Hypotension ho dialysis ke e 'ngoe ea mathata a tloaelehileng ho hemodialysis.E etsahala ka potlako 'me hangata e etsa hore hemodialysis e hlolehe hantle, e bakang dialysis e sa lekaneng, e amang katleho le boleng ba dialysis, esita le ho sokela bophelo ba bakuli maemong a tebileng.
Ho matlafatsa le ho ela hloko thibelo le kalafo ea hypotension ho bakuli ba dialysis ho bohlokoa haholo ho ntlafatsa lebelo la ho phela le boleng ba bophelo ba tlhokomelo ea bakuli ba hemodialysis.

Dialysis ke eng e mahareng khatello e tlase ea mali

• Tlhaloso

Hypotension on dialysis e hlalosoa e le ho theoha ha khatello ea mali ea systolic e kholo ho feta 20mmHg kapa ho theoha ha khatello ea mali e kholo ho feta 10mmHg, ho latela khatiso ea 2019 ea KDOQI ea morao-rao (Motheo oa Amerika oa lefu la liphio) e phatlalalitsoeng ke NKF.

• Letšoao

Mothati oa pele o ka ba le khaello ea matla, giddy, mofufutso, bohloko ba ka mpeng, ho nyekeloa ke pelo, ho hlatsa, ho ka ba le dyspasm, mesifa, amaurosis, angina pectoris ha bokuli bo ntse bo tsoela pele, ho bonahala ke le kelo-hloko ho lahleheloa ke esita le, infarction ea myocardial, mokuli ea leeme ha a na matšoao.

• Sekhahla sa ketsahalo

Hypotension ho dialysis ke e 'ngoe ea mathata a tloaelehileng a hemodialysis, haholo-holo ho batho ba tsofetseng, lefu la tsoekere le bakuli ba nang le mafu a pelo le methapo, mme sekhahla sa hypotension ho dialysis e tloaelehileng e feta 20%.

• Kotsing

1. Dialysis e tloaelehileng ea bakuli ba amehileng, bakuli ba bang ba ile ba qobelloa ho theoha mochine esale pele, e leng se ileng sa ama ho lekana le ho tloaeleha ha hemodialysis.
2. Ho ama bophelo ba tšebeletso ea fistula ea ka hare, hypotension ea nako e telele e tla eketsa liketsahalo tsa fistula thrombosis ea ka hare, e leng se fellang ka ho hlōleha ha fistula ea ka hare ea arteriovenous.
3. Kotsi e eketsehileng ea lefu.Liphuputso li bonts'a hore sekhahla sa lefu la lilemo tse 2 sa bakuli ba nang le IDH khafetsa se phahame joalo ka 30.7%.

Hobaneng ho hlahisa khatello e tlase ea mali ho dialysis

• Boemo bo itšetlehileng ka bokhoni

1. Ho chesoa ka mokhoa o feteletseng kapa ho senya ka potlako
2. Palo e fosahetseng ea boima bo omileng kapa ho hlōleha ho bala boima bo omileng ba mokuli ka nako
3. Nako e sa lekaneng ea dialysis ka beke
4. Khatiso ea sodium ea dialysate e tlaase

• Ho se sebetse ha Vasoconstrictor

1. Thempereichara ea dialysate e phahame haholo
2. Noa meriana ea khatello ea mali pele ho dialysis
3. Ho fepa ka dialysis
4. E itekanetseng ho isa ho e matla ea khaello ea mali
5. Endogenous vasodilators
6. Autonomic neuropathy

• Mosebetsi oa Hypocardiac

1. Sebaka sa polokelo ea pelo e senyehileng
2. Arrhythmia
3. Ischemia ea pelo
4.Pericardial effusion
5.Myocardial infarction

• Lintlha tse ling

1. Ho tsoa mali
2. The hemolysis
3. Sepsis
4. Maikutlo a dialyzer

Mokhoa oa ho thibela le ho phekola dialysis khatello e tlase ea mali

• E thibela hore molumo oa mali o fokotsehe

Taolo e utloahalang ea ultrafiltration, tekolo botjha ea boima ba 'mele (o omileng) oa bakuli, ho eketseha ha nako ea beke le beke ea dialysis, ho sebelisa linear, gradient sodium curve mode dialysis.

• Thibelo le kalafo ea ho atolosoa ho sa lokelang ha methapo ea mali

Fokotsa mocheso oa dialysate antihypertensive lithethefatsi fokotsa kapa emisa meriana qoba ho ja nakong dialysis nepahetse khaello ea mali e utloahalang tshebediso ya autonomic methapo ea kutlo litlhare.

• Tsitsisa tlhahiso ea pelo

Kalafo e sebetsang ea lefu la pelo organic, tšebeliso e hlokolosi ea pelo e na le lithethefatsi tse mpe.