Izinto eziningi zingabangela ukucindezeleka kwegazi ukuthi kube phansi kakhulu, kusukela ekushintsheni okujwayelekile okukhulelwe okubangelwa yizimo eziyingozi, njengezinkinga zenhliziyo noma ukuphazamiseka kwe-hormone. Kwezinye izimo, yini eyenza ukucindezeleka kwegazi okungase kube yinkinga elula yokukhuculula amanzi ngokuhlanza, ukuzivocavoca okukhulu, noma ukusebenzisa ngokweqile izidakamizwa . Eqinisweni, ngisho nokuphela kwamanzi omzimba kungabangela izimpawu ezifana nokuzondeka, ukudideka, noma ezinye izimpawu zokucindezeleka kwegazi eliphansi.
Ukucindezelwa Kwegazi Eliphansi
Esinye isizathu esibaluleke kakhulu sokucindezeleka kwegazi okuphansi yi-orthostatic hypotension, ngezinye izikhathi ebizwa ngokuthi i- postural hypotension . Lokhu kwenzeka uma ukucindezeleka kwegazi kwehla ngokushesha ngesikhathi sezinguquko esimweni somzimba-ngokuvamile uma ushintsha kusuka ekuhleleni ukuya ekumeni okumisa imiyalezo yegazi ukuthi ukucindezeleka kwegazi kuphansi kakhulu, njengesizungu, umbono obonakalayo, nokuphelelwa amandla.
Ezinye izimbangela ezibalulekile zomfutho wegazi ophansi zihlanganisa:
- Izinkinga zenhliziyo ezenza isilinganiso senhliziyo esincane, ukunciphisa amandla enhliziyo noma ukwehla inani lemali elinikezwa emzimbeni
- Izinguquko ezijwayelekile ezihlobene nezigidi zokuqala zokuqala zokukhulelwa
- Imiphumela emibi evela emithi ethile, ikakhulukazi i-diuretics noma enye imithi ephakeme yegazi , njenge-beta blockers. Imithi esetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile kanti ezinye izifo zengqondo zingabangela nomfutho wegazi ophansi.
- Izinkinga ze-hormone ezifana nokuntuleka komzimba noma isifo se-thyroid (i-thyroid engasebenzi noma engasebenzi)
- Izinkinga ngesistimu yezinzwa - ikakhulukazi ukuphazamiseka kwesistimu ye- neon autonomic , okufaka phakathi i- POTS ne- vasovagal syncope - kungabangela ukucindezela kwegazi okuphansi ngemuva kwesikhathi eside sokuma.
- Ukwehluleka kwezakhi zomzimba ezibalulekile, njenge- folic acid , kungabangela ukuba inani lamaseli abomvu liwehlise (i-anemia)
- Ukuguqulwa kweshukela legazi, njengalabo abangelwa yisifo sikashukela
- Ubudala: Abanye abagulayo asebekhulile, ikakhulukazi labo abane- high pressure yegazi , bangakwazi ukuzwa i- postprandial hypotension , lapho ukucindezelwa kwegazi kwehla ngokuzumayo ngemva kokudla isidlo esikhulu
Nakuba amacala amaningi e-blood pressure aphansi awabhekwa njengezinkinga zezokwelapha, amacala, lapho ukucindezelwa kwegazi okuphansi kuhambisana nezimpawu, kufanele ngaso sonke isikhathi kuhlolwe udokotela. Kudingeka ukuguqulwa okuphelele kwezokwelapha ukuze kutholakale ukuthi kungenzeka ukuthi kukhona isifo esingaphansi.
Okuningi Ngokucindezela Kwegazi Eliphansi
Imithombo
- > Christensen KL, Mulvany MJ. I-Vasodilatation, hhayi i-Hypotension, Ithuthukisa Ukuphikisa Umklamo Wendimbi Phakathi Nokwelashwa Kwe-Hypertension Eyisisekelo: Uhlolo Lwezincwadi. 2001 Jun; 19 (6): 1001-6.
- > Palma > Gamiz > JL, et al. Isifundo se-Iberian Multicenter Imidapril Isifundo se-Hypertension: Isonto eliyishumi neshumi nambili, eliningi, elingahleliwe, eliphindaphindiwe, elilodwa, elilinganayo, elingahlolisanga kahle le-efficacy antihypertensive kanye nokubekezelelana kwe-imidapril ne-candesartan kuziguli ezikhulile ezine-hypertension ebalulekile ekunciphiseni: i-Iberia Multicenter Imidapril Ukufunda nge-Hypertension ( > IMISH >).
- > Shin DD, et al. Ukubuyekezwa kwama Agent wamanje kanye nophenyo we-Pharmacologic we-Acute Heart Failure Syndromes. I-American Journal of Cardiology. 2007 Jan 22; 99 (2A): 4A-23A.
- > Verheij J, et al. Impendulo ye-cardiac inkulu kune-colloid kune-saline fluid ukulayisha emva kokuhlinzwa kwenhliziyo noma ukuhlinzwa kwamathambo. Ukunakekelwa Kwezempilo Okujulile. 2006 Jul; 32 (7): 1030-8.
- > Eldadah BA, et al. Ukungaphumeleli kwepropranolol ukuvimbela i-vasodilatation yesistimu eguquguqukayo-evoked, i-adrenaline > release >, and > neuro cardiogenic > syncope. Isayensi Yezokwelapha (eLondon). 2006 Sep; 111 (3): 209-16.
- > Naschitz JE, uSlobodin G, u-Elias N, Rosner I. Isiguli esine-hypertension ne-orthostatic hypotension: isifo esiwumtholampilo.I-Postgraduate Medical Journal. 2006 Apr; 82 (966): 246-53.
- > I-Tipre > DN, i-Goldstein DS. Ukuguqulwa kwe-cardiac kanye nesifo esingekho emzimbeni kwesifo seParkinson ngesifo se-orthostatic nokuhluleka okuzimele kokuzimela. Journal of Medicine Nuclear. 2005 Nov; 46 (11): 1775-81.
- > Peacock WF 4th, et al. Ukubhekwa kweyunithi yokwelashwa kokuhluleka kwenhliziyo nge > nesiritide >: imiphumela evela > ukulandelana > ukuhlolwa. Journal of Medicine Emergency. 2005 Oct; 29 (3): 243-52.