Zvinoshamisa Zviratidzo zvePOTS muvana nevechiduku vaduku
Iwe hauna kumbobvira uchinzwa nezvemashure ekutenda kana tastycardia syndrome kana POTS, kunyange zvazvo inobata vanhu vakawanda, kusanganisira vechidiki, uye vakaonekwa mumavambo ekuma1990. I National Dysautonomia Research Foundation inotsanangura vana vane matambudziko aya seasingaoneki kune avo vari kunze, avo vanogona kufunga kuti vari kuedza zviratidzo zvavo.
Kuti hazvizivikanwi zvakanyanya zvinogona kunyanya kuodza mwoyo nokuti POTS inogona kukonzera zviratidzo zvakadaro zvinokanganisa, kusanganisira dutu, misoro, uye kuneta.
Postural Orthostatic Tachycardia Syndrome - Tsanangudzo uye Maitiro
Postural orthostatic tachycardia syndrome (POTS) inokonzerwa nekuchinjwa kana kusagadzikana muhurongwa hwehutongi hwezvimirira ( dysautonomia) .
Iwe unogona kunge usingazivi nezvehutachiona hwehurumende, asi hunogona kunge hunozivikanwa nedzimwe mimwe mitemo iyo inobatanidzwa nehutachiona hwehutongi hwehutongi hwehurumende. Izvi zvinogona kusanganisira kushungurudza chirwere chemafupa , fibromyalgia , uye kusagadzikana kwehutano syndrome.
Mukuwedzera kune inonzi central nervous system (uropi hwedu nemutsipa wepelinha), tine utano hwehutachiona hunobatsira hunoita kuti tisazvibata zvakasimba zvinhu zvakawanda muviri wedu unoita, zvakadai se:
- Kuchinja vadzidzi vedu patinopinda mukamuri rima
- Kuwedzerwa kugadzirwa kwemaseko patinodya
- Zvinotitadzisa kutuka kana tikatsva
Izwi rehutachiona rehutachiona rinobatsirawo kutonga mwoyo yedu yehutachiona uye kuwedzerwa kweropa. Aya mabasa anonyanya kukosha patinoshandura nzvimbo, kufanana kubva kune supine (akarara pasi) kana kugara pasi.
Kana tikasimuka, zvinhu zvakawanda zvinoitika mumitumbi yedu zvatisingaoni, kana kuti isu hationi kana zvikaitika zvakanaka. Mukupindura kwehuwandu weropa huchienda kune muviri wedu wepasi, uyo unotanga kudonha ropa redu, hutachiona hwehutongi hunoita hunoita kuti mwoyo wedu uwedzere, hurumende kana kusimbisa midzi yeropa uye kuwedzera ropa redu, zvose kuti kuchengetedza ropa kuenderere muuropi yedu.
Misungo mumakumbo edu uye mudumbu uyewo kunomesa mitsipa muzvikamu izvi zvemuviri wedu uye anobatsira nekutora.
POTS inofungidzirwa kuti inoitika kana iyi sarudzo isiri kushanda zvakanaka, zvichiita kuti vanhu vakavhiringidzika vaone kana vachimira, pakati pezvimwe zviratidzo.
POTS inowanzoonekwa kuvakadzi, kunyanya vakadzi vari pakati pemakore gumi nemashanu nemakore makumi mashanu (kutangira kusvika kumwedzi). Kunyange zvazvo zvisingazivikanwe chinokonzera POTS, inowanzotanga mushure mekurwara kwehutachiwana kwenguva yakawanda, sehosha kana mono .
Zviratidzo zvePostural Orthostatic Tachycardia Syndrome
Izwi rinotsanangurwa rePOTS muvechiri kuyaruka rinonzwa ruvara rune simba uye rune rutsvo rwemwoyo runokwira zvinopfuura 40 kurova paminiti (kana kutapa kwomwoyo kunopfuura 120 kurova paminiti), mukati memaminitsi gumi ekumira.
Mukuwedzera pane kazhinji kunzwa kunzwa kuora, zvimwe zviratidzo zvePOTS zvinogona kusanganisira:
- Headaches
- Kushaya simba, kuneta, uye kusawirirana mune zvekuita
- Nausea uye kusuruvara kusina kunaka
- Tachycardia (fast rate rate) uye marpitations
- Pedyo syncope (kunzwa sokuti iwe uchatya)
- Chiratidzo chakasvibiswa
- Kufunganya
- Kupika zvisina kufanira
- Dambudziko rokurara
- Dambudziko kuisa pfungwa
Mukuwedzera pakuva nezviratidzo zvekare, kutengesa-tafura yekuongorora kunogona kuitwa kubatsira kubata vechidiki vane POTS. Kuedza kunongedzeka kunogonawo kuitwa mushure mekuyaruka kwave kuripo (akarara pasi) kwemaminitsi mashanu, kuenzanisa kutengesa kwomwoyo wake uye kuwedzerwa kweropa, uye mushure mokunge amire 3, 5, 7, nemaminitsi gumi.
Kutsiva uye Kudonha vs. POTS
Kutsiva uye kunyange kupera ( syncope ) zviri zviratidzo zvinowanzoonekwa muvechiri kuyaruka.
Zvechokwadi, zvinofungidzirwa kuti kusvikira 15 kubva muzana yevechiri kuyaruka vachapera kamwechete vasati vava vakuru, kazhinji vari pasi pemakore gumi nemashanu. Nenzira yakanaka, vazhinji vevechiri kuyaruka vane chizivo uye kupera havazove nePOTS. Pane kudaro, vachave nezvinetso zvakafanana, zvakadai se:
- Vasovagal syncope - Izvo zvinonzi postural syncope, vasovagal syncope inogona kukonzerwa kana iwe wakamira kwenguva yakareba munzvimbo imwechete (ropa dzimba mumakumbo ako nemakumbo, kunyanya kana iwe usingavafambisi zvakanyanya) kana kupindura kurwadziwa kana kutya.
- Kuvhiringidzika kwechimiro chechimiro chechimiro - Kutadza kusagadzikana kwemazuva ano kunogona kuitika kana iwe uchirwara nehosha, chirwere chemudumbu, kana zvimwe zvirwere, zvichiita kuti uwedzere mvura uye usvike paunomira.
- Orthostatic hypotension - Kufanana nePOTS, orthostatic hypotension inoitika paunomira.
Kusiyana kukuru pakati pemamiriro ezvinhu kumusoro uye POTS ndeyokuti POTS zviratidzo zvinogona kuitika zuva nezuva uye dzinowanzovhiringidza.
Mukuwedzera pakurapa chero chipi zvacho chinokonzera kupererwa nemvura, mishonga yakanakisisa yezvikonzero zvinokonzera syncope inowanzomira zvinyorwa kubatsira kudzivirira kuti zvirege kuitika. Pachiratidzo chokutanga chokuti mwana wako anonzwa sokuti angazoziya, kazhinji anokurudzirwa kuti iye agare, akate, kana kuti akarara pasi. Kuwana munyu wakakwana nemvura mukudya kwavo kunokosha zvakare.
Zvikamu zvePOTS
Haasi munhu wose ane POTS ane zviratidzo zvakafanana, uye zvinoratidzika kuti pane matatu mafomu makuru kana subtypes emamiriro acho ezvinhu, imwe neimwe inobatana nenzira dzakasiyana-siyana. Kunzwisisa rudimbu rwehuwandu hwePOTS kunogona kubatsira kutungamirira chiremba wako kune zvakanakisisa zvokusarudzwa. Izvi zvinosanganisira:
- Neuropathic POTS
- Hyperadrenergic POTS
- Hypovolemic POTS
Mishonga ye Postural Orthostatic Tachycardia Syndrome
Sezvo POTS inogona kunge ichikuvadza, kuwana mishonga inobudirira inokosha. Zvinangwa zvepakutanga zvinowanzowedzera kuwedzera (pamwe nemvura uye munyu), kurovedza muviri, uye dzidzo. Mishonga inogona kusanganisira:
- Kusimudza musoro wemubhedha wemwana wako ne 4-6 masendimita.
- Kukurudzira mwana wako kuti anwe zvinenge 2 kusvika ku3 malita eincaffeinated, mvura yakachena zuva roga roga uye kuti ugare wakanyatsonaka.
- Kuwedzerwa huwandu hwemunyu mukudya kwevana vako-kusvika ku 3-5g / d, zvichienzaniswa nemafuta 1500-2300mg yemunyu kune vechidiki vasina POTS.
- Kudzivisa kudya kukuru uye panzvimbo yekudya kakawanda, asi zviduku zvishoma (kudya kukuru kunowedzera kuwanda kweropa mumatumbo.)
- Chiito chekuita basa kana chekudzokorora chirongwa chekuita mabasa anerobic uye kuderedza muviri kusimbisa izvo zvishoma nezvishoma zvinowedzera huwandu hwemashandiro anoita mwana wako zuva rimwe nerimwe. Izvi zvinonyanya kukosha sezvo nyanzvi dzakawanda dzinofunga kuti kurara kwehovhe uye kudonhedzwa kunogona kuita basa mukukonzera POTS.
Mishonga yePOTS
Mishonga dzimwe nguva inoshandiswa kubatsira vechidiki vane POTS, kusanganisira metoprolol (a beta-blocker), midodrine (an alpha-agonist), kana fludrocortisone (mineralocorticoid inogona kubatsira kuwedzera munyu nekuchengetedza mvura), mienzaniso yemishonga inogona kunge iri used.
Kunyange zvazvo tricyclic yakakura yezvinorwisa zvinodzvinyirirwa inofungidzirwa kuti iite POTS yakaipa, itsva ye SSRI inodzvinyirira (yakadai seProzac) inonzi inogona kurapwa.
Ivabradine chirwere chitsva chinoita sechinobatsira kune vamwe vanhu vane POTS.
Kuuya neChirongwa Chekurapa
Hakuchina chirongwa chekurapa kwevechidiki vane POTS. Mamwe magwaro nyaya haatombobvumirano nezvekuti kana kwete zvimwe zvirongwa, zvakadai se beta-blockers kana SSRIs, zvinobatsira. Kuwana rubatsiro kunogona kusanganisira zvimwe kuedza uye kukanganisa kuwana zvipatara zvakanakisisa zvinoshanda kumwana wenyu ari kuyaruka nePOTS.
Zvaunoda Kuziva Pamusoro pePOTS
- Kunyange zvazvo pasina mushonga wePOTS, vakawanda vechidiki vanoita sevari kunze kwayo. Vanhu vanenge 500 000 muUnited States vanofunga kuti vane POTS.
- Kupera simba panguva yekurovedza muviri ibvuku tsvuku kwechikonzero chikuru che syncope , kunyanya kune vana vane nhoroondo yemhuri yekufa kamwe kamwe. Kuongororwa nevana vako vezvechipatara uye / kana chirwere chemapirini chechirwere chinofanira kuitwa pakarepo.
- POTS dzimwe nguva inobatanidzwa neve hypermobility syndrome , Chiari malformation, kana kuneta kusingaperi.
- Unhu hwehupenyu hwakaderera kune vechidiki vane POTS uye kusvika kusvika hafu yevechiri kuyaruka uye vechidiki vakura vane chirwere chiri pangozi yekuzviuraya. Kuwana mushonga wakanaka uyo mwana wako anogona kuzarura naye kunogona kuva chikamu chinokosha cherongwa hwekurapa.
- Chiremba wevana vezveuropiyo inogona kubatsira kuti uone nekubata mwana wako nePOTS. Specialty POTS makiriniki anowanikwa mune vamwe vana vezvipatara.
Sources
- Heyer, G. Postural Tachycardia Syndrome: Kuongororwa uye Kutungamirirwa Nevana Vari Kuyaruka neVaduku Vakuru. Patiatric Annals . 2017. 46 (4): e145-154.
- Pederson, C., uye J. Brook. Utano-Hunoenderana Nehupenyu Hwokuzviuraya Kuzviuraya mu Postural Tachycardia Syndrome. Clinical Autonomic Research . 2017. 27 (2): 75-81.
- Pilcher, T., uye E. Saarel. Mufambi Wevechiri Kuyaruka (Chizivi, Syncope, Postural Orthostatic Tachycardia Syndrome). Matanho Emakirini eNorth America . 2014. 61 (1): 29-43.
- Zheng, X., Chen, Y., naJo Du. Kufambira Mberi Kwakaitika Mukunzwisiswa kweNzira Dzakasimudzira Postural Tachycardia Syndrome muvana: Zvinobatsira Maitiro ekurapwa. Cardiology muVechiduku . 2016 Dec 12. (Epub mberi kwekudhinda).