Disautonomia: ndi chiyani, zizindikiro zazikulu ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Zomwe zingayambitse
• Mitundu yake ndi iti
• Momwe mankhwalawa amachitikira

Dysautonomy, kapena kutayika kwodziyimira pawokha, ndi mawu azachipatala omwe amagwiritsidwa ntchito pofotokoza zomwe zimawononga magwiridwe antchito amthupi, chifukwa zimayambitsa kusintha kwamanjenje. Njirayi imapangidwa ndi ubongo ndi mitsempha ndipo imayambitsa mayendedwe osagwira a thupi monga kugunda kwa mtima, kuwongolera mpweya, kuwongolera kutentha komanso kuthamanga kwa magazi.

Mu dysautonomia, dongosolo lamanjenje lodziyimira palokha limapereka mayankho mosiyana ndi zomwe akuyembekezeredwa. Kuwongolera kuyankha kwa "kumenya kapena kuthamanga", ngati "kuukira", mwachitsanzo, kuyankha kwabwino kwa thupi ndikukula kwa kuthamanga kwa magazi, kuthamanga kwa magazi ndi mphamvu, koma mu dysautonomia yankho silokwanira ndipo pali kuchepa kwa kugunda kwa mtima, kuthamanga kwa magazi ndi kuchepa mphamvu, kutopa ndi kugona.

Zizindikiro za dysautonomia sizimawoneka nthawi zonse, komabe, zizindikilo monga chizungulire, kukomoka, kupuma movutikira, kutopa kwambiri, kulephera kuyimirira, zovuta zamasomphenya, chizungulire komanso kukumbukira kukumbukira kumatha kuwonekera. Chifukwa chake, popeza zizindikilozi ndizofala pamikhalidwe ina, zimatha kusokonezedwa ndi matenda ena.

Kusintha kumeneku kulibe zifukwa zenizeni, koma kumatha kuchitika chifukwa cha matenda monga matenda ashuga, fibromyalgia, amyloidosis, porphyria, traumas ndi kuvulala kwamitsempha yapakati. Kuzindikira kwa dysautonomy kumachitika kudzera pakuwunika kwamankhwala kochitidwa ndi katswiri wamitsempha kapena katswiri wamtima komanso kudzera mumayeso amtundu, popeza palibe mankhwala, koma chithandizo ndi mankhwala amatha kuchitidwa kuti athetse zizindikilo.

Zizindikiro zazikulu

Zizindikiro za dysautonomia zitha kukhala zosiyana kutengera mtundu, zimasiyanasiyana malinga ndi mtundu wa munthu ndipo sizotheka kuziona nthawi zonse. Komabe, matendawa akamasintha dongosolo lamanjenje, amatha kubweretsa zizindikilo monga:

• Chizungulire;
• Kukomoka;
• Kupuma mwadzidzidzi;
• Minofu kufooka;
• Kulephera kuyimirira;
• Nseru ndi kusanza;
• Mavuto a masomphenya;
• Kutaya kukumbukira;
• Kusintha kwadzidzidzi kwamamvedwe;
• Kumvetsetsa kuunika;
• Kupindika;
• Zovuta kuchita masewera olimbitsa thupi;
• Kugwedezeka kwakukulu.

Zizindikiro zina za dysautonomia zimadziwika kokha ndi zida zina kapena mayeso, omwe atha kukhala kutsika, kuwonjezeka kapena kutsika kwa kugunda kwa mtima, kutsika kwa kuthamanga kwa magazi, mavuto okhala ndi kutentha kwa thupi komanso kuchepetsa shuga m'magazi.

Kuzindikira kwa vutoli kutha kuchitidwa ndi katswiri wa zamagulu kapena wamatenda a mtima kudzera pakuwunika kwa zizindikirazi komanso kuyesa koyeserera, monga mayeso amtundu womwe amathandizira kuzindikira kusintha kwa majini amthupi.

Zomwe zingayambitse

Dysautonomia imatha kuwoneka mwa anthu amisinkhu iliyonse, amuna kapena akazi, kapena mitundu, koma mitundu ina imatha kukhala yofala kwambiri mwa azimayi, monga postural orthostatic tachycardia syndrome, mwachitsanzo. Zomwe zimayambitsa kusinthaku sizikudziwika bwino, koma zimatha kuchitika chifukwa cha matenda ena monga matenda ashuga, amyloidosis, fibromyalgia, myeloma angapo, porphyria, trauma ndi kuvulala kwamitsempha yapakati.

Nthawi zina zitha kuchititsanso kuti dysautonomia iwoneke, monga kumwa mowa mopitirira muyeso ndi mankhwala ena, monga antidepressants, antihypertensives, antipsychotic kapena antineoplastic mankhwala, koma milanduyi ndiyosowa kwambiri. Onani matenda ena omwe angayambitsidwe chifukwa chomwa mowa kwambiri.

Mitundu yake ndi iti

Dysautonomy ndimavuto omwe amachititsa kusintha kwamanjenje odziyimira pawokha ndipo amatha kuwonekera m'njira zosiyanasiyana, mitundu yayikulu ndi:

• Matenda a postural orthostatic tachycardia: zachokera kuoneka kwa zizindikilo monga chizungulire, kuchuluka kwa kugunda kwa mtima, kupuma movutikira komanso kupweteka pachifuwa, makamaka kumakhudza azimayi achichepere, ochepera zaka 40;
• Syncope ya Neurocardiogenic: ndi mtundu wofala kwambiri, umatsogolera kuwoneka kukomoka nthawi zonse;
• Dysautonomy yabanja: ndizosowa kwambiri, zimawoneka mwa anthu okha ochokera kwa Ashkenazi Ayuda;
• Angapo dongosolo atrophy: imakhala ndi mtundu woopsa kwambiri, momwe zizindikilo zake ndizofanana ndi matenda a Parkinson ndipo zimangowonjezereka ndikutuluka kwa nthawi;
• Autonomic dysreflexia: zimakhudza kwambiri anthu omwe adavulala ndi msana.

Mtundu wina wa dysautonomia ndi matenda a shuga omwe amachitika chifukwa cha kusintha kwa matenda ashuga ndikukhudza mitsempha yomwe imayendetsa mtima, zomwe zimabweretsa mavuto omwe amachititsa kuti thupi lizizizira, magazi m'magazi, kuthamanga kwa magazi, kugwira ntchito kwa chikhodzodzo ndipo amathanso kuyambitsa kulephera kwa erectile. Dziwani momwe autonomic neuropathy imathandizidwira.

Momwe mankhwalawa amachitikira

Dysautonomy ndi matenda oopsa ndipo alibe mankhwala, kotero chithandizocho chimakhazikitsidwa ndi njira zothandizirana komanso kupumula kwa zidziwitso zomwe zingachitike kudzera mu magawo a physiotherapy kuti alimbikitse kuyenda kwa thupi, zochita ndi mankhwala olankhula, ngati munthuyo akuvutika kumeza ndi chithandizo chokhala ndi zamaganizidwe kuthandiza munthu kuthana ndi vutoli.

Nthawi zina, chifukwa dysautonomia imapangitsa kuti munthu asamayende bwino ndikuchepetsa kuthamanga kwa magazi, adotolo amalimbikitsa kuti munthuyo amwe madzi opitilira 2 malita patsiku, azidya zakudya zamchere kwambiri komanso azigwiritsa ntchito mankhwala monga fludrocortisone.