So woate nka mpofirim, tuntum bi wɔ w’ani so pɛn? Anaasɛ wote nka sɛ wo yafunu mu kyinkyin anwonwakwan so bere a wote nka sɛ wo ho yeraw wo kɛse anaasɛ ehu aka wo no? Ebia w’ano befi ase ayɛ nsu bere a wuhu aduan a ɛyɛ dɛ no? Ɛnnɛ yɛreka ‘ahintasɛm wura’ bi a ɛho hia yiye, nanso wɔanka ne ho asɛm kɛse, wɔ yɛn nipadua mu a ebia ɔhyɛ eyinom nyinaa akyi ho asɛm. Ɛyɛ Vagus ntini no . Ɛwom sɛ ebia edin no te sɛ nea ɛyɛ nwonwa de, nanso ɛbɛyɛ wo nwonwa sɛ wobɛte nea ɛyɛ wɔ yɛn nipadua mu.
Sɛ yɛbɛka no tiawa a, dɛn ne Vagus Nerve no?
Fa no sɛ wo nipadua yɛ afiri a ɛyɛ den yiye. Wubetumi adi nneɛma bi a ɛwɔ afiri yi mu so sɛnea wopɛ. Sɛ nhwɛso no, nsa a wɔma so, kasa, ne nantew. Nanso nneɛma afoforo pii wɔ hɔ a wuntumi nni so, na ɛba ara kwa. Te sɛ ɔhome, wo koma a ɛbɔ, ne wo aduan a woyam. Eyinom yɛ nneɛma a ɛba ara kwa (a ɛnyɛ yɛn pɛ) wɔ yɛn nipadua mu.
Wɔfrɛ yɛn ntini nhyehyɛe no fã titiriw a ɛhwɛ nneɛma a ɛyɛ adwuma ankasa yi pii so no sɛ parasympathetic nervous system . Vagus ntini no ne ntini titiriw a tumi wom sen biara wɔ parasympathetic nhyehyɛe yi mu. Nokwarem no, bɛyɛ 75% ntini a ɛwɔ saa nhyehyɛe yi mu no wɔ vagus ntini no mu.
Eyi ne ntini 12 a efi ase wɔ yɛn ti nhwi (Cranial nerve X) no mu nkyem du mu biako. "Vagus" wɔ Latin kasa mu kyerɛ "akyinkyin." Wɔde saa din yi too hɔ efisɛ saa ntini yi "kyinkyin" nipadua no akwaa ahorow mu, fi yɛn amemene mu kosi yɛn dwensɔtwaa mu.
Dwuma a parasympathetic nhyehyɛe no di
Afã abien na ɛwɔ yɛn autonomic nervous system no mu:
1. Sympathetic system: Eyi ne nea ɛhwɛ "ko anaa guankɔbea" mmuae so. Fa no sɛ worenam abɔnten na ɔkraman bi ahuruw aba wo so mpofirim. Wo koma bɔ ntɛmntɛm, wo home kɔ soro, na wo ho fifiri. Eyi ne tema nhyehyɛe a esiesie wo ma asiane.
2. Parasympathetic system: Eyi ne nhyehyɛe a ɛhwɛ "home ne digest" tebea no so. Saa nhyehyɛe yi yɛ adwuma bere a woagye w’ahome bere a woadi aduan a ɛyɛ dɛ awie no, wo koma bɔ brɛoo, na w’aduan no yam yiye no.
Vagus ntini no ne nhyehyɛe a ɛma yɛn dwo na ɛma nipadua no san ba no wura, sɛnea yɛaka wɔ atifi hɔ no.
| Vagus ntini no dwumadi atitiriw | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Koma a ɛbɔ ne mogya mmoroso | Ɛboa ma yɛn koma bɔ brɛoo na yɛkɔ so yɛ komm. |
| Nnuan a wɔyam | Yafunu mu acid a ɛba no boa ma dwensɔtwaa no tumi yɛ adwuma yiye na ɛboa ma wɔyam aduan yiye. |
| Ahome a wɔhome | Ɛboa ma wohwɛ sɛnea wohome no so na ɛma wo bo dwo. |
| Ɔkasa ne ɔmene | Ɛboa yɛn ma yɛkasa na yɛmene denam ntini a ɛwɔ menewa ne nne adaka no mu a yedi so no so. |
| Nkwammoaa a ɛko tia nyarewa | Ɛboa ma wodi ɔfe a ɛwɔ nipadua no mu so. |
| Tebea | Ɛne yɛn adwenemyare wɔ abusuabɔ, titiriw nkate horow te sɛ dadwen ne ehu a yedi so. |
Ɔhaw ahorow bɛn na ɛka vagus ntini no?
Sɛ vagus nerve a ɛyɛ nnwuma a ɛho hia pii no ntumi nyɛ adwuma yiye a, yɛn nipadua no betumi ahyia ɔhaw ahorow. Tebea atitiriw abien na wotumi hu.
1. Yafunu mu yare a ɛma obi ho kyere no
Wɔfrɛ eyi kɛkɛ "yafunu mu a entumi nyɛ adwuma yiye." Sɛ vagus ntini no sɛe a, ntini a ɛwɔ yafunu no mu no nnya nsɛnkyerɛnne a ɛfata. Ne saa nti, aduan a yedi no fi yafunu mu kɔ dwensɔtwaa mu nkakrankakra, na ɛtɔ mmere bi a egyae koraa. Ɛte sɛ kar akwan a ayɛ ma.
Saa tebea yi betumi afi nneɛma te sɛ asikreyare, ɔyare mmoawa bi, ne yafunu mu oprehyɛn mu aba.
2. Vasovagal Syncope a ɛma obi ho yɛ hyew
Eyi ne "nhumu a ɛyera mpofirim" a yɛn nyinaa ate ho asɛm, na ebinom mpo anya mu osuahu.
Eyi ne sɛnea ɛyɛ adwuma: Vagus ntini no yɛ n’ade boro so wɔ tebea horow te sɛ ɔhyew a ano yɛ den, ehu, dadwen, ɛyaw, mogya a wohu, anaa gyinabea a ɛkyɛ ho. Eyi ma koma bɔ ne mogya mmoroso so tew mpofirim. Mogya dodow a ɛkɔ amemene no mu no so tew mpofirim, na ɛma yɛtotɔ piti, yɛn adwene ntew, na yɛhwe ase. Mpɛn pii no, eyi nti na mmofra totɔ piti bere a wɔreyɛ anɔpa nhyiam wɔ sukuu mu no.
Mpɛn pii no, eyi nyɛ tebea a asiane wom. Wobɛsan anya n’adwene wɔ bere tiaa bi akyi. Nanso, sɛ eyi taa si anaasɛ wupira bere a woahwe ase a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.
Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ ɔhaw bi wɔ vagus ntini no ho?
Sɛ ɔhaw bi wɔ vagus ntini no mu a, sɛnkyerɛnne ahorow no betumi ayɛ soronko a egyina ntini no fã a ɛka no so. Hwɛ sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi anaa.
- Yafunu mu yaw ne nea ɛyɛ ma: Sɛ wote nka sɛ woayɛ ma bere a woadi aduan kakraa bi mpo a, yafunu mu yaw.
- Acid reflux / GERD: Yafunu mu acid a ɛba soro kɔ menewa mu, na ɛma wo koko yɛ yaw.
- Ɛyɛ den sɛ wobɛmene: Sɛ woremene aduan a, wobɛte nka sɛ woremene.
- Nsakrae a ɛba koma a ɛbɔ mu: Koma a ɛbɔ so tew anaa ɛkɔ soro mpofirim.
- Adwene a ɛyɛ basaa ne ne ti a ɛyɛ hare: Ɔtotɔ piti, titiriw bere a ogyina hɔ no.
- Ɛnne sesa: ɛyɛ dede, ɛyɛ menewa bere a ɔrekasa.
- Aduan ho akɔnnɔ a ɛyera ne mu duru a ɛso tew: Aduan ho akɔnnɔ a ɛyera ne mu duru a ɛso tew a ntease biara nnim.
- Akisikuru ne ɔfe: Ɔfe, titiriw aduan a wɔanwe no.
Sɛ wokɔ so nya saa sɛnkyerɛnne ahorow yi biako anaa nea ɛboro saa a, mmu w’ani ngu so. Ɛho hia sɛ wokɔ w’abusua oduruyɛfo nkyɛn na woka ho asɛm.
Ɔkwan bɛn so na oduruyɛfo hu ɔhaw ahorow a ɛte sɛɛ na ɔsa?
Sɛ wokɔ oduruyɛfo nkyɛn a, obetie wo yare no ho sɛnkyerɛnne no yiye na wahwɛ wo. Afei, wobetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu dodow bi mfa nkyerɛ nea ɛde ɔhaw no ba ankasa.
- Upper endoscopy: Tube a ɛyɛ tratraa a wɔde mfoninitwa afiri ahyɛ menewa no ase de ahwehwɛ aduannoa ne yafunu mu.
- CT scan anaa MRI scan: Ɛde nipadua no mu mfonini a ɛkɔ akyiri di dwuma de hwɛ sɛ ɔhaw bi wɔ hɔ anaa.
- Echocardiogram: Hwɛ sɛnea koma no yɛ adwuma.
- Gastric emptying study: Sɔhwɛ a ɛkyerɛ bere tenten a egye ansa na aduan a wudi no afi wo yafunu mu akɔ wo dwensɔtwaa mu.
Sɛ wohu ɔhaw no wie a, oduruyɛfo no bɛkyerɛw ayaresa a ɛfata.
Akwan a wɔfa so sa yare
Ayaresa no gyina wo tebea no so.
- Wɔ gastroparesis ho no:
- Nsakrae a ɛba wɔ aduan mu:Sɛ́ anka wubedi aduan pii prɛko pɛ no, di nnuan nketenkete mpɛn pii da biara, na tew nnuan a srade ne ahoɔdennuru pii wom so.
- Nnuru: Nnuru a wɔde tew akisikuru, yafunu mu yaw, na ɛma yafunu no mu yɛ hunu ntɛmntɛm.
- Ayaresa afoforo: Wɔ tebea horow bi mu no, ebia ayaresa titiriw te sɛ anyinam ahoɔden a wɔde kanyan yafunu no ho behia.
- Wɔ Vasovagal Syncope ho no:
- Asetra kwan mu nsakrae: Kwati sɛ wubegyina hɔ bere tenten, da fam bere a wote nka sɛ woatɔ piti, anaasɛ wotra ase de wo ti to wo nkotodwe ntam.
- Aduane: Tu fo sɛ ɔnom nkyene ne nsu pii.
- Nnuru: Wobetumi akyerɛw nnuru bi ama obi de asiw mogya mmoroso ano.
- Compression stockings: Ebia wo duruyɛfo betu wo fo sɛ hyɛ stockings soronko a ɛmma mogya ntumi nkɔ wo nan mu.
Dɛn ne Vagus Ntini a Ɛkanyan (VNS)?
Eyi yɛ ayaresa a ɛkɔ akyiri kakra. Te sɛ pacemaker no, wɔde afiri ketewaa bi a ɛde anyinam ahoɔden nsɛnkyerɛnne kɔ vagus nerve no mu hyɛ koko no were ase. Ɛlektrik nsɛnkyerɛnne a ɛyɛ brɛoo a efi saa afiri yi mu no fa vagus ntini no mu kɔ amemene no mu, na ɛhwɛ amemene no anyinam ahoɔden dwumadi a ɛnkɔ so daa no so.
Mprempren wɔapene saa ayaresa yi so ama akisikuru ne adwenemhaw a emu yɛ den a ennyaa ayaresa afoforo. Nea ɛka ho no, wɔreyɛ nhwehwɛmu foforo wɔ mfaso a ɛwɔ so ma tebea horow te sɛ tiyɛ ne ntini mu yare ho.
Dɛn na yebetumi ayɛ na ama yɛn vagus ntini no akɔ so ayɛ yiye?
Yɛn ntini nyinaa a yɛbɛma ayɛ yiye nso ho hia yiye ma vagus ntini no akwahosan. Bɔ mmɔden sɛ wode nneɛma a ɛnyɛ den yi bɛhyɛ w’asetra mu.
- Aduan a ahoɔden wom: Di nhabannuru, nnuaba, ne nnuan a ahoɔden wom. Tew nnuan a wɔayɛ no foforo ne nnuan a asikre pii wom so sɛnea wubetumi.
- Apɔw-mu-teɛteɛ a wobɛyɛ no daa: Sɛ wo nantew bere tiaa bi, wutu mmirika, anaa wobɔ agumadi bi a w’ani gye ho da biara da a, eye ma ntini a ɛma wo ho yɛ hyew no yiye.
- Asikreyare ne mogya mmoroso ano aduru: Sɛ wowɔ saa tebea horow yi a, di so yiye sɛnea wo duruyɛfo kyerɛ wo.
- Adwennwen a wobɛtew so: Adwennwen ne yoga betumi aboa wo ma w’adwene adwo. Ahomegye a emu dɔ apɔw-mu-teɛteɛ yɛ ɔkwan pa a wɔfa so kanyan vagus ntini no.
- Da pa: Da a wobɛda sɛnea ɛsɛ da biara da no ho hia ma nipadua no nhyehyɛe nyinaa.
Nkrasɛm a Wɔde Kɔ Fie
- Vagus ntini yɛ ntini a ɛho hia yiye a efi yɛn amemene mu kɔ yɛn dwensɔtwaa mu na ɛhwɛ nipadua no dwumadi ahorow a ɛyɛ ne ho so (koma bɔ, aduan a wɔyam).
- Ɛyɛ nhyehyɛe no wura na ɔma yɛn bo dwo, na ɔka kyerɛ yɛn sɛ "yɛnhome na yɛnyam."
- Sɛ ntini yi sɛe a, ebetumi ama tebea horow te sɛ gastroparesis (adidi a ɛkyɛ) ne vasovagal syncope (a ɔtotɔ piti mpofirim) aba.
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ adwenemhaw a ɛtaa ba, ɛyɛ den sɛ wobɛmene, yafunu mu yaw a wontumi nkyerɛkyerɛ mu, anaasɛ wo mu duru so tew a, mmu w’ani ngu so.
- Sɛ w’adwene mu yɛ wo naa wɔ nsakrae bi a ɛba wo nipadua mu ho a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ wo duruyɛfo nkyɛn ntɛm ara na woahwehwɛ afotu.











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