Ngaba ngamanye amaxesha ubila kakhulu ngaphandle kwesizathu, okanye uziva ngathi awubila kakhulu kwezinye iindawo? Okanye ngaba unezinto ezincinci ezifana nokungaziva emilenzeni okanye isiyezi? Ngamanye amaxesha kunokuba nzima kugqirha ukufumana unobangela wezi mpawu ngoko nangoko. Ngamaxesha anjalo, uvavanyo olukhethekileyo lunokucetyiswa ukuze kubonwe ukuba kukho ingxaki kwinkqubo yemithambo-luvo esisebenza ngayo ngokungazi emzimbeni wethu (inxalenye elawula izinto ezifana nokuphefumla nokubila). Olu lolunye uvavanyo olubizwa ngokuba yi-QSART.
Kalula nje, yintoni i-QSART?
I-QSART imele i-'Quantitative Sudomotor Axon Reflex Test'. Nangona eli gama lisenokuvakala liyinkimbinkimbi, lilula kakhulu. Ngamafutshane, luvavanyo olulinganisa indlela esebenza ngayo imithambo-luvo elawula ukubila kwakho. Sikwabiza ngokuba 'luvavanyo lokubila'.
Cinga ngako oku, ukubila kubaluleke kakhulu ekulawuleni ubushushu bomzimba wethu. Oku kubila kulawulwa yinxalenye ekhethekileyo yenkqubo yethu yemithambo-luvo. Kolu vavanyo, sisebenzisa ukuvuselela okuncinci kakhulu kombane kwindawo encinci yolusu lwakho kwaye silinganise ukuba ingakanani i-sweat glands yakho evelisayo xa iphendula. Ngokulinganisa ubungakanani bokubila obuveliswa ngale ndlela, sinokufumana umbono olungileyo ngomsebenzi wemithambo-luvo ebandakanyekayo.
Kuxa kutheni apho ugqirha angacebisa olu vavanyo?
Olu vavanyo lwe-QSART luluncedo kakhulu ekuxilongeni izifo ze-Autonomic Nervous System, elawula imisebenzi yomzimba wethu esingayilawuli ngabom (umzekelo, isantya sentliziyo, uxinzelelo lwegazi, ukubila, ukugaya). Ikwasetyenziselwa ukuxilonga i-peripheral neuropathies, ezinxulumene nezinto ezifana nokungaziva kakuhle kwamalungu omzimba, kunye nezinye iimeko zentlungu.
Ugqirha wakho angacebisa olu vavanyo ukuba ukrokrela ukuba unenye yezi meko zilandelayo:
- I-Autonomic neuropathy: Ukonakala kwemithambo-luvo elawula imisebenzi ezenzekelayo emzimbeni wethu.
- I-Complex regional pain syndrome (CRPS): Intlungu enzima nehlala ixesha elide engalweni okanye emlenzeni, ngesiqhelo emva kwengozi.
- I-neuropathy enxulumene nesifo seswekile: Ukonakala kwemithambo-luvo okubangelwa sisifo seswekile.
- I-Multiple sclerosis: Isifo esonakalisa imithambo-luvo engqondweni nasemgogodleni.
- I-Postural orthostatic tachycardia syndrome (i-POTS): Imeko apho isantya sentliziyo sinyuka ngokungaqhelekanga xa umile.
- Isifo sikaSjögren:Isifo senkqubo yomzimba yokuzikhusela esichaphazela amadlala avelisa umswakama emzimbeni (iinyembezi, amathe).
- I-Small fiber neuropathy: Iimpawu ezifana nentlungu kunye nokungaziva zimpawu zibangelwa kukonakala kwemithambo-luvo emincinci eluswini nakwizitho zomzimba.
Ndingazilungiselela njani ezi vavanyo?
Ngaphambi kovavanyo lwe-QSART, ugqirha wakho uza kuthetha nawe akuchazele yonke into. Uza kukunika nemiyalelo ekhethekileyo ekufuneka uyilandele ukuqinisekisa iziphumo zovavanyo ezichanekileyo. Kubaluleke kakhulu ukuba ulandele le miyalelo ngokuchanekileyo.
Makhe sijonge le theyibhile ingezantsi ukuze sibone indlela esimele sizilungiselele ngayo ngokubanzi.
| Imiyalelo | Inkcazo kunye nesizathu |
|---|---|
| Amanye amayeza | Ungacelwa ukuba uyeke ukusebenzisa amayeza athile kangangeentsuku ezimbini anokuchaphazela iziphumo zovavanyo. Ugqirha wakho uza kukuxelela ngqo ukuba zeziphi. Ungaze uyeke ukusebenzisa amayeza ngaphandle kokubuza ugqirha wakho kuqala. |
| Iimveliso zecuba | Kuphephe ukutshaya nokusebenzisa ezinye iimveliso zecuba ubuncinane iiyure ezine ngaphambi kovavanyo. Ezi zinto zinokuchaphazela inkqubo yemithambo-luvo. |
| Iimpahla | Nxiba impahla ekhululekileyo nekhululekileyo ngomhla wovavanyo. Musa ukunxiba iikawusi eziqinileyo (iikawusi zokucinezela) ngomhla wovavanyo. |
| Iiloshini kunye neekhrimu | Ngentsasa yovavanyo, musa ukuthambisa naziphi na iiloshini, iikhrimu, okanye iioyile ezandleni nasezinyaweni zakho. Ezi zinto zinokuphazamisana nezixhobo zovavanyo ekuchukumiseni ulusu. |
| Ukutya neziselo | Kukho imiyalelo ethile ekhethekileyo yoku, esiza kuyixoxa ngokwahlukeneyo ngezantsi. |
Izinto ekufuneka uzazi malunga nokutya nokusela ngaphambi kovavanyo
| Kwenziwe ntoni | Ixesha elibekiwe |
|---|---|
| Musa ukusela nantoni na enotywala. | Ukususela kwiiyure ezili-12 ngaphambi kovavanyo. |
| Musa ukutya nantoni na ene-caffeine (iti, ikofu, itshokolethi, iziselo ezibandayo). | Ukususela kwiiyure ezisi-8 ngaphambi kovavanyo. |
| Yitya isidlo esilula (umz. irayisi, isilayi sesonka) | Iiyure ezi-3 ngaphambi kovavanyo. |
| Kuphephe ukusela nantoni na (nokuba ngamanzi). | Ukususela kwiiyure ezi-3 ngaphambi kovavanyo. |
| Sela amanzi amaninzi kwaye uhlale unamanzi emzimbeni. | Ngosuku olungaphambi kovavanyo. |
Ngawaphi amayeza ekunokufuneka amiswe ngaphambi kovavanyo?
Okubaluleke kakhulu: Musa ukuyeka ukuthatha amayeza de ugqirha wakho akuxelele ukuba uyeke. Amanye amayeza anokubangela ezinye iingxaki ukuba uyeka ukuwasebenzisa. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu). Uza kukuxelela ukuba kufuneka uyeke ukuwasebenzisa na kwaye nini.
Apha ngezantsi kukho amayeza anokuchaphazela iziphumo ze-QSART. Ugqirha wakho angakucela ukuba uyeke ukuwasebenzisa iiyure ezingama-48 ngaphambi kovavanyo.
- I-Analgesics
- Amayeza okudakumba
- Ii-Antihistamines (amayeza okulwa nee-allergies)
- Iiarhente ezichasene nokuvuvukala
- I-aspirin
- Amayeza oxinzelelo lwegazi
- Iziyobisi zomchamo
- Amayeza omkhuhlane okanye okukhwehlela afumaneka ngaphandle kwekhawuntara
Kulungile, ngoku masibone ukuba kwenzeka ntoni xa senza uvavanyo.
Ukwazi kwangaphambili indlela oluza kwenziwa ngayo uvavanyo kunokunceda ekunciphiseni ixhala. Yinkqubo elula kakhulu.
1. Ukulungiselela: Okokuqala, uza kucelwa ukuba ukhulule izihlangu zakho kunye neekawusi. Emva koko, uza kucelwa ukuba uhlale etafileni yokuhlolwa okanye ulale phantsi.
2. Ukucoca ulusu: Umhloli uza kucoca aze omise ulusu olujikeleze imilenze, iinyawo, kunye nezandla zakho.
3. Ukuncamathisela ii-electrode: Okulandelayo, kuncamathiselwa iziqwenga ezine ezincinci zeplastiki ezibizwa ngokuba zii-electrode eluswini lwakho. Ngokwesiqhelo, ezintathu zincamathiselwa emilenzeni yakho kwaye enye inamathele ezihlahleni zakho.
4. Ukusebenzisa isisombululo esikhethekileyo: Okulandelayo, isisombululo esibizwa ngokuba yi-'acetylcholine' sisetyenziswa eluswini apho kukho ii-electrodes. I-'acetylcholine' yikhemikhali (i-neurotransmitter) ekhoyo ngokwemvelo emzimbeni wethu kwaye ithwala imiyalezo phakathi kwemithambo-luvo. Apha, isetyenziselwa ukuvuselela amadlala akho okubila.
5. Ukuqalisa uvavanyo: Ngoku umatshini we-QSART uvuliwe. Emva koko umbane omncinci kakhulu uthunyelwa eluswini lwakho ngee-electrodes. Lo asingomsinga omkhulu, ngoko akukho nto yokoyika.
6. Ukulinganisa ukubila: Lo mbane wombane kunye nesisombululo se-'acetylcholine' zenza ukuba amadlala akho okubila aqale ukuvelisa ukubila. Umatshini ulinganisa ubungakanani bokubila obuvelisiweyo.
7. Phinda: Igosa lingazisusa ii-electrode lize lizincamathisele kwezinye iindawo zomzimba, liphinda le nkqubo.
Olu vavanyo luthatha ixesha elingakanani? Ingaba lubuhlungu?
Uvavanyo lonke ludla ngokuthatha malunga nemizuzu engama-45 ukuya kwiyure .
Olu ayilovavanyo olubuhlungu. Nangona kunjalo, abanye abantu banokuziva bengakhululekanga. Xa umbane omncinci udlula eluswini, unokuziva ngathi kukukrwempa, ukurhawuzelela okuncinci, okanye ukutsha okuncinci, njengokuhlaba inaliti encinci . Oku kuyahluka kumntu nomntu. Nangona kunjalo, asikokubuhlungu okunganyamezelekiyo. Ukuba uziva iintlungu ezininzi, xelela umntu owenza uvavanyo ngoko nangoko.
Kwenzeka ntoni emva kovavanyo? Ziza kufumaneka nini iziphumo?
Emva kokuba uvavanyo luphelile, igosa liza kususa ii-electrode eluswini lwakho. Emva koko, unganxiba iikawusi nezihlangu zakho kwakhona uze uphile ubomi obuqhelekileyo.
Ungabona ukuba ulusu lubomvu okanye lutshintsha umbala kancinci apho ii-electrode zibekwe khona. Oku kuqhelekile kwaye kuya kuphela emva kweeyure ezimbalwa.
Idatha efunyenwe kuvavanyo iya kuthunyelwa kugqirha okuthumelele olu vavanyo. Uza kuqhagamshelana nawe kwiintsuku ezimbalwa xa iziphumo zifumaneka.
Ungaziqonda njani iziphumo ze-QSART?
Ugqirha wakho uza kuhlalutya iziphumo aze akuchazele intsingiselo yazo. Xa ujonga ezi ziphumo, kukho izinto ezintathu eziphambili ekufuneka uzijonge:
- Ukulibaziseka kokuqala: Kuthathe ixesha elingakanani ukuba ukubila kwenzeke emva kokuvuselelwa?
- Ukuveliswa kokubila okuphezulu: Kuvela nini inani elikhulu lokubila?
- Umthamo opheleleyo wokubila: Ingakanani ingakanani ibila eveliswe ngexesha lonke lovavanyo?
Ezi ziphumo zinokuba 'ziqhelekileyo' okanye 'zingaqhelekanga'.
Iyintoni isiphumo esiqhelekileyo?
Ukuba isiphumo 'siqhelekileyo' (ngamanye amaxesha sibizwa ngokuba 'sisiphumo esibi'), oko kuthetha ukuba ubungakanani kunye nobude bokuveliswa kokubila kwakho kungaphakathi koluhlu olulindelekileyo ngokweminyaka yakho kunye nesini sakho. Oku kuthetha ukuba uvavanyo alubonisi ingxaki enkulu ekusebenzeni kwemithambo-luvo elawula ukubila.
Yintoni isiphumo esingaqhelekanga/esilungileyo?
Ukuba isiphumo 'Silungile' okanye asiqhelekanga, oko kuthetha ukuba amaxabiso ovavanyo ahlukile koko kulindelekileyo. Umzekelo, kungathatha ixesha elide ukuqala ukubila, okanye ubungakanani bokubila obuveliswayo bunokuba bukhulu kakhulu okanye bube bukhulu kakhulu.
Oku kuthetha ukuba kukho into enokubangela ukuphazamiseka kwindlela yakho yokusebenza kwe-autonomic nervous system.
Into ebalulekileyo ekufuneka uyiqonde apha kukuba iziphumo zovavanyo lwe-QSART 'eziqinisekileyo' azithethi ngokuthe ngqo ukuba unesifo. Zithetha ukuba kukho into engasebenzi kakuhle kwinkqubo yakho yemithambo-luvo kwaye kufuneka uphando olongezelelekileyo. Yindlela ebalulekileyo kuphela ugqirha aya kuyifumana ukuze axilonge imeko yakho. Emva koko unokugqiba ukuba enze olunye uvavanyo okanye aqale unyango olulungele wena.
Umyalezo Wokuya Ekhaya
- I-QSART luvavanyo olukhuselekileyo nolungenazintlungu olulinganisa ukusebenza kwemithambo-luvo elawula ukubila kwakho.
- Ukuze ufumane iziphumo ezichanekileyo, kubalulekile ukulandela ngokungqongqo ukutya, amayeza, kunye neminye imiyalelo enikwe ngugqirha ngaphambi kovavanyo.
- Xelela ugqirha wakho ngazo zonke iziyobisi ozisebenzisayo. Kuphephe ukuyeka naluphi na unyango ngaphandle kwengcebiso kagqirha wakho.
- Ukungakhululeki okuvakalayo ngexesha lovavanyo kudla ngokuba kukurhawuzelela okanye ukutsha okuncinci. Asikuko ukungonwabi okunganyamezelekiyo.
- Iziphumo zovavanyo 'ezibonisa ukuba unayo' (ezingaqhelekanga) aziloxilongo. Lulwazi olubalulekileyo olunceda ugqirha wakho ukuba ahlolisise imeko yakho ngakumbi.
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