Ngaba wakha wavuka ngequbuliso waziva unesiyezi kwaye unomsindo? Okanye uzive udiniwe kwaye udiniwe imini yonke? Nangona abantu abaninzi becinga ukuba ezi zizinto eziqhelekileyo, oku kungaba luphawu loxinzelelo lwegazi oluphantsi, okanye "uxinzelelo oluphantsi kwegazi". Nangona abantu abaninzi bethetha ngoxinzelelo lwegazi oluphezulu, kufuneka siqonde uxinzelelo lwegazi oluphantsi. Ngoko ke namhlanje, masithethe ngale nto ngokulula.
Yintoni kanye kanye i-low blood pressure (Hypotension)?
Ngamafutshane, uxinzelelo lwegazi oluphantsi (iHypotension) kuxa uxinzelelo (ukutyhala) oludalwa ligazi elihamba ngemithambo yegazi yakho luphantsi kakhulu kunokuba bekulindelwe.
Mhlawumbi uyazi ukuba xa silinganisa uxinzelelo, sithetha ngexabiso ezimbini.
- Inombolo ephezulu (iSystolic): Oku kubhekisa kuxinzelelo oluviwa yimithambo yegazi yakho ngalo lonke ixesha intliziyo yakho ibetha kwaye ipompa igazi.
- I-Diastolic: Oku kubhekisa kuxinzelelo kwimithambo yegazi phakathi kwentliziyo ezimbini, xa intliziyo iphumle kancinci.
Ngokwesiqhelo, sicinga ukuba uxinzelelo lwegazi lomntu ophilileyo yi-120/80 mm Hg (iimilimitha ze-mercury). Ukuba uxinzelelo lwakho lwegazi luphantsi kune-90/60 mm Hg , lubizwa ngokuba luxinzelelo lwegazi oluphantsi (i-Hypotension).
Kodwa nantsi ingongoma ebalulekileyo. Abanye abantu, ingakumbi abantu abaselula abenza umthambo kakhulu kwaye besempilweni entle, banokuzalwa benoxinzelelo lwegazi oluphantsi kancinci. Ukuba abanazo iimpawu, ayiyongxaki. Yimeko yabo eqhelekileyo. Ingxaki kukuba xa uxinzelelo lwegazi oluphantsi lukubangela ukungakhululeki, oko kukuthi, xa uqala ukuba neempawu.
Ziziphi iintlobo eziphambili zoxinzelelo oluphantsi?
Singabona uxinzelelo lwegazi oluphantsi ngeendlela ezimbini eziphambili. Ukuze uqonde oku ngokucacileyo, jonga itheyibhile engasezantsi.
| Uhlobo loxinzelelo lwegazi oluphantsi | Kalula nje... |
|---|---|
| Uxinzelelo olupheleleyo lwegazi | Oku kuqhele ukubizwa ngokuba 'luxinzelelo lwegazi oluphantsi'. Xa uxinzelelo lwakho lwegazi lulinganiswa ngelixa uphumle (umzekelo, uhleli phantsi), lungaphantsi kwe-90/60 mm Hg. |
| Uxinzelelo lwe-Orthostatic Hypotension (Uxinzelelo lwe-Postural Hypotension) | Oku kwahlukile kancinci. Oku kubizwa ngokuba kukwehla ngequbuliso koxinzelelo lwegazi xa umi uhleli okanye ulele. Ngokwesiqhelo, imizimba yethu iyaphola emva koku kwimizuzwana embalwa. Kodwa kumntu onesi sifo, uxinzelelo lwakhe lwegazi luhlala luphantsi malunga nemizuzu emi-3 emva kokuma. Le yinto eqheleka ngakumbi njengoko sikhula. |
Zeziphi iimpawu umntu onoxinzelelo lwegazi oluphantsi azibonayo?
Njengoko besitshilo ngaphambili, abanye abantu basenokungabi nazo naziphi na iimpawu nokuba uxinzelelo lwabo lwegazi luphantsi. Nangona kunjalo, ukuba iimpawu ziyabonakala, zingabandakanya:
- Ukuba nesiyezi okanye ukuba nentloko ende: Ukuziva ngathi udada, ngokungathi akukho nto ngaphakathi entlokweni.
- Ukuquleka okanye ukuphelelwa zingqondo (Syncope): Ungaphelelwa zingqondo ngequbuliso uze uwele phantsi.
- Amehlo aluhlaza okwesibhakabhaka okanye umbono ofipheleyo: Ukuziva ngathi kuya kuba mnyama xa uvuka ngequbuliso, okanye ukungakwazi ukubona izinto ngokucacileyo.
- Isicaphucaphu okanye ukuhlanza: Usenokuziva unesicaphucaphu esiswini sakho okanye ukuhlanza.
- Ukudinwa kakhulu okanye ukungabi nabomi: Ukudinwa nokungabi namandla imini yonke, nokuba ungenzi nto.
- Ukuphefumla kuyakhawuleza kwaye kungabi nzulu kangako.
- Ubunzima bokugxila: Ukulahlekelwa yingqwalasela ngelixa usebenza.
- Ukungazinzi okanye utshintsho kwindlela yokuziphatha: Usenokuziphatha ngendlela eyahlukileyo kunesiqhelo, uphazamiseke.
Imizimba yethu iyamangalisa. Ngokwesiqhelo, xa uxinzelelo lwethu lwegazi luqala ukwehla, imizimba yethu izama ukululawula. Lunyusa izinga lentliziyo yethu okanye luthintele imithambo yegazi yethu ukuze luzame ukwandisa uxinzelelo. Kodwa xa imizimba yethu ingakwazi ukululawula ngale ndlela, siqala ukuva ezi mpawu.
Kutheni uxinzelelo lwehla ngolu hlobo? Zithini izizathu?
Akukho sizathu sinye nje sokuba uxinzelelo lwegazi lube phantsi, kodwa zininzi izinto ezinokubangela oko. Makhe sijonge ezona zizathu ziphambili.
- Uxinzelelo lwegazi oluhambelana ne-Orthostatic: Njengoko besitshilo ngaphambili, oku kungenzeka ngenxa yokwehla ngequbuliso kokuhamba kwegazi ukuya ebuchotsheni xa usukuma ngequbuliso.
- Ukuphelelwa ngamanzi emzimbeni: Ukuba awuseli manzi aneleyo ngemini yokubila kakhulu, ukuhlanza, okanye urhudo, umzimba wakho ulahlekelwa lulwelo. Oku kunokubangela ukuba umthamo wegazi lakho wehle, nto leyo ebangela ukuba uxinzelelo lwegazi lwakho lwehle.
- Ukulimala okukhulu nokopha: Xa kulahleka igazi elininzi emzimbeni, njengakwingozi, uxinzelelo lwegazi luyehla ngequbuliso.
- Ukukhulelwa:Kwiinyanga zokuqala zokukhulelwa, utshintsho kwindlela yokujikeleza kwegazi lomfazi lunokubangela ukuba uxinzelelo lwegazi lwakhe lwehle. Oku kudla ngokubuyela esiqhelweni emva kokuba umntwana ezelwe.
- Amanye amayeza owasebenzisayo: Amanye amayeza oxinzelelo lwegazi oluphezulu, isifo sentliziyo, kunye nokudakumba anokubangela uxinzelelo lwegazi oluphantsi njengesiphumo esingesihle. Kodwa khumbula, ungaze uyeke ukuthatha amayeza akho ngaphandle kokubonisana nogqirha wakho kuqala.
- Isifo sentliziyo: Xa intliziyo ingakwazi ukupompa igazi ngokufanelekileyo ngenxa yeemeko ezifana nokubetha kwentliziyo okungahambelaniyo (arrhythmias), ukuhlaselwa yintliziyo, kunye nobuthathaka bemisipha yentliziyo, uxinzelelo lwegazi luyehla.
- Iingxaki zehomoni: Uxinzelelo lwegazi oluphantsi lunokubangelwa zizifo ezinxulumene namahomoni ezifana ne-hypothyroidism nesifo seswekile.
- Usulelo Olubi (iSepsis): Xa umzimba usulelekile kakhulu, utshintsho kwimithambo yegazi lunokwenzeka ngenxa yempendulo, nto leyo ebangela ukuba uxinzelelo lwegazi lwehle ngendlela eyingozi.
- Ukunganyamezelani kakhulu (i-Anaphylaxis): Ukunganyamezelani kakhulu kokutya okuthile, amayeza, okanye ukutyiwa zizinambuzane nako kunokubangela ukwehla ngequbuliso koxinzelelo lwegazi.
- Ukunqongophala kwesondlo: Xa izondlo ezifana ne-vitamin B12 kunye ne-folate zingekho, i-anemia inokuvela, nto leyo enokubangela uxinzelelo lwegazi oluphantsi.
- Utywala neziyobisi: Utywala nezinye iziyobisi zinokubangela uxinzelelo lwegazi oluphantsi.
Zeziphi izinto ezinzulu ezinokwenzeka ukuba ungayinaki nje i-low blood pressure?
Uxinzelelo lwegazi oluphantsi aluyongxaki inkulu ukuba akukho zimpawu. Kodwa ukuba kukho iimpawu, kufuneka ukhathazeke ngazo, kuba zinokukhokelela kwiingxaki ezinkulu.
Ukuwa nokwenzakala zezona zinto ziyingozi kakhulu nezikhawulezileyo apha. Khawuthelekelele ukuba kuya kwenzeka ntoni ukuba ungakhubeka ngequbuliso uze uwe. Ungabetheka entloko, waphuke ingalo okanye umlenze, okanye waphuke isinqe, nto leyo enokubangela ukukhubazeka ubomi bakho bonke.
- Ukuwa kunye nokwenzakala: Ukuba nesiyezi kunye nokuba nentloko ende kwandisa umngcipheko wokuwa. Oku kunokukhokelela ekuqhekekeni kwamathambo kunye nokwenzakala okukhulu entloko (ukuxhuzula).
- Ukothuka: Xa uxinzelelo lwegazi luhla kakhulu, amalungu abalulekileyo anje ngengqondo, izintso, nentliziyo awafumani umlinganiselo ofunekayo wegazi kunye neoksijini. Oku kunokubangela umonakalo kuloo malungu. Oku kunokuba yingozi ebomini.
- Isifo sentliziyo kunye nestroke: Uxinzelelo lwegazi oluphantsi luthetha ukuba intliziyo kufuneka isebenze nzima ukupompa igazi emzimbeni wonke. Ekuhambeni kwexesha, oku kungonakalisa intliziyo. Kwakhona, ngenxa yokuba igazi lingajikelezi kakuhle, amahlwili egazi anokwakheka aze aye engqondweni, nto leyo enokubangela izifo ezifana nestroke.
Ugqirha uyifumana njani le nto?
Ukuba uneempawu zoxinzelelo lwegazi oluphantsi, kungcono ukubona ugqirha. Kulula kakhulu ukufumanisa ukuba uxinzelelo lwakho lwegazi luphantsi na. Ungabona ngokujonga isixhobo sokulinganisa uxinzelelo lwegazi (isixhobo seBP).
Kodwa eyona nto inzima kukufumanisa ukuba kutheni uxinzelelo lwakho lwegazi luphantsi . Ugqirha uza kukubuza ngeempawu zakho, amayeza owasebenzisayo, kunye nezinye iimeko zempilo. Emva koko, banokwenza uvavanyo olumbalwa ukuze bafumane unobangela.
| Uhlobo lovavanyo | Ingaba ujonge kwintoni? |
|---|---|
| Uvavanyo lwegazi nomchamo | Jonga iimeko ezifana nesifo seswekile, iingxaki zehomoni ye-thyroid, ukungabikho kweevithamini emzimbeni, kunye ne-anemia. |
| I-ECG (i-Electrocardiogram) | Jonga ukusebenza kombane kwentliziyo ukuze ubone ukuba kukho naziphi na iingxaki ezifana nokubetha kwentliziyo okungahambelaniyo. |
| I-Echocardiogram | Olu luvavanyo lwentliziyo. Lunceda ekufumaneni umfanekiso ocacileyo wesakhiwo kunye nomsebenzi wentliziyo. |
| Uvavanyo lweTheyibhile eThambekileyo | Olu luvavanyo olulungiselelwe ngokukodwa ukubona i-orthostatic hypotension. Ulaliswa ebhedini kwaye uxinzelelo lwegazi kunye nesantya sentliziyo yakho ziyajongwa njengoko ibhedi ithambekele kancinci ngokuthe nkqo. |
Unyango kunye nolawulo loxinzelelo lwegazi oluphantsi
Eyona nto ibalulekileyo xa unyanga kukufumana unobangela oyintloko woxinzelelo lwegazi oluphantsi uze ulunyange. Umzekelo, ukuba uxinzelelo lwegazi oluphantsi lubangelwa yimiphumo emibi yeyeza, ugqirha uza kutshintsha umthamo welo yeza okanye akunike elinye iyeza. Ukuba kungenxa yokuphelelwa ngamanzi emzimbeni, uza kunikwa ulwelo olufana netyuwa.
Ukongeza ekunyangeni unobangela, ungenza izinto ezifana nezi ukulawula iimpawu:
- Utshintsho kwindlela yokutya: Abanye abantu banokucetyiswa ngugqirha wabo ukuba bongeze ityuwa encinci kwindlela abatya ngayo. Oku kungenxa yokuba ityuwa (isodium) inokunceda ekwandiseni ukugcinwa kolwelo emzimbeni kunye nokunyusa uxinzelelo lwegazi. Nangona kunjalo, oku kufanele kwenziwe kuphela phantsi kwengcebiso kagqirha wakho. Akulunganga ukutya ityuwa ngendlela othanda ngayo.
- Sela amanzi aneleyo: Sela ubuncinane iiglasi ezisi-8 ukuya kwezili-10 zamanzi ngosuku. Oku kuya kunceda ukugcina amanqanaba olwelo emzimbeni kwaye kuthintele ukuphelelwa ngamanzi emzimbeni.
- Iisokisi Zoxinzelelo: Ezi sokisi zicinezela imilenze neenyawo kancinci, zinceda ekuthinteleni ukuba igazi lingangeni emilenzeni lize linyuselwe phezulu. Oku kunokunyusa uxinzelelo.
- Amayeza: Kwezinye iimeko, ugqirha wakho unokukunika amayeza akhethekileyo okunceda ukonyusa uxinzelelo lwegazi.
Ukuba uxinzelelo lwakho lwegazi luphantsi, ungazinyamekela njani?
Ukongeza kunyango olunikwa ngugqirha wakho, ukuba uyayinyamekela le nto incinci ebomini bakho bemihla ngemihla, unokuziphepha kakhulu iimpawu zoxinzelelo lwegazi oluphantsi.
- Vuka kancinci: Xa uvuka ebhedini kusasa, ungavuki ngequbuliso. Okokuqala, hlala phantsi ebhedini umzuzu omnye. Emva koko vuka kancinci. Kunjalo nangokuvuka esitulweni.
- Ukutya: Yitya ukutya okuncinci, rhoqo endaweni yokutya ukutya okukhulu, okwanelisayo. Abanye abantu banokuziva behla uxinzelelo lwegazi emva kokutya okukhulu, ingakumbi ukutya okune-carbohydrate eninzi (njengerayisi nesonka).
- Nciphisa utywala: Utywala bunokubangela ukuphelelwa ngamanzi emzimbeni kunye noxinzelelo lwegazi oluphantsi, ngoko ke kubaluleke kakhulu ukunciphisa utywala obuselayo.
- Hlala phantsi xa uziva unesizungu: Ukuba uziva unesizungu okanye unesizungu, hlala phantsi okanye esihlalweni ngoko nangoko, nokuba wenza ntoni na. Oku kubaluleke kakhulu kukhuseleko lwakho kuba kunokukuthintela ekuweni.
Ndifanele ndimbone nini ugqirha? Ndifanele ndiye nini kwi-ETU?
Le yinxalenye ebaluleke kakhulu. Kufuneka wazi ukuba kufuneka uye nini kugqirha ngokwesiqhelo kwaye kufuneka uye nini esibhedlele ngoko nangoko.
| Ufika nini kugqirha | Ixesha lokuya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko |
|---|---|
| Ukuba ufumana iimpawu ezihlala zikho zoxinzelelo lwegazi oluphantsi (ezifana nesiyezi, ukuquleka). | Ukuba unentlungu esifubeni . |
| Ukuba ezi mpawu ziphazamisana nemisebenzi yakho yemihla ngemihla. | Ukuba ulahlekelwa zingqondo emva kokuphela kosuku. |
| Ukuba ukrokrela ukuba iyeza olisebenzisayo libangela ukuba uxinzelelo lwakho lwegazi lwehle. | Ukuba uyawa uze wonzakale entloko ngenxa yesiyezi (ingakumbi ukuba uthatha i-blood thinner ). |
| Ukuba ezi mpawu ziyavela ngexesha lokukhulelwa. | Ukuba ubonisa iimpawu zokothuka: ulusu olubandayo, ukubila, ukuphefumla ngokukhawuleza, ukubetha kwentliziyo ngokukhawuleza, imilebe eluhlaza okwesibhakabhaka okanye iinzipho. |
Umyalezo Wokuya Ekhaya
- Uxinzelelo lwegazi oluphantsi (Hypotension) alusoloko luyisifo. Kodwa ukuba uneempawu ezifana nesiyezi okanye ukuquleka, musa ukuzityeshela. Ngokuqinisekileyo bonana nogqirha.
- Eyona nto ibalulekileyo kunyango kukufumana unobangela oyintloko woxinzelelo lwegazi oluphantsi size silunyange.
- Izinto ezilula ezifana nokusela amanzi amaninzi yonke imihla, ukutshintsha iindlela zokuma kancinci, kunye nokulungisa ukutya kwakho njengoko kucetyisiwe ngugqirha wakho kunokunceda ukulawula iimpawu kakhulu.
- Wakuba uziva unesizungu, cinga ngokhuseleko uze uhlale phantsi okanye esitulweni. Ukuthintela ukuwa yeyona nto iphambili.
- Ukuba ufumana iintlungu esifubeni, ukuphelelwa zingqondo, ukuwa nokwenzakala entloko, okanye iimpawu zokothuka, yingxamiseko leyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
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