Izigulane ezine-orthostatic hypotension, ezibizwa ngokuba yi-postural hypotension, zinokuziva zixakeke (okanye ziwa okanye ziphelelwe amandla) xa zime emva kokuhlala okanye zilele ixesha elide. Esi sigulo esixhatshazayo asiqhelekanga kwaye sithinta kakhulu abantu abadala. Ukuxilongwa kwe-hypotension ye-orthostatic kudinga ukunciphisa uxinzelelo lwegazi lwe-20mmHg systolic, okanye i-10mmHg ye-diastolic, kwiimitha ezintlanu zokuphakama kwindawo ehleli okanye elala.
Ngelixa abaninzi abantu abane-orthostatic hypotension bafumana iimpawu ngokukhawuleza xa kukho utshintsho kwisimo somzimba, inani elincinci lezigulane lingenalo iimpawu ukuya kwimizuzu emihlanu ukuya kwi-10 kamva. Oku kubizwa ngokuba yi-orthostatic hypotension, kwaye akuqhelekanga.
Yintoni eyenza i-Orthostatic Hypotension?
I-Orthostatic hypotension ingabangela enye imeko yempilo okanye nakwezinye iyeza. Iimeko ze-neurologic zizona zizathu eziqhelekileyo ze-orthostatic hypotension, eziquka:
- Isifo sikaParkinson
- Umonakalo weentlobo zesifo sikashukela
- Isifo somzimba saseLeyy , esinye sezizathu eziqhelekileyo zokudemeka komzimba kubantu abadala
Kodwa izimo ze-neurologic azikho nje isizathu. Enyanisweni, izimbalwa ezingezange-neurogenic zeso simo zibandakanya:
- Ukuhlaselwa yintliziyo
- I-aortic stenosis
- Vasodilation
Iziyobisi ezinokubangela i-orthostatic hypotension ziquka:
- Diuretics
- Machiza a
- I-Tricyclic antidepressants
Ngaba i-Orthostatic Hypotension ithathwa njani?
Ekubeni umba othize obangela ingxaki uhluka kumntu kumntu, akukho nonyango olulodwa lwe-orthostatic hypotension.
Ngamanye amaxesha isisombululo sinjengoko kulula ukuyeka unyango oluthile othabathayo okanye ukwandisa ukungena kwamanzi ukuze uzalise umthamo wegazi.
Ezinye iindlela zonyango ziquka:
- Imfundo yesineke malunga nendlela yokuphatha nokulungisa izikhundla zabo zomzimba
- Ukuzivocavoca, ngenxa yeziganeko ezibangelwa yinkqubo ye- cardiovascular weak
- Unyango lwezonyango kunye nama-agent afana ne-fludrocortisone, i-phenylephrine, okanye i-midodrine ukulungelelanisa zombini uxinzelelo lwegazi kunye nomsebenzi we-system ye-nervous
Nini ukubona iDokotela
Nesiqhelo esisodwa sokuphelelwa amandla emva kokuma sizathu esaneleyo sokumisela u tyelele ugqirha. Ekubeni iimpawu ze-hypotension ze-orthostatic zithinteka ngakumbi kwixesha, unakho ukufumana iziphumo ezilungileyo xa ubona umboneleli wakho wonyango ngokukhawuleza.
Ukungabikho kweempawu ezingabonakalisa ingxaki esheshayo njengesihlungu senhliziyo okanye ukubetha, ugqirha mhlawumbi uya kwenza uluhlu lweemvavanyo ezingabandakanya
- Umsebenzi wegazi
- Uvavanyo lomzimba
- Uvavanyo olujikelezayo
> Imithombo:
> I-Frishman WH, i-Azer V, iSica D. Ukunyangwa kweMithi ye-Orthostatic Hypotension kunye neVasovagal Syncope. Isifo sentliziyo. 2003; 49-64.
> Lee T, uDonegan C, Moore A. Uxinzelelo lwe-Hypertension kunye ne-Orthostatic Hypotension kwizigulane ezigugile: I-Treatment Dilemma kwaKliniki. Uphononongo lweengcali zonyango lwe-Cardiovascular. 2005; 433-40.
> Rutan, GH, et al. I-Orthodotic Hypotension kwabakudala abakhulileyo. IsiFundo seMpilo seMpilo. Uxinzelelo lwe-1992; 19: 508.
> Sandroni P, et al. I-Pyridostigmine yokunyanga kwe-Neurogenic Orthostatic Hypotension - I-Survey-Survey Study. Uphando lwezonyango lwezonyango. 2005; 51-3.
> Umculi, W, et al. I-Pyridostigmine Treatment Trial kwi-Neurogenic Orthostatic Hypotension. Arch Neurol 2006; 63: 513.
> van Lieshout, et al. Amanqaku Afanayo ekuhlaseleni i-Orthostatic Dizziness kwi-Autonomic Failure. Lancet 1992; 339: 897.
> Young, TM, Mathias, CJ. Iimpembelelo zokungena kwamanzi kwi-Orthostatic Hypotension kumaqela amabini okuhluleka kwe-Autonomic Chronicle: I-Atrophy ye-Multiple System ne-Autonomic Failure. I-Journal ye-Neurology ne-Neurosurgical Psychiatry ngo-2004; 75: 1737.