ʻO ka hypotension i ka dialysis kekahi o nā pilikia maʻamau i ka hemodialysis.Hiki koke a hana pinepine i ka hemodialysis me ka maʻalahi, ka hopena i ka lawa ʻole o ka dialysis, pili i ka pono a me ka maikaʻi o ka dialysis, a me ka hoʻoweliweli ʻana i ke ola o nā maʻi i nā hihia koʻikoʻi.
ʻO ka hoʻoikaika a me ka nānā ʻana i ka pale ʻana a me ka mālama ʻana i ka hypotension i nā maʻi dialysis he mea koʻikoʻi nui ia e hoʻomaikaʻi ai i ka helu ola a me ka maikaʻi o ke ola o ka mālama ʻana i nā maʻi hemodialysis.

He aha ka dialysis medium low blood pressure

• Wehewehe

Ua wehewehe ʻia ka hypotension ma ka dialysis ma ke ʻano he hāʻule o ke koko systolic i ʻoi aku ma mua o 20mmHg a i ʻole kahi hāʻule o ke koko arterial mean ma mua o 10mmHg, e like me ka 2019 paʻi o ka KDOQI hou loa (ʻAmelika kumu no ka maʻi kīkī) i paʻi ʻia e ka NKF.

• hōʻailona

Hiki ke loaʻa ka nele o ka mana mua, giddy, perspire, ʻeha o ka ʻōpū, nausea, luaʻi, hiki ke loaʻa ka dyspasm, ʻiʻo, amaurosis, angina pectoris e like me ka holomua o ka maʻi, ʻike ʻia ka ʻike e nalowale, myocardial infarction, ʻaʻohe mea maʻi maʻi.

• Ka nui o ka hana

ʻO ka hypotension i ka dialysis kekahi o nā hoʻopiʻi maʻamau o ka hemodialysis, ʻoi aku hoʻi i ka poʻe ʻelemakule, ka maʻi diabetes a me nā maʻi me nā maʻi cardiovascular, a ʻoi aku ka nui o ka hypotension i ka dialysis maʻamau ma mua o 20%.

• Hoʻopilikia

1. ʻO ka dialysis maʻamau o nā maʻi, ua koi ʻia kekahi mau maʻi e haʻalele i ka mīkini ma mua, e pili ana i ka lawa a me ka maʻamau o ka hemodialysis.
2. Hoʻopilikia i ke ola lawelawe o ka fistula i loko, e hoʻonui ka hypotension lōʻihi i ka ulu ʻana o ka thrombosis fistula kūloko, ka hopena i ka hāʻule ʻole o ka arteriovenous internal fistula.
3. Hoʻonui ka pilikia o ka make.Hōʻike nā haʻawina i ka nui o ka make ʻana o 2 mau makahiki o nā maʻi me ka IDH maʻamau e like me 30.7%.

No ke aha e hana ai i ke koko haʻahaʻa ma ka dialysis

• Ke kumu pili i ka hiki

1. ʻO ka ultrafiltration nui a i ʻole ka ultrafiltration wikiwiki
2. Helu hewa ka helu ʻana o ke kaumaha maloʻo a i ʻole ka helu ʻana i ke kaumaha maloʻo o ka mea maʻi i ka manawa
3. ʻAʻole lawa ka manawa dialysis i kēlā me kēia pule
4. He haʻahaʻa ka paona sodium o ka dialysate

• ʻO ka hana ʻana o Vasoconstrictor

1. He kiʻekiʻe loa ka mahana dialysate
2. E lawe i ka lāʻau koko ma mua o ka dialysis
3. Ka hānai ʻana i ka dialysis
4. Anemia haʻahaʻa a koʻikoʻi
5. ʻO nā vasodilators endogenous
6. Autonomic neuropathy

• ʻO ka hana hypocardiac

1. Ka mālama ʻana i ka naʻau
2. ʻAiʻi
3. Ischemia naʻau
4.Pericardial effusion
5. Myocardial infarction

• Nā kumu ʻē aʻe

1. Ke koko
2. Ka hemolysis
3. Sepsis
4. ʻO ka hopena dialyzer

Pehea e pale ai a ho'ōla i ka dialysis haʻahaʻa koko

• Kāohi i ka emi ʻana o ka nui o ke koko

ʻO ka mana kūpono o ka ultrafiltration, ka loiloi hou ʻana i ke kaumaha o ka poʻe maʻi (maloʻo), hoʻonui i ka manawa dialysis i kēlā me kēia pule, me ka hoʻohana ʻana i ka linear, gradient sodium curve mode dialysis.

• Ka pale ʻana a me ka mālama ʻana i ka dilatation kūpono ʻole o nā kīʻaha koko

E ho'ēmi i ka mahana o nā lāʻau antihypertensive dialysate e hoʻemi a hoʻōki paha i ka lāʻau lapaʻau e pale aku i ka ʻai ʻana i ka wā dialysis pololei anemia no ka hoʻohana ʻana i nā lāʻau lapaʻau autonomic nerve function.

• Hoʻopaʻa i ka puka naʻau

ʻO ka mālama ʻana i ka maʻi kūlohelohe o ka puʻuwai, ka hoʻohana ʻana i ka puʻuwai me nā lāʻau maikaʻi ʻole.