Orthostatic tiango: Take, Tohu me te rongoā

He maha tukanga kino e puta ana i roto i te tinana tangata, e taea whai i te pānga whakapōrearea nui. Ko e huna tātaritanga ētahi wā nui i muri i te mate o te mahara, e ai tīmatanga kiia te hua o te ngoikore te rohirohi ranei. I roto i te meka, i reira e maha atu take atu mōrearea e taea arahi ki te putanga rite.

Ko te tiango o orthostatic

whakaritea te āhua pērā te hoki rite hypotension orthostatic. whakamahia taua tātaritanga te ki tohu iti waiwai toto kaka i hua i te huringa koi i roto i te tūranga tinana. kia puta he tauhohenga taua i roto i te tinana, me te ka tatari te iwi i te wa roa. whakatairanga ana tēnei āhua taiepa oko lethargy pēhanga toto iti ranei.

Nuinga o ngā wā, faaite tenei raruraru ano i roto i te hunga nei iaia reo ngoikore. E mea pinepine, Kei te hanga he tātaritanga taua ki nga tangata i roto i te tau o te pūhuruhurutanga, no te mea ko tenei wā te takamuri i roto i te whanaketanga o te pūnaha iaia i te ake-tipu hiahia o te rauropi.

Kia pehea te Ko nga tohu

Kei reira ētahi tohu o te raruraru pērā i tiango orthostatic. tohu e hāngai ana mō te tātaritanga, he rite whai:

- whanoke;

- mate o te mahara;

- he mana'o o te kore noa iho pouri ranei i te matenga;

- ohorere ngoikore puta;

- atarua keto namu ranei;

- pokapū ruaki takenga whakapairuaki ranei;

- i roto i te take o ngā take kino, he mea e ahei urination tumu me te whanaketanga o hukihuki.

He raruraru pērā i tiango orthostatic, kia whakawhanake i runga i te whakamārama o waimaero supply toto kihai te roro anake. I roto i tenei take, kia utu koutou whakarongo ki ngā tohu pēnei i angina (tohu o ischemia myocardial), mamae i roto i te uaua o te kaki, me te manawa huringa.

Ko te takanga o enei tohu kia rua ki te noho roa i roto i te tūranga tika, me i te hui o te huringa ohorere i roto i te tūranga tinana. Ka taea hoki e mahi tinana kaha, me te koi arahi ki pouri. I roto i ētahi wā, kia puta tohu o hypotension i muri i ingestion o nui o te kai. faataa tenei e te faaitoitoraa o te karere vagus.

hypotension Orthostatic: Take

Tino maha, te tohatoha anō o te toto e haamata i roto i ara te moenga i, no te mea arotahi reira te nuinga o nga uaua e kua kei roto i te topito o raro. Tenei tukanga Ko te hua o te rongo te toto ki te mahara.

hoki venous ki te ngakau ki tino heke, e arata'i ki te hekenga atu i roto i te pēhanga. Baroreceptors, e kua kei roto i te pakohu kakī me te kikorangi te pūtahi o, ki te urupare ki te tukanga i runga, me te whakahohe i te pūnaha io autonomic.

Ka rite ki te hua, i reira he he hua i roto i te reo iaia me te pēhanga hoki me te auau ngakau i noa.

Ki te tahuri tatou ki te whakaaro o tohunga, me te ngana ki te whakapuaki i te ngako o te raruraru atu mahino, ka taea e tatou te haere mai ki te mutunga e whai ake nei: tiango orthostatic, i roto i te meka, e kore te mate, he mea pai te putanga o te meka e ngaro oko toto ratou kaha ki te pupuri i te pēhanga on i roto i te whānuitanga noa. A kia kē te mea he maha o ngā take, i ētahi wā tino nui.

He aha mate taea arahi ki te tiango o

I runga i te huru o oko, tuku ki runga ake, ko reira e taea ki te whakaawe etahi mate me ngā tukanga:

- karere riaka me te ahotea;

- mate o te āhua hopuhopu;

- he mate nui o te toto;

- mate e pā ana ki te pūnaha endocrine;

- haurangi, e faaite ake rite nui sweating, ruaki korere ranei;

- te tūkino o kai me te kai hawata ana;

- te whakamahi o antihypertensives, vasodilators me Diuretics rite te maimoatanga mō te pēhanga toto tiketike hoki te maha o nga tau.

Otiia ki te tohatoha koe he take matua o nga āhuatanga matua e tohu tiango orthostatic, ara, te ngaronga o te mahara, he mea e tika ana ki te aro ki te anoxia rere pūroto. Kei te hāngai te reira i runga i te maha o ngā huarahi e he utu te whakahua.

Tuatahi o te katoa, ko reira te ngoikore o te myocardium ki te mahi i te putanga cardiac hiahiatia. Ko te ahua o te tiango me kia meinga mokowhiti kōhikohiko, i te mea he aha te mea kahore he kai o te perfusion kaka tika.

E kore e taea e koe te tau'a ore i te whakaiti i roto i te pēhanga toto e tika ana ki te vasodilation piringa kaha. Ko te hua o tenei tukanga riro takarepa rere toto kaka.

Pānga o ngā taero

I tua atu ki te pānga o tini o nga mate, he mea e tika ana ki te tango i ki pūkete te meka e taea hoki arahi etahi taero ki te mate o te reo iaia, me te kore anake.

Drugs e meinga tiango orthostatic, kia whakaritea e te rata i runga i te pūtake takitahi, i muri nei te mea e tika ana to ratou whakamahi ki te mutu whakaiti tika te horopeta ranei. Ka taea e te reira ngā inhibitors, blockers pūhau, vasodilators, Diuretics, te tahi atu āpiha antihypertensive.

Na reira ko te reira utu te haamana'oraa i taua hypotension Orthostatic tonu e taea meinga "Dibazol" me ētahi atu raau taero rite.

Mea ki te mohio e pā ana ki ganglioplegic

I te tīmatanga, i te raau taero e no ki tenei rōpū e hoki maumaui o ponana roto i te ganglia autonomic. Me tenei pānga ki te whakaiti i te āhua uaua o nga arterioles, venules me sphincters precapillary.

Ko te hua o taua tukanga ko te ki te whakapai ake microcirculation i te kopa, i te mea tino nui i roto i te maimoatanga o pouaru rerekē ru, tahu mate, toxicosis hopuhopu, kakā me ētahi atu mate.

Mā te gangliobloktory, ka taea e whakanui i te tohu o te haaputuputuraa o te toto i roto i te uaua, me te reira whakaiti i tona hokinga ki te ngakau, a ko te kupu whakaiti i tona preload. I roto i te mau parau te tahi atu, i reira he he whakapai ake o te ngakau.

Otiia i roto i tenei hinu ko a rere i roto i te hinu - ara, tiango orthostatic ka tono ganglioblokatorov. Tenei Ko tetahi o nga hopearaa taea o te whakamahi o tenei tarukino. i kitea taua pōauautanga i etahi rōpū o tūroro. Ko te take mo te tauhohenga taua ko te ponana tinana braking i roto i huarahi pukuaroha ki te uaua.

Hoki pōauautanga taea pērā i pupuri mimi, kōroke atonic, e tukupu ana kawatanga pekitīlia.

He aha te tirohanga taea te whakaaro e hāngai ana

Ki te i rēhita koe ngā āhuatanga o te hypotension orthostatic, he mea e tika ana ki te whakahaere i tinana pūkenga. He mea nui hoki ki te tirohia te pēhanga toto. E mea titauhia, me te whakahaere whakamātautau orthostatic. Ko tōna ngako ko ki te whakarite kia whiwhi ake te manawanui, me te tākuta i tenei wa e matakitaki ana urutaunga uaua hemodynamic.

He te hoki tetahi ahua hāngū o te tauira. Ko reira e tika ana ki te kawe i roto i runga i te tepu hurihuri, a he hohekore nga uaua.

Kei te hanga hoki te tukanga o te tātaritanga ki te ako i te hītori, ako o te raau taero e kua rēhita mua a taea meinga ino. Te taha ki tenei, haere mai te tahi atu āhuatanga ki te rongo marama, kua whakamana tirohanga, kia rite ki te pai kia rite ki te ako o ngā pūnaha me whekau o te manawanui. Hoki enei take e taea te whakamahi percussion, palpation, auscultation, me ētahi atu tukanga tātaritanga.

Ngā wā katoa kia mahara ano utu e taea hypotension Orthostatic meinga etahi pōauautanga, i roto i ētahi wā mai, ko te putanga o mate nui (cardiomyopathy, stenosis te pūtahi o, arrhythmias, infarction myocardial). tikanga o tēnei e ka, e hiahia ana koe tohu kitea o tenei raruraru ki te karanga i te tākuta.

Me pēhea te ki te ora i te parariraa o te mau tamarii

puta hypotension Orthostatic i te tau wawe tino atu uaua atu i roto i ngā pakeke. Ko te take mo te tātaritanga taua e taea e te momo o ngā āhuatanga pathological. Ka rite ki te tauira, te hemokai, maroketanga, mārō rawa piringa ranei mate toto, me te sequestering inu i roto i nga kōwhao peritoneal me pleural.

tino maha hanga tiango ite ano tamariki i runga i te whakamārama o mate hopuhopu, me te toxicosis, a nui atu pinepine atu i roto i ngā pakeke. haere tahi ana tēnei huru e korere, ruaki, me te kirika.

Ki te whakaaro ki te rere toto waimaero i roto i te roro, e tukupu ana te pēhanga toto, te tinana o te tamaiti, puta ratou ki hypoxia nui atu hohonu, haere tahi i te taua haehae me te mate o te mahara.

Methods o te maimoatanga

I roto i te tikanga ki te hinga hypotension Orthostatic, kia kawea maimoatanga i tika me ki te whai wāhitanga o te mātanga tohu. I roto i te whānui, ka taea e whai i te tikanga o te mana i runga i tenei take e rua ngā wāhi matua: huringa āhua noho me te whakamahi o te therapy tarukino.

Ki te kōrero tatou e pā ana ki ngā tikanga tūturu o te ora, e taea te pēnei te mahi e whai ake nei ki a ia:

- whakaaetanga o wahi iti o te kai;

- noho poto i roto i te taiao wera;

- hanganga i roto i te moe mā te whakamahi i te urunga ki raro i te waewae o te pukepuke;

- te whakamahi o pikaunga isotonic mō ngā rōpū uaua katoa;

- toutou haere i roto i te rangi hou;

- ki te pera rapu huru, te whakamahi i tokena kōpeketanga, e āwhina ki te mau tonu te āhua o te uaua kei roto i te topito o raro;

- tiaki i te ara koi te moenga heamana ranei (me maturuturu tuatahi koe nga waewae, me te anake ka tango i te tūnga poutū) i.

Hoki te maimoatanga o te raau taero whakamahi erythropoietin, vasopressin analogs ( "Vazomirin", "Minimirin"), mineralocorticoid ( "Dezoksikorton", "Florinef"), inhibitors cholinesterase ( "Galantomin", "Neostigmine"), me etahi atu. Ko e mahara tonu koutou e, hypotension orthostatic e taea meinga raau i e kua whakamahia, kahore whakaaro ki te take o contraindications manawanui ngā inenga hē ranei.

Kaua e wareware e pā ana ki te huru e whāriki e kia meinga ai te ahua o te tiango. Te kore maimoatanga ki te whakatutuki e pea ki te angitu hua nui.

hua

Na kua ki te kua whakaritea hypotension orthostatic, e kore e mataku, hinga tenei raruraru te. Ki muri e kore i hanga maimoatanga angitu o te tiango ua ano ano, hanga ana e ia te tikanga ki te mōhio o te tahi mau āraihia.

Ki te hunga ngā te haere i faahitihia tamau i roto i te huarahi, te mana o te fariiraa i taero antihypertensive, nutrition tika, me te, o te akoranga, te āhua hauora. He mea nui i nga tohu tuatahi o taua raruraru whakaroa ki te tātari i waho, no te mea e taea e te take o te syncope kia he mate nui, me te waiho i te reira, he mahi wehe ki pōauautanga nui.