Indlela yokwazi uma ukucindezeleka kwegazi okuphansi kuyinkinga
Okokuqala, "ukucindezelwa kwegazi okuphansi" akuchazwe ngokucacile. Nakuba ukucindezeleka kwegazi okuphezulu kunemininingwane ecacile yenombolo , ukucindezelwa kwegazi okuphansi akuchazwa yinani elivunyelwe emhlabeni jikelele. Esikhathini esedlule, imizamo ethile yenziwe ukwenza ukucaciswa kwencazelo yegazi eliphansi, kodwa akukho misho yeziqondiso ezisemthethweni okwamanje okwesekelwa yinoma yiliphi igunya lezokwelapha.
Ukuchaza Ukucindezelwa Kwegazi Eliphansi
Umfutho wegazi ophansi ubhekiselwa emibhalweni yezokwelapha njenge- hypotension . Ngokuvamile, odokotela ngezinye izikhathi babhekisela kwingcindezi yegazi ka-90/60 njengesiqondiso esinzima sesithupha se-hyptension lapho kuhlolwa iziguli ngoba isipiliyoni sibonakala sibonisa ukuthi leli phuzu lapho izimpawu zingaqala khona.
Ngokuvamile ukucindezelwa kwegazi akuyona inkinga
Ngokuvamile, uma ungenalo umlando wezinkinga zezokwelapha futhi awunayo izimpawu , ukufundwa kwengcindezi ephansi yegazi akusona isizathu sokukhathazeka. Uma uzithola ngokwakho ukuthi ukucindezeleka kwegazi kungaphansi kuka-120/80, kufanele ukhulume nodokotela wakho ngesikhathi sokuvakasha kwakho okulandelayo kodwa mhlawumbe akudingeki ukuba uhlele ukuqokwa okukhethekile ngaphandle uma wazi ukuthi ukufunda okuphansi kubonisa ushintsho olukhulu kusuka kwengcindezi yakho yegazi.
Izimpawu Zokucindezeleka Kwegazi Eliphansi
Uma ukucindezeleka kwegazi ngokuvamile kuphansi futhi uhlangabezana nanoma iyiphi yalezi zimpawu, qiniseka ukuthi uvumele umhlinzeki wakho wezempilo ukuthi azi:
- I-nausea
- Ukuzwa izinwele ezikhanyayo noma ukudilika
- Ukuphelelwa amandla
- Ukoma ngokweqile futhi / noma ukuphelelwa amandla ngamanzi
- Ukukhathala
- Umbono ogqamile
- Ukuhluleka ukugxila
- Ukucindezeleka
Ukucindezelwa Kwegazi Okuphansi Kungaba Nengozi
Ngezimbalwa ezimbalwa, ukucindezeleka okungapheli kwegazi ngaphansi kuka 120/80 akuyingozi. Umfutho wegazi ophansi uvame ukubhekwa njengengozi kuphela lapho kubangelwa izimpawu ezibalulwe ngenhla noma imiphumela ngenxa yomsindo wegazi ngokungazelelwe.
Ezimweni lapho ukucindezeleka kwegazi kwakho kwehla ngokuzumayo, akusilo ngempela ukucindezela kwegazi okuphansi okubangela ingozi, kodwa kunalokho ushintsho oluzenzekelayo kusukela ngezinga eliphakeme kuya kulelo eliphansi.
Izinguquko ezingalindelekile ezingcindezini zegazi zingabangela ukuphazamiseka ekunikezeni igazi enhliziyweni yakho, izinso, nangokwengqondo, futhi kuzohlale kuhambisane nezimpawu ezihlukile. Isibonelo salesi simo yi- orthostatic hypotension , lapho ushintsho esimweni somzimba wakho, ngokuvamile ukuguqulwa kusuka ekuhleleni kuya ekumi, kuhambisana nokudonsa okusheshayo emzimbeni wegazi. Ngokuvamile, iziqephu eziphuthumayo zomfutho wegazi ophansi ziwuphawu lokuthi kukhona okunye okungahambi kahle, futhi ngokuvamile kuyisibonakaliso sokusebenza ngokugcwele kwezokwelapha.
Shock
Uma une-blood pressure ephansi ngenxa yokwethuka, lokhu kuyisimo esiphuthumayo sezokwelapha okufanele sithathwe ngokushesha. Izimpawu zokwethuka zifaka:
- Ukudideka
- Pale noma eluhlaza okwesibhakabhaka, okubandayo, ekhanda
- I-pulp engenamandla noma okusheshayo
- Ukuphefumula okusheshayo kanye / noma ukungakwazi ukuphefumula ngokujulile
Ezinye Izimbangela Zokucindezeleka Kwegazi Eliphansi
Kunezinye izimbangela ezingase zibe khona kanye nemibandela ngemuva kokucindezeleka kwegazi okuphansi ngaphandle kwalabo okubalulwe ngenhla. Zihlanganisa:
- Ukukhulelwa
- Ukulahlekelwa igazi eliningi
- Ukuphelelwa amanzi
- Izimo zenhliziyo zifana nokuhluleka kwenhliziyo, ukuhlaselwa yinhliziyo, isilinganiso senhliziyo esincane, nezinkinga ze-valve
- Ukwelashwa egazini lakho legazi, okuthiwa i-septicemia
- Ukusabela okweqile kwegazi, okuthiwa i-anaphylaxis
- Izimo ze-thyroid noma isifo sikashukela
- Ukuntuleka kokudla okunomsoco
- Imithi efana ne-diuretics, i-beta blockers, ama-anti-depressants athile, ama-alpha blockers, kanye nemithi ye-erectile ukungasebenzi kanye nesifo sika-Parkinson
Ukwelapha Ukucindezelwa Kwegazi Eliphansi
Uhlobo lwezokwelapha olutholayo ngenxa yegazi eliphansi lixhomeke kulokho okuqhubekayo. Uma ungenayo izimpawu, akunakwenzeka ukuthi uzodinga ukwelashwa. Kodwa-ke, uma ubona izimpawu futhi udokotela wakho akakwazi ukuthola inkinga yezempilo engaphansi kwakho echaza ukucindezelwa kwegazi okuphansi, uzosebenza nawe ukuze uthole ukucindezela kwegazi okwedlulele ukuze unciphise izimpawu zakho.
Lokhu kungabandakanya eyodwa noma ngaphezulu kokulandelayo:
- Ukwandisa usawoti wakho
- Ukugqoka amasitokisi wokucindezela
- Ukuphuza amanzi amaningi
- Imithi, ikakhulukazi uma une-orthostatic hypotension
Imithombo:
I-American Heart Association. Ukucindezeleka Kwegazi Eliphansi-Lapho Ukucindezeleka Kwegazi Kuncane Kangako. Kubuyekezwe i-Disemba 4, 2017.
> Abasebenzi beMayo Clinic. I-Low Press Press (Hypotension). I-Mayo Clinic. Kubuyekezwe ngoNovemba 18. 2017.