Bukaan-jiifka qaba hypotension, oo sidoo kale loo yaqaan 'hypotension post', ayaa laga yaabaa inay dareemaan madax-bannaan (ama xitaa dayrta ama qallafsan) marka ay istaagaan ka dib fadhiistaan ama hoos u dhigaan mudo ah. Xanuunkan isdaba-joogta ah ayaa ah mid caadi ah waxayna badanaa saameynayaan dadka qaangaarka ah. Cilad-sheegista qalooca caadiga ah waxay u baahan tahay hoos u dhac ku yimaada cadaadiska dhiigga ee 20mmHg systolic, ama 10mmHg diastolic, shan daqiiqo gudahood oo ka soo baxaya booska fadhiga ama jiifka.
Inkasta oo dadka intooda ugu badan ee qaba cudurka qanjirka 'ortostatic' ay si dhakhso ah u dareemaan isbedelka jimicsiga jidhka, tiro yar oo bukaan ah ayaa laga yaabaa inaanay laheyn calaamado ilaa shan ilaa 10 daqiiqadood kadib. Tan waxaa loo yaqaan 'hypotension delayed orthostatic hypotension', waana wax aan caadi ahayn.
Maxay Sababta U Baxnaanin Doonta Orthostatic?
Dhiigga neefta weyn waxaa sababi kara xaalad kale oo caafimaad ama xitaa daawooyinka qaarkood. Xaaladaha neerfaha ayaa ah sababaha ugu badan ee keena qanjirka 'ortostatic', oo ay ka mid yihiin:
- Cudurka Parkinson
- Dhaawaca dareemeyaasha macaanka
- Cudurka jirrada Lewy , mid ka mid ah sababaha ugu badan ee waallida ee dadka qaangaarka ah
Laakiin xaaladaha neerfaha maaha sabab keliya. Dhab ahaan, dhowr sababood oo aan ahayn neerojiyaanka ah ee xaaladdan waxaa ka mid ah:
- Weerarka wadnaha
- Dhibaatada Aortic
- Vasodilation
Daroogooyinka keeni kara isku-dhafka qummanaanta waxaa ka mid ah:
- Diuretics
- Dawooyinka antihypertensive
- Tricyclic antidepressants
Sidee Ayuu Hantidhawir Baadhis Looga Dhowraa?
Maadaama mawduuca gaarka ah ee sababaya dhibaatadu ay u dhaxayso qof ilaa qof, ma jirto daweyn kaliya oo loogu talagalay hypotension.
Mararka qaarkood xalku waa mid fudud sida joojinta daawo gaar ah oo aad qaadatay ama kordhinta qaadashada cabirkaaga si loo buuxiyo mugga dhiigga.
Doorashooyinka kale ee daaweynta waxaa ka mid ah:
- Waxbarashada bukaanka ee ku saabsan sida loo qaato oo loo hagaajiyo jagooyinka jirka
- Jimicsiga, kiisaska ay sababaan nidaamka wadnaha oo daciif ah
- Daaweyn caafimaad oo leh wakiilo sida fludrocortisone, phenylephrine, ama midoodrine si loo habeeyo cadaadiska dhiigga iyo shaqada habdhiska dareenka
Goorta aad u tageyso Dhakhtar
Xitaa xaalad halis ah oo suuxsan ka dib markaad istaagto waa sabab ku filan oo aad u ballansatid booqashada dhakhtarka. Maadaama ay calaamaduhu u nugul yihiin iskudhexcelinta qanjirada caadiga ah, waxay u badan tahay inaad ka soo baxdo natiijada ugu fiican haddii aad aragtid bixiyaha xanaanada caafimaadkaaga sida ugu dhakhsaha badan.
Maqnaanshaha calaamadaha muujin kara dhibaatada sida ugu dhakhsaha badan sida wadne-qabadka ama istaroogga, dhakhtarka ayaa u badan inuu sameeyo baaritaano taxane ah oo laga yaabo inuu ku jiro
- Shaqada dhiigga
- Baadhis jidheed
- Imtixaanka jilitaanka
> Ilo:
> Frishman WH, Azer V, Sica D. Daaweynta Daaweynta Cudurka 'Orthostatic Hypotension' iyo Vasovagal Syncope. Cudurka wadnaha. 2003; 49-64.
> Lee T, Donegan C, Moore A. Isugeynta Dhiirrigelinta iyo Dareenka Horumarinta ee Bukaannada Waayeelka ah: Dilida Daaweynta ee Xannaanada. Falanqaynta Khabiirada Daaweynta Wadnaha (Cardiovascular Therapy). 2005; 433-40.
> Rutan, GH, et al. Buufiska Hooyo ee Dadka waaweyn. Daraasada Caafimaadka Cardiovascular. Dhiirigelinta 1992; 19: 508.
> Sandroni P, iyo al. Pyridostigmine ee loogu talagalay Daaweynta Dareenka Daaweynta Daaweynta Daawada Dareemka ah ee Dareenka - Dentiiste Daraasad ah. Cilmi-baadhista Dhaqaalaha ee Caafimaadka. 2005; 51-3.
> Singer, W, et al. Xakameynta Daaweynta Pyridostigmine Daaweynta Cudurka Dabeesha ee Neurogenic. Arch Neurol 2006; 63: 513.
> van Lieshout, et al. Muuqaalka Jirka ee La-Dagaalanka Miyir-Xaaleedka Dhibaatada Dhex-dhexaadnimada ee Dhibaatada Dhex-dhexaadnimada. Lancet 1992; 339: 897.
> Young, TM, Mathias, CJ. Saamaynta Biyo Bixinta Baadhitaanka Qalodhka Orthostatic ee Laba Kooxood ee Dhibaatada Awood-la'aanta Dabiiciga ah: Nidaamka Fudud (Multiple System Atrophy) Journal of Neurology iyo cilmi-nafsiga neurosurgiga ee 2004; 75: 1737.