Kule minyaka edlule, ngizwile ezigulini eziningi ze-IBS ukuthi nazo zibhekana nezimpawu zesimiso sezinzwa eceleni kwezibonakaliso zabo zokugaya ukudla. Ngokuvamile lezi zimpawu zenzeka ngokubambisana nezinambuzane. Le nhlanganisela yenqubo yokungasebenzi komzimba neyokugaya ingase ihlobene nesimo sezempilo esibizwa ngokuthi i-dysautonomia. Nansi ukubuka kabanzi kwe-dysautonomia nobuhlobo bayo ne-IBS.
Iyini iDysautonomia?
I-Dysautonomia kucatshangwa ukuthi ikhona lapho isimiso sezinzwa esizimele singasebenzi ngendlela efanele. Uhlelo lwezinzwa ezizimele luyingxenye yesimiso sezinzwa esibhekene nokusebenza okungenalutho kwezitho ezihlukahlukene nezinhlelo zomzimba wethu, kufaka phakathi izinqubo ezifana nokuphefumula, ukugaya nokushaya kwenhliziyo.
Uhlelo lwezinzwa ezizimele luhlehliselwe ohlelweni lwezinzwa zomzwelo noluthandane. Isimiso sezinzwa zomzwelo siyingxenye ebhekene nokuphendula kwethu "ukulwa noma ukushayela," ngezimpawu zokushaya kwenhliziyo okusheshayo, ukuphefumula okusheshayo nokushintsha indlela igazi elihamba ngayo liqondiswa emzimbeni. Isistimu ye-neasympathetic ye-nervous isyingxenye esebenza ukugcina umzimba usebenza njalo. E-dysautonomia, kungaba nomsebenzi obonisa ukuzwela ngokweqile, okungenzeka ukuthi ukuhluleka komsebenzi we-parasympathetic kungenzeka, okwenza kube nezimpawu ezinkulu futhi eziphazamisayo.
I-Dysautonomia ingabandakanya ukungasebenzi komzimba noma okugcwele umzimba.
I-Dysautonomia iyi-catch-yonke term ehlanganisa izinkinga eziningi zempilo ezahlukene. E-dysautonomia eyinhloko, kukhona ukulimala okuwaziyo ohlelweni lwezinzwa eduze kwesifo esithile esibonakalayo segazi. Ama-dysautonomiya asekondari yilokho okulimala khona ngokwemvelo kungumphumela wokugula okungenalo negazi.
Amanye ama-dysautonomiya angumphumela wemiphumela emibi yezokwelapha, kanti ezinye ziyizimbangela ezingaziwa. Ngokuya ngesibangela, i-dysautonomia ingaba yesikhashana noma ingapheli, futhi futhi, ngokuya ngesibangela, kuthuthuke noma kudluke ngokuhamba kwesikhathi.
Ezinye izimbangela ezibonakalayo ze-dysautonomia zihlanganisa:
I-Dysautonomia iye yahlotshaniswa nezinkinga zempilo ezilandelayo:
- Ukhathala okungapheli syndrome (CFS)
- I-Fibromyalgia
- I-sinus tachycardia engafanele (i-IST)
- I-irritable bowel syndrome (i-IBS)
- Isifo se-panic
- I-postural orthostatic tachycardia syndrome (i-POTS)
- Vasovagal syncope
I-Dysautonomia ibizwa nangokuthi "ukukhubazeka okuzimele," futhi uma kunomonakalo ocacile owenziwe emithanjeni yokuzimela, njenge-"neuropathy ye-autonomic".
Izimpawu zeDysautonomia
I-Dysautonomia ingaziveza ngezindlela eziningi. I-Orthostatic hypotension ibonakala njengesifo se-classic. Lokhu kwehlisa ngokushesha ukucindezeleka kwegazi lapho umuntu evukayo kubangela umuzwa wokuzondeka, ubuthakathaka futhi kwezinye izimo, ukuphelelwa amandla. Ezinye izimpawu zifaka:
- Ukukhathazeka
- Umbono ophundlekile
- Ukukhathazeka ngesikhathi sokuzivocavoca
- Isizungu
- Ukujuluka ngokweqile
- Ukuphelelwa amandla
- Ukukhathala
- Izimpawu zamathumbu
- Ukungabi namandla
- Umfutho wegazi ophansi
- Ubumbulu
- Isilinganiso sokushayela ngokushesha
- Izinkinga zobulili
- ITachycardia
- Ukuzizwa kokulinganisa
- Izinkinga zase-Urinary
Ihlangana ne-IBS
Ucwaningo olwenziwe nge-dysautonomia ne-IBS lukhawulelwe. Omunye umbiko oshicilelwe uhilele ukubuyekezwa kwenani elikhulu lezifundo zokulawulwa kwezimo ezithatha izilinganiso zempawu zesimiso sezinzwa ezizwelayo ezisebenza ezinkingeni ezihlukahlukene zezempilo, kuhlanganise ne-IBS, isifo esingapheliyo sokukhathala, i-fibromyalgia, ne- cystitis yangaphakathi . Ukulinganisa okunjalo kufaka ukuguquka kwesilinganiso senhliziyo nokucindezelwa kwegazi, ukujuluka, impendulo yokuhlolwa kwetafula lokuthambekela, kanye nemibuzo yezimpawu. Izimpendulo ezicacile ezivela kulobu buhlolo zikhawulelwe ngokucacile ngenxa yokuhlukahluka okukhulu kwezinkinga zempilo, izinqubo zokuhlola nezindlela ezisetshenziselwa ukuhlolwa kwezimo.
Kodwa-ke, kuyaphawuleka ukuthi u-65% walezi zifundo wathola ubufakazi bokusekelwa kwesimiso se-nervous hyper-reactivity. Kucatshangwa ukuthi ukucindezeleka okungapheli kungaholela ekusungulweni kwalezi zinkinga, kanye nokuhluleka kwesistimu yezinzwa ezizimele.
Ngokuthakazelisayo, isifundo esisodwa esincane sathola "ukungcolisa" kokuziphendulela kwesimiso sokuzimela ekuvuseleleni amathumbu amakhulu ku-IBS iziguli ezazihlobene nokuthi ziningi kangakanani izifo. Lokhu kuqhathaniswa nemibiko eningi eshicilelwe ebonisa ukukhuphuka ekusebenziseni ukuzwelana nokuvuselela kwangaphakathi. Akukwaziwa uma lokhu kutholakala kuhlobene nohlobo lokuvuselelwa okusetshenzisiwe noma uma kunezinguquko ekusebenzeni ngokuzimela ngokuhamba kwesikhathi.
Njengoba ubona ngokuntuleka kocwaningo endaweni, okuncane kuyaziwa ukuthi kungani umuntu engaba ne-IBS kanye ne-dysautonomia.
Okufanele Ukwenze Uma Unayo Bobabili
Uma ucabanga ukuthi ungaba ne-dysautonomia, bheka udokotela wakho bese uxoxisana nezimpawu zakho.
Kusukela manje, kuncane endleleni yokwelashwa kwemithi ye-dysautonomia (noma i-IBS yalolu daba). Okuvame ukuphakanyiswa ukuba i-dysautonomia yindlela yokwelapha engase ithuthukise ukusebenza kwesistimu yakho yezinzwa ezizimele. Eziningi zazo ziwusizo naku-IBS:
- Ukwelashwa kokuziphatha kwengqondo
- Ukuzivocavoca okujulile
- Ukuphumula kwemisipha okuqhubekayo
- Tai Chi
Izeluleko ezilandelayo zokuzinakekela zingasiza, ikakhulukazi uma uhlangabezana ne-orthostatic hypotension:
- Qinisekisa ukuthi uphuze amanzi amaningi.
- Qinisekisa ukuthatha inqwaba ye-fiber yokudla.
- Gwema ukudla ukudla okunamafutha amaningi kakhulu.
- Uma usukuma, qiniseka ukuma kancane, ukugcina ikhanda liyancipha kancane.
Imithombo:
"I-Autonomic Neuropathy" I- Mayo Clinic
Cheng, P. "Ukusabela okuzenzakalelayo ekucindezelekeni kwe-visceral kukhishwa ngokwemilenze yesifo sofuba kanye ne-correlates nobude bezinkinga " I- Neurogastroenterology & Motility 2013 10: 650-e659.
UMartinez-Martinez, uL., et.al. "Isistimu Yezinzwa Ezwelayo Ukukhubazeka Ku-Fibromyalgia, Ukukhathala Okusinda Kwamanje, i-Irritable Bowel Syndrome, ne-Cystitis Yengaphakathi: Ukubuyekeza Kwamacala Okulawulwa Kwamacala" I- Journal of Clinical Rheumatology 2014 20: 146-150.
"I-NINDS iDrasautonomia Ikhasi Lolwazi" Isikhungo Sikazwelonke Sezinkinga Zezinzwa Ne-Stroke
U-Reichgott, M. "Ubufakazi Bomtholampilo BeDysautonomia" Ku: Walker, H. et.al. Abahleli. Izindlela zokwelapha: Umlando, uMzimba, kanye neZibhedlela. Edition 3. I-Boston: I-Butterworths; 1990. Isahluko 76.