Orthostatic hypotension yog hom ntshav qis uas tshwm sim thaum koj cov ntshav siab poob qis thaum koj sawv tom qab zaum ib pliag. Daim ntawv me me yog ib txwm muaj thiab tuaj yeem tshwm sim rau txhua tus neeg, tshwj xeeb tshaj yog tias koj sawv ntsug nrawm dhau lossis zaum ntev ntev. Txawm li cas los xij, nws tuaj yeem yog mob hnyav uas xav tau kev kho mob. Txhawm rau kho orthostatic hypotension, txiav txim siab yog tias koj hnov mob taub hau, mob taub hau, lossis tsis muaj zog tom qab sawv, txiav txim siab yog tias koj muaj kev pheej hmoo vim tias muaj mob tshwm sim los yog siv tshuaj, thiab raug kuaj ntawm tus kws kho mob lub chaw haujlwm.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Paub Cov tsos mob
Kauj Ruam 1. Pom kiv taub hau thaum koj sawv
Cov tsos mob tshwm sim feem ntau ntawm orthostatic hypotension yog kiv taub hau thaum koj sawv. Qhov no tuaj yeem tshwm sim tom qab zaum lossis pw ib ntus. Kev kiv taub hau los yog lub taub hau me ntsis feem ntau tsuas kav ntev li ob peb feeb xwb.
Koj tuaj yeem pom tias lub ntiaj teb tig ncig koj thiab koj yuav tsum rub mus rau qee yam lossis zaum rov qab ib pliag
Kauj Ruam 2. Saib xyuas qhov muag tsis pom kev
Lwm cov tsos mob ntawm tus mob no yog qhov muag tsis pom kev. Thaum koj sawv, koj yuav pom qhov muag tsis pom lossis pom kev tsis meej. Qhov no tuaj yeem nyob ntev li ob peb vib nas this tom qab kiv taub hau lossis tsis pom kev dhau mus.
Koj lub taub hau kuj tseem yuav pib mob
Kauj Ruam 3. Saib rau qhov tsis muaj zog
Tej zaum koj yuav hnov qaug zog tom qab sawv thiab hnov kiv taub hau. Koj lub cev yuav xav tias nkees nkees. Hauv cov xwm txheej hnyav dua, koj tuaj yeem tsaus muag vim yog lub teeb taub hau thiab tsis muaj zog.
Koj tuaj yeem pib tshee, thiab koj yuav hnov qee lub plawv dhia
Kauj Ruam 4. Txheeb xyuas lwm yam tsos mob
Lwm cov tsos mob ntawm orthostatic hypotension yog kev tsis meej pem. Qhov no feem ntau tshwm sim ua ke nrog kiv taub hau. Thaum hnov lub teeb taub hau, lossis tom qab, koj tuaj yeem xav tsis meej txog nyiaj txiag.
- Tom qab sawv thiab kiv taub hau, koj yuav hnov xeev siab.
- Qee zaum, koj yuav hnov mob hauv siab lossis txias hauv koj qhov chaw.
Txoj Kev 2 ntawm 3: Txheeb Xyuas Qhov Risk Factors ntawm Orthostatic Hypotension
Kauj Ruam 1. Txheeb xyuas lub cev qhuav dej
Lub cev qhuav dej yog ib qho ua rau orthostatic hypotension. Lub cev qhuav dej no tuaj yeem tshwm sim los ntshav, raws plab, lossis ntuav. Ua kom cov ntshav qab zib ntau ntau tuaj yeem ua rau nws.
Kev noj tshuaj uas yog cov tshuaj diuretics tseem tuaj yeem ua rau lub cev qhuav dej
Kauj Ruam 2. Txiav txim siab yog tias koj muaj qhov xwm txheej cuam tshuam txog yav dhau los
Ib qho kev pheej hmoo rau orthostatic hypotension yog qhov xwm txheej yav dhau los uas tuaj yeem ua rau nws. Muaj ntau yam xwm txheej uas tuaj yeem ua rau koj cov ntshav siab poob sai thaum koj sawv. Cov no suav nrog:
- Cev xeeb tub
- Anemia
- Parkinson tus
- Ntshav Qab Zib
- Teeb meem adrenal
- Cov kab mob hauv cov thyroid
- Txhua lub plawv mob
Kauj Ruam 3. Ceev faj tom qab lub sijhawm so pw
Orthostatic hypotension feem ntau yuav tshwm sim tom qab lub sijhawm so ntawm lub txaj so. Yog tias koj tau pw saum txaj rau ib qho kev kho mob, ceev faj sawv lossis nce siab thawj zaug.
Kauj Ruam 4. Txheeb xyuas koj kev haus cawv
Kev haus cawv tuaj yeem ua rau muaj kev pheej hmoo ntawm orthostatic hypotension. Dej cawv tuaj yeem ua rau lub cev qhuav dej, uas tseem ua rau koj pheej hmoo ntawm orthostatic hypotension. Txwv koj haus ntau npaum li cas, lossis zam cawv.
Kauj Ruam 5. Tsis txhob raug cua sov
Kub tuaj yeem ua rau koj hws, uas tuaj yeem ua rau koj lub cev qhuav dej. Nws kuj tuaj yeem txo koj cov ntshav siab. Txhua qhov no tuaj yeem ua rau orthostatic hypotension, yog li ceev faj thaum koj nyob hauv ib puag ncig kub.
Kauj Ruam 6. Txiav txim seb koj puas muaj mob plawv
Lub plawv mob tuaj yeem ua rau poob ntshav sai vim qhov tsis xwm yeem ntawm txoj kev uas lub plawv ua haujlwm vim qhov xwm txheej. Lub plawv nres thiab lub plawv tsis ua haujlwm tuaj yeem ua rau koj muaj kev pheej hmoo.
Lub plawv dhia tsis xwm yeem tuaj yeem ua rau qhov ntshav poob qis, zoo li tuaj yeem ua rau kab mob
Kauj Ruam 7. Txiav txim siab yog tias koj cov tshuaj ua rau koj muaj kev pheej hmoo
Cov tshuaj sib txawv tuaj yeem ua rau tus mob no. Beta blockers, ACE inhibitors, nitrates, thiab lwm yam tshuaj ntshav siab tuaj yeem ua rau tus mob no. Koj yuav muaj kev pheej hmoo ntau yog tias koj noj cov tshuaj no nrog tus mob yav dhau los uas ua rau koj muaj kev pheej hmoo.
- Kev ntxhov siab thiab tshuaj kho nyuaj siab kuj tseem tuaj yeem ua rau koj muaj kev pheej hmoo.
- Cov tshuaj noj rau kev ua haujlwm tsis zoo thiab Parkinson kuj tuaj yeem ua rau tus mob no.
Txoj Kev 3 ntawm 3: Txheeb Xyuas Orthostatic Hypotension
Kauj Ruam 1. Mus ntsib koj tus kws kho mob
Orthostatic hypotension tuaj yeem ua rau me me mus rau mob hnyav. Yog tias koj muaj mob me me ntawm nws, tej zaum koj tsis tas yuav mus cuag kws kho mob. Txawm li cas los xij, yog tias koj pom cov tsos mob nquag, lossis koj muaj kev pheej hmoo, koj yuav xav mus ntsib koj tus kws kho mob.
- Cov mob me me yog thaum koj hnov mob taub hau qee zaum tom qab sawv tom qab zaum hauv lub dab dej kub lossis zaum ntev ntev. Qhov teeb meem nruab nrab yog thaum koj ntsib nws yuav luag txhua lub sijhawm koj sawv.
- Thaum koj mus ntsib kws kho mob, sim qhia rau koj tus kws kho mob paub tias koj tau ntsib cov tsos mob li cas, lawv tshwm sim ntau npaum li cas, thiab ntev npaum li cas.
- Lawv tseem yuav nug koj txog keeb kwm kev kho mob.
Kauj Ruam 2. Kuaj koj cov ntshav siab
Thawj qhov koj tus kws kho mob yuav ua yog ntsuas koj cov ntshav siab. Lawv yuav ntsuas koj cov ntshav siab thaum koj pw thiab thaum sawv. Feem ntau, koj qhov BP yuav raug coj tom qab 3 feeb pw, 1 feeb tom qab sawv, thiab tom qab 3 feeb tom qab sawv.
- Koj lub plawv dhia yuav raug ntsuas tib lub sijhawm nrog koj cov ntshav siab.
- Orthostatic hypotension yuav kuaj tau yog tias koj cov ntshav siab systolic poob 20 mm Hg lossis koj cov ntshav siab diastolic poob 10 mm Hg tsis pub dhau 3 feeb tom qab sawv.
Kauj Ruam 3. Mus kuaj ntshav
Tej zaum yuav tsum kuaj ntshav txhawm rau txiav txim siab qhov ua rau mob. Kev kuaj ntshav tuaj yeem tshuaj xyuas qhov tsis sib xws ntawm electrolyte, ntshav qab zib tsawg thiab ntshav tsis txaus. Ob qhov xwm txheej no tuaj yeem ua rau orthostatic hypotension.
Kev kuaj tawv nqaij tuaj yeem ua tiav los txiav txim siab yog tias koj lub cev qhuav dej
Kauj Ruam 4. Soj ntsuam lub plawv
Ib qho electrocardiogram (ECG) thiab echocardiogram tuaj yeem ua los tshuaj xyuas koj lub plawv. Ob qhov kev xeem no yog qhov kev xeem tsis muaj kev cuam tshuam. Ib qho ECG ntsuas lub plawv ntawm koj lub plawv. Nws saib rau qhov tsis xwm yeem rau qhov ntawd lossis tus qauv ntawm koj lub siab. Nws tseem yuav saib xyuas cov ntshav thiab cov pa oxygen hauv koj lub plawv.
Ib qho echocardiogram yog ultrasound ntawm koj lub plawv. Qhov kev ntsuas no ua rau pom lub plawv. Qhov kev xeem no yog siv los nrhiav teeb meem lossis teeb meem plawv
Kauj Ruam 5. Ua lwm yam kev xeem
Yog tias tus kws kho mob xav tau pov thawj ntau ntxiv, koj yuav hla lwm qhov kev sim. Kev ntsuas kev ntxhov siab saib xyuas koj lub plawv dhia thaum koj tawm dag zog, zoo li taug kev ntawm lub treadmill. Qhov no yog ua tiav qee zaum nrog ECG lossis echocardiogram.
- Valsalva maneuver test yog thaum koj ua pa tob tob raws li kws kho mob saib xyuas koj cov ntshav siab thiab lub plawv dhia.
- Kev ntsuas lub rooj qaij yog muab yog tias koj qaug zog vim qhov xwm txheej. Qhov kev ntsuas no saib xyuas koj lub cev cov lus teb thaum koj raug tso rau hauv txoj haujlwm ncaj ncees tom qab pw ib pliag. Koj pw ntawm lub rooj uas maj mam dhau ntawm kab rov tav mus rau ntsug. Tus kws kho mob saib xyuas koj cov ntshav siab thaum lub sijhawm ntsuas no.
