I-Syndrome ye-Postural Orthostatic Tachycardia (POTS) ivele njengokukhathazeka okukhulu kwezempilo, ikakhulukazi phakathi kwabantu abaphulukisa kwi-Long COVID. Abaningi babaguli babhekana nezimpawu eziqhubekayo eziphazamisa impilo yabo yansuku zonke, futhi i-POTS iyaziwa kakhulu njengomfanelo obalulekile. Le mhlahlandlela ihlose ukuhlinzeka abaguli be-Long COVID ngokuqonda okuphelele kwe-POTS, izimpawu zayo, ukusabalala, nezinketho zokwelashwa. Ngokukhulisa ukuqwashisa, abaguli nabahlinzeki bezempilo bangakwazi ukuphatha kangcono le miphumela eyinkimbinkimbi futhi bathuthukise ikhwalithi yokuphila.

I-POTS ingxenye yeqembu elibanzi lezifo ezaziwa ngokuthi i-dysautonomia, ezithinta i-autonomic nervous system ephethe imisebenzi yomzimba engazenzisiyo. Phakathi kwabantu abane-Long COVID, i-POTS iletha izinselelo ezidinga ukunakwa okukhethekile kwezokwelapha. Ukuqonda izici ezithile ze-POTS, kuhlanganise nezinhlobo ze-hyperadrenergic, kusiza ekwakheni amasu aphumelelayo okuphatha.

I-POTS ibonakala ngokwanda okweqile kwenhliziyo uma ume, ngokuvamile ihambisana nokuphazamiseka, ukuhamba kahle, ukukhathala, futhi kwesinye isikhathi ukuwa. Izimpawu ngokuvamile ziba zimbi kakhulu uma ume isikhathi eside noma wenza imisebenzi yomzimba futhi ziba ngcono uma uhleli phansi. Lezi zimpawu zibonisa ubunzima bomzimba ekulawuleni ukuhamba kwegazi nokuqina kwenhliziyo ngenxa yokuphazamiseka kohlelo lwezinzwa ezizenzekelayo.

Izimpawu ezengeziwe zingafaka phakathi ukungaqondi kahle, ukujula kwenhliziyo, ubuhlungu besifuba, nezinkinga zokugaya, ezithinta kakhulu ukusebenza kwansuku zonke. I-hyperadrenergic subtype ye-POTS ihilela uhlelo lwezinzwa olusebenzayo kakhulu, okuholela ezingeni eliphezulu le-adrenaline futhi kwenza izimpawu zibe nzima. Ukwazi lezi zimpawu kusenesikhathi kubalulekile ukuze kutholakale ukuxilongwa nokwelashwa ngesikhathi.

Izifundo zakamuva zikhombisile ukuvela okukhulu kwe-POTS phakathi kwabagulayo be-Long COVID. Ucwaningo lukhombisa ukuthi ingxenye enkulu yabantu abahlangabezana nezimpawu ezinde ezihlobene ne-COVID ihlangabezana nezimfuneko zokuxilongwa kwe-POTS. Le ngxenye igcizelela isidingo sokwandisa ukuhlolwa nokwaziswa ezimeni ezilandelayo ngemva kokutheleleka.

Lezi zifundo ziphinde zigcizelele ukubaluleka kokucwaninga okukhethekile ukuze kuqondwe izinqubo ezihlanganisa i-COVID-19 nokungasebenzi kahle kwe-autonomic. Izifundo eziqhubekayo zihlose ukukala ukuvela kwe-POTS nokuhlola izici ezingaba khona zejini, ezokwelapha, nezemvelo ezithinta ukuthuthukiswa kwayo kubaguli be-Long COVID.

Ukuze siqonde kangcono i-POTS kubaguli be-Long COVID, abacwaningi basebenzisa inhlanganisela yokuhlolwa kwezokwelapha, ukuhlolwa kwe-tilt-table, kanye nezivivinyo zokusebenza kwe-autonomic. Ukuhlolwa kwe-tilt-table kubhekwa njengestandadi yegolide yokuxilonga i-POTS, kukala ushintsho lwezinga lenhliziyo nok pressure yegazi uma kushintsha izikhundla.

Izinhlelo zocwaningo zivame ukufaka imibuzo yabaguli ehlola ubunzima bezimpawu, ikhwalithi yokuphila, kanye nokuphazamiseka kokusebenza. Ukuqoqwa kwedatha kuqinisekiswa ngama-biomarkers ukuze kutholakale izimo ze-hyperadrenergic. Ukubambisana phakathi kwezikhungo zezokwelapha kuthuthukisa ukuqina kwemiphumela futhi kusekela ukuthuthukiswa kwezinyathelo ezihlosiwe.

I-POTS ingaphazamisa kakhulu ikhwalithi yokuphila kwabagulayo be-Long COVID. Ukukhathala okuqhubekayo, ubunzima bokucabanga, kanye nezithiyo zomzimba kuthinta izici zomuntu, zomphakathi, nezomsebenzi. Abaningi abaguli babika ukudumazeka ngenxa yokutholwa okweqile kanye nezinketho zokwelashwa ezilinganiselwe.

Ukuphatha i-POTS kudinga indlela ehlanganisa imikhakha eminingi ukuze kubhekwe izimpawu ezihlukahlukene futhi kuthuthukiswe ukusebenza kwansuku zonke. Ukusekelwa kwengqondo, izinguquko zokuphila, kanye nokwelashwa komzimba kudlala izindima ezibalulekile kanye nokwelashwa kwezokwelapha. Imikhankaso yokwazisa kanye nemfundo yeziguli ibalulekile ukuze kuqinisekiswe ukuthi abantu bayakwazi ukufuna usizo olufanele.

Ukwelashwa kwe-POTS kugxile ekutholeni ukukhululeka ezimpawini nasekuthuthukiseni ukusebenza kwe-autonomic. Izindlela ezingezona ezokwelapha zifaka phakathi ukwanda kokuth intake kwamanzi nosawoti, izingubo zokpress, kanye nokwelashwa kokuzivocavoca okwenziwe ukuze kuthuthukiswe ukujolisa kwezinhliziyo ngaphandle kokwandisa izimpawu.

Imithi efana nama-beta-blockers, i-fludrocortisone, kanye ne-midodrine ingase ibekwe ngokusekelwe ku-subtype ye-POTS nezidingo zomuntu ngamunye. Kwama-hyperadrenergic POTS, imithi eqondiswe ku-sympathetic nervous system ibhekwa. Ukuhlola okuqhubekayo kanye nezinguquko kubalulekile ukuze kuthuthukiswe imiphumela yokwelashwa.

Njengoba ukuvela kwe-POTS kukhula phakathi kwabagulayo be-Long COVID, ukuhlolwa okujwayelekile kubalulekile. Ukuhlonza kusenesikhathi kuvumela ukungenelela ngesikhathi, okungenzeka kuvinjeze ukuhamba phambili kwezimpawu nokunciphisa umthwalo wezempilo. Abadokotela kufanele bagcine izinga eliphezulu lokungabaza kubagulayo abaveza izimpawu zokungakwazi ukumelana nezimo ngemva kwe-COVID.

Izinsiza zokuhlola zifaka umlando wesiguli, ukuhlolwa komzimba, kanye nokuhlolwa kwe-tilt-table noma ukuhamba okusebenzayo. Ukwanda kokuhlola kungaholela emiphumeleni engcono ye-epidemiological futhi kuqondise izinhlelo zokuphila zomphakathi zokuphatha izinkinga ze-Long COVID ngempumelelo.

Izinhloso zocwaningo ezizayo zikhomba ekujuleni ukuqonda kwe-pathophysiology ehlanganisa i-COVID-19 ne-POTS. Ukucwaninga ngezizathu ze-immunological, ukuhlala kwe-virus, kanye nezizathu zezakhi zofuzo kuyaphumelela. Izifundo ze-longitudinal zizosisiza sithole kahle umlando wemvelo nezimo zesikhathi eside ze-POTS emkhakheni we-Long COVID.

Ucwaningo luphinde lugxile ezindleleni ezintsha zokwelapha, kuhlanganise ne-neuromodulation kanye nezindlela zokwelapha ezenzelwe umuntu. Ukwandisa ukubambisana phakathi kwabacwaningi, odokotela, kanye nezinhlelo zokuvikela iziguli kuzosheshisa inqubekela phambili futhi kuthuthukise izinga lokunakekelwa.

Ukubambisana phakathi kwezikhungo zemfundo, abahlinzeki bezempilo, kanye nezikhungo ezifana ne-义乌歌赋工艺品有限公司 kusekela intuthuko yocwaningo lwe-POTS. Izinhlelo zokuxhasa zenza kube nokwenzeka izifundo ezinkulu nezivivinyo zokwelashwa ezibalulekile ukuze kuqinisekiswe ukuphathwa okusekelwe ezifakazweni.

I-义乌歌赋工艺品有限公司, eyaziwa kakhulu ngokuqonda kwayo ekwenzeni imikhiqizo yokupheka ye-stainless steel kanye nezinkuni, ibonisa ukuthi izikhungo ezihlukene zifaka kanjani isandla ocwaningweni oluhambisana nezempilo ngezinqubo zokuziphatha kwezimboni. Ukubamba kwabo kugcizelela ukubaluleka kokubambisana phakathi kwemikhakha ekuxazululeni izinselelo ezinzima zempilo ezifana ne-POTS.

Kubaguli kanye nochwepheshe bezempilo abafuna ulwazi oluningi mayelana ne-POTS nezimo ezihlobene, kunezinsiza eziningi eziphakanyisiwe. Amajornali abuyekezwa ngochwepheshe, amawebhusayithi okukhuthaza abaguli, kanye nezikhombisi-ndlela zokwelashwa zinikeza ukuqonda okubalulekile kokuxilongwa, ukwelashwa, kanye nentuthuko yocwaningo.

Ngaphezu kwalokho, ukuhlola izihloko ezihlobene ezinkundleni ezithembekile ezifana ne-Mayelana Nathiikhasi le-义乌歌赋工艺品有限公司 linikeza ukuqonda kokuthi kanjani ukulawulwa kwekhwalithi nokuzinikela ekuphakamiseni kungathinta imikhankaso yokuphila kahle. Kulabo abanentshisekelo emikhiqizweni ehambisanayo, i-Imikhiqizo no Izitsha zokupheka amakhasi anikeza ukuqonda ngobuciko nokuqamba kweNkampani.