Postprandial hypotension ndiyo mamiriro ezvinhu umo ropa romunhu rinodonha mushure mekudya. ("Postprandial" zvinoreva "mushure mekudya.") Kune vanhu vane postpandial hypotension, chiito chisina kumira chokusimudza mushure mekudya chingakonzera kunyanya kudonha ropa, zvichiita kuti zviratidzo zvive pachena.
Postprandial hypotension ndiyo inowanzoonekwa kuvanhu vakwegura.
Kusvikira kune mumwe muvatatu vakuru vakwegura vachave nehuwandu hwepasipandial hypotension, inotsanangurwa sehokwe mu systolic ropa rinosvika kusvika 20 mmHg mukati maawa maviri mushure mekudya. Kune vakawanda vevanhu ava mamiriro acho ane unyoro, uye haabatanidzwi nezviratidzo. Mune zvimwe, zvisinei, postpandial hypotension inogona kuva yakanyanya.
Postprandial hypotension imwe nzira yakasiyana-siyana yehutano hwehutano (doro muropa mukati pemazuva). Mhando dzose dzehutano hwehutano huzhinji hunoita kuti vanhu vane huwandu hwehupfumi hwemhepo, kana nemamwe mamiriro ezvinhu anokanganisa utachiona hwehutachiona hwakadai sePasinson's disease uye chirwere cheshuga .
Zviratidzo zvePostprandial Hypotension
Vanhu vane postpandial hypotension vanowanzoona kuchena , mutsivi , utera kana kunyange syncope (kurasikirwa kwekuziva) pavanomira mushure mamaawa maviri kana maviri mushure mekudya kudya.
Zviratidzo zvinowanzova zvakaoma zvikuru mushure mekudya kudya kukuru, kudya kunosanganisira zvakawanda zveakaginijidhi, kana kuti doro rinopedzwa panguva kana kuti musati madya. Zviratidzo izvi zvinowanzogadzirisa mukati maawa maviri kana kuti pashure pokupedzisa kudya.
Chii chinokonzera Postprandial Hypotension?
Kunyange zvazvo chinokonzera postpandial hypotension isinganzwisiswi zvakakwana, inofungidzirwa kuti yakabatana nekubatanidza ropa muzviviri zvemuviri panguva yekugadzirisa.
Nemhaka yekuisa ropa iri, chiyero cheropa chinowanikwa kuhuwandu hwemadonhwe emvura, zvichiita kuti ropa rive pasi, kunyanya kana rakamira.
Chimwe chiyero cheropa chinounganidza muzvamuviri zvemuviri mushure mokudya kudya kwemazuva ose, sezvo kudya zvokudya kunoda kuwedzera mukubuda kweropa. Mune vanhu vane postpandial hypotension, zvisinei, zvinofungidzirwa kuti uku kusanganiswa kweropa mumatumbo kunowedzerwa, kana kuti kufanana kunowanzoita mitsipa yeropa mumakumbo (kubhadhara kuvhara ropa mumimba) kunoderedzwa.
Kudya zvokudya zvepamusoro-carbohydrate zvinowedzera kuipa kwazvo postprandial hypotension. Izvi zvakatungamirira dzimwe nyanzvi kuti dziratidze kuti, kune vanhu vane postpandial hypotension, insulin kana imwe ropa makemikari anosunungurwa mushure mekudya kwepamusoro-carb kunogona kukonzera kuderedza kuderedza mishonga yeropa remimba.
Kune rumwe rutivi, kukwegura pachako kunofambidzana nekuwedzera mumudumbu rekuisa ropa iro rinowanzoitika mushure mekudya. Vazhinji vanhu vakwegura havamboiti zviratidzo kubva kuwedzera kwekuisa ropa - asi vanhu vane zviratidzo zvakakura kubva shure kwepfungwa dzakapedzisira vave vakwegura.
Kuchengeta Postpandial Hypotension
Kunyange zvazvo pasina hutano husina kunyatsopedzisira kubvisa kupindira kwemashure, zviratidzo zvinogona kutarisirwa zvakakwana muhuzhinji hwevanhu vane chirwere ichi.
Kurapa zviratidzo zve postpandial hypotension zvinosanganisira zvinhu zvina:
- Idya zviduku, kudya kakawanda. Kudya zvokudya zvakakura kunowedzera kuwedzeredza ropa rekudzivirira ropa. Zviduku zviduku zvinoreva kuderera ropa kuduku.
- Dzivisa kudya kwepamusoro-carbohydrate.
- Dzivisa doro. Doro rinoderedza mitsipa yeropa uye inodzivirira kudzivirira kwemitsipa yeropa mumakumbo aizowanzobhadhara ropa rekudzivirira ropa.
- Garai-kana, kana zviratidzo zvakanyanya, rara pasi-kweawa kana maviri mushure mekudya. Dumbu rekudzivirira ropa rinowedzera kuparara munguva ino mushure mekudya.
Kana zviyero izvi zvisingakwanisi, mamwe maitiro anowanzoshandiswa kurapa maitiro ehutano anowanzobatsira.
Somuenzaniso, kutora nonsteroidal anti-inflammatory drugs (NSAIDs) vasati vadya kunogona kukonzera kuti munyu uchengeterwe, zvichidaro kuwedzerwa ropa. Mukuwedzera, caffeine inogona kukonzera mitsipa yeropa kuti iite uye inogona kuderedza zviratidzo. Guar gum inogonawo kuwedzera zviratidzo, zvichida nekuderedza kubuda kwemudumbu mushure mokudya.
Kuwana zvakawanda zvekudzidzira pakati pezvokudya - zvakadai sekufamba-kunogona kuvandudza maitiro evascular, uye kuderedza zviratidzo zve postpandial hypotension.
Izvo zvakawanikwa kuti, kune vanhu vane postpandial hypotension avo vane diastolic mwoyo kusakundikana uye vari kurapwa ne diuretics , kubvisa diuretics kunogona kuwedzera zvinoshamisa zviratidzo.
Kana zviratidzo zvakanyanya uye hazvikwanisi kudzorwa nezvimwe zviyero, subcutaneous injections ye octreotide (mushonga unofanana se somatostatin, hormone inogadzirwa nepancreas) usati wadya kungabatsira kuderedza kuwanda kweropa rinoyerera kusvika mumukumbo. Zvisinei, kurapa uku kunodhura, uye kunogona kukonzera matambudziko makuru.
Shoko Rinobva
Kunyange zvazvo postprandial hypotension inogona kuitika pane dzimwe nguva dambudziko guru, kunyanya kune vakwegura, muhuzhinji rwevanhu vane zvirwere izvi zviratidzo zvinogona kudzorwa nehupenyu hushoma hunochinja.
> Sources:
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> Jansen RW, Lipsitz LA. Postprandial Hypotension: Epidemiology, Pathophysiology, uye Clinical Management. Ann Intern Med 1995; 122: 286.
> Jones KL, MacIntosh C, Su YC, et al. Guar Gum Inotapudza Postpandial Hypotension Muvanhu Vakwegura. J Am Geriatr Soc 2001; 49: 162.
> Mills PB, Fung CK, Travlos A, Krassioukov A. Nonpharmacologic Mutungamiri weOrstist Hypotension: Ongororo Yakarongeka. Arch Phys Med Rehabil 2015; 96: 366.