Odwala omwe ali ndi hypotension orthostatic, omwe amatchedwanso postural hypotension, amatha kumverera (kapena kugwa kapena kufooka) akamaima kapena atakhala pansi kwa nthawi ndithu. Matenda owopsawa ndi ofala ndipo makamaka amakhudza akuluakulu. Kupezeka kwa hypotension ya orthostatic hypotension kumafuna kuchepa kwa magazi a 20mmHg systolic, kapena 10mmHg diastolic, pakadutsa mphindi zisanu kuchoka pamalo okhala kapena kunama.
Ngakhale anthu ambiri omwe ali ndi hypotension orthostatic amakhala ndi zizindikiro nthawi yomweyo pamene thupi limasintha, ochepa odwala sangakhale ndi zizindikiro mpaka mphindi zisanu mpaka 10. Izi zimatchedwa kuchedwa kwa hypotension, ndipo sizodabwitsa.
Nchiyani Chimachititsa Orthostatic Hypotension?
Matenda a Orthostatic angayambitse matenda ena kapena mankhwala ena. Mavuto a m'maganizo ndi omwe amachititsa kuti munthu asamangokhalira kuganiza bwino, kuphatikizapo:
- Matenda a Parkinson
- Matenda a shuga
- Matenda a matenda a Lewy , chimodzi mwa zifukwa zomwe zimayambitsa matenda a dementia kwa akulu akulu
Koma zikhalidwe za ubongo sizomwe zimayambitsa. Ndipotu, zifukwa zingapo zomwe sizimapangitsa munthu kukhala ndi vutoli ndi izi:
- Matenda amtima
- Aortic stenosis
- Vasodilation
Mankhwala osokoneza bongo omwe amachititsa kuti asokonezeke ndi:
- Diuretics
- Mankhwala osokoneza bongo
- Tricyclic zowonongeka
Kodi Orthodotic Hypotension Imatani?
Popeza vuto lomwe limayambitsa vutoli limasiyana pakati pa munthu ndi munthu, palibe mankhwala amodzi omwe amachititsa kuti pakhale vutoli.
Nthawi zina yankho liri losavuta ngati kusiya mankhwala ena omwe mwakhala mukuwatenga kapena kuwonjezera kuchuluka kwa madzimadzi kuti mubwezere magazi.
Njira zina zothandizira mankhwala ndi izi:
- Maphunziro oleza mtima a momwe anganyamulire ndi kusintha miyoyo yawo
- Kuchita masewera olimbitsa thupi, chifukwa cha vuto lofooka la mtima
- Chithandizo chamankhwala ndi othandizira monga fludrocortisone, phenylephrine, kapena midodrine kusintha kusintha kwa magazi komanso ntchito ya mitsempha
Nthawi Yomwe Muwone Dokotala
Ngakhale chochitika chimodzi chokhudzidwa atatha kuima ndi chifukwa chokwanira chokonzera dokotala. Popeza zizindikiro za hypotension za orthostatic zimakhala zovuta kwambiri pakapita nthawi, mumakhala ndi zotsatira zabwino ngati muwona mwamsanga chithandizo chanu chaumoyo.
Ngati palibe zizindikiro zomwe zingasonyeze vuto lalikulu monga matenda a mtima kapena stroke, adokotala akhoza kuchita mayesero osiyanasiyana omwe angaphatikizepo
- Ntchito ya magazi
- Kuyezetsa thupi
- Chiyeso choyesa
> Zotsatira:
> Frishman WH, Azer V, Sica D. Mankhwala Ochiritsira a Orthostatic Hypotension ndi Vasovagal Syncope. Matenda a Mtima. 2003; 49-64.
> Lee T, Donegan C, Moore A. Kuthamanga kwa Mthupi limodzi ndi Orthostatic Hypotension kwa Okalamba Achikulire: Chithandizo cha Kuchiza kwa Madokotala. Akatswiri Openda Opaleshoni ya Mtima. 2005; 433-40.
> Rutan, GH, et al. Orthostatic Hypotension mu Okalamba Achikulire. Maphunziro a Moyo Wokhudzana ndi Maganizo. Kuthamanga kwa magazi 1992; 19: 508.
> Sandroni P, ndi al. Pyridostigmine kwa Chithandizo cha Neurogenic Orthostatic Hypotension - Phunziro Lofufuzira Phunziro. Clinical Autonomic Research. 2005; 51-3.
> Singer, W, et al. Pyridostigmine Kuchiza Chithandizo mu Neurogenic Orthostatic Hypotension. Arch Neurol 2006; 63: 513.
> van Lieshout, et al. Zolemba Zanyama za Kugonjetsa Chizungulire Chakumtunda mu Kulephera kwa Autonomic. Lancet 1992; 339: 897.
> Young, TM, Mathias, CJ. Zotsatira za Madzi Kulowa pa Orthostatic Hypotension mu Magulu Awiri Osavomerezeka Autonomic: Multiple System Atrophy ndi Pure Autonomic Imalephera. Journal of Neurology ndi Neurosurgical Psychiatry 2004; 75: 1737.