I-Hypotension ku-dialysis ingenye yezinkinga ezivamile ku-hemodialysis.Kwenzeka ngokushesha futhi ngokuvamile kwenza i-hemodialysis ihluleke ngokushelela, okuholela ekungeneni kwe-dialysis, kuthinte ukusebenza kahle kanye nekhwalithi ye-dialysis, futhi kusongela ngisho nezimpilo zeziguli ezimeni ezibucayi.
Ukuqinisa nokunaka ukuvimbela nokwelashwa kwe-hypotension ezigulini ze-dialysis kubaluleke kakhulu ukuthuthukisa izinga lokusinda kanye nezinga lempilo yeziguli zokugcinwa kwe-hemodialysis.

Yini i-dialysis medium low blood pressure

• Incazelo

I-Hypotension on dialysis ichazwa njengokwehla komfutho wegazi we-systolic omkhulu kuno-20mmHg noma ukwehla komfutho wegazi ophakathi kuka-10mmHg, ngokohlelo lwango-2019 lwe-KDOQI yakamuva (isisekelo saseMelika sesifo sezinso) eshicilelwe yi-NKF.

• Uphawu

Isigaba sokuqala singaba nokuntuleka kwamandla, ukujuluka, ukujuluka, ubuhlungu besisu, isicanucanu, ukuhlanza, kungaba ne-dyspasm, imisipha, amaurosis, i-angina pectoris njengoba ukugula kuqhubeka, kubonakale ukwazi ukulahlekelwa ngisho, i-myocardial infarction, isiguli esinqunyiwe asinaso uphawu.

• Isilinganiso Sezehlakalo

I-Hypotension ku-dialysis ingenye yezinkinga ezijwayelekile ze-hemodialysis, ikakhulukazi kubantu asebekhulile, isifo sikashukela kanye neziguli ezinezifo zenhliziyo nemithambo yegazi, kanti izehlakalo ze-hypotension ku-dialysis ejwayelekile zingaphezu kwama-20%.

• Ingozi

1. I-dialysis evamile yeziguli ezithintekile, ezinye iziguli zaphoqeleka ukuthi ziphume emshinini kusenesikhathi, okuthinta ukwanela kanye nokujwayelekile kwe-hemodialysis.
2. Ethinta impilo yesevisi ye-fistula yangaphakathi, i-hypotension yesikhathi eside izokwandisa ukwenzeka kwe-fistula thrombosis yangaphakathi, okuholela ekuhlulekeni kwe-fistula yangaphakathi ye-arteriovenous.
3. Ukwanda kwengozi yokufa.Ucwaningo lubonisa ukuthi izinga lokufa leminyaka emi-2 leziguli ezine-IDH evamile liphezulu njengo-30.7%.

Kungani ukukhiqiza umfutho wegazi ophansi ku-dialysis

• Isici esincike kumthamo

1. I-ultrafiltration eyeqile noma i-ultrafiltration esheshayo
2. Ukubala okungalungile kwesisindo esomile noma ukwehluleka ukubala isisindo esomile sesiguli ngesikhathi
3. Isikhathi se-dialysis esinganele ngeviki
4. Ukuhlushwa kwe-sodium ye-dialysate kuphansi

• Ukungasebenzi kahle kweVasoconstrictor

1. Izinga lokushisa le-dialysate liphezulu kakhulu
2. Thatha imishanguzo yomfutho wegazi ngaphambi kwe-dialysis
3. Ukondla nge-dialysis
4. I-anemia emaphakathi kuya embi kakhulu
5. I-Endogenous vasodilators
6. I-Autonomic neuropathy

• Umsebenzi we-Hypocardiac

1. Ukugcinwa kwenhliziyo ekhubazekile
2. I-Arrhythmia
3. I-ischemia yenhliziyo
4.Ukukhipha isisu
5.I-Myocardial infarction

• Ezinye izici

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

Indlela yokuvimbela nokwelapha i-dialysis umfutho wegazi ophansi

• Ivimbela umthamo wegazi osebenzayo ukuthi unciphise

Ukulawulwa okunengqondo kokuhlunga, ukuphinda kuhlolwe isisindo seziguli ezihlosiwe (esomile), ukwanda kwesikhathi se-dialysis samasonto onke, kusetshenziswa i-linear, gradient sodium curve dialysis.

• Ukuvimbela nokwelashwa kokunwetshwa okungafanele kwemithambo yegazi

Yehlisa izinga lokushisa lezidakamizwa ze-dialysate ze-antihypertensive nciphisa noma yeka imithi gwema ukudla ngesikhathi se-dialysis lungisa i-anemia enengqondo ukusetshenziswa kwezidakamizwa ezisebenza ngokuzenzakalelayo.

• Zinzisa ukuphuma kwenhliziyo

Ukwelashwa okusebenzayo kwesifo senhliziyo, ukusetshenziswa ngokucophelela kwenhliziyo kunezidakamizwa ezingezinhle.