Muaj pes tsawg yam tshwm sim hauv peb lub cev yam tsis tau peb paub txog? Peb tsis tas li xav txog tej yam xws li ua pa, lub plawv dhia, kev zom zaub mov, thiab kev tswj qhov kub ntawm lub cev. Tej yam no tshwm sim yam tsis tas yuav ua dab tsi, zoo li lub tsheb uas lub cev tsav nws tus kheej. Txhua yam uas tshwm sim yam tsis tas yuav ua dab tsi yog tswj los ntawm ib feem tshwj xeeb ntawm peb lub paj hlwb. Tab sis, yuav ua li cas yog tias lub paj hlwb no puas tsuaj vim muaj qee yam kab mob? Thaum ntawd qhov kev tswj hwm yam tsis tas yuav ua dab tsi pib tsis ua haujlwm. 'Autonomic Neuropathy', uas peb tab tom tham txog hnub no, yog hais txog ib qho mob zoo li no.
Kab mob Autonomic Neuropathy no yog dab tsi?
Hais yooj yim xwb, 'Autonomic Neuropathy' yog kev puas tsuaj rau cov hlab ntsha uas tswj cov haujlwm ntawm peb lub cev. Cov hlab ntsha no hu ua 'Autonomic Nervous System'. Cov hlab ntsha no, ua ke nrog peb lub hlwb thiab tus txha caj qaum, tswj kev ua haujlwm ntawm cov kabmob tseem ceeb xws li lub plawv, lub plab, txoj hnyuv, thiab lub zais zis.
Xav txog seb, txawm tias tej yam zoo li cov voj voog dub hauv koj lub qhov muag loj zuj zus thaum koj mus rau hauv chav tsaus ntuj, lossis lub qhov ncauj ntws dej thaum koj hnov cov zaub mov qab, yog tswj los ntawm lub cev no. Yog li thaum cov hlab ntsha no raug puas tsuaj, cov yam tsis siv neeg no tsis ua haujlwm zoo. Cov yam tseem ceeb uas tuaj yeem cuam tshuam yog:
- Ntshav siab
- Lub plawv dhia ceev
- Kev zom zaub mov
- Kev tso zis
- Kev txav ntawm txoj hnyuv
- Kev tswj qhov kub ntawm lub cev
- Kev ua haujlwm ntawm kev sib deev
Cov tsos mob ntawm qhov no yog dab tsi?
Cov tsos mob uas koj yuav ntsib yuav nyob ntawm seb cov hlab ntsha twg raug cuam tshuam. Cov tsos mob yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Cia peb saib cov tsos mob tseem ceeb.
| Lub kaw lus cuam tshuam | Cov tsos mob uas yuav tshwm sim |
|---|---|
| Kev zom zaub mov | Raws plab, cem quav, xav tias puv txawm tias noj me ntsis lawm los xij, ntuav, rov qab zom cov khoom noj uas tsis tau zom, nyuaj nqos, thiab mob hauv siab. |
| Lub plawv thiab cov hlab ntsha | Kiv taub hau lossis tsaus muag vim yog ntshav siab poob qis sai sai thaum sawv ntsug, lub plawv dhia ceev (tshwj xeeb tshaj yog thaum ua si nawv), ntshav siab. |
| Kev tso zis | Nyuaj tso zis, tsis muaj peev xwm tswj cov zis, tsis muaj peev xwm nchuav tag nrho lub zais zis, muaj kab mob hauv txoj hnyuv ntau zaus. |
| Qhov kub ntawm lub cev | Tawm hws thaum hmo ntuj, tawm hws ntau dhau los yog me me xwb, tawm hws thaum noj mov. |
| Kev ua ub ua no ntawm kev sib deev | Cov txiv neej muaj teeb meem erection, cov poj niam qhuav qhov chaw mos, tsis muaj kev ntshaw kev sib deev, thiab muaj teeb meem txog orgasm. |
| Lub ntsws thiab lub zeem muag | Ua pa nyuaj, kho qhov muag tsis pom kev thaum mus ntawm qhov chaw kaj mus rau qhov chaw tsaus ntuj, tsav tsheb nyuaj thaum hmo ntuj. |
Kev Tsis Paub Txog Kab Mob Ntshav Qab Zib thiab Hypoglycemia
Yog tias ib tug neeg uas muaj tus kab mob ntshav qab zib muaj tus kab mob "Autonomic Neuropathy", lwm yam teeb meem loj yuav tshwm sim. Qhov ntawd yog, tsis paub txog cov cim qhia tias cov ntshav qab zib qis heev (Hypoglycemia). Cov kws kho mob hu qhov no tias "Hypoglycemia Unawareness".
Feem ntau, yog tias koj lub paj hlwb autonomic ua haujlwm zoo, thaum koj cov ntshav qab zib poob qis heev, koj yuav muaj cov tsos mob xws li tshee hnyo, tawm hws, thiab lub plawv dhia ceev. Cov no yog "cov cim ceeb toom" uas koj lub cev muab rau koj. Txawm li cas los xij, ib tus neeg uas muaj Autonomic Neuropathy yuav tsis hnov cov cim ceeb toom no.
Qhov no yog ib qho xwm txheej txaus ntshai heev vim tias, yog tias koj tsis paub tias koj cov ntshav qab zib qis zuj zus, koj tuaj yeem tsaus muag, tsis nco qab, lossis muaj cov teeb meem loj dua.
Yog koj muaj hom mob "Hypoglycemia Unawareness" no, koj tus kws kho mob yuav qhia koj kom kuaj xyuas koj cov ntshav qab zib tsis tu ncua. Lawv kuj tseem yuav pom zoo kom siv lub "Continuous Glucose Monitor", uas ntsuas koj cov ntshav qab zib tsis tu ncua thiab yuav ceeb toom yog tias nws poob qis.
Dab tsi yog cov ua rau muaj qhov xwm txheej no?
Qhov ua rau cov hlab ntsha puas tsuaj yog ntshav qab zib . Yog tias tsis tswj tau ntshav qab zib ces yuav ua rau cov hlab ntsha no puas tsuaj. Dua li ntawm qhov ntawd, kuj muaj ntau yam ua rau.
- Kab mob ntshav qab zib: qhov ua rau tseem ceeb.
- Cov kab mob autoimmune: Cov kab mob uas lub cev lub cev tiv thaiv kab mob tawm tsam cov hlab ntsha. Piv txwv li suav nrog 'Rheumatoid Arthritis', 'Lupus', 'Guillain-Barré syndrome'.
- Tej yam kab mob: Cov kab mob xws li HIV thiab Lyme kab mob.
- Lwm yam kab mob: Kab mob Parkinson, amyloidosis, ib yam kab mob uas cov protein tso tawm tsis zoo.
- Qee cov tshuaj uas tau muab rau kev mob qog noj ntshav: Qee cov tshuaj chemotherapy.
- Haus dej cawv ntau dhau.
- Kev phais lossis kev raug mob rau tus txha nqaj qaum.
- Kev raug tshuaj lom neeg: Piv txwv li, cov hlau hnyav.
- Qee cov kab mob uas tau txais los ntawm noob caj noob ces.
Yuav kuaj mob li cas?
Tsis muaj ib qho kev kuaj mob twg los kuaj mob no. Koj tus kws kho mob yuav xub mloog koj cov tsos mob thiab kuaj lub cev. Tom qab ntawd, lawv yuav pom zoo kom kuaj ntshav ntau zaus kom paub qhov ua rau mob.
- Tshawb xyuas seb puas muaj ntshav qab zib.
- Tshawb xyuas lwm yam kab mob autoimmune.
- Tshawb xyuas seb puas muaj kab mob xws li HIV.
Tsis tas li ntawd xwb, tej zaum yuav muaj lwm yam kev kuaj tshwj xeeb nyob ntawm seb cov tsos mob zoo li cas:
- Kev ntsuam xyuas lub rooj qaij: Koj pw saum lub cuab yeej zoo li txaj thiab koj lub cev sab saud maj mam tsa siab zoo li koj sawv ntsug. Koj cov ntshav siab thiab lub plawv dhia raug saib xyuas. Qhov no tshwj xeeb tshaj yog rau cov neeg uas kiv taub hau thaum lawv sawv ntsug.
- Kev Ntsuas Qhov Ntsuas Sudomotor Axon Reflex (QSART): Qhov no ntsuas seb koj cov qog hws ua haujlwm li cas siv cov hluav taws xob me me.
- Kev ntsuam xyuas urodynamic: Kev ntsuam xyuas uas xyuas seb lub zais zis khaws cia thiab tso zis tawm zoo npaum li cas.
- Kev kuaj mob ultrasound: Qhov no pab kom tau txais cov duab ntawm sab hauv ntawm cov kabmob xws li lub zais zis thiab pom tseeb tias qhov teeb meem yog dab tsi.
- Kev kuaj plab zom mov tsis tu ncua: Ib qho kev kuaj uas kuaj xyuas seb puas muaj kev zom zaub mov tsis tu ncua, tshwj xeeb tshaj yog kev zom zaub mov qeeb qeeb (Gastroparesis).
Yuav kho li cas?
Qhov kev kho mob tseem ceeb ntawm no yogKho cov kab mob uas ua rau cov hlab ntsha puas tsuaj. Piv txwv li, yog tias koj muaj ntshav qab zib, koj yuav tsum tswj koj cov ntshav qab zib los ntawm kev noj zaub mov, kev tawm dag zog, thiab, yog tias tsim nyog, noj tshuaj. Yog tias nws yog kab mob autoimmune, koj yuav tsum tau txais kev kho mob rau nws.
Tib lub sijhawm ntawd, tus kws kho mob kuj yuav pom zoo ntau yam los tswj cov tsos mob uas tau tshwm sim.
Tseem Ceeb: Ib txwm nrog koj tus kws kho mob tham ua ntej siv cov tshuaj lossis txoj kev uas tau hais ntawm no.
| Cov tsos mob/Lub cev | Tej yam yuav tsum ua thiab kev kho mob |
|---|---|
| Teeb meem zom zaub mov | - Tsis txhob noj ntau yam ib zaug, noj ob peb pluag mov me me xwb. - Tsis txhob cem quav los ntawm kev noj cov khoom noj uas muaj fiber ntau thiab dej ntau. - Noj cov tshuaj laxatives raws li tus kws kho mob tau hais. - Noj tshuaj rau raws plab thiab mob plab. |
| Teeb meem tso zis | - Tsim kom muaj tus cwj pwm tso zis tsis tu ncua. - Noj tshuaj uas pab kom lub zais zis khoob tag. - Tshem tawm cov zis los ntawm kev ntxig ib lub catheter rau hauv lub zais zis. |
| Teeb meem tawm hws | - Noj cov tshuaj uas txo qhov hws (piv txwv li glycopyrrolate) raws li tus kws kho mob tau hais. - Nyob hauv tsev thaum muaj cua sov heev. |
| Teeb meem plawv thiab ntshav siab | - Noj tshuaj uas ua rau ntshav siab ntxiv (fludrocortisone, midodrine). - Noj cov tshuaj xws li 'beta-blockers' los tswj lub plawv dhia. - Maj mam sawv kom tsis txhob kiv taub hau. - Tsuas yog noj ntsev thiab dej ntxiv me ntsis yog tias koj tus kws kho mob pom zoo. |
| Teeb meem kev sib deev | - Siv cov tshuaj xws li 'sildenafil (Viagra)' rau kev ua haujlwm tsis zoo ntawm erectile, raws li tus kws kho mob tau sau tseg. - Rau cov poj niam, siv cov roj nplua nyeem uas muaj dej los pab kom qhov chaw mos qhuav. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Autonomic neuropathy yog kev puas tsuaj rau cov hlab ntsha uas tswj cov haujlwm tsis siv neeg hauv peb lub cev (xws li lub plawv dhia, kev zom zaub mov).
- Txawm hais tias feem ntau ua rau qhov no yog ntshav qab zib, ntau lwm yam kab mob thiab ua rau tuaj yeem pab txhawb.
- Tej zaum yuav muaj cov tsos mob tsis sib xws xws li kiv taub hau, tawm hws tsis zoo, teeb meem zom zaub mov, thiab tso zis nyuaj.
- Qhov tseem ceeb rau kev kho mob yog kho qhov ua rau mob. Tshwj xeeb tshaj yog tias koj muaj ntshav qab zib, kev tswj koj cov ntshav qab zib kom zoo tuaj yeem ua rau qeeb qeeb thiab tej zaum yuav kho tau qee qhov kev puas tsuaj ntawm cov hlab ntsha.
- Yog tias koj muaj cov tsos mob zoo li no, nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob tsis quav ntsej lawv, tab sis mus ntsib kws kho mob sai li sai tau kom paub qhov ua rau thiab tau txais kev kho mob tsim nyog.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus