Izimpawu Zangempela Kudinga Ukuhlola Ngokuqondile
I-Dysautonomia iqondwa kalula ngokuphula igama:
- "I-Dys" kusho ukungasebenzi kahle (kusuka egameni lesiGreki elibi noma elibi)
- "I-Autonomia" ibhekisela kwisistimu yezinzwa zomzimba (ANS)
I-ANS iyihlelo lomzimba elilawula noma yini imizimba yethu eyenza yona ngokuzenzakalelayo futhi eyenziwe ngaphandle kokucabanga ngakho, njengokuphefumula, ukukhanya, ukushaya kwenhliziyo, ukuhlushwa kwemisipha nokuphumula, ukugaya nokunye okuningi.
Isistimu ye- neon autonomic nayo ibophezele izimpendulo zethu ezizenzekela ngokuzenzekelayo ekucindezelekeni nasekudakaleni, okubizwa ngokuthi "ukulwa noma izindiza" izimpendulo, lapho sisabela khona ngokulwa nanoma yikuphi ukucindezeleka, noma ngokubalekela (ukuthatha indiza.)
Uma lezo zingxenye ezimbili ze-ANS zingahambisani kahle - njengokungathi ibhalansi phakathi kwabo iye yathinteka ngenye ingozi, kungaba ngokomzimba, engqondweni noma ngokomzwelo - ngakho ukungalingani okubangelwa yi-dysautonomia.
I-Dysautonomia iye yabonakala njengesifo, ukugula, noma isifo kusukela ngo-1800 lapho kuthiwa i-neurasthenia, futhi isetshenziswa ikakhulukazi kwabesifazane. Ngenxa yokuthi odokotela ngaleso sikhathi babengakwazi ukuthola isizathu sangempela sezimpawu, bacatshangwa ukuthi babangelwa izinkinga ezingokwengqondo, okusho ukuthi "konke okusekhanda lakho."
Izimpawu ezichazwe ngaleso sikhathi, futhi ziyaqaphela namuhla, zihlanganisa ubuhlungu, ukuphazamiseka, ubuthakathaka, ukukhathazeka nokuphelelwa amandla (syncope), isizungu nokulahlekelwa ibhalansi, izintambo zenhliziyo, i-tachycardia, izandla zomzimba noma izinyawo, ukuxoshwa kwegazi, futhi ngezinye izikhathi ukukhukhumeza okukhulu.
Ukucindezeleka kungase kutholakale (mhlawumbe kubangelwa lolu hlu lwezimpawu ezinzima ukubhekana nazo). Esinye isiguli nge-dysautonomia singabonisa eyodwa, noma ngaphezulu, noma zonke lezi zimpawu.
Namuhla lezi zimpawu, ndawonye ndawonye eqenjini elichazwe ngokuthi i-dysautonomia, zinikezwa kokubili abesifazane nabesilisa.
Yini Ebangelwa I-Dysautonomia?
Akukho kubonakala sengathi ubukhulu obufanayo obulodwa-yonke imphendvulo ebangelwa imbangela ye-dysautonomia.
Noma kunjalo, ezimweni eziningi, kubonakala sengathi noma yini ebangela ukuhlukumezeka, ngomqondo obanzi kunazo zonke, ingaba yinhloko. Kungaba ukuhlukumezeka kwengqondo njengokulahlekelwa umsebenzi, ukuhlukunyezwa, noma isevisi njengesosha endaweni yokulwa (ngaleyo ndlela ukuxilongwa kwe-PTSD - bheka ngezansi). Noma kungaba ukuhlukumezeka ngokomzimba, okuvela engozini yemoto esesabekayo ekuthelelekeni kwesikhathi eside noma ukugula okubangelwa igciwane, ukuhlinzwa noma uketshezi lwamakhemikhali.
Ezinye izimbangela ezingase zibe yi-dysautonomia zihlanganisa:
- I-Ehlers-Danlos Syndrome
- Izifo zeMitochondrial
- Ukulimala kwentambo yomgogodla (i-autyomic dysreflexia)
- Ukulimala kobuchopho
- I-Guillain-Barre syndrome
- I-Marfan Syndrome
- Izifo ezizenzakalelayo
Kukhona futhi uhlobo lwe-dysautonomia yomndeni, okuthiwa yi-Riley-Day syndrome, isifo esingavamile sezakhi zofuzo esinezibonakaliso eziningi ezifanayo kodwa asibangelwa yiluphi uhlobo lokuhlukumezeka emzimbeni noma engqondweni.
I-Dysautonomia Ithola Kanjani?
Ukuthola ukuhlolwa kwe-dysautonomia kuvamile ngoba, ngaphandle kwe-dysautonomia yomndeni, odokotela abaningi abawuboni njengesifo noma isimo ngokwalo. Azikho izivivinyo eziholela ekuhlunguleni okunjalo, futhi ngenxa yokuthi izimpawu zivame ukutholakala kwezinye izifo eziningi, i-dysautonomia ayifuni neze engqondweni odokotela abaningi.
Eqinisweni, ngoba eziningi zezo zimpawu zinzima ukuzibona ngokuhlola noma ukubonwa, "konke kusekhanda lakho" yisigwebo iziguli eziningi ezizwayo.
Lawo ma-diagnosticians abonayo lezi zinkanyezi zezimpawu angeke abanike igama le-dysautonomia. Esikhundleni salokho, bazokhetha ukuxilonga ngenye yezinto ezilandelayo (uma behlinzeka noma yikuphi ukuxilongwa nhlobo):
- isifo esingapheli syndrome (CFS)
- i-fibromyalgia
- Isifo se-Lyme (ngokuvamile esingaqondwa kahle ngokuthi " iLyme engapheli ")
- I-postural orthostatic tachycardia syndrome (i-POTS)
- isifo sofuba esiswini (IBS)
- ukuphazamiseka kwengcindezi yokucindezeleka (PTSD)
- i-syncope ye-vasovagal
- sinus tachycardia engalungile (IST)
- hypotension orthostatic
Ezinye izifo zicatshangelwa ukuthi zenze i-dysautonomia, njenge-diabetes noma udoti. Izigaba kamuva ze-Lyme Disease nazo zingase zibe kulesi sigaba .
Ukuba khona kwamakhodi okuxilongwa odokotela abasebenzisa ekuzuzeni ukubuyisela kwabo umsebenzi kanye nenye ubufakazi bokuthi odokotela kufanele bathathe i-dysautonomia ngokungathí sina ngokuzithokozisa ngokwayo. Esinye sezizathu zokuthi amakhodi okuxilonga abelwe ukuxilongwa "okusha" ukuwanika ukwethembeka abayidingayo uma kufanelekile. (Amakhodi awawakhelwe ukuxilongwa kwe- trashcan noma ukuxilonga okungewona okwangempela.)
Eqinisweni, uma udokotela wakho ekulungele ukubheka ukuxilongwa nawe, noma noma ngabe uyayidinga nje njengobufakazi bokuthi kungenzeka, ungahlanganyela amakhodi okuxilongwa naye:
- Ikhodi ye-ICD-9-CM I-337.9 (lokhu akuyona ikhodi ye-Dysautonomia ejwayelekile)
- Ikhodi (IC) ye-ICD-10: G90.2, G90.8, G90.9
Ukwelapha nokubikezelwa kweDysautonomia
Ngenxa yokuthi i-dysautonomia iyincazelo yezimpawu, kungenzeka ukuthi ukwelashwa okuphumelelayo, ngakho-ke ukubikezela, kuncike ekutheni lezo zimpawu ziyingozi. Kwezinye izimo, i-dysautonomia ishintshe ngokuphelele futhi ngakho "ikhambi." Kwabanye, lesi sifo sizoqhubeka nokuthatha umonakalo kanye nokufa kuzophumela.
Wena, Udokotela Wakho noDysautonomia
Ngenxa yokuthi ukuxilongwa noma ukuqaphela i-dysautonomia kuyinkimbinkimbi, kuyinto engavamile futhi ngokuvamile ayiphakanyiswa odokotela. Ngakho-ke, uma ukholwa ukuthi ubonisa izimpawu, kungase kudingeke ukuthi ube yilowo ophakamisa ukuthi kungenzeka.
Qala ngokuxoxa ngakho nodokotela wakho wokunakekela oyinhloko. Angase akubhekise kuchwepheshe. Uma udinga ukuzama odokotela abaningana ngaphambi kokuba uthole eyodwa ukuze uxoxe nge-dysautonomia njengokuba kungenzeka kuwe, khona-ke kungase kuwufanele.
Ukuphishekela kwakho akufanele kube yilokho okuxilongwa ngokuqondile. Ukuphishekela kwakho kufanele kube ukuxoxa ngokuhlakanipha ngamathuba. Umqondo awukona ukuthi ulungile; kungenxa yempilo yakho ukuthuthukisa, kanye nethuba lakho elihle kulokho kuzoba ingxoxo yokubambisana nokwenza izinqumo okwabiwe nodokotela wakho .
Imithombo:
Izinkinga ze-NIH ze-Neurological and Stroke (Kufaka uhlu oluphezulu lwezinhlangano ze-Dysautonomia)
Izinsisekelo ze-ANS ezivela eNyuvesi yaseWashington
I-Dysautonomia Research Foundation
I-Dysautonomia Foundation ejwayelekile (i-Riley-Day Syndrome)