Postural (orthostatic) hypotension: hore na ke eng, lisosa le kalafo

Litaba

• Ke eng e ka bakang hypotension ea postural
• Matšoao a mantlha
• Kalafo e etsoa joang

Postural hypotension, eo hape e tsejoang ka hore ke orthostatic hypotension, ke boemo bo khetholloang ka ho fokotseha ka potlako ha khatello ea mali, e lebisang ho hlaha ha matšoao a mang, joalo ka ho tsekela, ho akheha le bofokoli.

Boemo bona bo etsahala haholo ha motho a tloha moo a robalang kapa a lutse kapele ho ea ema, empa hape e ka ba litholoana tsa ts'ebeliso ea meriana e meng, phomolo ea bethe e telele kapa ho felloa ke metsi 'meleng, ho bohlokoa ho fuputsa sesosa le ho qala kalafo e loketseng.

Ke eng e ka bakang hypotension ea postural

Postural hypotension e etsahala haholoholo ha motho a tsoha kapele, a sena nako e lekaneng ea hore mali a potolohe hantle, a bokellane methapong ea maoto le sefubeng, ho felle ka matšoao. Lisosa tse ling tsa hypotension ea orthostatic ke:

• Ts'ebeliso ea meriana e meng;
• Ho hloka metsi 'meleng, moo ho nang le phokotso ea bophahamo ba mali;
• Ho bua leshano kapa ho lula nako e telele;
• Khatello e fetoha ka lebaka la lilemo;
• Kamora ho ikoetlisa ka matla;
• Lefu la tsoekere le sa laoleheng;
• Lefu la Parkinson.

Ho boetse ho na le "hypotension" ea "postpandial", e atileng haholo ho batho ba tsofetseng mme e tšoauoa ka phokotso ea tšohanyetso le ka tšohanyetso ea khatello ea mali lihora tse 'maloa kamora ho ja, e ka bang kotsi ho motho, hobane e eketsa kotsi ea ho oa, pelo ho hloleha le seterouku ka mora mmele.

Postural hypotension e tšoauoa ka ho theoha ha khatello, e le hore khatello ea systolic e ka tlase ho 20 mmHg le khatello ea diastolic e ka tlase ho 10 mmHg. Kahoo, boteng ba matšoao le matšoao a bontšang ho theoha ha khatello, ho bohlokoa ho ea ho ngaka ea pelo kapa ngaka e akaretsang ho etsa tlhahlobo.

Ho fumanoa ha mofuta ona oa hypotension ho etsoa ka ho lekola khatello ea mali maemong a fapaneng, e le hore ngaka e ka lekola phapang ea khatello ea mali. Ntle le moo, ngaka e lekola matšoao a hlahisoang ke motho eo le nalane. Litlhahlobo tse ling li ka buelloa, joalo ka electrocardiogram (ECG), tsoekere le tekanyo ea elektrolyte, joalo ka calcium, potasiamo le magnesium, mohlala, leha ho le joalo sephetho sa liteko tsena ha se qeto ea pherekano ea postural.

Matšoao a mantlha

Matšoao le matšoao a amanang le orthostatic hypotension ke ho felloa ke matla, ho fifala ha pono, ho tsekela, ho opa, ho ferekana kelellong, ho se leka-lekane, ho thothomela, ho opeloa ke hlooho le ho oa, 'me ho bohlokoa ho buisana le ngaka haeba ho ka etsahala hore hypotension e be khafetsa.

Ketsahalo ea hypotension ea postural e eketseha ka lilemo, ho ba khafetsa ho batho ba tsofetseng, mme matšoao a ka hlaha metsotsoana kapa metsotso kamora hore motho a tsohe, mohlala.

Kalafo e etsoa joang

Phekolo e thehiloe ke ngaka ho latela sesosa sa hypotension ea orthostatic, ka hona ho khothalletsoa ho fetola lethal dose la meriana e itseng e sebelisoang, ho eketsa tšebeliso ea maro le ho ikoetlisa khafetsa le ho bobebe ho isa bohōleng bo itekanetseng. Ntle le moo, ho bohlokoa ho robala nako e telele, ho kgothaletswa ho lula kapa ho tsoha khafetsa.

Maemong a mang, ngaka e kanna ea khothaletsa ts'ebeliso ea lithethefatsi tse ling tse khothalletsang ho boloka sodium le ho imolla matšoao, joalo ka Fludrocortisone, kapa li-anti-inflammatory (NSAIDs) tse khothaletsang ntlafatso ea postural hypotension.