Hypotension na dialysis bụ otu n'ime nsogbu ndị a na-ahụkarị na hemodialysis.Ọ na-apụta ngwa ngwa ma na-emekarị ka hemodialysis daa nke ọma, na-ebute dialysis ezughị oke, na-emetụta arụmọrụ na ịdịmma nke dialysis, na ọbụna na-eyi ndụ ndị ọrịa egwu n'ọnọdụ ndị siri ike.
Iji wusie ike na ịṅa ntị na mgbochi na ọgwụgwọ nke hypotension na ndị ọrịa dialysis bụ ihe dị oke mkpa iji melite ọnụego nlanarị na ndụ ndụ nke nlekọta ndị ọrịa hemodialysis.

Kedu ihe bụ dialysis ọkara ọbara mgbali elu

• Nkọwa

Akọwapụtara hypotension na dialysis dị ka mbelata ọbara mgbali systolic karịrị 20mmHg ma ọ bụ mbelata nke ọbara mgbali elu akwara karịrị 10mmHg, dị ka mbipụta 2019 nke KDOQI kachasị ọhụrụ ( ntọala America maka ọrịa akụrụ) nke NKF bipụtara.

• Mgbaàmà

Early ogbo nwere ike enweghị ike, giddy, ọsụsọ, abdominal mgbu, ọgbụgbọ, vomiting, nwere ike inwe dyspasm, muscle, amaurosis, angina pectoris dị ka ọrịa na-aga n'ihu, pụtara nsụhọ ida ọbụna, myocardial infarction, ele mmadụ anya n'ihu ọrịa adịghị enwe ihe mgbaàmà.

• Ọnụọgụ omume

Hypotension na dialysis bụ otu n'ime nsogbu ndị a na-ahụkarị nke hemodialysis, karịsịa na ndị agadi, ọrịa shuga na ndị ọrịa nwere ọrịa obi, na ọnọdụ nke hypotension na dialysis nkịtị karịrị 20%.

• Ihe egwu

1. N'ihe metụtara dialysis nkịtị nke ndị ọrịa, a manyere ụfọdụ ndị ọrịa ka ha si n'igwe pụta tupu oge eruo, na-emetụta oke oke na oge niile nke hemodialysis.
2. Na-emetụta ndụ ọrụ nke fistula dị n'ime, ogologo oge hypotension ga-eme ka ọnụ ọgụgụ nke thrombosis nke fistula dị n'ime ya dịkwuo elu, na-ebute ọdịda nke fistula nke eriri afọ.
3. Mụbara ihe ize ndụ nke ọnwụ.Nnyocha na-egosi na ọnụ ọgụgụ ọnwụ nke afọ 2 nke ndị ọrịa nwere IDH ugboro ugboro dị elu dị ka 30.7%.

Kedu ihe kpatara na-ebute ọbara mgbali elu na dialysis

• Ihe dabere ikike

1. Oke ultrafiltration ma ọ bụ ngwa ngwa ultrafiltration
2. Ngụkọta na-ezighi ezi nke ịdị arọ akọrọ ma ọ bụ ọdịda ịgbakọ arọ nkụ nke onye ọrịa n'oge
3. Oge dialysis ezughi oke kwa izu
4. Sodium ntinye nke dialysate dị ala

• Vasoconstrictor adịghị arụ ọrụ

1. Okpomọkụ dialysate dị oke elu
2. Were ọgwụ mgbali elu tupu dialysis
3. Na-eri nri na dialysis
4. Ọkpụkpụ anaemia siri ike
5. Endogenous vasodilators
6. autonomic neuropathy

• Ọrụ hypocardiac

1. Nchekwa obi adịghị arụ ọrụ
2. Arrhythmia
3. Obi ischemia
4.Pericardial effusion
5.Myocardial infarction

• Ihe ndị ọzọ

1. Ọbara
2. Hemolysis
3. Sepsis
4. Dialyzer mmeghachi omume

Otu esi egbochi na gwọọ dialysis obere ọbara mgbali

• Na-egbochi oke ọbara dị irè ka ọ ghara ibelata

Njikwa ezi uche dị na ultrafiltration, nleba anya nke ebumnuche ndị ọrịa (akọrọ) ibu, mmụba nke oge dialysis kwa izu, iji linear, gradient sodium curve mode dialysis.

• Mgbochi na ọgwụgwọ nke mgbasawanye nke arịa ọbara na-ekwesịghị ekwesị

Belata okpomọkụ nke dialysate ọgwụ antihypertensive na-ebelata ma ọ bụ kwụsị ọgwụ zere iri nri n'oge dialysis ziri ezi nke anaemia ziri ezi iji ọgwụ na-arụ ọrụ akwara autonomic.

• Mee ka mmepụta obi guzosie ike

Ọgwụgwọ na-arụsi ọrụ ike nke ọrịa ọrịa obi organic, iji nlezianya mee ihe nke obi nwere ọgwụ ọjọọ.