Hypotension a cikin dialysis yana daya daga cikin matsalolin gama gari a cikin hemodialysis.Yana faruwa da sauri kuma sau da yawa yana haifar da rashin lafiyan jini ba tare da matsala ba, yana haifar da rashin isassun dialysis, yana shafar inganci da ingancin dialysis, har ma yana barazana ga rayuwar marasa lafiya a lokuta masu tsanani.
Don ƙarfafawa da kula da rigakafi da kula da hauhawar jini a cikin marasa lafiya na dialysis yana da mahimmanci don haɓaka ƙimar rayuwa da ingancin rayuwa na kulawa da marasa lafiya na hemodialysis.

Menene dialysis matsakaici low jini

• Ma'anarsa

An ayyana hawan jini akan dialysis azaman digo a cikin karfin jini na systolic sama da 20mmHg ko digo a cikin ma'anar hawan jini sama da 10mmHg, bisa ga bugu na 2019 na sabuwar KDOQI (tushen Amurka don cutar koda) wanda NKF ta buga.

• Alama

Mataki na farko na iya samun rashin ƙarfi, giddy, gumi, ciwon ciki, tashin zuciya, amai, zai iya samun dyspasm, tsoka, amaurosis, angina pectoris yayin da rashin lafiya ya ci gaba, ya bayyana sani don rasa ko da, ciwon zuciya na zuciya, mai haƙuri na sashi ba shi da wata alama.

• Yawan faruwa

Hypotension a dialysis yana daya daga cikin rikice-rikice na hemodialysis na yau da kullum, musamman a cikin tsofaffi, masu ciwon sukari da marasa lafiya da cututtukan zuciya, kuma abin da ya faru na hypotension a cikin dialysis na yau da kullum ya wuce 20%.

• Hadari

1. Sakamakon wankin dialysis na yau da kullun na marasa lafiya, an tilasta wa wasu majinyata sauka daga injin a gaba, wanda hakan ke shafar isar da isassun jini da kuma daidaitaccen aikin haemodialysis.
2. Tasirin rayuwar sabis na ƙwanƙwasa na ciki, hawan jini na dogon lokaci zai kara yawan ƙwayar thrombosis na ciki, wanda zai haifar da gazawar fistula na ciki na arteriovenous.
3. Kara haɗarin mutuwa.Nazarin ya nuna cewa yawan mutuwar shekaru 2 na marasa lafiya tare da IDH akai-akai ya kai 30.7%.

Me yasa ake samar da ƙarancin hawan jini a cikin dialysis

• Abubuwan dogaro da ƙarfi

1. Yawan wuce gona da iri ko ultrafiltration mai sauri
2. Lissafin da ba daidai ba na busassun nauyi ko gazawar ƙididdige nauyin busassun mara lafiya akan lokaci
3. Rashin isassun lokacin dialysis a kowane mako
4. Sodium maida hankali na dialysate yana da ƙasa

• Vasoconstrictor rashin aiki

1. Yawan zafin jiki na dialysate ya yi yawa
2. A sha maganin hawan jini kafin dialysis
3. Ciyar da dialysis
4. Matsakaici zuwa matsananciyar anemia
5. Endogenous vasodilators
6. Autonomic neuropathy

• Ayyukan hypocardiac

1. Rashin ajiyar zuciya
2. Arrhythmia
3. Ciwon zuciya
4.Fukar zuciya
5.Myocardial infarction

• Wasu dalilai

1. Jini
2. Hemolysis
3. Sepsis
4. Dializer dauki

Yadda ake yin rigakafi da maganin dialysis ƙananan hawan jini

• Yana hana ingantaccen adadin jini daga raguwa

Madaidaicin iko na ultrafiltration, sake kimanta maƙasudin majinyata (bushe) nauyi, ƙaruwar lokacin dialysis na mako-mako, ta yin amfani da madaidaiciya, yanayin dialysis na gradient sodium curve.

• Rigakafi da maganin rashin daidaituwa na dilatation na jini

Rage zazzabi na dialysate magungunan hana hawan jini rage ko dakatar da magani guje wa cin abinci yayin dialysis daidai anemia na amfani da kwayoyi masu aikin jijiya.

• Daidaita fitowar zuciya

Active jiyya na zuciya kwayoyin cuta, m amfani da zuciya yana da korau kwayoyi.