Orthostatic rushewar: Sanadin, Alamun kuma Jiyya

Akwai da yawa m matakai abin da ke faruwa a jikin mutum, wanda zai iya da wani gagarumin ansu kafofin tarwatsa tasiri. Amma wani lokacin tsanani diagnoses aka boye a baya da asarar sani, wanda zai iya da farko ze sakamakon rauni ko sha. A gaskiya ma, akwai mutane da yawa da sauran mafi m haddasawa da cewa zai iya kai wa ga wata irin sakamako.

Rushewar orthostatic

Irin wannan jiha aka ƙaddara ma kamar orthostatic hypotension. Irin wannan ganewar asali da ake amfani da nuna kasa jikewa cerebral jini wanda ke haifar daga kaifi canje-canje a cikin jiki matsayi. Irin wannan dauki iya faruwa a cikin jiki da kuma lokacin da mutane jira na dogon lokaci. Wannan jiha inganta lethargy jirgin ruwa bango ko low jini.

Mafi sau da yawa, wannan matsala tana bayyana kanta a wa waɗanda jijiyoyin bugun gini sautin raunana. Sau da yawa, irin wannan ganewar asali da aka sanya wa mutane a cikin shekaru balaga, saboda wannan lokaci ne fada a cikin ci gaban da jijiyoyin bugun gini tsarin daga taba-girma bukatun da kwayoyin.

Ta yaya ne bayyanar cututtuka

Akwai wasu alamun da matsala kamar orthostatic auka. cututtuka dacewa ga ganewar asali, su ne kamar haka:

- dizziness.

- asarar sani.

- ji na fanko ko wani nauyi a kai.

- bayyana ne kwatsam rauni.

- Heart hangen nesa ko rawar kwari.

- tsakiyar asalin amai ko kumallo.

- a cikin hali na tsanani lokuta, yana yiwuwa involuntary urination da kuma ci gaban seizures.

Wata matsala kamar orthostatic auka, iya ci gaba a kan bango na sosai jinin samar ba kawai kwakwalwa. A wannan yanayin, ya kamata ka kula da bayyanar cututtuka irin su angina (bayyanar cututtuka na tsokar ischemia), zafi a cikin tsokoki na wuyansa, kuma numfashi canji.

Da ya faru na wadannan cututtuka yiwu duka biyu tare da wani dogon zaman a wani mike matsayi, kuma a cikin taron na wani canji a jikin matsayi. Strong da kuma kaifi jiki aiki kuma iya kai ga rufe da mãgãgi. A wasu lokuta, ãyõyin hypotension iya faruwa bayan ingestion na manyan yawa na abinci. Wannan bayani da kunnawa da da vagus jijiya.

Orthostatic hypotension: Sanadin

Popular sau da yawa, da redistribution na jini zai fara a lokacin dagawa daga gado, saboda shi ya mayar da hankali da girma daga cikin jijiyoyinmu cewa suna located a cikin ƙananan extremities. Wannan tsari ne sakamakon daukan hotuna zuwa nauyi da jini.

Venous koma cikin zuciya tare da rage muhimmanci, wadda take kaiwa zuwa wani m karu a matsa lamba. Baroreceptors, wanda aka located a cikin carotid sinus da aortic baka, don amsa ga sama tsari da kuma kunna autonomic juyayi tsarin.

A sakamakon haka, akwai wani karuwa a jijiyoyin bugun gini sautin kuma samu matsin lamba da kuma zuciya rate aka al'ada.

Idan muka juya zuwa ga ra'ayi na masana da kuma kokarin bayyana jigon matsalar more abubuwan da, za mu iya zo da wadannan ƙarshe: orthostatic auka, a gaskiya, ba da wata cũta, shi ne wajen wani sakamako na cewa jini rasa su ikon ci gaba da wani kwari matsa lamba a cikin al'ada kewayo. Kuma shi iya riga ya zama wani adadin dalilai, wani lokacin tsanani sosai.

Abin da cututtuka zai iya kai ga rushewar

A cikin yanayin tasoshi, ake magana a kai a sama, shi ne iya tasiri wasu cututtuka da kuma matakai:

- jijiya iri da kuma danniya.

- cututtuka na wani dauke da kwayar cutar yanayi.

- wani gagarumin asarar jini.

- cututtuka alaka da endocrine tsarin.

- maye, wanda bayyana kanta a matsayin wuce kima sweating, amai ko zawo.

- da zagi na cin abinci da kuma wani m rage cin abinci.

- da amfani da antihypertensives, vasodilators da diuretics a matsayin magani ga hawan jini ga dama shekaru.

Amma idan ka ware wani key dalili na babban fasali cewa faye hali orthostatic auka, wato, asarar sani, wajibi ne a kula da ischemic anoxia. Ya dogara ne a kan da dama sunadaran da suke da daraja ambata.

Da farko, shi ne rashin iyawa na myocardium yin da ake so cardiac fitarwa. A bayyanar rushewar kuma zai iya sa sababbu bugun zuciya, wanda shi ne dalilin da ya sa akwai wani arziki daga isasshen cerebral perfusion.

Ba za ka iya watsi da raguwa a jini saboda da aiki na gefe vasodilation. A sakamakon wannan tsari ya zama rashin cerebral jini ya kwarara.

Gurbin daban-daban kwayoyi

Bugu da kari to da tasiri na cututtuka daban-daban, wajibi ne a yi la'akari da cewa wasu kwayoyi kuma iya kai wa ga wata asarar jijiyoyin bugun gini sautin kuma ba kawai.

Kwayoyi da sa orthostatic auka, ya kamata a ƙaddara da likita a kan wani mutum-akai, bayan da su yi amfani da wajibi ne a daina ko rage kashi daidai. Yana iya zama daban-daban hanawa, nitrates blockers, vasodilators, diuretics, sauran antihypertensive jamiái.

Saboda haka yana da yaushe daraja tuna cewa Orthostatic hypotension zai iya sa "Dibazol" da kuma sauran irin wannan kwayoyi.

Abubuwa sani game da ganglioplegic

Da farko, da magungunan cewa suna cikin wannan rukuni ne ga keta hasken dake fitowa ta cikin autonomic ganglia. Wannan sakamako yana bukatar a rage tsoka sautin na arterioles, venules da precapillary sphincters.

A sakamakon irin wannan matakai ne don inganta microcirculation a cikin tsokoki, wanda yana da muhimmanci sosai a lokacin jiyya na daban-daban gwauraye buga, ƙone cuta, cututtuka toxicosis, ciwon huhu da kuma sauran cututtuka.

Amfani gangliobloktory, zai iya ƙara mataki na jari na jini a cikin jijiyoyinmu kuma game da shi rage ta koma cikin zuciya, kuma ta haka ne rage preload. A wasu kalmomin, akwai wani ci gaba ne na zuciya.

Amma a cikin wannan maganin shafawa ne da kuma tashi a cikin maganin shafawa - wato, orthostatic rushewar lokacin da ake ji ganglioblokatorov. Wannan shi ne daya daga cikin yiwu sakamakon na yin amfani da wannan magani. Irin wannan rikitarwa da aka gani a wasu kungiyoyin da marasa lafiya. A dalilan da irin wannan dauki da braking jiki hasken dake fitowa a m tafarkin da jijiyoyinmu.

Har ila yau, zai yiwu rikitarwa kamar urinary riƙewa, atonic maƙarƙashiya kuma ragewan na ciki da acidity.

Abin dubawa za a iya daukan dacewa

Idan ka aka rajista halaye na wani orthostatic hypotension, shi wajibi ne su gudanar da probing jikinsu. Yana da muhimmanci a duba jini. Wajibi ne da kuma gudanar da orthostatic gwajin. Its ainihi shi ne don tabbatar da cewa haƙuri samun sama, da kuma likita a wannan lokacin kallon hemodynamic tsoka karbuwa.

Akwai ma wani m nau'i na samfurin. Wajibi ne a gudanar da wani a kan wani juyawa tebur, da kuma tsokoki ne m.

Kan aiwatar da ganewar asali ne ma yi nazarin tarihin, da nazari, da kwayoyi da aka a baya rajista da kuma zai iya haifar da tabarbarewar. Tare da wannan, wasu dalilai zo da haske mai daukan hotuna, dubawa da aka yi, kazalika da nazarin tsarin da kuma gabobin da mãsu haƙuri. Domin wadannan dalilai za a iya amfani da feat. Irfan, palpation, auscultation, da sauran bincike hanyoyin.

Ko da yaushe daraja tuna cewa Orthostatic hypotension zai iya sa wasu rikitarwa, tun a wasu lokuta, shi ne wani sakamako na tsanani cututtuka (cardiomyopathy, aortic stenosis, arrhythmias, tsokar zuciya infarction). Wannan yana nufin cewa a lokacin da shakka akwai ayoyi da wannan matsala, kana bukatar ka kira likita.

Yadda tsira auka daga cikin yara

Orthostatic hypotension ya auku a wani wuri shekaru muhimmanci wuya fiye da a manya. Dalilin irin wannan ganewar asali na iya zama wani iri-iri pathological yanayi. A matsayin misali, yunwa, dehydration, overt ko gefen jini asara, kazalika da sequestering ruwa a cikin peritoneal da pleural cavities.

Yara quite sau da yawa rushewar sa kanta ji a kan bango na cututtuka da kuma toxicosis, da kuma fiye da akai-akai, fiye da manya. Wannan yanayin yana tare da zawo da amai, da kuma zazzabi.

Game da sosai jini ya kwarara a cikin kwakwalwa da kuma ragewan da jini, da yaro ta jiki, da suka faru tare da yafi babban hypoxia, tare a wannan convulsions da kuma asarar sani.

Hanyar magani

Domin shawo kan Orthostatic hypotension, magani ya kamata a za'ayi daidai da tare da sa hannu na wani m gwani. A general, da hanyoyin da tasiri a kan wannan batu zai iya samun biyu main yankunan: salon canje-canje da kuma yin amfani da miyagun ƙwayoyi far.

Idan muka magana game da halitta da hanyoyin maida, da wadannan ayyuka za a iya dangana a gare shi:

- yarda da kananan rabo na abinci.

- short tsaya a wani zafi yanayi.

- samuwar lokacin barci amfani da wani matashin kai a karkashin ƙafa na tudu.

- da amfani da isotonic lodi ga duk tsoka kungiyoyin.

- akai-akai na tafiya a cikin sabo ne iska.

- idan hali ya buƙaci haka, yi amfani da matsawa safa, wanda taimaka wajen kula da sautin na jijiyoyinmu located a cikin ƙananan extremities.

- kariya daga wani kaifi Yunƙurin daga gado ko kujera (dole ne ka farko sauke da kafafu da kuma kawai sai kai a tsaye matsayi).

Domin lura da kwayoyi amfani erythropoietin, vasopressin analogs ( "Vazomirin", "Minimirin"), mineralocorticoid ( "Dezoksikorton", "Florinef"), cholinesterase hanawa ( "Galantomin", "Neostigmine"), da sauransu. Amma ya kamata ka ko da yaushe tuna cewa, orthostatic hypotension cewa zai iya sa magani da cewa an yi amfani da tare da game da al'amarin na contraindications musamman haƙuri ko ba daidai ba sashi.

Kada ka manta game tamkar yanayin da za a iya haddasa bayyanar auka. Ba tare da magani a cimma gagarumin sakamako ne da kamar wuya ga nasara.

sakamakon

Saboda haka idan orthostatic hypotension an gyarawa, ba su tsoro, wannan matsala da aka shawo kan. Don bayan nasara lura da rushewar bai sanya kanta ji sake, shi ya sa hankali ya zama sane da wasu m matakan.

Don wadanda hada da waccan mujalla da muka m tafiya a titi, da iko da samun antihypertensive kwayoyi, dace abinci mai gina jiki da kuma, ba shakka, da lafiya salon. Yana da muhimmanci a farko alamun irin wannan matsaloli ba tare da bata lokaci ba don gane asali, saboda dalili na syncope iya zama wani tsanani cuta, da kuma yin watsi da shi ne fraught tare da gagarumin rikitarwa.