Hypotension yog thawj thiab theem nrab. Lub hauv paus, qhov tseeb, tsis kho. Tab sis qhov thib ob, uas yog, qhov tshwm sim los ntawm lwm yam kab mob, yuav tsum tau kho raws sijhawm. Lo lus "hypotension" yog ntau dua los yog tsawg dua rau cov neeg feem coob. Tab sis dab tsi yog orthostatic hypotension? Cov tsos mob thiab kev kho ntawm qhov teeb meem no - lawv yog dab tsi?
Yuav ua li cas hypotension manifest?
Ntau tus neeg mob ntshav siab - ntshav siab qis, feem ntau muaj lub xeev kiv taub hau thaum sawv ntxov. Tab sis yog hais tias tus mob ciam teb ntawm kev tsis nco qab thiab lub plawv dhia ceev, ces nws yog lub sij hawm los xav txog kev noj qab haus huv.
kiv taub hau tshwm sim rau ib qho laj thawj yooj yim - cov ntshav ntws mus rau qis qis, thiab tawm ntawm lub taub hau. Lub hlwb tsuas yog tsis tau txais oxygen rau lub sijhawm luv luv, thiab nws tig tawm, zoo li lub computer tsis muaj zog. Hauv cov neeg noj qab haus huv, lub suab nrov tso cai rau koj kom nqus tau cov ntshav sai sai, thiab lub cev muaj sijhawm los hloov kho lub cev hauv qhov chaw.
Tab sis nrog qee qhov teeb meem ntawm cov hlab ntsha, nrog rau kev ua haujlwm ntawm lub plawv lossis lwm yam laj thawj (tej zaum yuav muaj ntau), rov ua dua orthostatic vau - lub siab poob qis - yog qhov teeb meem meej hauv lub neej. Txawm li cas los xij, peb muaj lub neej nrawm nrawm thiab, qhov tseeb, tsis muaj sijhawm ua kom tsis nco qab.
Yog tias muaj xwm txheej zoo li no tshwm sim ntau zaus thiab lub taub hau hnyav dua nyob rau lub sijhawm ntawd, nws yog qhov txaus ntshai, vim tias nws tuaj yeem ua rau mob stroke yog tias cov hlab ntsha ntawm lub taub hau poob.
Orthostatic hypotension. Symptoms
Ntau tus tsis paub tias qhov teeb meem no txaus ntshai. Hauv ib feeb ntawm kev poob, koj tuaj yeem tsoo koj lub taub hau thiab tau pob txha. Tsis tas li ntawd, kev sib koom ua ke tsis zoo ntawm cov hlab ntsha feem ntau ua rau kev ua haujlwm ntawm lub plawv tsis zoo. Tom qab tag nrho, thaum lub siab nyob rau hauv cov hlab ntsha poob, lub load ntawm peb lub ntsiab lub cev muaj zog nce - lub plawv yuav tsum ua kom cov ntshav tso tawm.
Cov tsos mob ntawm orthostatic arterial hypotension hauv tib neeg yog:
- sudden qaug zog;
- dub qhov muag thiab kiv taub hau;
- auditory sensations txo;
- qee qhia tawm hws ntau dhau;
- qee zaum tshee;
- heartbeat.
Different 3 qhov hnyav ntawm cov tsos mob:
- Tsis tshua muaj kiv taub hau thiab ua tsis taus pa. Mild degree.
- Nyob rau theem nrab, ib tug neeg twb qee zaum tsis nco qab, feem ntau muaj qhov hloov pauv ntawm lub cev.
- Severe degree. Orthostatic collapse tshwm simtas li - los ntawm kev sawv ntsug ntev lossis los ntawm squatting, clouding nyob rau hauv lub taub hau twb pib.
Qhov tseeb yog tias orthostatic hypotension hauv nws tus kheej tsis yog kab mob. Qhov no yog ib tug syndrome, thiab tag nrho nws cov tshwm sim yog indirect cov tsos mob ntawm lwm yam kab mob loj. Nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas raws sij hawm thiab pom qhov teeb meem, tshwj xeeb tshaj yog tias nws yog lub plawv tsis ua hauj lwm uas muab cov tsos mob zoo li no.
Causes of the Syndrome
Nws yuav siv ntau qhov kev sim thiab qee cov txheej txheem los txiav txim qhov tseeb thiab paub yuav ua li cas nrog orthostatic hypotension. Kev kho mob yuav tsum ua raws li tam sim ntawd tom qab kuaj pom, vim nws tsis tuaj yeem ncua.
Dab tsi ua rau orthostatic collapse?
- Nyob immobility, tshwj xeeb yog pw.
- YAdrenal insufficiency.
- Hypovolemia yog ib qho kev txo qis ntawm tag nrho cov kua ntshav hauv cov hlab ntsha. Qhov no tshwm sim qee zaum thaum koj kub siab lossis vim ntshav poob hnyav.
- CNS tsis ua haujlwm. Ntau yam neuropathies cuam tshuam rau ntshav siab.
- Kev noj qee cov tshuaj.
- Kev txo qis hauv myocardial contractility.
- Npaj kab mob tsis zoo.
- Lub cev qhuav dej hnyav tom qab ntuav lossis raws plab.
- Anemia.
Thiab hnub nyoog txog lub cev hloov pauv kuj cuam tshuam rau ntshav siab. Cais, nws yuav tsum tau hais txog lub luag haujlwm ntawm CNS. Ib tug neeg uas feem ntau ntsib xws li ib tug mob yuav tsum tuaj mus rau kev sab laj nrog ib tug neurologist thiab xyuas rau pathologiesneural network.
Hypotension syndrome lossis syncope? Yuav qhia li cas?
Faits yog kiag li unpredictable. Ib tug neeg tsis tuaj yeem paub qhov twg thiab vim li cas nws thiaj li tsis nco qab. Tsis tas li ntawd, fainting tshwm sim tsis tshua muaj. Feem ntau, cov no yog cais tawm ntawm qhov tsis muaj zog, tshwj xeeb tshaj yog thaum tshav kub kub.
Tab sis thaum kuaj pom hypotension, ib tus neeg xav tias nws ua tsis zoo nrog kev hloov pauv ntawm lub cev tam sim ntawd hauv qhov chaw.
Yuav ua li cas noj nrog ntshav siab?
Vim tias ntshav siab qis ua rau muaj kev pheej hmoo dhau mus, tus neeg muaj lub siab no yuav tsum ua raws li kev noj zaub mov tshwj xeeb. Qee cov zaub mov ua rau ntshav siab. Lawv yog contraindicated nyob rau hauv cov neeg mob ntshav siab, tab sis tsuas yog pab tau rau cov neeg mob hypotensive.
Koj yuav tsum noj ib feem - me ntsis ntawm txhua yam thiab 5 lossis 6 zaug hauv ib hnub. Yog li koj yuav tsis tshaib plab, tab sis koj lub cev yuav tiv tau zoo nrog kev zom zaub mov. Koj tuaj yeem noj ob qho khoom qab zib thiab cov khoom noj rog, tab sis tsuas yog ua ntej noj hmo. Thiab tom qab noj hmo nws yog qhov zoo dua los hloov mus rau ntses tais diav, zaub xam lav, buckwheat. Nws yog qhov zoo heev los noj cov txiv ntoo txhua hnub, uas muab lub zog, tab sis tsis hnyav. Tshwj xeeb tshaj yog nyob rau hauv xws li mob, almonds yog pab tau.
ICD-10 code
Cov kws kho mob kho orthostatic hypotension li cas? Orthostatic collapse tau lees paub los ntawm cov zej zog kho mob hnyav. Orthostatic hypotension raws li ICD-10 muaj tus lej I95.1.
Raws li phau ntawv kho mob, tus mob tau kuaj pom thaum lub siab systolic, thaum ntsuas dua, qis dua 100 mmHg. Art.; thiab diastolic, qis dua, - qis dua 60mmHg Art. Yog li, peb pom tias orthostatic hypotension feem ntau cuam tshuam nrog lub plawv tsis ua hauj lwm thiab cov vascular conduction tsis zoo.
Hypotension as a neurological symptom
Muaj cov kab mob hauv nruab nrab thiab theem nrab thiab cov kab mob uas tseem ceeb rau orthostatic hypotension.
Primary neuropathies suav nrog Shy-Dreijer syndrome, Riley-Day syndrome, thiab lwm yam. Bradbury-Eggleston syndrome cuam tshuam rau kev sib koom siab ntawm lub paj hlwb hauv nruab nrab thiab tuaj yeem ua rau lub siab poob. Tag nrho cov kab mob no yog cov noob caj noob ces nkaus xwb. Thiab cov teeb meem thib ob hauv kev kho mob paj hlwb suav nrog cov uas tau tsim los ntawm cov ntshav qab zib mus ntev, ntshav qab zib, porphyria, amyloidosis. Nws kuj txhim kho nrog cawv.
Hypotension thiab mob ntshav qab zib
Mob ntshav qab zib hypoglycemia tuaj yeem ua rau muaj kev sib txuam, tab sis nws yuav tsum tsis txhob suav tias yog hypotension. Hypoglycemia yuav ua rau:
- tshiav;
- saw;
- kiv taub hau;
- ntxhov siab lossis cim kev ntxhov siab;
- kev hais lus tsis meej;
- tsis muaj zog.
Hypoglycemia yog ib qho mob hnyav heev. Ua ntej kuaj pom nws, koj yuav tsum xeem dhau ntau lwm yam kev sim. Tab sis dab tsi tam sim ntawd distinguishes orthostatic vau yog lub hlwb ntawm tus neeg mob. Tom qab tag nrho, feem ntau tsis muaj kev ceeb ntshai hauv lub cev qhuav dej. Tus neeg muaj lub hlwb txaus thiab tsis yws txog kev ntxhov siab lossis lwm yam kev puas hlwb.
Doctor's exams
Qhia kom meej txog qhov xwm txheej ntawm tus neeg mob uas tau thov nrog rau saum toj noCov tsos mob rau tus kws kho mob, ua cov txheej txheem hauv qab no:
- Ib qho electrocardiogram ua tiav, tus kws kho mob yuav tsum pom lub xeev ntawm lub plawv. Tsis tas li, cov neeg mob ua echocardiogram.
- kuaj ntshav biochemical. Yog hais tias ib tug neeg muaj hemoglobin qis, ces, ntawm chav kawm, nws yuav tas li nrog qaug zog thiab kiv taub hau.
- Vagus kuaj tau ua tiav txhawm rau txhawm rau suav cov teeb meem tshwm sim hauv lub paj hlwb.
- Nco ntsoov xyuas cov thyroid caj pas. Txij li thaum tsim cov tshuaj hormones tsis txaus kuj ua rau muaj cov tsos mob zoo sib xws.
- Rau lub hom phiaj kuaj mob, ntsuas ntshav siab thaum pw thiab 2-3 feeb tom qab sawv.
Qee tus tau teem sijhawm rau kev xeem Holter. Qhov no yog ib puag ncig-lub-teev saib xyuas ntawm koj lub siab, uas yog ua kom tiav daim duab ntawm kev noj qab haus huv ntawm lub plawv system.
Yog tias txhua qhov ntsuas tau zoo li qub thiab tsis muaj teeb meem nrog lub paj hlwb, lossis nrog cov thyroid caj pas, lossis nrog kev mob hlwb, tus neeg siv khoom tuaj yeem xa mus rau tus kws kho mob hlwb uas xav tias neurosis.
Qhov tseem ceeb sib npaug rau kev kuaj mob yog tus neeg mob noj zaub mov. Feem ntau cov poj niam tsis noj zoo, vim lawv tsis muaj sijhawm, lossis lawv tshwj xeeb mus noj zaub mov, thiab tom qab ntawd lub cev tsuas yog tsis muaj cov as-ham thiab tsis muaj zog hauv.
Ib qho tseem ceeb ntawm keeb kwm
Tus kws kho mob ib txwm sau cov anamnesis ua ntej, uas yog, sau cov ntaub ntawv los ntawm kev xam phaj tus neeg mob. Nrog orthostatic hypotension, nws yog ib qho tsim nyog los sau tsis tau tsuas yog tus kheej tab sis kuj yog tsev neeg keeb kwm. Yog ib tug los ntawmcov txheeb ze muaj teeb meem nrog lub plawv los yog nrog lub hauv nruab nrab lub paj hlwb, muaj kev pheej hmoo tias hypotension yog ces hereditary.
Tsev neeg keeb kwm ua kom luv rau kev tshawb nrhiav teeb meem. Nws ua kom pom tseeb rau tus kws kho mob qhov twg los nrhiav qhov teeb meem.
Kev kho mob
Yog li, orthostatic hypotension tau tshwm sim. Cov laj thawj rau nws kuj tau txiav txim siab nthuav dav ntawm tus kws kho mob lub sijhawm teem tseg. Tom qab tag nrho, nws yog ib qho tsim nyog los xaiv cov kev kho mob uas tsim nyog. Vim li no peb thiaj tuaj ntsib kws kho mob.
Yuav kho li cas? Orthostatic hypotension tsis yog ib qho teeb meem tshwm sim zoo li tus mob khaub thuas. Raws li qhov mob hnyav ntawm cov tsos mob ntawm tus mob thiab cov keeb kwm sau tseg, tus kws kho mob tau txiav txim siab txog kev kho mob dab tsi: tshuaj los yog tshuaj tsis yog tshuaj, lossis kev phais phais yog tsim nyog los tshem tawm cov mob plawv.
Cov neeg mob ntshav qab zib yuav tsum tau noj tshuaj ntxiv, thiab rau cov teeb meem ntawm cov ntshav, cov ntshav thinners raug sau tseg, tshwj xeeb tshaj yog tias tus neeg muaj hnub nyoog tshaj 55 xyoos. Tej zaum yuav tshuaj agonists, beta-blockers, lossis steroids.
Yog hais tias nws yog hais txog cov hlab ntsha, koj yuav tsum tau noj venotonics thiab hnav compression stockings. Varicose veins yog ib qho ntawm cov teeb meem uas tshwm sim feem ntau ua rau lub cev qhuav dej. Thiab tus kab mob no yuav tsum tau tswj xyuas txhua lub sijhawm.
Tom qab tus neeg vau lawm, koj yuav tsum tau tso rau ntawm lub rooj zaum thiab muab cua txias txias.
Thaum lub tsheb thauj neeg mob tuaj txog tom qab tsaus muag, tus neeg raug mob tau txhaj tshuaj 10% tshuaj caffeine lossis "Cordiamin" - 1 lossis 2 ml.
Kev Tiv Thaiv
Txoj cai thawj zaug yog kom koj tus kheej txav mus. Yog tias tag nrho ib hnub yog ib hnub so, koj yuav tsum mus taug kev 2-3 teev. Koj tsis tuaj yeem pw ntawm lub rooj zaum ntev ntev ces sawv ntsug sai. Yog tias koj muaj teeb meem xws li kiv taub hau, koj yuav tsum tau maj mam nce kom tsis txhob ua rau lub siab poob qis. Kev ua kom lub cev muaj zog kuj yog contraindicated. Peb xav tau lub ntsiab lus golden. Cov neeg uas muaj ntshav siab yuav tsis ua qhov hnyav lossis sprints, tab sis yoga ua haujlwm zoo. Zoo dua 2 zaug hauv ib xyoos, kev tiv thaiv massage yog xav tau. Txiv roj roj, txiv maj phaub los yog almond roj yog haum rau massage.
Yog hais tias ib tug neeg raug kev txom nyem los ntawm orthostatic tawm tsam ntawm varicose leeg, sawv ntev ntev yog contraindicated. Koj yuav tsum tau ua ib qho kev tawm dag zog thaum sawv ntxov, thiab yav tsaus ntuj tsa koj ob txhais ceg mus rau qhov sawv kom lawv siab tshaj lub taub hau.
