Postural (orthostatic) hypotension: zvazviri, zvinokonzera uye kurapwa

Zvemukati

• Chii chinogona kukonzera postural hypotension
• Zviratidzo zvikuru
• Kurapwa kunoitwa sei

Postural hypotension, inozivikanwawo se orthostatic hypotension, mamiriro ezvinhu anoonekwa nekukurumidza kuderera kweropa, izvo zvinotungamira mukuonekwa kwezvimwe zviratidzo, zvakaita sedzungu, kupera simba uye kushaya simba.

Mamiriro ezvinhu aya anoitika kunyanya kana munhu achifamba kubva pakunyepa kana kugara pachigaro kusvika pakamira nekukurumidza, asi zvinogona zvakare kuva mhedzisiro yekushandiswa kwemimwe mishonga, kuzorora kwenguva refu kwemubhedha kana kupera mvura mumuviri, zvakakosha kuti uongorore chikonzero uye kutanga kurapwa kwakakodzera.

Chii chinogona kukonzera postural hypotension

Postural hypotension inoitika kunyanya kana munhu achisimuka nekukurumidza, asina nguva yakakwana yekuti ropa rifambe zvakanaka, achiunganidza mutsinga dzemakumbo uye chipfuva, zvichikonzera zviratidzo. Zvimwe zvikonzero zve orthostatic hypotension ndezvi:

• Kushandiswa kwemimwe mishonga;
• Kushaya mvura mumuviri, umo mune kuderera kwehuwandu hweropa;
• Kunyepa kana kugara kwenguva refu;
• Dzvinyiriro shanduko nekuda kwezera;
• Mushure mekuita kwakasimba kwemuviri;
• Isingadzorwe chirwere cheshuga mellitus;
• Chirwere chePasinson.

Kune zvakare postprandial hypotension, iyo inowanzoitika kune vakwegura uye inoratidzwa nekuderera nekukurumidza uye nekukasira kweropa maawa mashoma mushure mekudya, izvo zvinogona kumirira njodzi kumunhu, nekuti zvinowedzera njodzi yekudonha, moyo kukundikana uye postpandial sitiroko.

Postural hypotension inozivikanwa nekudonha mukumanikidza, kuitira kuti systolic kumanikidza isasvike makumi maviri mmHg uye diastolic kumanikidza isingasviki 10 mmHg. Nekudaro, muhupo hwezviratidzo nezviratidzo zvinoratidza kudonha mukumanikidza, zvakakosha kuenda kuna chiremba wezvemwoyo kana wezvechiremba kuti aongorore.

Kuongororwa kwerudzi urwu rwe hypotension kunoitwa nekutarisa kuwedzera kweropa munzvimbo dzakasiyana, kuitira kuti chiremba agone kuongorora kusiana kweropa. Uye zvakare, chiremba anoongorora zviratidzo nezviratidzo zvinoratidzwa nemunhu, pamwe nenhoroondo. Dzimwe bvunzo dzinogona kukurudzirwa, senge electrocardiogram (ECG), glucose uye electrolyte dosage, senge calcium, potasium uye magnesium, semuenzaniso, zvisinei mhedzisiro yeiyi miedzo haina kukwana kune postural hypotension.

Zviratidzo zvikuru

Zviratidzo zvikuru nezviratidzo zvine chekuita neothostatic hypotension kupera simba kwekunzwa, kudzima maziso, dzungu, kurovera moyo, kuvhiringidzika kwepfungwa, kurasikirwa nechiyero, kudedera, kurwadziwa nemusoro uye kudonha, uye zvakakosha kuti ubvunze chiremba kuitira kuti hypotension yacho iwanzoitika.

Izvo zvinoitika zve postural hypotension zvinowedzera nezera, kuva zvinowanzoitika kune vakwegura, uye zviratidzo zvinogona kuoneka masekondi kana maminetsi mushure mekunge munhu asimuka, semuenzaniso.

Kurapwa kunoitwa sei

Mushonga unosimbiswa nachiremba zvichienderana nechikonzero cheiyo orthostatic hypotension, zvekuti zvinokurudzirwa kushandura dhizaini yemumwe mushonga uri kushandiswa, kuwedzera kudyiwa kwemvura uye tsika yenguva dzose uye yakareruka kusvika pakati nepakati kurovedza muviri. Mukuwedzera, zvakakosha kurara pasi kwenguva yakareba, zvinokurudzirwa kugara kana kumuka nguva dzose.

Mune zvimwe zviitiko, chiremba anogona zvakare kukurudzira kushandiswa kwemamwe madhiragi anokurudzira kuchengetedza kwesodhidhi uye zororo rezviratidzo, senge Fludrocortisone, semuenzaniso, kana asiri-steroidal anti-anogumbura madhiragi (NSAIDs) ayo anokurudzira kusimudzira kwe postural hypotension.