Bakuli ba nang le orthostatic hypotension, ba boetse ba bitsoa postural hypotension, ba ka 'na ba ikutloa ba le mokhutšoanyane (kapa ba oela kapa ba felloa ke matla) ha ba eme ka mor'a hore ba lutse kapa ba behe nakoana. Boloetse bona bo fokolisang ha boa tloaeleha mme bo ama haholo batho ba baholo. Ho fumanoa ha hypotension ea orthostatic ho hloka ho fokotseha ha khatello ea mali ea li-systolic 20mmHg, kapa 10mmHg diastolic, kamora metsotso e mehlano ho tloha sebakeng se lutseng kapa moo ho leshano.
Le hoja batho ba bangata ba nang le hypotension ea orthostatic ba nang le matšoao hang-hang ha maemo a fetoha 'meleng, palo e nyenyane ea bakuli e ka' na ea se ke ea e-ba le matšoao ho fihlela metsotso e mehlano ho isa ho e 10 hamorao Sena se bitsoa ho lieha ha orthostatic hypotension, 'me ho tloaelehile.
Ke'ng e bakang Orthodotic Hypotension?
Orthostatic hypotension e ka bakoa ke boemo bo bong ba bophelo bo botle kapa meriana e meng. Maemo a kelello ke sesosa se tloaelehileng ka ho fetisisa sa hypotension, kapa ho:
- Lefu la Parkinson
- Tšenyo ea methapo ea lefu la tsoekere
- Lefu la 'mele le bitsoang Lewy , le leng la lisosa tse tloaelehileng tsa' dementia 'ho batho ba baholo ba baholo
Empa maemo a neurologic hase eona feela sesosa. Ha e le hantle, lisosa tse 'maloa tse sa phekoleheng tsa boemo bo kenyelletsa:
- Lefu la pelo
- Aortic stenosis
- Vasodilation
Lithethefatsi tse ka bakang orthostatic hypotension li kenyeletsa:
- Diuretics
- Lithethefatsi tse nang le lithibela-mafu
- Tricyclic ho loantšana ha maikutlo
Tsela ea Orthodotic Hypotension e Tšoaroa Joang?
Kaha taba e tobileng e bakang bothata e fapana ho tloha ho motho ho ea ho motho, ha ho na phekolo e le 'ngoe bakeng sa orthostatic hypotension.
Ka linako tse ling tharollo e bonolo joaloka ho khaotsa meriana e itseng eo u ntseng u e nka kapa ho eketsa tlhahiso ea hau ea metsi e le hore u tlatse mali a mali.
Mefuta e meng ea phekolo e kenyeletsa:
- Thuto ea mamello mabapi le tsela ea ho jara le ho fetola maemo a bona a 'mele
- Ho ikoetlisa, bakeng sa linyeoe tse bakoang ke mokhoa o fokolang oa pelo
- Kalafo ea meriana le mahlahana a kang fludrocortisone, phenylephrine, kapa midodrine ho fetola khatello ea mali le mosebetsi oa tsamaiso ea methapo
Nako ea ho Bona ngaka
Esita le ketsahalo e le 'ngoe ea ho nyahama ka mor'a ho emisa ke lebaka le lekaneng la ho etsa ketelo ea ho etela ngaka. Kaha matšoao a hypotension orthostatic a atisa ho mpefala ha nako e ntse e feta, u ka ba le liphello tse molemo ka ho fetisisa ha u bona mofani oa tlhokomelo ea bophelo ka potlako.
Ha ho se na matšoao a ka 'nang a bontša bothata bo potlakileng joaloka lefu la pelo kapa stroke, ngaka e ka' na ea etsa liteko tse ngata tse ka kenyelletsang
- Mosebetsi oa mali
- Tlhahlobo ea 'mele
- Tlhahlobo e sekametseng
> Mehloli:
> Frishman WH, Azer V, Sica D. Drug Treatment ea Orthostatic Hypotension le Vasovagal Syncope. Mafu a Pelo. 2003; 49-64.
> Lee T, Donegan C, Moore A. Tlhabelano e matla ea motlakase le Orthostatic Hypotension ho bakuli ba lilemong tsa khale: Tlhokomelo ea Phekolo bakeng sa Lingaka. Tlhahlobo ea Litsebi tsa Phekolo ea Meriana. 2005; 433-40.
> Rutan, GH, le al. Orthostatic Hypotension ho Batho ba baholo. Thuto ea bophelo bo botle ba pelo. Phekolo ea meriana 1992; 19: 508.
> Sandroni P, le al. Pyridostigmine bakeng sa Phekolo ea Neurogenic Orthostatic Hypotension - Thuto ea Phatlalatso ea ho Tsamaea. Kliniki ea Autonomic Research. 2005; 51-3.
> Moqapi, W, le al. Teko ea Phekolo ea Pyridostigmine ho Neurogenic Orthostatic Hypotension. Arch Neurol 2006; 63: 513.
> van Lieshout, et al. Mekhoa ea Boipheliso ea ho Loantša Bolumeli ba Mokokotlo ka ho Hlōleha ha Autonomic. Lancet 1992; 339: 897.
> Young, TM, Mathias, CJ. Liphello tsa ho kenngoa ha metsi ka Orthostatic Hypotension Lihlopha tse peli tsa ho hlōleha ha Autonomic: Mefuta e mengata ea Atrophy le ho Hlōleha ha Ponomic. Journal of Neurology le Neurosurgic Psychiatry 2004; 75: 1737.