hwemwoyo.