Kodi ndi zinthu zingati zomwe zimachitika m'thupi lathu popanda ife kuzindikira? Sitiganizira nthawi zonse za zinthu monga kupuma, kugunda kwa mtima, kugaya chakudya, ndi kulamulira kutentha kwa thupi. Zinthuzi zimachitika zokha, monga makina odziyendetsa okha a galimoto. Chilichonse chomwe chimachitika chokha chimalamulidwa ndi gawo lapadera la dongosolo lathu la mitsempha. Koma, chimachitika ndi chiyani ngati dongosolo la mitsempha ili lawonongeka chifukwa cha matenda ena? Pamenepo ndiye pomwe kulamulira kumeneku kumayamba kusokonekera. `Autonomic Neuropathy`, yomwe tikulankhula lero, ndi ya vuto lotere.
Kodi Autonomic Neuropathy iyi ndi chiyani?
Mwachidule, `Autonomic Neuropathy` ndi kuwonongeka kwa mitsempha yomwe imayang'anira ntchito zodziyimira payokha za thupi lathu. Mitsempha iyi imatchedwa `Autonomic Nervous System`. Mitsempha iyi, pamodzi ndi ubongo wathu ndi msana, imayang'anira magwiridwe antchito a ziwalo zazikulu monga mtima, m'mimba, matumbo, ndi chikhodzodzo.
Tangoganizani, ngakhale zinthu monga mabwalo akuda m'maso mwanu akukulirakulira mukalowa m'chipinda chamdima, kapena kununkhira kwa pakamwa mukanunkhiza chakudya chokoma, zimayendetsedwa ndi dongosololi. Choncho mitsempha imeneyi ikawonongeka, zinthu izi zokha sizigwira ntchito bwino. Zinthu zazikulu zomwe zingakhudzidwe ndi izi:
- Kuthamanga kwa magazi
- Kugunda kwa mtima
- Kugaya chakudya
- Kukodza
- Kuyenda kwa matumbo
- Kulamulira kutentha kwa thupi
- Ntchito yogonana
Kodi zizindikiro za izi ndi ziti?
Zizindikiro zomwe mumakumana nazo zimadalira mitsempha yomwe yakhudzidwa. Zizindikiro zimatha kusiyana malinga ndi munthu. Tiyeni tiwone zizindikiro zazikulu.
| Dongosolo lokhudzidwa | Zizindikiro zomwe zingatheke |
|---|---|
| Dongosolo la m'mimba | Kutsegula m'mimba, kudzimbidwa, kumva kukhuta ngakhale mutadya chakudya chochepa, kusanza, kubweza chakudya chosagayidwa, kuvutika kumeza, ndi kupweteka pachifuwa. |
| Mtima ndi mitsempha ya magazi | Kuzunguzika kapena kukomoka chifukwa cha kutsika mwadzidzidzi kwa kuthamanga kwa magazi mukayimirira, kugunda kwa mtima mofulumira (makamaka panthawi yochita masewera olimbitsa thupi), kuthamanga kwa magazi. |
| Dongosolo la mkodzo | Kuvuta kukodza, kulephera kulamulira mkodzo, kulephera kutulutsa madzi onse m'chikhodzodzo, matenda opatsirana pafupipafupi m'njira ya mkodzo. |
| Kutentha kwa thupi | Kutuluka thukuta usiku, kutuluka thukuta kwambiri kapena pang'ono kwambiri, kutuluka thukuta mukudya. |
| Zochita zogonana | Amuna amavutika kuti afike pachimake, akazi amauma m'mimba, chilakolako chogonana chichepa, komanso amavutika kuti afike pachimake. |
| Mapapo ndi masomphenya | Kuvuta kupuma, kuvutika kusintha masomphenya mukachoka pamalo owala kupita pamalo amdima, kuvutika kuyendetsa galimoto usiku. |
Kusadziwa za Shuga ndi Kuchepa kwa Shuga m'magazi
Ngati munthu wodwala matenda a shuga atakhala ndi vuto la 'Autonomic Neuropathy', vuto lina lalikulu lingachitike. Izi zikutanthauza kuti, kusazindikira zizindikiro zochenjeza za kuchuluka kwa shuga m'magazi komwe kumawopseza (Hypoglycemia). Madokotala amatcha izi kuti 'Hypoglycemia Unawareness'.
Kawirikawiri, ngati dongosolo lanu la mitsempha likugwira ntchito bwino, shuga m'magazi mwanu akatsika kwambiri, mudzamva zizindikiro monga kugwedezeka, thukuta, komanso kugunda kwa mtima mwachangu. Izi ndi "zizindikiro zochenjeza" zomwe thupi lanu limakupatsani. Komabe, munthu amene ali ndi matenda a Autonomic Neuropathy sangamve zizindikiro zochenjezazi.
Izi ndi zoopsa kwambiri chifukwa ngati simukudziwa kuti shuga m'magazi mwanu akuchepa, mutha kukomoka, kutaya chidziwitso, kapena kukhala ndi zotsatirapo zoyipa kwambiri.
Ngati muli ndi vuto la `Hypoglycemia Unawareness`, dokotala wanu adzakuuzani kuti muyang'ane shuga m'magazi mwanu pafupipafupi. Angakulimbikitseninso kugwiritsa ntchito `Continuous Glucose Monitor`, yomwe imayesa shuga m'magazi mwanu nthawi zonse ndikuchenjeza ngati yatsika.
Kodi zifukwa za vutoli ndi ziti?
Chifukwa chachikulu komanso chofala kwambiri cha kuwonongeka kwa mitsempha ndi matenda a shuga . Pakapita nthawi, matenda a shuga osalamulirika amatha kuwononga mitsempha iyi. Kupatula apo, pakhoza kukhala zifukwa zina zingapo.
- Matenda a shuga: Chifukwa chachikulu.
- Matenda a Autoimmune: Matenda omwe chitetezo chamthupi chimaukira mitsempha. Zitsanzo zake ndi `Rheumatoid Arthritis`, `Lupus`, `Guillain-Barré syndrome`.
- Matenda ena: Matenda monga HIV ndi matenda a Lyme.
- Matenda ena: Matenda a Parkinson, amyloidosis, matenda omwe amayamba chifukwa cha kuchuluka kwa mapuloteni m'thupi.
- Mankhwala ena operekedwa chifukwa cha khansa: Mankhwala ena a chemotherapy.
- Kumwa mowa mopitirira muyeso.
- Opaleshoni kapena kuvulala kwa msana.
- Kukhudzidwa ndi mankhwala: Mwachitsanzo, zitsulo zolemera.
- Matenda ena obadwa nawo.
Kodi mungazindikire bwanji matendawa?
Palibe njira imodzi yodziwira vutoli. Dokotala wanu adzayamba wamvetsera zizindikiro zanu ndikukuyezani thupi. Kenako, angakulangizeni kuti muyese magazi kangapo kuti apeze chomwe chikuyambitsa vutoli.
- Yesani matenda a shuga.
- Yang'anani matenda ena a autoimmune.
- Yang'anani ngati muli ndi matenda monga HIV.
Kuphatikiza apo, mayeso ena apadera angachitike kutengera zizindikiro:
- Kuyesa tebulo lopendekeka: Mumagona pa chipangizo chonga bedi ndipo thupi lanu lapamwamba limakwezedwa pang'onopang'ono ngati kuti mwaima. Kuthamanga kwa magazi ndi kugunda kwa mtima wanu zimawunikidwa. Izi ndizothandiza makamaka kwa anthu omwe amazunguzika akaima.
- Mayeso a Quantitative Sudomotor Axon Reflex (QSART): Izi zimayesa momwe ma glands anu a thukuta amagwirira ntchito pogwiritsa ntchito magetsi ochepa kwambiri.
- Mayeso a Urodynamic: Mayeso omwe amafufuza momwe chikhodzodzo chimasungira komanso kutulutsa mkodzo bwino.
- Kujambula kwa Ultrasound: Izi zimathandiza kupeza zithunzi za mkati mwa ziwalo monga chikhodzodzo ndikuwona vuto lenileni.
- Kuyesa kuchotsa chakudya m'mimba: Kuyesa komwe kumayesa kugaya chakudya molakwika, makamaka kuchotsa chakudya m'mimba pang'onopang'ono (Gastroparesis).
Kodi imachiritsidwa bwanji?
Chithandizo chachikulu apa ndiKuchiza matenda omwe amayambitsa kuwonongeka kwa mitsempha. Mwachitsanzo, ngati muli ndi matenda a shuga, muyenera kuwongolera kuchuluka kwa shuga m'magazi mwa kudya zakudya zoyenera, kuchita masewera olimbitsa thupi, komanso, ngati kuli kofunikira, kumwa mankhwala. Ngati ndi matenda odziteteza okha, muyenera kupeza chithandizo cha matendawa.
Pa nthawi yomweyo, dokotala adzalangizanso zinthu zosiyanasiyana kuti athetse zizindikiro zomwe zabuka.
Chofunika: Nthawi zonse funsani dokotala musanatsatire mankhwala kapena njira iliyonse yomwe yatchulidwa pano.
| Chizindikiro/Dongosolo | Zinthu zoti muchite ndi chithandizo |
|---|---|
| Mavuto a m'mimba | - Musadye kwambiri nthawi imodzi, idyani zakudya zingapo zazing'ono. - Pewani kudzimbidwa mwa kudya zakudya zambiri zokhala ndi ulusi wambiri ndi madzi. - Kumwa mankhwala otsekula m'mimba monga momwe dokotala wanenera. - Kumwa mankhwala oletsa kutsegula m'mimba ndi kupweteka m'mimba. |
| Mavuto a mkodzo | - Khalani ndi chizolowezi chokodza nthawi zonse. - Kumwa mankhwala omwe amathandiza kuchotsa mkodzo wonse. - Kuchotsa mkodzo poika katheta mu chikhodzodzo. |
| Mavuto a thukuta | - Kumwa mankhwala ochepetsa thukuta (monga glycopyrrolate) monga momwe dokotala wanenera. - Kukhala m'nyumba nthawi yotentha kwambiri. |
| Mavuto a mtima ndi kuthamanga kwa magazi | - Kumwa mankhwala omwe amawonjezera kuthamanga kwa magazi (fludrocortisone, midodrine). - Kumwa mankhwala monga `beta-blockers` kuti achepetse kugunda kwa mtima. - Nyamuka pang'onopang'ono kuti mupewe chizungulire. - Imwani mchere ndi madzi pang'ono ngati dokotala wanu akulangizani. |
| Mavuto okhudzana ndi kugonana | - Kugwiritsa ntchito mankhwala monga `sildenafil (Viagra)` pa vuto la kusowa kwa maliseche, monga momwe dokotala wanenera. - Kwa akazi, gwiritsani ntchito mafuta odzola okhala ndi madzi kuti muchepetse kuuma kwa nyini. |
Uthenga Wopita Nawo Kunyumba
- Matenda a autonomic neuropathy ndi kuwonongeka kwa mitsempha yomwe imayang'anira ntchito zodziyimira payokha m'thupi lathu (monga kugunda kwa mtima, kugaya chakudya).
- Ngakhale kuti chifukwa chachikulu cha izi ndi matenda a shuga, matenda ena ndi zifukwa zina zingakhudze izi.
- Zizindikiro zina monga chizungulire, kutuluka thukuta, mavuto am'mimba, komanso kuvutika kukodza zimatha kuwoneka mwadzidzidzi.
- Chofunika kwambiri pa chithandizo ndi kuchiza chomwe chimayambitsa matendawa. Makamaka ngati muli ndi matenda a shuga, kulamulira bwino shuga m'magazi mwanu kungachepetse kapena mwina kubwezeretse kuwonongeka kwa mitsempha.
- Ngati muli ndi zizindikiro ngati izi, ndikofunikira kwambiri kuti musanyalanyaze, koma pitani kwa dokotala mwamsanga kuti mudziwe chomwe chikuyambitsa ndikulandira chithandizo chofunikira.
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