I-Syndrome ye-Postural Orthostatic Tachycardia, eyaziwa kakhulu njenge-POTS, iyisimo sempilo esiyinkimbinkimbi esithinta uhlelo lwezitho ezizenzakalelayo. Iphawuleka ngokwanda okungajwayelekile kwenani lenhliziyo uma ume, i-POTS ingaphazamisa kakhulu ukusebenza kwansuku zonke kanye nekhwalithi yokuphila. Ukubaluleka kwayo empilweni kukhona emthelela wayo omkhulu, nezimpawu ezivame ukuba nzima futhi ezingaqondakali. Ukuqwashisa nokuqonda i-POTS kubalulekile ukuze kutholakale ngokushesha nokuphathwa kahle, okungasiza abaguli ukuthi babuyisele ukulawula ezimpilweni zabo. Le ndatshana ihlose ukuhlinzeka ngokuqonda okuphelele nge-POTS, ihlanganisa incazelo yayo, izimpawu, izimo ezihlobene, ukuxilongwa, nezindlela zokuphatha.

Ukuqonda i-POTS kubalulekile ngoba ivame ukuhlala ingadiyagnoswa noma ididayo, kuholela ekukhathazekeni okwandile kwabagulayo. Lesi sifo sithinta ikakhulukazi abantu abasebasha, ikakhulukazi abesifazane, okwenza kube yinkinga ebalulekile kulolu hlobo. Ochwepheshe bezokwelapha nabagulayo bobabili bazuza ulwazi olwandisiwe mayelana ne-POTS, okusiza ukunciphisa isithunzi nokuthuthukisa imiphumela yokwelashwa. Njengoba sihlola i-POTS ngemininingwane, kubalulekile ukuveza intuthuko ezinketho zokwelapha kanye nendima yokunakekelwa okwenziwe ngezifiso ekuphatheni le miphumela ngempumelelo.

I-POTS ichazwa ngokwanda okukhulu kwenhliziyo—ngokuvamile ngaphezu kwemizuzu engama-30 yokushaya noma ukudlula imizuzu engama-120 yokushaya—ngaphakathi kwemizuzu eyi-10 yokuma, ngaphandle kokwehla okukhulu kwengcindezi yegazi. Le msebenzi ye-autonomic iholela ezimpawini ezihlukahlukene ezingahluka kakhulu phakathi kwabantu. Izimpawu ezivamile zifaka phakathi kokuphazamiseka, ukungazweli kahle, ukukhathala, ukuhamba kwenhliziyo, ukungaqondi kahle, futhi kwesinye isikhathi ukuwa. Lezi zimpawu zenzeka ngenxa yokungabi khona kokulawulwa kokuhamba kwegazi uma uhamba uye endaweni evulekile.

Ngaphezu kwezimpawu zezinhliziyo, abanye abaguli bahlushwa nezinkinga zokugaya ukudla, izinhlungu zekhanda, kanye nokungakwazi ukujolisa emisebenzini. Ubunzima bezimpawu buvame ukudida odokotela, njengoba i-POTS ihlangana nezinye izifo ze-dysautonomia. Ukuqonda lezi zimpawu kubalulekile ukuze kube nokuxilongwa nokwelashwa okuphumelelayo. Abaguli abane-hyperadrenergic POTS, uhlobo oluthile, bangase baveze amazinga aphezulu e-norepinephrine, okwenza kube nezimpawu ezifana nokukhathazeka nezithuthuthu. Ukuhlonza kahle izimpawu kuvumela izinhlelo zokuphatha ezihlukile ezihlangabezana nezidingo ezikhethekile zomguli ngamunye.

I-POTS ivamelekile ukuba ingekho yodwa; ivame ukuhlotshaniswa nezinye izimo zempilo ezithuthukisa ukuxilongwa nokwelashwa. Ngokukhethekile, i-dysautonomia—igama elibanzi lezinkinga ze-autonomic nervous system—ihlanganyela nezici eziningi ze-POTS. Izimo ezifana ne-Ehlers-Danlos syndrome, i-chronic fatigue syndrome, kanye nezinkinga zokusebenza kwamacell mast ivame ukuhamba ndawonye ne-POTS, kukhombisa ubudlelwano obuphakathi kwalezi zimo.

Ukwamukelwa kwezimo ezihlobene kubalulekile ukuze kube nokunakekelwa okuphelele. Isibonelo, abaguli abane-hyperadrenergic POTS bangazuza ezindleleni zokwelapha ezihlosiwe ekusebenzeni ngokweqile kwesistimu yokuziphatha. Ukuqonda lezi zixhumanisi kuthuthukisa ikhono labahlinzeki bezempilo ukuthuthukisa izindlela zokwelapha ezihlanganisa eziningi ezedlula ukuphathwa kwezimpawu. Le ndlela igcizelela ukubaluleka kokubheka impilo yomguli ngendlela ephelele ukuze kuthuthukiswe imiphumela.

Ukuxilongwa kwe-POTS kubandakanya ukuhlolwa okujulile kwezokwelapha okuhlanganisa umlando wesiguli, ukuhlolwa kwezimpawu, kanye nezivivinyo ezikhethekile. Ukuhlolwa kwe-tilt table kusemqoka ekuqinisekiseni i-POTS, lapho izinga lenhliziyo kanye nengcindezi yegazi kuhlolwa ngesikhathi sokushintsha kwesimo. Izivivinyo ezengeziwe zingabandakanya ukuhlolwa kokuhluka kwegazi, ukuhlolwa kokuphendula kwe-autonomic, kanye nokuhlolwa kwelebhu ukuze kuhlanzwe ezinye izimo.

Indlela ephelele yokuhlola iqinisekisa ukuthi kutholakala kahle i-POTS kanye nezinhlobo zayo, okubalulekile ekwakheni uhlelo lokwelashwa oluphumelelayo. Abahlengikazi baphinde bacabangele izifo ezihlukene ezifana nokuntuleka kwamanzi, i-anemia, noma izifo zenhliziyo ukuze bagweme ukuhlinzwa okungafanele. Ukwanda kokwazi nge-diagnosis ye-POTS kusiza ukunciphisa ukuhamba kwesikhathi ekwelashweni futhi kukhuthaza ukungenelela ngesikhathi. Ukuhlola kusenesikhathi nokunembile kwakha isisekelo samasu aphumelelayo okuphatha ahlukaniswe ngezithombe zomuntu ngamunye.

Ukuphatha i-POTS kudinga indlela ebanzi yokubambisana ehlanganisa izinguquko zempilo, ukwelashwa kwemithi, nezindlela zokwelapha ezisekelayo. Izinguquko zempilo ezifana nokwandisa ukungena kwamanzi nosawoti, ukujolisa emzimbeni ngokusebenzisa imithambo, nokugwema izinto ezibangela izinkinga ziwumgomo wokuqala. Lezi zinyathelo ziqondiswe ekuthuthukiseni inani legazi nasekunciphiseni izimpawu zokungabekezelelani nezimo ezihambisana nokuma.

Imithi ingabandakanya ama-beta-blockers, i-fludrocortisone, kanye ne-midodrine ukuze kulawulwe ijubane lenhliziyo kanye nengcindezi yegazi. Kubaguli abanokukhathazeka okukhulu kwe-hyperadrenergic POTS, imithi ethile eqondile kumsebenzi wesistimu yokuziphatha ingaba neqhaza elihle. Ngaphezu kwalokho, izindlela zomzimba kanye nosizo lwezengqondo zibhekana nomthelela obanzi we-POTS empilweni yengqondo nomzimba. Izinhlelo zokunakekelwa ezenziwe amaqembu ezempilo zenza kube lula ukuthola imiphumela yokwelashwa futhi zithuthukise ikhwalithi yokuphila kwabagulayo.

Kwezohwebo nezinhlelo ezifana ne-义乌歌赋工艺品有限公司, ukuqonda izimo ezinzima ezifana ne-POTS kubalulekile uma kubhekwa imigomo yezempilo yendawo yokusebenza kanye nezinhlelo zokuphila kahle zabasebenzi. Ukukhuthaza ukuqwashisa nokuhlinzeka ngezindawo zokuhlala kungase kusekele abasebenzi abathintekayo, kube nomthelela omuhle endaweni yokusebenza. Ngaphezu kwalokho, izinkampani ezibandakanyeka ekunikezeni imikhiqizo yezempilo noma izinsizakalo zokuphila kahle zingase zihlolisise amathuba okweseka abantu abaphatha i-POTS.

I-POTS iyisimo esihlukahlukene esidinga ukuqonda okujulile kanye nezindlela zokuphatha ezihlukene. Ukuqwashisa ngezimpawu zayo, izimo ezihlobene, nezindlela zokuxilonga kuvumela abaguli kanye nochwepheshe bezempilo ukuba basebenze ndawonye ukuze bathole ukwelashwa okuphumelelayo. Ukunakekelwa okukhethekile okuhlanganisa izinguquko empilweni, imishanguzo, kanye nezindlela zokweseka kunikeza ithuba elingcono lokuthuthukisa imiphumela yabaguli.

Njengoba ulwazi nge-POTS lukhula, njalo lukhula nethuba lokwelashwa okusha kanye nokuthuthukiswa kwekhwalithi yokuphila kwabathintekayo. Amabhizinisi afana ne-义乌歌赋工艺品有限公司 akhombisa ukubaluleka kwezixazululo ezikhethekile, umgomo ophawulekayo ngaphakathi kokuphathwa kwezempilo kwezimo eziphindaphindiwe. Ukuze uthole olunye ulwazi ngemikhiqizo nezinhlaka ezisezingeni eliphezulu ezisekela impilo nempilo, abavakashi bencitshwa ukuba bahlolisise i-Mayelana Nathi ikhasi.

Kulabo abanentshisekelo ekuthuthukiseni okuhlangenwe nakho kokupheka ngezinsiza zokupheka eziqinile nezisebenza kahle, qiniseka ukuthi uvakashela ku-Imikhiqizo ikhasi, lapho kutholakala khona izinto ezikhiqizwe kahle ezingu-200. Ngaphezu kwalokho, i-Izitsha Zokupheka ikhasi igcizelela izinhlobo ezahlukene zemikhiqizo yokupheka yensimbi engagqwali kanye nezinkuni ezifanele kokubili ukusetshenziswa kwasekhaya kanye nokusebenza. Ukuze uxhumane neqembu lochwepheshe futhi ufunde kabanzi ngezixazululo zokupheka ezenziwe ngokwezifiso, i-Amathuluzi ikhasi linikeza ukuqonda okubalulekile.