Kan taksaah thil engzat nge kan inhriat loh pawha thleng thin? Thâwk lak dan, thinlung thawk, chaw ei dan, taksa lum leh vawt thunun ang chi thilte hi kan ngaihtuah ngai lo. Heng thilte hi a thleng nghal mai a, car auto-pilot system ang chi hi a ni. Automatic-a thil thleng zawng zawng hi kan nervous system peng bik pakhatin a thunun vek a ni. Mahse, natna thenkhat avanga he nervous system hi a chhiat chuan eng nge thleng ang? Chutih lai chuan he automatic control hi a lo haywire tan ta a ni. Tuna kan sawi tak `Autonomic Neuropathy` hi chutiang dinhmun chungchang a ni.
Hei hi Autonomic Neuropathy hi eng nge ni?
A awlsam zawngin `Autonomic Neuropathy` tih hi kan taksa automatic functions control tu nerve te tihchhiat a ni. Heng nerve te hi `Autonomic Nervous System` an ti a. Heng nerve te hian kan thluak leh ruhro te nen hian taksa peng lian tak tak, thinlung, pum, intestines, leh bladder te hnathawh dan an thunun a ni.
Ngaihtuah teh, pindan thim takah i luh chuan i mitmeng dum (black circles) a lian zual zel emaw, ei tur tui tak i rim hriat chuan i hmuiah a tui chhuak tih ang chi thil te pawh hi he system hian a thunun a ni. Chuvangin heng nerve te hi a chhiat chuan heng automatic thil te hian hna a thawk tha lo. A nghawng thei berte chu:
- Thisen sang a ni
- Lungphun a thawk chhuak
- Chaw ei dan (digestion) a ni
- Zun chhuah
- Bowel movement te hi a ni
- Taksa lum leh vawt control
- Sexual function hmanga hnathawh dan
Hei hi eng symptoms nge ni?
I natna lan chhuah dan chu eng nerve nge a nghawng tih ah a innghat ang. Mi tin hian natna lan chhuah dan a inang lo thei. A lan chhuah dan bulpui te han thlir ila.
| A nghawng system | Symptoms awm thei te |
|---|---|
| Chaw ei dan (digestive system) a ni | Diarrhea, constipation, ei tur tlemte ei hnu pawha chaw ei kham, luak chhuak, chaw ei loh regurgitation, ei harsa, leh rilru na. |
| Thinlung leh thisen kalna kawngte | Ding laia thisen sang tlahniam nghal vanga luak chhuak emaw, muhil emaw, thinlung thawk chak (a bik takin exercise lai), thisen sang. |
| Urinary system a ni | Zun harsatna, zun thunun theih loh, zun kawng khar vek theih lohna, zun kawng infection awm fo. |
| Taksa lum leh vawt | Zanah thawk hah, thawmhnaw tam lutuk emaw, tlem lutuk emaw, chaw ei laia thawk hah. |
| Mipat hmeichhiatna hman dan | Mipa chuan erection neih harsa an ti a, hmeichhia chuan vaginal dryness an nei a, mipat hmeichhiatna lama duhna a tlahniam a, orgasm neih kawngah harsatna an nei bawk. |
| Lung leh mit hmuhna | Thâwk harsa, hmun eng atanga hmun thim lama kal dawna mit hmuh dan siamrem harsa, zan lama lirthei khalh harsa. |
Diabetes leh Hypoglycemia hriat lohna
Zunthlum vei miin `Autonomic Neuropathy` a neih chuan harsatna lian tham dang a awm thei bawk. Chu chu thisen sugar level hlauhawm taka tlahniam (Hypoglycemia) vaukhânna chhinchhiahna hriat loh tihna a ni. Hei hi Doctor-te chuan `Hypoglycemia Unawareness` an ti a.
A tlangpuiin i autonomic nervous system a thawk tha a nih chuan i thisen sugar hlauhawm taka a tlahniam chuan i khur, thawk hah, leh thinlung na chak tak ang chi symptoms i nei ang. Hengte hi i taksain a pek che "warning signs" te chu a ni. Mahse, Autonomic Neuropathy vei chuan heng vaukhânna chhinchhiahnate hi a hre lo mai thei.
Hei hi thil hlauhawm tak a ni a, a chhan chu, i thisen sugar a tlahniam tih i hriat loh chuan i muhil thei a, i hriatna i hloh thei a, a rah chhuah pawi zawk pawh i nei thei bawk.
Hetiang `Hypoglycemia Unawareness` i neih chuan i doctor chuan i thisen sugar level enfiah fo turin a hrilh ang che. Tin, `Continuous Glucose Monitor` hman an rawt thei bawk a, hei hian i thisen sugar level a teh fo a, a tlahniam chuan alarm a tichhuak bawk.
Hetiang dinhmun hi engte nge ni?
Hetiang nerve chhiatna thlentu ber leh tam ber chu zunthlum a ni . Hun a kal zel a, zunthlum thunun theih loh hian heng nerve te hi a tichhe thei a ni. Chumi piah lamah chuan a chhan dang engemaw zat a awm thei bawk.
- Zunthlum: A chhan ber.
- Autoimmune diseases: Taksa ngeiin a taksain a beih nasat em emna natna a ni. Entirnan, `Rheumatoid Arthritis`, `Lupus`, `Guillain-Barré syndrome` te hi a ni.
- Infection thenkhat: HIV leh Lyme natna ang chi natna.
- Natna dang: Parkinson natna, amyloidosis, protein awm dan pangngai lo avanga natna lo awm.
- Cancer damdawi pek thenkhat: Chemotherapy damdawi thenkhat.
- Zu in tam lutuk.
- Surgery emaw, ruhro hliam emaw a awm.
- Chemical nena inzawmna: Entirnan, heavy metals.
- Hriselna atanga lo piang natna thenkhat.
Engtin nge natna hi kan hriat theih ang?
Hetiang dinhmun hi hriat theihna tur test pakhat mah a awm lo. I doctor chuan i natna lan chhuah dan a ngaithla hmasa ang a, taksa enfiahna a nei hmasa ang. Tichuan, a chhan hriat tumin thisen test vawi engemaw zat neih an rawt mai thei.
- Diabetes a awm leh awm loh enfiah thin ang che.
- Autoimmune natna dang a awm leh awm loh enfiah thin ang che.
- HIV ang chi infection awm leh awm loh enfiah thin ang che.
Chu bakah, a lan chhuah dan azirin special test dang pawh tih theih a ni bawk:
- Tilt-table test: Khum ang chi hmanruaah i mu a, i taksa chunglam chu ding ang maiin a chawi sang zauh zauh a. I thisen sang leh heart rate te an enfiah thin. Hei hi ding chhuakin luak chhuak thin tan a tangkai hle.
- Quantitative Sudomotor Axon Reflex Test (QSART): Hei hian electrical current tlemte tak hmangin i thawmhnaw hrui hnathawh dan a test thin.
- Urodynamic tests: Bladder-in zun a khawlkhawm leh a chhuah that dan enfiahna test.
- Ultrasound scan: Hei hian bladder ang chi taksa peng chhung lam thlalak a la thei a, eng harsatna nge awm tih chiang takin a hmu thei bawk.
- Gastric emptying test: Chaw ei dan mumal lo, a bik takin pum zawi zawi (Gastroparesis) a awm leh awm loh enfiahna test a ni.
Engtin nge enkawl a nih?
Heta enkawl dan ber chuNerve tihchhiatna thlentu natna hnuaia awm enkawl. Entirnan, zunthlum i vei chuan ei leh in, exercise leh a tul chuan damdawi hmangin i thisen sugar level i control a ngai a ni. Autoimmune natna a nih chuan enkawlna i lak a ngai a ni.
Chutih rual chuan Doctor pawhin symptoms lo awm tawhte control nan thil chi hrang hrang a rawt bawk ang.
Pawimawh: Heta tarlan damdawi emaw, hmanraw emaw i hman hmain doctor rawn hmasa phawt ang che.
| A lan chhuah dan/System | Thil tih tur leh enkawl dan tur |
|---|---|
| Chaw ei leh in lama harsatna a awm | - Vawi khatah ei tam suh, chaw te te eng emaw zat ei thin ang che. - Fiber tamna ei tur leh tui ei tam la, chaw ei kham loh tur. - Doctor-in a tih angin laxatives ei. - Luak leh pum na damdawi ei. |
| Zun lama harsatna a awm | - Hun pangngaia zun chhuah dan tur siam rawh. - Bladder empty vek tura pui thei damdawi ei. - Bladder chhungah catheter dahin zun lakchhuah. |
| Sweating harsatna a awm | - Doctor-in a sawi angin thawmhnaw tihziaawmna damdawi (e.g. glycopyrrolate) ei. - Khaw lum lutuk laiin in chhunga awm. |
| Lung leh thisen sang lama harsatna nei | - Thisen sang tisangtu damdawi (fludrocortisone, midodrine) ei. - Heart rate control nan `beta-blockers` ang chi damdawi ei. - Luak chhuak lo turin zawi zawiin tho rawh. - Doctor-in a rawt chuan chi leh tui tlem tal ei la. |
| Mipat hmeichhiatna lama harsatna a awm | - Erectile dysfunction tan damdawi `sildenafil (Viagra)` hman, doctor-in a tih angin. - Hmeichhia tan chuan vaginal dryness tihziaawm nan water-based lubricant hmang ang che. |
Take-Home Thuchah a ni
- Autonomic neuropathy chu kan taksaa automatic functions (heartbeat, digestion ang chi) control tu nerve te tihchhiatna a ni.
- Chumi thlentu ber chu zunthlum ni mah se, natna dang leh chhan dang engemaw zatin a pui thei a ni.
- A kaihhnawih lo symptoms, luak chhuak, thawk hah lutuk, chaw ei lama harsatna, leh zun harsatna te chu a lo lang nghal thei a ni.
- Enkawlna kawng pawimawh ber chu a chhan bulpui enkawl hi a ni. A bik takin zunthlum i neih chuan i thisen sugar level tha taka control hian nerve chhiatna thenkhat chu a ti slow thei a, a tidanglam thei bawk.
- Hetiang symptoms i neih chuan ngaihthah loh a pawimawh hle a, a rang thei ang bera doctor pan a, a chhan hriat chian a, a tul anga enkawlna dawng tur a ni.
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