Ngaba wakha wadibana nale nto? Xa uphakama ngequbuliso esihlalweni, umbono wakho uba mnyama, intloko yakho ivakala ngathi iyaphazamiseka , okanye isifuba sakho siqala ukubetheka kwaye uqala ukubila ngaphandle kwesizathu esicacileyo. Nangona sinokucinga ukuba ezi zinto ziqhelekile, ngamanye amaxesha ezi mpawu zinokubangelwa kukungasebenzi kakuhle kwenye yezona nkqubo zokulawula zomzimba wethu zibalulekileyo. Namhlanje, siza kuthetha ngemeko ebizwa ngokuba yi-dysautonomia, abantu abaninzi abangayaziyo, kodwa ixhaphakile.
Yintoni kanye kanye iDysautonomia?
Ngamafutshane, i-dysautonomia ligama eliqhelekileyo leqela leemeko zonyango ezibangelwa kukungasebenzi kakuhle kweNkqubo yeNervous ye-Autonomic (ANS) yomzimba wethu.
Ngoku usenokuba uzibuza ukuba yintoni inkqubo ye-autonomic nervous. Cinga ngayo, izinto ezinje ngokubetha kwentliziyo yakho, ukuphefumla kwakho, ukugaya kwakho, ubushushu bomzimba wakho, uxinzelelo lwegazi lakho, njl.njl., azizozinto ekufuneka uzicinge. Zenzeka ngokuzenzekelayo, njengakwi-auto-pilot. Yileyo ndlela inkqubo ye-autonomic nervous elawula ngayo iinkqubo ezibalulekileyo emzimbeni wethu ngaphandle kokuba siqaphele.
Ngoko ke, xa imithambo-luvo kule nkqubo ingasebenzi kakuhle, izinto ezimele zenzeke ngokuzenzekelayo ziqala ukungahambi kakuhle. Yiloo nto siyibiza ngokuba yi-dysautonomia . Akunqabile njengoko unokucinga. Abantu abangaphezu kwezigidi ezingama-70 kwihlabathi liphela banale meko. Kwakhona, uphando lwakutshanje lufumanise ukuba abantu abaphila neempawu ezingapheliyo emva kokuba bene-COVID - 19 basengozini enkulu yokufumana i-dysautonomia.
Ziziphi iintlobo kunye neempawu eziphambili zale meko?
Kukho malunga neentlobo ezili-15 ze-dysautonomia. Ngamanye amaxesha umntu unokuba neentlobo ezingaphezu kwesinye ngexesha elinye. Makhe sijonge ezinye zezona zixhaphakileyo.
| Uhlobo lweDysautonomia | Iimpawu Eziqhelekileyo |
|---|---|
| I-Postural Orthostatic Tachycardia Syndrome (i-POTS) | Olu lolona hlobo luxhaphakileyo. Iimpawu ziquka ukubetha kwentliziyo ngokukhawuleza xa umi kwindawo ohleli kuyo, isiyezi, ubuthathaka, ukuphefumla nzima, iintlungu zesifuba, ukudinwa, iingxaki zokulala, kunye nobunzima bokuzilolonga. |
| Uxinzelelo lwe-Orthostatic (OH) | Ukungakwazi komzimba ukulawula uxinzelelo lwegazi xa umile. Iimpawu ziquka isiyezi, ukubona izinto zingacacanga, intloko ebuhlungu, isicaphucaphu, ubuthathaka, kunye nokuqina kwesifuba. |
| I-Vasovagal syncope (VVS) | Oku kukulahlekelwa yingqondo ngequbuliso (ukutyhafa). Oku kubangelwa kukwehla ngequbuliso koxinzelelo lwegazi kunye nesantya sentliziyo. Ngaphambi kokuba utyhafe, unokufumana ukubila okubandayo, isicaphucaphu, ukuziva ushushu, kunye namehlo aluhlaza okwesibhakabhaka. |
| I-sinus tachycardia engafanelekanga (IST) | Isantya sentliziyo esinyuka siye kuthi ga kwi-100 beats ngomzuzu ngaphandle kwesizathu, nokuba uphumle. Uphawu oluphambili ziintlungu zesifuba. Ingahamba nokudinwa, isiyezi, kunye nobunzima bokuphefumla. |
Ukongeza kwezi ntlobo ziphambili, kukho ezinye iintlobo ezingaqhelekanga ezifana ne-autonomic autonomic ganglionopathy (AAG), i-baroreflex failure (BF), i-familial dysautonomia (FD), i-pure autonomic failure (PAF), kunye ne-multiple system atrophy (MSA). Iimpawu kunye nobunzima bazo ziyahluka.
Into ebalulekileyo kukuba ezi mpawu zisenokungabonakali ngaphandle. Ngoko ke xa umntu esithi "Ndidiniwe" okanye "Ndiziva ndinesiyezi," musa ukucinga nje ukuba yinto ayithethayo. Kusenokuba kukho isizathu sezonyango emva koko.
Unxibelelwano phakathi kwe-COVID-19 kunye ne-Dysautonomia
Emva kobhubhane we-COVID-19, incoko malunga ne-dysautonomia yanda ngakumbi, njengoko abantu abaninzi abachachayo kwi-COVID, ingakumbi abo bahlushwa yi- (Long COVID), baqala ukufumana iimpawu ze-dysautonomia.
Uphando lufumanise ukuba phakathi kwama-30% nama-67% abantu abane (i-Long COVID) bane-dysautonomia. Eyona ixhaphakileyo kwezi yimeko esixoxe ngayo ngaphambili, i-POTS .
Ukonakala kwezicubu zomzimba okubangelwa yintsholongwane yeCovid, utshintsho kwinkqubo yomzimba yokuzikhusela,Iingcali zikholelwa ukuba izinto ezifana nokungalingani kwamahomoni zisenokuba yimbangela. Kwakhona, amanye amayeza anikwa kwiiyunithi zokhathalelo oluphezulu (ii-ICU) anokuchaphazela inkqubo yemithambo-luvo ezimeleyo.
Indlela yokuxilonga esi sifo?
Ukuba unale mpawu, into yokuqala omawuyenze kukubona ugqirha onamava . Ugqirha uza kumamela iimpawu zakho aze akuhlole. Emva koko, banokwenza uvavanyo oluthile ukuqinisekisa ukuba unayo na le meko.
- Uvavanyo lweTheyibhile yokuTyibilika: Olu lolona vavanyo lubalulekileyo. Kolu vavanyo, ubekwa ebhedini ekhethekileyo kwaye uqhagamshelwe kwizixhobo ezilinganisa izinga lentliziyo yakho, uxinzelelo lwegazi, kunye namanqanaba eoksijini. Emva koko ibhedi ithambekiswa kancinci kancinci iye kwindawo ethe nkqo. Impendulo yomzimba wakho kutshintsho lwendawo (indlela izinga lentliziyo yakho kunye notshintsho loxinzelelo lwegazi) iyajongwa.
- Ezinye iimvavanyo: Ukongeza, iimvavanyo zokuphefumla, iimvavanyo zokubila, iimvavanyo zegazi, kunye neemvavanyo ezifana ne-ECG kunye ne-Echo zokujonga ukusebenza kwentliziyo zinokwenziwa.
Ziziphi iindlela zonyango lwe-dysautonomia?
Kubalulekile ukwazi oku. Akukho nyango lwe-dysautonomia. Nangona kunjalo, oko akuthethi ukuba kufuneka ubandezeleke ngolu hlobo. Kukho iindlela ezininzi zonyango kunye neendlela zokulawula ezinokunceda ukulawula iimpawu nokwenza ubomi bube lula.
Ngokuxhomekeke kwiimpawu zakho kunye nohlobo lwemeko yakho, ugqirha wakho unokukucebisa ukuba:
- Ukongeza ityuwa encinci ekutyeni kwakho: Oku kunokunceda ekulawuleni uxinzelelo lwegazi . Kodwa ngokuqinisekileyo kufuneka ukwenze oku kuphela emva kokuthetha nogqirha wakho. Kuyingozi ukutya ityuwa eninzi ngaphandle kwengcebiso kagqirha, ingakumbi ukuba unezinye izifo ezifana noxinzelelo lwegazi oluphezulu.
- Ukusela amanzi amaninzi imini yonke: Oku kunceda ukugcina umthamo wegazi ulungile emzimbeni.
- Amayeza: Ugqirha wakho angakunika amayeza okunyusa uxinzelelo lwegazi, afana neFludrocortisone kunye neMidodrine . La mayeza kufuneka asetyenziswe kanye njengoko ugqirha wakho ekuxelela.
- Ukutshintsha indawo olala kuyo: Ukuphakamisa intloko yebhedi malunga nee-intshi ezi-6-10 ngelixa ulele kunokunceda ukulawula ezinye iimpawu.
- Ukunxiba iikawusi zokucinezela:Ezi zinciphisa ukuhlangana kwegazi emilenzeni kwaye zinceda ekujikelezeni kwegazi.
- Ukuzilolonga: Inkqubo yokuzilolonga eqala kancinci kwaye ijongwa ngugqirha okanye ingcali yezonyango inokuba luncedo kakhulu.
Umyalezo Wokuya Ekhaya
- I-Dysautonomia yimeko yokwenyani yempilo. Asiyonto ubuyicinga, okanye "uyikruqukile." Yingxaki ngenkqubo yomzimba yokulawula umzimba.
- Ukuba uqhubeka ufumana iimpawu ezifana nesiyezi xa umi, ukudinwa kakhulu, kunye nentlungu yesifuba engachazekiyo, musa ukuba namahloni ngaloo nto kwaye thetha nogqirha.
- Ukuba uqala ukuba nezi mpawu emva kokuba usulelwe yi-COVID, ungalibali ukuxelela ugqirha wakho.
- Nangona kungekho nyango lupheleleyo loku, kukho iindlela ezininzi zonyango ezinokukunceda ukulawula iimpawu kwaye uphile ubomi obuqhelekileyo.
- Musa ukuzixilonga okanye ukuzenzela amayeza ngokusekelwe koko ukufundileyo kwi-intanethi okanye oko ukuvayo ebantwini. Soloko ubona ugqirha kwaye ufumane iingcebiso ezifanelekileyo.
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