Kunzwisisa Postural Orthostatic Tachycardia Syndrome (POTS)

Postural orthostatic tachycardia syndrome chirwere chekurapa chinokonzera kureruka uye palpitations mushure mekumira. Ko kugadzirisa mararamiro uye nzira dzakasiyana-siyana dzinogona kubatsira kuderedza nekugadzirisa zviratidzo?

Postural Orthostatic Tachycardia Syndrome - POTS

Postural orthostatic tachycardia syndrome, kana kuti POTS, mamiriro ezvinhu anosiyana mukuoma kubva pakunyorova kusvika pakusakwanisa. NePOTS:

• Kurova kwemoyo kunowedzera zvakanyanya nechimiro chemuviri.
• Ichi chirwere chinowanzobata vanhu vaduku.
• Vanhu vazhinji vane postural orthostatic tachycardia syndrome vakadzi vari pakati pemakore 13 ne50.
• Vamwe vanhu vane nhoroondo yemhuri yePOTS; vamwe vanhu vanotaura kuti POTS yakatanga mushure mekurwara kana kushungurudzika, uye vamwe vanoti yakatanga zvishoma nezvishoma.
• Kazhinji inogadzirisa nekufamba kwenguva.
• Kurapa kunogona kubatsira.
• Kuongororwa kunobva pakuongorora BP uye pulse/heart rate.

zviratidzo

Postural orthostatic tachycardia syndrome inogona kukanganisa vechidiki vane hutano uye inogona kutanga kamwe kamwe. Zvinowanzoitika pakati pemakore e15 ne50, uye vakadzi vane mikana yakawanda yekuzvikudziridza kupfuura varume. Vanhu vanogona kuona zviratidzo zvakasiyana mukati memaminitsi mashoma ekusimuka kubva panzvimbo yekunyepa kana kugara. Zviratidzo zvinogona kuitika nguva dzose uye zuva nezuva. Zviratidzo zvinonyanya zvinosanganisira: (National Institutes of Health. National Center for Advancing Translational Sayenzi. Genetic uye Rare Diseases Information Center. 2023)

• kufunganya
• Lightheadedness
• Kunzwa sekunge wave kuda kupera.
• Palpitations - kunzwa kurova kwemoyo nekukurumidza kana kusajaira.
• Chizutu
• Headaches
• Chiratidzo chakasvibiswa
• Makumbo anoshanduka kuita tsvuku-yepepuru.
• Kushaya simba
• Kutuka
• Kuneta
• Matambudziko okurara
• Dambudziko kuisa pfungwa/mhute muuropi.
• Vanhu vanogonawo kusangana nezvinoitika zvekare zvekufenda, kazhinji pasina chinokonzeresa/s kunze kwekusimuka.
• Vanhu vanogona kusangana chero musanganiswa wezviratidzo izvi.
• Dzimwe nguva, vanhu havagone kuita zvemitambo kana maekisesaizi uye vanogona kunzwa kurerukirwa uye kubatwa nedzungu vachipindura zviitwa zvinyoro-nyoro kana zviri pakati nepakati, izvo zvinogona kutsanangurwa sekusashivirira maekisesaizi.

Associated Effects

• Postural orthostatic tachycardia syndrome inogona kusanganiswa nedzimwe dysautonomia kana nerve system syndromes, senge neurocardiogenic syncope.
• Vanhu vanowanzoonekwa pamwe chete nemamwe mamiriro akadai se:
• Chronic tired fatigue syndrome
• Ehlers-Danlos chirwere
• Fibromyalgia
• Migraines
• Mamwe mamiriro e autoimmune.
• Ura mamiriro.

Zvinokonzera

Kazhinji, kumira kunoita kuti ropa rimhanye kubva mudumbu richienda kumakumbo. Iko kungoerekana kwachinja kunoreva kuti ropa shoma riripo kuti mwoyo upombe. Kuripa, iyo autonomic nerve system inotumira masaini kumidziyo yeropa kuti isungirire kusundira ropa rakawanda kumoyo uye kuchengetedza BP uye yakajairika kurova kwemoyo. Vanhu vazhinji havaone shanduko dzakakura muBP kana pulse kana vakamira. Dzimwe nguva, muviri haugone kuita basa iri nemazvo.

• If BP inodonha kubva pakumira uye inokonzera zviratidzo kufanana nekureruka, inozivikanwa se orthostatic hypotension.
• kana BP inoramba iri yakajairika, asi kurova kwemwoyo kunowedzera nekukurumidza, iPOTS.
• Izvo chaizvo izvo zvinokonzeresa postural orthostatic tachycardia syndrome zvakasiyana muvanhu asi zvine chekuita nekuchinja mu:
• Iyo autonomic nervous system, adrenal hormone mazinga, huwandu hweropa huwandu, uye kushomeka kwekuita kushivirira. (Robert S. Sheldon et al., 2015)

Autonomic Nervous System

Iyo autonomic nerve system inodzora kukwira kweropa uye kurova kwemoyo, idzo inzvimbo dzetsinga dzinobata mabasa emukati emuviri sekugaya, kufema, uye kurova kwemoyo. Zvakajairika kuti BP iderere zvishoma uye kurova kwemwoyo kukurumidze zvishoma kana wakamira. NePOTS, shanduko idzi dzinonyanya kutaurwa.

• POTS inoonekwa semhando ye dysautonomia, inova mutemo wakaderera ye autonomic nervous system.
• Mamwe akawanda syndromes anofungidzirwa kuti ane hukama ne dysautonomia, senge fibromyalgia, irritable bowel syndrome, uye chisingaperi kuneta syndrome.
• Hazvina kujeka kuti nei chirwere kana chero mamwe marudzi e dysautonomia achikura, asi zvinoita sekunge kune fungidziro yemhuri.

Dzimwe nguva chikamu chekutanga chePOTS chinoratidza mushure mechiitiko chehutano senge:

• Kuberekwa
• Chirwere chechirwere chetachiona, somuenzaniso, chirwere chakakomba chefuruwenza.
• Chiitiko chekushungurudzika kana kuputika.
• Kuvhiyiwa kukuru

kuongorora chirwere

• Kuongororwa kwechirwere kunosanganisira nhoroondo yezvehutano, kuongororwa kwemuviri, uye kuongororwa kwekuongorora.
• Murapi wehutano achatora BP uye kurova kaviri. Pane imwe nguva ndakarara uye kamwe ndakamira.
• Zviyero zveBP uye pulse rate wakarara pasi, kugara, uye kumira ndiwo orthostatic vitals.
• Kazhinji, kumira kunowedzera kurova kwemwoyo ne10 kurova paminiti kana pasi.
• NePOTS, kurova kwemwoyo kunowedzera ne30 kurova paminiti ukuwo BP inoramba isina kuchinja. (Dysautonomia International. 2019)
• Kurova kwemoyo kunogara kwakakwira kweanopfuura masekonzi mashoma pakumira/kazhinji maminetsi gumi kana kudarika.
• Zviratidzo zvinowanzoitika.
• Zvinotora kupfuura mazuva mashoma.

Positional pulse shanduko haisi iyo chete yekuongorora kuongororwa kwe postural orthostatic tachycardia syndrome, sevanhu vanogona kuona shanduko iyi nemamwe mamiriro ezvinhu.

miedzo

• Dzimwe nyanzvi dzinoshandisa tilt-tafura bvunzo yekutanga kuongororwa uye kutarisa kurapwa. (National Institutes of Health. National Center for Advancing Translational Sayenzi. Genetic uye Rare Diseases Information Center. 2023)
• Panguva yekuyedzwa uku, BP uye kurova kwemhepo kunoyerwa kakawanda kana wakarara patafura uye kana tafura ichikwidzwa panzvimbo yakatwasuka.

Kusiyanisa Kuziva

• Kune zvikonzero zvakasiyana-siyana zve dysautonomia, syncope, uye orthostatic hypotension.
• Munguva yese yekuongorora, mupi wehutano anogona kutarisa mamwe mamiriro, sekupererwa nemvura, deconditioning kubva pakuzorora kwenguva refu pamubhedha, uye chirwere cheshuga neuropathy.
• Mishonga yakaita sema diuretics kana mishonga yeBP inogona kukonzera zvakafanana.

mabatiro

Nzira dzinoverengeka dzinoshandiswa mukutarisira POTS, uye vanhu vangangoda nzira dzakasiyana siyana. Murapi wehutano anozoraira kugara uchitarisa BP uye pulse kumba kuti vakurukure mhedzisiro kana vaenda kunoongororwa nanachiremba.

Fluids uye Diet

• Kunwa zvinwiwa zvisina caffeine zvinogona kuita kuti muviri ugare uine mvura.
• Mupi wehutano anogona kuverenga huwandu hwakakodzera hwemvura inodiwa zuva rega rega.
• Kupera kweusiku husiku kwakajairika, saka zvinonyanya kukosha kunwa mvura chinhu chekutanga mangwanani, zviri nani usati wasimuka pamubhedha uye wakamira.
• Zvakakoshawo kuchengetedza mazinga akakwana e sodium. (National Institutes of Health. National Center for Advancing Translational Sayenzi. Genetic uye Rare Diseases Information Center. 2023)

Dzidzirai Therapy

• Exercise uye physically therapy inogona kubetsera muviri kudzidza kuchinjira kunzvimbo yakarurama.
• Nekuti zvinogona kunetsa kuita maekisesaizi paunenge uchibata nePOTS, chirongwa chekurovedza muviri chakanangwa chiri pasi pekutariswa chinogona kudiwa.
• Purogiramu yokurovedza muviri ingatanga nokushambira kana kushandisa michina yokukwasva, iyo isingade kuti munhu amire. (Dysautonomia International. 2019)
• Pashure pemwedzi kana miviri, kufamba, kumhanya, kana kuchovha bhasikoro zvinogona kuwedzerwa.
• Zvidzidzo zvakaratidza kuti vanhu vane POTS, paavhareji, vane makamuri madiki emwoyo pane vanhu vasina chirwere.
• Nguva dzose kurovedza muviri kwakaratidzwa kuwedzera saizi yekamuri yemoyo, kunonoka kwemoyo, uye kunatsiridza zviratidzo. (Qi Fu, Benjamin D. Levine. 2018)
• Vanhu vanofanirwa kuenderera mberi nechirongwa chekurovedza muviri kwenguva yakareba kuti zviratidzo zvirege kudzoka.

Mishonga

• Mishonga yemishonga yekubata POTS inosanganisira midorine, beta-blockers, pyridostigmine - Mestinon, uye fludrocortisone. (Dysautonomia International. 2019)
• Ivabradine, inoshandiswa kumamiriro emwoyo we sinus tachycardia, yakashandiswawo zvinobudirira mune vamwe vanhu.

Conservative Kupindira

Dzimwe nzira dzekubatsira kudzivirira zviratidzo dzinosanganisira:

• Kurara panzvimbo yekusimudza musoro nekusimudza musoro wemubhedha kubva pasi 4 kusvika 6 inches uchishandisa mubhedha unogadziriswa, zvidhinha zvehuni, kana risers.
• Izvi zvinowedzera huwandu hweropa mukutenderera.
• Kuita maitiro ekupikisa senge kusquat, kudzvanya bhora, kana kuyambuka makumbo. (Qi Fu, Benjamin D. Levine. 2018)
• Kupfeka masitokisi ekumanikidza kudzivirira ropa rakawandisa kuti risayerera mumakumbo kana wakamira zvinogona kubatsira kudzivirira orthostatic hypotension. (Dysautonomia International. 2019)

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Kukunda Congestive Heart Kukundikana

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References

National Institutes of Health. National Center for Advancing Translational Sayenzi. Genetic uye Rare Diseases Information Center (GARD). (2023). Postural orthostatic tachycardia syndrome.

Sheldon, R. S., Grubb, B. P., 2nd, Olshansky, B., Shen, W. K., Calkins, H., Brignole, M., Raj, S. R., Krahn, A. D., Morillo, C. A., Stewart, J. M., Sutton, R., Sandroni, P., Chishanu, K. J., Hachul, D. T., Cohen, M. I., Lau, D. H., Mayuga, K. A., Moak, J. P., Sandhu, R. K., & Kanjwal, K. (2015). 2015 moyo rhythm society nyanzvi yekubvumirana chirevo pamusoro pekuongororwa uye kurapwa kwe postural tachycardia syndrome, isina kukodzera sinus tachycardia, uye vasovagal syncope. Mwoyo mutinhimira, 12(6), e41–e63. doi.org/10.1016/j.hrthm.2015.03.029

Dysautonomia International. (2019). Postural Orthostatic Tachycardia Syndrome

Fu, Q., & Levine, B. D. (2018). Kudzidzira muviri uye kwete-pharmacological kurapwa kwePOTS. Autonomic neuroscience: yekutanga & yekiriniki, 215, 20-27. doi.org/10.1016/j.autneu.2018.07.001