Qhov sib txawv tseem ceeb ntawm orthostatic hypotension thiab vasovagal syncope yog tias orthostatic hypotension yog ib hom ntshav siab uas tshwm sim thaum sawv ntsug tom qab zaum lossis pw thiab ua rau kiv taub hau, lub teeb taub hau, lossis qaug zog, thaum vasovagal syncope yog ib qho mob. daim ntawv ntawm syncope qhov twg ib tug faints vim nws lub cev reacts rau tej yam tshwm sim xws li pom ntshav los yog kev nyuaj siab.
Orthostatic hypotension thiab vasovagal syncope yog ob yam mob ntsig txog. Kev qaug zog yog tshwm sim nyob rau hauv ob qho tib si mob. Ntxiv mus, qee cov neeg mob uas muaj vasovagal syncope tau ntsib orthostatic hypotension. Qhov no yog vim tus mob no ua rau cov hlab ntsha me me thaum cov neeg mob sawv ntsug, thiab qhov no ua rau cov ntshav sib sau hauv ob txhais ceg, ua rau cov ntshav poob sai.
Dab tsi yog Orthostatic Hypotension?
Orthostatic hypotension yog ib hom ntshav siab uas tshwm sim thaum sawv tom qab zaum lossis pw. Nws ua rau kiv taub hau, lub taub hau, lossis ua tsis taus pa. Nws tseem hu ua postural hypotension. Orthostatic hypotension tuaj yeem mob me thiab luv luv. Txawm li cas los xij, ntev ntev orthostatic hypotension tuaj yeem yog lub teeb liab ntawm cov teeb meem loj dua.
Daim duab 01: Orthostatic Hypotension
Orthostatic hypotension tshwm sim thaum ib yam dab tsi cuam tshuam lub cev hauv kev cuam tshuam nrog ntshav siab. Cov mob uas ua rau orthostatic hypotension muaj xws li lub cev qhuav dej, teeb meem plawv, teeb meem endocrine, lub paj hlwb tsis zoo, thiab noj mov. Cov tsos mob ntawm orthostatic hypotension muaj xws li lub teeb-headedness, qhov muag tsis pom kev, tsis muaj zog, fainting, thiab tsis meej pem. Cov kev pheej hmoo rau tus mob no suav nrog hnub nyoog (hnub nyoog qis dua 65), cov tshuaj (diuretics, alpha-blockers, beta-blockers, calcium channel blockers, thiab lwm yam), qee yam kab mob (Parkinson's disease, ntshav qab zib mellitus), raug tshav kub, pw tsaug zog, thiab cawv.
Ntxiv mus, tus mob no tuaj yeem kuaj tau los ntawm kev saib xyuas ntshav siab, kuaj ntshav, electrocardiogram (ECG), echocardiogram, ntsuas kev ntxhov siab, ntsuas lub rooj ntsuas, thiab Valsalva maneuver. Tsis tas li ntawd, kev kho mob rau orthostatic hypotension muaj xws li tshuaj ua kom ntshav siab thiab ntshav ntim, xws li midodrine, droxidopa, fludrocortisone, lossis pyridostigmine.
YVasovagal Syncope yog dab tsi?
Vasovagal syncope yog ib hom kev sib txuam uas ib tus neeg faints vim nws lub cev ua rau qee yam ua rau pom cov ntshav lossis kev ntxhov siab. Nws tseem hu ua neurocardiogenic syncope. Cov tsos mob ntawm tus mob no muaj xws li daj ntseg ntawm daim tawv nqaij, qhov muag pom, qhov muag tsis pom kev, lub ntsej muag tsis pom kev, xeev siab, sov, txias, hws clammy, txav txav txawv txav, tsis muaj zog pulse, thiab cov menyuam kawm ntawv dilated. Vasovagal syncope feem ntau tshwm sim thaum ib feem ntawm lub paj hlwb uas tswj lub plawv dhia thiab ntshav siab ua haujlwm tsis zoo vim muaj qhov tshwm sim zoo li pom ntshav. Vasovagal syncope yog tshwm sim los ntawm lwm yam tshwm sim xws li sawv ntsug ntev ntev, pom ntshav, raug tshav kub, muaj ntshav tawm, ntshai ntawm lub cev raug mob thiab straining zoo li lub plab zom mov thiab.
Vasovagal syncope tuaj yeem kuaj tau los ntawm electrocardiogram, echocardiogram, kev ntsuas kev ntxhov siab, kuaj ntshav, thiab ntsuas lub rooj. Tsis tas li ntawd, kev kho mob rau vasovagal syncope suav nrog cov tshuaj xws li (fludrocortisone acetate), cov kev kho mob kom txo tau cov ntshav hauv ob txhais ceg, thiab phais (ntxig lub pacemaker kom lub plawv dhia).
Dab tsi yog qhov zoo sib xws ntawm Orthostatic Hypotension thiab Vasovagal Syncope?
- Orthostatic hypotension thiab vasovagal syncope yog ob yam mob ntsig txog.
- Cov tsos mob xws li faus, lub taub hau, thiab qhov muag tsis pom kev muaj ntau dua nyob rau hauv ob qho kev kho mob.
- Qee tus neeg mob uas muaj vasovagal syncope tau ntsib orthostatic hypotension.
- Ob qho xwm txheej raug kho los ntawm cov tshuaj tshwj xeeb.
Qhov txawv ntawm Orthostatic Hypotension thiab Vasovagal Syncope yog dab tsi?
Orthostatic hypotension yog ib hom ntshav siab uas tshwm sim thaum sawv tom qab zaum lossis pw tsaug zog, ua rau kiv taub hau, lub teeb taub hau, lossis qaug zog, thaum vasovagal syncope yog ib hom kab mob uas tshwm sim thaum ib tus neeg qaug zog vim lub cev. reacts rau tej yam tshwm sim xws li pom ntshav los yog kev nyuaj siab. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm orthostatic hypotension thiab vasovagal syncope.
Tsis tas li ntawd, orthostatic hypotension yog tshwm sim los ntawm cov mob xws li lub cev qhuav dej, teeb meem plawv, teeb meem endocrine, lub paj hlwb tsis zoo, thiab noj mov. Ntawm qhov tod tes, vasovagal syncope tshwm sim thaum ib feem ntawm lub paj hlwb uas tswj lub plawv dhia thiab ntshav siab ua haujlwm tsis zoo vim muaj qhov tshwm sim zoo li pom cov ntshav, sawv ntev ntev, pom ntshav, muaj ntshav tawm, raug tshav kub, ntshai lub cev raug mob, thiab straining zoo li plob tsis so tswj.
Cov hauv qab no qhia txog qhov sib txawv ntawm orthostatic hypotension thiab vasovagal syncope hauv daim ntawv qhia rau kev sib piv ntawm ib sab.
Summary – Orthostatic Hypotension vs Vasovagal Syncope
Kev ntxhov siab tshwm sim thaum tib neeg tsis nco qab lub sijhawm luv. Nws yog tshwm sim los ntawm kev poob qis hauv cov ntshav mus rau lub hlwb. Orthostatic hypotension thiab vasovagal syncope yog ob qho kev kho mob uas qhia tias muaj kev ntxhov siab. Orthostatic hypotension yog ib hom ntshav siab uas tshwm sim thaum sawv tom qab zaum lossis pw thiab ua rau kiv taub hau, lub teeb taub hau, lossis qaug zog. Vasovagal syncope yog ib daim ntawv ntawm syncope qhov twg fainting tshwm sim vim lub cev reacting rau tej yam tshwm sim xws li pom ntshav los yog kev nyuaj siab. Yog li, qhov no qhia txog qhov sib txawv ntawm orthostatic hypotension thiab vasovagal syncope.
