Wake wakwenza lokhu? Uma usukuma esihlalweni ngokuzumayo, umbono wakho uba mnyama, ikhanda lakho lizizwa lididekile , noma isifuba sakho siqala ukushaya ngamandla bese uqala ukujuluka ngaphandle kwesizathu esibonakalayo. Nakuba singase sicabange ukuthi lezi zinto zivamile, ngezinye izikhathi lezi zimpawu zingabangelwa ukungasebenzi kahle kwenye yezinhlelo zomzimba wethu zokulawula ezibalulekile. Namuhla, sizokhuluma ngesimo esibizwa ngokuthi i-dysautonomia, abantu abaningi abangasazi, kodwa esivame kakhulu.
Iyini ngempela i-Dysautonomia?
Kalula nje, i-dysautonomia igama elijwayelekile leqembu lezimo zezokwelapha ezibangelwa ukungasebenzi kahle kwe -Autonomic Nervous System (ANS) yomzimba wethu.
Manje ungase uzibuze ukuthi luyini uhlelo lwezinzwa oluzimele. Cabanga ngakho, izinto ezifana nokushaya kwenhliziyo yakho, ukuphefumula kwakho, ukugaya kwakho, izinga lokushisa lomzimba wakho, umfutho wegazi lakho, njll. akuzona izinto okufanele uzicabangele. Zenzeka ngokuzenzakalelayo, njengase-auto-pilot. Yileyo ndlela uhlelo lwezinzwa oluzimele olulawula ngayo izinqubo ezibalulekile emzimbeni wethu ngaphandle kokuthi siqaphele.
Ngakho-ke, lapho imizwa kulesi simiso ingasebenzi kahle, izinto okufanele zenzeke ziqala ukungahambi kahle ngokuzenzakalelayo. Yilokho esikubiza ngokuthi i-dysautonomia . Akuyona into engavamile njengoba ungase ucabange. Abantu abangaphezu kwezigidi ezingu-70 emhlabeni wonke banalesi simo . Futhi, ucwaningo lwamuva luthole ukuthi abantu abaphila nezimpawu eziqhubekayo ngemva kokuba ne-COVID basengozini enkulu yokuthola i-dysautonomia.
Yiziphi izinhlobo nezimpawu eziyinhloko zalesi simo?
Kunezinhlobo ezingaba ngu-15 ze-dysautonomia. Ngezinye izikhathi umuntu angaba nezinhlobo ezingaphezu kweyodwa ngesikhathi esisodwa. Ake sibheke ezinye zezinhlobo ezivame kakhulu.
| Uhlobo lwe-Dysautonomia | Izimpawu Ezivamile |
|---|---|
| I-Postural Orthostatic Tachycardia Syndrome (i-POTS) | Lolu uhlobo oluvame kakhulu. Izimpawu zifaka phakathi ukushaya kwenhliziyo okusheshayo lapho umi endaweni yokuhlala, isiyezi, ubuthakathaka, ukuphelelwa umoya, ubuhlungu besifuba, ukukhathala, izinkinga zokulala, kanye nobunzima bokuzivocavoca. |
| Ukwehla kwengcindezi yegazi okubangelwa yi-Orthostatic (OH) | Ukungakwazi komzimba ukulawula umfutho wegazi uma umile. Izimpawu zifaka phakathi isiyezi, ukubona okufiphele, ikhanda elibuhlungu, isicanucanu, ubuthakathaka kanye nokuqina kwesifuba. |
| I-Vasovagal syncope (VVS) | Lokhu ukulahlekelwa ukwazi ngokuzumayo (ukuquleka). Lokhu kubangelwa ukwehla ngokuzumayo komfutho wegazi kanye nokushaya kwenhliziyo. Ngaphambi kokuquleka, ungase ube nokujuluka okubandayo, isicanucanu, umuzwa wokushisa, kanye namehlo aluhlaza okwesibhakabhaka. |
| I-sinus tachycardia engafanele (IST) | Ukushaya kwenhliziyo okwenyuka kube ngaphezu kokushaya okungu-100 ngomzuzu ngaphandle kwesizathu, noma ngabe uphumule. Uphawu oluyinhloko ubuhlungu besifuba. Kungabuye kuhambisane nokukhathala, isiyezi, kanye nobunzima bokuphefumula. |
Ngaphezu kwalezi zinhlobo eziyinhloko, kunezinye izinhlobo ezingavamile njenge-autonomic autonomic ganglionopathy (AAG), i-baroreflex failure (BF), i-familial dysautonomia (FD), i-pure autonomic failure (PAF), kanye ne-multiple system atrophy (MSA). Izimpawu zazo kanye nobunzima bazo kuyahlukahluka.
Into ebalulekile ukuthi lezi zimpawu zingase zingabonakali ngaphandle. Ngakho-ke uma umuntu ethi "Ngikhathele" noma "Ngizizwa ngididekile," ungacabangi nje ukuthi yinto ayishoyo. Kungase kube nesizathu sezokwelapha ngemuva kwalokho.
Ukuxhumana phakathi kwe-COVID-19 ne-Dysautonomia
Ngemva kobhubhane lwe-COVID-19, ingxoxo mayelana ne-dysautonomia yanda kakhulu, njengoba abantu abaningi abalulame ku-COVID, ikakhulukazi labo abahlushwa yi- (Long COVID), baqala ukuzwa izimpawu ze-dysautonomia.
Ucwaningo luthole ukuthi phakathi kuka-30% no-67% wabantu abane-(i-Long COVID) bane-dysautonomia. Okuvame ukubikwa kakhulu yilesi simo esixoxe ngaso ekuqaleni, i-POTS .
Ukulimala kwezicubu zomzimba okubangelwa yigciwane le-Covid, izinguquko ohlelweni lokuzivikela komzimba,Ochwepheshe bakholelwa ukuthi izinto ezifana nokungalingani kwama-hormone kungaba yimbangela. Futhi, eminye imithi enikezwa emayunithi okunakekelwa okujulile (ama-ICU) ingathinta uhlelo lwezinzwa oluzimele.
Ungasithola kanjani lesi sifo?
Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela onolwazi . Udokotela uzolalela izimpawu zakho futhi akuhlole. Ngemuva kwalokho, bangenza izivivinyo ezikhethekile ukuqinisekisa ukuthi unalesi simo.
- Ukuhlolwa Kwethebula Elithambekile: Lolu ukuhlolwa okubaluleke kakhulu. Kulolu vivinyo, ubekwa embhedeni okhethekile futhi uxhunywe emishinini elinganisa izinga lokushaya kwenhliziyo yakho, umfutho wegazi, kanye namazinga omoya-mpilo. Umbhede ube usuthambekele kancane kancane endaweni eqondile. Impendulo yomzimba wakho ekushintsheni kwesimo (indlela izinga lokushaya kwenhliziyo yakho kanye nokushintsha komfutho wegazi) iyaqashelwa.
- Ezinye izivivinyo: Ngaphezu kwalokho, ukuhlolwa kokuphefumula, ukuhlolwa kokujuluka, ukuhlolwa kwegazi, kanye nokuhlolwa okufana ne-ECG kanye ne-Echo ukuhlola ukusebenza kwenhliziyo kungenziwa.
Yiziphi izindlela zokwelapha i-dysautonomia?
Lokhu kubalulekile ukwazi. Akukho ukwelashwa kwe-dysautonomia. Kodwa-ke, lokho akusho ukuthi kufanele uhlupheke kanje. Kunezindlela eziningi zokwelapha kanye nezindlela zokuphatha ezingasiza ekulawuleni izimpawu futhi zenze impilo ibe lula.
Kuye ngezimpawu zakho kanye nohlobo lwesimo sakho, udokotela wakho angase akucebise ukuthi:
- Ukwengeza usawoti omncane ekudleni kwakho: Lokhu kungasiza ekulawuleni umfutho wegazi . Kodwa kufanele ukwenze lokhu kuphela ngemva kokukhuluma nodokotela wakho. Kuyingozi ukudla usawoti omningi ngaphandle kweseluleko sikadokotela, ikakhulukazi uma unezinye izimo ezifana nomfutho wegazi ophakeme.
- Ukuphuza amanzi amaningi usuku lonke: Lokhu kusiza ukugcina umthamo wegazi omuhle emzimbeni.
- Imithi: Udokotela wakho angase akunike imithi yokwandisa umfutho wegazi, njenge- Fludrocortisone ne -Midodrine . Le mithi kufanele isetshenziswe njengoba nje udokotela wakho ekutshelile.
- Ukushintsha indawo yakho yokulala: Ukuphakamisa ikhanda lombhede cishe ngamasentimitha angu-6-10 ngenkathi ulele kungasiza ekulawuleni ezinye izimpawu.
- Ukugqoka amasokisi okucindezelayo:Lokhu kunciphisa ukuhlangana kwegazi emilenzeni futhi kusiza ekujikelezeni kwegazi.
- Ukuzivocavoca: Uhlelo lokuzivocavoca oluqala kancane futhi oluqondiswa udokotela noma uchwepheshe wezokwelapha umzimba lungaba usizo kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Dysautonomia yisimo sangempela sezokwelapha. Akuyona into oyicabangele, noma "oyikhathele." Kuyinkinga ngohlelo lokulawula oluzimele lomzimba.
- Uma uqhubeka nokuzwa izimpawu ezifana nokuzungeza lapho umi, ukukhathala okukhulu, kanye nobuhlungu besifuba obungachazeki, ungabi namahloni ngakho futhi khuluma nodokotela.
- Uma uqala ukuzwa lezi zimpawu ngemva kokuthola i-COVID, ungakhohlwa ukutshela udokotela wakho.
- Nakuba kungekho ikhambi eliphelele lalokhu, kunezindlela eziningi zokwelapha ezingakusiza ukulawula izimpawu futhi uphile impilo evamile.
- Ungazihloli noma uzenzele imithi ngokusekelwe kulokho okufundayo ku-inthanethi noma okuzwayo kubantu. Njalo bona udokotela bese uthola iseluleko esifanele.
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