Manaʻo ʻoe ua poniuniu ʻoe ma hope o ka ʻai ʻana? He Postprandial Hypotension paha ia!

Ua ʻai piha paha ʻoe a laila ua manaʻo ʻoe ua poniuniu a ua māmā ke poʻo i kou kū ʻana i luna ma hope koke iho? ʻOiai ke manaʻo nei kekahi poʻe he mea maʻamau ka manaʻo luhi iki a poniuniu paha ma hope o ka ʻai ʻana, hiki i kēia ke lilo i mea e hopohopo ai. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā. ʻO ka ʻai ʻana he mea ia e pono ai ʻoe e hauʻoli ai, ʻaʻole he mea e pono ai ʻoe e makaʻu.

He aha kēia (Postprandial Hypotension)?

I ka ʻōlelo maʻalahi, ʻo ka Postprandial Hypotension ka wā e hāʻule koke ai ke koko i loko o ʻelua hola o ka ʻai ʻana. I kēia manawa, e nānā kākou i ka mea e hana pinepine ʻia. Ke ʻai mākou, pono ko mākou ʻōpū, ʻo ia hoʻi ko mākou ʻōnaehana hoʻoheheʻe, i kahi lako koko maikaʻi e hoʻoheheʻe i kēlā meaʻai. Hoʻonui iki kēia i ka helu o ko mākou puʻuwai, i mea e pamu ai i ke koko. I ka manawa like, ʻūlū nā kīʻaha koko ma nā wahi ʻē aʻe o ko mākou kino, e kōkua ana i ka mālama ʻana i ke koko ma ke kino holoʻokoʻa i kahi pae maʻamau.

Akā, i kekahi manawa, inā ʻaʻole e piʻi nui kou puʻuwai e like me ka mea e pono ai, a inā ʻaʻole e ʻūlū pono kou mau kīʻaha koko, hiki i kou koko ke hāʻule koke ma hope o ka ʻai ʻana. Ke hāʻule nui kou koko, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka poniuniu a me ka nausea. ʻAʻole kēia he mea maʻamau. ʻO ka mea pōmaikaʻi, aia nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe e hauʻoli i ka ʻai me ka makaʻu ʻole.

Pehea ka maʻamau o ka hypotension postprandial?

He mea maʻamau kēia ʻano i waena o ka poʻe ʻelemakule. Wahi a kekahi mau noiʻi, ma kahi o 40% o ka poʻe ma waena o 65 a me 86 mau makahiki e loaʻa paha kēia ʻano (Postprandial Hypotension). ʻO ke ʻano kēia, ʻaʻole kēia he mea i lohe ʻole ʻia.

He aha nā hōʻailona o kēia?

ʻAʻole paha e ʻike ka nui o ka poʻe me kēia maʻi i kekahi mau hōʻailona kikoʻī. Eia nō naʻe, no ka poʻe i loaʻa, ʻoi aku ka ʻino o nā hōʻailona i ke kakahiaka a me ke ahiahi. E nānā inā ʻike ʻoe i kekahi o kēia mau hōʻailona:

• Pōʻino
• Māmā ke poʻo
• I kekahi manawa, ua like ʻoe me he mea lā e hiolo ana.
• Nāwaliwali
• Luhi
• ʻEha a ʻeha paha ka umauma (Angina - ʻeha umauma)
• Ka luaʻi
• Nā kiko ʻeleʻele ma kou kahua ʻike

Inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona ma hope koke iho o ka ʻai ʻana, he mea maikaʻi ke hopohopo iki.

No ke aha e hana ai kēia (Postprandial Hypotension)?

I ko kākou ʻelemakule ʻana, lilo ko kākou mau aʻa koko i mea paʻakikī, ʻo ia hoʻi, nalowale ko lākou elasticity. Ua ʻike anei ʻoe ua hoʻomalu ʻia ko kākou koko e ka hoʻonui ʻia a me ka hoʻohaiki ʻia ʻana o ko kākou mau kīʻaha koko? No laila, i ka loli ʻana o ka hana o kēia mau kīʻaha koko me ka ʻelemakule, ua lilo ia i mea paʻakikī iā lākou ke hoʻololi pono i nā mea e hoʻopilikia ai i ke koko. Eia kekahi o nā kumu nui o ka Postprandial Hypotension:

• ʻAi nui i ka manawa hoʻokahi: Ke ʻai ʻoe a piha kou ʻōpū, ʻoi aku ka nui o ke koko e pono ai e hoʻoheheʻe iā ia.
• Ka hōʻemi ʻana i ka nui o ka paʻakai i kāu meaʻai: Kōkua ka paʻakai i ka mālama ʻana i ka wai a me ke koko.
• Ka maloʻo ʻana: Ke inu ʻole ʻoe i ka wai lawa, hiki ke emi ka nui o kou koko a hiki ke hāʻule kou koko.
• Ke aniau wela: Hiki i nā lā wela ke hoʻonui i nā kīʻaha koko a hoʻohaʻahaʻa i ke koko.

ʻO wai ka mea i ʻoi aku ka pilikia o ka hoʻomohala ʻana i ka Postprandial Hypotension?

ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i kekahi poʻe. E nānā kākou iā lākou:

• Inā he 65 ou mau makahiki a ʻoi paha.
• Inā he koko kiʻekiʻe kou.
• Inā loaʻa iā ʻoe kahi maʻi ʻōnaehana nerve e like me ka maʻi Parkinson .
• Inā loaʻa iā ʻoe ka maʻi diabetes (Diabetes Mellitus) .
• Inā loaʻa iā ʻoe a i ʻole ua loaʻa iā ʻoe ka hāʻule ʻana o ka puʻuwai .
• Inā ʻoe he kanaka e loaʻa ana i ka lāʻau lapaʻau no ka maʻi puʻupaʻa hope loa .
• Inā loaʻa iā ʻoe kahi maʻi neurological kakaikahi i kapa ʻia ʻo ka atrophy ʻōnaehana lehulehu .
• I kekahi manawa hiki ke hoʻonui ʻia kēia pilikia ma muli o nā kumu genetic i hoʻoili ʻia ma o nā hanauna .

He aha nā pilikia e hiki ke loaʻa mai ka Postprandial Hypotension?

(Postprandial Hypotension) hiki ke hoʻoulu i ka poniuniu a me nā ulia. ʻO ia ka pilikia nui. Inā hāʻule ʻoe, hiki iā ʻoe ke hōʻeha i ke poʻo a me nā iwi haki, no laila ʻaʻole pono e lawe māmā ʻia.

Eia kekahi, ua ʻōlelo ʻia ka poʻe me kēia kūlana he piʻi iki ka pilikia o nā hoʻouka ischemic transient (TIAs) , ʻo ia hoʻi nā kūlana mini-stroke, a me ka maʻi cerebrovascular , ʻo ia hoʻi ka maʻi o nā kīʻaha koko e hoʻolako i ke koko i ka lolo.

Pehea e ʻike ʻia ai ka hypotension postprandial?

Inā loaʻa iā ʻoe kēia ʻano pilikia ma hope o ka ʻai ʻana, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka. E nīnau ke kauka iā ʻoe e pili ana i kou mau kūlana olakino a me ka wā e kū mai ai kēia mau hōʻailona.

A laila, e ana ʻia kou koko ma mua a ma hope koke iho o kou ʻai ʻana. I ka poʻe me ka hypotension postprandial, e hāʻule kou koko systolic ma kahi o 20 mmHg ma hope koke iho o ka ʻai ʻana. No ka hapa nui o ka poʻe, hiki mai kēia hāʻule i loko o 30 a 60 mau minuke ma hope o ka ʻai ʻana.

He aha nā hoʻokolohua diagnostics?

I kekahi manawa, no ka hōʻoia pololei ʻana i kēia kūlana, pono paha ʻoe e nānā i ke kahe koko i 24 mau hola.Hiki iā ʻoe ke haʻi iā lākou e hana ia. Pili kēia i ka hoʻopili ʻana i kahi mea liʻiliʻi i kou kino a me ke ana ʻana i kou koko i kēlā me kēia 10-15 mau minuke i ka lā. Hiki iā ʻoe ke ʻike pono i ke ʻano o ka loli ʻana o kou koko i nā manawa like ʻole o ka lā, ʻoi aku hoʻi ma hope o ka ʻai ʻana.

He aha nā lāʻau lapaʻau no ka Postprandial Hypotension?

ʻO nā lāʻau lapaʻau no kēia he mau mea maʻalahi hiki iā mākou ke hana ma ka home, no laila e hoʻāʻo mua kākou iā lākou. E nānā kākou i ke ʻano o lākou:

• Ke hoʻomaha iki nei ma hope o ka ʻai ʻana: Ma kahi o ke ala ʻana a hele koke i ka hana, e noho a moe paha no kekahi mau minuke.
• Mai lawe i kāu lāʻau lapaʻau koko ma mua o ka ʻai ʻana: Akā he mea kēia āu e hana ai ma hope o ke kamaʻilio ʻana me kāu kauka a noi aku iā ia. Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau iā ʻoe iho.
• E lawe i kāu lāʻau koko koko i ka hopena o ke ao: Pono e hana ʻia kēia ma ke ʻōlelo aʻoaʻo a ke kauka .
• Ma kahi o ka ʻai nui ʻana i ka manawa hoʻokahi, e ʻai i kekahi mau pāʻina liʻiliʻi (e.g., ʻeono pāʻina ma kahi o ʻekolu): ma kēlā ʻano, ʻaʻole e nui ke kaomi o kou ʻōpū i ka manawa hoʻokahi.
• E ʻai i nā meaʻai haʻahaʻa-kalapona: E hoʻāʻo e hōʻemi i nā mea e like me ka berena, ka laiki, a me nā mea ʻono, no ka mea, ua ʻeli koke ʻia kēia mau mea, hiki ke hoʻonui i ke kiʻekiʻe o ke kō koko, a hiki ke hoʻopilikia i ke koko.
• E inu i 350 a 480 ml o ka wai (ma kahi o hoʻokahi a me ka hapa kīʻaha) ma mua o ka ʻai ʻana: Hiki i kēia ke hoʻonui iki i ka nui o ke koko a kōkua i ka kaohi ʻana i ke koko haʻahaʻa.
• E hele wāwae no kahi o 10 mau minuke ma hope o ka ʻai ʻana: ʻO ka hele wāwae pōkole e kōkua i ka hoʻomaikaʻi ʻana i ke kahe koko.
• E inu i kahi mea inu i loaʻa ka caffeine (e like me ke kī a i ʻole ke kofe) ma mua o ka ʻaina kakahiaka a i ʻole ka ʻaina awakea: Hiki i ka caffeine ke hoʻopaʻa i nā kīʻaha koko a pale i ka emi ʻana o ke koko. Akā, ʻaʻole maikaʻi ka inu nui ʻana.
• E lawe i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) ma mua o ka ʻai ʻana: He ʻano hōʻoluʻolu ʻeha kēia. Akā e hana wale i kēia inā ʻōlelo ʻia e ke kauka .

ʻO ka mea nui loa: Mai ho'āʻo i kekahi mea i haʻi ʻia iā ʻoe, ʻoiai nā mea e pili ana i ka lāʻau lapaʻau, ma kāu iho me ka ʻole o ke kamaʻilio ʻana me kāu kauka.

Nā lāʻau lapaʻau no ka Postprandial Hypotension

Inā ʻaʻole kōkua nui nā lāʻau lapaʻau home, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau.

• ʻAcarbose: Hāʻawi pinepine ʻia kēia lāʻau lapaʻau i ka wā e ʻai ai i nā meaʻai kiʻekiʻe i nā carbohydrates.
• ʻO ka inikini Octreotide: Inā koʻikoʻi loa nā hōʻailona, ​​​​hiki ke hāʻawi ʻia kēia inikini ma kahi haukapila. Hana kēia ma ka hōʻemi ʻana i ka nui o ke koko e hele ana i ka ʻōnaehana hoʻoheheʻe a me ke kuhikuhi ʻana i ke koko hou aku i nā ʻāpana ʻē aʻe o ke kino.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao liʻiliʻi.

• Hiki iā Acarbose ke hoʻoulu i ke kinoea a me nā ʻōpala wehe.
• Hiki i ka Octreotide ke hana i ka ʻeha o ka ʻōpū, ka nausea, a me ka luaʻi.

ʻO ia ke kumu e pono ai e hoʻohana ʻia kēia mau mea ma lalo o ka ʻōlelo a ke kauka.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka Postprandial Hypotension?

Hiki ke hoʻoweliweli ka hypotension postprandial, ʻoiai inā ʻoe e hiolo. No laila, ʻaʻole ia he manaʻo maikaʻi e hoʻowahāwahā iā ia. Eia nō naʻe, hiki ke hoʻomalu pinepine ʻia me nā lāʻau lapaʻau maʻalahi ma ka home. Inā ʻaʻole holo pono kēia mau mea, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau. No laila, ʻaʻohe mea e hopohopo ai, a inā ʻoe e hoʻokele pono iā ia, hiki iā ʻoe ke ola i kahi ola maʻamau me ia.

Pehea e hōʻemi ai i ka pilikia o ka Postprandial Hypotension?

Hiki iā ʻoe ke ho'āʻo e hōʻemi i kēia pilikia ma o:

• Ma kahi o ka ʻai nui ʻana i hoʻokahi pāʻina, e hoʻēmi iki i ka nui o kāu mau pāʻina a hoʻonui i ka helu o nā manawa āu e ʻai ai i ka lā.
• Hiki i ka ʻai ʻana i nā meaʻai haʻahaʻa-carbohydrate ke kōkua.
• I kekahi manawa hiki ke pale ʻia kēia maʻi me nā lāʻau lapaʻau e like me Acarbose, akā aia wale nō ma ke ʻōlelo aʻoaʻo lapaʻau.

Pehea wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe kēia maʻi, ʻo ke ala maikaʻi loa e mālama ai iā ʻoe iho, ʻo ia ka hahai ʻana i nā lāʻau lapaʻau home a mākou i kūkākūkā ai ma mua. Eia nō naʻe, he mea naʻauao ke kamaʻilio me kāu kauka e pili ana i nā ʻano hana maikaʻi loa iā ʻoe. E hāʻawi ʻo ia iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa e pili ana i kou kūlana olakino.

Āhea wau e ʻike ai i kaʻu kauka?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea nui e ʻike mua i ke kauka e loaʻa ai kahi hōʻailona. A laila, pono ʻoe e loaʻa nā manawa hoʻopaʻa maʻamau e ʻike ai i ka maikaʻi o kāu mau lāʻau lapaʻau ma ka home. A laila, inā pono, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau a hoʻololi paha i kāu lāʻau lapaʻau o kēia manawa.

Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā ʻoe e palupalu a hāʻule a loaʻa iā ʻoe kahi ʻeha koʻikoʻi (e.g., kahi ʻeha poʻo, kahi lima a wāwae paha i haki), pono ʻoe e hele koke i kahi lumi pilikia. ʻOiai inā ʻaʻole ʻoe e ʻike i kekahi kahe koko ma waho, aia paha ke kahe koko nei ʻoe i loko. No laila, he mea nui e loaʻa kahi hoʻokolokolo lapaʻau.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• "E ke kauka, he aha ka mea maikaʻi loa e hoʻololi mua ai i kaʻu papaʻai?"
• "Ua maikaʻi anei inā e lawe au i kaʻu lāʻau koko i ka pō?"
• "ʻEhia ka nui o ke kī a i ʻole ke kofe e hiki iaʻu ke inu i ke kakahiaka?"
• "Inā makemake au e kaupalena i ka nui o nā kalapona aʻu e ʻai ai, he aha nā ʻano meaʻai e pono iaʻu e ʻai a he aha kaʻu e pale aku ai?"

E nīnau i nā nīnau e like me kēia a e kiʻi i ka ʻōlelo aʻoaʻo e kūpono i kou kūlana.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

Hiki ke paʻakikī iki ka hoʻololi ʻana i nā manawa ʻai a me nā nui o nā ʻāpana. Akā, he mea ia hiki iā ʻoe ke kaohi. E noʻonoʻo, inā ʻoe e lawe i nā ʻāpana liʻiliʻi o nā meaʻai āu e kuke mau ai a mālama iā lākou i loko o ka pahu hau, ʻaʻole pono ʻoe e kuke pinepine iā lākou.

Inā ʻoe e hoʻokele i ka manawa a me ka nui o ka meaʻai āu e ʻai ai, e hiki iā ʻoe ke hōʻemi nui i ka ʻoluʻolu ʻole āu e ʻike ai ma hope o ka ʻai ʻana a noho olakino.

No laila, inā loaʻa iā ʻoe ka ʻeha like ma hope o ka ʻai ʻana, mai kānalua e kamaʻilio me ke kauka e pili ana i ia mea. Hiki iā ia ke hāʻawi iā ʻoe i ka nui o ka hōʻoluʻolu.

ʻO ke koko haʻahaʻa ma hope o ka ʻai ʻana, ka poniuniu, ka maule, ke koko, ka ʻai ʻana, ka ʻelemakule