Iziguli ezine-orthostatic hypotension, ebizwa nangokuthi i-postural hypotension, zingase zibe nomuzwa onzima (noma ziwe noma ziphelelwe amandla) uma zime emva kokuhlala noma zibeke isikhathi esithile. Lesi sifo esilimazayo asivamile futhi sithinta abantu abadala asebekhulile. Ukuxilongwa kwe-hypotension ye-orthostatic kudinga ukuncipha kwengcindezi yegazi ye-20mmHg systolic, noma i-10mmHg diastolic, kungakapheli imizuzu emihlanu ukuphakama endaweni ehlezi noma elele.
Ngenkathi abantu abaningi abane-orthostatic hypotension bebona izimpawu ngokushesha lapho kushintshwa isikhundla somzimba, inani elincane leziguli kungenzeka lingenalo izimpawu kuze kube yimaminithi amahlanu kuya kwangu-10 kamuva. Lokhu kubizwa ngokuthi i-hypotension ye-orthostatic yephuzile, futhi akuvamile.
Yini Ebangelwa Ukuziphendukela Kwe-Orthostatic Hypotension?
I-Orthostatic hypotension ingabangelwa esinye isimo sezempilo noma ngisho nemithi ethile. Izimo ze-neurologic yiyona imbangela evame kakhulu ye-orthostatic hypotension, kuhlanganise:
- Isifo sikaParkinson
- Umonakalo wesifo sikashukela
- Isifo somzimba saseLewy , esinye sezimbangela ezivame kakhulu zokudemeka kwengqondo kubantu abadala asebekhulile
Kodwa izimo ze-neurologic akuzona kuphela imbangela. Eqinisweni, izimbangela eziningi ezingezona neurogenic zalesi simo zihlanganisa:
- Isifo senhliziyo
- I-aortic stenosis
- Vasodilation
Izidakamizwa ezingabangela i-orthostatic hypotension zifaka:
- I-Diuretics
- Izidakamizwa ezinamandla
- I-Tricyclic antidepressants
Ukuthatheka Kwama-Orthostatic Kuthathwa Kanjani?
Kusukela inkinga ethize eyenza inkinga ihluke kumuntu nomuntu, ayikho yokwelapha eyodwa ye-orthostatic hypotension.
Ngezinye izikhathi isixazululo silula njengokuyeka imithi ethile owayithatha noma ukwandisa ukungenisa kwakho oketshezi ukuze ugcwalise umthamo wegazi.
Ezinye izinketho zokwelashwa zihlanganisa:
- Imfundo yeziguli mayelana nendlela yokuphatha nokulungisa izikhundla zomzimba
- Ukuzivocavoca, ngenxa yezimo ezibangelwa uhlelo olubuthakathaka lwezinhliziyo
- Ukwelashwa ngamanxusa afana ne-fludrocortisone, phenylephrine, noma i-midodrine ukulungisa kokubili ukucindezelwa kwegazi nomsebenzi wesimiso sezinzwa
Nini Ukubona Udokotela
Ngisho nesiqephu esisodwa sokuphelelwa amandla ngemuva kokuma siyisizathu esanele sokuhlela ukuvakashela kudokotela. Njengoba izimpawu ze-orthostatic hypotension zivame ukwedlula isikhathi, kungenzeka ukuthi ube nemiphumela emihle uma ubona umhlinzeki wakho wezempilo ngokushesha ngangokunokwenzeka.
Uma kungabikho izimpawu ezingase zibonise inkinga esheshayo njengesihlungu senhliziyo noma isifo sohlangothi, udokotela cishe uzokwenza uchungechunge lwezivivinyo ezingase zifake
- Umsebenzi wegazi
- Ukuhlolwa ngokomzimba
- Ukuhlolwa okunamandla
> Imithombo:
> Frishman WH, Azer V, Sica D. Ukuphathwa Kwemithi Ye-Orthostatic Hypotension kanye ne-Vasovagal Syncope. Isifo senhliziyo. 2003; 49-64.
> Lee T, Donegan C, Moore A. Ukuxutshwa komfutho ohlangene kanye ne-Orthostatic Hypotension kwabakhulile asebekhulile: I-Dilemma Treatment for Clinicians. Ukuhlolwa kochwepheshe be-Therapy Therapy. 2005; 433-40.
> Rutan, GH, et al. I-Orthostatic Hypotension ku-Older Adult. Isifundo Sempilo Yezinhliziyo. I-hypertension 1992; 19: 508.
> Sandroni P, et al. I-Pyridostigmine Yokuphathwa Kwe-Neurogenic Orthostatic Hypotension - Isifundo Sokuhlola Okulandelwayo. Ucwaningo lwe-Clinical Autonomic. 2005; 51-3.
> Umculi, W, et al. I-Pyridostigmine Treatment Trial In Hypotension Neurogenic Orthostatic. I-Arch Neurol 2006; 63: 513.
> van Lieshout, et al. Iziphakamiso Zemvelo Zokulwa Nezifo Ze-Orthostatic Inokuhluleka Kwe-Autonomic. Lancet 1992; 339: 897.
> Young, TM, Mathias, CJ. Imiphumela ye-Water Ingestion ku-Orthostatic Hypotension emaqenjini amabili okuhluleka okuzenzakalelayo kwe-Autonomic: I-Atrophy ye-Multiple System ne-Pure Autonomic Failure. Journal of Neurology and Neurosurgical Psychiatry 2004; 75: 1737.