Orthostatic hypotension

Orthostatic hypotension tsis yog ib tug nyias muaj nyias ib tus kab mob. Lub xeev no yog yus muaj los ntawm lub cev tsis muaj cov hlab ntsha kom muaj ntshav siab. Cov tsos mob yuav tshwm sim los ntawm ntau yam.

Nyob rau nce tib neeg lub ntiajteb txawj nqus yuav ua rau cov ntshav congestion nyob rau hauv
kabmob nyob rau hauv lub qis ib feem ntawm lub cev thiab ceg leeg. Qhov no ua rau ib tug txo nyob rau hauv
tus nqi ntawm cov ntshav rov qab mus rau hauv lub plawv. Raws li ib tug tshwm sim, postural hypotension ua rau ib tug nco nyob rau hauv cov ntshav siab. Lub plawv pib tuav ceev, lub peev xwm yuav me me cov hlab ntsha vim lawv ceev constriction.

Orthostatic hypotension nyob rau hauv feem ntau yog ib sab nyhuv ntawm cov tshuaj, kws kho rau cov kev kho mob ntawm cov hlab plawv tus kab mob neeg laus. Piv txwv li, diuretics, noj nyob rau hauv siab koob, yuav txo tau lub ntim ntawm cov ntshav los ntawm tshem tshaj noo noo ntawm lub cev. Tej zaum cov tsos mob tej zaum yuav tshwm sim tom qab thawj coj ntawm ib koob tshuaj nitroglycerin. Kanaltsievyh channel blockers, nitrates thiab inhibitors APPF tooj, muaj peev xwm ntawm cov hlab ntsha, uas yuav ua tau kom ntshav siab txo.

Orthostatic hypotension zaum yuav tshwm sim raws li ib tug tshwm sim mob los ntshav los yog tseem ceeb tsis kua nyob rau hauv lub cev - Addison tus kab mob, mob ntshav qab zib, raws plab thiab ntuav. Ib co tshuaj, cov tshuaj los kho kev nyuaj siab thiab kub siab, haus dej cawv thiab barbiturates inhibit paj txoj nyob rau hauv cov hlab ntsha, uas ua rau orthostatic hypotension cai. Qhov no yog ib qho tseem ceeb soj ntsuam cov tsos mob ntawm loj txha caj kev raug mob, Somatic thiab neurological kab mob. Nws qhia pathology, tshwj xeeb tshaj yog nyob rau hauv cia li tsaus muag thiab ntog.

Ntshav siab nyob rau hauv loj heev zaum yuav poob mus pes tsawg. Me me mob -taws hu ua swoon. Hypotension, kev kho mob uas feem ntau yog symptomatic, zoo nkaus li presentiment ntawm tsis nco qab, kiv taub hau thiab ib lub siab ntawm faintness.

Cov neeg mob tsis txaus siab ntawm tinnitus, tawm hws, darkening ntawm lub qhov muag, thiab cov tuam tsis muaj zog. Nws kuj sau tseg pallor txais waxy. Duration ntawm qaug dab peg lipotomii yog hais txog 3-6 vib nas this.

Nyob rau hauv ntau loj heev zaum cov tsos mob tej zaum yuav tshwm sim lub teeb psychosensory mob ntawm ib tug syndrome ntawm Shoya-Dreydzhera tawm tsam ntawd kub ntev li ob peb feeb. Qhov loj tshaj plaws ntaub ntawv ntawm cov orthostatic hypotension yog neeg tuag taus. Loj hauv daim ntawv ntawm tus kab mob no yog yus muaj los ntawm ceev ceev syncope. Tus neeg mob muaj dilated cov menyuam kawm ntawv, cov leeg hypotonia, diffuse, tus nplaig thiab eyeballs, thready mem tes. Heev ntawm cov tsos mob nyob rau qhov ntev thiab qhov tob ntawm postural nres.

Phiv raug ntawm tus kab mob, yog yam yuavtsum tau rau ischemic lub hlwb puas tsuaj thiab hauv nruab nrog cev. Los ntawm txoj kev tuag ntawm cov hlau lead mas mob cerebrovascular xwm txheej. hypotension tau
yuav symptomatic aortic stenosis, cardiomyopathy, arrhythmias, thiab myocardial infarction.

Me me kab mob no yog nqa nemedikamentozuyu txoj kev kho, uas muaj xws li ntxiv dag zog rau cov nqaij ntshiv ntawm ob txhais ceg thiab cov xovxwm, ce tswj vascular adaptation. Pw tsaug zog nrog koj lub taub hau kom pom zoo. Nws yog tsim nyog los ua raws li ib tug noj zaub mov nyob rau hauv poov tshuaj, hnav ib elastic knitted ceg. Nyob rau hauv loj heev zaum, pacemaker implantation, nrog ib tug nruab nrab tus kab mob thaum kawg muab antidepressants, adrenergic blockers thiab mineralocorticoids. Kuaj thiab kho ntawm hypotension ua ke internist thiab kev kho plawv.