Zingaki izinto ezenzeka emizimbeni yethu ngaphandle kokuthi siqaphele? Asicabangi njalo ngezinto ezifana nokuphefumula, ukushaya kwenhliziyo, ukugaya ukudla, nokulawula izinga lokushisa lomzimba. Lezi zinto zenzeka ngokuzenzakalelayo, njengohlelo oluzenzakalelayo lwemoto. Konke okwenzeka ngokuzenzakalelayo kulawulwa yingxenye ekhethekile yesimiso sethu sezinzwa. Kodwa, kwenzekani uma lesi simiso sezinzwa sonakaliswa ngenxa yezifo ezithile? Yilapho-ke lokhu kulawula okuzenzakalelayo kuqala khona ukuba yinkinga. 'I-Autonomic Neuropathy', esikhuluma ngayo namuhla, imayelana nesimo esinjalo.
Iyini le-Autonomic Neuropathy?
Kalula nje, i-'Autonomic Neuropathy' iwukulimala kwemizwa elawula imisebenzi yomzimba wethu ngokuzenzakalelayo. Le mizwa ibizwa ngokuthi 'i-Autonomic Nervous System'. Le mizwa, kanye nobuchopho bethu kanye nomgogodla, ilawula ukusebenza kwezitho ezinkulu njengenhliziyo, isisu, amathumbu, kanye nesinye.
Cabanga nje, ngisho nezinto ezifana nezindilinga ezimnyama emehlweni akho eziba zinkulu uma ungena ekamelweni elimnyama, noma umlomo okhipha amanzi uma unuka ukudla okumnandi, zilawulwa yilolu hlelo. Ngakho-ke uma lezi zinzwa zonakele, lezi zinto ezizenzakalelayo azisebenzi kahle. Izinto eziyinhloko ezingathinteka yilezi:
- Ukushaya kwegazi
- Isilinganiso senhliziyo
- Ukugaya ukudla
- Ukuchama
- Ukunyakaza kwamathumbu
- Ukulawula izinga lokushisa lomzimba
- Umsebenzi wocansi
Ziyini izimpawu zalokhu?
Izimpawu ozibonayo zizoncika ekutheni imiphi imizwa ethintekile. Izimpawu zingahluka kumuntu nomuntu. Ake sibheke izimpawu eziyinhloko.
| Uhlelo oluthintekile | Izimpawu ezingaba khona |
|---|---|
| Uhlelo lokugaya ukudla | Uhudo, ukuqunjelwa, ukuzizwa usuthi ngisho nangemva kokudla ukudla okuncane, ukuhlanza, ukugabha ukudla okungagayiwe, ubunzima bokugwinya, ubuhlungu besifuba. |
| Inhliziyo nemithambo yegazi | Ukuzungeza noma ukuquleka okubangelwa ukwehla okungazelelwe komfutho wegazi lapho umi, ukushaya kwenhliziyo okusheshayo (ikakhulukazi ngesikhathi sokuzivocavoca), umfutho wegazi ophezulu. |
| Uhlelo lomchamo | Ubunzima bokuchama, ukungakwazi ukulawula umchamo, ukungakwazi ukukhipha ngokuphelele isinye, ukutheleleka njalo komgudu womchamo. |
| Izinga lokushisa lomzimba | Ukujuluka ebusuku, ukujuluka ngokweqile noma okuncane kakhulu, ukujuluka ngenkathi udla. |
| Umsebenzi wocansi | Amadoda abhekana nobunzima bokuqiniswa kwenduku, abesifazane babhekana nokoma kwesitho sangasese sowesifazane, ukuncipha kwesifiso sobulili, kanye nezinkinga zokufinyelela ukuvuthwa ngokugcwele. |
| Amaphaphu nokubona | Ubunzima bokuphefumula, ubunzima bokulungisa umbono lapho usuka endaweni ekhanyayo uye endaweni emnyama, ubunzima bokushayela ebusuku. |
Isifo Sikashukela kanye Nokungazi Nge-Hypoglycemia
Uma umuntu onesifo sikashukela eba ne-'Autonomic Neuropathy', kungase kube khona enye inkinga enkulu. Okungukuthi, ukungaziboni izimpawu eziyisixwayiso zamazinga kashukela egazini aphansi ngendlela eyingozi (i-Hypoglycemia). Odokotela bakubiza lokhu ngokuthi 'i-Hypoglycemia Unawareness'.
Ngokuvamile, uma uhlelo lwakho lwezinzwa oluzimele lusebenza kahle, lapho ushukela wegazi lakho wehla ngendlela eyingozi, uzothola izimpawu ezifana nokuthuthumela, ukujuluka, kanye nokushaya kwenhliziyo okusheshayo. Lezi "izimpawu zesixwayiso" umzimba wakho okunikeza zona. Kodwa-ke, umuntu one-Autonomic Neuropathy angase angazizwa lezi zimpawu zesixwayiso.
Lesi yisimo esiyingozi kakhulu ngoba, uma ungaqapheli ukuthi ushukela wakho wegazi uyehla, ungaquleka, ulahlekelwe ingqondo, noma ube nemiphumela emibi nakakhulu.
Uma unalolu hlobo lwe-'Hypoglycemia Unawareness', udokotela wakho uzokutshela ukuthi uhlole amazinga kashukela egazini lakho njalo. Bangase batuse nokuthi usebenzise i-'Continuous Glucose Monitor', ekala amazinga kashukela egazini lakho njalo futhi ikhiphe i-alamu uma yehla.
Yiziphi izimbangela zalesi simo?
Imbangela eyinhloko nevame kakhulu yalokhu kulimala kwemizwa isifo sikashukela . Ngokuhamba kwesikhathi, isifo sikashukela esingalawulwa singalimaza le mizwa. Ngaphandle kwalokho, kungaba nezinye izimbangela eziningi.
- Isifo sikashukela: Imbangela eyinhloko.
- Izifo ezizenzakalelayo: Izifo lapho amasosha omzimba ahlasela khona imizwa. Izibonelo zifaka phakathi i-'Rheumatoid Arthritis', i-'Lupus', i-'Guillain-Barré syndrome'.
- Ukutheleleka okuthile: Ukutheleleka okufana ne-HIV nesifo se-Lyme.
- Ezinye izifo: Isifo sikaParkinson, i-amyloidosis, isifo esibangelwa ukugcinwa kwamaprotheni okungajwayelekile.
- Eminye imithi enikezwa umdlavuza: Imithi ethile ye-chemotherapy.
- Ukuphuza utshwala ngokweqile.
- Ukuhlinzwa noma ukulimala komgogodla.
- Ukuchayeka kumakhemikhali: Isibonelo, izinsimbi ezisindayo.
- Ezinye izifo ezidluliselwa ngofuzo.
Ungasithola kanjani lesi sifo?
Akukho ukuhlolwa okukodwa okutholakalayo ukuze kutholakale lesi simo. Udokotela wakho uzoqala alalele izimpawu zakho bese enza ukuhlolwa ngokomzimba. Ngemuva kwalokho, bangase batuse ukuhlolwa kwegazi okuningana ukuze bathole imbangela.
- Hlola isifo sikashukela.
- Hlola ezinye izifo ezibangelwa amasosha omzimba.
- Hlola izifo ezifana ne-HIV.
Ngaphezu kwalokho, ezinye izivivinyo ezikhethekile zingenziwa kuye ngezimpawu:
- Ukuhlolwa kwetafula eligobile: Ulala phansi kudivayisi efana nombhede bese umzimba wakho ongaphezulu uphakanyiswa kancane kancane njengokungathi umi. Umfutho wegazi lakho kanye nesilinganiso senhliziyo kuyaqashelwa. Lokhu kuwusizo kakhulu kubantu abahlushwa yisiyezi lapho besukuma.
- Ukuhlolwa kwe-Quantitative Sudomotor Axon Reflex (QSART): Lokhu kuhlola ukuthi izindlala zakho zokujuluka zisebenza kanjani kusetshenziswa ugesi omncane kakhulu.
- Ukuhlolwa kwe-Urodynamic: Ukuhlolwa okuhlola ukuthi isinyi sigcina futhi sikhipha umchamo kahle kangakanani.
- Ukuskena nge-Ultrasound: Lokhu kusiza ukuthola izithombe zangaphakathi kwezitho zomzimba njengesinye futhi kubone kahle ukuthi inkinga iyini.
- Ukuhlolwa kokukhipha ukudla esiswini: Ukuhlolwa okuhlola ukugaya ukudla okungajwayelekile, ikakhulukazi ukukhishwa kokudla esiswini okuhamba kancane (i-Gastroparesis).
Iphathwa kanjani?
Ukwelashwa okuyinhloko laphaUkwelapha isifo esiyisisekelo esibangele ukulimala kwemizwa. Isibonelo, uma unesifo sikashukela, udinga ukulawula amazinga kashukela egazini lakho ngokudla, ukuzivocavoca, kanye, uma kudingeka, nemithi. Uma kuyisifo esibangelwa ukuzivikela komzimba, udinga ukuthola ukwelashwa kwaso.
Ngesikhathi esifanayo, udokotela uzophinde ancome izinto ezahlukahlukene zokulawula izimpawu ezivele.
Okubalulekile: Njalo xhumana nodokotela wakho ngaphambi kokulandela noma yimuphi umuthi noma indlela eshiwo lapha.
| Izimpawu/Uhlelo | Izinto okufanele zenziwe kanye nokwelashwa |
|---|---|
| Izinkinga zokugaya ukudla | - Ungadli kakhulu ngesikhathi esisodwa, yidla ukudla okuncane okuningana. - Gwema ukuqunjelwa ngokudla ukudla okune-fiber eningi kanye noketshezi. - Ukuthatha imithi yokuhlanza isisu njengoba kunqunywe udokotela. - Ukuthatha imithi yokwelapha isifo sohudo kanye nobuhlungu besisu. |
| Izinkinga zomchamo | - Yakha umkhuba wokuchama ngezikhathi ezijwayelekile. - Ukuthatha imithi esiza ukukhipha isisu ngokuphelele. - Ukukhipha umchamo ngokufaka i-catheter esinyeni. |
| Izinkinga zokujuluka | - Ukuthatha imithi enciphisa ukujuluka (isib. i-glycopyrrolate) njengoba kunqunywe udokotela. - Ukuhlala endlini ngesikhathi sokushisa okukhulu. |
| Izinkinga zenhliziyo nomfutho wegazi | - Ukuthatha imithi ekhulisa umfutho wegazi (i-fludrocortisone, i-midodrine). - Ukuthatha imithi efana ne-'beta-blockers' ukulawula ukushaya kwenhliziyo. - Vuka kancane ukuze ugweme isiyezi. - Phuza usawoti kanye noketshezi oluthe xaxa kuphela uma kunconywa udokotela wakho. |
| Izinkinga zocansi | - Ukusetshenziswa kwemithi efana ne-`sildenafil (Viagra)` yokungasebenzi kahle kwenduku, njengoba kunqunywe udokotela. - Kwabesifazane, sebenzisa i-lubricant esekwe emanzini ukuze unciphise ukoma kwesitho sangasese sowesifazane. |
Umlayezo Wokuya Nawe Ekhaya
- I-autonomic neuropathy iwukulimala kwemizwa elawula imisebenzi ezenzakalelayo emzimbeni wethu (njengokushaya kwenhliziyo, ukugaya ukudla).
- Nakuba imbangela evame kakhulu yalokhu isifo sikashukela, ezinye izifo nezimbangela eziningi zingaba nomthelela.
- Izimpawu ezingahlobene ezifana nesiyezi, ukujuluka okungajwayelekile, izinkinga zokugaya ukudla, kanye nobunzima bokuchama zingase zivele ngokuzumayo.
- Isihluthulelo sokwelashwa ukwelapha imbangela eyinhloko. Ikakhulukazi uma unesifo sikashukela, ukulawula amazinga kashukela egazini lakho kahle kunganciphisa futhi mhlawumbe kubuyisele emuva ukulimala kwezinzwa.
- Uma unezimpawu ezinjengalezi, kubaluleke kakhulu ukungazinaki, kodwa ukubonana nodokotela ngokushesha ngangokunokwenzeka ukuze kutholakale imbangela futhi kutholakale ukwelashwa okudingekayo.
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