Ngaba uziva unesizungu emva kokutya? Ingaba yi-Postprandial Hypotension!

Ngaba wakha watya ukutya okugcweleyo waza waziva unesiyezi kwaye unomsindo xa wema emva kwexesha elifutshane? Nangona abanye abantu benokucinga ukuba kuyinto eqhelekileyo ukuziva udiniwe okanye unesiyezi emva kokutya, oku ngamanye amaxesha kunokuba yinto ekufuneka ixhalatyelwe. Yiloo nto siza kuthetha ngayo namhlanje. Ukutya yinto ekufuneka uyonwabele, hayi into ekufuneka uyoyike.

Yintoni le (Postprandial Hypotension)?

Ngamafutshane, i-Postprandial Hypotension kuxa uxinzelelo lwegazi luhla ngequbuliso kwiiyure ezimbini emva kokutya. Ngoku, makhe sijonge ukuba kwenzeka ntoni rhoqo. Xa sisitya, amathumbu ethu, oko kukuthi, inkqubo yethu yokugaya ukutya, afuna igazi elifanelekileyo ukuze atye ukutya. Oku kubangela ukuba isantya sentliziyo yethu sinyuke kancinci, ukuze kupompe igazi. Kwangaxeshanye, imithambo yegazi kwezinye iindawo zomzimba wethu iyaxina, inceda ukugcina uxinzelelo lwegazi emzimbeni wonke lukwinqanaba eliqhelekileyo.

Kodwa, ngamanye amaxesha, ukuba isantya sentliziyo yakho asinyuki kangangoko kufanele, okanye ukuba imithambo yegazi yakho ayiqini kakuhle, uxinzelelo lwakho lwegazi lunokwehla ngequbuliso emva kokutya. Xa uxinzelelo lwakho lwehla kakhulu, unokufumana iimpawu ezifana nesiyezi kunye nesicaphucaphu. Oku akuqhelekanga. Ngethamsanqa, kukho unyango olunokukunceda ukonwabele isidlo ngaphandle koloyiko.

Ixhaphake kangakanani i-Postprandial Hypotension?

Esi simo sixhaphake kakhulu kubantu abadala. Ngokwezifundo ezahlukeneyo, malunga nama-40% abantu abaphakathi kweminyaka engama-65 nama-86 banokuba nale meko (Postprandial Hypotension). Oku kuthetha ukuba le asinto ingaziwayo.

Zithini iimpawu zoku?

Abantu abaninzi abanale meko basenokungabi nazo naziphi na iimpawu ezithile. Nangona kunjalo, kwabo bazifumanayo, iimpawu zihlala zimbi kakhulu kusasa nangokuhlwa. Jonga ukuba ufumana naziphi na kwezi mpawu:

• Isiyezi
• Ubukrelekrele
• Ngamanye amaxesha uziva ngathi uza kufa isiqaqa.
• Ubuthathaka
• Ukudinwa
• Intlungu yesifuba okanye ukuxinana (i-Angina - intlungu yesifuba)
• Isicaphucaphu
• Amabala amnyama kwicandelo lakho lokubona

Ukuba ufumana enye okanye ngaphezulu kwezi mpawu emva nje kokutya, kulungile ukuba ukhathazeke kancinci.

Kutheni le nto (i-Postprandial Hypotension) isenzeka?

Njengoko sikhula, imithambo yethu iyaqina, nto leyo ethetha ukuba ilahlekelwa bubuthambile bayo. Ubusazi na ukuba uxinzelelo lwethu lwegazi lulawulwa kukwanda nokuncitshiswa kwemithambo yethu yegazi? Ngoko ke, njengoko umsebenzi wale mithambo yegazi utshintsha ngokuhamba kweminyaka, kuba nzima ukuba ilungelelanise ngokufanelekileyo izinto ezichaphazela uxinzelelo lwegazi. Nazi ezinye zezizathu eziphambili ze-Postprandial Hypotension:

• Ukutya kakhulu ngexesha elinye: Xa usitya ude utye, kufuneka igazi elingakumbi ukuze kugaywe.
• Ukunciphisa ityuwa ekutyeni kwakho: Ityuwa inceda ekulawuleni ukugcinwa kwamanzi kunye noxinzelelo lwegazi.
• Ukuphelelwa ngamanzi emzimbeni: Xa ungaseli manzi aneleyo, umthamo wegazi lakho unokwehla kwaye uxinzelelo lwakho lwegazi lunokwehla.
• Imozulu eshushu: Iintsuku ezishushu zinokubangela ukuba imithambo yegazi ivuleke kwaye uxinzelelo lwegazi lwehle.

Ngubani osengozini enkulu yokuba ne-Postprandial Hypotension?

Abanye abantu banamathuba amaninzi okuba nale meko. Makhe sijonge ukuba bangoobani:

• Ukuba uneminyaka engama-65 ubudala okanye ngaphezulu.
• Ukuba une- high blood pressure .
• Ukuba unesifo senkqubo yemithambo-luvo esifana nesifo sikaParkinson .
• Ukuba unesifo seswekile (iDiabetes Mellitus) .
• Ukuba ukhe wanesifo sentliziyo okanye wakha wanesifo sentliziyo .
• Ukuba ungumntu ofumana unyango lwesifo sezintso esikwinqanaba lokugqibela .
• Ukuba unesifo esingaqhelekanga semithambo-luvo esibizwa ngokuba yi -multiple system atrophy .
• Ngamanye amaxesha le ngozi inokwanda ngenxa yezinto ezidluliselwa kwizizukulwana ngezizukulwana .

Ziziphi iingxaki ezinokubakho ze-Postprandial Hypotension?

(Postprandial Hypotension) inokubangela isiyezi kunye neengozi. Leyo yeyona ngozi iphambili. Ukuba uyawa, unokubangela ukwenzakala entloko kunye nokuphuka kwamathambo, ngoko ke akufanelekanga ukuyithatha lula loo nto.

Ukongeza, abantu abanale meko kuthiwa banomngcipheko okhulayo kancinci wokuhlaselwa yi-ischemic transiently (TIAs) , eziziimeko ezifana ne-mini-stroke, kunye nesifo se-cerebrovascular , esisifo semithambo yegazi ehambisa igazi engqondweni.

Ifunyanwa njani i-Postprandial Hypotension?

Ukuba uneengxaki ezinjalo emva kokutya, eyona nto ingcono onokuyenza kukubona ugqirha. Ugqirha uza kukubuza ngemeko yakho yempilo kunye nokuba ezi mpawu zivela nini.

Emva koko, uxinzelelo lwakho lwegazi luya kulinganiswa ngaphambi nasemva nje kokuba utye. Kubantu abane-hypotension emva kokutya, uxinzelelo lwakho lwegazi lwe-systolic luya kwehla malunga ne-20 mmHg emva nje kokuba utyile. Kubantu abaninzi, olu kwehla lwenzeka kwimizuzu engama-30 ukuya kwengama-60 emva kokutya.

Zithini iimvavanyo zokuxilonga?

Ngamanye amaxesha, ukuqinisekisa le meko ngokuchanekileyo, kunokufuneka ukuba ujonge uxinzelelo lwegazi iiyure ezingama-24 ngaphambi kokuba uqalise.Ungabaxelela ukuba bakwenze oko. Oku kuquka ukuncamathisela isixhobo esincinci emzimbeni wakho kunye nokulinganisa uxinzelelo lwakho lwegazi rhoqo emva kwemizuzu eli-10-15 imini yonke. Oku kukuvumela ukuba ubone ngqo indlela uxinzelelo lwakho lwegazi olutshintsha ngayo ngamaxesha ahlukeneyo osuku, ingakumbi emva kokutya.

Ziziphi iindlela zonyango lwe-Postprandial Hypotension?

Unyango loku lulula ngokwenene, ngoko masiluzame kuqala. Masibone ukuba luyintoni na:

• Ukuphumla kancinci emva kokutya: Endaweni yokuvuka uye emsebenzini ngoko nangoko, hlala phantsi okanye ulale imizuzu embalwa.
• Musa ukusela amayeza akho oxinzelelo lwegazi ngaphambi kokutya: Kodwa le yinto omele uyenze emva kokuthetha nogqirha wakho nokumbuza. Musa ukuyeka ukuwasela amayeza akho wedwa.
• Sela amayeza akho oxinzelelo lwegazi kade: Oku kufanele kwenziwe kuphela emva kwengcebiso kagqirha .
• Endaweni yokutya kakhulu ngexesha elinye, yitya izidlo ezincinci ezininzi (umz., izidlo ezithandathu endaweni yezintathu): ngaloo ndlela, isisu sakho asiyi kuva uxinzelelo olukhulu ngaxeshanye.
• Yitya ukutya okune-carbohydrate ephantsi: Zama ukunciphisa ukutya izinto ezifana nesonka, irayisi, kunye neelekese, njengoko ezi zinto zigaywa ngokukhawuleza, zinokunyusa amanqanaba eswekile egazini, kwaye zinokuchaphazela uxinzelelo lwegazi.
• Sela i-350 ukuya kwi-480 ml yamanzi (malunga neglasi enye enesiqingatha) ngaphambi kokutya: Oku kunokunyusa umthamo wegazi kancinci kwaye kuncede ekulawuleni uxinzelelo lwegazi oluphantsi.
• Hamba malunga nemizuzu eli-10 emva kokutya: Ukuhambahamba okufutshane kunceda ukuphucula ukujikeleza kwegazi.
• Sela isiselo esine-caffeine (njengeti okanye ikofu) ngaphambi kwesidlo sakusasa okanye sasemini: I-caffeine ingayinciphisa imithambo yegazi kwaye ithintele ukwehla koxinzelelo lwegazi. Kodwa ukusela kakhulu akulunganga.
• Sela amayeza angengo-steroidal anti-inflammatory (NSAIDs) ngaphambi kokutya: La luhlobo lokunciphisa iintlungu. Kodwa yenza oku kuphela xa ugqirha ekucebisa .

Eyona nto ibalulekileyo: Musa ukuzama nantoni na oyixelelweyo, ingakumbi izinto ezinxulumene namayeza, wedwa ngaphandle kokuthetha nogqirha wakho.

Amayeza okunciphisa uxinzelelo lwegazi emva kokutya

Ukuba amayeza asekhaya awancedi kangako, ugqirha wakho unokukunika amayeza.

• I-Acarbose: Eli yeza lidla ngokunikezelwa kuphela xa kutyiwa ukutya okuneecarbohydrate ezininzi.
• Inaliti ye-Octreotide: Ukuba iimpawu zinzima kakhulu, le naliti inokunikwa esibhedlele. Oku kusebenza ngokunciphisa inani legazi eliya kwinkqubo yokugaya ukutya kunye nokuqondisa igazi elingakumbi kwamanye amalungu omzimba.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Njengayo nayiphi na iyeza, eli linokuba nemiphumo emibi emincinci.

• I-Acarbose inokubangela igesi kunye nendle ekhululekileyo.
• I-Octreotide inokubangela iintlungu zesisu, isicaphucaphu, kunye nokuhlanza.

Yingakho ezi zinto zifanele zisetyenziswe kuphela phantsi kwengcebiso kagqirha.

Yintoni endimele ndiyilindele ukuba ndine-Postprandial Hypotension?

Uxinzelelo lwegazi oluphantsi emva kokutya lunokuba yingozi, ingakumbi ukuba uyafa isiqaqa. Ngoko ke akulunganga ukuyityeshela. Nangona kunjalo, idla ngokulawulwa ngamayeza alula asekhaya. Ukuba la mayeza awasebenzi, ugqirha wakho unokukunika amayeza. Ngoko ke akukho nto inokubangela ixhala, kwaye ukuba uyayilawula ngokufanelekileyo, ungaphila ubomi obuqhelekileyo ngayo.

Ndingayinciphisa njani ingozi ye-Postprandial Hypotension?

Ungazama ukunciphisa le ngozi ngokuthi:

• Endaweni yokutya kakhulu kwisidlo esinye, nciphisa ubungakanani besidlo sakho kancinci uze wandise inani lamaxesha otya ngawo ngemini.
• Ukutya ukutya okune-carbohydrate encinci nako kunokunceda.
• Ngamanye amaxesha le meko inokuthintelwa ngamayeza afana ne-Acarbose, kodwa kuxhomekeke kuphela kwingcebiso kagqirha.

Ndingazinyamekela njani?

Ukuba unale meko, eyona ndlela ilungileyo yokuzinyamekela kukulandela amayeza asekhaya esiwathethe ngawo ngaphambili. Nangona kunjalo, kububulumko ukuthetha nogqirha wakho malunga neendlela ezikulungeleyo. Uza kukunika icebiso elifanelekileyo ngokusekelwe kwimeko yakho yempilo.

Ndifanele ndimbone nini ugqirha wam?

Ukuba unale mpawu, kubalulekile ukubona ugqirha kuqala ukuze ufumane uxilongo. Emva koko, kufuneka ube nentlanganiso yokulandelela rhoqo ukuze ubone ukuba unyango lwakho lwasekhaya lusebenza kakuhle kangakanani na. Emva koko, ukuba kuyimfuneko, ugqirha wakho unokukunika amayeza okanye atshintshe unyango lwakho lwangoku.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba uyawa uze ufe isiqaqa uze wenzeke kakhulu (umz., ukwenzakala entloko, ukwaphuka kwengalo okanye umlenze), ngokuqinisekileyo kuya kufuneka uye kwigumbi likaxakeka ngokukhawuleza. Nokuba awuboni gazi ngaphandle, usenokuba wopha ngaphakathi. Ke ngoko, kubalulekile ukuba ufumane uxilongo lwezonyango.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa usiya kugqirha, ungabuza imibuzo efana nale:

• "Gqirha, yeyiphi into engcono kakhulu ekufuneka ndiyitshintshe kwindlela enditya ngayo kuqala?"
• "Kulungile ukuba ndithathe amayeza am oxinzelelo lwegazi ebusuku?"
• "Ndingasela iti okanye ikofu engakanani kusasa?"
• "Ukuba ndifuna ukunciphisa inani leecarbohydrate endizityayo, zeziphi iintlobo zokutya endifanele ndizitye kwaye zeziphi endifanele ndiziphephe?"

Buza imibuzo efana nale uze ufumane icebiso elifanele imeko yakho.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukutshintsha amaxesha okutya kunye nobungakanani bokutya kunokuba nzima kancinci. Kodwa, yinto onokuyilawula. Khawucinge nje, ukuba uthatha iinxalenye ezincinci zokutya oqhele ukuzipheka uze uzigcine efrijini, akuyi kufuneka uzipheke rhoqo.

Ukuba ulawula ixesha kunye nobungakanani bokutya okutyayo, uya kukwazi ukunciphisa kakhulu ukungakhululeki okuvayo emva kokutya kwaye uhlale usempilweni.

Ngoko ke, ukuba nawe unengxaki efanayo emva kokutya, ungathandabuzi ukuthetha nogqirha ngayo. Ingakunika isiqabu esikhulu.

Uxinzelelo lwegazi oluphantsi emva kokutya, uxinzelelo lwegazi oluphantsi emva kokutya, isiyezi, ukuphelelwa ngamandla, uxinzelelo lwegazi, ukugaya ukutya, ukwaluphala