Kodi izi zinakuchitikiranipo? Mukangoyimirira pampando mwadzidzidzi, maso anu amakhala akuda, mutu wanu ukumva chizungulire , kapena chifuwa chanu chimayamba kugunda mwadzidzidzi ndipo mumayamba kutuluka thukuta popanda chifukwa chomveka. Ngakhale tingaganize kuti zinthuzi ndi zachilendo, nthawi zina zizindikirozi zimatha chifukwa cha kulephera kwa njira imodzi yoyendetsera thupi lathu. Lero, tikambirana za vuto lotchedwa dysautonomia, lomwe anthu ambiri sadziwa, koma ndi lofala kwambiri.
Kodi Dysautonomia kwenikweni ndi chiyani?
Mwachidule, dysautonomia ndi dzina lofala la gulu la matenda omwe amayamba chifukwa cha kusagwira bwino ntchito kwa Autonomic Nervous System (ANS) m'thupi lathu.
Tsopano mwina mukudabwa kuti dongosolo la mitsempha lodziyimira palokha ndi chiyani. Taganizirani izi, zinthu monga kugunda kwa mtima wanu, kupuma kwanu, kugaya chakudya, kutentha kwa thupi lanu, kuthamanga kwa magazi anu, ndi zina zotero sizinthu zomwe muyenera kuziganizira. Zimachitika zokha, monga pa auto-pilot. Umu ndi momwe dongosolo la mitsempha lodziyimira palokha limalamulira machitidwe ofunikira m'thupi lathu popanda ife kuzindikira.
Choncho, pamene mitsempha m'dongosolo lino sigwira ntchito bwino, zinthu zomwe ziyenera kuchitika zimayamba kusokonekera zokha. Ndicho chimene timachitcha dysautonomia . Si zachilendo monga momwe mungaganizire. Anthu oposa 70 miliyoni padziko lonse lapansi ali ndi vutoli . Komanso, kafukufuku waposachedwapa wapeza kuti anthu omwe amakhala ndi zizindikiro zosatha atatha kukhala ndi COVID ali pachiwopsezo chachikulu chotenga dysautonomia.
Kodi mitundu ndi zizindikiro zazikulu za vutoli ndi ziti?
Pali mitundu pafupifupi 15 ya dysautonomia. Nthawi zina munthu amatha kukhala ndi mitundu yoposa umodzi nthawi imodzi. Tiyeni tiwone mitundu ina yodziwika bwino.
| Mtundu wa Dyautonomia | Zizindikiro Zodziwika |
|---|---|
| Matenda a Postural Orthostatic Tachycardia Syndrome (POTS) | Mtundu uwu ndi wofala kwambiri. Zizindikiro zake ndi monga kugunda kwa mtima mofulumira munthu akaimirira kuchokera pamalo atakhala, chizungulire, kufooka, kupuma movutikira, kupweteka pachifuwa, kutopa, mavuto ogona, komanso kuvutika kuchita masewera olimbitsa thupi. |
| Kutsika kwa magazi m'thupi (OH) | Kulephera kwa thupi kulamulira kuthamanga kwa magazi poyimirira. Zizindikiro zake ndi monga chizungulire, kusawona bwino, mutu, nseru, kufooka, komanso kulimba pachifuwa. |
| Vasovagal syncope (VVS) | Uku ndi kutaya mwadzidzidzi chidziwitso (kukomoka). Izi zimachitika chifukwa cha kutsika mwadzidzidzi kwa kuthamanga kwa magazi ndi kugunda kwa mtima. Musanagwe mphwayi, mutha kukhala ndi thukuta lozizira, nseru, kumva kutentha, ndi maso abuluu. |
| Sinus tachycardia yosayenerera (IST) | Kugunda kwa mtima komwe kumawonjezeka kufika pa kugunda kopitilira 100 pamphindi popanda chifukwa chilichonse, ngakhale mutapumula. Chizindikiro chachikulu ndi kupweteka pachifuwa. Kungathenso kutsagana ndi kutopa, chizungulire, komanso kupuma movutikira. |
Kuwonjezera pa mitundu ikuluikulu iyi, palinso mitundu ina yosowa monga autoimmune autonomic ganglionopathy (AAG), baroreflex failure (BF), familial dysautonomia (FD), pure autonomic failure (PAF), ndi multiple system atrophy (MSA). Zizindikiro zawo ndi kuopsa kwake zimasiyana.
Chofunika kwambiri ndichakuti zizindikirozi sizingawonekere kunja. Choncho munthu akanena kuti "Ndatopa" kapena "Ndikumva chizungulire," musaganize kuti ndi nkhani imene akunena. Pakhoza kukhala chifukwa chachipatala chomwe chikuchititsa zimenezo.
Kugwirizana pakati pa COVID-19 ndi Dysautonomia
Pambuyo pa mliri wa COVID-19, makambirano okhudza dysautonomia anawonjezeka kwambiri, chifukwa anthu ambiri omwe anachira ku COVID, makamaka omwe anali ndi (Long COVID), anayamba kuona zizindikiro za dysautonomia.
Kafukufuku wapeza kuti pakati pa 30% ndi 67% ya anthu omwe ali ndi (COVID yayitali) ali ndi dysautonomia. Chomwe chimanenedwa kwambiri mwa izi ndi matenda omwe tidakambirana kale, POTS .
Kuwonongeka kwa minofu ya thupi chifukwa cha kachilombo ka Covid, kusintha kwa chitetezo chamthupi,Akatswiri amakhulupirira kuti zinthu monga kusalingana kwa mahomoni zitha kukhala zomwe zimayambitsa. Komanso, mankhwala ena omwe amaperekedwa m'zipinda zosamalira odwala kwambiri (ICUs) amatha kukhudza dongosolo la mitsempha lodziyimira pawokha.
Kodi mungazindikire bwanji matendawa?
Ngati muli ndi zizindikiro izi, chinthu choyamba chomwe muyenera kuchita ndikuonana ndi dokotala wodziwa bwino ntchito yake . Dokotalayo adzamvetsera zizindikiro zanu ndikukuyang'anirani. Kenako, angachite mayeso apadera kuti atsimikizire ngati muli ndi vutoli.
- Kuyesa Tebulo Lopendekeka: Iyi ndi mayeso ofunikira kwambiri. Mu mayesowa, mumayikidwa pabedi lapadera ndipo mumalumikizidwa ndi zida zomwe zimayesa kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi kuchuluka kwa mpweya. Kenako bedilo limapendekeka pang'onopang'ono kukhala loyimirira. Kuyankha kwa thupi lanu kusintha kwa malo (momwe kugunda kwa mtima wanu ndi kuthamanga kwa magazi kumasinthira) kumayang'aniridwa.
- Mayeso ena: Kuphatikiza apo, mayeso opumira, mayeso a thukuta, mayeso a magazi, ndi mayeso monga ECG ndi Echo kuti aone momwe mtima ukugwira ntchito angachitikire.
Kodi mankhwala a dysautonomia ndi ati?
Izi ndizofunikira kudziwa. Palibe mankhwala a dysautonomia. Komabe, sizikutanthauza kuti muyenera kuvutika chonchi. Pali njira zambiri zochiritsira ndi njira zothanirana ndi matendawa zomwe zingathandize kuchepetsa zizindikiro ndikupangitsa moyo kukhala wosavuta.
Malinga ndi zizindikiro zanu ndi mtundu wa matenda anu, dokotala wanu angakulangizeni kuti:
- Kuwonjezera mchere pang'ono pa zakudya zanu: Izi zingathandize kuchepetsa kuthamanga kwa magazi . Koma muyenera kuchita izi pokhapokha mutakambirana ndi dokotala wanu. Ndikoopsa kumwa mchere wambiri popanda upangiri wa dokotala, makamaka ngati muli ndi matenda ena monga kuthamanga kwa magazi.
- Kumwa madzi ambiri tsiku lonse: Izi zimathandiza kuti magazi azikhala okwanira m'thupi.
- Mankhwala: Dokotala wanu angakulembereni mankhwala owonjezera kuthamanga kwa magazi, monga Fludrocortisone ndi Midodrine . Mankhwalawa ayenera kugwiritsidwa ntchito monga momwe dokotala wanu wanenera.
- Kusintha malo anu ogona: Kukweza mutu wa bedi pafupifupi mainchesi 6-10 pamene mukugona kungathandize kuchepetsa zizindikiro zina.
- Kuvala masokisi opondereza:Izi zimachepetsa kusonkhana kwa magazi m'miyendo ndipo zimathandiza kuti magazi aziyenda bwino.
- Kuchita Maseŵera Olimbitsa Thupi: Pulogalamu yochita maseŵero olimbitsa thupi yomwe imayamba pang'onopang'ono ndipo imayang'aniridwa ndi dokotala kapena katswiri wa masewera olimbitsa thupi ingakhale yothandiza kwambiri.
Uthenga Wopita Nawo Kunyumba
- Dysautonomia ndi matenda enieni. Si chinthu chomwe mwaganizapo kale, kapena "chosasangalatsa." Ndi vuto ndi dongosolo lolamulira thupi.
- Ngati mukupitirizabe kuona zizindikiro monga chizungulire mukamayimirira, kutopa kwambiri, komanso kupweteka pachifuwa kosaneneka, musachite manyazi ndipo lankhulani ndi dokotala.
- Ngati mwayamba kuona zizindikiro izi mutatenga COVID, musaiwale kuuza dokotala wanu.
- Ngakhale kuti palibe mankhwala athunthu a izi, pali mankhwala ambiri omwe angakuthandizeni kuchepetsa zizindikiro ndikukhala moyo wabwinobwino.
- Musamadziyeze nokha kapena kudzipatsa mankhwala potengera zomwe mwawerenga pa intaneti kapena kumva kuchokera kwa anthu. Nthawi zonse pitani kwa dokotala ndipo mupeze upangiri woyenera.
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