Zingaphi izinto ezenzeka emizimbeni yethu singazi nokuba ziyenzeka? Asisoloko sicinga ngezinto ezinje ngokuphefumla, ukubetha kwentliziyo, ukugaya ukutya, kunye nokulawula ubushushu bomzimba. Ezi zinto zenzeka ngokuzenzekelayo, njengenkqubo yokuqhuba imoto ngokuzenzekelayo. Yonke into eyenzekayo ngokuzenzekelayo ilawulwa yinxalenye ekhethekileyo yenkqubo yethu yemithambo-luvo. Kodwa, kwenzeka ntoni ukuba le nkqubo yemithambo-luvo yonakele ngenxa yezifo ezithile? Kulapho ke olu lawulo oluzenzekelayo luqala khona ukuba buthathaka. 'I-Autonomic Neuropathy', esithetha ngayo namhlanje, imalunga nemeko enjalo.
Yintoni le Autonomic Neuropathy?
Ngamafutshane, i-'Autonomic Neuropathy' kukonakalisa imithambo-luvo elawula imisebenzi yomzimba wethu ngokuzenzekelayo. Le mithambo-luvo ibizwa ngokuba yi-'Autonomic Nervous System'. Le mithambo-luvo, kunye nengqondo yethu kunye nomqolo, ilawula ukusebenza kwamalungu amakhulu anjengentliziyo, isisu, amathumbu, kunye nesinyi.
Khawucinge nje, nezinto ezifana nezangqa ezimnyama emehlweni akho ezikhula xa ungena kwigumbi elimnyama, okanye umlomo omanzi xa unuka ukutya okumnandi, zilawulwa yile nkqubo. Ngoko ke xa ezi mithambo-luvo zonakele, ezi zinto zenzeka ngokuzenzekelayo azisebenzi kakuhle. Izinto eziphambili ezinokuchaphazeleka zezi:
- Ifuthe legazi
- Inqanaba lentliziyo
- Ukugaya ukutya
- Ukuchama
- Iintshukumo zamathumbu
- Ulawulo lobushushu bomzimba
- Umsebenzi wesondo
Zithini iimpawu zoku?
Iimpawu ozifumanayo ziya kuxhomekeka ekubeni zeziphi iimithambo-luvo ezichaphazelekileyo. Iimpawu zingahluka ukusuka komnye umntu ukuya komnye. Makhe sijonge iimpawu eziphambili.
| Inkqubo echaphazelekayo | Iimpawu ezinokwenzeka |
|---|---|
| Inkqubo yokugaya ukutya | Urhudo, ukuqhina, ukuziva uzele nasemva kokutya ukutya okuncinci, ukuhlanza, ukuphinda utye ukutya okungagayikiyo, ubunzima bokuginya, iintlungu zesifuba. |
| Intliziyo kunye nemithambo yegazi | Ukudinwa okanye ukuquleka okubangelwa kukwehla ngequbuliso koxinzelelo lwegazi xa umi, ukubetha kwentliziyo ngokukhawuleza (ingakumbi ngexesha lokuzilolonga), uxinzelelo lwegazi oluphezulu. |
| Inkqubo yomchamo | Ubunzima bokuchama, ukungakwazi ukulawula umchamo, ukungakwazi ukukhupha yonke into esinyini, usulelo oluqhelekileyo lwendlela yomchamo. |
| Ubushushu bomzimba | Ukubila ebusuku, ukubila kakhulu okanye kancinci kakhulu, ukubila xa usitya. |
| Isenzo sokwabelana ngesondo | Amadoda anengxaki yokuma, abafazi banengxaki yokoma kwelungu lobufazi, umnqweno wesondo uyancipha, kunye neengxaki zokufikelela kwi-orgasm. |
| Imiphunga kunye nombono | Ubunzima bokuphefumla, ubunzima bokulungisa umbono xa usuka kwindawo ekhanyayo uye kwindawo emnyama, ubunzima bokuqhuba ebusuku. |
Isifo Seswekile kunye nokungazi kakuhle kweHypoglycemia
Ukuba umntu onesifo seswekile uba ne-'Autonomic Neuropathy', kunokubakho enye ingxaki enkulu. Oko kukuthi, ukungaziqondi iimpawu ezilumkisayo zamanqanaba asezantsi eswekile egazini (iHypoglycemia). Oogqirha bakubiza oku ngokuthi 'yiHypoglycemia Unawareness'.
Ngokwesiqhelo, ukuba inkqubo yakho yemithambo-luvo isebenza kakuhle, xa iswekile yakho yegazi yehla ngendlela eyingozi, uya kuba neempawu ezifana nokungcangcazela, ukubila, kunye nokubetha kwentliziyo ngokukhawuleza. Ezi "ziimpawu zokulumkisa" ezinikwa ngumzimba wakho. Nangona kunjalo, umntu one-Autonomic Neuropathy usenokungaziva ezi mpawu zokulumkisa.
Le yimeko eyingozi kakhulu kuba, ukuba awuqapheli ukuba iswekile yakho egazini iyehla, ungaphelelwa lithemba, ulahlekelwe zingqondo, okanye ube nemiphumo emibi nangakumbi.
Ukuba unolu hlobo lwe-'Hypoglycemia Unawareness', ugqirha wakho uya kukuxelela ukuba ujonge amanqanaba eswekile yakho yegazi rhoqo. Banokucebisa ukuba usebenzise i-'Continuous Glucose Monitor', elinganisa amanqanaba eswekile yakho yegazi rhoqo kwaye ikhwaze i-alamu ukuba iyehla.
Zithini izizathu zale meko?
Eyona nto iphambili neyona ixhaphakileyo yomonakalo wemithambo-luvo sisifo seswekile . Ngokuhamba kwexesha, isifo seswekile esingalawulekiyo singonakalisa le mithambo-luvo. Ngaphandle koko, kunokubakho nezinye izizathu ezininzi.
- Isifo seswekile: Unobangela oyintloko.
- Izifo ezizikhusela ngokwazo: Izifo apho inkqubo yomzimba yokuzikhusela ihlasela imithambo-luvo. Imizekelo ibandakanya i-'Rheumatoid Arthritis', i-'Lupus', i-'Guillain-Barré syndrome'.
- Iintsholongwane ezithile: Iintsholongwane ezifana ne-HIV kunye nesifo seLyme.
- Ezinye izifo: Isifo sikaParkinson, i-amyloidosis, isifo esibangelwa kukungaqheleki kweeproteni ezidityanisiweyo.
- Amanye amayeza anikwa umhlaza: Amanye amayeza e-chemotherapy.
- Ukusela utywala ngokugqithisileyo.
- Utyando okanye ukwenzakala emgogodleni.
- Ukuchanabeka kwiikhemikhali: Umzekelo, iintsimbi ezinzima.
- Ezinye izifo ezidluliselwa kwilifa.
Indlela yokuxilonga esi sifo?
Akukho vavanyo lunye lokuxilonga esi sifo. Ugqirha wakho uya kuqala amamele iimpawu zakho aze enze uvavanyo lomzimba. Emva koko, banokucebisa uvavanyo lwegazi oluninzi ukuze kufunyanwe unobangela.
- Jonga ukuba isifo seswekile sikhona na.
- Jonga ezinye izifo ezibangelwa kukuzikhusela komzimba.
- Jonga ukuba kukho usulelo olufana ne-HIV.
Ukongeza, ezinye iimvavanyo ezikhethekileyo zinokwenziwa ngokuxhomekeke kwiimpawu:
- Uvavanyo lwetafile ethambekileyo: Ulala phantsi kwisixhobo esifana nebhedi kwaye umzimba wakho ongasentla uphakanyiswa kancinci kancinci ngokungathi umi. Uxinzelelo lwakho lwegazi kunye nesantya sentliziyo ziyajongwa. Oku kuluncedo ngakumbi kubantu abathi badinwe xa bema ngeenyawo.
- Uvavanyo lwe-Quantitative Sudomotor Axon Reflex (QSART): Olu vavanyo luvavanya indlela esebenza ngayo i-sweat glands yakho kusetyenziswa umbane omncinci kakhulu.
- Uvavanyo lwe-Urodynamic: Uvavanyo olujonga ukuba isinyi sigcina kwaye sikhupha umchamo kakuhle kangakanani.
- I-ultrasound scan: Oku kunceda ukufumana imifanekiso yangaphakathi yamalungu omzimba njengesinyi kwaye ubone ukuba yintoni kanye kanye ingxaki.
- Uvavanyo lokukhupha isisu: Uvavanyo olujonga ukuba isisu asigayi kakuhle na, ingakumbi isisu esiphuma kancinci (iGastroparesis).
Iphathwa njani?
Unyango oluphambili apha luUkunyanga isifo esibangela umonakalo kwimithambo-luvo. Umzekelo, ukuba unesifo seswekile, kufuneka ulawule amanqanaba eswekile egazini lakho ngokutya, ukuzilolonga, kwaye, ukuba kuyimfuneko, amayeza. Ukuba sisifo esibangelwa kukuzikhusela komzimba, kufuneka ufumane unyango lwaso.
Kwangaxeshanye, ugqirha uya kucebisa nezinto ezahlukeneyo ukulawula iimpawu eziye zavela.
Kubalulekile: Soloko uqhagamshelana nogqirha wakho ngaphambi kokuba ulandele naluphi na unyango okanye indlela ekhankanyiweyo apha.
| Iimpawu/Inkqubo | Izinto onokuzenza kunye nonyango |
|---|---|
| Iingxaki zokugaya ukutya | - Musa ukutya kakhulu ngaxeshanye, yitya izidlo ezincinci ezininzi. - Kuphephe ukuqhinwa ngokutya ukutya okuninzi okunefayibha kunye nolwelo. - Ukuthatha amayeza okuhambisa isisu njengoko ugqirha emyalele. - Ukuthatha amayeza okuncedisa urhudo kunye nentlungu yesisu. |
| Iingxaki zomchamo | - Yenza umkhwa wokuchama ngamaxesha aqhelekileyo. - Ukuthatha amayeza anceda ekukhupheni isinyi ngokupheleleyo. - Ukususa umchamo ngokufaka i-catheter kwisinyi. |
| Iingxaki zokubila | - Ukuthatha amayeza anciphisa ukubila (umz. i-glycopyrrolate) njengoko ugqirha emyalele. - Ukuhlala endlwini xa kushushu kakhulu. |
| Iingxaki zentliziyo kunye noxinzelelo lwegazi | - Ukuthatha amayeza onyusa uxinzelelo lwegazi (i-fludrocortisone, i-midodrine). - Ukuthatha amayeza anjenge-'beta-blockers' ukulawula isantya sentliziyo. - Sukuma kancinci ukuze uphephe isiyezi. - Yitya ityuwa kunye nolwelo oluncinci kuphela xa ugqirha wakho ekucebisa. |
| Iingxaki zesondo | - Ukusetyenziswa kweziyobisi ezifana ne-`sildenafil (Viagra)` xa kukho ukungasebenzi kakuhle kwe-erectile, njengoko kumiselwe ngugqirha. - Kwabasetyhini, sebenzisa i-lubricant esekwe emanzini ukunciphisa ukoma kwelungu lobufazi. |
Umyalezo Wokuya Ekhaya
- I-Autonomic neuropathy kukonakalisa imithambo-luvo elawula imisebenzi ezenzekelayo emzimbeni wethu (njengokubetha kwentliziyo, ukugaya ukutya).
- Nangona unobangela oqhelekileyo woku sisifo seswekile, ezinye izifo kunye nezizathu zinokuba negalelo.
- Iimpawu ezingahambelaniyo ezifana nesiyezi, ukubila okungaqhelekanga, iingxaki zokugaya ukutya, kunye nobunzima bokuchama zinokuvela ngequbuliso.
- Eyona nto ibalulekileyo kunyango kukunyanga unobangela oyintloko. Ingakumbi ukuba unesifo seswekile, ukulawula amanqanaba eswekile egazini lakho kakuhle kunokucothisa kwaye mhlawumbi kubuyisele nomonakalo othile kwimithambo-luvo.
- Ukuba uneempawu ezinje, kubaluleke kakhulu ukuba ungazityesheli, kodwa ubone ugqirha ngokukhawuleza ukuze kuchongwe unobangela kwaye ufumane unyango olufunekayo.
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