Umndeni wezinkinga ezingaqondakali kahle
Ngekhulu le-19, kwakukhona isimo esivamile sezokwelapha okuthiwa i-neurasthenia. Abantu abanempilo yangaphambilini bazithola behluleka ukusebenza ngenxa yezimpawu ezingenakulinganiswa, ngokuvamile okubandakanya ukukhathala , ubuthakathaka, ubuhlungu obungavamile obuyofika futhi buhambe ezindaweni ngezindawo, isizungu , izimpawu ezihlukahlukene zamathumbu, kanye ne- syncope (ukudlula) .
Odokotela abatholanga lutho lokuchaza lezi zimpawu, ngakho-ke babebizwa ngokuthi "isimiso sezinzwa ezibuthakathaka," noma i-neurasthenia.
Abesifazane abanesifo se-neurasthenia (amadoda, abe ngamadoda, ayevame ukunikezwa lokhu okuxilongwa) babevame ukuvalelwa emibhedeni yabo, lapho bebengase baphile khona noma ekugcineni bafe (kusukela isikhathi eside, ukuphumula kombhede okuphoqelekile kubi kakhulu empilweni yomuntu). Futhi ngenkathi kungekho muntu owazi ukuthi yini eyabangela lesi simo, wonke umuntu, odokotela kanye nabalandeli bakhe, bawuthatha ngokungathí sina. Ngokuqondile, ngenkathi i-neurasthenia ingenakuchazwa ngokwesayensi, ibhekwa njengesimo esibi, futhi izisulu zayo zazibhekwa ngesihawu nangenhlonipho.
Odokotela abaningi banamuhla abazwa ngalesi simo esiyimfihlakalo nje bazama ukumangalisa amakhanda abo. Bazibuza ukuthi, beke baba yi-neurasthenia? Bambalwa abonakala bacabanga ukuthi kungenzeka ukuthi i-neurasthenia isenathi. Ngenxa yalokho, abakwazi ukuqonda ukubonakaliswa kwalesi simo kunabalingani babo besikhathi esidala, futhi bavame ukungabi nabubele kakhulu kubantu abahluphekayo.
Abantu abaneminyaka eyikhulu edlule babeyobizwa ngokuthi i-neurasthenics namhlanje banikezwa ukuxilongwa okuningi. Lokhu kuhlanganisa (kodwa akukhawulelwanga): okungapheli ukukhathala kwesifo (CFS), i- vasovagal noma i-syncope ye-neurocardiogenic , ukuhlaselwa kwe-panic , i- sinus tachycardia engalungile (i-IST) , i- syndrome ye-bowel syndrome (i-IBS) , i- postural orthostatic tachycardia syndrome (i-POTS) , noma i- fibromyalgia .
Ngeshwa, izisulu eziningi zalezi zimiso zivele zibhalwe njengamantongomane.
Akuzona amantongomane. (Noma, uma kunjalo, kuyinto engaqondakaliyo.) Abagulayo kuzo zonke lezi zimo bavame ukubhekana nokungalingani, futhi ngokuvamile kuvame ukungavamile, ohlelweni lwezinzwa ezizimele. Lokhu ukungalingani, okuchaza izimpawu zabo ezingajwayelekile, kubizwa ngokuthi i-dysautonomia.
Uhlelo lwe-Autonomic Nerveous And Dysautonomia
Isimiso sezinzwa ezizimele silawula imisebenzi engasebenzi yomzimba, njengezinga lenhliziyo, ukugaya nokuphefumula. Iqukethe izingxenye ezimbili: uhlelo lokuzwelana kanye nesistimu ye-parasympathetic.
Isistimu yomzwelo ezwelayo ingacatshangelwa ukuthi ilawula ukulwa noma ukuqhuma kwendiza yomzimba, ukukhiqiza amazinga wenhliziyo okusheshayo, ukukhufumula okwandayo, nokukhuphuka kwegazi ku-muscle okuzobalekela ingozi noma ukubhekana nokucindezeleka.
Isistimu ye-neasympathetic ye-nervous ilawula imisebenzi "yokuthula," njengendlela yokugaya ukudla . Ngakho: isistimu enozwela isisilungele isinyathelo, ngenkathi uhlelo lwe-parasympathetic lusilungela ukuphumula. Ngokuvamile, izingxenye ze-parasympathetic kanye nozwela zezinhlelo zezinzwa ezizimele ziphakathi kwe-balance, kusukela ngomzuzwana kuya komzuzwana, kuye ngezidingo zomzimba zesikhashana.
Kubantu abahlukunyezwa yi-dysautonomia, isimiso sezinzwa ezizimele silahlekelwa yiloluhlelo, futhi ngezikhathi ezihlukahlukene izinhlelo ze-parasympathetic noma zentuthuko zingalungile. Izimpawu zingabandakanya izinhlayiya nezinhlungu ezingavamile kodwa eziphazamisayo, ukuphelelwa amandla (noma ngisho nokuphefumula okweqile), ukukhathala kanye ne-inertia, ukuhlaselwa okukhulu kokukhathazeka, i-tachycardia (ukushaya kwenhliziyo okusheshayo), hypotension (ukucindezeleka okuphansi kwegazi), ukubekezela ngokweqile kokuzivocavoca, izimpawu zesisu, ukujuluka , isizungu , umbono obonakalayo, ukuphazamiseka nokukhwaza , ubuhlungu, futhi (ngokuzwakalayo) ukukhathazeka nokucindezeleka.
Iziguli ze-dysautonomia zingathola zonke lezi zimpawu noma ezimbalwa zazo.
Bangabhekana nesigaba esisodwa sezimpawu ngesikhathi esisodwa, futhi esinye isethi sezimpawu ngezinye izikhathi. Izimpawu zivame ukuhamba kancane futhi zingalindelekile, kodwa ngakolunye uhlangothi zingabangela izimo ezithile noma izenzo ezithile. (Abanye abantu banezibonakaliso ngokuzikhandla, ngokwesibonelo, noma lapho bemi, noma emva kokudla ukudla okuthile.) Futhi njengoba abantu abane-dysautonomia ngokuvamile bejwayelekile kuzo zonke izindlela, uma udokotela enza ukuhlolwa ngokomzimba ngokuvamile akafumani umgomo okungavamile.
Ngenxa yokuthi ukuvivinya umzimba kanye nokuhlolwa kwama laboratory ngokuvamile kuvamile, odokotela (abaqeqeshwe ezenzweni zezesayensi, futhi ngaleyo ndlela, baqeqeshwe ukulindela ubufakazi obumgomo besifo) bathambekele ukubhala abantu nge-dysautonomia njengengqondo engazinzile, (noma, kaningi, njenge unesifo sokukhathazeka).
Yini Ebangelwa I-Dysautonomia?
I-Dysautonomia ingabangelwa izinto eziningi ezehlukene; akukho okukodwa, imbangela yendawo yonke. Kubonakala sengathi abanye abantu bazuza i-propensity yokuthuthukisa ama-dysautonomia syndromes, ngoba ukuhluka kwe-dysautonomia kubonakala sengathi kugijima emindenini. Izifo ezibangelwa amagciwane zingabangela isifo se-dysautonomia. Ngakho-ke kungakwazi ukuvezwa kwamakhemikhali. ( Gulf War Syndrome , empeleni, i-dysautonomia: ukucindezelwa kwegazi okuphansi , i-tachycardia, ukukhathala kanye nezinye izimpawu ukuthi, ukuphika kukahulumeni eceleni, kubonakala sengathi kubangelwe ukuvezwa kwezidakamizwa.) I-Dysautonomia ingabangela izinhlobo ezihlukahlukene zokuhlukunyezwa, ikakhulukazi ikhanda nesifuba - kubandakanya ukuhlukunyezwa kokuhlinzwa. (Kuye kwabikwa ukuthi kwenzeka, isibonelo, emva kokuhlinzwa kwesifuba.) I-Dysautonomias ebangelwa ukutheleleka kwegciwane, ukutholakala kwe-toxic, noma ukuhlukunyezwa ngokuvamile kuvele ngokuzumayo. Ukukhathala okungapheli kwesifo, isibonelo, iningi liqala ukulandela ukugula okunjengama-viral-like (isisu somkhuhlane, umkhuhlane, nama-muscle aches), kodwa noma yiziphi izidakamizwa ze-dysautonomia zingaba nokufana okufanayo.
Yini Eba Ngabantu Nge-Dysautonomia?
Ngenhlanhla, ukuchazwa kwesibonakaliso kubonakala kungcono kakhulu kunalokho okwakusensukwini lapho lesi sifo sabizwa nge-neurasthenia. Lokhu kungenzeka ngoba ukuphumula kombhede akusabhekwa njengokwelashwa kokukhetha. Iningi labantu abane-dysautonomia ekugcineni bathola ukuthi izimpawu zabo ziyahamba noma zinciphise kangangokuthi ziyakwazi ukuhola ukuphila okuvamile. Ngezinye izikhathi, eqinisweni, amathuba okuba izinto zizobe zithuthuka ngokwabo zingase zibe yinto kuphela egcina abanye balaba bantu bahambe.
Izwi elivela
Ama-syndromes e-dysautonomia angathinta kakhulu impilo yabantu. Ngisho noma lezi zimpawu zigcina zithuthuka ezimweni eziningi, abantu abaningi abane-dysautonomia bahlangabezana nezimpawu eziphazamisa ukuphila kwazo ngokuphelele, futhi ukufuna usizo lwezokwelapha olufanele ngokuvamile kuyinkimbinkimbi. Ngakho uma ucabanga ukuthi unayo i-dysautonomia, kufanele ufunde okuningi ngangokunokwenzeka mayelana nezinhlobo ezihlukahlukene zalesi simo, futhi ikakhulukazi ngezinhlobo zokwelashwa eziye zaphumelela.
> Imithombo:
> Furlan R, Barbic F, Casella F, et al.Neural Autonomic Control ekungabekezelelweni kwe-Orthostatic. I-Respir Physiol Neurobiol. 2009 Okthoba; 169 Ukusekela 1: S17-20.
> Green CR, Cowan P, Elk R, et al. I-National Institutes of Health Pathways to Prevention Workshop: Ukuthuthukisa Ucwaningo nge-Myalgic Encephalomyelitis / Chronic Chronic Fatigue Syndrome. U-Ann Intern Med 2015; 162: 860.
> Ukungasebenzi Kwe-Staud R. Autonomic ku-Fibromyalgia Syndrome: I-Postural Orthostatic Tachycardia. I-Curr Rheumatol Rep. 2008 Dec; 10 (6): 463-6.