Autonomic neuropathy

Autonomic neuropathy ndi gulu lazizindikiro zomwe zimachitika pakakhala kuwonongeka kwa mitsempha yomwe imagwira ntchito tsiku lililonse. Ntchitozi zimaphatikizapo kuthamanga kwa magazi, kugunda kwa mtima, thukuta, kutulutsa matumbo ndi chikhodzodzo, ndi kugaya chakudya.

Autonomic neuropathy ndi gulu lazizindikiro. Si matenda enieni. Pali zifukwa zambiri.

Autonomic neuropathy imakhudza kuwonongeka kwa mitsempha yomwe imanyamula zidziwitso kuchokera kuubongo ndi msana. Uthengawu kenako umapita nawo pamtima, pamitsempha yamagazi, chikhodzodzo, m'matumbo, kutulutsa thukuta, ndi kwa ophunzira.

Autonomic neuropathy imatha kuwonedwa ndi:

• Kumwa mowa kwambiri
• Matenda ashuga (matenda ashuga okhudza ubongo)
• Zovuta zakuthana ndi zilonda zam'mitsempha yozungulira misempha
• Matenda a Guillain Barré kapena matenda ena omwe amachititsa misempha
• HIV / Edzi
• Mavuto amitsempha obadwa nawo
• Multiple sclerosis
• Matenda a Parkinson
• Msana wovulala
• Kuchita opaleshoni kapena kuvulala kokhudzana ndi mitsempha

Zizindikiro zimasiyanasiyana, kutengera misempha yomwe yakhudzidwa. Nthawi zambiri amakula pang'onopang'ono pakapita zaka.

Zizindikiro zam'mimba ndi m'matumbo zimatha kuphatikiza:

• Kudzimbidwa (zotchinga zolimba)
• Kutsekula m'mimba (zotayirira)
• Kumva kukhala wokwanira pakulumidwa pang'ono (kusakhuta msanga)
• Nsawawa mukatha kudya
• Mavuto owongolera matumbo
• Kumeza mavuto
• Kutupa pamimba
• Kusanza chakudya chosagayidwa

Zizindikiro za mtima ndi mapapo zitha kuphatikiza:

• Kugunda kwamtima kapena nyimbo
• Kuthamanga kwa magazi kumasintha ndimalo omwe amayambitsa chizungulire akaimirira
• Kuthamanga kwa magazi
• Kupuma pang'ono pochita kapena kuchita masewera olimbitsa thupi

Zizindikiro za chikhodzodzo zingaphatikizepo:

• Zovuta zoyambira kukodza
• Kumverera kwa chosakwanira chikhodzodzo kutha
• Kutuluka mkodzo

Zizindikiro zina zitha kuphatikiza:

• Kutuluka thukuta kwambiri kapena kosakwanira
• Kusalolera kutentha kumabweretsa ntchito komanso masewera olimbitsa thupi
• Mavuto azakugonana, kuphatikiza mavuto okomoka mwa amuna ndi kuuma kwa nyini ndi zovuta zazimayi mwa akazi
• Wophunzira wamng'ono m'diso limodzi
• Kuchepetsa thupi osayesa

Zizindikiro za kuwonongeka kwa mitsempha yodziyimira pawokha sizimawoneka nthawi zonse pamene dokotala akukuyesani. Kuthamanga kwa magazi kapena kugunda kwa mtima kwanu kumasintha mukamagona pansi, kukhala pansi, kapena kuyimirira.

Kuyesedwa kwapadera kuti muyese thukuta ndi kugunda kwa mtima kungachitike. Izi zimatchedwa kuyesa kwayokha.

Mayeso ena amatengera mtundu wa zizindikilo zomwe muli nazo.

Chithandizo chobwezeretsa kuwonongeka kwa mitsempha nthawi zambiri sichingatheke. Zotsatira zake, chithandizo ndi kudzisamalira kumayang'ana pakuwongolera zizindikilo zanu ndikupewa mavuto enanso.

Wothandizira zaumoyo wanu angakulimbikitseni:

• Mchere wowonjezera pazakudya kapena kumwa mapiritsi amchere kuti muwonjezere kuchuluka kwa madzi m'mitsempha yamagazi
• Fludrocortisone kapena mankhwala ofanana kuti athandize thupi lanu kusunga mchere ndi madzi
• Mankhwala ochizira maphokoso amtima osasinthasintha
• Wopanga zida
• Kugona mutu utakwezedwa
• Kuvala masitonkeni

Zotsatirazi zitha kuthandiza matumbo anu ndi m'mimba kugwira ntchito bwino:

• Pulogalamu yamasiku onse yosamalira matumbo
• Mankhwala omwe amathandiza m'mimba kusunthira chakudya mwachangu
• Kugona mutu utakwezedwa
• Zakudya zazing'ono, pafupipafupi

Mankhwala ndi mapulogalamu odziyang'anira pawokha atha kukuthandizani ngati muli:

• Kusadziletsa kwamikodzo
• Chikhodzodzo cha Neurogenic
• Mavuto okonzekera

Momwe mumakhalira bwino zimatengera zomwe zimayambitsa vuto komanso ngati lingathe kuchiritsidwa.

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za autonomic neuropathy. Zizindikiro zoyambirira zimatha kuphatikiza:

• Kukhala okomoka kapena opepuka mutayimirira
• Kusintha kwa matumbo, chikhodzodzo, kapena kugonana
• Mseru wosadziwika ndi kusanza mukamadya

Kuzindikira koyambirira ndi chithandizo kumatha kuletsa zizindikilo.

Autonomic neuropathy imatha kubisa zizindikiro zochenjeza za matenda amtima. M'malo momva kupweteka pachifuwa, ngati muli ndi matenda odziyimira pawokha, pakadwala matenda a mtima mungakhale ndi:

• Kutopa mwadzidzidzi
• Kutuluka thukuta
• Kupuma pang'ono
• Nseru ndi kusanza

Pewani kapena kuwongolera zovuta zomwe zikukhudzana kuti muchepetse chiopsezo cha neuropathy. Mwachitsanzo, anthu omwe ali ndi matenda ashuga amayenera kuyang'anira shuga wambiri m'magazi.

Neuropathy - kudziyimira pawokha; Matenda a mitsempha yodziyimira payokha

• Mitsempha Yodziyimira payokha
• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

Katirji B. Kusokonezeka kwamitsempha yotumphukira. Mu: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, olemba. Bradley ndi Daroff's Neurology mu Clinical Practice. 8th ed. Philadelphia, PA: Elsevier; 2022: mutu 106.

Smith G, Manyazi INE. Ozungulira neuropathies. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: mutu 392.