Yala aw bɛ ɲɛnamini ni disidimi fana sɔrɔ ni aw barika banna wa? O bɛ se ka kɛ disautonomie ye.

Yala o delila ka nin ko in kɛ i la wa? Ni i barila ka wuli ka bɔ sigilan kan, i yeli bɛ kɛ nɛrɛ ye, i kun bɛ dimi , walima i disi bɛ barika daminɛ ka gosi ani i bɛ sumaya daminɛ kun ɲɛnama tɛ. Hali n’an bɛ se k’a miiri ko nin ko ninnu tɛ kojugu ye, tuma dɔw la, o taamasiɲɛw bɛ se ka sɔrɔ an farikolo ka kunbɛncogo nafama dɔ baarakɛbaliya fɛ. Bi, an bɛna kuma bana dɔ kan min bɛ wele ko disautonomie, mɔgɔ caman tɛ min dɔn, nka a ka ca kosɛbɛ.

Dysautonomia ye mun ye tigitigi?

N’an y’a fɔ cogo nɔgɔman na, disautonomie ye furakɛli cogoya kulu dɔ tɔgɔ ye min bɛ sɔrɔ an farikolo ka farikolo-ɲɛnajɛ-yɔrɔ (ANS) baarakɛbaliya fɛ .

Sisan, i bɛ se k’i yɛrɛ ɲininka ko autonome nervous system ye mun ye. Miiri k’a filɛ, fɛn minnu bɛ i n’a fɔ i dusukun tantanni, i ninakili, i ka dumunikɛcogo, i farikolo funteni, i ka tansiyɔn, a ɲɔgɔnnaw, olu tɛ fɛnw ye i ka kan ka miiri minnu na. U bɛ Kɛ otomatiki la, i n’a fɔ auto-pilot (oto-pilot) kan. O cogo de la autonome nervous system bɛ taabolo nafamaw Kɔrɔsi an farikolo la k’a sɔrɔ an yɛrɛ m’a Dɔn.

O la, ni nin sigida in kɔnɔ nɛrɛmuguma ma baara kɛ ka ɲɛ, fɛn minnu ka kan ka kɛ, olu bɛ daminɛ ka tiɲɛ u yɛrɛma. An bɛ o de wele ko disautonomie . A man teli ka kɛ i n’a fɔ i bɛ se k’a miiri cogo min na. Nin bana in bɛ mɔgɔ miliyɔn 70 ni kɔ la diɲɛ kɔnɔ. Ani fana, ɲinini minnu kɛra kɔsa in na, olu y’a jira ko mɔgɔ minnu bɛ balo ni bana taamasiɲɛ basigilenw ye COVID - 19 sɔrɔlen kɔfɛ, faratiba bɛ olu la ka disautonomi sɔrɔ.

Nin bana in suguya ni a taamasiɲɛ kunbabaw ye jumɛnw ye?

Disautonomi suguya 15 ɲɔgɔn bɛ yen. Tuma dɔw la, mɔgɔ bɛ se ka suguya caman sɔrɔ waati kelen na. An ka suguya dɔw lajɛ minnu ka ca kosɛbɛ.

Ka fara nin suguya kunbaba ninnu kan, suguya wɛrɛw bɛ yen minnu man ca i n’a fɔ ganglionopathie autonome autonome (AAG), baroreflexes détail (BF), familial dysautonomie (FD), failure pure autonome (PAF), ani atrophie multiple systeme (MSA). U taamasiɲɛw ni u juguya tɛ kelen ye.

Jɛɲɔgɔnya min bɛ COVID-19 ni Dysautonomie cɛ

COVID-19 bana kɔfɛ, baro min bɛ kɛ diyatɔni ko la, o cayara ka tɛmɛn fɔlɔ kan, bawo mɔgɔ caman minnu kɛnɛyara COVID fɛ, kɛrɛnkɛrɛnnenya la minnu tɔɔrɔla (COVID jan) fɛ, olu y’a daminɛ ka disautonomie taamasiɲɛw sɔrɔ.

Sɛgɛsɛgɛliw y’a jira ko (COVID jan) bɛ mɔgɔ minnu na, olu 30% ni 67% cɛ, disautonomie bɛ u la. Olu la, min fɔra ka caya, o ye bana ye an ye baro kɛ min kan ka tɛmɛ, n’o ye POTS ye .

Tiɲɛni minnu bɛ kɛ farikolo yɔrɔw la Covid banakisɛ fɛ, farikolo tangacogo caman yeli,Fɛn dɔnbagaw dalen b’a la ko fɛn minnu bɛ i n’a fɔ ɔrimɔni balanbaliya, olu bɛ se ka kɛ o sababu ye. Ani fana, fura dɔw bɛ di kɛnɛyasobaw la (ICU) bɛ se ka nɔ bila farikolo yɛrɛmahɔrɔnya la.

Nin bana in bɛ se ka sɛgɛsɛgɛ cogo di?

Ni nin taamasiɲɛ ninnu bɛ aw la, aw ka kan ka min kɛ fɔlɔ, o ye ka taa dɔgɔtɔrɔso la min bɛ se kosɛbɛ . Dɔgɔtɔrɔ bɛna aw ka bana taamasiɲɛw lamɛn ani ka aw sɛgɛsɛgɛ. O kɔ, u bɛ se ka sɛgɛsɛgɛli kɛrɛnkɛrɛnnen dɔw kɛ walasa ka a dɔn ni nin bana in bɛ aw la.

• Tilt Table Test: Nin ye sɛgɛsɛgɛli ye min nafa ka bon kosɛbɛ. Nin sɛgɛsɛgɛli in na, aw bɛ bila dilan kɛrɛnkɛrɛnnen dɔ kan, ka aw siri minɛnw na minnu bɛ aw dusukun tantanni, aw ka tansiyɔn ani oksizɛni hakɛ jateminɛ. O kɔ, dilan bɛ kɔrɔta dɔɔni dɔɔni ka a jɔ. Aw farikolo ka jaabi bɛ kɔlɔsi a jɔyɔrɔ caman cili la (aw dusukun tantanni ni aw tansiyɔn jiginni cogo min na).
• Sɛgɛsɛgɛli wɛrɛw : Ka fara o kan, ninakili sɛgɛsɛgɛliw, sumaya sɛgɛsɛgɛliw, joli sɛgɛsɛgɛliw, ani sɛgɛsɛgɛliw i n’a fɔ ECG ani Echo walasa ka dusukun baarakɛcogo lajɛ, olu bɛ se ka kɛ.

Disautonomie furakɛcogo jumɛnw bɛ yen?

O nafa ka bon ka o dɔn. Fura tɛ yen min bɛ wele ko disautonomia. Nka, o kɔrɔ tɛ ko i ka kan ka tɔɔrɔ nin cogo la. Furakɛli ni furakɛli suguya caman bɛ yen minnu bɛ se ka dɛmɛ don ka bana taamasiɲɛw kunbɛn ani ka ɲɛnamaya nɔgɔya.

Ka kɛɲɛ ni aw ka bana taamasiɲɛw ye ani aw ka bana suguya ye, aw ka dɔgɔtɔrɔ bɛ se ka aw laadi ko:

• Aw bɛ kɔgɔ dɔɔni fara aw ka dumuni kan: O bɛ se ka aw dɛmɛ ka tansiyɔn kunbɛn . Nka siga t’a la, aw ka kan ka o kɛ dɔrɔn aw ni aw kumana dɔgɔtɔrɔ fɛ. Farati b’a la ka kɔgɔ caman dun ni dɔgɔtɔrɔ ma ladilikan di aw ma, kɛrɛnkɛrɛnnenya la ni bana wɛrɛw bɛ aw la i n’a fɔ tansiyɔn jiginni.
• Ji caman minni tile bɛɛ kɔnɔ: O bɛ dɛmɛ don ka joli hakɛ ɲuman mara farikolo la.
• Fura minnu bɛ kɛ: Dɔgɔtɔrɔ bɛ se ka furaw di aw ma minnu bɛ tansiyɔn bonya, i n’a fɔ Fludrocortisone ani Midodrine . Ninnu ka kan ka kɛ i n’a fɔ dɔgɔtɔrɔ y’a fɔ aw ye cogo min na tigitigi.
• Aw bɛ aw ka sunɔgɔcogo Changer : Ni aw bɛ dilan kun kɔrɔta santimɛtɛrɛ 6-10 ɲɔgɔn na ka aw to sunɔgɔ la, o bɛ se ka a dɛmɛ ka bana taamasiɲɛ dɔw kunbɛn.
• Ka sosɛtiw don minnu bɛ kɛ ni compression ye:Olu bɛ dɔ bɔ joli dalajɛli la senw na, ka dɛmɛ don joli la.
• Farikoloɲɛnajɛ: Farikoloɲɛnajɛ porogaramu min bɛ daminɛ dɔɔni dɔɔni, dɔgɔtɔrɔ walima farikoloɲɛnajɛla dɔ bɛ min kɔlɔsi, o bɛ se ka nafa caman lase mɔgɔ ma.