Kuthamanga kwa postprandial ndi chikhalidwe chimene munthu amakhudzidwa ndi magazi atatha kudya. ("Postprandial" amatanthauza "mutatha kudya.") Kwa anthu omwe ali ndi hypotension ya postprandial, ntchito yosavuta yowimirira pambuyo pa chakudya ikhoza kuwonetsa kwambiri kuthamanga kwa magazi, zomwe zimabweretsa zizindikiro zazikulu.
Maganizo a Postprandial amapezeka kwambiri kwa okalamba.
Kufika kwa mmodzi mwa akuluakulu atatu omwe ali ndi vuto la postpandial hypotension, lomwe limatchulidwa ngati dontho la systolic magazi mpaka 20 mmHg pasanathe maola awiri mutatha kudya. Ambiri mwa anthuwa ndi ofatsa, ndipo sagwirizana ndi zizindikiro. Komabe, ena, hypotension ya postprandial akhoza kukhala aakulu kwambiri.
Maganizo otchedwa Postprandial hypotension ndi mtundu umodzi wa hypotension wamtundu wina (dontho la magazi pamayimilira). Mitundu yonse ya hypotension yamtunduwu imakhudza anthu omwe ali ndi kuthamanga kwa magazi, kapena ndi zinthu zina zomwe zimapangitsa kuti matendawa asokonezeke monga matenda a Parkinson ndi shuga .
Zizindikiro za Postprandial Hypotension
Anthu omwe ali ndi hypotension ya postprandial nthawi zambiri amatha kuona kuwala , umutu , zofooka kapena ngakhale syncope (kutaya chidziwitso) akaimirira mkati mwa ola limodzi kapena awiri atatha kudya.
Zizindikiro zimakhala zovuta kwambiri mutatha kudya chakudya chambiri, chakudya chomwe chimakhala ndi zakudya zambiri, kapena ngati mowa umatha panthawi yomwe mukudya kapena mutadya. Zizindikirozi nthawi zambiri zimawongolera mkati mwa maola awiri kapena apo atatha kudya.
Kodi Chimachititsa Bwanji Postpandial Hypotension?
Ngakhale kuti vuto la postpandial hypotension silingamvetsetse bwino, limalingaliridwa kuti likugwirizana ndi kugawanika kwa magazi m'mimba mwa mimba panthawi yopanga chimbudzi.
Chifukwa cha kugawidwa kwa magazi, kuchuluka kwa magazi kumapezeka kwa madontho ambiri, kuchititsa kuti magazi azigwa, makamaka pamene ayima.
Mafupa ena amagazidwe m'mimba m'mimba mukatha kudya, chifukwa kudya chakudya kumafuna kuwonjezeka kwa magazi. Kwa anthu omwe ali ndi hypotension ya postpandial, komabe, amaganiza kuti kusungunuka kwa magazi m'matumbo ndikokokomeza, kapena kuti kugwedeza kwa mitsempha ya magazi m'milingo (kubwezeretsa mimba yamagazi) kumachepetsedwa.
Kudya zakudya zapamwamba zamagidcha kumaoneka ngati zovuta kwambiri za hyperension postprandial. Izi zikuwathandiza akatswiri ena kunena kuti, mwa anthu omwe ali ndi hypotension postpandial, insulini kapena mankhwala ena omwe amamasulidwa chifukwa cha chakudya chokwanira chapamwamba, amachititsa kuti mitsempha ya m'mimba ichepetse kwambiri.
Kufika kwina, kukalamba kumaphatikizidwa ndi kuwonjezeka kwa kumagazi kwa m'mimba komwe kumachitika pambuyo pa chakudya. Okalamba ambiri sakhala ndi zizindikiro za kuwonjezereka kwa magazi - koma anthu omwe ali ndi zizindikiro zochokera ku chikhalidwe chapamwamba amayamba kukhala okalamba.
Kuchiza Hypotension Postpandial
Ngakhale kuti palibe mankhwala enieni omwe angawathandize kuti athetse vutoli, zizindikiro zimatha kuyendetsedwa mokwanira kwa anthu ambiri omwe ali ndi vutoli.
Kuchiza zizindikiro za hyperension postpandial kumaphatikizapo zinthu zinayi:
- Idyani zakudya zocheperako, nthawi zambiri. Kudya chakudya chachikulu kumaphatikizapo kukokomeza kugwirizanitsa magazi m'mimba. Zakudya zazing'ono zimaphatikizapo kuchepetsa magazi.
- Pewani zakudya zam'madzi a m'magazi.
- Pewani mowa. Mowa umachepetsa mitsempha ya magazi ndipo imalepheretsa kupopera kwa mitsempha ya magazi m'milingo yomwe nthawi zambiri imabweretsa kubisa magazi m'mimba.
- Khalani pansi-kapena, ngati zizindikiro zili zovuta, gonani pansi-kwa ola limodzi kapena awiri mutatha kudya. Kutsegula magazi m'mimba kumapangitsa kuti tisawonongeke pakadutsa chakudya chino.
Ngati izi sizikukwanira, njira zina zochiritsira zomwe zimagwiritsidwa ntchito pochizira molakwika zimakhala zothandiza.
Mwachitsanzo, kutenga mankhwala osagwiritsa ntchito mankhwala osakanikirana (NSAID) musanadye chakudya kungayambitse kuti mchere usungidwe, motero kuwonjezera kuchuluka kwa magazi. Kuonjezerapo, caffeine ikhoza kuyambitsa mitsempha ya magazi ndipo imachepetsa zizindikiro. Galamukani imathandizanso kuti zizindikiro zikhale bwino, mwina pang'onopang'ono kutaya mimba.
Kuchita masewera olimbitsa thupi pakati pa chakudya - monga kuyenda - kungapangitse kuti minofu isinthe, ndi kuchepetsa zizindikiro za hyperension postpandial.
Zapezeka kuti, anthu omwe ali ndi postpotandial hypotension omwe ali ndi vuto la mtima wa diastolic ndipo akuchiritsidwa ndi mankhwala opatsirana , kuchotsa diuretics kumatha kusintha kwambiri zizindikiro.
Ngati zizindikiro zikuluzikulu ndizovuta ndipo sizikhoza kuyendetsedwa ndi zigawo zina, jekeseni ya subcutaneous ya octreotide (mankhwala omwe amachititsa ngati somatostatin, hormone yopangidwa ndi makoswe) chakudya chisanathandize kuchepetsa kuchuluka kwa magazi akuyenda mpaka m'matumbo. Komabe, mankhwalawa ndi okwera mtengo kwambiri, ndipo amatha kuyambitsa mavuto aakulu.
Mawu Ochokera
Ngakhale kutayika kwa postpandial nthawi zina kumakhala vuto lalikulu, makamaka okalamba, anthu ambiri omwe ali ndi zizindikirozi amatha kulamulidwa ndi kusintha pang'ono kwa moyo.
> Zotsatira:
> Abdel-Rahman TA. Kutentha Kwambiri Pambuyo Pambuyo Pambuyo Chakudya Kudyetsedwa kwa Odwala Matendawa ndi Odwala Okalamba Anthu. J Family Community Med 2012; 19:20.
> Jansen RW, Lipsitz LA. Postprandial Hypotension: Epidemiology, Pathophysiology, ndi Clinical Management. Ann Intern Med 1995; 122: 286.
> Jones KL, MacIntosh C, Su YC, et al. Guar Gum Imachepetsa Postprandial Hypotension kwa Anthu Akale. J Am Geriatr Soc 2001; 49: 162.
> Mills PB, Fung CK, Travlos A, Krassioukov A. Osatirmacologic Management of Orthostatic Hypotension: Kusanthula Mwadongosolo. Arch Phys Med Rehabil 2015; 96: 366.