Kodi autonomic neuropathy ndi chiyani?

Zamkati

• Zomwe zingayambitse
• Zizindikiro zake ndi ziti
• Momwe mungapewere
• Momwe mankhwalawa amachitikira
• 1. Orthostatic hypotension ndi tachycardia yopuma
• 2. Mavuto am'mimba
• 3. Mavuto amkodzo
• 4. Kulephera kugonana

Autonomic neuropathy imachitika pamene mitsempha yomwe imayang'anira ntchito zosagwira thupi zimasokonekera, zomwe zimatha kukhudza kuthamanga kwa magazi, kuwongolera kutentha, chimbudzi ndi chikhodzodzo ndi magwiridwe antchito. Kuwonongeka kwa mitsempha kumeneku kumasokoneza kulumikizana pakati pa ubongo ndi ziwalo zina, ndipo kumatha kukhudza machitidwe angapo, monga mtima, m'mimba, genitourinary, pakati pa ena.

Nthawi zambiri, matenda ashuga ndimatenda omwe amayambitsa autonomic neuropathy ndipo samakonda kuyambitsidwa ndi zinthu zina. Chithandizo chimadalira chifukwa cha matendawa ndipo nthawi zambiri chimakhala ndi mpumulo wazizindikiro.

Zomwe zingayambitse

Chifukwa chodziwika kwambiri chodziyimira payokha ndi matenda ashuga, pomwe kulibe mphamvu yokwanira ya glucose, yomwe imatha kuwononga mitsempha pang'onopang'ono.

Ngakhale ndizosowa kwambiri, kudziyimira pawokha pawokha kumatha kuyambitsidwa ndi:

• Amyloidosis, yomwe imakhudza ziwalo ndi dongosolo lamanjenje. Phunzirani momwe mungadziwire amyloidosis;
• Matenda osokoneza bongo, omwe chitetezo cha mthupi chawo chimaukira thupi lokha, kuphatikiza, pakadali pano, mitsempha;
• Mankhwala, makamaka omwe amagwiritsidwa ntchito pochiza khansa;
• Matenda opatsirana, monga botulism, HIV kapena matenda a Lyme;

Kuphatikiza apo, matenda odziyimira pawokha amatha kuyambitsanso matenda ena obadwa nawo.

Zizindikiro zake ndi ziti

Autonomic neuropathy imatha kuphatikizira machitidwe amtima, kugaya chakudya, urogenital, thukuta ndi mawonekedwe a pupillary.

Zizindikiro zomwe zimatha kupezeka mwa anthu omwe ali ndi vuto lodziyimira palokha zimadalira misempha yomwe yakhudzidwa ndipo imatha kukhala ndi chizungulire ndikumva kukomoka, komwe kumachitika chifukwa cha kutsika kwa magazi, kusadziletsa kwamikodzo, zovuta kutulutsa chikhodzodzo kwathunthu, zovuta kusamalira chikhodzodzo kumangirira kapena kufika pachimake, kuchepetsa chilakolako chogonana, matenda am'mimba monga kutsekula m'mimba, kumva kukhuta, kunyansidwa ndi kusanza.

Kuphatikiza apo, nthawi zina, thupi limavutika kuzindikira hypoglycemia, kuwongolera kutentha, kusintha diso kumalo owala kapena amdima komanso kuvuta kusintha kugunda kwa mtima kuti ugwiritse ntchito zolimbitsa thupi.

Autonomic neuropathy imatha kusokoneza kwambiri moyo wa wodwala matenda ashuga. Nthawi zambiri, matendawa amapezeka mwa odwala matenda ashuga omwe akhala akudwala matendawa kwanthawi yayitali.

Momwe mungapewere

Autonomic neuropathy itha kupewedwa ndikuwongolera mokwanira magazi a shuga, kupewa kumwa mowa mwauchidakwa ndi kusuta fodya, kulandira chithandizo choyenera cha matenda omwe amadzitchinjiriza, kuwongolera kuthamanga kwa magazi ndikukhala ndi moyo wathanzi.

Momwe mankhwalawa amachitikira

Chithandizochi chimakhala chodziwika bwino ndipo chimayeneranso kuyang'ana pazomwe zimayambitsa vutoli, ndiye kuti, ngati munthu akudwala matenda ashuga, amafunikanso kuthana ndi matendawa.

1. Orthostatic hypotension ndi tachycardia yopuma

Kusintha kwadzidzidzi posachedwa kuyenera kupewedwa, masokosi opindika kapena mathalauza ayenera kugwiritsidwa ntchito ndipo mutu wa bedi uyenera kukwezedwa pafupifupi masentimita 30. Pazovuta kwambiri, pangafunike kugwiritsa ntchito mankhwala owonjezera kuthamanga kwa magazi, fludrocortisone , ndipo azidya zakudya zamchere komanso zamadzimadzi.

Ngati munthuyo ali ndi tachycardia yopuma, adokotala amatha kupereka mankhwala kuti aziwongolera mtima, monga beta-blockers.

2. Mavuto am'mimba

Ngati munthuyo akuvutika ndi vuto la kugaya chakudya, kunyansidwa ndi kusanza, adokotala amatha kupereka mankhwala omwe amachepetsa zizindikilo, monga metoclopramide, cisapride ndi domperidone.

Pakakhala kutsekula m'mimba, adotolo amatha kupereka mankhwala a loperamide ndipo ngati munthuyo ali ndi vuto lodzimbidwa, pangafunike kugwiritsa ntchito mankhwala otsegulitsa m'mimba. Nthawi zina kutsekula m'mimba, adokotala amatha kupereka mankhwala opha tizilombo ambiri kuti achepetse kuchuluka kwa mabakiteriya am'matumbo.

3. Mavuto amkodzo

Pofuna kutulutsa chikhodzodzo, adokotala angakulimbikitseni kutulutsa chikhodzodzo ndi m'mimba ndi kudziyesa, komwe kuyenera kuchitidwa ndi akatswiri azaumoyo, kapena mankhwala omwe amathandizira kutulutsa chikhodzodzo.

Ngati matenda amkodzo amapezeka kapena ngati kuli koyenera kupewa, adokotala amatha kupereka mankhwala opha tizilombo.

4. Kulephera kugonana

Chisankho choyamba chothana ndi chiwerewere chimaphatikizapo mankhwala monga sildenafil, vardenafil ndi tadalafil, omwe amathandizira kukhalabe ndi erection. Pankhani ya azimayi omwe achepetsa chilakolako chogonana komanso kuuma kwa ukazi, kugwiritsa ntchito mafuta oyenera kungalimbikitsidwe.