Puas muaj tej lub sij hawm koj hws ntau yam tsis muaj laj thawj, lossis koj puas xav tias koj hws tsawg dua qee qhov chaw? Los yog koj puas muaj tej yam me me xws li loog hauv koj ob txhais ceg lossis kiv taub hau? Tej lub sij hawm nws yuav nyuaj rau tus kws kho mob nrhiav tau qhov ua rau muaj cov tsos mob no tam sim ntawd. Thaum lub sij hawm zoo li no, yuav muaj kev kuaj tshwj xeeb los saib seb puas muaj teeb meem nrog lub paj hlwb uas peb ua haujlwm tsis paub hauv peb lub cev (qhov uas tswj tej yam xws li ua pa thiab hws). Qhov no yog ib qho kev kuaj hu ua QSART.
Hais yooj yim xwb, QSART yog dab tsi?
QSART yog txhais los ntawm 'Quantitative Sudomotor Axon Reflex Test'. Txawm hais tias lub npe yuav zoo li nyuaj, nws yeej yooj yim heev. Hais yooj yim xwb, nws yog ib qho kev xeem uas ntsuas seb cov hlab ntsha uas tswj koj qhov kev tawm hws ua haujlwm zoo npaum li cas. Peb kuj hu nws ua 'kev xeem tawm hws'.
Xav txog nws, kev tawm hws yog qhov tseem ceeb heev rau kev tswj peb lub cev kub. Qhov kev tawm hws no yog tswj los ntawm ib feem tshwj xeeb ntawm peb lub paj hlwb. Hauv qhov kev xeem no, peb siv lub zog hluav taws xob me me rau thaj chaw me me ntawm koj daim tawv nqaij thiab ntsuas seb koj cov qog hws tsim tawm ntau npaum li cas los teb. Los ntawm kev ntsuas qhov ntau ntawm cov hws tsim tawm hauv txoj kev no, peb tuaj yeem tau txais lub tswv yim zoo ntawm kev ua haujlwm ntawm cov hlab ntsha koom nrog.
Muaj tej lub sijhawm twg uas tus kws kho mob yuav pom zoo kom kuaj qhov no?
Qhov kev kuaj QSART no pab tau zoo heev rau kev kuaj mob cov kab mob ntawm Autonomic Nervous System, uas tswj cov haujlwm ntawm peb lub cev uas peb tsis paub tswj (piv txwv li, lub plawv dhia, ntshav siab, hws, zom zaub mov). Nws kuj tseem siv los kuaj mob peripheral neuropathies, uas cuam tshuam nrog tej yam xws li loog ntawm ob txhais ceg, thiab qee yam mob.
Koj tus kws kho mob yuav qhia koj kom kuaj qhov no yog tias nws xav tias koj muaj ib qho ntawm cov mob hauv qab no:
- Autonomic neuropathy: Kev puas tsuaj rau cov hlab ntsha uas tswj cov haujlwm tsis siv neeg hauv peb lub cev.
- Mob hnyav hauv cheeb tsam (CRPS): Mob hnyav, mob ntev rau ntawm caj npab lossis ceg, feem ntau yog tom qab muaj xwm txheej.
- Kab mob neuropathy uas cuam tshuam nrog ntshav qab zib: Kev puas tsuaj rau cov hlab ntsha uas tshwm sim los ntawm ntshav qab zib.
- Multiple sclerosis: Ib yam kab mob uas ua rau cov hlab ntsha hauv lub hlwb thiab cov hlab ntsha caj qaum puas tsuaj.
- Postural orthostatic tachycardia syndrome (POTS): Ib qho mob uas lub plawv dhia nce ntxiv tsis zoo thaum sawv ntsug.
- Sjögren's syndrome:Ib yam kab mob ntawm lub cev tiv thaiv kab mob uas cuam tshuam rau cov qog uas tsim cov dej noo hauv lub cev (kua muag, qaub ncaug).
- Kab mob me me ntawm cov hlab ntsha (small fiber neuropathy): Cov tsos mob xws li mob thiab loog tshwm sim vim yog kev puas tsuaj rau cov hlab ntsha me me hauv daim tawv nqaij thiab cov kabmob.
Kuv yuav tsum npaj li cas rau qhov kev xeem no?
Ua ntej koj yuav kuaj QSART, koj tus kws kho mob yuav nrog koj tham thiab piav qhia txhua yam. Nws kuj tseem yuav muab qee cov lus qhia tshwj xeeb rau koj kom ua raws li kom paub tseeb tias cov txiaj ntsig ntawm kev kuaj yog qhov tseeb. Nws yog ib qho tseem ceeb heev uas koj yuav tsum ua raws li cov lus qhia no kom meej.
Cia peb saib lub rooj hauv qab no kom pom tias peb yuav tsum npaj li cas.
| Kev Qhia | Kev Piav Qhia thiab Vim Li Cas |
|---|---|
| Qee cov tshuaj | Tej zaum yuav muaj ib hnub lossis ob hnub uas yuav ua rau koj tsis txhob noj tej tshuaj uas yuav ua rau koj tsis zoo. Koj tus kws kho mob yuav qhia rau koj paub meej tias tej tshuaj ntawd yog dab tsi. Tsis txhob tsum noj tej tshuaj yam tsis tau nug koj tus kws kho mob ua ntej. |
| Cov khoom siv luam yeeb | Tsis txhob haus luam yeeb thiab siv lwm yam khoom haus luam yeeb tsawg kawg yog plaub teev ua ntej qhov kev kuaj mob. Cov no tuaj yeem cuam tshuam rau lub paj hlwb. |
| Khaub Ncaws | Hnav khaub ncaws xoob thiab xis nyob rau hnub uas yuav xeem. Tsis txhob hnav thom khwm nruj (stockings compression) rau hnub uas yuav xeem. |
| Cov tshuaj pleev thiab cov tshuaj pleev | Thaum sawv ntxov ntawm kev kuaj mob, tsis txhob siv tshuaj pleev, tshuaj pleev, lossis roj rau koj txhais tes thiab taw. Cov no tuaj yeem cuam tshuam rau cov khoom siv kuaj mob kom tsis txhob kov daim tawv nqaij. |
| Khoom noj thiab dej haus | Muaj qee cov lus qhia tshwj xeeb rau qhov no, uas peb yuav tham txog cais hauv qab no. |
Tej yam koj yuav tsum paub txog kev noj mov thiab haus dej ua ntej qhov kev kuaj mob
| Yuav Ua Li Cas | Lub Sijhawm |
|---|---|
| Tsis txhob haus dej cawv. | Txij li 12 teev ua ntej qhov kev xeem. |
| Tsis txhob haus tej yam uas muaj caffeine (tshuaj yej, kas fes, chocolate, qee yam dej qab zib). | Txij li 8 teev ua ntej qhov kev xeem. |
| Noj ib pluag mov me me (piv txwv li mov, ib daim mov ci) | 3 teev ua ntej qhov kev xeem. |
| Tsis txhob haus dab tsi li (txawm tias dej los xij). | Txij li 3 teev ua ntej qhov kev xeem. |
| Haus dej ntau thiab haus dej kom txaus. | Hnub ua ntej qhov kev xeem. |
Cov tshuaj twg yuav tsum tau tsum tsis txhob noj ua ntej kuaj?
Qhov tseem ceeb tshaj plaws: Tsis txhob tsum noj tshuaj kom txog thaum koj tus kws kho mob hais kom koj tsum. Qee cov tshuaj tuaj yeem ua rau muaj teeb meem ntxiv yog tias koj tsum tsis txhob noj lawv. Yog li, qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (xws li cov vitamins thiab cov tshuaj ntsuab). Nws yuav qhia koj yog tias koj xav tau tsum tsis txhob noj ib yam dab tsi thiab yuav tsum noj sai npaum li cas.
Hauv qab no yog qee cov tshuaj uas feem ntau cuam tshuam rau cov txiaj ntsig QSART. Koj tus kws kho mob yuav hais kom koj tsum tsis txhob noj qee cov no li 48 teev ua ntej kuaj.
- Cov tshuaj tua kab mob
- Cov tshuaj tiv thaiv kev nyuaj siab
- Cov tshuaj Antihistamines (tshuaj rau kev ua xua)
- Cov tshuaj tiv thaiv kev o
- Tshuaj aspirin
- Cov tshuaj kho ntshav siab
- Cov tshuaj diuretic
- Cov tshuaj kho mob khaub thuas lossis hnoos uas yuav tau ntawm daim ntawv yuav tshuaj
Zoo, tam sim no cia peb saib seb muaj dab tsi tshwm sim thaum peb ua qhov kev xeem.
Kev paub ua ntej tias yuav ua qhov kev xeem li cas yuav pab txo qhov kev ntxhov siab. Nws yog ib qho txheej txheem yooj yim heev.
1. Kev Npaj: Ua ntej, lawv yuav hais kom koj hle koj cov khau thiab thom khwm. Tom qab ntawd, lawv yuav hais kom koj zaum saum lub rooj kuaj mob lossis pw.
2. Kev ntxuav tawv nqaij: Tus kws kuaj mob yuav ntxuav thiab ziab daim tawv nqaij nyob ib puag ncig koj ob txhais ceg, taw, thiab dab teg kom huv si.
3. Txuas cov electrodes: Tom ntej no, plaub daim yas me me hu ua electrodes raug txuas rau koj daim tawv nqaij. Feem ntau peb daim raug txuas rau koj ob txhais ceg thiab ib daim rau koj lub dab teg.
4. Siv cov tshuaj tshwj xeeb: Tom ntej no, cov tshuaj hu ua 'acetylcholine' raug siv rau ntawm daim tawv nqaij qhov twg cov electrodes nyob. 'acetylcholine' yog ib yam tshuaj (neurotransmitter) uas muaj nyob hauv peb lub cev thiab nqa cov lus ntawm cov hlab ntsha. Ntawm no, nws yog siv los txhawb koj cov qog hws.
5. Pib qhov kev sim: Tam sim no lub tshuab QSART tau qhib lawm. Tom qab ntawd ib qho hluav taws xob me me heev raug xa mus rau koj daim tawv nqaij los ntawm cov electrodes. Qhov no tsis yog hluav taws xob loj, yog li tsis muaj dab tsi yuav tsum ntshai.
6. Kev ntsuas hws: Cov hluav taws xob no thiab cov kua 'acetylcholine' ua rau koj cov qog hws pib tsim hws. Lub tshuab ntsuas qhov ntau ntawm cov hws tsim tawm.
7. Rov ua dua: Tus tub ceev xwm yuav tshem cov electrodes thiab txuas lawv rau lwm qhov ntawm lub cev, rov ua cov txheej txheem.
Qhov kev kuaj no siv sijhawm ntev npaum li cas? Puas mob?
Feem ntau, tag nrho qhov kev kuaj mob yuav siv sijhawm li 45 feeb txog ib teev .
Qhov no tsis yog kev kuaj mob. Txawm li cas los xij, qee tus neeg yuav hnov me ntsis tsis xis nyob. Thaum cov hluav taws xob me me hla dhau daim tawv nqaij, nws yuav hnov zoo li khaus, me ntsis khaus, lossis kub hnyiab me ntsis, zoo li koob me me . Qhov no txawv ntawm ib tus neeg mus rau ib tus neeg. Txawm li cas los xij, nws tsis yog qhov mob uas tsis tuaj yeem ua tau. Yog tias koj hnov mob heev, qhia rau tus neeg ua qhov kev kuaj tam sim ntawd.
Tom qab kuaj tas, yuav muaj dab tsi tshwm sim? Thaum twg cov txiaj ntsig mam li muaj?
Tom qab qhov kev kuaj ntawd tas lawm, tus tub ceev xwm yuav tshem cov electrodes ntawm koj daim tawv nqaij. Tom qab ntawd, koj tuaj yeem hnav koj cov thom khwm thiab khau dua thiab nyob li qub.
Tej zaum koj yuav pom me ntsis liab lossis hloov xim ntawm daim tawv nqaij qhov chaw uas cov electrodes tau muab tso rau. Qhov no yog ib txwm muaj thiab yuav ploj mus tag hauv ob peb teev.
Cov ntaub ntawv tau los ntawm kev kuaj mob yuav raug xa mus rau tus kws kho mob uas tau xa koj mus rau qhov kev kuaj mob no. Nws yuav tiv tauj koj li ob peb hnub thaum cov txiaj ntsig tau los.
Yuav nkag siab cov txiaj ntsig ntawm QSART li cas?
Koj tus kws kho mob yuav tshuaj xyuas cov txiaj ntsig thiab piav qhia lawv lub ntsiab lus rau koj. Thaum saib cov txiaj ntsig no, muaj peb yam tseem ceeb uas yuav tsum nrhiav:
- Kev pib qeeb: Nws siv sijhawm ntev npaum li cas rau kev tawm hws kom tshwm sim tom qab kev txhawb nqa?
- Qhov ntau tshaj plaws ntawm cov hws tsim tawm: Thaum twg cov hws tsim tawm ntau tshaj plaws?
- Tag nrho cov hws: Muaj pes tsawg cov hws tau tsim tawm thaum lub sijhawm sim tag nrho?
Cov txiaj ntsig no tuaj yeem yog 'Ib txwm' lossis 'Txawv txawv'.
Qhov tshwm sim ib txwm yog dab tsi?
Yog tias qhov tshwm sim yog 'Ib txwm' (qee zaum hu ua 'qhov tshwm sim tsis zoo'), nws txhais tau tias qhov ntau thiab ntev ntawm koj cov hws tsim tawm yog nyob rau hauv qhov ntau thiab tsawg uas xav tau rau koj lub hnub nyoog thiab poj niam txiv neej. Qhov no txhais tau tias qhov kev kuaj tsis qhia txog teeb meem loj nrog kev ua haujlwm ntawm cov hlab ntsha uas tswj kev hws.
Qhov tshwm sim txawv txav / Zoo yog dab tsi?
Yog tias qhov tshwm sim yog 'Zoo' lossis txawv txav, nws txhais tau tias cov nqi kuaj txawv ntawm qhov xav tau. Piv txwv li, nws yuav siv sijhawm ntev kom pib tawm hws, lossis cov hws tsim tawm yuav tsawg dhau lossis ntau dhau.
Qhov no qhia tau tias muaj qee yam yuav cuam tshuam rau kev ua haujlwm ntawm koj lub paj hlwb autonomic.
Qhov tseem ceeb uas yuav tsum nkag siab ntawm no yog tias qhov tshwm sim ntawm kev kuaj QSART 'zoo' tsis tau txhais hais tias koj muaj kab mob. Nws txhais tau tias muaj qee yam tsis ua haujlwm zoo hauv koj lub paj hlwb autonomic thiab xav tau kev tshawb nrhiav ntxiv. Nws tsuas yog ib qho cim tseem ceeb uas tus kws kho mob yuav tau kuaj koj tus mob. Tom qab ntawd nws tuaj yeem txiav txim siab seb puas yuav ua qhov kev kuaj ntxiv lossis pib kev kho mob uas zoo rau koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- QSART yog ib qho kev kuaj mob uas muaj kev nyab xeeb thiab tsis mob uas ntsuas qhov ua haujlwm ntawm cov hlab ntsha uas tswj koj cov hws.
- Yuav kom tau txais cov txiaj ntsig tseeb, nws yog ib qho tseem ceeb uas yuav tsum ua raws li kev noj haus, tshuaj, thiab lwm yam lus qhia uas tus kws kho mob muab ua ntej qhov kev kuaj mob.
- Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj. Tsis txhob tsum tsis txhob noj tshuaj yam tsis tau koj tus kws kho mob qhia.
- Qhov mob uas koj hnov thaum lub sijhawm kuaj mob feem ntau yog mob tingling lossis kub hnyiab me ntsis. Nws tsis yog mob uas tsis tuaj yeem ua tau.
- Qhov tshwm sim ntawm kev kuaj mob uas 'zoo' (txawv txawv) tsis yog kev kuaj mob. Nws tsuas yog cov ntaub ntawv tseem ceeb uas pab koj tus kws kho mob tshawb xyuas koj tus mob ntxiv.
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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