Orthostatic mayeso. Chifukwa ntchito njira imeneyi kufufuza?

Mavuto ndi dongosolo mtima ndi chifukwa yofunika kwambiri pofuna funa chithandizo. matenda amenewa nthawi zambiri amachititsa mavuto aakulu, kulumala ngakhale imfa. Pachifukwa ichi, muyenera nthawi ayesedwe ndi kuyamba chithandizo. Kudwala a dongosolo mtima angayambe zifukwa ambiri ndipo mawonetseredwe osiyana. Ena odwala nthenda asymptomatic, n'zovuta matenda yake ndi zambiri kumayambitsa ndondomeko decompensation. Pali Kafukufuku kuwunika boma la dongosolo mtima. Mmodzi wa iwo ndi mayeso orthostatic. Iwo kutumikiridwa odwala amene matenda ndi zovuta kudziwa chifukwa chake kapena chifukwa chosowa chitsanzo khalidwe kapena siteji koyamba.

Orthostatic mayeso: zikuonetsa kuti aziphunzira

Kafukufuku amene anachitidwa ku matenda osiyanasiyana kugwirizana ndi kukanika a dongosolo mtima ndi innervation ake. Orthostatic magazi nyemba ndi koyenera kuti kuwunika, monga pathologies izo amachepetsa kapumidwe kapenanso, Tikawonetsetsa kuonjezera. Nthawi zambiri anamuona pa matenda a venous kubwerera mwamsanga. Chifukwa, pali matenda osiyanasiyana postural. Iwo anafotokoza chifukwa chakuti munthu angakhale nayo kusapeza pamene kusintha kwa yopingasa (kapena pansi) Udindo wa thupi molungama. Nthawi zambiri zimachitika chizungulire, chisade cha maso, kutsitsa magazi ndi kukomoka. Zovuta za matenda orthostatic ndi: ischemic matenda a mtima ndi chitukuko cha angina ndi m'mnyewa wamtima infarction, kusokonekera. zifukwa angathe kutumikira osati kusintha kwa magazi, komanso nyumba ubongo udindo. Mogwirizana ndi kuwonongeka izi zikhoza kugwirizana ndi matenda a mtima, ndi CNS. The zizindikiro zazikulu ndi: kusintha magazi (monga hyper- kapena hypotension), insufficiency wa inatsekeratu kufalitsidwa, ndi autonomic mantha dongosolo.

Mitundu mayesero orthostatic

Research akhoza kuchitika m'njira zosiyanasiyana. Pali onse udakali chabe orthostatic mayeso. kusiyana lagona pa katundu zinchito pa dongosolo akulu a wodwalayo. Yogwira chitsanzo kumafuna palokha kusintha kwa wodwalayo ndi yopingasa malo choimirira. Chifukwa cha ichi kudula pafupifupi onse minofu chigoba. Kuchita chitsanzo chabe akusowa tebulo wapadera, zomwe chili pansi kufufuza. Mu nkhani iyi, katundu minofu ndi kupewedwa. Phunziro ili ndi kuonanso boma la hemodynamics isanayambe kapena itatha kusintha malo thupi. Mwachibadwa, munthu aliyense ali zowonetsera kusintha chifukwa kusintha mwa mavuto, ndipo chifukwa cha thupi. Pamene kulephera kwa dongosolo mtima pali ponso (osachepera - kugwa) kusiyana pakati kuthamanga magazi ndiponso kugunda kwa mtima pamaso ndipo pambuyo mayeso.

Njira orthostatic

Malinga mtundu njira orthostatic chitsanzo kwa zosiyanasiyana Chrixitu. The njira ambiri ndi Shellonga. Njira amaonedwa monga yogwira mayeso orthostatic. Momwe phunziro pa Shellongu?

1. Wodwala akagona pabedi, tiyenera kukhala chete. Kuti izo chikugwirizana wapadera magazi polojekiti.
2. adokotala amatenga zimachitika muyeso, kenako nkhani zotsatira za kugunda kwa mtima ndi kuthamanga kwa magazi pa mphindi 15 zapitazo.
3. Wodwala akupemphedwa kuimirira ndi kukhala mu malo woongoka.
4. Panthawi imeneyi pali muyeso apitirize kugunda kwa mtima ndi kuthamanga kwa magazi.
5. Wodwala wogona, ndipo dokotala analemba zotsatira pambuyo 0.5, 1 ndi 3 Mphindi.
6. Pambuyo chitsanzo chiwembu kugunda kwa mtima ndi kuthamanga kwa magazi nthawi.

kutanthauzira zotsatira

Ngakhale kuti kusintha magawo hemodynamic ndi kusintha malo a thupi zimachitika munthu aliyense, pali ndi zaka. Chosayenerera malangizo a kuwonjezeka ndi kucheperachepera mlingo mtima ndi kuthamanga kwa magazi limasonyeza matenda a dongosolo mtima kapena mantha. Ndi mtima kunama kapena atakhala magazi ndi anagawira thupi lonse ndi kubweza. Munthu waima, zikuyamba kusuntha ndi chimatsogoleredwa kudzera mitsempha mtima. Pamene mwazi stasis mu m'munsi miyendo kapena zizindikiro pamimba orthostatic amasiyana yachibadwa. Izi zikusonyeza pamaso pa matenda.

Orthostatic mayeso: wakudziko ndi kudwala

Potaya zotsatira Atchule kwa systolic ndi kuthamanga diastolic magazi, kugunda kwa mtima, zimachitika kuthamanga ndi mawonetseredwe autonomic. An index abwino ndi kuchuluka kwa ndalama mtima kwa 11 kumenyedwa / Mph, pang'ono kuwonjezeka, pakalibe magawo ena ndi mayankho ya ubongo. Anandilola zosavuta thukuta ndi boma zonse kuthamanga patsogolo ndi pambuyo pa phunziroli. Zokhutiritsa kuwonjezeka kugunda kwa mtima imatengedwa kuti 12-18 kumenyedwa / min. Orthostatic mayeso ndi kuwonjezeka zikuluzikulu kugunda kwa mtima ndi kuthamanga kwa magazi diastolic, thukuta ndi tinnitus kwambiri, kuchepa kuthamanga systolic magazi limasonyeza kuswa wa hemodynamics.