Chaw ei zawhah luak chhuak tihna em ni? Postprandial Hypotension a ni thei!

Chaw ei kim i ei a, rei vak lo hnua i ding chuan lu i luak chhuak a, i lu a hlim lo tawh em? Mi thenkhat chuan chaw ei zawha tlem emaw, luak chhuak emaw hi thil pangngaiah an ngai mai thei a, mahse hei hi a chang chuan ngaihtuahawm tak a ni thei. Chu chu vawiinah kan sawi dawn a ni. Chaw ei hi i hlim tur a ni a, i hlauh tur a ni lo.

Hei hi eng nge ni (Postprandial Hypotension)?

A awlsam zawngin sawi ila, Postprandial Hypotension chu chaw ei atanga darkar hnih chhunga thisen sang nasa taka tlahniam nghal a ni. Tunah chuan, thil thleng tlangpui hi han thlir ila. Kan ei lai hian kan intestines, chu chu kan digestive system hian chu chaw ei tur chuan thisen tha tak a mamawh a ni. Hei hian kan heart rate a ti sang deuh a, thisen pump theihna turin. Chutih rual chuan kan taksa peng danga thisen kalna kawngte chu a inkharkhip a, taksa pum puia thisen sang chu a pangngaia awm reng turin a pui bawk.

Mahse, a chang chuan i heart rate a san tur angin a sang lo a nih chuan emaw, i thisen kalna kawng a constrict tha lo a nih chuan ei zawhah i thisen sang chu a tlahniam nghal thei a ni. I pressure a tlahniam lutuk chuan luak chhuak leh luak chhuak ang chi symptoms i nei thei. Hei hi thil pangngai a ni lo. Vanneihthlak takin, hlau lova chaw ei nuam ti thei tur enkawlna a awm.

Postprandial Hypotension hi engtiang chiahin nge a awm?

Hetiang dinhmun hi a takah chuan kum upa lam zingah a awm fo thin. Survey engemaw zat atanga a lan dan chuan kum 65 leh 86 inkar zinga 40% vel chuan he natna hi an nei thei a ni (Postprandial Hypotension). Hei hi hriat loh thil a ni lo tihna a ni.

Hei hi eng symptoms nge ni?

Hetiang natna vei tam tak hian symptom bik an nei lo mai thei. Mahse, a titu tan chuan zing leh tlaiah symptoms a na zual fo thin. Heng symptoms te hi i nei em tih en rawh:

• Luak chhuak thei
• Lung hring (lightheadedness) a awm
• A chang chuan i muhil dawn ang maiin a lang.
• Chaklohna
• Chau
• Chhung na emaw, tightness emaw (Angina - rilru na) .
• Luhai
• I mit hmuhna field-ah hmun dum (black spots) a awm

Chaw ei hnu lawka heng symptoms pakhat emaw a aia tam emaw i neih chuan tlem tal ngaihtuah a tha.

Engvangin nge hetiang (Postprandial Hypotension) hi a lo awm?

Kan tar chhoh zel chuan kan thisen kalna kawngte chu a nghet zual a, chu chu an elasticity a hloh tihna a ni. Kan thisen zam hi kan thisen kalna kawng zau leh zim te hian a thunun tih i hria em? Chuvangin, heng thisen kalna kawngte hnathawh hi kum upat dan azirin a inthlak danglam zel a, thisen sang tichhe thei thilte nena inmil taka insiamrem chu an tan a harsa zual sauh sauh a ni. Postprandial Hypotension thlentu ber thenkhat chu hetiang hi a ni:

• Vawi khata ei tam: I puar thlenga i ei hian a hmin theih nan thisen tam zawk a ngai a ni.
• I ei leh in-a chi (salt) tihtlem: Chi hian tui awm zat leh thisen sang control-na a pui a ni.
• Dehydration: Tui i in tam loh chuan i thisen volume a tlahniam thei a, i thisen sang pawh a tlahniam thei bawk.
• Khua lum: Ni lum hian thisen kalna kawng a tizau thei a, thisen sang a ti hniam thei bawk.

Tute nge Postprandial Hypotension vei theihna chance sang zawk?

Mi thenkhat chuan he natna hi an nei tam zawk. Tute nge an nih hi han thlir ila:

• Kum 65 aia upa i nih chuan.
• Thisen sang i neih chuan .
• Nervous system natna Parkinson natna i neih chuan .
• Zunthlum (Diabetes Mellitus) i neih chuan .
• Heart failure i neih tawh emaw i nei tawh emaw a nih chuan .
• End-stage kidney disease enkawlna dawng mek i nih chuan .
• Neurological condition hmuh tur awm lo multiple system atrophy tih i neih chuan .
• A chang chuan he hlauhawmna hi thlah kal zel atanga thlah kal zel atanga lo piang chhuak genetic factors vang pawh hian a pung thei bawk .

Postprandial Hypotension avanga harsatna awm thei te chu engte nge ni?

(Postprandial Hypotension) hian luak chhuak leh accident a thlen thei. Chu chu a risk ber chu a ni. I tlu a nih chuan lu hliam leh ruh tliak a thlen thei a, chuvangin ngaihthah a phu lo.

Chu bakah, he natna vei te hian transient ischemic attacks (TIAs) , mini-stroke ang chi natna, leh cerebrovascular disease , thluaka thisen petu thisen kalna kawng natna te an nei tlem hle niin an sawi bawk.

Engtin nge Postprandial Hypotension hi hriat theih?

Chaw ei zawha hetiang harsatna i neih chuan a tha ber chu Doctor pan hi a ni. Doctor chuan i damdawi lam dinhmun leh heng symptoms te hi engtikah nge a lo awm tih a zawt ang che.

Tichuan, i thisen sang chu i ei hma leh i ei hnu rei vak loah teh a ni ang. Postprandial hypotension vei te tan chuan ei hnu rei vak lovah i systolic blood pressure chu 20 mmHg velin a tlahniam ang. Mi tam zawk tan chuan he drop hi ei atanga minute 30 atanga minute 60 chhungin a awm thin.

Diagnostic test te hi engte nge ni?

A châng chuan he natna hi dik taka finfiah theih nân darkar 24 chhûng ambulatory blood pressure monitoring neih a ngai mai thei.Ti turin i hrilh thei bawk. Hei hian i taksaah hmanraw te tak te i bun a, nitin minute 10-15 danah i thisen sang tehna a huam a ni. Hei hian ni khata hun hrang hranga i thisen sang a inthlak dan chiang takin a hmu thei a, a bik takin chaw ei kham hnuah a inthlak danglam thin.

Postprandial Hypotension enkawlna tur engte nge ni?

Hemi atana enkawlna te hi a takah chuan in lama kan tih theih awlsam tak tak a ni a, chuvangin i lo enchhin hmasa phawt ang u. Eng nge an nih i en ang u:

• Chaw ei zawha chawlh rei vak lo: Tho leh hnathawhna hmuna kal nghal mai ai chuan minute engemaw zat thut emaw, mu emaw.
• Chaw ei hmain i thisen sang damdawi ei suh: Mahse hei hi i doctor nena inbiakna leh zawh hnua i tih ngei ngei tur a ni. Nangmah chauhin i damdawi ei kha bansan suh.
• Nitin tlai lamah i thisen sang damdawi ei rawh: Hei pawh hi damdawi lam thurawn chauhvin tih tur a ni .
• Vawi khata ei tam ai chuan chaw tenau engemaw zat ei la (e.g., vawi thum ni lovin vawi ruk ei rawh): chutiang chuan i pum hian vawi khatah pressure nasa tak a nei lovang.
• Carbohydrate tlem ei tur: Chhangphut, buhfai, leh thil thlum ang chi thil ei tlem tum la, hengte hi a ei rang a, thisen sugar level a tisang thei a, thisen sang a nghawng thei bawk.
• Chaw ei hmain tui 350 atanga 480 ml (glas khat leh a chanve vel) in thin ang che: Hei hian thisen volume tlem a tipung thei a, thisen sang control nan a pui thei bawk.
• Chaw ei zawhah minute 10 vel kea kal: Kal rei vak lo hian thisen kal dan a titha a ni.
• Chawhmeh emaw, chawhmeh emaw ei hmain caffeine awmna in tur (tea emaw coffee emaw ang chi) in thin ang che: Caffeine hian thisen kalna kawng a tikhawlo thei a, thisen sang a tihhniam loh nan a veng thei bawk. Mahse zu in tam lutuk hi a tha lo.
• Chaw ei hmain nonsteroidal anti-inflammatory drugs (NSAIDs) ei thin ang che: Hengte hi natna tidamtu chi khat a ni. Mahse hei hi doctor in a recommend chauhvin tih tur a ni .

A pawimawh ber: Doctor nena inbiak loh chuan i thil hrilh tawh zawng zawng, a bik takin damdawi kaihhnawih thilte chu nangmah chauhin enchhin suh.

Postprandial Hypotension damdawi hman dan tur

In lama damdawi hian a puih vak loh chuan i doctor chuan damdawi a pe thei a ni.

• Acarbose: He damdawi hi chaw ei kha carbohydrates tamna ei hunah chauh pek a ni tlangpui.
• Octreotide injection: Natna lanchhuahna a nasat em avangin he injection hi damdawi inah pek theih a ni. Hei hian thisen digestive system-a kal zat a tihtlem bakah taksa peng dangah thisen tam zawk a kaltir a, hei hian hna a thawk a ni.

Enkawlna hian side effect a nei em?

Damdawi dang ang bawkin he damdawi hian side effect tenau te a nei thei bawk.

• Acarbose hian gas a siam thei a, bawlhhlawh a chhuak thei bawk.
• Octreotide hian pum na, luak chhuak, leh luak chhuak a thlen thei.

Hei vang hian hengte hi damdawi lam thurawn hnuaiah chauh hman tur a ni.

Postprandial Hypotension ka neih chuan eng nge ka beisei ang?

Postprandial hypotension hi a hlauhawm thei hle a, a bik takin i muhil a nih chuan. Chuvangin ngaihthah mai mai a tha lo. Mahse, in lama damdawi awlsam tak hmangin a thunun theih fo. Hengte hian hna a thawh loh chuan i doctor-in damdawi a pe thei a ni. Chuvangin ngaihtuahawm tur a awm lo va, i enkawl tha chuan nun pangngai takin i hmang thei ang.

Engtin nge Postprandial Hypotension hlauhawmna hi ka tihziaawm theih ang?

He hlauhawmna hi tihtlem tumin hetiang hian i bei thei ang:

• Chaw khata ei tam ai chuan i chaw ei zat tlem tal tihtlem la, ni khata i ei zat pawh tipung rawh.
• Carbohydrate tlem chaw ei hian a pui thei bawk.
• A chang chuan Acarbose ang damdawi hmangin he natna hi ven theih a ni a, mahse damdawi lam thurawn chauh a ni.

Engtin nge ka in enkawl ang?

Hetiang dinhmun hi i neih chuan i in enkawl dan tha ber chu a hmaa kan sawi tawh ang khan in lama damdawi hman dante zawm hi a ni. Amaherawhchu, i tana hmanraw tha ber tur chu i doctor nen sawiho chu a finthlak hle ang. I hriselna dinhmun a zirin thurawn tha ber ber a pe ang che.

Engtikah nge ka doctor ka hmuh ang?

Heng symptoms te hi i neih chuan doctor pan hmasak a pawimawh a, diagnosis i nei thei ang. Tichuan, i in lama enkawlnate chu engtiang chiahin nge a thawh that tih hriat nan follow-up appointment i nei fo tur a ni. Tichuan, a tul chuan i doctor chuan damdawi a pe thei a, tuna i enkawl dan tur pawh a thlak thei bawk.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

I muhil a, i tlu a, hliam na tak (e.g., lu hliam, kut emaw ke emaw tliak) i neih chuan emergency room-ah i kal nghal tur a ni. Pawn lamah thisen chhuak i hmu lo a nih pawhin chhungril lamah thisen a chhuak a ni thei. Chuvangin medical examination neih a pawimawh hle.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal hian hetiang zawhna hi i zawt thei ang:

• "Doctor, ka ei leh in ah hian eng thil nge tihdanglam hmasak tur tha ber?"
• "Ni tlai lamah ka thisen sang damdawi ka ei chuan a pawi em?"
• "Zingah tea emaw coffee emaw engzat nge ka in theih ang?"
• "Carbohydrates ka ei zat tihtlem ka duh a nih chuan eng ei tur nge ka ei ang a, eng nge ka pumpelh ang?"

Hetiang zawhna hi zawt la, i dinhmun nena inmil thurawn la rawh.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Chaw ei hun leh portion size thlak danglam hi a harsa deuh thei. Mahse, i thunun theih thil a ni. Ngaihtuah teh, i chaw siam tlangpui chu a tlem berah i la a, freezer-ah i dah chuan chutiang chuan i siam fo a ngai tawh lo vang.

Chaw i ei hun leh ei zat i enkawl chuan ei zawh hnua i rilru hahna chu nasa takin i tihziaawm thei ang a, hrisel takin i awm thei bawk ang.

Chuvangin, chaw ei zawha chutiang bawka hrehawmna i neih chuan doctor hnenah pawh sawi hreh suh. Hahdamna nasa tak a pe thei che a ni.

` Postprandial Hypotension, ei zawh hnua thisen sang hniam, luak chhuak, muhil, thisen sang, chaw ei, tar