He aha ka Hypotension Postprandial?
Anter
- Kulu i ke kaomi koko ma hope o ka ʻai ʻana
- He aha nā ʻōuli o ke kuhiakau postprandial?
- Nā Kumu
- Nā kumu weliweli
- Nā pilikia
- Ke ʻimi nei i ke kōkua
- Kānāwai
- Ka mālama ʻana a me ka mālama ʻana i ke kuhiakau postprandial
- Outlook
Kulu i ke kaomi koko ma hope o ka ʻai ʻana
Ke hāʻule kou kaomi koko ma hope o kou ʻai ʻana i ka pāʻina, ʻike ʻia ke ʻano he hypostect postprandial. ʻO ka Postprandial kahi huaʻōlelo olakino e pili ana i ka manawa manawa ma hope pono o kahi pāʻina. Hypotension ʻo ia hoʻi ka haʻahaʻa o ke koko.
ʻO ke kaomi koko ka ikaika o ke kahe o ke koko e kūʻē i nā paia o kāu aʻa. Hoʻololi kāu kaomi koko i loko o ka lā a me ka pō e pili ana i kāu hana. Hiki i ka hoʻoikaika kino ke piʻi aʻe i ke kaomi koko, akā ʻo ka hiamoe mau e lawe i kou kaomi koko i lalo.
ʻO ka hypotension postprandial ka mea maʻamau i nā mākua makua. Hiki i ke kulu i ke kahe koko ke alakaʻi i ka lightheadedness a hāʻule i lalo, kahi e alakaʻi ai i nā pilikia koʻikoʻi. Hiki ke ʻike ʻia a mālama ʻia ke kuhiakau postprandial, pinepine me kekahi o nā ʻano nohona maʻalahi.
He aha nā ʻōuli o ke kuhiakau postprandial?
ʻO nā ʻōuli nui o ka hypotension postprandial ka dizziness, lightheadedness, a maule paha ma hope o ka pāʻina. ʻO Syncope ka manawa i hoʻohana ʻia e wehewehe i ka poni ʻana i kahi hopena o ke kahe ʻana o ke kahe o ke koko.
ʻO ka maʻamau maʻamau kēia kumu e ke kulu i loko o kou kaomi systolic ma hope o ka ʻai ʻana. ʻO ka helu systolic ka helu kiʻekiʻe i ka heluhelu ʻana i ke kaomi koko. Ke nānā nei i kou kaomi koko ma mua a ma hope o ka pāʻina hiki ke hōʻike inā he loli ke hana nei ʻoe.
Inā he kulu kou i ke kahe o ke koko i nā manawa ʻē aʻe ʻaʻole pili i ka ʻai ʻana, loaʻa paha iā ʻoe nā kūlana ʻē aʻe i pili ʻole i ka hypotension postprandial. Hiki i nā kumu ʻē aʻe o ke kaomi haʻahaʻa ke:
- maʻi maʻi puʻuwai
- hoʻomake wai
- hāpai keiki
- maʻi thyroid
- Ka loaʻa ʻole o ka wikamina B-12
Nā Kumu
Ke ʻeli ʻoe i kahi pāʻina, koi ʻia kou ʻōpū i ke kahe o ke kahe e hana pono. ʻO ka maʻamau, e hoʻonui ka helu o kou puʻuwai ʻoiai ʻo kou mau aʻa e hāʻawi ana i ke koko i nā wahi ʻē aʻe ma mua o kou ʻōpū e constrict. Ke hoʻoliʻiliʻi kou mau aʻa, piʻi ka piʻi o ke koko i nā paia artery. ʻO ia, e hoʻonui i kou kahe koko.
Mālama ʻia kēia mau hoʻololi i kāu kīʻaha koko a me ka helu o ka puʻuwai e kāu ʻōnaehana autonomic, kahi e kaohi ai i nā hanana kino ʻē aʻe me ka ʻole o kou noʻonoʻo e pili ana iā lākou. Inā loaʻa iā ʻoe kahi maʻi olakino e hoʻopili i kāu ʻōnaehana autonomic, ʻaʻole e hoʻonui ʻia ka nui o kou puʻuwai, a ʻaʻole paha e ʻākoʻakeʻa kekahi mau aʻa. E noho maʻamau ke kahe o ke koko.
Eia naʻe, ma muli o ke koi o kāu ʻōpū no ke koko i ka wā o ka digestion, e emi ke kahe o ke koko i nā ʻāpana ʻē aʻe o ke kino. ʻO kēia ke kumu o ka hāʻule koke, akā no ka manawa pōkole, i ke kahe o ke koko.
ʻO kekahi kumu kūpono o ka hypotension postprandial e pili ana i ka lawe wikiwiki ʻana o ka glucose, a i ʻole ke kō, a e wehewehe paha i ka nui o ka makaʻi no ka maʻi i loaʻa i ka maʻi kō.
Eia nō naʻe, hiki iā ʻoe ke hoʻomohala i ka hypotension postprandial ʻoiai inā ʻaʻohe ou ʻano e hoʻopili i ka ʻōnaehana autonomic. I kekahi manawa ʻaʻole hiki i nā kauka ke hoʻoholo i kahi kumu kumu no ka hypotension postprandial.
Nā kumu weliweli
Hoʻonui ka ʻelemakule i kou makaʻi o ka postension hope a me nā ʻano o ke kahena haʻahaʻa. Kākaʻikahi ka hypotension postprandial ma waena o ka poʻe ʻōpio.
Hiki i kekahi mau kūlana olakino ke hoʻonui i kou makaʻu no ka hypotension postprandial no ka mea ke hoʻopilikia paha lākou i nā ʻāpana o ka lolo e kaohi ana i ka ʻōnaehana autonomic. ʻO ka maʻi a me ka maʻi maʻi ʻo Parkinson he ʻelua mau laʻana maʻamau.
I kekahi manawa, hiki i ka poʻe me ke kiʻekiʻe kiʻekiʻe (ke koko kiʻekiʻe) ke ʻike i nā kulu nui i ko lākou kahe koko ma hope o ka ʻai ʻana. I kēlā mau hihia, hiki i ke kulu i ke kahe koko ke kumu ʻia e nā lāʻau anti-hypertensive. ʻO nā lāʻau i kuhi ʻia i ka hoʻohaʻahaʻa ʻana i kou kahe koko hiki i kekahi manawa ke maikaʻi loa a kumu i kahi kulu palekana ʻole.
Nā pilikia
ʻO ka pilikia koʻikoʻi e pili ana i ka hypotension postprandial e maʻule a me nā ʻeha e hiki ke ukali. Hiki i ka palaka ke hāʻule i kahi hāʻule, kahi e hiki ai i kahi haʻihaʻi, ʻehaʻeha, a i ʻole nā trauma ʻē aʻe. ʻO ka lilo ʻana o ka ʻike i ka wā e hoʻokele nei i kahi kaʻa. Hiki i ka hōʻemi ʻana o ke koko i ka lolo ke hana i ka maʻi hahau.
ʻO ke kuhiakau postprandial kahi ʻano manawa pōkole, akā inā kūpikipiki ke koko haʻahaʻa, hiki i kekahi mau pilikia koʻikoʻi ke hopena. ʻO kahi laʻana, hiki iā ʻoe ke hele i ka haʻalulu. Inā kūpilikiʻi nui ʻia ka lako o ke koko, hiki paha iā ʻoe ke ʻike i ka maikaʻi ʻole o nā meaola.
Ke ʻimi nei i ke kōkua
Inā nānā pinepine ʻoe i kou kaomi koko a ʻike ʻoe i kahi ʻano o ke kaomi ʻana o ke koko ma hope o ka ʻai ʻana, e haʻi i kāu kauka i kāu kau e hiki mai ana. Inā hele pū nā kulu me ka lōkō a i ʻole nā hōʻailona maopopo ʻē aʻe, a i ʻole ʻike pinepine ʻoe i nā ʻōuli o ke koko haʻahaʻa ma hope o ka ʻai ʻana, a laila e ʻike koke i kāu kauka.
Kānāwai
E makemake ana kāu kauka e nānā hou i kāu mōʻaukala olakino a me nā ʻōuli. Inā ʻoe e ʻimi nei i kou kaomi koko me kahi mea nānā home, e hōʻike i kāu kauka i nā heluhelu āu i hōʻiliʻili ai, e hoʻomaopopo ana i ka wā i hoʻopaʻa ʻia ai nā kaomi ma hope o ka ʻai ʻana
Pono kāu kauka e hoʻāʻo e kiʻi i kahi kaomi mua ma mua o ka pāʻina ʻana i ke kaomi koko a laila kahi heluhelu postprandial e hōʻoia i kāu hōʻoia home. Lawe ʻia nā pilikia ma nā manawa ma hope o ka pāʻina ʻana, e hoʻomaka ana ma 15 mau minuke a pau ma kahi o 2 mau hola ma hope o ka ʻai ʻana.
Ma kahi o 70 pākēneka o ka poʻe me ka hypotension postprandial, hāʻule ke kahe o ke koko ma waena o 30 a 60 mau minuke ma hope o ka pāʻina.
Hiki ke ʻike ʻia ke kuhiakau postprandial inā ʻoe e ʻike i kahi kulu i kou kaomi systolic ma kahi o 20 mm Hg ma loko o ʻelua mau hola o ka ʻai ʻana i kahi pāʻina. Hiki paha i kāu kauka ke hōʻoia i ka hypotension postprandial inā he 100 mm Hg ka nui o kou kaomi systolic pre-ʻai a loaʻa iā ʻoe kahi kaomi koko systolic o 90 mm Hg i loko o ʻelua mau hola o ka pāʻina.
Hiki ke lawelawe ʻia nā hoʻokolohua ʻē aʻe e noho aliʻi i nā kumu ʻē aʻe o kāu loli ke koko. Pākuʻi ʻia kēia mau mea:
- hōʻoia koko e nānā no ka anemia a i ʻole ke kō kō
- electrocardiogram e nānā no nā pilikia o ka puʻuwai puʻuwai
- echocardiogram e loiloi i ka hanana o ka naʻau a me kāna hana
Ka mālama ʻana a me ka mālama ʻana i ke kuhiakau postprandial
Inā ʻoe e lawe i nā lāʻau e hoʻohaʻahaʻa i ke koko, hiki i kāu kauka ke ʻōlelo iā ʻoe e hoʻoponopono i ka manawa o kāu kau. Ma ka hōʻalo ʻana i nā lāʻau anti-hypertensive ma mua o ka ʻai ʻana, hiki iā ʻoe ke hōʻemi i kou makaʻi no ka hāʻule ʻana o ke kaomi koko ma hope o ka ʻai. ʻO ka lawe pinepine ʻana i nā lāʻau i loko o ka lā he koho paha ia, akā pono ʻoe e kūkākūkā i nā loli i kāu manawa lāʻau a i ʻole nā mea hana me kāu kauka ma mua o ka hoʻokolohua ʻana iā ʻoe iho.
Inā pili ʻole ka pilikia i nā lāʻau, hiki i kekahi mau loli nohona ke kōkua. Manaʻo kekahi poʻe loea olakino hiki i ka hoʻokuʻu ʻana o ka insulin e pili ana i nā pāʻina carbohydrate kiʻekiʻe ke hoʻopilikia i ka ʻōnaehana autonomic i kekahi poʻe, e alakaʻi ana i ke kuhiakau. ʻO ka insulin ka hone e kōkua i nā hunaola e omo i ka glucose (kō) mai ke kahe o ke koko no ka hoʻohana ʻana me he ikehu. Inā ʻoe e ʻike nei i ke kuhiakau postprandial, e nānā i kāu mea e ʻai nei. Inā ʻoe e ʻike pinepine i nā ʻōuli ma hope o ka ʻai ʻana o ka carbohydrate kiʻekiʻe, e noʻonoʻo e hoʻoliʻiliʻi i kāu lawe pākiki. ʻO ka ʻai pinepine ʻana, akā ʻoi aku ka liʻiliʻi, nā pāʻina momona momona ma loko o ka lā e kōkua pū kekahi.
ʻO ka hele wāwae ʻana ma hope o ka pāʻina pū kekahi e kōkua i ka hōʻemi ʻana i ke kaomi koko. Eia nō naʻe, e makaʻala ʻoe e hāʻule paha kou kaomi koko ke kū ʻoe i ka hele wāwae.
Hiki paha iā ʻoe ke mālama i kou kaomi koko ma hope o ka pāʻina ʻana inā ʻoe e lawe i kahi lāʻau anti-inflammatory nonsteroidal (NSAID) ma mua o ka pāʻina. Loaʻa nā NSAID maʻamau i ka ibuprofen (Advil) a me ka naproxen (Aleve).
Ke kōkua ʻana i kahi kīʻaha kope a i ʻole kumu ʻē aʻe o ka caffeine ma mua o ka ʻai ʻana. Hana ʻo Caffeine i nā kīʻaha koko. Mai loaʻa i ka caffeine i ke ahiahi, akā, no ka mea hiki ke hoʻopilikia i ka hiamoe, ka mea e pilikia ai ke olakino ʻē aʻe.
ʻO ka inu ʻana i ka wai ma mua o ka pāʻina e pale aku ai i ka manaʻo postprandial. Ua hōʻike ʻia kekahi e inu ana 500 mL - ma kahi o 16 oz. - o ka wai ma mua o kaʻaiʻana i hoʻohaʻahaʻa i ka hanana.
Inā maikaʻi ʻole kēia mau hoʻololi, hiki i kāu kauka ke kuhikuhi i ka lāʻau octreotide (Sandostatin). He lāʻau lapaʻau ia e kuhikuhi maʻamau i ka poʻe i nui ka nui o ka hormone ulu i kā lākou ʻōnaehana. Akā ua hōʻoia maikaʻi ʻia i kekahi poʻe i ka hōʻemi ʻana i ke kahe o ke koko i ka ʻōpū.
Outlook
Hiki i ke kuhiakau postprandial ke kūlana koʻikoʻi, akā hiki ke mālama pinepine ʻia me nā loli nohona a i ʻole ka hoʻoponopono ʻana o kāu mau lāʻau anti-hypertensive.
Inā hoʻomaka ʻoe e ʻike i nā hōʻailona ma hope o ka ʻai ʻana, e haʻi i kāu kauka. I kēia manawa, e kiʻi i kahi mea nānā i ke kaomi koko, a aʻo e hoʻohana pololei ia. ʻO ka huli ʻana i kāu helu he ala hoʻokahi e proactive e pili ana i kēia ʻano nui o kou olakino cardiovascular.