I-Hypotension kwi-dialysis yenye yeengxaki eziqhelekileyo kwi-hemodialysis.Yenzeka ngokukhawuleza kwaye ihlala isenza ukuba i-hemodialysis iphumelele kakuhle, ikhokelela kwi-dialysis enganelanga, echaphazela ukusebenza kakuhle kunye nomgangatho we-dialysis, kwaye isoyikise ubomi bezigulana kwiimeko ezimandundu.
Ukomeleza kunye nokunikela ingqalelo kuthintelo kunye nonyango lwe-hypotension kwizigulane ze-dialysis kubaluleke kakhulu ukuphucula izinga lokusinda kunye nomgangatho wobomi bokugcinwa kwezigulane ze-hemodialysis.

Yintoni i-dialysis medium low low pressure

• Ingcaciso

I-Hypotension kwi-dialysis ichazwa njengokuhla koxinzelelo lwegazi lwe-systolic olukhulu kune-20mmHg okanye ukuhla kwe-arterial blood pressure enkulu kune-10mmHg, ngokwe-2019 edition ye-KDOQI yakutshanje (isiseko saseMelika sesifo sezintso) epapashwe yi-NKF.

• Uphawu

Inqanaba lakwangoko linokuba nokunqongophala kwamandla, i-giddy, umbilo, iintlungu zesisu, isicaphucaphu, ukugabha, unokuba nedyspap, izihlunu, amaurosis, i-angina pectoris njengenkqubela phambili yokugula, ibonakala isazi ukuba ilahlekelwe nokuba, i-myocardial infarction, isigulana esingaphelelanga asinalo uphawu.

• Ireyithi yeZenzeko

I-Hypotension kwi-dialysis yenye yeengxaki eziqhelekileyo ze-hemodialysis, ngakumbi kubantu abadala, isifo seswekile kunye nezigulane ezinezifo zentliziyo, kwaye iziganeko ze-hypotension kwi-dialysis eqhelekileyo zingaphezulu kwe-20%.

• Ingozi

1. I-dialysis eqhelekileyo yezigulane ezichaphazelekayo, ezinye izigulane zaphoqeleka ukuba ziphume kumatshini kwangaphambili, zichaphazela ukwanela kunye nokuqhelekileyo kwe-hemodialysis.
2. Ukuchaphazela ubomi benkonzo ye-fistula yangaphakathi, i-hypotension yexesha elide iya kwandisa iziganeko ze-fistula thrombosis yangaphakathi, okubangelwa ukungaphumeleli kwe-fistula yangaphakathi ye-arteriovenous.
3. Ukunyuka komngcipheko wokufa.Uphononongo lubonisa ukuba izinga lokufa kweminyaka emi-2 yezigulane ezine-IDH rhoqo liphezulu njenge-30.7%.

Kutheni ukuvelisa uxinzelelo lwegazi oluphantsi kwi-dialysis

• Into exhomekeke kumthamo

1. I-ultrafiltration egqithisileyo okanye i-ultrafiltration ekhawulezayo
2. Ukubala okungalunganga kobunzima obomileyo okanye ukungaphumeleli ukubala ubunzima obomileyo besigulane ngexesha
3. Ixesha le-dialysis elingonelanga ngeveki
4. I-sodium concentration ye-dialysate iphantsi

• Ukungasebenzi kakuhle kweVasoconstrictor

1. Ubushushu be-dialysate buphezulu kakhulu
2. Thatha iyeza loxinzelelo lwegazi phambi kwe-dialysis
3. Ukutya kwi-dialysis
4. I-anemia ephakathi ukuya kwenzima
5. I-vasodilators engapheliyo
6. I-Autonomic neuropathy

• Umsebenzi we-Hypocardiac

1. Ukugcinwa kwentliziyo ephazamisekileyo
2. I-arrhythmia
3. I-Ischemia yentliziyo
4.I-Pericardial effusion
5.I-Myocardial infarction

• Ezinye izinto

1. Ukopha
2. I-hemolysis
3. Sepsis
4. Ukusabela kwi-Dialyzer

Indlela yokuthintela kunye nokunyanga i-dialysis uxinzelelo lwegazi oluphantsi

• Ikhusela umthamo wegazi osebenzayo ekunciphiseni

Ukulawulwa okunengqiqo kwe-ultrafiltration, ukuphononongwa kwakhona kwe-target yezigulane (ezomileyo) ubunzima, ukwanda kwexesha le-dialysis yeveki, usebenzisa i-linear, i-gradient ye-sodium curve mode dialysis.

• Ukuthintelwa kunye nokunyangwa kwe-dilatation engafanelekanga yemithambo yegazi

Ukunciphisa ubushushu be-dialysate amachiza alwa noxinzelelo lwegazi kunciphisa okanye uyeke amayeza ukunqanda ukutya ngexesha le-dialysis oluchanekileyo usetyenziso lwe-anemia olunengqiqo lwe-autonomic nerve function.

• Zinzise imveliso yentliziyo

Unyango olusebenzayo lwesifo sentliziyo, ukusetyenziswa ngokulumkileyo kwentliziyo kuneziyobisi ezingalunganga.