Ukuhlaselwa Kwegazi Eliphansi Uma Ukuma? Izimpawu, Izimbangela, Nokwelashwa

Ukuhlaselwa kwegazi eliphansi uma ukuma kwenzeka lapho izinga lakho legazi liwa kakhulu uma ukuma ngemuva kokulala noma ukuhlala. Lokhu kwenzeka ngoba umzimba wakho uhluleka ukupompa igazi elanele ebuchosheni nakwezinye izitho uma ushintsha isimo.

Ungase ube wazi le mvazi njengokuzizwa ukhwele noma ukhuluphala uma ukuma ngokushesha. Nakuba kungase kube ukwesaba, ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza ukuba ulawule kangcono futhi wazi nini kufanele ubone udokotela.

Kuyini ukuhlaselwa kwegazi eliphansi uma ukuma?

Ukuhlaselwa kwegazi eliphansi uma ukuma kwenzeka lapho izinga lakho legazi liwa okungenani ngamaphuzu angu-20 e-systolic noma angu-10 e-diastolic phakathi kwemizuzu emithathu uma ukuma. I-systolic pressure yiyona inombolo ephakeme ekufundeni kwakho kwegazi, kuyilapho i-diastolic iyona inombolo ephansi.

Uma ukuma, amandla adonsa igazi liye ezinyaweni zakho futhi kude nebuchotsheni bakho. Ngokuvamile, uhlelo lwakho lwezinzwa luyalungisa ngokushesha ngokwenza inhliziyo yakho ishaye ngokushesha futhi iqinise imithambo yegazi. Kodwa ngezinye izikhathi le nqubo ayisebenzi kahle, ikushiya uzizwa ukhwele noma ungaqiniseki.

Lesi simo sithinta abantu bazo zonke izinsuku, kodwa siyabanda njengoba ukhula. Ikhono lomzimba wakho lokulawula izinga legazi lingahlala liwe ngokwemvelo njengoba ukhula, okwenza lezi zenzakalo zibe khona njalo.

Ziyini izimpawu zokuhlaselwa kwegazi eliphansi uma ukuma?

Izimpawu zivame ukuvela ngokushesha uma ukuma futhi zingaba ezincane noma eziphawulekayo. Umgubho wakho uyakutshela ukuthi ubuchotsheni bakho abutholi ukugcwala kwegazi ngaleso sikhathi.

Izimpawu ezivamile ongazibona zihlanganisa:

• Ukuzizwa ukhwele noma ukhuluphala uma ukuma
• Ukuzizwa uthukuthele noma sengathi ungase uwa
• Ukubona okungacaci noma okumnyama
• Ubuthakathaka noma ukukhathala
• Ukuphazamiseka noma ubunzima bokuqonda
• Ukuphefumula okunzima

Izimpawu ezinzima kakhulu zingase zenzeke kwezinye izimo, nakuba zingavamile. Lezi zingase zihlanganise ukuwa, ubuhlungu esifubeni, noma izikhathi zokukhathala. Uma uhlangabezana nezimo zokukhathala, kubalulekile ukukhuluma nodokotela wakho njengoba ukuwa kungabangela ukulimala.

Ziyini izimbangela zokuhlaselwa kwegazi eliphansi uma ukuma?

Izinto eziningi zingaphazamisa ikhono lomzimba wakho lokulawula izinga legazi uma ukuma. Ukuqonda lezi zimbangela kungakusiza wena nodokotela wakho ukuthi nibone ukuthi yini engase ibe nomthelela ezimpawu zakho.

Izimbangela ezivamile zihlanganisa:

• Ukuphelelwa amanzi ngokungaphuzi amanzi anele, ukufiphaza, noma ukukhishwa okukhulu kwesweti
• Imithi efana nemithi yegazi, imithi yokucindezela, noma i-diuretics
• Ukulala isikhathi eside embhedeni noma ukungasebenzi
• Izinkinga zenhliziyo ezihlasela ikhono lokupompa
• Izifo zezinzwa
• Izimo ze-endocrine njengesihlalo noma izinkinga zesitho se-thyroid

Ngezinye izikhathi imbangela iyabanda futhi kulula ukuyilungisa, njengokuphelelwa amanzi ngemuva kokugula kwesisu. Ngezinye izikhathi, kungase kuhlobene nemithi engalungiswa noma isimo esiyisisekelo esidinga ukwelashwa.

Kwezinye izimo, odokotela abakwazi ukubona imbangela ethile. Lokhu kubizwa ngokuthi ukuhlaselwa kwegazi eliphansi uma ukuma okuyisisekelo, futhi kuvame ukuphathelene nendlela uhlelo lwakho lwezinzwa olulawula ngayo izinga legazi njengoba ukhula.

Nini kufanele ubone udokotela ngokuhlaselwa kwegazi eliphansi uma ukuma?

Kufanele uxhumane nodokotela wakho uma uhlangabezana nezimo ezivamile zokuzizwa ukhwele noma ukhuluphala uma ukuma. Nakuba izimpawu ezincane ezingavamile zingase zingakhathazeki, ukwenzeka njalo kufanele kunakekelwe ngokwelapha.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nezimo zokukhathala, ukukhathala okukhulu okuhlupha imisebenzi yansuku zonke, noma izimpawu ezibi kakhulu ngokuhamba kwesikhathi. Lokhu kungase kubonise isimo esiyisisekelo esidinga ukwelashwa.

Shaya ucingo ucele usizo oluphuthumayo uma unebuhlungu esifubeni, ubunzima bokuqeda umoya, noma izikhathi zentloko kanye nezimpawu zakho. Lezi zixhobo zingase zibonise izinkinga ezinzima ze-cardiovascular noma ze-neurological ezidinga ukunakekelwa ngokushesha.

Ziyini izinto ezingase zikwenze ube sengozini yokuhlaselwa kwegazi eliphansi uma ukuma?

Izinto ezithile zikwenza ube nethuba elikhulu lokuthola lesi simo. Ubudala yiyona into eyingozi kakhulu njengoba ukulawula izinga legazi lomzimba wakho kuya kwehla ngokuhamba kwesikhathi.

Ezinye izinto ezingase zikwenze ube sengozini zihlanganisa:

• Ukuba neminyaka engaphezu kuka-65
• Ukuthatha imithi eminingi, ikakhulukazi imithi yegazi noma imithi yenhliziyo
• Ukuba nesihlalo noma ezinye izifo ze-endocrine
• Isifo senhliziyo noma ukuhluleka kwenhliziyo
• Isifo se-Parkinson noma ezinye izimo ze-neurological
• Ukulala isikhathi eside embhedeni noma ukungasebenzi
• Ukukhulelwa, ikakhulukazi ekugcineni kwesigamu sesibili nesesithathu

Ukuba nenye noma ngaphezulu kwezinto ezingase zikwenze ube sengozini akusho ukuthi uzokuthola ukuhlaselwa kwegazi eliphansi uma ukuma. Noma kunjalo, ukwazi lezi zinto kungakusiza wena nodokotela wakho ukuba nibone izimpawu futhi nithathe izinyathelo zokuvikela.

Ziyini izinkinga ezingase zenzeke ngokuhlaselwa kwegazi eliphansi uma ukuma?

Into ebaluleke kakhulu ngokuhlaselwa kwegazi eliphansi uma ukuma yingozi yokuwa nokulimala. Uma uzizwa ukhwele noma uthukuthele, ungase ulahlekelwe isikhala bese uwa, okungabangela ukweqa noma ukulimala ekhanda.

Ukuwa kuyingozi kakhulu kubantu abadala, abangase babe namagagasi abuthakathaka futhi kuthathe isikhathi eside ukuphulukana nokulimala. Ngisho nokuwa okuncane ngezinye izikhathi kungabangela izinkinga ezinzima njengokuqhekeka kwe-hip noma ukukhathala.

Kwezinye izimo, izimo ezinzima zingase zikwenze ulahlekelwe uqaphelo ngokuphelele. Lokhu kungaba yingozi uma kwenzeka uma uqhuba, usebenza imishini, noma kwezinye izimo ezingase zibe yingozi.

Abanye abantu bathuthukisa ukwesaba ukuqina noma ukuhamba, okungabangela ukunciphisa amazinga wemisebenzi nokunciphisa amandla. Lokhu kudala isizungu lapho ukungasebenzi kwenza isimo sibe sibi kakhulu ngokuhamba kwesikhathi.

Ukuhlaselwa kwegazi eliphansi uma ukuma kunakwa kanjani?

Udokotela wakho uzokuqala ngokuthatha izinga lakho legazi ngenkathi ulala, bese uphinda ukuma ngemuva kokuba ukhulu. Uzokulinganisa ngemuva kwemizuzu eyodwa nemithathu uma ukuma ukuze abone ukuthi liwa kangakanani.

Uvivinyo lwe-tilt table lungase luqondiswe uma izimpawu zakho zinzima noma uma ukuhlolwa okuvamile kungakubambi izimo zakho. Phakathi nalesi sivivinyo, ulela etafuleni eliqina kancane ngenkathi izinga lakho legazi nesivinini senhliziyo kuqapha.

Udokotela wakho uzophinde ahlole imithi yakho, umlando wezokwelapha, nezimpawu zakho ukuze athole izimbangela ezingase zibe khona. Izivivinyo zegazi zingase ziqondiswe ukuze uhlole izimo ezifana nesihlalo, i-anemia, noma izinkinga ze-thyroid ezingase zithole izimpawu zakho.

Kuyini ukwelashwa kokuhlaselwa kwegazi eliphansi uma ukuma?

Ukwelashwa kugxile ekunakekeleni imbangela uma kungenzeka futhi kulawula izimpawu ukuze kuvinjwe ukuwa futhi kuthuthukiswe ikhwalithi yakho yokuphila. Indlela ihlanganisa ukuthi yini ebangela isimo sakho nokuthi izimpawu zakho zinzima kangakanani.

Uma imithi ihlanganyela ezimpawu zakho, udokotela wakho angase alungise imithamo noma ashintshe imithi ehlukile. Ungalokothi uyeke ukuthatha imithi eyalwe ngudokotela ngaphandle kokukhuluma nodokotela wakho kuqala, njengoba lokhu kungase kube yingozi kwezinye izimo zezempilo.

Kwezimo ezihlobene nokuphelelwa amanzi noma ukuncishiswa kwegazi, ukwandisa ukusetshenziswa kwamanzi nosawoti kungasiza. Udokotela wakho angase akuqondise ukuba uphuze amanzi amaningi usuku lonke noma ufake usawoti olukhulu ekudleni kwakho.

Kwezinye izimo, imithi ekhethekile yokuhlaselwa kwegazi eliphansi uma ukuma ingase iyalwe. Le mithi iyasiza umzimba wakho ukuba ugcine amanzi noma uqinise imithambo yegazi ukuze ugcine izinga legazi elihle uma ukuma.

Indlela yokulawula ukuhlaselwa kwegazi eliphansi uma ukuma ekhaya

Ukushintsha indlela yokuphila okulula ngokuvamile kungenza umehluko omkhulu ekulawuleni izimpawu zakho. Okubalulekile ukusisiza umzimba wakho ukuba ulungise ngokuhamba kwesikhathi ekuguquleni isimo futhi ugcine izinga legazi elifanele.

Uma ukuma, hamba kancane futhi ngezigaba. Hlala eceleni kombhede wakho imizuzu eyodwa ngaphambi kokuma, bese ukuma okwesikhashana ngaphambi kokuhamba. Lokhu kunika uhlelo lwakho lokujikeleza isikhathi sokulungisa.

Hlala unamanzi anele ngokuphuza amanzi amaningi usuku lonke. Amanzi aphambili, kodwa ezinye iziphuzo ezingena-alcohol nazo ziyabala. Gwema inani elikhulu le-alcohol, elingenza ukuphelelwa amanzi nezimpawu zibe zimbi kakhulu.

I-compression stockings ingasiza ukuvimbela igazi ukuba lingadili ezinyaweni zakho. Lezi stocking ezikhethekile zifaka ukucindezela okulula ukukhuthaza ukugcwala kwegazi emuva enhliziyweni yakho nasebuchotsheni bakho.

Ukuqina ikhanda lommbhede wakho ngama-intshi angu-4-6 kungasiza ukunciphisa izimpawu zokusa. Lesi simo sisiza umzimba wakho ukuba ugcine ukulawula izinga legazi ngesikhathi ulele.

Indlela yokulungiselela i-appointment yakho nodokotela

Gcina idayari yezimpawu amasonto ambalwa ngaphambi kwe-appointment yakho. Qaphela ukuthi izimpawu zenzeka nini, ukuthi wawenzani, nokuthi zazinzima kangakanani. Lolu lwazi luyasiza udokotela wakho ukuthi aqonde izibonelo nezinto ezibangela izimpawu.

Letha uhlu oluphelele lwemithi oyithathayo, kuhlanganise imithi eyalwe ngudokotela, imithi yokuthengwa ngaphandle kokubonisana nodokotela, kanye nezinye izinto. Faka imithamo nokuthi uyithatha nini, njengoba isikhathi singase sibe nomthelela ezingeni legazi.

Bhala imibuzo ofuna ukuyibuza udokotela. Ungase ukhohlwe izinto ezibalulekile ngesikhathi se-appointment, ngakho ukuba nazo ezibhaliwe kuqinisekisa ukuthi uthola ulwazi oludingayo.

Cabanga ukuletha ilungu lomndeni noma umngani ongakusiza ukuba ukhumbule ulwazi oluxoxwe ngesikhathi sokuvakasha. Bangase futhi banikeze ukubona okuwusizo ngezimpawu zakho ongaziqapheli.

Iyini into ebaluleke kakhulu ngokuhlaselwa kwegazi eliphansi uma ukuma?

Ukuhlaselwa kwegazi eliphansi uma ukuma kuyisimo esilawuleka esithinta abantu abaningi, ikakhulukazi njengoba bekhula. Nakuba izimpawu zingase zikhathaze, ukuqonda ukuthi kwenzekani kusiza ukuba uthathe izinyathelo ezifanele ukuze uhlale uphephile.

Into ebaluleke kakhulu ukuqaphela izimpawu zakho nokuthatha izinyathelo zokuvikela ukuwa. Ukushintsha okulula njengokuhamba kancane uma ukuma nokuhlala unamanzi kungenza umehluko wangempela endleleni ozizwa ngayo.

Sebenzani nodokotela wakho ukuze uthole izimbangela ezingase zibe khona futhi uthuthukise uhlelo lokwelapha olusebenza ngawe. Ngokulawulwa okuhle, abantu abaningi abane-orthostatic hypotension bangqhubeka nemisebenzi yabo evamile ngokuphepha.

Imibuzo evamile ebuzwa ngokuhlaselwa kwegazi eliphansi uma ukuma

Ingakwelashwa yini ukuhlaselwa kwegazi eliphansi uma ukuma?

Ukuthi ukuhlaselwa kwegazi eliphansi uma ukuma kungakwelashwa yini kuncike kulokho okubangelayo. Uma kubangelwa ukuphelelwa amanzi, imiphumela emibi yemithi, noma ezinye izimo ezilawuleka, ukunakekela lezi zinkinga ngokuvamile kungaxazulula inkinga ngokuphelele. Noma kunjalo, uma kuhlobene nobudala noma izimo ezingapheli, ukugxila kuguqulwa ekulawuleni izimpawu ngokuphumelelayo kunokwelapha isimo ngokuphelele.

Ingozi yini ukuhlaselwa kwegazi eliphansi uma ukuma?

Ukuhlaselwa kwegazi eliphansi uma ukuma ngokwalo akuvamile kube yingozi, kodwa izimpawu zingabangela ukuwa nokulimala. Izingozi eziyinhloko zivela ekulahlekelweni kwesikhala noma ekuweni uma izimpawu zenzeka. Ngokuqapha okuhle nokulawulwa, abantu abaningi bangaphila ngokuphepha ngalesi simo ngaphandle kwezinkinga ezinzima.

Kungani ngizizwa ngikhwele ngezinye izikhathi uma ngima?

Izinto eziningi zingase zithinte ukuthi izimpawu zenzeka nini, kuhlanganise ukuthi unamanzi kangakanani, imithi oyithathayo, isikhathi eside ohlale uhlezi noma ulele, ngisho nokuthina okuzungezile. Ikhono lomzimba wakho lokulawula izinga legazi lingase lihluke usuku nosuku ngokusekelwe kulezi zinto nezinye izinto.

Ingasiza yini ukuzivocavoca ngokuhlaselwa kwegazi eliphansi uma ukuma?

Yebo, ukuzivocavoca njalo kungasiza ukuthuthukisa impilo yakho ye-cardiovascular nokulawula izinga legazi. Noma kunjalo, kubalulekile ukuqala kancane futhi ukhethe imisebenzi efanele. Udokotela wakho angase akuqondise imisebenzi ephephile engase ingabi zimbi izimpawu zakho, njengokuzivocavoca okuhlala phansi noma izinhlelo zokuhamba okulula.

Kufanele ngikhulise yini ukusetshenziswa kwami kosawoti uma ngine-orthostatic hypotension?

Abanye odokotela bayakuqondisa ukuba ukhulisa ukusetshenziswa kosawoti ukuze ugcine amanzi futhi ugcine izinga legazi, kodwa lokhu akuyona into efanele wonke umuntu. Uma unezinga legazi eliphezulu, isifo senhliziyo, noma izinkinga zezinso, usawoti owengeziwe ungase ube yingozi. Hlala uxoxa ngokushintsha kokudla nodokotela wakho ngaphambi kokwenza izinguquko.