Onbalans:
beïnvloed skeletspiere en oogopsporing. Naarheid of “visuele verwarring” kan ervaar word wanneer u met ‘n motor bestuur, ‘ n boek lees of voorwerpe met sig volg . ( Tere kolle op die nek kan ook wanbalans veroorsaak).
In die Johns Hopkins Mediese Sentrum is aangetoon dat sommige pasiënte met FIBROMYALGIA ‘n toestand het wat bekend staan as ‘hipotensie van neurologiese oorsprong’ wat veroorsaak dat, as hulle opstaan, ‘n daling in bloeddruk en hartklop veroorsaak, wat duiseligheid, naarheid veroorsaak en sukkel om duidelik te dink. Ortostatiese hipotensie (lae druk)
Die oorsake van ortostatiese hipotensie is veelvuldig.
In breë trekke kan hulle as neurogenies en nie-neurogenies geklassifiseer word .
Dit is, saamgevat: Neurogene oorsake, (van die sentrale senuweestelsel): Primêr: • Vegetatiewe verandering in Parkinson se siekte • Wanfunksie in die outonome senuweestelsel • Suiwer outonome mislukking of multisistemiese atrofie: Multisistemiese atrofie (AMS) is ‘n seldsame ‘n toestand wat simptome veroorsaak soos Parkinson se siekte . Pasiënte met hierdie siekte het egter ‘n groter skade aan die deel van die senuweestelsel wat belangrike funksies beheer, soos hartklop, bloeddruk en sweet.
Sekondêr: • Sinkope: Dit is die algemeenste vorm van floute • Perifere afwyking: diabetes, chroniese alkoholisme, ander neuropatiee • Sentrale afwykings: gewasse, seniele degenerasie.
Ruggraatstoornisse. (sagte punte in die nek)
Wanneer ‘n gesonde volwassene van ‘n liggende posisie (lê) na ‘n regop posisie styg, versamel ongeveer 500-700 ml bloed in die veneuse sirkulasie van die onderste ledemate, sowel as in die sirkulasie van Hierdie vermindering in bloedvolume veroorsaak ‘n drastiese afname in veneuse terugkeer na die hart en ‘n daling in die doeltreffendheid daarvan.
Dit lewer ‘n algemene neurologiese, kardiovaskulêre en selfs spierreaksie op om die bloeddruk binne die limiete te hou om ten minste serebrale sirkulasie te verseker .
Oplossings:
Pasiëntopvoeding met lae ortostatiese druk is van die uiterste belang. Benewens ‘n duidelike uiteensetting van die aard van u simptome, kan die algemene maatreëls wat u moet toepas, in vier groepe ingedeel word: vermy aktiwiteite of gewoontes wat lae houdingsdruk kan verlaag of vererger;Die pasiënt moet leer om die beweging van opstaan uit die bed te ontleed in twee bewegings, sit-sit en sit-staan , wat ‘n paar minute tussen die een houding en die ander laat verloop. Dieselfde geld wanneer u kniel of hurk, stadig en geleidelik opstaan . Daarbenewens moet u vermy om lank stil te staan, intense liggaamlike inspanning, isometriese oefening (verhoog spierkrag), blootstelling aan warm en vogtige omgewings en groot maaltye. wat in ‘n ligte mate en volgens verdraagsaamheid beoefen word.
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