Udinga udokotela oqonda lesi simo
I-dysautonomas yimizi yemibandela ebonakala ngokungalingani ohlelweni lwezinzwa ezizimele. Izimpawu zivame ukuhluka kakhulu kusuka komuntu kuya komuntu, futhi ngokuhamba kwesikhathi kumuntu ofanayo, futhi zingase zihlanganise izinhlungu ezihlukahlukene, ukukhathala , ubuthakathaka, izimpawu zamathumbu, isizungu kanye ne- syncope (ukudlula). Naphezu kokuthi i-dysautonomia ingakwazi ukukhubaza ngempela, lezi zimpawu ngokuvamile azifani kakhulu nanoma yikuphi okutholayo okubonakalayo ngokomzimba noma ebhokisini.
Lokhu kungenza ukuhlonza i-dysautonomia kuyinkinga enkulu.
- Funda ngezimbangela nezimpawu zama-dysautonomias.
Ukubona iDysautonomia
Ngomkhuba wesimanje wezokwelapha, lapho iziguli zinekhono lokukhalaza izimpawu ngaphandle kokuhlinzeka ngezinhloso zokwelashwa eziwusizo ukuze zibuyele emuva, zivame ukubhalwa njengezingcingo.
Uma ucabanga ukuthi ungaba ne-dysautonomia, ngandlela-thile uphakamisa ukuthi kungenzeka kudokotela wakho. Ungase ubone nje ibhuloho elikhanyayo liphuma, futhi uthole ukuthi udokotela wakho ngokuzumayo uqala kabusha imizamo yakhe esiqondisweni esithe xaxa. Uma udokotela egxile ekutheni kungenzeka, ukuthatha umlando wezokwelapha ngokucophelela nokuhlola ngokucophelela ngokomzimba ngokuvamile kuholela ekuxilongweni okufanele. Uma udokotela wakho engafuni ukuthatha isithunzi se-dysautonomia ngokungathí sina, cabanga ngokubona omunye udokotela.
Iziguli zinenhlanhla ngokwanele ukuthi zithathwe ngokungathí sina odokotela bawo bomndeni cishe zizodluliselwa kuchwepheshe.
Uhlobo lwesazi ngokuvamile luxhomeke esibonelweni esibaluleke kakhulu esibhekene nazo, noma esibonelweni esibonisa kakhulu udokotela womndeni. Futhi ukuxilongwa okuqondile ekugcineni kunikelwe kuncike ezimpawu zabo eziyinhloko nokuthi yiziphi izici abazozigcina bezibona.
Isibonelo: Labo abanesikhalazo esikhulu kunzima ukuzithemba kungenzeka ukuthi bathola ukuthi bane-syndrome engapheliyo.
Labo abadlula ngaphandle babhalwe ngokuthi i- syncope ye-vasovagal . Labo abanamapulsi abo okuphumula abaphakanyisiwe kuthiwa bane- tachycardia engalungile . Uma ukuzondwa kokuma kuyinkinga enkulu, i- postural orthostatic tachycardia syndrome (i-POTS) ixilongwa. Isifo sohudo noma ubuhlungu besisu sithengisa isifo sofuba esithukuthele . Ubuhlungu nakwezinye izindawo buphela bube yi- fibromyalgia . Noma ngabe yikuphi ukutholakala kwesifo, isimiso sezinzwa esizimele esingenaso ukusebenza ngaso sonke isikhathi sinegalelo elikhulu ekubambeni izimpawu.
Ngazo zonke izindlela, khumbula ukuthi i-dysautonomia syndromes ingokoqobo, i-physiologic (okungafani nokucindezeleka kwengqondo). Ngenkathi bangenza noma ubani ahlaziye, azibangelwa ubumpofu.
Ukwelapha iDysautonomia
Kungenzeka ukuthi isinyathelo esibaluleke kakhulu ekunakekeleni i-dysautonomia ukuthola udokotela oqonda uhlobo lenkinga, uzwelana nalo (ie, akubheki nje ukuthi ungumuntu oyisiphukuphuku nje), futhi ngubani ozimisele ukuthatha isilingo eside nesilingo- indlela yokuphutha okuvame ukudingeka ekunciphiseni izimpawu ezingeni elibekezelelekayo.
Njengoba imbangela eyinhloko ye-dysautonomia ayiqondakali kahle, ukwelashwa ikakhulukazi kuhloswe ukulawula izimpawu, hhayi "ukuphilisa" inkinga.
Izidakamizwa ezingezona izidakamizwa
Umsebenzi wokuzivocavoca : Ukugcina izinga elifanele lansuku zonke lokusebenza ngokomzimba cishe into ebaluleke kunazo zonke abantu abane-dysautonomia abangayenza. Umsebenzi wokuzivocavoca njalo usiza ukuzinzisa isimiso sezinzwa ezizimele, futhi ngokuhamba kwesikhathi senza "ukuvuselela" kwezimpawu ezingavamile futhi zesikhathi esifushane. Umsebenzi wokuzivocavoca ungase uphuthumise nosuku lapho izimpawu zihamba zodwa. Ukwelashwa ngokomzimba nezinye izindlela zokwelashwa ezifanayo ezifana ne-yoga, tai-chi, ukwelapha ukubhusa, kanye nokwelashwa okwelulekile kuye kwabikwa ukuthi kuzosiza.
Izithako zokudla: Noma nini lapho kukhona khona ukwelashwa odokotela abaphatha kabi, abaxhasi bemithi yokudla okunomsoco banenkundla evulekile yokuphonsela imikhiqizo yabo.
Akukhona nje ukuthi iziguli zizwa sengathi zingenayo enye indlela engcono, kodwa futhi ochwepheshe bezokwelapha, amahloni ngokuhluleka kwawo ukuphatha kahle, akanalo izizathu zokukhononda. Ngenxa yalokho, izinkulungwane zezimangalo ezingaqinisekisiwe zenziwe mayelana nekhono lamavithamini ahlukene, ama-coenzymes kanye nama-herbal amalungiselelo okunciphisa izinhlobo ezahlukene ze-dysautonomia. Akukhobufakazi bokuthi noma yikuphi kwalokhu kusebenza kusebenza. Kodwa-ke, njengelungu lenkampani yokwelashwa ehlazekile, ngingasho nje ukuthi, yimali yakho; zama ukungayisebenzisi kunoma yini eyokulimaza. Ngaphambi kokuba uzame noma yikuphi ukwelashwa okunye, kufanele ufunde lonke ulwazi lomgomo kulo ongayithola .
Imithi yokwelashwa
Inqwaba yamakhemikhali okwelapha iye yazama iziguli ezine-dysautonomia. Labo abavame ukuzizwa bewusizo kubandakanya:
- Ama-anti-depressants e-Tricyclic afana ne-Elavil, i-Norpramin, ne-Pamelor asetshenzisiwe, esilinganisweni esincane, ukuphatha izidakamizwa eziningana ze-dysautonomia.
- I-serotonin reuptake inhibitors (i-SSRIs) ekhethiwe njenge-Prozac, i-Zoloft, ne-Paxil nayo isetshenziselwe ukuphatha lezi zinkinga. Uma kusebenza kahle, ama-tricyclics nama-SSRI abonakala enza okungaphezu nje kokulawula noma yikuphi ukucindezeleka okungase kuhambisane nama-dysautonomias. Kunobunye ubufakazi bokuthi bangase basize "ukulinganisela kabusha" izinhlelo zezinzwa ezizimele kwezinye iziguli.
- Izidakamizwa ezidinga ukukhathazeka ezifana no-Xanax no-Ativan zizosiza ukulawula izimpawu zokukhathazeka, ikakhulukazi ezigulini ezinezinkinga zokuphazamiseka.
- Izidakamizwa ezingaphansi kwe-blood pressure ezifana neFlorinef zisisiza ukuvimbela izimpawu ezibangelwa lapho ukucindezeleka kwegazi kwehla uma isiguli sigxile (isimo esibizwa ngokuthi i-orthostatic hypotension), uphawu oluvelele ku-syncope ye-vasovagal naku-POTS.
- Izidakamizwa ezingekho ukubulala izidakamizwa ezifana ne-Advil ne-Aleve zingasiza ukulawula izinhlungu ezihlobene nama-dysautonomi, ikakhulukazi i-fibromyalgia.
Kubalulekile ukuphawula ukuthi indlela yokulinga nephutha, okudinga ukubekezela kokubili udokotela nesiguli, kuhlale kudingekile ekwelapheni i-dysautonomia. Okwamanje, abantu abane-dysautonomia bangazama ukuziqinisekisa ngokukhumbula amaqiniso amabili. Okokuqala, i-dysautonomia ivame ukuthuthukisa njengoba isikhathi sihamba. Okwesibili, umphakathi wezokwelapha (kanye nezinkampani ezenza imithi) manje sewamukele ukuthi izidakamizwa ze-dysautonomia zingokoqobo, izimo zezokwelapha zomzimba. Ngenxa yalokho, ucwaningi oluningi luyaqhubeka luchaza izimbangela eziqondile kanye nezinqubo zale mibandela, futhi uhlele izindlela zokwelapha eziphumelelayo kaningi nangaphezulu kakhulu kunezinye eziningi zokwelashwa ezisetshenziswa namuhla.
Imithombo:
I-Furlan R, i-Barbic F, i-Casella F, ne-al.Neural ukulawula okuzimelelayo kokungabekezelelani kwe-orthostatic.Respir Physiol Neurobiol. 2009 Okthoba; 169 Ukusekela 1: S17-20.
Ukukhubazeka kwe-Staud R. Autonomic ku-fibromyalgia syndrome: i-postural orthostatic tachycardia. I-Curr Rheumatol Rep. 2008 Dec; 10 (6): 463-6.