Ukuhlolwa Orthostatic. Kungani asebenzisa le ndlela ka uphenyo?

Izinkinga esimiso senhliziyo nemithambo yegazi kukhona isizathu kubalulekile ukuze ngokufuna usizo lwezokwelapha. izifo okunjalo ngokuvamile kwenza eziyingozi, ukukhubazeka kanye nokufa imbala. Ngenxa yalesi sizathu, nani nidinga isikhathi ukuze ihlolwe futhi uqale ukwelashwa. Pathology kohlelo senhliziyo singenzeka ngenxa yezizathu eziningi futhi babe ukubonakaliswa ezahlukene. Ezinye iziguli izifo asymptomatic, kunzima ukuba uphethwe esifike ngesikhathi futhi ngokuvamile uholela ekubeni inqubo decompensation. Kukhona inala survey ukuhlola isimo uhlelo senhliziyo nemithambo yegazi. Omunye wabo isivivinyo orthostatic. Iqondiswa iziguli esikuye isifo kunzima ukukhomba imbangela yayo noma ngenxa yokuntuleka iphethini isici noma esigabeni sokuqala.

Orthostatic yokuhlola: izinkomba sesifundo somuntu

Ucwaningo kwenziwe izifo ezihlukahlukene ezihlobene ne ukungasebenzi kwekhono esimiso senhliziyo nemithambo yegazi kanye innervation yayo. Orthostatic Isampula yegazi kuyadingeka ukuze kuhlolwe, njengasezulwini pathologies kungaba khona ijubane noma, Ngakolunye uhlangothi, ukwandisa. Ngokuvamile ebonwe yezifo emithambo yegazi ukubuya ukubambezeleka. Ngenxa yalokho, kukhona kwempilo postural. Basuke esashiwo yokuthi umuntu bangezwa ubuhlungu lapho kushintshwa esuka evundlile (noma uhleli) zomzimba yokulunga. Uvame ukuzithola isiyezi, singagqunqi kwamehlo, ukwehlisa umfutho wegazi nokuquleka. Izinkinga kuphazamiseka orthostatic yilezi: ischemic isifo senhliziyo ukuthuthukiswa angina futhi isilethikusebenza, ugoqe. Izizathu ongakhonza hhayi kuphela izinguquko ukugeleza kwegazi, kodwa futhi izakhiwo kwemizwa umthwalo walokho. Ngokuqondene nalokhu ukungakhuli kungenzeka ezihlobene nesifo senhliziyo, futhi CNS. I izinkomba ezisemqoka: izinguquko komfutho wegazi (ezifana hyper- noma hypotension), esingamahlalakhona we yenhliziyo kwegazi, autonomic nesimiso sezinzwa.

Izinhlobo ukuhlolwa orthostatic

Ucwaningo kungaba kwenziwe ngezindlela ezihlukahlukene. Kukhona zombili yekwentiwa test orthostatic. Umehluko itholakala umthwalo functional uhlelo kwemisipha nesineke. isampula Active kuhilela ushintsho esizimele isiguli kusuka ovundlile esikhundleni mpo. Ngenxa yalokhu ukusika cishe yonke le imisipha yohlaka. Ukuze afeze isampula yokwenziwa idinga itafula ekhethekile, okuyinto eqondiswa ungaphansi kophenyo. Kulokhu, umthwalo imisipha kugwenywe. Lolu cwaningo ukuhlola isimo hemodynamics ngaphambi nangemva ushintsho isikhundla umzimba. Ngokuvamile, umuntu ngamunye izinkomba main yokushintsha ngenxa yoshintsho elincane ingcindezi, futhi ngenxa yalokho zokuzivocavoca. Lapho ukwehluleka esimiso senhliziyo nemithambo yegazi kukhona nokwanda (okungenani - ukuwa) umehluko phakathi wegazi nokushaya kwenhliziyo ngaphambi nangemuva kokuhlolwa.

Izindlela ze-orthostatic

Kuye ohlotsheni orthostatic isampula indlela ehlukile eziningana komunye nomunye. Indlela evame kakhulu Shellonga. Le ndlela uthathwa njengomgcini esebenzayo yokuhlola orthostatic. Kanjani ekhaya azokuqhubela isifundo ku Shellongu?

1. Isiguli elala phezu kombhede, kufuze ethule. Ukuze ixhunywe ekhethekile blood pressure qapha.
2. Udokotela kuthatha nesilinganiso ishayela, bese ilandisa imiphumela inhliziyo nomfutho wegazi lazo wawungcono mashumi 15 imizuzu.
3. Isiguli ucelwa ukuba asukume siyibonakalise uqotho.
4. Ngalesi sikhathi kukhona nesilinganiso okuqhubekayo kwenhliziyo nomfutho wegazi lazo wawungcono.
5. Isiguli ilala futhi, udokotela uloba imiphumela emva kwemizuzu 0.5, 1 no-3.
6. Ngemva isampuli ugobe ukushaya kwenhliziyo nomfutho wegazi ngezikhathi ezithile.

ukuhumusha imiphumela

Naphezu kweqiniso lokuthi izinguquko nemingcele hemodynamic ngokushintsha ukuma komzimba kwenzeka kuzo zonke umuntu, kukhona ezomhlaba. Angahlangani bebheke okwandisa kanye nokuncipha ukushaya kwenhliziyo nomfutho wegazi kubonisa iziyaluyalu esimiso senhliziyo nemithambo yegazi noma wethuke. Nge isiguli amanga noma ehlezi igazi isakazwa wonke umzimba futhi kubambezela. Lapho umuntu uyasukuma, iqala ukuhambisa futhi luqondiswe ngemithambo ukuba inhliziyo. Lapho igazi stasis kule aphansi nemilenze noma izinkomba esiswini orthostatic zihluke evamile. Lokhu kubonisa khona isifo.

ukuhlolwa Orthostatic: kuyinsakavukela pathology

Ekuhloleni Imiphumela ukuziqhakambisa umfutho we-systole diastolic blood pressure, kwenhliziyo, ishayela ingcindezi futhi ukubonakaliswa autonomic. Inkomba enhle iyona ukwanda of kwenhliziyo kuya ku-11 amabhithi / imiz, ukwanda kancane ngenxa yokuntuleka kwezinhlelo ezibanzi neminye imingcele futhi izimpendulo ezithile zesimiso sezinzwa. Ivunyelwe ukujuluka lula kanye nesimo njalo ingcindezi ngaphambi nangemva cwaningo. ukwanda okwanelisayo kwenhliziyo ubhekwa 12-18 amabhithi / imiz. ukuhlolwa Orthostatic nge ukwanda okukhulu kwenhliziyo diastolic blood pressure, ukujuluka futhi tinnitus ezinzima, ukwehla systolic blood pressure libonisa eziwukwephulwa okukhulu hemodynamics.