Nneɛma dodow ahe na ɛkɔ so wɔ yɛn nipadua mu a yenhu mpo? Ɛnyɛ bere nyinaa na yesusuw nneɛma te sɛ ɔhome, koma bɔ, aduan a yɛyam, ne nipadua mu hyew a yɛbɛhwɛ so ho. Saa nneɛma yi si ara kwa, te sɛ kar bi a ɛma kar tu kwan no. Biribiara a ɛba ara kwa no, yɛn ntini ahorow no fã titiriw bi na ɛhwɛ so. Nanso, sɛ nyarewa bi nti saa ntini yi sɛe a, dɛn na ɛba? Ɛno ne bere a saa automatic control yi fi ase kɔ haywire. `Autonomic Neuropathy`, a yɛreka ho asɛm nnɛ no fa tebea a ɛte saa ho.
Dɛn ne Autonomic Neuropathy yi?
Sɛ yɛbɛka no tiawa a, `Autonomic Neuropathy` yɛ ntini a ɛhwɛ yɛn nipadua no dwumadi ahorow a ɛyɛ adwuma ankasa so no a ɛsɛe. Wɔfrɛ saa ntini ahorow yi `Autonomic Nervous System`. Saa ntini ahorow yi ne yɛn amemene ne yɛn akyi berɛmo no hwɛ akwaa atitiriw te sɛ koma, yafunu, dwensɔtwaa, ne akisikuru no dwumadi so.
Susuw ho hwɛ, nneɛma te sɛ nkuruwankuruwa tuntum a ɛwɔ w’ani so a ɛyɛ kɛse bere a wokɔ dan a emu yɛ sum mu, anaasɛ w’ano nsu bere a wote aduan a ɛyɛ dɛ hua mpo no, nhyehyɛe yi na ɛhwɛ so. Enti sɛ saa ntini ahorow yi sɛe a, saa nneɛma a ɛba ara kwa yi ntumi nyɛ adwuma yiye. Nneɛma titiriw a ebetumi aka no ne:
- Mogya mmoroso
- Koma a ɛbɔ
- Nnuan a wɔyam
- Nsu a wɔtow gu
- Nsu a ɛkɔ nipadua no mu
- Nipadua mu hyew a wɔhwɛ so
- Ɔbarima ne ɔbea nna mu dwumadi
Dɛn ne eyi ho sɛnkyerɛnne?
Nsɛnkyerɛnne a wubehu no begyina ntini ahorow a ɛka wo no so. Nsɛnkyerɛnne no betumi ayɛ soronko wɔ onipa biara ho. Momma yɛnhwɛ sɛnkyerɛnne atitiriw no.
| Nhyehyɛe a ɛka no | Nsɛnkyerɛnne a ebetumi aba |
|---|---|
| Nnuan a wɔyam | Atiridiinini, akisikuru, atenka a ɛyɛ ma bere a woadi aduan kakraa bi mpo akyi, ɔfe, aduan a wɔannye no san ba, ɛyɛ den sɛ ɔbɛmene, ne koko mu yaw. |
| Koma ne mogya ntini | Adwene a ɛyɛ basaa anaa akisikuru a mogya mmoroso a ɛkɔ fam mpofirim bere a wogyina hɔ, koma a ɛbɔ ntɛmntɛm (titiriw bere a wɔreyɛ apɔw-mu-teɛteɛ), mogya mmoroso. |
| Nsuo a ɛkɔ nipadua no mu | Ɛyɛ den sɛ wobɛtow, nsu a wontumi nni so, wontumi nyi akisikuru no mu koraa, nsu mu yare a wɔtaa nya. |
| Nipadua mu hyew | Fifiri a ɛba anadwo, fifiri a ɛboro so anaa kakraa bi pɛ, fifiri a ɛba bere a ɔredidi. |
| Ɔbarima ne ɔbea nna mu dwumadi | Ɛyɛ den ma mmarima sɛ wɔbɛsɔre, mmea awotwaa mu ayɛ kusuu, nna ho akɔnnɔ so tew, na ɔhaw ahorow a ɛwɔ orgasm a wobenya mu. |
| Ahurututu ne anisoadehu | Ɛyɛ den sɛ wobɛhome, ɛyɛ den sɛ wobɛsesa w’ani so bere a worefi baabi a ɛhɔ yɛ hann akɔ baabi a ɛhɔ yɛ sum, ɛyɛ den sɛ wobɛka kar anadwo. |
Asikreyare ne Asikreyare a Ɛkɔ Fam a Wonnim
Sɛ obi a ɔwɔ asikreyare nya `Autonomic Neuropathy` a, ɔhaw foforo a emu yɛ den betumi aba. Ɛne sɛ, kɔkɔbɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ asikre dodow a ɛwɔ mogya mu no so tew wɔ ɔkwan a ɛyɛ hu so (Hypoglycemia) a wonhu. Nnuruyɛfo frɛ eyi `Hypoglycemia Unawareness`.
Mpɛn pii no, sɛ wo autonomic nervous system no reyɛ adwuma yiye a, bere a asikre a ɛwɔ wo mogya mu no so tew wɔ ɔkwan a ɛyɛ hu so no, wubehu sɛnkyerɛnne ahorow te sɛ wosow, fifiri, ne koma a ɛbɔ ntɛmntɛm. Eyinom ne "kɔkɔbɔ nsɛnkyerɛnne" a wo nipadua de ma wo. Nanso, ebia obi a ɔwɔ Autonomic Neuropathy rente kɔkɔbɔ nsɛnkyerɛnne yi nka.
Eyi yɛ tebea a asiane wom kɛse efisɛ, sɛ wunhu sɛ asikre a ɛwɔ wo mogya mu no so retew a, wubetumi atotɔ piti, w’adwene atu afra, anaasɛ nea ebefi mu aba a enye koraa mpo.
Sɛ wowɔ saa `Hypoglycemia Unawareness` yi a, wo duruyɛfoɔ bɛka akyerɛ wo sɛ taa hwɛ wo mogya mu asikre dodoɔ. Ebia wɔbɛkamfo nso sɛ fa `Continuous Glucose Monitor`, a ɛsusuw asikre dodow a ɛwɔ wo mogya mu daa na sɛ ɛba fam a, ɛbɔ kɔkɔ.
Dɛn na ɛde tebea yi ba?
Ade titiriw a ɛde ntini a ɛsɛe yi ba ne asikreyare . Bere kɔ so no, asikreyare a wontumi nni so tumi sɛe saa ntini ahorow yi. Sɛ ɛno da nkyɛn a, nneɛma afoforo pii betumi de aba.
- Asikreyare: Nea ɛde ba titiriw.
- Nyarewa a nipadua no tumi ko tia nyarewa: Nyarewa a nipadua no ankasa nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ ntini ahorow so. Nhwɛsoɔ bi ne `Ntini mu yareɛ`, `Lupus`, `Guillain-Barré yareɛ`.
- Nyarewa bi: Nyarewa te sɛ HIV ne Lyme yare.
- Nyarewa afoforo: Parkinson yare, amyloidosis, yare a protein a ɛwɔ nipadua no mu a ɛnyɛ ne kwan so de ba.
- Nnuru bi a wɔde ma kokoram: Nnuru bi a wɔde sa yare.
- Nsã a wɔnom boro so.
- Oprehyɛn anaa akyi berɛmo a opira.
- Nnuru a wɔde di dwuma: Sɛ nhwɛso no, dade a emu yɛ duru.
- Nyarewa bi a wonya fi awo mu.
Ɔkwan bɛn so na wobetumi ahu yare no?
Sɔhwɛ biako biara nni hɔ a wɔde hu tebea yi. Wo duruyɛfo bedi kan atie wo yare no ho sɛnkyerɛnne na wayɛ wo nipadua mu nhwehwɛmu. Afei, ebia wɔbɛkamfo akyerɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mpɛn pii na ama wɔahu nea ɛde ba.
- Hwɛ sɛ asikreyare bi wɔ hɔ anaa.
- Hwɛ sɛ ebia nyarewa afoforo a nipadua no tumi ko tia nyarewa no wɔ hɔ anaa.
- Hwɛ sɛ nyarewa te sɛ HIV wɔ hɔ anaa.
Nea ɛka ho no, wobetumi ayɛ nhwehwɛmu titiriw afoforo a egyina sɛnkyerɛnne ahorow no so:
- Tilt-table test: Woda afiri bi a ɛte sɛ mpa so na wo soro nipadua no so nkakrankakra te sɛ nea wugyina hɔ. Wɔhwɛ wo mogya mmoroso ne wo koma bɔ. Eyi ho wɔ mfaso titiriw ma nnipa a wɔn adwene tu fra bere a wogyina hɔ no.
- Quantitative Sudomotor Axon Reflex Test (QSART): Eyi de anyinam ahoɔden ketewaa bi na ɛsɔ sɛnea wo fifiri ntini no yɛ adwuma hwɛ.
- Urodynamic tests: Sɔhwɛ ahorow a ɛkyerɛ sɛnea akisikuru no sie nsu mu yiye na ɛma ɛda mpan.
- Ultrasound scan: Eyi boa ma wonya akwaa te sɛ akisikuru no mu mfonini na wohu nea ɛyɛ ɔhaw no pɛpɛɛpɛ.
- Gastric emptying test: Sɔhwɛ a ɛhwɛ sɛ aduan a ɛnyɛ daa, titiriw yafunu a ɛyɛ brɛoo (Gastroparesis).
Ɔkwan bɛn so na wɔsa?
Ayaresa titiriw a ɛwɔ ha neYare a ɛda adi a ɛde ntini no sɛee no a wɔbɛsa. Sɛ nhwɛso no, sɛ wowɔ asikreyare a, ɛsɛ sɛ wode aduan, apɔw-mu-teɛteɛ, ne sɛ ɛho hia a, nnuru a wode di dwuma so hwɛ asikre dodow a ɛwɔ wo mogya mu no so. Sɛ ɛyɛ yare a nipadua no tumi ko tia nyarewa a, ɛsɛ sɛ wunya ayaresa.
Bere koro no ara mu no, oduruyɛfo no bɛkamfo nneɛma ahorow nso akyerɛ de adi sɛnkyerɛnne ahorow a asɔre no so.
Nea ɛho hia: Bere nyinaa kɔ wo duruyɛfo nkyɛn ansa na woadi aduru anaa ɔkwan biara a wɔaka ho asɛm wɔ ha no akyi.
| Nsɛnkyerɛnne/Nhyehyɛe | Nneɛma a ɛsɛ sɛ wɔyɛ ne ayaresa |
|---|---|
| Nnuan a wɔyam mu haw ahorow | - nnni pii prɛko pɛ, di nnuan nketewa dodoɔ bi. - kwati akisikuru denam nnuan ne nsuo a ahoɔdennuru wom pii a wobɛdi so. - a wonom laxatives sedee oduruyɛfo bi akyerɛ no. - a wonom nnuru a wode sa akisikuru ne yafunu mu yaw. |
| Nsu a wɔde gu nsu mu ho haw ahorow | - si su a wode toto wo ho wo mmere a wode tow wo ho daa. - a wonom nnuru a eboa ma akisikuru no mu da mpan koraa. - a woyi nsuo denam catheter a wode bɛhyɛ akisikuru no mu so. |
| Fifiri ho haw ahorow | - a wonom nnuru a etew fifiri so (e.g. glycopyrrolate) sedee oduruyɛfo akyerɛw ama no. - a wotena dan mu bere a ɔhyew a ano yɛ den. |
| Koma ne mogya mmoroso ho haw ahorow | - a wonom nnuru a ema mogya mmoroso (fludrocortisone, midodrine). - a wobɛnom nnuru te sɛ `beta-blockers` de ahyɛ koma bɔ so. - sɔre brɛoo na woakwati sɛ wo ho bɛtɔ wo. - fa nkyene ne nsuo kakra nkoaa se wo duruyɛfo kamfo kyerɛ a. |
| Ɔbarima ne ɔbea nna ho haw ahorow | - a wode di dwuma te se `sildenafil (Viagra)` ma erectile dysfunction, sedee oduruyɛfo akyerɛw ama no. - ma mmaa de, fa srade a ewo nsuo mu di dwuma na ama awotwaa mu ayow. |
Nkrasɛm a Wɔde Kɔ Fie
- Autonomic neuropathy yɛ ntini a ɛhwɛ yɛn nipadua mu dwumadi ahorow a ɛyɛ adwuma ankasa so (te sɛ koma bɔ, aduan a wɔyam) a ɛsɛe.
- Ɛwom sɛ nea ɛtaa de eyi ba ne asikreyare de, nanso nyarewa ne nneɛma afoforo dodow bi betumi de aba.
- Nsɛnkyerɛnne a ɛne no nni abusuabɔ te sɛ adwenemhaw, fifiri a ɛnyɛ ne kwan so, aduan mu haw, ne nsu a ɛyɛ den sɛ wobɛtow betumi ada adi mpofirim.
- Ade titiriw a ɛwɔ ayaresa mu ne sɛ wɔbɛsa nea ɛde ba no. Titiriw sɛ wowɔ asikreyare a, asikre dodow a ɛwɔ wo mogya mu a wobɛhwɛ so yiye no betumi ama ntini a asɛe no bi ayɛ brɛoo na ebia mpo asan.
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, ɛho hia yiye sɛ wommu w’ani ngu so, na mmom wobɛkɔ oduruyɛfo nkyɛn ntɛm ara na wahu nea ɛde ba na woanya ayaresa a ɛho hia.
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