I-postprandial hypotension yisimo lapho umfutho wegazi womuntu wehla ngemva kokudla. ("I-Postprandial" isho ukuthi "emva kokudla.") Kubantu abane-postpandial hypotension, isenzo esilula sokuma ngemva kokudla singakhipha ukugwinya okukhulu kwegazi, okuholela ekuboniseni izimpawu ezibalulekile.
I-postprandial hypotension ivame ukubonakala kubantu asebekhulile.
Kuye kwabadala abathathu abadala bazoba nezinga elithile le-postpandial hypotension, elichazwe njengedonsa emshinini wegazi we- systolic we-20 mmHg engakapheli amahora amabili emva kokudla. Kwabaningi balaba bantu isimo simnene, futhi asihlotshaniswa nezimpawu. Kwamanye, noma kunjalo, i-postprandial hypotension ingaba nzima kakhulu.
I-postprandial hypotension yindlela ethile ethize ye- hypotension (i-drop in blood pressure when standing). Zonke izinhlobo ze-hypotension ze-orthostatic cishe zithinta abantu abanomfutho wegazi ophezulu, noma ngezimo ezithile ezonakalisa isimiso sezinzwa ezizimele njenge- Parkinson's and diabetes .
Izimpawu Ze-Postprandial Hypotension
Abantu abane-postpandial hypotension bavame ukubona ikhanda elincane , ugozi , ubuthakathaka noma ngisho nokuvumelanisa (ukulahlekelwa kwengqondo) uma bevuka kungakapheli ihora elilodwa noma amabili ngemuva kokudla ukudla.
Izimpawu zivame ukuba zimbi kakhulu ngemva kokudla ukudla okukhulu, ukudla okubandakanya ama-carbohydrate amaningi, noma uma utshwala kudla ngesikhathi noma ngaphambi kokudla. Lezi zimpawu ngokuvamile zixazulula zingakapheli amahora amabili noma ngemuva kokuqedela ukudla.
Yini Ebangelwa I-Postprandial Hypotension?
Nakuba imbangela ye-postprandial hypotension engacaciswanga ngokuphelele, kucatshangwa ukuthi ihlobene nokuhlanganiswa kwegazi ezithombeni zesisu ngesikhathi sokugaya.
Ngenxa yalokhu kuhlanganiswa kwegazi, inani legazi elitholakala ukusabalalisa okujwayelekile, lenza ukucindezeleka kwegazi kuwele, ikakhulu uma kumile.
Okunye ukuqoqwa kwegazi ezithombeni zesisu emva kokudla kuyinto evamile, ngoba ukugaya ukudla kudinga ukwanda kwegazi. Kubantu abane-hyperension postpandial, noma kunjalo, kucatshangwa ukuthi lokhu kuhlanganiswa kwegazi emanzini kuyagujwa, noma ukuthi ukucabangela okuvamile okwenza imithwalo yegazi emilenzeni (ukukhokhela ukuxilongwa kwegazi kwesisu) kuncipha.
Ukudla ukudla okuphezulu kwe-carbohydrate kubonakala kube kubi kakhulu kwe-postprandial hypotension. Lokhu okubonile kuye kwabangela ezinye izazi ukuba zithi, kubantu abane-hypotension postpandial, i-insulin noma amanye amakhemikhali egazi akhululwa ngokuphendula ukudla okuphezulu kwe-carb kungabangela ukuxoshwa ngokweqile kwemithwalo yegazi esiswini.
Ngokwezinga elithile, ukuguga ngokwayo kuhambisana nokwanda kwegazi lokubamba kwesisu esisetshenziswa ngokujwayelekile emva kokudla. Abantu abaningi asebekhulile abaze bahlakulele izimpawu ezivela ekukhuleni kwegazi okwandisiwe - kodwa abantu abanezibonakaliso eziphawulekayo ekusukeni kwe-postprandial bahlala bekhulile.
Ukwelapha i-Postprandial Hypotension
Nakuba kungekho ukwelashwa okuqondile ukuqeda ukuxilongwa kwe-postprandial, izimpawu zingalawulwa ngokwanele kuningi labantu abanalesi simo.
Ukuphatha izimpawu ze-postprandial hypotension kuhilela izakhi ezine:
- Yidla ukudla okuncane, okuvamile. Ukudla okudliwayo okuvame ukwedlulisa ukuhlanganisa igazi ngegazi. Ukudla okuncani kusho ukuhlanganiswa kwegazi okungaphansi.
- Gwema ukudla okuphezulu kwe-carbohydrate.
- Gwema utshwala. Utshwala ukhulula imithwalo yegazi futhi kuvame ukuvimbela ukuvinjelwa kwemithwalo yegazi emilenzeni engavamile ukubuyisela ukuxilonga kwegazi esiswini.
- Hlala phansi - noma, uma izimpawu zinzima ,lala phansi - ihora noma amabili emva kokudla. Ukuxilongwa kwegazi kwesisu kubuye kuhlakazeke ngalesi sikhathi ngemuva kokudla.
Uma lezi zinyathelo zinganele, ezinye izindlela zokwelashwa ezivame ukusetshenziselwa ukuphatha i-orthostatic hypotension ngokuvamile ziwusizo.
Isibonelo, ukuthatha izidakamizwa eziphikisana nezidakamizwa (anti-inflammatory drugs) ngaphambi kokudla kungabangela ukuba usawoti kugcinwe, ngaleyo ndlela ukwandise ivolumu yegazi. Ngaphezu kwalokho, i-caffeine ingabangela imithwalo yegazi ukuba igxile futhi inganciphisa izimpawu. I-Guar gum ingathuthukisa izimpawu, mhlawumbe ngokunciphisa ukuphuma kwesisu emva kokudla.
Ukuthola okuningi kokuzivocavoca phakathi kokudla - njengokuhamba-kungathuthukisa ithoni ye-vascular, futhi kunciphisa izimpawu ze-postpandial hypotension.
Kutholakale ukuthi, kubantu abane-postpandial hypotension futhi abanesifo se- diastolic senhliziyo futhi baphathwa nge- diuretics , ukuhoxisa ama-diuretics kungathuthukisa ngokuphawulekayo izimpawu.
Uma izimpawu zinzima futhi zingakwazi ukulawulwa ezinye izinyathelo, izijovo ezingaphansi kwe-octreotide (umuthi oziphatha njenge-somatostatin, i-hormone ekhiqizwa ama-pancreas) ngaphambi kokudla kungasiza ukunciphisa inani legazi eligeleza emathunjini. Noma kunjalo, lokhu ukwelashwa kuyabiza kakhulu, futhi kungabangela imiphumela emibi kakhulu.
Izwi elivela
Ngenkathi i-postprandial hypotension ingase ibe yinkinga enkulu ngezikhathi ezithile, ikakhulu kubantu asebekhulile, iningi labantu abanezimo zomzimba zingalawulwa ngezinguquko ezimbalwa zokuphila.
> Imithombo:
> Abdel-Rahman TA. I-Orthostatic Hypotension Ngaphambi Kamuva Nemva Kokudliwa Ukudla Abaguli Abayisifo Sikashukela Nabantu Abakhulile Abantu Abagulayo. J Family Community Med 2012; 19:20.
> Jansen RW, Lipsitz LA. Hypotension Postpandial: Epidemiology, Pathophysiology, kanye Nokuphathwa Kwemitholampilo. U-Ann Intern Med 1995; 122: 286.
> Jones KL, MacIntosh C, Su YC, et al. I-Guar Gum Iyanciphisa I-Postprandial Hypotension Kwabantu Abadala. J Am Geriatr Soc 2001; 49: 162.
> Mills PB, Fung CK, Travlos A, Krassioukov A. Ukuphathwa Okungahambisani Ne-Orthopatic Hypotension: Ukubuyekeza Okuhlelekile. I-Arch Phys Med Rehabil 2015; 96: 366.