Zonse Zokhudza Autonomic Dysreflexia (Autonomic Hyperreflexia)

Zamkati

• Kodi autonomic dysreflexia (AD) ndi chiyani?
• Momwe autonomic dysreflexia imachitikira mthupi
• Momwe amagwirira ntchito
• Zomwe zimachitika ndi AD
• Zizindikiro
• Zoyambitsa
• Momwe amadziwika
• Chithandizo
• Kupewa
• Kodi chiyembekezo chanthawi yayitali ndichotani?

Kodi autonomic dysreflexia (AD) ndi chiyani?

Autonomic dysreflexia (AD) ndimkhalidwe womwe dongosolo lanu lamanjenje lodziyimira lokha limachita mopitilira muyeso wakunja kapena wathupi. Amadziwikanso kuti autonomic hyperreflexia. Izi zimayambitsa:

• kukwera koopsa kuthamanga kwa magazi
• kugunda pang'onopang'ono kwa mtima
• kuwonjezeka kwa mitsempha yanu yamagazi
• kusintha kwina pantchito yodziyimira pathupi lanu

Matendawa amawonekera kwambiri mwa anthu omwe ali ndi vuto la msana pamtambo wachisanu ndi chimodzi wa thoracic, kapena T6.

Zitha kukhudzanso anthu omwe ali ndi multiple sclerosis, matenda a Guillain-Barre, komanso kuvulala kwamutu kapena ubongo. AD amathanso kukhala zotsatira zoyipa zamankhwala kapena kugwiritsa ntchito mankhwala osokoneza bongo.

AD ndi vuto lalikulu lomwe limawerengedwa kuti ndi vuto lachipatala. Zitha kuopseza moyo ndikupangitsa kuti:

• sitiroko
• Kutaya magazi m'mitsempha
• kumangidwa kwamtima
• edema yamapapu

Momwe autonomic dysreflexia imachitikira mthupi

Kuti mumvetsetse AD, ndizothandiza kumvetsetsa dongosolo lodziyimira palokha (ANS). ANS ndi gawo lamanjenje lomwe limagwira ntchito mosaganizira thupi, monga:

• kuthamanga kwa magazi
• mitengo ya mtima ndi kupuma
• kutentha kwa thupi
• chimbudzi
• kagayidwe
• madzi ndi ma electrolyte
• kupanga madzi amthupi
• pokodza
• chimbudzi
• kugonana

Pali nthambi ziwiri za ANS:

• wachifundo wodziyimira pawokha wamanjenje (SANS)
• dongosolo lamanjenje lodziyimira palokha (PANS)

Momwe amagwirira ntchito

SANS ndi PANS zimagwira ntchito mosiyana. Izi zimathandizira kuti magwiridwe antchito mosagwira ntchito mthupi lanu. Mwanjira ina, ngati a SANS achita mopitilira muyeso, a PANS amatha kulipilira.

Nachi chitsanzo. Mukawona chimbalangondo, dongosolo lanu lamanjenje lomvera limatha kuyambitsa nkhondo kapena kuthawa. Izi zitha kupangitsa mtima wanu kugunda kwambiri, kuthamanga kwa magazi kwanu kukwera, komanso mitsempha yanu kuti mukonzekere kupopa magazi ambiri.

Koma bwanji mukazindikira kuti mwalakwitsa ndipo sinali chimbalangondo? Simungafune kukondoweza kwa SANS yanu, chifukwa dongosolo lanu lamanjenje lamanjenje limadumphadumpha. PANS yanu ikanakubweretserani kugunda kwa mtima ndi kuthamanga kwa magazi kubwerera mwakale.

Zomwe zimachitika ndi AD

AD imasokoneza machitidwe amanjenje achifundo komanso amanjenje. Izi zikutanthauza kuti SANS ya thupi imachita mopitilira muyeso, monga chikhodzodzo chokwanira. Kuphatikiza apo, ma PANS sangathe kuyimitsa izi. Zitha kupangitsa kuti zikule kwambiri.

Thupi lanu lakumunsi limapanganso zizindikilo zambiri zamitsempha pambuyo povulala kwamtsempha. Zizindikirozi zimafotokozera momwe thupi lanu limagwirira ntchito, monga momwe chikhodzodzo, matumbo, ndi chimbudzi zimakhalira. Zizindikirozo sizingadutse kuvulala kwa msana kuubongo wanu.

Komabe, uthengawu umapitilirabe kumagawo amachitidwe amanjenje achifundo komanso omvera omwe amagwira ntchito pansi pamtsempha wa msana.

Zizindikiro zimatha kuyambitsa SANS ndi PANS, koma ubongo sungayankhe moyenera kuti asagwire ntchito moyenera ngati gulu. Zotsatira zake ndikuti SANS ndi PANS zitha kulamulidwa.

Kugunda kwa mtima kwanu kumatha kutsika pang'ono chifukwa masensa opanikizika omwe amapezeka m'mitsempha ya carotid kapena aorta (yotchedwa baroreceptors) amayankha kuthamanga kwa magazi kocheperako ndipo amatumiza chizindikiro kuubongo kuti kuthamanga kwa magazi ndikokwera kwambiri.

Zizindikiro

Zizindikiro za AD zitha kuphatikiza:

• nkhawa ndi mantha
• kugunda kosasinthasintha kapena kosachedwa
• Kuchuluka kwa mphuno
• kuthamanga kwa magazi ndikuwerenga kwa systolic nthawi zambiri kuposa 200 mm Hg
• mutu wopweteka
• khungu lakuthwa
• thukuta kwambiri, makamaka pamphumi
• mutu wopepuka
• chizungulire
• chisokonezo
• ana otayirira

Zoyambitsa

Zomwe zimayambitsa AD mwa anthu omwe ali ndi kuvulala kwamtsempha wa msana zitha kukhala chilichonse chomwe chimapangitsa kuti ma SANS ndi PANS akhale ndi mitsempha, kuphatikiza:

• chikhodzodzo chopindika
• catheter yotsekedwa
• kusunga kwamikodzo
• Matenda a mkodzo
• miyala ya chikhodzodzo
• kudzimbidwa
• kugwiritsidwa ntchito kwa matumbo
• zotupa m'mimba
• khungu khungu
• zilonda zamagetsi
• zovala zolimba

Momwe amadziwika

AD imafunikira chithandizo chamankhwala mwachangu, motero dokotala wanu nthawi zambiri amachiritsa vutolo nthawi yomweyo. Chithandizocho chimachokera kuzizindikiro, komanso kuthamanga kwa magazi.

Zadzidzidzi zikangodutsa, dokotala wanu angafunike kukayezetsa bwino ndikuyesa mayeso azidziwitso. Mayeserowa atha kuthandiza dokotala kuti adziwe chomwe chikuyambitsa ndikuchotsa zina zomwe zingayambitse.

Chithandizo

Cholinga cha chithandizo chadzidzidzi ndikuchepetsa kuthamanga kwa magazi ndikuchotsa zoyambitsa zomwe zimayambitsa. Njira zadzidzidzi zitha kuphatikizira:

• kukupangitsani kukhala pampando kuti magazi ayende kumapazi anu
• kuchotsa zovala zolimba ndi masokosi
• kufunafuna catheter yotsekedwa
• kutulutsa chikhodzodzo chopindika ndi katheta
• kuchotsa zina zilizonse zomwe zingayambitse, monga mphepo yomwe ikuwomberani kapena zinthu zomwe zimakhudza khungu lanu
• kukuchitirani zachinyengo
• Kupatsanso vasodilator kapena mankhwala ena kuti magazi aziwongolera

Kupewa

Kuchiza ndi kupewa kwanthawi yayitali kuyenera kuzindikira ndi kuthana ndi zovuta zomwe zimayambitsa AD. Ndondomeko yanthawi yayitali ingaphatikizepo:

• kusintha kwa mankhwala kapena zakudya kuti zithandizire kuchotsa
• kusamalira bwino ma catheters amkodzo
• mankhwala othamanga magazi
• mankhwala kapena pacemaker kuti akhazikitse mtima wanu
• kudziyang'anira nokha kupewa zoyambitsa

Kodi chiyembekezo chanthawi yayitali ndichotani?

Malingalirowa sadziwika kwenikweni ngati matenda anu ali chifukwa cha zovuta kuzilamulira kapena zosadziwika. Magawo obwerezabwereza a ma spikes osalamulirika kapena kutsika kwa kuthamanga kwa magazi kumatha kubweretsa sitiroko kapena kumangidwa kwamtima.

Gwiritsani ntchito ndi dokotala wanu kuti muzindikire zomwe zimayambitsa komanso kusamala.

Ngati mutha kuthana ndi zomwe zimayambitsa AD, malingaliro ake ndiabwino.