Ɔmɔs tin dɛn kin apin na wi bɔdi we wi nɔ kin ivin no? Wi nɔ kin tink ɔltɛm bɔt tin dɛn lɛk aw wi de blo, aw wi at de bit, aw wi de it, ɛn aw wi de kɔntrol aw wi bɔdi de wam. Dɛn tin ya kin apin ɔtomɛtik wan, lɛk di ɔto-paylɔt sistem na motoka. Ɔltin we kin apin ɔtomɛtik wan na wan spɛshal pat pan wi nervɔs sistɛm kin kɔntrol am. Bɔt, wetin kin apin if dis nervɔs sistɛm dɔn pwɛl bikɔs ɔf sɔm sik dɛn? Na da tɛm de dis ɔtomɛtik kɔntrol bigin fɔ go haywire. `Autonomic Neuropathy`, we wi de tɔk bɔt tide, na bɔt dis kayn kɔndishɔn.
Wetin na dis Ɔtonomik Nyuropati?
Fɔ tɔk am simpul wan, `Autonomic Neuropathy` na damej pan di nεv dεm we de kכntro di כtomatכk fכnshכn dεm na wi bכdi. dεn kכl dεn nεv dεm ya di `Autonomic Nervous System`. dis nεv dεm, tכgeda wit wi bren εn spεnal kכd de kכntro di wok we di men כgan dεm lεk di at, bεlε, intestinal, εn blad de wok.
Jɔs tink bɔt, ivin tin dɛn lɛk di blak sɛklɔ dɛn na yu yay we de big we yu go insay dak rum, ɔ we yu mɔt wata we yu smɛl fayn it, na dis sistɛm de kɔntrol dɛn. So we dɛn nerv ya dɔn pwɛl, dɛn ɔtomɛtik tin ya nɔ kin wok fayn. De men tin wae kin apun na:
- Blɔd prɛshɔn
- At rit we yu de bit
- Di we aw pɔsin de digest
- We yu de pis
- Di we aw pɔsin kin muv di bɔdi
- Kɔntrol di tɛmpracha na di bɔdi
- Fɔ du mami ɛn dadi biznɛs wit ɔda pɔsin
Wetin na di sayn dɛm fɔ dis?
De sayn dɛm wae yu go gɛt go dipen pan us nerv dɛm wae de afɛkt. Di sayn dɛm kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Lɛ wi tek wan luk pan di men sayn dɛm.
| Sistɛm we dɛn afɛkt | Sɔm sayn dɛn we kin apin |
|---|---|
| Dijestiv sistɛm | Dayarɛa, kɔnstipɛshɔn, fil ful ivin afta yu it smɔl it, vɔmit, it we yu nɔ digest go bak, i nɔ izi fɔ swɛla, ɛn yu chɛst de pen. |
| At ɛn blɔd vesel dɛn | Diziz ɔ fɔdɔm we kin mek yu blɔd prɛshɔn go dɔŋ wantɛm wantɛm we yu tinap, at bit kwik kwik wan (especially we yu de du ɛksɛsayz), ay blɔd prɛshɔn. |
| Yurinari sistɛm | I nɔ kin izi fɔ pis, i nɔ kin ebul fɔ kɔntrol di urine, i nɔ kin ebul fɔ ɛmti di blad ɔltogɛda, i kin gɛt infɛkshɔn na di urinary tract bɔku tɛm. |
| Di tɛmpracha na di bɔdi | Swet na nɛt, swet pasmak ɔ smɔl smɔl, swet we yu de it. |
| Fɔ du mami ɛn dadi biznɛs | Man dεm kin gεt difrεnt fכ gεt erection, uman dεm kin gεt di vagina dray, dεn kin dכn dכn fכ du mami εn dadi biznεs, εn prכblεm fכ rich כrgazm. |
| Lɔng ɛn vishɔn | I nɔ kin izi fɔ yu fɔ blo, i nɔ kin izi fɔ ajɔst di we aw yu de si we yu de kɔmɔt na say we brayt to ples we dak, i nɔ kin izi fɔ drayv na nɛt. |
Dayabitis ɛn Haypoglycemia Unawareness
If pɔsin we gɛt dayabitis gɛt `Autonomic Neuropathy`, ɔda siriɔs kɔmplikeshɔn kin apin. Dat min se, nɔ fɔ no di wɔnin sayn dɛm fɔ di blɔd shuga lɛvɛl we denja fɔ shɔt (Hypoglycemia). Dɔktɔ dɛn kin kɔl dis `Hypoglycemia Unawareness`.
Nɔmal wan, if yu ɔtonomik nɛvɔ sistɛm de wok fayn, we yu blɔd shuga go dɔŋ bad bad wan, yu go gɛt sɔm sayn dɛn lɛk fɔ shek, swet, ɛn at bit kwik kwik wan. Dis na di "wɔnin sayn dɛm" we yu bɔdi de gi yu. Bɔt pɔrsin wae gɛt Autonomic Neuropathy nɔr kin fil dɛn wɔnin sayn ya.
Dis na tin we rili denja bikɔs, if yu nɔ no se yu blɔd shuga de go dɔŋ, yu kin fɔdɔm, yu nɔ go no natin, ɔ yu kin gɛt bad bad tin dɛn we kin apin to yu.
If yu gɛt dis kayn `Hypoglycemia Unawareness`, yu dɔktɔ go tɛl yu fɔ chɛk yu blɔd shuga lɛvɛl ɔltɛm. Dɛn kin se bak fɔ yuz `Continuous Glucose Monitor`, we de mɛzhɔ yu blɔd shuga lɛvɛl ɔltɛm ɛn mek alam if i drɔp.
Wetin na di tin dɛn we kin mek dis kayn tin apin?
Di men ɛn kɔmɔn tin we kin mek dis nerv pwɛl na dayabitis . As tɛm de go, dayabitis we pɔsin nɔ ebul fɔ kɔntrol kin pwɛl dɛn nerv ya. Apat frɔm dat, bɔku ɔda tin dɛn kin de we kin mek pɔsin gɛt dis sik.
- Dayabitis: Na di men tin we kin mek i gɛt sik.
- Autoimyun sik dεm: Na sik dεm we di bכdi in yon imyun sistεm de atak di nεv dεm. Ɛgzampul dɛn na `Rɛumatɔyd Atraytis`, `Lupus`, `Guillain-Barré sindrom`.
- Sɔm infɛkshɔn: Infɛkshɔn lɛk HIV ɛn Laym sik.
- Ɔda sik dɛn: Pakinsin sik, amyloidosis, na sik we de mek di prɔtin we nɔ de wok fayn.
- Sɔm mɛrɛsin dɛn we dɛn kin gi fɔ kansa: Sɔm kemotɛrapi mɛrɛsin dɛn.
- Fɔ drink rɔm pasmak.
- Ɔpreshɔn ɔ injuri na di spayna.
- We pɔsin gɛt kemikal dɛn: Fɔ ɛgzampul, ebi ebi mɛtal dɛn.
- Sɔm sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa.
Aw fɔ no di sik?
Nɔr wan tɛst nɔr de fɔ no dis sik. Yu dɔktɔ go fɔs lisin to yu sayn dɛm ɛn du yu bɔdi ɛgzam. Dɔn, dɛn kin tɛl yu fɔ du bɔku blɔd tɛst fɔ no di tin we mek yu gɛt am.
- Chek fɔ si if yu gɛt dayabitis.
- Chek fɔ ɔda sik dɛn we pɔsin kin gɛt we i de fɛt insɛf.
- Chek fɔ infɛkshɔn lɛk HIV.
Apat frɔm dat, dɛn kin du ɔda spɛshal tɛst dɛn dipen pan di sayn dɛm:
- Tilt-table test: Yu ledɔm pan tin we tan lɛk bed ɛn yu ɔp bɔdi de es ɔp smɔl smɔl lɛk se yu tinap. Dɛn kin wach yu blɔd prɛshɔn ɛn yu at rit. Dis kin fayn mɔ fɔ pipul dɛn we kin gɛt diziz we dɛn tinap.
- Quantitative Sudomotor Axon Reflex Test (QSART): Dis de tɛst aw yu swet gland dɛn de wok bay we yu de yuz wan rili smɔl ilɛktrik kɔrɛnt.
- Urodynamic tests: Test dεm we de chεk aw di blad de stכr εn ɛmti urine fayn fayn wan.
- Ultrasound scan: Dis kin ɛp fɔ gɛt pikchɔ dɛn fɔ di insay pat pan di ɔgan dɛn lɛk di blad ɛn si ɛksaktɔli wetin na di prɔblɛm.
- Gastrik εmpti tεst: na tεst we de chεk fכ di digεsshכn we nכ de rεgulεr, spεshal wan we di bεlε de εmpti sloslo (Gastroparesis).
Aw dɛn kin trit am?
Di men tritmɛnt we de ya naFɔ trit di sik we de ɔnda di sik we mek di nerve damej. Fɔ ɛgzampul, if yu gɛt dayabitis, yu nid fɔ kɔntrol di shuga na yu blɔd bay we yu de it, ɛksesaiz, ɛn if nid de, yu fɔ tek mɛrɛsin. If na ɔtoimyun sik, yu nid fɔ gɛt tritmɛnt fɔ am.
Na di sem tɛm, di dɔktɔ go tɛl yu bak fɔ du difrɛn tin dɛn fɔ kɔntrol di sayn dɛn we dɔn kam.
Impɔtant: Ɔltɛm go to yu dɔktɔ bifo yu fala ɛni mɛrɛsin ɔ we dɛn tɔk bɔt na ya.
| Simptom/Sistem fɔ di sik | Tin dɛn fɔ du ɛn di tritmɛnt dɛn |
|---|---|
| Prɔblɛm dɛn we gɛt fɔ du wit di we aw pɔsin de digest | - Nɔ it bɔku wan tɛm, it sɔm smɔl smɔl it dɛn. - Nɔ gɛt kɔnstipɛshɔn bay we yu de it mɔ it ɛn wata we gɛt fayv. - Fɔ tek laxatives lɛk aw dɔktɔ tɛl yu. - Fɔ tek mɛrɛsin fɔ dayarɛa ɛn bɛlɛ pen. |
| Prɔblɛm dɛn we pɔsin kin gɛt we i de pis | - Mek yu gɛt abit fɔ pis ɔltɛm. - Fɔ tek mɛrɛsin dɛn we de ɛp fɔ ɛmti di blad ɔltogɛda. - Fɔ pul di urine bay we yu put kateshɔn insay di blad. |
| Prɔblɛm dɛn we pɔsin kin gɛt we i de swet | - Fɔ tek mɛrɛsin we de ridyus di swet (e.g. glycopyrrolate) lɛk aw dɔktɔ tɛl yu. - Fɔ de insay os we di ples wam bad bad wan. |
| Prɔblɛm dɛn we gɛt fɔ du wit at ɛn blɔd prɛshɔn | - Fɔ tek mɛrɛsin dɛn we de mek yu blɔd prɛshɔn go ɔp (fludrocortisone, midodrine). - Fɔ tek mɛrɛsin lɛk `beta-blockers` fɔ kɔntrol di at rit. - Grap sloslo fɔ mek yu nɔ gɛt diziz. - Na smɔl mɔ sɔl ɛn wata nɔmɔ if yu dɔktɔ tɛl yu fɔ tek am. |
| Prɔblɛm dɛn we gɛt fɔ du wit mami ɛn dadi biznɛs | - Yuz drɔgs lɛk `sildenafil (Viagra)` fɔ erectile dysfunction, lɛk aw dɔktɔ tɛl am. - Fɔ uman, yuz wata-based lɔbrik fɔ mek yu vagina nɔ dray. |
Mɛsej we dɛn kin kɛr go na os
- כtonomik nyuropati na di damej pan di nεv dεm we de kכntro di כtomatכk fכnshכn dεm na wi bכdi (lεk at bit, digεsshכn).
- Pan ɔl we di tin we kin mek pɔsin gɛt dis sik pas ɔl na dayabitis, bɔku ɔda sik dɛn ɛn tin dɛn we kin mek pɔsin gɛt dis sik kin mek pɔsin gɛt dis sik.
- Sɔmtɛm tin dɛn we nɔ gɛt natin fɔ du wit am lɛk we yu de tɔn diziz, we yu nɔ de swet, we yu nɔ de it fayn, ɛn we i nɔ izi fɔ pis, kin apin wantɛm wantɛm.
- Di men tin fɔ tritmɛnt na fɔ trit di ɔndalayn kɔz. Ɛspɛshali if yu gɛt dayabitis, if yu kɔntrol yu blɔd shuga fayn fayn wan, dat kin mek yu slo ɛn sɔntɛm i kin ivin chenj sɔm pan di nerve dɛm we dɔn pwɛl.
- If yu gɛt sɔm kayn sik lɛk dis, i rili impɔtant fɔ lɛ yu nɔ ignore dɛn, bɔt fɔ go to dɔktɔ kwik kwik wan fɔ no wetin mek yu gɛt dis sik ɛn gɛt di tritmɛnt we yu nid.
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