Postural (orthostatic) hypotension: he aha ia, nā kumu a me ka mālama ʻana

Anter

• He aha ka mea e hiki ai ke hoʻokahuli postural
• Nā hōʻailona nui
• Pehea e hana ai i ka lāʻau

ʻO ka hypotension postural, i ʻike ʻia he hypotension orthostatic, kahi hanana i hōʻike ʻia e ka hōʻemi wikiwiki ʻana o ke kahe o ke koko, a hiki i ke ʻano o kekahi mau ʻōuli, e like me ka pohihihi, maʻule a me nāwaliwali.

Kūleʻa kēia hanana i ka neʻe ʻana o ke kanaka mai kahi moe a i ʻole ke kūlana noho i ke kūlana kū wikiwiki, akā hiki i kahi hopena o ka hoʻohana ʻana i kekahi mau lāʻau, hoʻomaha hoʻomaha moe a i ʻole make wai, he mea nui e nānā i ke kumu a hoʻomaka i ka lapaʻau kūpono.

He aha ka mea e hiki ai ke hoʻokahuli postural

Kū ka hypotension postural ma ke ʻano nui ke ala koke ke kanaka, ʻaʻole lawa ka manawa no ke kahe pono o ke koko, e hōʻiliʻili nei i nā uaua o nā wāwae a me ka umauma, e hopena ai i nā ʻōuli. ʻO nā kumu ʻē aʻe o ke kuhiakau orthostatic:

• Hoʻohana o kekahi mau lāʻau;
• Kahena, kahi e emi ai ka nui o ke koko;
• E moe ana a e noho paha no kahi manawa lōʻihi;
• Hoʻololi nā kaomi ma muli o ka makahiki;
• Ma hope o ka hoʻoikaika kino ikaika;
• Mimikō ʻole i kāohi ʻole ʻia;
• Maʻi ʻo Parkinson.

Aia kekahi hypotension postprandial, ʻoi aku ka maʻamau o ka ʻelemakule a ʻike ʻia e ka hōʻemi a me ka hōʻemi koke o ke kahe o ke koko i kekahi mau hola ma hope o ka pāʻina ʻana, kahi e hōʻike ai i kahi makaʻu no ke kanaka, no ka mea hoʻonui ia i ka makaʻu o ka hāʻule, puʻuwai. kūleʻa a me ka hahau postprandial.

Hoʻohālikelike ʻia ke kuhiakau postural e ke kulu o ke kaomi, no laila ʻo ke kaomi systolic ma lalo o 20 mmHg a me ke kaomi diastolic ma lalo o 10 mmHg. No laila, i ke alo o nā hōʻailona a me nā ʻōuli e hōʻike ana i ke kulu ʻana o ke kaomi, he mea nui e hele i ke kauka lāʻau a i ʻole ka mea hana maʻamau e hana i ke kuhi.

Hoʻomaopopo ʻia ke ʻano o kēia ʻano hypotension e ke kaomi ʻana i ke kahe o ke koko ma nā kūlana like ʻole, i hiki ai i ke kauka ke loiloi i ka loli i ke kaomi koko. Eia hou, Loiloi ke Kauka i nā hōʻailona a me nā ʻōuli i hōʻike ʻia e ke kanaka, a me ka mōʻaukala. Hiki ke ʻōlelo ʻia kekahi mau hoʻokolohua, e like me electrocardiogram (ECG), glucose a me nā hana electrolyte, e like me ka calcium, potassium a me ka magnesium, no ka laʻana, akā ʻaʻole ka hopena o kēia mau hoʻāʻo no ka hypotension postural.

Nā hōʻailona nui

ʻO nā hōʻailona nui a me nā ʻōuli e pili ana i ka hypotension orthostatic ka maka ʻole, ʻeleʻele o ka hihiʻo, puʻupuʻu, palpitation, huikau o ka noʻonoʻo, nalo ʻana o ke kaulike, haʻalulu, ʻeha ke poʻo a me ka hāʻule ʻana, a he mea nui e nīnau i ke kauka inā pinepine pinepine ke kuhiakau.

Hoʻonui ka hanana o ka postension hypotension me ka makahiki, ʻoi pinepine i ka ʻelemakule, a hiki ke ʻike ʻia nā hōʻailona kekona a i ʻole mau minuke ma hope o ke ala ʻana o ke kanaka, no ka laʻana.

Pehea e hana ai i ka lāʻau

Hoʻokumu ʻia ka lapaʻau e ke kauka e like me ke kumu o ka orthostatic hypotension, no laila e koi ʻia e hoʻololi i ka lāʻau o kekahi lāʻau e hoʻohana ʻia, e hoʻonui i ka hoʻohana ʻana i nā wai a me ka hoʻomaʻamaʻa ʻana o ka maʻamau a me ka māmā i ka hoʻoikaika kino. Eia hou, he mea nui e moe i lalo no kahi manawa lōʻihi, paipai ʻia e noho a kū i luna mau.

I kekahi mau hihia, hiki i ke kauka ke koi aku i ka hoʻohana ʻana i kekahi mau lāʻau e hoʻolauna i ka paʻa ʻana o ka sodium a me ke kōkua ʻana i nā ʻōuli, e like me Fludrocortisone, e laʻa, a i ʻole nā ​​lāʻau anti-inflammatory non-steroidal (NSAIDs) e paipai pū i ka hoʻomaikaʻi o ka postension hypotension.