Hypotension mu dialysis ndi imodzi mwazovuta zomwe zimachitika pa hemodialysis.Zimachitika mwachangu ndipo nthawi zambiri zimapangitsa hemodialysis kulephera bwino, zomwe zimapangitsa kuti dialysis isakwaniritsidwe, zomwe zimakhudza magwiridwe antchito ndi mtundu wa dialysis, komanso kuwopseza miyoyo ya odwala pazifukwa zazikulu.
Kulimbitsa ndi kulabadira kupewa ndi kuchiza hypotension odwala dialysis ndi yofunika kwambiri kusintha mlingo kupulumuka ndi moyo wa yokonza hemodialysis odwala.

Kodi dialysis medium low blood pressure ndi chiyani

• Tanthauzo

Hypotension pa dialysis imatanthauzidwa ngati kutsika kwa kuthamanga kwa magazi kwa systolic wamkulu kuposa 20mmHg kapena kutsika kwa kuthamanga kwa magazi kwambiri kuposa 10mmHg, malinga ndi kope la 2019 la KDOQI yaposachedwa (American maziko a matenda a impso) lofalitsidwa ndi NKF.

• Chizindikiro

Oyambirira siteji akhoza kukhala alibe mphamvu, giddy, thukuta, kupweteka m'mimba, nseru, kusanza, akhoza kukhala dysspasm, minofu, amaurosis, angina pectoris monga matenda kupita patsogolo, kuoneka chikumbumtima kutaya ngakhale, m`mnyewa wamtima infarction, tsankho wodwala alibe chizindikiro.

• Mlingo Wochitika

Hypotension mu dialysis ndi amodzi mwazovuta zomwe zimachitika pa hemodialysis, makamaka okalamba, odwala matenda ashuga komanso odwala omwe ali ndi matenda amtima, komanso kuchuluka kwa hypotension mu dialysis wamba kumapitilira 20%.

• Pangozi

1. Odwala omwe adakhudzidwa ndi dialysis yachizolowezi, odwala ena adakakamizika kuchoka pamakina pasadakhale, zomwe zimakhudza kukwanira komanso kukhazikika kwa hemodialysis.
2. Zomwe zimakhudza moyo wautumiki wa fistula wamkati, hypotension yanthawi yayitali idzawonjezera kuchuluka kwa fistula thrombosis yamkati, zomwe zimapangitsa kulephera kwa arteriovenous internal fistula.
3. Kuwonjezeka kwa chiopsezo cha imfa.Kafukufuku akuwonetsa kuti chiwopsezo cha kufa kwa zaka ziwiri kwa odwala omwe ali ndi IDH pafupipafupi ndi 30.7%.

Chifukwa chiyani kuthamanga kwa magazi kutsika mu dialysis

• Mphamvu yodalira chinthu

1. Kuchulukira kwambiri kapena kusefera mwachangu
2. Kuwerengera molakwika kulemera kowuma kapena kulephera kuwerengera kulemera kwa wodwalayo pa nthawi yake
3. Kusakwanira kwa dialysis nthawi pa sabata
4. Kuchuluka kwa sodium ya dialysate kumakhala kochepa

• Vasoconstrictor kukanika

1. Kutentha kwa dialysate ndikokwera kwambiri
2. Imwani mankhwala a kuthamanga kwa magazi musanayambe dialysis
3. Kudyetsa dialysis
4. Kuperewera kwa magazi m'thupi kwapakati kapena koopsa
5. Endogenous vasodilators
6. Autonomic neuropathy

• Hypocardiac ntchito

1. Kuwonongeka kwa mtima kusungidwa
2. Arrhythmia
3. Mtima wa ischemia
4.Kuthamanga kwa pericardial
5.Myocardial infarction

• Zinthu zina

1. Kutuluka magazi
2. The hemolysis
3. Sepsis
4. Dialyzer reaction

Momwe mungapewere ndi kuchiza dialysis kutsika kwa magazi

• Imalepheretsa kuchuluka kwa magazi omwe amagwira ntchito bwino kuti asachepetse

Kuwongolera koyenera kwa ultrafiltration, kuwunikanso kulemera kwa odwala (kuuma), kuwonjezeka kwa nthawi ya dialysis mlungu uliwonse, pogwiritsa ntchito liniya, gradient sodium curve mode dialysis.

• Kupewa ndi kuchiza zosayenera dilatation Mitsempha

Kuchepetsa kutentha kwa dialysate antihypertensive mankhwala kuchepetsa kapena kusiya mankhwala kupewa kudya pa dialysis olondola magazi m`thupi zomveka ntchito autonomic mitsempha ntchito mankhwala.

• Khazikitsani kutulutsa kwamtima

Yogwira mankhwala a mtima organic matenda, kusamala ntchito mtima ali zoipa mankhwala.