Kodi mayeso a QSART awa ndi otani? (Quantitative Sudomotor Axon Reflex Test)

Kodi nthawi zina mumatuluka thukuta kwambiri popanda chifukwa, kapena mumamva ngati thukuta lanu silikutuluka kwambiri m'malo ena? Kapena muli ndi zinthu zazing'ono monga dzanzi m'miyendo yanu kapena chizungulire? Nthawi zina zimakhala zovuta kuti dokotala apeze nthawi yomweyo chomwe chimayambitsa zizindikirozi. Nthawi ngati zimenezi, mayeso apadera angapangidwe kuti awone ngati pali vuto ndi dongosolo la mitsempha lomwe timagwira ntchito mosazindikira m'thupi lathu (gawo lomwe limalamulira zinthu monga kupuma ndi thukuta). Iyi ndi imodzi mwa mayeso otchedwa QSART.

Mwachidule, kodi QSART ndi chiyani?

QSART imayimira 'Quantitative Sudomotor Axon Reflex Test'. Ngakhale dzinali lingamveke lovuta, kwenikweni ndi losavuta. Mwachidule, ndi mayeso omwe amayesa momwe mitsempha yomwe imalamulira thukuta lanu ikugwira ntchito. Timatchanso 'kuyesa thukuta'.

Taganizirani izi, thukuta ndi lofunika kwambiri polamulira kutentha kwa thupi lathu. Thukuta limeneli limayendetsedwa ndi gawo lapadera la dongosolo lathu la mitsempha. Mu mayeso awa, timagwiritsa ntchito mphamvu yamagetsi yochepa kwambiri pakhungu lanu ndikuyeza kuchuluka kwa thukuta lomwe timatuluka chifukwa cha thukuta. Mwa kuyeza kuchuluka kwa thukuta lomwe limapangidwa mwanjira imeneyi, titha kudziwa bwino momwe mitsempha imagwirira ntchito.

Ndi nthawi ziti pamene dokotala angalimbikitse mayeso awa?

Mayeso a QSART awa ndi othandiza kwambiri pozindikira matenda a Autonomic Nervous System, omwe amawongolera ntchito za thupi lathu zomwe sitizilamulira mwadala (monga kugunda kwa mtima, kuthamanga kwa magazi, thukuta, kugaya chakudya). Amagwiritsidwanso ntchito pozindikira matenda a mitsempha ya m'mimba, omwe amagwirizana ndi zinthu monga dzanzi m'miyendo, ndi matenda ena opweteka.

Dokotala wanu angakulangizeni mayesowa ngati akuganiza kuti muli ndi chimodzi mwa izi:

• Autonomic neuropathy: Kuwonongeka kwa mitsempha yomwe imayang'anira ntchito zodziyimira payokha m'thupi lathu.
• Matenda a ululu wa m'dera (CRPS): Ululu waukulu komanso wokhalitsa m'dzanja kapena mwendo, nthawi zambiri pambuyo pa ngozi.
• Matenda a shuga: Kuwonongeka kwa mitsempha komwe kumachitika chifukwa cha matenda a shuga.
• Matenda a multiple sclerosis: Matenda omwe amawononga mitsempha mu ubongo ndi msana.
• Postural orthostatic tachycardia syndrome (POTS): Matenda omwe mtima umagunda modabwitsa munthu akaima.
• Matenda a Sjögren:Matenda a chitetezo chamthupi omwe amakhudza tiziwalo timene timatulutsa chinyezi m'thupi (misozi, malovu).
• Matenda a mitsempha yaing'ono ya ulusi: Zizindikiro monga kupweteka ndi dzanzi zimachitika chifukwa cha kuwonongeka kwa ulusi wa mitsempha yaing'ono pakhungu ndi ziwalo.

Kodi ndiyenera kukonzekera bwanji mayesowa?

Musanayambe mayeso a QSART, dokotala wanu adzakulankhulani ndikukufotokozerani zonse. Adzakupatsaninso malangizo apadera oti mutsatire kuti muwonetsetse zotsatira zolondola za mayeso. Ndikofunikira kwambiri kuti mutsatire malangizo awa molondola.

Tiyeni tiwone tebulo ili m'munsimu kuti tiwone momwe tiyenera kukonzekera nthawi zambiri.

Zinthu zomwe muyenera kudziwa zokhudza kudya ndi kumwa musanayesedwe

Ndi mankhwala ati omwe angafunike kuyimitsidwa musanayesedwe?

Pansipa pali mankhwala ena omwe nthawi zambiri amakhudza zotsatira za QSART. Dokotala wanu angakufunseni kuti musiye kumwa ena mwa awa kwa maola 48 mayeso asanachitike.

• Mankhwala ochepetsa ululu
• Mankhwala oletsa kuvutika maganizo
• Mankhwala oletsa ziwengo (antihistamines)
• Mankhwala oletsa kutupa
• Aspirin
• Mankhwala ochepetsa kuthamanga kwa magazi
• Mankhwala ochepetsa mphamvu ya mkodzo
• Mankhwala a chimfine kapena chifuwa omwe amaperekedwa kwa dokotala

Chabwino, tsopano tiyeni tiwone zomwe zimachitika tikachita mayeso.

Kudziwa pasadakhale momwe mayeso amachitikira kungathandize kuchepetsa nkhawa. Ndi njira yosavuta kwambiri.

1. Kukonzekera: Choyamba, mudzafunsidwa kuti muvule nsapato zanu ndi masokosi anu. Kenako, mudzafunsidwa kuti mukhale patebulo loyezera kapena kugona pansi.

2. Kuyeretsa khungu: Woyesa adzayeretsa bwino ndikuumitsa khungu lozungulira miyendo, mapazi, ndi zikhadabo zanu.

3. Kulumikiza ma electrode: Kenako, tinthu tina tating'ono ta pulasitiki totchedwa ma electrode timalumikizidwa pakhungu lanu. Nthawi zambiri, titatu timalumikizidwa ku miyendo yanu ndi chimodzi m'manja mwanu.

4. Kugwiritsa ntchito yankho lapadera: Kenako, yankho lotchedwa `acetylcholine` limayikidwa pakhungu pomwe pali ma electrode. `acetylcholine` ndi mankhwala (neurotransmitter) omwe amapezeka mwachibadwa m'thupi lathu ndipo amanyamula mauthenga pakati pa mitsempha. Apa, amagwiritsidwa ntchito kulimbitsa ma glands anu a thukuta.

5. Kuyambitsa mayeso: Tsopano makina a QSART ayamba kuyatsidwa. Kenako magetsi ang'onoang'ono kwambiri amatumizidwa pakhungu lanu kudzera mu ma electrode. Awa si magetsi akuluakulu, kotero palibe choopa.

6. Kuyeza thukuta: Mphamvu yamagetsi iyi ndi yankho la `acetylcholine` zimapangitsa kuti tiziwalo ta thukuta tiyambe kutulutsa thukuta. Makinawa amayesa kuchuluka kwa thukuta lomwe limapangidwa.

7. Bwerezani: Mkuluyo akhoza kuchotsa ma electrode ndikuwalumikiza ku ziwalo zina za thupi, kubwerezanso njirayi.

Kodi mayesowa amatenga nthawi yayitali bwanji? Kodi amapweteka?

Mayeso onse nthawi zambiri amatenga mphindi 45 mpaka ola limodzi .

Iyi si mayeso opweteka. Komabe, anthu ena angamve kusasangalala pang'ono. Mphamvu yamagetsi ikadutsa pakhungu, imatha kumva ngati kukanda, kukanda pang'ono, kapena kutentha pang'ono, ngati kubayidwa ndi singano kakang'ono . Izi zimasiyana malinga ndi munthu. Komabe, si ululu wosapiririka. Ngati mukumva kupweteka kwambiri, uzani munthu amene akuyesayo nthawi yomweyo.

Kodi chimachitika ndi chiyani pambuyo pa mayeso? Kodi zotsatira zake zidzapezeka liti?

Mayeso akatha, apolisi adzachotsa ma electrode pakhungu lanu. Pambuyo pake, mutha kuvalanso masokosi ndi nsapato zanu ndikukhala ndi moyo wabwinobwino.

Mungaone kufiira pang'ono kapena kusintha mtundu wa khungu komwe ma electrode adayikidwa. Izi ndi zachilendo ndipo zidzatha kwathunthu mkati mwa maola ochepa.

Deta yomwe yapezeka kuchokera ku mayeso idzatumizidwa kwa dokotala amene anakutumizirani mayesowa. Iye adzakulumikizani pakapita masiku angapo zotsatira zake zikapezeka.

Kodi mungamvetse bwanji zotsatira za QSART?

Dokotala wanu adzafufuza zotsatira zake ndikukufotokozerani tanthauzo lake. Mukayang'ana zotsatira izi, pali zinthu zitatu zazikulu zomwe muyenera kuyang'ana:

• Kuchedwa kwa nthawi yoyamba: Kodi zinatenga nthawi yayitali bwanji kuti thukuta lichitike pambuyo pa kulimbikira?
• Kutulutsa thukuta kwambiri: Kodi thukuta lalikulu limapangidwa liti?
• Kuchuluka kwa thukuta lonse: Kodi thukuta lonse linapangidwa bwanji panthawi yonse yoyeserera?

Zotsatirazi zitha kukhala 'Zachizolowezi' kapena 'Zachilendo'.

Kodi zotsatira zabwinobwino ndi ziti?

Ngati zotsatira zake ndi 'Zachibadwa' (nthawi zina zimatchedwa 'zotsatira zoyipa'), zikutanthauza kuti kuchuluka ndi nthawi yomwe thukuta lanu limatulutsa zili mkati mwa msinkhu womwe ukuyembekezeka malinga ndi zaka zanu komanso jenda lanu. Izi zikutanthauza kuti mayesowa sakusonyeza vuto lalikulu ndi kugwira ntchito kwa mitsempha yomwe imalamulira thukuta.

Kodi zotsatira zachilendo/zabwino ndi ziti?

Ngati zotsatira zake ndi 'Zabwino' kapena zachilendo, zikutanthauza kuti mayesowo ndi osiyana ndi omwe akuyembekezeka. Mwachitsanzo, zingatenge nthawi yayitali kuti munthu ayambe kutuluka thukuta, kapena kuchuluka kwa thukuta komwe kumapangidwa kungakhale kochepa kwambiri kapena kochuluka kwambiri.

Izi zikusonyeza kuti china chake chingasokoneze kugwira ntchito kwa dongosolo lanu la mitsempha lodziyimira palokha.