I-postural (orthostatic) hypotension: iyini, izimbangela kanye nokwelashwa

-Delile

• Yini engadala i-postension hypotension
• Izimpawu eziyinhloko
• Yelashwa kanjani

I-postural hypotension, eyaziwa nangokuthi i-orthostatic hypotension, yisimo esibonwa ukwehla okusheshayo komfutho wegazi, okuholela ekubonakaleni kwezimpawu ezithile, ezinjengesiyezi, ukuquleka nobuthakathaka.

Lesi simo senzeka ikakhulu lapho umuntu esuka endaweni elele noma ehleli phansi eshesha ukuma, kepha futhi kungaba umphumela wokusetshenziswa kwemithi ethile, ukuphumula kombhede isikhathi eside noma ukoma emzimbeni, kubalulekile ukuphenya imbangela bese uqala ukwelashwa okufanele.

Yini engadala i-postension hypotension

I-postural hypotension yenzeka ikakhulukazi lapho umuntu esukuma ngokushesha, engenaso isikhathi esanele sokuba igazi ligijime kahle, aqoqele emithanjeni yemilenze nasesifubeni, okuholela ezinkingeni. Ezinye izimbangela ze-orthostatic hypotension yilezi:

• Ukusetshenziswa kwemithi ethile;
• Ukwehla kwamanzi emzimbeni, lapho kuncipha khona ivolumu yegazi;
• Ukuqamba amanga noma ukuhlala isikhathi eside;
• Izinguquko zengcindezi ngenxa yobudala;
• Ngemuva kokuzivocavoca umzimba okukhulu;
• Isifo sikashukela esingalawuleki;
• Isifo sikaParkinson.

Kukhona ne-hypotension yangemuva kweprandial, evame kakhulu kubantu asebekhulile futhi ebonakala ngokuncipha okungazelelwe nokungazelelwe komfutho wegazi emahoreni ambalwa ngemuva kokudla, okungabonisa ubungozi kumuntu, ngoba kwandisa ingozi yokuwa, inhliziyo ukwehluleka nokushaywa unhlangothi ngemva kokukhulelwa.

I-postural hypotension ibonwa ukwehla kwengcindezi, ukuze ingcindezi ye-systolic ibe ngaphansi kuka-20 mmHg nengcindezi ye-diastolic ingaphansi kuka-10 mmHg. Ngakho-ke, lapho kukhona izimpawu nezimpawu ezikhombisa ukwehla kwengcindezi, kubalulekile ukuya kudokotela wenhliziyo noma udokotela ojwayelekile ukuze axilonge.

Ukuxilongwa kwalolu hlobo lwe-hypotension kwenziwa ngokuhlola umfutho wegazi ezindaweni ezahlukahlukene, ukuze udokotela akwazi ukuhlola ukwehluka kwengcindezi yegazi. Ngaphezu kwalokho, udokotela uhlola izimpawu nezimpawu ezethulwe ngumuntu, kanye nomlando. Ezinye izivivinyo zinganconywa, njenge-electrocardiogram (ECG), i-glucose ne-electrolyte dosage, njenge-calcium, i-potassium ne-magnesium, isibonelo, noma kunjalo umphumela walezi zivivinyo awuhambisani ne-postural hypotension.

Izimpawu eziyinhloko

Izimpawu nezimpawu eziyinhloko ezihlobene ne-orthostatic hypotension ukuzwa ukuquleka, ukungaboni kahle, isiyezi, ukushaya isandla, ukudideka kwengqondo, ukulahlekelwa ibhalansi, ukundindizela, ukuphathwa ikhanda nokuwa, futhi kubalulekile ukubonisana nodokotela uma kwenzeka ukuthi i-hypotension ivame.

Ukwenzeka kwe-postural hypotension kuyakhula ngeminyaka, kuvame kakhulu kubantu asebekhulile, futhi izimpawu zingavela imizuzwana noma imizuzu ngemuva kokuvuka komuntu, ngokwesibonelo.

Yelashwa kanjani

Ukwelashwa kusungulwa ngudokotela ngokusho kwembangela ye-orthostatic hypotension, ngakho-ke kunconywa ukuthi ushintshe umthamo womuthi othile osetshenziswayo, wandise ukusetshenziswa koketshezi nokwenza umkhuba wokuzivocavoca okuvamile nokukhanya okulingene. Ngaphezu kwalokho, kubalulekile ukulala phansi isikhathi eside, kunconywa ukuhlala noma ukuvuka njalo.

Kwezinye izimo, udokotela futhi angancoma ukusetshenziswa kweminye imishanguzo ekhuthaza ukugcinwa kwe-sodium kanye nokukhululeka kwezimpawu, njenge-Fludrocortisone, ngokwesibonelo, noma izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ezingezona-steroidal ezikhuthaza nokwenza ngcono i-postural hypotension.