Mukumva chizungulire mutatha kudya? Zingakhale Postprandial Hypotension!

Kodi munadyapo chakudya chokwanira kenako n’kumva chizungulire komanso kutopa mutadzuka nthawi yochepa? Ngakhale anthu ena angaganize kuti ndi zachilendo kumva kutopa pang’ono kapena chizungulire mutadya, nthawi zina izi zingakhale zodetsa nkhawa. Ndicho chimene tikambirane lero. Kudya ndi chinthu chomwe muyenera kusangalala nacho, osati chinthu chomwe muyenera kuopa.

Kodi ichi ndi chiyani (Postprandial Hypotension)?

Mwachidule, Postprandial Hypotension ndi pamene kuthamanga kwa magazi kumatsika mwadzidzidzi mkati mwa maola awiri titadya. Tsopano, tiyeni tiwone zomwe zimachitika nthawi zambiri. Tikamadya, matumbo athu, kutanthauza kuti, kugaya chakudya, amafunika magazi okwanira kuti chakudyacho chigayidwe. Izi zimapangitsa kuti kugunda kwa mtima wathu kukwere pang'ono, kuti magazi aziyenda bwino. Nthawi yomweyo, mitsempha yamagazi m'mbali zina za thupi lathu imachepa, zomwe zimathandiza kuti kuthamanga kwa magazi m'thupi lonse kukhale bwino.

Koma, nthawi zina, ngati kugunda kwa mtima wanu sikukwera kwambiri momwe kumayenera kukhalira, kapena ngati mitsempha yanu yamagazi siikuchepa bwino, kuthamanga kwa magazi kwanu kumatha kutsika mwadzidzidzi mutadya. Kuthamanga kwa magazi kwanu kukatsika kwambiri, mutha kuwona zizindikiro monga chizungulire ndi nseru. Izi sizachilendo. Mwamwayi, pali mankhwala omwe angakuthandizeni kusangalala ndi chakudya popanda mantha.

Kodi kutsika kwa magazi m'thupi pambuyo pa chakudya (Postprandial Hypotension) kumachitika bwanji?

Matendawa ndi ofala kwambiri pakati pa okalamba. Malinga ndi kafukufuku wina, pafupifupi 40% ya anthu azaka zapakati pa 65 ndi 86 akhoza kukhala ndi vutoli (Postprandial Hypotension). Izi zikutanthauza kuti izi sizinthu zomwe sizimamveka.

Kodi zizindikiro za izi ndi ziti?

Anthu ambiri omwe ali ndi vutoli sangakhale ndi zizindikiro zinazake. Komabe, kwa iwo omwe ali ndi vutoli, zizindikiro nthawi zambiri zimakhala zovuta kwambiri m'mawa ndi madzulo. Onani ngati mukukumana ndi zizindikiro izi:

• Chizungulire
• Kusadzikuza
• Nthawi zina zimamveka ngati kuti mwatsala pang'ono kukomoka.
• Kufooka
• Kutopa
• Kupweteka pachifuwa kapena kufinya (Angina - kupweteka pachifuwa)
• Kusanza
• Madontho akuda m'munda wanu wa masomphenya

Ngati mukumva chimodzi kapena zingapo mwa zizindikirozi mutangodya, ndi bwino kuda nkhawa pang'ono.

Nchifukwa chiyani izi (Postprandial Hypotension) zimachitika?

Pamene tikukalamba, mitsempha yathu yamagazi imalimba, zomwe zikutanthauza kuti imataya kusinthasintha kwake. Kodi mukudziwa kuti kuthamanga kwa magazi athu kumayendetsedwa ndi kukulirakulira ndi kuchepa kwa mitsempha yathu yamagazi? Chifukwa chake, pamene ntchito ya mitsempha iyi yamagazi ikusintha ndi ukalamba, zimakhala zovuta kuti isinthe moyenera zinthu zomwe zimakhudza kuthamanga kwa magazi. Nazi zina mwa zifukwa zazikulu zomwe zimayambitsa kuthamanga kwa magazi pambuyo pa kudya:

• Kudya kwambiri nthawi imodzi: Mukadya mpaka mutakhuta, pamafunika magazi ambiri kuti mugaye chakudyacho.
• Kuchepetsa kuchuluka kwa mchere muzakudya zanu: Mchere umathandiza kuchepetsa kuchuluka kwa madzi m'thupi komanso kuthamanga kwa magazi.
• Kusowa madzi m'thupi: Mukapanda kumwa madzi okwanira, kuchuluka kwa magazi anu kumatha kuchepa ndipo kuthamanga kwa magazi anu kumatha kuchepa.
• Nyengo yotentha: Masiku otentha angayambitsenso kuti mitsempha yamagazi ikule komanso kuti kuthamanga kwa magazi kuchepe.

Ndani ali pachiwopsezo chachikulu chotenga matenda a Postprandial Hypotension?

Anthu ena ali ndi mwayi waukulu wopeza vutoli. Tiyeni tiwone kuti ndi ndani:

• Ngati muli ndi zaka 65 kapena kuposerapo.
• Ngati muli ndi kuthamanga kwa magazi .
• Ngati muli ndi matenda a mitsempha monga matenda a Parkinson .
• Ngati muli ndi matenda a shuga (Diabetes Mellitus) .
• Ngati mwakhalapo ndi vuto la mtima kapena mwakhalapo ndi vuto la mtima .
• Ngati ndinu munthu amene akulandira chithandizo cha matenda a impso omwe afika pachimake .
• Ngati muli ndi vuto la mitsempha losowa kwambiri lotchedwa multiple system atrophy .
• Nthawi zina chiopsezochi chingawonjezekenso chifukwa cha majini omwe adutsa m'mibadwomibadwo .

Kodi ndi mavuto ati omwe amabwera chifukwa cha hypotension ya postprandial?

(Postprandial Hypotension) ingayambitse chizungulire ndi ngozi. Chimenecho ndiye chiopsezo chachikulu. Ngati mutagwa, mutha kuvulala mutu ndi kusweka mafupa, kotero sikoyenera kunyalanyazidwa.

Kuphatikiza apo, anthu omwe ali ndi vutoli akuti ali ndi chiopsezo chowonjezeka pang'ono cha matenda a ischemic (TIAs) , omwe ndi matenda ofanana ndi a mini-stroke, ndi matenda a cerebrovascular , omwe ndi matenda a mitsempha yamagazi yomwe imapereka magazi ku ubongo.

Kodi Postprandial Hypotension imapezeka bwanji?

Ngati muli ndi mavuto otere mukatha kudya, chinthu chabwino kuchita ndikuonana ndi dokotala. Dokotala adzakufunsani za matenda anu komanso nthawi yomwe zizindikirozi zimawonekera.

Kenako, kuthamanga kwa magazi anu kudzayesedwa musanadye komanso nthawi yomweyo mutadya. Kwa anthu omwe ali ndi vuto la kuthamanga kwa magazi pambuyo pa kudya, kuthamanga kwa magazi anu kudzatsika ndi pafupifupi 20 mmHg nthawi yomweyo mutadya. Kwa anthu ambiri, kuchepa kumeneku kumachitika mkati mwa mphindi 30 mpaka 60 mutadya.

Kodi mayeso oyezetsa matenda ndi ati?

Nthawi zina, kuti mutsimikizire vutoli molondola, mungafunike kuyang'aniridwa ndi kuthamanga kwa magazi maola 24.Mukhoza kuwauza kuti achite zimenezo. Izi zikuphatikizapo kulumikiza chipangizo chaching'ono m'thupi lanu ndikuyesa kuthamanga kwa magazi anu mphindi 10-15 zilizonse tsiku lonse. Izi zimakupatsani mwayi wowona momwe kuthamanga kwa magazi anu kumasinthira nthawi zosiyanasiyana za tsiku, makamaka mukatha kudya.

Kodi ndi mankhwala otani a hypotension ya postprandial?

Mankhwala a izi ndi zinthu zosavuta zomwe tingathe kuchita kunyumba, choncho tiyeni tiyese kaye. Tiyeni tiwone zomwe zili:

• Kupuma pang'ono mutatha kudya: M'malo modzuka ndikupita kuntchito nthawi yomweyo, khalani pansi kapena mugone pansi kwa mphindi zochepa.
• Musamwe mankhwala a kuthamanga kwa magazi musanadye: Koma ichi ndi chinthu chomwe muyenera kuchita mutalankhula ndi dokotala wanu ndikumufunsa. Musasiye kumwa mankhwala anu nokha.
• Imwani mankhwala anu othamanga magazi mochedwa: Izi ziyeneranso kuchitika pokhapokha ngati dokotala wakupatsani upangiri .
• M'malo modya kwambiri nthawi imodzi, idyani zakudya zing'onozing'ono zingapo (monga chakudya zisanu ndi chimodzi m'malo mwa zitatu): mwanjira imeneyi, m'mimba mwanu simudzamva kupanikizika kwambiri nthawi imodzi.
• Idyani zakudya zopanda chakudya cham'thupi chochuluka: Yesani kuchepetsa kudya zinthu monga buledi, mpunga, ndi maswiti, chifukwa izi zimagayidwa mwachangu, zimatha kukweza shuga m'magazi, ndipo zimatha kusokoneza kuthamanga kwa magazi.
• Imwani madzi okwana 350 mpaka 480 ml (pafupifupi magalasi amodzi ndi theka) musanadye: Izi zitha kuwonjezera kuchuluka kwa magazi pang'ono ndikuthandizira kuchepetsa kuthamanga kwa magazi.
• Yendani kwa mphindi pafupifupi 10 mutadya: Kuyenda pang'ono kumathandiza kuti magazi aziyenda bwino.
• Imwani chakumwa chokhala ndi caffeine (monga tiyi kapena khofi) musanadye chakudya cham'mawa kapena chamasana: Caffeine imatha kutsekereza mitsempha yamagazi ndikuletsa kuthamanga kwa magazi kutsika. Koma kumwa mowa mopitirira muyeso sikwabwino.
• Imwani mankhwala oletsa kutupa (NSAIDs) musanadye: Awa ndi mankhwala ochepetsa ululu. Koma chitani izi pokhapokha ngati dokotala akulangizani .

Chofunika kwambiri: Musayese chilichonse chomwe mwauzidwa, makamaka zinthu zokhudzana ndi mankhwala, nokha popanda kulankhula ndi dokotala wanu.

Mankhwala a Kuthamanga kwa Magazi Pambuyo pa Chakudya

Ngati mankhwala apakhomo sakuthandiza kwenikweni, dokotala wanu angakulembereni mankhwala.

• Acarbose: Mankhwalawa nthawi zambiri amaperekedwa pokhapokha ngati mukudya zakudya zokhala ndi chakudya chambiri.
• Jakisoni wa Octreotide: Ngati zizindikiro zake zili zoopsa kwambiri, jakisoniyu angapatsidwe kuchipatala. Izi zimagwira ntchito pochepetsa kuchuluka kwa magazi omwe amapita ku kugaya chakudya ndikutumiza magazi ambiri ku ziwalo zina za thupi.

Kodi pali zotsatirapo zilizonse za mankhwalawa?

Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zochepa.

• Acarbose ingayambitse mpweya ndi ndowe zotayirira.
• Octreotide ingayambitse kupweteka m'mimba, nseru, komanso kusanza.

Ichi ndichifukwa chake izi ziyenera kugwiritsidwa ntchito pokhapokha ngati dokotala walangiza.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi vuto la Postprandial Hypotension?

Kuthamanga kwa magazi pambuyo pa chakudya kungakhale koopsa, makamaka ngati mukukomoka. Choncho si bwino kunyalanyaza vutoli. Komabe, nthawi zambiri limatha kuthetsedwa ndi mankhwala osavuta apakhomo. Ngati izi sizikugwira ntchito, dokotala wanu akhoza kukupatsani mankhwala. Choncho palibe chodetsa nkhawa nacho, ndipo ngati mutachigwiritsa ntchito bwino, mutha kukhala ndi moyo wabwinobwino.

Kodi ndingachepetse bwanji chiopsezo cha kuthamanga kwa magazi pambuyo pa chakudya?

Mukhoza kuyesa kuchepetsa chiopsezochi pochita izi:

• M'malo modya kwambiri pa chakudya chimodzi, chepetsani kukula kwa chakudya chanu pang'ono ndikuwonjezera kuchuluka kwa nthawi zomwe mumadya patsiku.
• Kudya zakudya zopanda chakudya chambiri kungathandizenso.
• Nthawi zina vutoli lingapewedwe ndi mankhwala monga Acarbose, koma ndi upangiri wa dokotala basi.

Kodi ndimadzisamalira bwanji?

Ngati muli ndi vutoli, njira yabwino yodzisamalira ndikutsatira njira zochiritsira kunyumba zomwe takambirana kale. Komabe, ndi bwino kulankhula ndi dokotala wanu za njira zomwe zingakuthandizireni. Iye adzakupatsani upangiri wabwino kwambiri kutengera thanzi lanu.

Ndiyenera kupita liti kwa dokotala wanga?

Ngati muli ndi zizindikiro izi, ndikofunikira kuonana ndi dokotala kaye kuti mudziwe ngati muli ndi matenda. Kenako, muyenera kukhala ndi nthawi yokumana ndi dokotala nthawi zonse kuti muwone momwe chithandizo chanu chakunyumba chikugwirira ntchito. Kenako, ngati pakufunika, dokotala wanu akhoza kukupatsani mankhwala kapena kusintha chithandizo chanu chamakono.

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Ngati mwakomoka ndi kugwa ndipo mwavulala kwambiri (monga kuvulala mutu, mkono kapena mwendo wosweka), muyenera kupita kuchipatala mwamsanga. Ngakhale simukuwona kutuluka magazi kunja, mwina mukutuluka magazi mkati. Chifukwa chake, ndikofunikira kukayezetsa kuchipatala.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, mungafunse mafunso monga awa:

• "Dokotala, ndi chiyani chomwe ndiyenera kusintha poyamba pa zakudya zanga?"
• "Kodi ndili bwino ndikatenga mankhwala a kuthamanga kwa magazi mochedwa?"
• "Ndingamwe tiyi kapena khofi wochuluka bwanji m'mawa?"
• "Ngati ndikufuna kuchepetsa kuchuluka kwa chakudya chomwe ndimadya, ndi zakudya zamtundu wanji zomwe ndiyenera kudya ndipo ndiyenera kupewa chiyani?"

Funsani mafunso ngati awa ndipo pezani upangiri wogwirizana ndi vuto lanu.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kusintha nthawi ya chakudya ndi kukula kwa chakudya kungakhale kovuta pang'ono. Koma, ndi chinthu chomwe mungathe kuchilamulira. Tangoganizirani, ngati mutenga zakudya zazing'ono zomwe mumaphika nthawi zambiri ndikuzisunga mufiriji, simudzayenera kuziphika pafupipafupi.

Ngati musamalira nthawi ndi kuchuluka kwa chakudya chomwe mumadya, mudzatha kuchepetsa kwambiri kusasangalala komwe mumamva mukatha kudya ndikukhala ndi thanzi labwino.

Choncho, ngati muli ndi vuto lofananalo mukatha kudya, musazengereze kulankhula ndi dokotala za vutoli. Lingakupatseni mpumulo waukulu.

Kuthamanga kwa magazi pambuyo pa chakudya, kuthamanga kwa magazi pang'ono mutadya, chizungulire, kukomoka, kuthamanga kwa magazi, kugaya chakudya, kukalamba