Low Blood Pressure

Chirongwa cheKuderedzwa Kweropa

High blood pressure (hypertension) chirwere chinonyatsozivikanwa chinodhaka chinokanganisa vakawanda semamiriyoni makumi matanhatu eMelika. Izvo zvinopesana, kuderera kweropa pasi (hypotension), zvingave zvisina kufanana nezita reimba, asi zvakakosha kuziva zvakawanda nezvekuti zvinogona kukonzera zvinetso zvehutano, zvikurukuru kana zvichiitika kamwe kamwe.

Sei Chirwere Chine Ropa Chinorevei?

Ropa kudzvinyirira inomanikidzwa mumabharoti ako, midziyo yakawanda-yakavhara yeropa inotakurisa ropa neropaji kubva mumapapu ako mukati memuviri wako wose.

Ropa rekuyeresa rinoyera mumamilimita e mercury (mm Hg) uye kuverenga kwako kune nhamba mbiri:

• Nhamba yepamusoro ndiyo systolic yeropa , iro rinoreva kushungurudzika kwakagadzirwa mumariti eine moyo wese.
• Nhamba yakaderera ndiyo diastolic yeropa , kana kuomesa mukati memishonga apo mwoyo uri kurara pakati pekurohwa kwega imwe neimwe.

Zvakanaka kuti uchengetedze ropa rako pasi pe 120/80 mm Hg .

• Nzira Yokuziva Nayo Zviratidzo zveKuderedzwa Kweropa

• Apo Kuwedzera Kweropa Kunokonzera Utano Kunetseka

Asi apo ropa rako rinenge riri pasi pe 90/60 mm Hg, zvingasave rakakosha zvakakwana kuti upe ropa rakapoteredzwa kune nhengo dzako dzose, kunyanya nhengo dzinokosha dzakadai seuropi. Ndicho chikonzero nei hypotension iri yekutya kwakadaro.

Muviri Wako uye Kufurirwa Kweropa

I mishonga ine muscular layer iyo inopindura zviratidzo kubva kune nerve receptors mumuviri wose. Izvi zviratidzo zvinoudza mishonga yekuwedzera kana chibvumirano kana zvichidiwa kuti urambe uchiendesa okisijeni zvakanaka apo uye paunenge uchida.

Somuenzaniso, paunomira pakarepo kana kumuka mushure mokurara pasi, mutezo wemigumisiro mumuviri wako unotumira zviratidzo kuburikidza nenheyo yenheyo yepamusoro kune mishonga yako, zvichiita kuti mishonga mumadziro emasita aite chibvumirano uye kuwedzerwa ropa rinokwana kuti ripe oxygen yakawanda kuti upe huropi hwako.

Nheyo yenyu yepamusoro yenheyo inoratidzawo mwoyo wako kuti urove nekukurumidza zvakanyanya kuitira kuti uwane chikwereti chekuchinja kwaunogara.

Zvisinei, apo hurongwa hwemagetsi husingakurumidzi kubhadhara kuchinja kwekumanikidzwa, ropa rako rinogona kudzika mukati memativi mashoma emuviri. Izvi zvinogona kuguma nekuderedza ropa kuderera kusvika muuropi, zvichikonzera manzwiro echezzinesi kana kuchena kwepamusoro uye kudonha mumubhadharo weropa unobudirira, unozivikanwa seanonzi orthostatic kana postural hypotension . Nenzira yakarongeka yakaderera kuwedzera kweropa kunogonawo kuitika kana iwe ukamira kwenguva refu pasina kushandura nzvimbo.

Mukuwedzera kumhinduro shoma mukati mehutachiona hwehutachiona, maranda anogona kuvaka mumaritiro ako ekukwegura , zvichiita kuti mishonga inopedzisira inogona kuderedza kuderera kweropa kusvika pamwoyo wako neuropi.

Autonomic neuropathy uye mhirizhonga yeuropathy , iyo inoratidzirwa nehutano hwehutano uye inogona kukonzerwa nezvirwere zvakadai sechirwere cheshuga, uyewo zvinokanganisa kukwanisa kwemuviri kuronga kusimba kweropa, zvichiita kuti mushure mekushaya pfungwa.

Zvinowanzokonzera Dambudziko Rokudzivirira Ropa

• Kusagadzikana kwemvura, izvo zvinogona kuguma nekurutsira, kurarisa, uye kupfutidza zvakanyanya

• Hemorrhage, iyo inogona kukurira kukwanisa kwemuviri kubhadhara kuderedzwa kweropa

• Mishonga: Mukuwedzera kune kuwedzerwa kwemishonga yemishonga yemishonga, izvo zvingashandura zvose arterial pressure uye moyo wekukura, nitrate inoshandiswa kubata chirwere chemapfupa, mishonga ye erectile dysfunction , zvimwe zvinodhaka mwoyo, uye antipsychotic mishonga inozivikanwa kuti inokonzera kuderera kweropa. Mishonga inoshandiswa kurapa vanhu vane chirwere chePasinson inobatanidzwawo nehuwandu hwemashure.

• Mahomoni ane zvinetso, zvakadai se hypothyroidism kana kuti shuga shoma yeropa (hypoglycemia)

• Kushungurudzika kwemoyo , izvo zvinoguma nokusakosha kupemha nemwoyo
• Arrhythmias (isina kuchena mwoyo miviri), iyo inodzivisa mwoyo kubva pakugadzira zvakakwana contract contract
• Chiropa chechiropa
• Kuberekwa
• Kushungurudzika: Ropa rako rinogonawo kudonha kamwe-kamwe uye rinokonzera kupera kana kuchena kwepamusoro pakupikisa kunetseka mupfungwa. Mune mamiriro ezvinhu aya, hutachiona hwehutano hwako hunogona kuderedzwa.

• Sepsis, iyo inokonzerwa nehutachiona hwehutachiona uye hutachiona hwemuviri
• Anaphylaxis, iyo inokonzerwa nehutachiona yakakonzera iyo inokonzera kudonha nekukurumidza kunogona kuuraya ropa. Zvimwe zvinokonzera kubata vanaphylactic zvinosanganisira shellfish, penicillin, uye nuts. Epinephrine inoshandiswa kugadzirisa arteri uye kuwedzera ropa mukati mevanhu vari kuita anaphylactic reaction.

Zviratidzo uye Zviratidzo zveKuderedzwa KweAropa

Chero chii chinokonzera, kupisa kwehana kwepasi kunogona kukonzera kusasha kwe okisijeni kuuropi uye kune dzimwe nhengo dzomuviri. Kana iwe uine chirwere chinoderedza ropa asi usati uwane chero chezviratidzo izvi, saka ropa rako reropa rinogona kunge risina dambudziko. Zviratidzo nezviratidzo zvekudzivirira kwehutano kweropa zvinosanganisira:

• Lightheadedness kana chirwere
• Kupera (syncope)
• Chiratidzo chakasvibiswa
• Dambudziko kuisa pfungwa
• Kuchechera, kuputika, ganda rakachena
• Kupera zvishoma, kukurumidza kufema
• Chechitatu uye mvura yakasununguka
• Kuneta
• Nausea

Chii Chinonzi Kurapa Kwechidzvinyiriri CheRopa?

Kubvira pakaderera ropa rinogona kuva nemigumisiro yemamiriro mazhinji akasiyana, kurapwa kungave kwakanyatsoenderana nemamiriro ezvinhu anokonzera.

• Ndezvipi Zvinokonzerwa neKuderedzwa KweAropa?

Heano zvimwe zvezvikonzero zvinowanzokonzerwa nekuderera kweropa reropa nemishonga inobatanidzwa:

• Kupera kweropa guru: Izvi zvinogona kuitika semugumisiro wekupera mvura, kana kubva kurasi yeropa nekuda kwekutambudzika kana kubuda mukati. Inoshandiswa nehuwandu hwekushandurwa nemvura uye dzimwe nguva nemishonga yeropa.
  
• Orthostatic kana postural hypotension semugumisiro wehutachiona hwemamiriro ezvinhu hunowanzova hwakajairika patinenge takura. Muzviitiko izvi, zvakakosha kutsvaga chikonzero. Izvi zvingada kuwedzera kuedzwa. Kusvikira chikonzero chemashure enduru yako yakatarwa, zvinokosha kudzivisa zvinhu zvinoita sokuti zvinokonzera dambudziko, zvakadai sokukwira kamwe kamwe kubva panzvimbo yakagara kana kugara.
  
• Mishonga inogona kuguma ne hypotension inosanganisira beta-blockers, calcium channel blockers, ACE inhibitors, uye diuretics, iyo yose inoshandiswa kugadzirisa kuwedzera kwehutano. Mamwe madhiragi, kusanganisira antidepressants, antipsychotics, nemishonga yekurapa chirwere chePasinson, inogona kuva chikonzero. Kana iwe uchangobva kutanga mishonga mitsva uye uchangobva kuvhara ropa shoma, mutarisiri wako wehutano angaderedza dambudziko rako, achigadzirisa imwe mishonga, kana kurega kurapwa. Iwe unogona kukurira kushivirira kumigumisiro pane imwe nguva yevhiki.
  
• Hormonal (endocrine) zvinokonzera kuderedzwa kweropa kunosanganisira adrenal insufficiency, inozivikanwa seAdison's disease; low low thyroid activity ( hypothyroidism ); zvirwere zvezvinyorwa zvepathyroid; uye shuga yakaderera ropa. Paunenge uine chinokonzera chirwere chekushaya simba, kushandiswa kwema hormone inoshaya inogona kudiwa. Kana dambudziko rako re endocrine chiri chikonzero chechirwere, pane zvakasiyana-siyana zvekusarudza, zvichienderana nenzvimbo uye rudzi rwechirwere.
  
• Kuberekwa kunogona kukonzera kuderera kweropa. Ropa rinoshandura panguva yekuzvitakura nenzira inofanirwa kutarisirwa, zvichienderana nekukurumidza kweropa romuviri rinokwirirana sei kune zvinodiwa zve fetus. Zvisinei, kumanikidzirwa pamidziyo midzi yeropa nemubereki kunogona kukonzera kuderera kweropa. Painozoita, kuchinja pane chinzvimbo kunoda. Kusvikira kumagumo ekuzvitakura, zvinobatsira kugara kune rumwe rutivi rworuboshwe, izvo zvinoderedza kushandiswa pamidziyo yeropa kubva pachibereko chekukura uye fetus.
  
• Kusakwana kwezvokudya, kusanganisira kupera kwesimbi, vitamini B12, uye folate, zvinogona kukonzera anemia , izvo zvinogona kutungamirira kukatsika kweropa. Kushandura utachiona kunobatsira, asi vamwe vanhu vachada mvura kana kuwedzerwa ropa.
  
• Nzira yepamusoro-inoderedzwa ropa shoma rinoreva kuvhara kwemuviri kweropa mushure mekumire kwenguva yakareba kana pasi pemafupa echisimba pamwe nes syncope inokonzerwa nekukanganisika kwepfungwa. Vaduku vakawanda vanowanzotambudzwa uye mamiriro acho ezvinhu anogara achigadzirisa nokukurumidza.
  
• Anaphylaxis chirwere chakakomba chinogona kuuraya. Inogona kukonzera kukanganiswa kweropa zvakanyanya, zvinetso zvokufema, kuvhara mumutsipa, uye mikoko. Zvimwe zvinokonzera zvinosanganisira penicillin zvirwere, peanut allergies, shellfish, uye nenyuchi. Vanhu vanoziva kuti vane chirwere chakanyanya kukura vanofanira kudzivisa chinhu chavakange vamboita, asi vanofanirawo kutakura EpiPen, iyo inofanirwa kuvhara mushonga epinephrine. Epinephrine inoshandiswawo kurapa anaphylaxis munharaunda yekukurumidzira.
  
• Kuchinja mumoyo mako rhythm kunogona kukonzera kuderera kwemuviri weropa uye syncope. Kana izvi zviri izvo, ungada chirongwa chinorwisa-arrhythmic kana pacemaker. Kuti ugadzirise izvi kuongororwa, chiremba wako anogona kuraira maawa makumi maviri nemaviri ekuongorora kwako, zvauchapfeka mumba mako sezvaunenge uchiita nemabasa ako ezuva nezuva.
  
• Kukundikana kwemoyo kunogona kukonzera kuderera kweropa mumatambudziko akaoma. Kukundikana kwemwoyo chirwere chinoramba chichienderera mberi chinotarisirwa nechekare. Kune mishonga inogona kuwedzera mwoyo yekupemha chiito, asi vamwe vanhu vangave vachida kutsva moyo.
  
• Chirwere chechiropa, kusanganisira chirwere chendrhosis , chinogona kukonzera kuderera kwemuviri weropa nokuti chiropa hachikwanisi kubudisa mapuroteni anodiwa kuchengetedza mvura mukati memidziyo yeropa. Kurwisana kunonyatsochengetedzwa ne gastroenterologist kana hepatologist, uyo anogona kupa mishonga yekuderedza zviratidzo. Sezvo chirwere ichi chiri chirwere chekupedzisira chechiropa, vamwe vanhu vangada kubatwa nechiropa.
  
• Kushungurudzwa kwepachikafu kunokonzerwa nehutachiona hutachiona uye chitunha chemuviri chemuviri. Inogona kukonzerwa nehutachiona hwehutachiwana muropa. Muzviitiko izvi, zvakakosha kurapa utachiona, asi kutarisirwa-kusanganisira intravenous (IV) mvura uye mishonga yekusimudza ropa rako (vasopressors)-dzimwe nguva inoda kusvika iwe uri munzira yekudzorera.

Shoko Rinobva

Kana iwe uine zvikamu zvekuzora kana kuchena kana iwe uchichinja nzvimbo, iwe unogona kunge uine postural hypotension. Kana iwe uchangobva kutanga mushonga mutsva, unofanirwa kubvunza chiremba wako kana zvichigona kuva chinhu. Iva nechokwadi kuti ugare wakachengetwa zvakanaka paunenge uchishanda zvakasimba mumamiriro ekupisa zvakanyanya uye apo unobatwa nechirwere chepachiviri chinogona kukonzera kurutsa kana chirwere. Kana iwe wakakuvara uye uchinzwa uchinetseka, ona chiremba wehutano panguva pfupi kuti uone kana wakamboona kudonhedzwa kukuru muropa rako. Kuderera kweropa kunowanzokosha zvikuru kana zvichiitika kamwe-kamwe kana paine chikonzero cheimwe chirwere chirwere.

> Sources:

> Anaphylaxis. (nd). Kudzorerwa kubva ku http://www.aaaai.org/conditions-and-treatments/allergies/anaphylaxis.aspx

> Freeman R. Clinical practice. Neurogenic orthostatic hypotension. N Engl J Med . 2008 Feb 7. 358 (6): 615-24. [Medline].

> Mathias CJ. Kushungurudzika kwehutachiona hwehutachiona hwehutongi. Neurology in Clinical Practice . Boston, Misa: Butterworth-Heinemann; 1996. 1953-81.

> Mukai S, Lipsitz LA. Orthostatic hypotension. Clin. Geriatr. Med. 18 (2), 253-268 (2002).

> Oner T, Guven B, Tavli V, Mese T, Yilmazer MM, Demirpence S. Postural Orthostatic Tachycardia Syndrome (POTS) uye Vitamin B12 Kukwana muAriolescents. Pediatrics . 2014 Jan. 133 (1): e138-42.