Orthostatic hypotension

Orthostatic hypotension bụghị a iche iche ọrịa. Nke a kwuo e ji enweghị ike nke arịa ịnọgide na-enwe nkịtị ọbara mgbali. The mgbaàmà nwere ike mere site na ọtụtụ ihe mere.

On ebili mmadụ ike ndọda pụrụ ime ka ọbara mkpọchi na
akụkụ dị na ala akụkụ nke ahụ ahụ na ụkwụ aka veins. Nke a na-akpata a ọnụ ke
ego nke ọbara na-alọghachi obi. N'ihi ya, postural hypotension akpata a dobe na ọbara mgbali. Heart amalite iti ngwa ngwa, ike na-aghọ nta ọbara arịa ruru ha mberede constriction.

Orthostatic hypotension ọtụtụ mgbe bụ a n'akụkụ mmetụta nke ọgwụ, ọgwụ maka ọgwụgwọ nke ọrịa obi agadi. Ka ihe atụ, diuretics, weere na elu doses, ike belata olu nke ọbara site na iwepu ngafe mmiri si aru. Mgbe ụfọdụ, ihe mgbaàmà nwere ike ime mgbe ochichi nke a otu dose of nitroglycerin. Kanaltsievyh ọwa blockers, nitrati na inhibitors APPF Kama, mụbara ike nke arịa, nke nwere ike ime ka a ọbara mgbali ọnụ.

Orthostatic hypotension nwere ike ime ka a n'ihi nke oké ọbara ọgbụgba ma ọ bụ ịrịba ọnwụ nke ọmụmụ na ahu - Addison ọrịa, ọrịa shuga, afọ ọsịsa na vomiting. Ụfọdụ ọgwụ ọjọọ eme ihe, ọgwụ ọjọọ na-emeso ịda mbà n'obi na ọbara mgbali elu, na-aba n'anya na barbiturates inhibit akwara endings emi odude ke akwara, dapụtara na orthostatic hypotension hụrụ. Nke a bụ ihe dị mkpa na-adakarị mgbaàmà nke oké njọ spinal unan, somatic na akwara ozi ọrịa. Ọ owụt daa ọrịa, karịsịa na mberede na-ada mbà na-adakarị.

Ọbara mgbali n'oké ikpe nwere ike ịda ka efu. Nwayọọ mgbe -headed akpọ swoon. Hypotension, ọgwụgwọ nke bụ ukwuu n'ime symptomatic, na-egosi presentiment nke ọnwụ nke nsụhọ, dizziness na mmetụta nke faintness.

Ọrịa mkpesa nke tinnitus, sweating, agbawanye ọchịchịrị nke anya, na izugbe adịghị ike. Ọ na-e kwuru na pallor ndibọbọ waxy. Duration nke ọdịdọ lipotomii bụ banyere 3-6 sekọnd.

Na ọzọ n'oké ikpe mgbaàmà nwere ike ịpụta ìhè psychosensory ọrịa na a syndrome nke Shoya-Dreydzhera ọgụ dịruru ọtụtụ nkeji. The kacha njọ forms of orthostatic hypotension bụ na-egbu egbu. Siri ike ụdị ọrịa na-ji dị ngwa syncope. Onye ọrịa nwere dilated ụmụ akwụkwọ, muscle hypotonia, asị ibe, ire na eyeballs, thready usu. Ogo mgbaàmà na-adabere na ogologo na ịdị omimi nke postural agha.

Oghom prognosis nke ọrịa, na-prerequisites maka ischemic ụbụrụ mebiri na esịtidem akụkụ. Nke ọnwụ ụzọ tumadi nnukwu cerebrovascular mberede. hypotension nwere ike
enwe symptomatic aortic stenosis, cardiomyopathy, arrhythmias, na myocardial infarction.

Nwayọọ ọrịa na-rụrụ nemedikamentozuyu ọgwụ, nke na-agụnye ike nke akwara nke ụkwụ na pịa, omume iji na vaskụla mmegharị. Ụra na gị isi elu na-atụ aro. Ọ dị mkpa na-eso a nri elu potassium, na-eyi ihe na-agbanwe kpara ụkwụ. Na oké ikpe, pacemaker nkunye, na nkezi ọrịa N'ezie kenyere antidepressants, adrenergic blockers na mineralocorticoids. Nchoputa na ọgwụgwọ nke hypotension ekenịmde jikotara aka wee internist na cardiologist.