Kev mob ntshav nrog lub cev tom qab (orthostatic): nws yog dab tsi, ua rau thiab kho mob

Zoo Siab

• Dab tsi tuaj yeem ua rau hypotension postural
• Cov tsos mob tseem ceeb
• Yuav kho tus mob li cas

Postural hypotension, tseem hu ua orthostatic hypotension, yog qhov xwm txheej tshwm sim los ntawm ntshav nce siab sai, uas ua rau muaj qhov tshwm sim ntawm qee cov tsos mob, xws li kiv taub hau, tsaus muag thiab tsis muaj zog.

Qhov xwm txheej no tshwm sim feem ntau thaum tus neeg tsiv los ntawm kev dag lossis zaum rau ntawm txoj haujlwm sawv ntsug sai sai, tab sis nws kuj tuaj yeem yog qhov cuam tshuam ntawm kev siv qee yam tshuaj noj, pw ntev dhau lossis lub cev qhuav dej, nws yog ib qho tseem ceeb los tshawb nrhiav qhov ua thiab pib tsim nyog kho.

Dab tsi tuaj yeem ua rau hypotension postural

Cov teeb meem ntawm lub cev tom qab feem ntau tshwm sim thaum tus neeg tau nce sai, tsis muaj sijhawm txaus rau cov ntshav kom txaus mus ncig, ua rau thaj chaw ntawm cov ceg thiab lub hauv siab tuaj, ua rau muaj cov tsos mob. Lwm yam ua rau orthostatic hypotension yog:

• Kev siv qee yam tshuaj;
• Lub cev qhuav dej, nyob rau hauv uas muaj txo qis hauv cov ntshav cov ntshav;
• Dag lossis zaum ntev;
• Siab hloov vim lub hnub nyoog;
• Tom qab ua haujlwm hnyav;
• Tsis tswj cov ntshav qab zib mellitus;
• Tus kab mob Parkinson.

Kuj tseem muaj qhov tsis nco qab yog tom qab kawg, uas muaj ntau dua rau cov neeg laus thiab yog tus cwj pwm los ntshav sai thiab ob peb teev tom qab noj mov, uas tuaj yeem sawv cev rau tus neeg muaj kev pheej hmoo, vim tias nws nce txoj kev pheej hmoo ntawm kev poob, lub plawv. tsis ua hauj lwm thiab mob stroke tom qab.

Postural hypotension tau pom los ntawm kev poob qis hauv lub siab, yog li ntawd systolic siab tsawg dua 20 mmHg thiab diastolic siab tsawg dua 10 mmHg. Yog li, nyob rau hauv muaj cov cim thiab cov tsos mob qhia txog kev poob qis, nws yog ib qho tseem ceeb mus rau kws kho plawv lossis kev paub ntau yam los ua kev kuaj mob.

Kev kuaj mob ntawm cov kev mob siab no yog tsim los ntawm kev kuaj ntshav siab hauv ntau txoj haujlwm, kom tus kws kho mob tuaj yeem soj ntsuam kev txawv txav hauv cov ntshav siab. Ntxiv rau, tus kws kho mob kuaj xyuas tus cim thiab cov tsos mob qhia los ntawm tus neeg, ntxiv rau keeb kwm. Qee qhov kev ntsuas yuav pom zoo, xws li electrocardiogram (ECG), cov ntshav qabzib thiab cov tshuaj electrolyte, xws li calcium, potassium thiab magnesium, piv txwv li, txawm li cas los ntawm cov kev ntsuas no tsis tau ua tiav rau postural hypotension.

Cov tsos mob tseem ceeb

Cov cim tseem ceeb thiab cov tsos mob ntsig txog orthostatic hypotension yog tsaus muag kev xav, tsaus muag ntawm lub zeem muag, kiv taub hau, tsaus muag, mob hlwb tsis meej pem, poob ntawm kev tshuav, tshee, mob taub hau thiab poob, thiab nws yog ib qho tseem ceeb kom sab laj nrog kws kho mob yog tias kev mob hypotension nquag.

Qhov tshwm sim ntawm postural hypotension nce nrog lub hnub nyoog, ua ntau dua ntawm cov neeg laus, thiab cov tsos mob tuaj yeem tshwm sim li ob peb feeb lossis feeb tom qab tus neeg sawv, sawv.

Yuav kho tus mob li cas

Txoj kev kho yog tsim los ntawm tus kws kho mob raws li qhov ua kom orthostatic hypotension, yog li ntawd nws tau pom zoo kom hloov cov koob tshuaj qee yam tshuaj siv, nce kev noj haus ntawm cov kua thiab kev xyaum ua kom tsis tu ncua thiab lub teeb mus rau kev tawm dag zog ib ce. Tsis tas li ntawd, nws yog ib qho tseem ceeb kom pw hauv lub sijhawm ntev, nws raug nquahu kom zaum lossis sawv kom tsis tu ncua.

Qee qhov xwm txheej, tus kws kho mob kuj tseem yuav pom zoo siv qee cov tshuaj uas txhawb nqa sodium tuav thiab cov tsos mob nyem, xws li Fludrocortisone, piv txwv li, lossis tsis siv tshuaj tiv thaiv tsis haum tshuaj (NSAIDs) uas tseem txhawb txoj kev txhim kho ntawm postural hypotension.