Kua pāngia koe e tēnei āhuatanga? Ina tū ake koe i te tūru, ka pōuri tō tirohanga, ka pōuri tō mahunga , ka pā te mamae o tō uma, ka werawera koe, kāore he take e kitea ana. Ahakoa e whakaaro ana tātou he mea noa ēnei, i ētahi wā ka puta mai ēnei tohu i te hapa o tētahi o ngā pūnaha whakahaere nui o tō tātou tinana. I tēnei rā, ka kōrero tātou mō tētahi āhuatanga e kiia nei ko te dysautonomia, he āhuatanga kāore i te mōhiotia e te tini o te tangata, engari he mea noa.
He aha tonu te Dysautonomia?
Ki te kī māmā noa, ko te dysautonomia he ingoa whānui mō tētahi rōpū mate hauora e puta mai ana i te kore mahi tika o te Pūnaha Io Motuhake (ANS) o te tinana.
Tērā pea kei te whakaaro koe he aha te pūnaha io ā-roto. Whakaarohia, ko ngā mea pēnei i te pao o tō ngākau, tō manawa, tō nakunaku, tō pāmahana tinana, tō toto toto, me ētahi atu, ehara i te mea me whakaaro noa koe. Ka puta aunoa ēnei, pērā i te mea e whakahaeretia ana e te pūnaha io ā-roto, me te kore e mōhiotia e tātou.
Nō reira, ina kore ngā io o tēnei pūnaha e mahi tika, ka tīmata aunoa ngā mea e tika ana kia puta he hapa. Koinei te mea e kiia nei e mātou ko te dysautonomia . Ehara i te mea onge pērā i tō whakaaro. Neke atu i te 70 miriona tāngata puta noa i te ao e pāngia ana e tēnei mate. Waihoki, kua kitea e ngā rangahau tata nei ko te hunga e noho ana me ngā tohu pumau i muri i te pangia e te COVID - 19 he nui ake te mōrearea ki te whakawhanake i te dysautonomia.
He aha ngā momo me ngā tohu matua o tēnei mate?
E 15 pea ngā momo dysautonomia. I ētahi wā ka pāngia te tangata e te neke atu i te kotahi momo i te wā kotahi. Me titiro tātou ki ētahi o ngā momo e tino kitea ana.
| Momo Dysautonomia | Ngā Tohu Noa |
|---|---|
| Te Mate Tachycardia Orthostatic Tūnga (POTS) | Koinei te momo tino noa. Ko ngā tohu ko te tere o te manawa ina tū ake i te tūnga noho, te whanoke, te ngoikore, te poto o te manawa, te mamae o te uma, te ngenge, ngā raruraru moe, me te uaua ki te whakakorikori tinana. |
| Te whakahekenga toto (OH) | Ko te kore e taea e te tinana te whakahaere i te toto toto i te wā e tū ana. Ko ngā tohu ko te whanoke, te tirohanga pōuri, te ānini, te whakapairuaki, te ngoikore, me te kikī o te uma. |
| Te mate pūkahukahu Vasovagal (VVS) | He ngaronga ohorere tēnei o te māramatanga (te ngoikore). Ka puta mai tēnei i te hekenga ohorere o te toto toto me te tere o te manawa. I mua i te ngoikore, ka pāngia pea koe e te werawera makariri, te whakapairuaki, te ahua werawera, me ngā kanohi kikorangi. |
| Te tachycardia sinus koretake (IST) | He tere o te manawa e piki ake ana ki te neke atu i te 100 ngā pao i te meneti, kāore he take, ahakoa kei te okioki. Ko te tohu matua ko te mamae o te uma. Ka taea hoki te haere tahi me te ngenge, te whanoke, me te uaua ki te manawa. |
Haunga ēnei momo matua, kei reira anō ētahi atu momo onge pērā i te autoimmune autonomic ganglionopathy (AAG), te baroreflex failure (BF), te familial dysautonomia (FD), te pure autonomic failure (PAF), me te multiple system atrophy (MSA). He rerekē ō rātou tohu me te kaha.
Ko te mea nui, kāore pea ēnei tohu e kitea i waho. Nō reira, ina kī mai tetahi "Kei te ngenge ahau" "Kei te pōuri ahau," kaua e whakaaro noa he mea kei te kōrerotia e rātou. Tērā pea he take hauora kei muri.
Te hononga i waenga i te COVID-19 me te Dysautonomia
I muri i te mate urutā COVID-19, ka nui haere te kōrero mō te dysautonomia, i te mea he tokomaha ngā tāngata i ora mai i te COVID, inā koa ko te hunga e pāngia ana e te (COVID Roa), ka tīmata ki te pāngia e ngā tohu o te dysautonomia.
Kua kitea e ngā rangahau kei waenganui i te 30% me te 67% o te hunga whai (Long COVID) he dysautonomia. Ko te mea e tino pūrongohia ana ko te mate i kōrerohia i mua ake nei, arā, ko te POTS .
Te kino ki ngā kiko o te tinana i puta mai i te huaketo Covid, ngā panonitanga o te pūnaha ārai mate,E whakapono ana ngā tohunga ko ngā āhuatanga pēnei i te kore taurite o ngā homoni te take. Waihoki, ko ētahi rongoā e hoatu ana i roto i ngā wāhanga tiaki nui (ICU) ka pā ki te pūnaha io motuhake.
Me pēhea te tautuhi i tēnei mate?
Ki te pā mai ēnei tohu ki a koe, ko te mea tuatahi me mahi e koe ko te toro atu ki tētahi tākuta mātau . Ka whakarongo te tākuta ki ō tohu, ā, ka tirotirohia koe. Kātahi ka whakahaerehia pea e rātou ētahi whakamātautau motuhake hei whakaū mēnā kei a koe tēnei mate.
- Whakamātautau Tēpu Whakatītaha: Koinei te whakamātautau tino nui. I tēnei whakamātautau, ka whakatakotoria koe ki runga i tētahi moenga motuhake, ā, ka honoa ki ngā taputapu e ine ana i tō tere o te ngakau, te toto toto, me ngā taumata hāora. Kātahi ka āta whakatītahatia te moenga ki tētahi tūranga poutū. Ka aroturukitia te urupare a tō tinana ki te huringa o te tūranga (te rerekētanga o tō tere o te ngakau me te toto toto).
- Ētahi atu whakamātautau: Hei tāpiritanga, ka taea pea te whakahaere i ngā whakamātautau manawa, ngā whakamātautau werawera, ngā whakamātautau toto, me ngā whakamātautau pēnei i te ECG me te Echo hei tirotiro i te mahi a te ngākau .
He aha ngā maimoatanga mō te dysautonomia?
He mea nui tēnei kia mōhiotia. Kāore he rongoā mō te dysautonomia. Heoi, ehara i te mea me pēnei tō mamae. He maha ngā maimoatanga me ngā kōwhiringa whakahaere hei āwhina i te whakahaere i ngā tohu me te whakangawari ake i te oranga.
I runga i ō tohu me te āhua o tō mate, ka tūtohu pea tō tākuta i a koe kia:
- Te tāpiri atu i te tote ki tāu kai: Ka āwhina tēnei ki te whakahaere i te toto toto . Engari me mahi noa i tēnei i muri i te kōrero ki tō tākuta. He mea morearea te kai nui rawa i te tote me te kore he tohutohu hauora, inā koa he mate kē atu āu pēnei i te toto toto tiketike.
- Te inu i te nui o te wai i te roanga o te rā: Ka āwhina tēnei ki te pupuri i te nui o te toto i roto i te tinana.
- Ngā Rongoā: Ka tohua pea e tō tākuta he rongoā hei whakanui i te toto toto, pērā i a Fludrocortisone me Midodrine . Me whakamahi ēnei kia rite ki tā tō tākuta i tohutohu ai.
- Te whakarerekē i tō tūranga moe: Mā te hiki ake i te pane o te moenga kia 6-10 inihi i a koe e moe ana ka āwhina i te whakahaere i ētahi tohumate.
- Te mau i ngā tōkena pēhanga:Ka whakaitihia e ēnei te toto e rere ana i roto i ngā waewae, ā, ka āwhina i te rere o te toto.
- Whakakorikori Tinana: He tino whai hua tētahi kaupapa whakakorikori tinana e tīmata mārire ana, ā, e tirotirohia ana e te tākuta, e te kaiwhakaora tinana rānei.
Karere Tangohia ki te Kāinga
- He mate hauora tūturu te dysautonomia. Ehara i te mea i whakaarohia e koe, i te mea rānei "hoha". He raruraru ki te pūnaha whakahaere motuhake o te tinana.
- Ki te haere tonu te pāngia e ngā tohu pēnei i te whanoke i te tū, te ngenge rawa, me te mamae o te uma kāore e taea te whakamārama, kaua e whakamā, me kōrero ki te tākuta.
- Ki te tīmata koe ki te pāngia e ēnei tohu i muri i te pangia e te COVID, kaua e wareware ki te kōrero ki tō tākuta.
- Ahakoa kāore he rongoā katoa mō tēnei, he maha ngā maimoatanga hei āwhina i a koe ki te whakahaere i ngā tohu me te noho i te oranga noa.
- Kaua e tātaritanga i a koe anō, kaua hoki e rongoā i a koe anō i runga i tāu e pānui ana i te ipurangi, i tāu e rongo ana rānei i te tangata. Me toro atu ki te tākuta me te tiki tohutohu tika.
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