Orthostatic bvunzo. Sei kushandisa nzira iyi kuongorora?

Nezvinetso kumwoyo zvinhu zvinokosha chikonzero kutsvaka kurapwa. zvirwere zvakadai kunotungamirira matambudziko zvakakomba, vakaremara uye kunyange rufu. Nokuda kwechikonzero ichi, unofanira nguva kuti kuongororwa uye kutanga kurapwa. Zvokurwara pakati kumwoyo anogona kuitikira zvakawanda uye vane kuratidzwa zvakasiyana. Vamwe varwere vane asymptomatic zvirwere, zvakaoma nenguva chirwere uye kazhinji kunotungamirira decompensation rikurumidze. Kune zvakawanda kuongorora kuongorora mamiriro kumwoyo. Mumwe wavo ari orthostatic bvunzo. It chinotarisirwa varwere uyo chirwere chiri nyore kuziva ayo chikonzero kana nokuda kwokushayiwa anozivikanwa muenzaniso kana kwokutanga Danho.

Orthostatic bvunzo: zvairatidza yokudzidza

A kuongorora kuitwa nezvirwere zvakasiyana-siyana chokuita dysfunction pakati kumwoyo wayo innervation. Orthostatic ropa yokuenzanisira inodikanwa wakatarwa, sapamazuva pathologies inogona kuderera kana, Ukuwo, kuwedzera. Most kazhinji kuchengetwa zvirwere venous kudzoka kunonoka. Somugumisiro, pane siyana postural zvirwere. Ivo varehwa ndechokuti munhu anogona kuona kusagadzikana kana kuchinja kubva chinjikira (kana akagara) nzvimbo muviri ari akarurama. Most zvinowanzoitika dzungu, achiipa kwemaziso, BP uye kufenda. Matambudziko orthostatic zvirwere vari: ischemic mwoyo chirwere pamwe kukura angina uye myocardial infarction, richaparara. Zvikonzero vanogona kushumira kwete kuchinja ropa kuyerera, asiwo Neural hurongwa anokonzera nayo. Maererano vanotaura ichi anogona chokuita mwoyo chirwere, uye CNS. Huru zvinoratidza: kuchinja BP (zvakadai hyper- kana hypotension), insufficiency ari coronary kuparadzirwa, ari autonomic tsinga.

Types orthostatic miedzo

Research anogona kuitwa nenzira dzakasiyana-siyana. Kune vose orthostatic muedzo vanoshingaira uye kungogara. Musiyano iri dzichipfekeka mutoro pamusoro tsandanyama ezvinhu murwere. Active yokuenzanisira kunosanganisira yakazvimirira Kuchinja murwere kubva chinjikira kuti tote chinzvimbo. Somugumisiro ichi gura anenge zvose zviri skeletal netsandanyama. Kuti aite pusa mharidzo inoda chaiyo tafura, iyo ndee kuferefetwa. Panyaya iyi, mutoro pamusoro tsandanyama iri kudziviswa. Kudzidza uku ndiko kuti vaongorore mamiriro hemodynamics vasati uye pashure nokuchinja muviri chinzvimbo. Kazhinji, munhu mumwe nomumwe ane chikuru zviratidzi kuchinja nokuda chiduku vachinje dzvinyiriro, uye somugumisiro maekisesaizi. Kana kukundikana kumwoyo pane kuwedzera (kanenge - kuwa) musiyano pakati BP uye mwoyo mwero pamberi uye mushure bvunzo.

Nzira dzekufambisa orthostatic

Zvichienderana mhando orthostatic mharidzo nzira anoverengeka vakasiyana mumwe. Nzira Inonyanya ndiye Shellonga. Nzira iyi anoonekwa kutoshanda orthostatic bvunzo. How kuti azodzidza musi Shellongu?

1. Murwere akarara pamubhedha, chinofanira kuva akanyarara. To hwakabatana rinokosha BP Monitor.
2. Chiremba anotora kupomba kuyerwa, uye ipapo anonyora migumisiro kwemwoyo uye BP mumakore kwemaminitsi 15.
3. Murwere akakumbirwa simuka kuva akarurama chinzvimbo.
4. Panguva ino pane kuramba nokuyerwa kwemwoyo uye kufamba kweropa.
5. Murwere akarara zvakare, uye chiremba akanyora zvabuda mushure 0.5, 1 uye 3 maminitsi.
6. Mushure mharidzo iri vakaronga kupomba uye BP nguva nenguva.

kududzira zvabuda

Pasinei nokuti Kuchinja hemodynamic parameters nokuchinja nzvimbo muviri rwakavapo ose munhu, pane Avharenji. Abnormality yakananga kuwedzera uye kudzikira mwoyo mwero uye BP anoratidza zvinetso zviri zvemwoyo kana tsinga. With murwere nhema kana akagara ropa richiparadzirwa munyika muviri uye DZEMUNHU DZINODZORA. Kana munhu anomuka, anotanga kufamba uye runotungamirirwa kuburikidza mutsinga kusvika mwoyo. Kana ropa stasis panzvimbo dzapasi makumbo kana dumbu zviratidzi orthostatic zvakasiyana dzose. Izvi zvinoratidza kuvapo chirwere.

Orthostatic bvunzo: wokuyera uye zvokurwara

In dzinoongorora zvabuda nezvesimba systolic uye diastolic BP, kwemwoyo, kupomba kufurirwa uye autonomic kuratidzwa. An akakodzera indekisi ndiko kuwedzera nomwoyo mwero kuti anorova 11 / Maminitsi, zvishomanana kuwedzera pasina vamwe parameters uye mhinduro yacho tsinga. Akabvumira nyore vangadikitira uye kugara ezvinhu dzvinyiriro vasati uye pashure pokudzidza. Inogutsa kuwedzera kwemwoyo anoonekwa kuti 12-18 anorova / min. Orthostatic bvunzo ine guru kuwedzera kwemwoyo uye diastolic BP, vangadikitira uye zvikuru tinnitus, kuderera systolic BP zvinoratidza zvakakomba kutyorwa hemodynamics.