Koj puas tau muaj qhov no tshwm sim rau koj? Thaum koj sawv ntawm lub rooj zaum tam sim ntawd, koj lub zeem muag dub, koj lub taub hau kiv taub hau , lossis koj lub hauv siab pib dhia thiab koj pib hws yam tsis muaj laj thawj. Txawm hais tias peb xav tias cov no yog qhov ib txwm muaj, qee zaum cov tsos mob no tuaj yeem tshwm sim los ntawm kev ua haujlwm tsis zoo hauv ib qho ntawm peb lub cev cov kab ke tswj hwm tseem ceeb tshaj plaws. Hnub no, peb yuav tham txog ib qho mob hu ua dysautonomia, uas ntau tus neeg tsis paub txog, tab sis nws yog ib qho uas tshwm sim ntau heev.
Dysautonomia yog dab tsi tiag?
Hais yooj yim xwb, dysautonomia yog lub npe dav dav rau ib pawg mob uas tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm peb lub cev Autonomic Nervous System (ANS) .
Tam sim no tej zaum koj yuav xav paub tias lub paj hlwb autonomic yog dab tsi. Xav txog nws, tej yam xws li koj lub plawv dhia, koj ua pa, koj zom zaub mov, koj lub cev kub, koj cov ntshav siab, thiab lwm yam, tsis yog tej yam uas koj yuav tsum xav txog. Lawv tshwm sim yam tsis tas siv tes, zoo li thaum ua haujlwm yam tsis tas siv tes. Yog li ntawd lub paj hlwb autonomic tswj cov txheej txheem tseem ceeb hauv peb lub cev yam tsis tau peb paub txog.
Yog li, thaum cov hlab ntsha hauv lub cev no tsis ua haujlwm zoo, tej yam uas yuav tsum tshwm sim yuav pib ua tsis ncaj ncees lawm. Qhov ntawd yog qhov peb hu ua dysautonomia . Nws tsis yog qhov tsawg li koj xav. Ntau tshaj 70 lab tus tib neeg thoob ntiaj teb muaj tus mob no. Tsis tas li ntawd, kev tshawb fawb tsis ntev los no tau pom tias cov neeg uas nyob nrog cov tsos mob tas li tom qab lawv muaj COVID - 19 muaj feem ntau dua ntawm kev mob dysautonomia.
Cov hom thiab cov tsos mob tseem ceeb ntawm tus mob no yog dab tsi?
Muaj li ntawm 15 hom dysautonomia. Qee zaum ib tus neeg muaj ntau tshaj ib hom tib lub sijhawm. Cia peb saib qee hom uas pom ntau tshaj plaws.
| Hom Kab Mob Dysautonomia | Cov tsos mob feem ntau |
|---|---|
| Kev Mob Pw Tsaug Zog Orthostatic Tachycardia Syndrome (POTS) | Qhov no yog hom mob uas feem ntau tshwm sim. Cov tsos mob muaj xws li lub plawv dhia ceev thaum sawv ntawm qhov chaw zaum, kiv taub hau, tsis muaj zog, ua tsis taus pa, mob hauv siab, qaug zog, teeb meem pw tsaug zog, thiab nyuaj rau kev tawm dag zog. |
| Kev mob hypotension hauv lub cev (OH) | Lub cev tsis muaj peev xwm tswj tau ntshav siab thaum sawv ntsug. Cov tsos mob muaj xws li kiv taub hau, pom kev tsis meej, mob taub hau, xeev siab, tsis muaj zog, thiab hauv siab nruj. |
| Vasovagal syncope (VVS) | Qhov no yog kev poob siab tam sim ntawd (tsaus muag). Qhov no yog tshwm sim los ntawm kev poob qis ntawm cov ntshav siab thiab lub plawv dhia. Ua ntej koj tsaus muag, koj yuav hnov mob hws txias, xeev siab, kub, thiab qhov muag xiav. |
| Kev mob sinus tachycardia tsis tsim nyog (IST) | Lub plawv dhia ceev tshaj 100 zaus ib feeb yam tsis muaj laj thawj, txawm tias thaum so. Cov tsos mob tseem ceeb yog mob hauv siab. Nws kuj tseem tuaj yeem nrog qaug zog, kiv taub hau, thiab ua pa nyuaj. |
Ntxiv rau cov hom kab mob tseem ceeb no, muaj lwm cov hom kab mob tsis tshua muaj xws li autoimmune autonomic ganglionopathy (AAG), baroreflex failure (BF), familial dysautonomia (FD), pure autonomic failure (PAF), thiab multiple system atrophy (MSA). Lawv cov tsos mob thiab qhov hnyav sib txawv.
Qhov tseem ceeb yog tias cov tsos mob no yuav tsis pom tseeb sab nraud. Yog li thaum ib tug neeg hais tias "Kuv nkees" lossis "Kuv kiv taub hau," tsis txhob xav tias nws yog ib yam dab tsi uas lawv hais. Tej zaum yuav muaj ib qho laj thawj kho mob tom qab nws.
Kev sib txuas ntawm COVID-19 thiab Dysautonomia
Tom qab muaj tus kab mob COVID-19 kis thoob plaws ntiaj teb, kev sib tham txog dysautonomia tau nce ntxiv, vim tias ntau tus neeg uas tau zoo los ntawm COVID, tshwj xeeb tshaj yog cov neeg uas raug kev txom nyem los ntawm (Long COVID), tau pib muaj cov tsos mob ntawm dysautonomia.
Kev tshawb fawb pom tau tias ntawm 30% thiab 67% ntawm cov neeg uas muaj (COVID Ntev) muaj dysautonomia. Qhov feem ntau tshaj plaws ntawm cov no yog tus mob uas peb tau tham ua ntej, POTS .
Kev puas tsuaj rau cov nqaij ntawm lub cev uas tshwm sim los ntawm tus kab mob Covid, kev hloov pauv ntawm lub cev tiv thaiv kab mob,Cov kws tshaj lij ntseeg tias tej yam xws li kev tsis sib npaug ntawm cov tshuaj hormones tej zaum yuav yog qhov ua rau muaj qhov teeb meem no. Tsis tas li ntawd, qee cov tshuaj uas muab rau hauv chav kho mob hnyav (ICUs) tuaj yeem cuam tshuam rau lub paj hlwb autonomic.
Yuav kuaj mob li cas?
Yog koj muaj cov tsos mob no, thawj qhov koj yuav tsum ua yog mus ntsib kws kho mob uas muaj kev paub dhau los . Tus kws kho mob yuav mloog koj cov tsos mob thiab kuaj koj. Tom qab ntawd, lawv yuav ua qee qhov kev kuaj tshwj xeeb los xyuas kom meej tias koj puas muaj tus mob no.
- Kev Ntsuas Rooj Tilt: Qhov no yog qhov kev xeem tseem ceeb tshaj plaws. Hauv qhov kev xeem no, koj raug muab tso rau ntawm ib lub txaj tshwj xeeb thiab txuas nrog cov khoom siv uas ntsuas koj lub plawv dhia, ntshav siab, thiab cov pa oxygen. Tom qab ntawd lub txaj maj mam tig mus rau qhov chaw ncaj. Koj lub cev teb rau qhov kev hloov pauv ntawm qhov chaw (koj lub plawv dhia thiab ntshav siab hloov li cas) raug saib xyuas.
- Lwm yam kev kuaj: Tsis tas li ntawd, kev kuaj ua pa, kev kuaj hws, kev kuaj ntshav, thiab kev kuaj xws li ECG thiab Echo los xyuas kev ua haujlwm ntawm lub plawv yuav raug ua.
Cov kev kho mob rau dysautonomia yog dab tsi?
Qhov no yog ib qho tseem ceeb uas yuav tsum paub. Tsis muaj kev kho rau dysautonomia. Txawm li cas los xij, qhov ntawd tsis tau txhais hais tias koj yuav tsum raug kev txom nyem zoo li no. Muaj ntau txoj kev kho mob thiab kev tswj hwm uas tuaj yeem pab tswj cov tsos mob thiab ua rau lub neej yooj yim dua.
Nyob ntawm koj cov tsos mob thiab qhov xwm txheej ntawm koj tus mob, koj tus kws kho mob yuav qhia koj kom:
- Ntxiv ntsev me ntsis rau hauv koj cov zaub mov noj: Qhov no tuaj yeem pab tswj cov ntshav siab . Tab sis koj yuav tsum ua qhov no tsuas yog tom qab tham nrog koj tus kws kho mob. Nws yog qhov txaus ntshai rau kev noj ntsev ntau dhau yam tsis tau kev qhia los ntawm kws kho mob, tshwj xeeb tshaj yog tias koj muaj lwm yam mob xws li ntshav siab.
- Haus dej ntau thoob plaws hnub: Qhov no pab tswj kom cov ntshav ntws zoo hauv lub cev.
- Cov Tshuaj: Koj tus kws kho mob yuav sau ntawv kom siv cov tshuaj kom ntshav siab ntxiv, xws li Fludrocortisone thiab Midodrine . Cov no yuav tsum siv raws nraim li koj tus kws kho mob qhia rau koj.
- Hloov koj txoj kev pw tsaug zog: Kev tsa lub taub hau ntawm lub txaj li 6-10 ntiv tes thaum pw tsaug zog tuaj yeem pab tswj qee cov tsos mob.
- Hnav cov thom khwm compression:Cov no txo cov ntshav sib sau ua ke hauv ob txhais ceg thiab pab kom cov ntshav ncig tau zoo.
- Kev Ua Si: Ib qho kev pab cuam kev ua si uas pib qeeb qeeb thiab muaj kev saib xyuas los ntawm tus kws kho mob lossis tus kws kho lub cev tuaj yeem pab tau zoo heev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Dysautonomia yog ib qho mob tiag tiag. Nws tsis yog ib yam dab tsi uas koj xav txog, lossis "dhuav." Nws yog ib qho teeb meem nrog lub cev lub cev tswj hwm tus kheej.
- Yog tias koj tseem muaj cov tsos mob xws li kiv taub hau thaum sawv ntsug, qaug zog heev, thiab mob hauv siab uas tsis paub meej, tsis txhob txaj muag txog qhov no thiab mus ntsib kws kho mob.
- Yog tias koj pib muaj cov tsos mob no tom qab kis tus kab mob COVID, tsis txhob hnov qab qhia rau koj tus kws kho mob.
- Txawm hais tias tsis muaj kev kho mob tag nrho rau qhov no los xij, muaj ntau yam kev kho mob uas tuaj yeem pab koj tswj cov tsos mob thiab ua neej nyob li qub.
- Tsis txhob kuaj mob koj tus kheej lossis siv tshuaj rau koj tus kheej raws li koj nyeem hauv internet lossis hnov los ntawm tib neeg. Mus ntsib kws kho mob thiab nrhiav cov lus qhia kom raug.
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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