Orthostatic'opi: 'ehaʻeha ka, Symptoms a me ka iapaau ana

He nui pilikia keʻano o ka hanaʻana 'ia i loko o ke kino o ke kanaka, a hiki i ka nui disruptive hopena. Akā, ua hūnāʻia i kekahi manawa, nui diagnoses ma hope o ka lilo o ka ike paka i, a i initially he i ka hopena o ka nawaliwali, a me exhaustion. I ka mea, he nui na'ē aʻe oi pilikia kumu i hiki alakai i ka like hoʻokūkū.

Ka'opi o ka orthostatic

Oia ka moku'āina ua nānā 'no hoi me orthostatic hypotension. Oiaʻike, ua hoʻohana 'ia ka hōʻike lawa saturation cerebral koko i kūpono ai, mai na loli loa ae ma ke kino kūlana. Oia ka naoh kānāwai i loko o ke kino a me ka wā kanaka e kali i ka lōʻihi manawa. Kēia moku'āina paipai 'ia ka lethargy moku paia a haahaa ke koko.

Loa pinepine, keia pilikia hoike mai ai ia ia iho i loko o ka poe nona vascular leo hoʻonāwaliwaliʻia. Pinepine, ua i hiki i na kanaka ma ka makahiki o ka puberty ia kaʻike,, no ka mea, i kēia wā o ka lag i loko o ka ulu ana o ka vascular'ōnaehana, mai ka mau loa-ulu pono o ka meaola.

Pehea e na symptoms

Aia nō kekahi mau hōʻailona o ka pilikia e like me orthostatic'opi. symptoms pili no kaʻike,, e like penei:

- pōniuniu;

- kahe o ka ike paka i;

- i ka manao o ka'ōlohelohe, a me kaʻehaʻeha ma ka poo;

- Ikea koke nawaliwali;

- blurred hihio paha flickering nahu;

- Central me Kinohi ka luaʻi paha nausea;

- ma ka hihia o ka loa hoopii, e mea hiki involuntary urination a me ka ulu ana o ke kāʻili 'ana.

A pilikia e like me orthostatic'opi, e hoʻomōhala ma ke kāʻei kua o ka hihia hoʻi ke koko lako ole wale i ka lolo. Ma keia hihia, oe e hoʻolohe i symptoms e like me angina (symptoms o myocardial ischemia),ʻeha ma nā nāʻiʻo o ka ai a me ka hanu loli.

Ka hanana o kēia mau symptoms i nā me i ka noho lōʻihi ma ka pono kulana, a ma ka hopena o ka ulia loli ma ke kino kūlana. Ikaika a me kaʻoi physical aayoaeuiinoe hiki i alakai i ka maʻule hou ihola nō. Ma kekahi mau hihia, e hana ana i na hoailona o ka hypotension ma hope o 'ai, inu a nui dala o ka ai. Keia ua wehewehe ia e ka ho'ā hope o ka vagus nā aʻalolo.

Orthostatic hypotension: 'ehaʻeha ka

Muli o kona kulana pinepine, i ka redistribution o ke koko hoʻomaka i hookiekie ana mai i ka moe, no ka mea, e kālele ana ka bulk o na aa koko i i aia ma ka laloʻaoʻao. Kēia kaʻina hana o ka hopena o ka waiū i ka umekaumaha i ke koko.

Venous hoʻi i ka naʻau a me me ka nui loa hoemi, e hiki aku ai i ka hou emi ka puʻe. Baroreceptors, a i aia i loko o ka carotid sinus a me ka aortic e pio mai, e pane i ka luna kaʻina a me ka haʻalele i ka autonomic ko mākou hopohopo nenoaiu.

E like me ka hopena, he mea he mahuahua ma vascular leo a me ka hoʻi ka puʻuwai a me ka naau kōmi i maʻamau.

Inā mākou e huli ai i ka manao o ka poe akamai i, a ho'āʻo i ka hoike i ka pā o ka pilikia nui succinctly, ua hiki ke hele mai i ka kēia hopena: orthostatic'opi, ma ka mea,ʻaʻole i ka maʻi, ia mea, aole i kekahi no o ka mea i na moku ke koko lilo aku i ko lakou hiki, e malama i ka napoo puʻe i loko o ka maʻamau laulā. A me ka mea i ano e ka helu o nā kumu, i kekahi manawa mea nui.

He aha maʻi ke alakai i ka'opi o

Ma ke ano o na moku, haawi ia i luna, ka mea i hiki ke ho ololi i kekahi maʻi a me keʻano o ka hanaʻana:

- nā aʻalolo ke kanana nei a me ka stress;

- maʻi o ka infectious ano;

- he nui kahe o ke koko;

- maʻi e pili pū ana i ka endocrine'ōnaehana;

- intoxication, i hoike mai ai ia ia iho e like me excessive sweating, ka luaʻi paha diarrhea;

- i ka hainā o kaʻai a me ka unhealthyʻai;

- i ka hoʻohana 'ana o nā antihypertensives, vasodilators a me diuretics like me ka iapaau ana no kiʻekiʻe ke koko, no kekahi mau makahiki.

Akā, inā e līkaia no ke kī kumu o ka papa kuhikuhiE hiʻona i emi iho orthostatic'opi, oia, lilo o ka ike paka i, ka mea, he pono nō ia e lohe i ka ischemic anoxia. Ua Ua nānā 'ana i kekahi mau maomeka mea i oi i olelo ia.

Mua o nā mea a pau, ka mea, o ka hikiʻole o ka myocardium, e hana i ka makemake cardiac ia auoiaea. Keʻano o ka'opi, a hiki i ole Kal, i mea no ke aha la aole mea i hoʻolako 'ia' ana e pono cerebral perfusion.

Oe hiki ole kāpae'ōlelo i ke ka ho'ēmiʻana i loko o ke koko, ku i ka hanaʻike ākea vasodilation. I ka hopena o kēia kaʻina i lawa ponoʻole cerebral koko pele.

Waiwai o ka ai 'likeʻole

Ma waho aʻeo i ka hopena o nā maʻi likeʻole, ka mea i pono, e lawe i mooolelo o ka mea i ai 'kekahi hiki no hoi e alakai ai i ka lilo ana o vascular leo, aʻaʻole wale.

Ai 'i i orthostatic'opi, e hooponoponoia ia mea, ma ke kahuna lapaau e pono ma luna o kekahi kanaka kumu, ma hope o kā lākou i hoʻohana mea pono e hooki aku a emi i ka mahele lāʻau pololei. Ua hiki e likeʻole nā mea kūpale, nitrates blockers, vasodilators, diuretics,'ē aʻe antihypertensive konohiki.

No ka mea, He mau kumukuai hoomanao ana Orthostatic hypotension hiki i "Dibazol" a me ka 'ē aʻe like ai'.

Mea e ike e pili ana i ganglioplegic

Initially, na ai 'poe i huiia mai i keia pae i no ka' aʻe 'ana o impulses ma ka autonomic ganglia. Ua hookoia pono e emi i ka Muscle leo o na arterioles, venules a me precapillary sphincters.

I ka hopena o ia keʻano o ka hanaʻana mea e hoʻoikaika 'microcirculation i loko o nā nā'aʻaʻa, i mea nui loa i hana maikaʻiʻole o okoa na wahinekanemake kŰia, kuni i ka mea maʻi, infectious toxicosis, pneumonia a me nā maʻi.

E ho ohana i gangliobloktory, ke hoomahuahua i ka degere o ka hoʻomāhuahua o ke koko ma na aa koko, a hiki ia emi kona e hoʻi i ka naʻau, a pela emi kona preload. Ma na olelo e ae, he mea ka hana hou ana o ka naau.

Akā, ma kēia mea poni mea a lele i loko o ka mea poni - o, orthostatic'opi ana ganglioblokatorov wā. 'O kēia kekahi o ka hiki hopena o ka pono o keia k. i ike ia complications i loko o kekahi pūʻulu o nā mea maʻi. Ke kumu no ia i naoh o ka ke peleki pāʻana kino impulses i kōkua aloha mau alahele i na aa koko.

No hoi e hiki complications e like me urinary ka mālama, atonic constipation a hakumakuma gastricʻakika.

hiki aha nana e noonoo pili

Inā 'oe i kakau ano o ka orthostatic hypotension, ia mea pono e hoʻomaka probing kino. Ua mea i nui, e nānā ke koko. Ua mea e pono ai, a hoʻomaka orthostatic hōʻike. Kona Mānoa, he wahi e hōʻoia i ka hoʻomanawanui i loaʻa mai, a me ke kauka i keia manawa, e kiai ana hemodynamic Muscle ka hoʻololiʻana.

Aloha no hoi kekahi OE ano o ka hāpana. He pono, e lawe mai ma ka kaʻapuni papa, a me na nāʻiʻo i AEeOEXAaI.

Ke kaʻina hana o kaʻike, ua hoi i ka hoʻopaʻa haʻawina i ka mōʻaukala, study o ka ai 'ana i ua mamua kakau a hiki i mea hōʻemi. A me keia, 'ē aʻe e hele mai i ka malamalama waiū, nana ua hana, e like me ke ao ana o nenoai a me nā loko o ka hoʻomanawanui. No kēia mau hana hiki ke hoʻohana percussion, palpation, auscultation, a me nā kaʻina hana PalekanaEND_LINK.

Manawa ke kumukuai o hoomanao ana Orthostatic hypotension hiki i kekahi complications, mai i loko o kekahi mau hihia, o kekahi no o ka maʻi mea (cardiomyopathy, aortic stenosis, arrhythmias, myocardial infarction). Kēia 'o ia hoʻi i ka wā maopopo na hoailona o keia pilikia, e pono e kapa aku i ke kauka.

Pehea e ola mahope aku o ka'opi o na keiki

Orthostatic hypotension ia lŘlŘ ma kekahi kakahiaka nui elemakule me ka nui loa oi paʻakikī ma mua i loko o nā mākua. Ke kumu no ka mea iʻike, hiki e keʻano o pathological ana. Me lakou i mea hoike, pololi, dehydration, overt a wahi hūnā koko poho, e like me sequestering loli ma ka peritoneal a me ka pleural cavities.

Keiki muli o kona kulana pinepine'opiʻo ia ia iho, i manao ai ma luna o ke kāʻei kua o infectious maʻi a me ka toxicosis, a nui aku pinepine ma mua i loko o nā mākua. Keia ano ua pu ma ka diarrhea, ka luaʻi, a me ka mai kuni.

Me ka pili ana i ka hihia hoʻi koko i loko o ka lolo, a ua hakumakuma i ke koko,, ke kino i ke keiki i ka, ka mea ana me ka oi kulou malie hypoxia, pu ma ka ia convulsions a me ka poho o ka ike paka i.

Nā Papahana O Ka lapaʻau

I mea e lanakila Orthostatic hypotension, e halihaliia oia iwaho lapaau pono, a me ke komo ana o ka palapala hōʻoia no hoʻomalu. I mau, nā kiʻina hana o ke keiki ma kēia pukana hiki i ka papa kuhikuhiE wahi mau: Aloha Hawaii loli a me ka hoʻohana 'ana o ka lāʻau Inc.

Inā mākou e kamailio e pili ana i maoli ano o ke ola, i ka i kēia ka hana hiki e wahi ia ia:

- ae o ka apana uuku o ka ai;

- pōkole noho i loko o ka wela 'ia;

- ho okumu i ka hiamoe ka hoʻohana 'ana i ka uluna ma lalo o na wawae o ka mauna;

- i ke ano o isotonic wahie, no nā mea a pau Muscle pūʻulu;

- pinepine e hele i loko o ka hawaiian lewa;

- ina kumu no laila, e noi mai ana, hana mīkini'opihia anal, a kokua i ka malama i ka leo o na aa koko ke aupuni 'ma ka laloʻaoʻao;

- hoomalu mai kaʻoi ala hou mai i ka moe a me ka noho (oe e papa mua na wawae, a wale laila lawe i ka vertical kūlana).

No ka iapaau ana o ka ai 'hoʻohana erythropoietin, vasopressin analogs ( "Vazomirin", "Minimirin"), mineralocorticoid ( "Dezoksikorton", "Florinef"), cholinesterase nā mea kūpale ( "Galantomin", "Neostigmine"), a me kekahi poe e ae. Akā oe e hoomanao mau ia, orthostatic hypotension e hiki i ka lāʻau 'ana i ua hoʻohana me ka pili ana i ka hihia o contraindications mau hoomanawanui a me ka pololei ole laʻau heluna.

Mai poina e pili ana i ka nń ku ana i hiki e mai ana i ke ano o ka'opi. Me ka lapaʻau e hoʻokōʻiʻo hualoaʻa i olelo lealea e holomua.

hualoaʻa

No laila, ina orthostatic hypotension ua, ua paa, mai panic, keia pilikia ua lanakila. I hopeʻana lapaau o ka'opi i ole i ikeia hou ia iho, ka mea i hoohalike ia e ike i kekahi kāohi ana.

I ka poe nā i ka hua a eia i hele i loko o ke alanui, me ka mana o ka loaa ana antihypertensive ai ', kupono no kou kino, a, o ka papa, he olakino Aloha Hawaii. He mea nui ma ka hoailona mua o ia mau pilikia me ke kali e diagnose, no ka mea, i ke kumu o ka syncope hiki ia i kekahi maʻi nui, a me ka ignoring ia mea fraught me ka nui complications.