So wo nso wo tirim yɛ wo yaw na wo koko yɛ wo yaw bere a wosɔre mpofirim no? Eyi betumi ayɛ dysautonomia.

So woanya eyi ato wo pɛn? Sɛ wugyina akongua so mpofirim a, w’aniwa yɛ tuntum, wo ti yɛ wo yaw , anaasɛ wo koko fi ase bɔ mpofirim na wufi ase fifiri a ntease biara nnim. Bere a ebia yebesusuw sɛ nneɛma yi yɛ nea ɛfata no, ɛtɔ mmere bi a, yɛn nipadua mu nneɛma a ɛho hia sen biara a wɔde di dwuma no biako a entumi nyɛ adwuma yiye na ɛde saa sɛnkyerɛnne ahorow yi ba. Ɛnnɛ, yɛrebɛka tebea bi a wɔfrɛ no dysautonomia a nnipa pii nnim ho asɛm, nanso abu so koraa ho asɛm.

Dɛn ankasa ne Dysautonomia?

Sɛ yɛbɛka no tiawa a, dysautonomia yɛ din a wɔde frɛ aduruyɛ mu tebea horow kuw bi a efi yɛn nipadua no Autonomic Nervous System (ANS) a entumi nyɛ adwuma yiye mu ba .

Afei ebia woresusuw nea ɛyɛ autonomic nervous system no ho. Susuw ho hwɛ, nneɛma te sɛ wo koma bɔ, wo home, wo aduan, wo nipadua mu hyew, wo mogya mmoroso, ne nea ɛkeka ho, nyɛ nneɛma a ɛsɛ sɛ wususuw ho. Wɔba ara kwa, te sɛ nea ɛba wɔ auto-pilot so. Saa na autonomic nervous system no di nneɛma a ɛho hia a ɛkɔ so wɔ yɛn nipadua mu no so a yennim mpo.

Enti, sɛ ntini a ɛwɔ nhyehyɛe yi mu no ntumi nyɛ adwuma yiye a, nneɛma a ɛsɛ sɛ ɛba no fi ase sɛe ara kwa. Ɛno ne nea yɛfrɛ no dysautonomia . Ɛnyɛ nea ɛntaa nsi sɛnea ebia wususuw no. Nnipa bɛboro ɔpepem 70 na wɔwɔ saa yare yi wɔ wiase nyinaa. Afei nso, nnansa yi nhwehwɛmu ada no adi sɛ nnipa a wɔte ase a wɔn yareɛ no ho sɛnkyerɛnne kɔ so wɔ wɔn COVID - 19 akyi no wɔ asiane kɛseɛ mu sɛ wɔbɛnya dysautonomia.

Dɛn ne tebea yi ahorow ne ne sɛnkyerɛnne atitiriw?

Dysautonomia ahorow bɛyɛ 15 na ɛwɔ hɔ. Ɛtɔ da bi a obi tumi nya ahorow bɛboro biako bere koro mu. Momma yɛnhwɛ ahorow a wɔtaa yɛ no bi.

Wɔ saa ahorow atitiriw yi akyi no, ahorow afoforo a wɔntaa nhu te sɛ autoimmune autonomic ganglionopathy (AAG), baroreflex huammɔdi (BF), abusua mu dysautonomia (FD), pure autonomic failure (PAF), ne multiple system atrophy (MSA) wɔ hɔ. Ɛsono sɛnea wɔn yare no ho sɛnkyerɛnne ne sɛnea emu yɛ den.

Nkitahodi a ɛda COVID-19 ne Dysautonomia ntam

COVID-19 ɔyaredɔm no akyi no, nkɔmmɔdie a ɛfa dysautonomia ho no kɔɔ soro mpo, ɛfiri sɛ nnipa pii a wɔn ho tɔɔ wɔn wɔ COVID mu, titire wɔn a wɔyare (Long COVID) no, hyɛɛ aseɛ nyaa dysautonomia ho sɛnkyerɛnne.

Nhwehwɛmu ada no adi sɛ nnipa a wɔwɔ (Long COVID) no mu 30% kɔsi 67% wɔ dysautonomia. Eyinom mu nea wɔtaa bɔ ho amanneɛ ne tebea a yɛadi kan aka ho asɛm no, POTS .

Nneɛma a Covid mmoawa no sɛe nipadua mu ntini, nsakrae a ɛba nipadua no mu tumi a ɛko tia nyarewa mu, .Abenfo gye di sɛ ebia nneɛma te sɛ hormone a ɛnkari pɛ na ɛde ba. Afei nso, nnuru bi a wɔde ma wɔ mmeae a wɔhwɛ wɔn a wɔyare denneennen (ICU) betumi aka ntini a ɛma nipadua no yɛ adwuma no.

Ɔkwan bɛn so na wobetumi ahu yare yi?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo a ne ho akokwaw nkyɛn . Oduruyɛfo no betie wo yare no ho sɛnkyerɛnne na wahwɛ wo. Afei, ebia wɔbɛyɛ nhwehwɛmu titiriw bi de akyerɛ sɛ wowɔ saa tebea yi anaa.

• Tilt Table Test: Eyi ne sɔhwɛ a ɛho hia sen biara. Wɔ sɔhwɛ yi mu no, wɔde wo si mpa soronko bi so na wɔde wo bata nnwinnade a ɛkyerɛ wo koma bɔ, wo mogya mmoroso, ne oxygen dodow ho. Afei wɔde nkakrankakra dan mpa no ma ɛyɛ nea ɛteɛ. Wɔhwɛ sɛnea wo nipadua yɛ n’ade wɔ nsakrae a ɛba wo gyinabea (sɛnea wo koma bɔ ne wo mogya mmoroso sesa) ho.
• Nhwehwɛmu afoforo: Bio nso, wobetumi ayɛ ɔhome ho nhwehwɛmu, fifiri mu nhwehwɛmu, mogya mu nhwehwɛmu, ne nhwehwɛmu te sɛ ECG ne Echo de ahwɛ sɛnea koma no yɛ adwuma .

Dɛn ne ayaresa ahorow a wɔde sa dysautonomia?

Eyi ho hia sɛ yehu. Aduru biara nni hɔ a wɔde sa dysautonomia. Nanso, ɛno nkyerɛ sɛ ɛsɛ sɛ wuhu amane saa. Ayaresa ne akwan horow pii wɔ hɔ a wɔfa so di ho dwuma a ebetumi aboa ma wɔadi yare no ho sɛnkyerɛnne ahorow so na ama asetra ayɛ mmerɛw.

Ebia wo duruyɛfo begyina wo yare no ho sɛnkyerɛnne ne sɛnea wo tebea no te so betu wo fo sɛ:

• Nkyene kakra a wode bɛka w’aduan ho: Eyi betumi aboa ma woadi mogya mmoroso so . Nanso akyinnye biara nni ho sɛ ɛsɛ sɛ woyɛ eyi bere a wo ne wo duruyɛfo akasa awie nkutoo. Asiane wom sɛ wobɛnom nkyene pii a wunni aduruyɛfo afotu, titiriw sɛ wowɔ tebea afoforo te sɛ mogya mmoroso a.
• Nsu pii a wobɛnom da mũ no nyinaa: Eyi boa ma mogya dodow pa kɔ nipadua no mu.
• Nnuru: Ebia wo duruyɛfo bɛkyerɛw nnuru a ɛbɛma mogya mmoroso akɔ soro te sɛ Fludrocortisone ne Midodrine . Ɛsɛ sɛ wode eyinom di dwuma sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ.
• Wo nna a wobɛsesa: Sɛ woma mpa no ti so bɛyɛ nsateakwaa 6-10 bere a woada a, ebetumi aboa ma woadi sɛnkyerɛnne ahorow bi so.
• Sɛ wohyɛ compression stockings:Eyinom ma mogya a ɛboaboa ano wɔ nan no mu no so tew na ɛboa ma mogya no di akɔneaba.
• Apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ nhyehyɛe a efi ase nkakrankakra na oduruyɛfo anaa apɔw-mu-teɛteɛ ho ɔbenfo hwɛ so no betumi ayɛ nea mfaso wɔ so kɛse.