Uzizwa unesizungu ngemva kokudla? Kungaba yi-Postprandial Hypotension!

Wake wadla ukudla okugcwele wabe usuzizwa unesizungu futhi uzizwa unesizungu lapho usukuma ngemva kwesikhashana? Nakuba abanye abantu bengase bacabange ukuthi kuyinto evamile ukuzizwa ukhathele noma unesizungu ngemva kokudla, lokhu kungaba yinto okufanele uyikhathazeke ngezinye izikhathi. Yilokho esizokhuluma ngakho namuhla. Ukudla kuyinto okufanele uyijabulele, hhayi into okufanele uyesabe.

Kuyini lokhu (i-Postprandial Hypotension)?

Kalula nje, i-Postprandial Hypotension yilapho umfutho wegazi wehla ngokuzumayo kakhulu phakathi namahora amabili ngemva kokudla. Manje, ake sibheke ukuthi kuvame ukwenzekani. Lapho sidla, amathumbu ethu, okungukuthi, uhlelo lwethu lokugaya ukudla, adinga ukuhlinzekwa kwegazi okuhle ukuze kugaywe lokho kudla. Lokhu kubangela ukuthi izinga lokushaya kwenhliziyo yethu likhuphuke kancane, ukuze kupompe igazi. Ngesikhathi esifanayo, imithambo yegazi kwezinye izingxenye zomzimba wethu iyancipha, okusiza ukugcina umfutho wegazi emzimbeni wonke usezingeni elijwayelekile.

Kodwa, ngezinye izikhathi, uma izinga lokushaya kwenhliziyo yakho lingakhuphuki kakhulu njengoba kufanele, noma uma imithambo yegazi yakho ingaminyani kahle, umfutho wegazi wakho ungehla ngokuzumayo ngemva kokudla. Uma umfutho wegazi wakho wehla kakhulu, ungase ube nezimpawu ezifana nokuzungeza kanye nesicanucanu. Lokhu akuvamile. Ngenhlanhla, kunezindlela zokwelapha ezingakusiza ukuthi ujabulele ukudla ngaphandle kokwesaba.

Kuvame kangakanani ukwehla kwengcindezi yegazi ngemva kokudla?

Lesi simo empeleni sivame kakhulu kubantu abadala. Ngokusho kocwaningo oluningana, cishe abantu abangu-40% abaneminyaka ephakathi kuka-65 no-86 bangaba nalesi simo (Postprandial Hypotension). Lokhu kusho ukuthi lokhu akuyona into engakaze izwakale.

Ziyini izimpawu zalokhu?

Abantu abaningi abanalesi simo bangase bangabi nazo izimpawu ezithile. Kodwa-ke, kulabo abazibonayo, izimpawu zivame ukuba zimbi kakhulu ekuseni nakusihlwa. Bheka ukuthi uhlangabezana nanoma yiziphi zalezi zimpawu:

• Isiyezi
• Ubuhlanya
• Ngezinye izikhathi kuzwakala sengathi usuzoquleka.
• Ubuthakathaka
• Ukukhathala
• Ubuhlungu besifuba noma ukuqina (i-Angina - ubuhlungu besifuba)
• Isicanucanu
• Amabala amnyama emkhakheni wakho wokubona

Uma uhlangabezana nesinye noma ngaphezulu salezi zimpawu ngokushesha nje ngemva kokudla, kuwumqondo omuhle ukukhathazeka kancane.

Kungani lokhu (i-Postprandial Hypotension) kwenzeka?

Njengoba siguga, imithambo yethu iba lukhuni, okusho ukuthi ilahlekelwa ukunwebeka kwayo. Ubuwazi ukuthi umfutho wegazi wethu ulawulwa ukwanda nokuncipha kwemithambo yethu yegazi? Ngakho-ke, njengoba ukusebenza kwale mithambo yegazi kushintsha ngokuhamba kweminyaka, kuba nzima ngayo ukuzivumelanisa kahle nezici ezithinta umfutho wegazi. Nazi ezinye zezimbangela eziyinhloko ze-Postprandial Hypotension:

• Ukudla okuningi ngesikhathi esisodwa: Uma udla kuze kube yilapho isisu sakho sigcwele, kudinga igazi eliningi ukuze kusigaye.
• Ukunciphisa inani likasawoti ekudleni kwakho: Usawoti usiza ekulawuleni ukugcinwa kwamanzi kanye nomfutho wegazi.
• Ukuphelelwa amanzi emzimbeni: Uma ungaphuzi amanzi anele, umthamo wegazi lakho ungancipha futhi umfutho wegazi wakho wehle.
• Isimo sezulu esishisayo: Izinsuku ezishisayo zingabangela nokuthi imithambo yegazi ivuleke futhi umfutho wegazi wehle.

Ubani osengozini enkulu yokuthola i-Postprandial Hypotension?

Abanye abantu banamathuba amaningi okuthola lesi simo. Ake sibheke ukuthi bangobani:

• Uma uneminyaka engu-65 noma ngaphezulu.
• Uma une -high blood pressure .
• Uma unesifo sezinzwa njengesifo sikaParkinson .
• Uma unesifo sikashukela (i-Diabetes Mellitus) .
• Uma uke waba nokwehluleka kwenhliziyo noma uke waba nakho.
• Uma ungumuntu othola ukwelashwa kwesifo sezinso esisesigabeni sokugcina .
• Uma unesifo esingavamile sezinzwa esibizwa ngokuthi i-multiple system atrophy .
• Ngezinye izikhathi le ngozi inganda ngenxa yezakhi zofuzo ezidluliselwa ezizukulwaneni ngezizukulwane .

Yiziphi izinkinga ezingaba khona ze-Postprandial Hypotension?

(Ukucindezeleka Okuphansi Kwegazi Ngemva Kokudla) kungabangela isiyezi kanye nezingozi. Leyo ingozi enkulu. Uma uwa, ungabangela ukulimala ekhanda kanye nokuphuka kwamathambo, ngakho akufanele ukuthathe kalula.

Ngaphezu kwalokho, abantu abanalesi simo kuthiwa banengozi ekhulayo kancane yokuhlaselwa yi-ischemic okwesikhashana (TIAs) , okuyizimo ezifana ne-mini-stroke, kanye nesifo se-cerebrovascular , okuyisifo semithambo yegazi ehambisa igazi ebuchosheni.

I-Hypotension ye-Postprandial ihlolwa kanjani?

Uma unezinkinga ezinjalo ngemva kokudla, into engcono kakhulu ongayenza ukubonana nodokotela. Udokotela uzokubuza ngezimo zakho zezempilo nokuthi lezi zimpawu zivela nini.

Ngemuva kwalokho, umfutho wegazi lakho uzolinganiswa ngaphambi nangemva nje kokudla. Kubantu abane-hypotension yangemva kokudla, umfutho wegazi wakho we-systolic uzokwehla cishe ngo-20 mmHg ngemuva nje kokudla. Kubantu abaningi, lokhu kwehla kwenzeka zingakapheli imizuzu engama-30 kuya kwengama-60 yokudla.

Yiziphi izivivinyo zokuxilonga?

Ngezinye izikhathi, ukuze uqinisekise lesi simo ngokunembile, kungadingeka ukuthi uhlolwe umfutho wegazi amahora angama-24.Ungabatshela ukuthi bakwenze. Lokhu kuhilela ukunamathisela idivayisi encane emzimbeni wakho nokukala umfutho wegazi lakho njalo ngemizuzu eyi-10-15 phakathi nosuku. Lokhu kukuvumela ukuthi ubone kahle ukuthi umfutho wegazi lakho ushintsha kanjani ngezikhathi ezahlukene zosuku, ikakhulukazi ngemva kokudla.

Yiziphi izindlela zokwelapha i-Postprandial Hypotension?

Ukwelashwa kwalokhu empeleni kuyizinto ezilula esingazenza ekhaya, ngakho ake sizame kuqala. Ake sibone ukuthi ziyini:

• Ukuphumula isikhashana ngemva kokudla: Esikhundleni sokuvuka uye emsebenzini ngokushesha, hlala phansi noma ulale phansi imizuzu embalwa.
• Ungayithathi imithi yakho yomfutho wegazi ngaphambi kokudla: Kodwa lokhu kuyinto okufanele uyenze nakanjani ngemva kokukhuluma nodokotela wakho nokumbuza. Ungayeki ukuthatha imithi yakho wedwa.
• Thatha imithi yakho yomfutho wegazi sekwephuzile: Lokhu kufanele kwenziwe kuphela ngokwelulekwa ngudokotela .
• Esikhundleni sokudla okuningi ngesikhathi esisodwa, yidla ukudla okuncane okuningana (isib. ukudla okuyisithupha esikhundleni sokudla okuthathu): ngaleyo ndlela, isisu sakho ngeke sizizwe sicindezelekile kakhulu ngesikhathi esisodwa.
• Yidla ukudla okunama-carbohydrate aphansi: Zama ukunciphisa ukudla izinto ezifana nesinkwa, ilayisi, namaswidi, njengoba lokhu kugaywa ngokushesha, kungakhuphula amazinga kashukela egazini, futhi kungathinta umfutho wegazi.
• Phuza amanzi angama-350 kuya kwangu-480 ml (cishe ingilazi eyodwa nengxenye) ngaphambi kokudla: Lokhu kungakhuphula umthamo wegazi kancane futhi kusize ekulawuleni umfutho wegazi ophansi.
• Hamba cishe imizuzu eyi-10 ngemva kokudla: Ukuhamba ibanga elifushane kusiza ekuthuthukiseni ukujikeleza kwegazi.
• Phuza isiphuzo esine-caffeine (njengetiye noma ikhofi) ngaphambi kokudla kwasekuseni noma kwasemini: I-caffeine ingavimba imithambo yegazi futhi ivimbele ukwehla komfutho wegazi. Kodwa ukuphuza ngokweqile akukuhle.
• Thatha imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) ngaphambi kokudla: Lena uhlobo lokunciphisa ubuhlungu. Kodwa yenza lokhu kuphela uma udokotela ekuncoma .

Okubaluleke kakhulu: Ungazami noma yini oyitsheliwe, ikakhulukazi izinto ezihlobene nemithi, wedwa ngaphandle kokukhuluma nodokotela wakho.

Imithi Yokunciphisa Umfutho Wegazi Ngemva Kokudla

Uma amakhambi asekhaya engasizi kangako, udokotela wakho angase akunike imithi.

• I-Acarbose: Lo muthi uvame ukunikezwa kuphela uma udla ukudla okunama-carbohydrate amaningi.
• Umjovo we-Octreotide: Uma izimpawu zinzima kakhulu, lo mjovo unganikezwa esibhedlela. Lokhu kusebenza ngokunciphisa inani legazi eliya ohlelweni lokugaya ukudla nokuqondisa igazi eliningi kwezinye izingxenye zomzimba.

Ingabe ikhona imiphumela emibi yokwelashwa?

Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi emincane.

• I-Acarbose ingabangela igesi kanye nendle ekhululekile.
• I-Octreotide ingabangela ubuhlungu besisu, isicanucanu, nokuhlanza.

Yingakho lezi kufanele zisetshenziswe kuphela ngaphansi kweseluleko sikadokotela.

Yini okufanele ngiyilindele uma ngine-Postprandial Hypotension?

Ukwehla kwamandla omzimba ngemva kokudla kungaba yingozi, ikakhulukazi uma uquleka. Ngakho-ke akuwona umqondo omuhle ukukushalazela. Kodwa-ke, kungalawulwa ngemithi elula yasekhaya. Uma lokhu kungasebenzi, udokotela wakho angakunikeza imithi. Ngakho-ke akukho okufanele ukhathazeke ngakho, futhi uma uphatha kahle, ungaphila impilo evamile ngayo.

Ngingayinciphisa kanjani ingozi yokucindezeleka kwegazi ngemva kokudla?

Ungazama ukunciphisa le ngozi ngokuthi:

• Esikhundleni sokudla kakhulu ngesikhathi esisodwa, yehlisa usayizi wokudla kwakho kancane bese wandisa inani lezikhathi odla ngazo ngosuku.
• Ukudla ukudla okunama-carbohydrate aphansi nakho kungasiza.
• Ngezinye izikhathi lesi simo singavinjelwa ngemithi efana ne-Acarbose, kodwa kungokweseluleko sikadokotela kuphela.

Ngizinakekela kanjani?

Uma unalesi simo, indlela engcono kakhulu yokuzinakekela ukulandela amakhambi asekhaya esixoxe ngawo ngaphambili. Kodwa-ke, kuwukuhlakanipha ukukhuluma nodokotela wakho mayelana nezindlela ezikufanelekelayo. Uzokunikeza iseluleko esingcono kakhulu ngokusekelwe esimweni sakho sempilo.

Kufanele ngimbone nini udokotela wami?

Uma unalezi zimpawu, kubalulekile ukubonana nodokotela kuqala ukuze uthole ukuxilongwa. Ngemuva kwalokho, kufanele ube nama-aphoyintimenti okulandelela njalo ukuze ubone ukuthi ukwelashwa kwakho ekhaya kusebenza kahle kangakanani. Ngemuva kwalokho, uma kudingeka, udokotela wakho angakunikeza imithi noma ashintshe ukwelashwa kwakho kwamanje.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma uquleka futhi uwa futhi ulimele kakhulu (isib., ukulimala ekhanda, ingalo noma umlenze ophukile), kufanele nakanjani uye ekamelweni eliphuthumayo ngokushesha. Ngisho noma ungaboni ukopha ngaphandle, ungase uphume igazi ngaphakathi. Ngakho-ke, kubalulekile ukuthola ukuhlolwa kwezokwelapha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• "Dokotela, yini engcono kakhulu engingayishintsha ekudleni kwami ​​kuqala?"
• "Kulungile uma ngiphuza umuthi wami womfutho wegazi sekwephuzile?"
• "Ngingaphuza itiye noma ikhofi elingakanani ekuseni?"
• "Uma ngifuna ukunciphisa inani lama-carbohydrate engiwadlayo, hlobo luni lokudla okufanele ngiludle futhi yini okufanele ngiyigweme?"

Buza imibuzo efana nale bese uthola iseluleko esifanelana nesimo sakho.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukushintsha izikhathi zokudla kanye nosayizi wesabelo kungaba nzima kancane. Kodwa, kuyinto ongayilawula. Cabanga nje, uma uthatha izingxenye ezincane zokudla ovame ukuzipheka bese uzigcina efrijini, ngeke kudingeke uzipheke kaningi.

Uma uphatha isikhathi kanye nenani lokudla okudlayo, uzokwazi ukunciphisa kakhulu ukungakhululeki okuzwayo ngemva kokudla futhi uhlale uphilile.

Ngakho-ke, uma uzizwa ungakhululekile ngemva kokudla, ungangabazi ukukhuluma nodokotela ngakho. Kungakunikeza impumuzo enkulu.

Ukucindezeleka kwegazi ngemva kokudla, umfutho wegazi ophansi ngemva kokudla, isiyezi, ukuquleka, umfutho wegazi, ukugaya ukudla, ukuguga