Ingabe ngezinye izikhathi ujuluka kakhulu ngaphandle kwesizathu, noma uzizwa sengathi ujuluka kancane kwezinye izindawo? Noma unezinto ezincane njengokungazweli emilenzeni yakho noma isiyezi? Ngezinye izikhathi kungaba nzima ngodokotela ukuthola ngokushesha imbangela yalezi zimpawu. Ngezikhathi ezinjalo, kungase kuphakanyiswe ukuhlolwa okukhethekile ukuze kubonakale ukuthi kukhona yini inkinga ngesimiso sezinzwa esisebenza ngokungazi emzimbeni wethu (ingxenye elawula izinto ezifana nokuphefumula nokujuluka). Lokhu kungenye yezivivinyo ezinjalo ezibizwa ngokuthi i-QSART.
Kalula nje, iyini i-QSART?
I-QSART imele 'i-Quantitative Sudomotor Axon Reflex Test'. Nakuba igama lingase lizwakale liyinkimbinkimbi, empeleni lilula kakhulu. Kalula nje, iyisivivinyo esilinganisa ukuthi izinzwa ezilawula ukujuluka kwakho zisebenza kahle kangakanani. Siphinde sikubize ngokuthi 'isivivinyo sokujuluka'.
Cabanga ngakho, ukujuluka kubaluleke kakhulu ekulawuleni izinga lokushisa lomzimba wethu. Lokhu kujuluka kulawulwa yingxenye ekhethekile yesimiso sethu sezinzwa. Kulolu vivinyo, sisebenzisa ukuvuselela okuncane kakhulu kukagesi endaweni encane yesikhumba sakho futhi silinganise ukuthi izindlala zakho zokujuluka zikhiqiza ukujuluka okungakanani. Ngokulinganisa inani lokujuluka okukhiqizwa ngale ndlela, singathola umbono omuhle ngomsebenzi wezinzwa ezihilelekile.
Kukuziphi izimo lapho udokotela angancoma khona lokhu kuhlolwa?
Lolu vivinyo lwe-QSART luwusizo kakhulu ekuxilongeni izifo ze-Autonomic Nervous System, elawula imisebenzi yomzimba wethu esingayilawuli ngamabomu (isibonelo, ukushaya kwenhliziyo, umfutho wegazi, ukujuluka, ukugaya ukudla). Luphinde lusetshenziselwe ukuxilonga izifo ze-peripheral neuropathies, ezihlobene nezinto ezifana nokuba ndikindiki ezithweni zomzimba, kanye nezinye izimo zobuhlungu.
Udokotela wakho angase asikisele lokhu kuhlolwa uma esola ukuthi unesinye salezi zimo ezilandelayo:
- I-Autonomic neuropathy: Ukulimala kwemizwa elawula imisebenzi ezenzakalelayo emzimbeni wethu.
- I-Complex regional pain syndrome (CRPS): Ubuhlungu obukhulu, obuhlala isikhathi eside engalweni noma emlenzeni, ngokuvamile ngemva kwengozi.
- I-neuropathy ehlobene nesifo sikashukela: Ukulimala kwemizwa okubangelwa isifo sikashukela.
- I-Multiple sclerosis: Isifo esonakalisa imizwa ebuchosheni nasemgogodleni.
- I-Postural orthostatic tachycardia syndrome (POTS): Isimo lapho izinga lokushaya kwenhliziyo likhuphuka ngendlela engavamile uma umile.
- I-Sjögren's syndrome: IzimpawuIsifo samasosha omzimba esithinta izindlala ezikhiqiza umswakama emzimbeni (izinyembezi, amathe).
- I-Small fiber neuropathy: Izimpawu ezifana nobuhlungu kanye nokungazweli kahle kwenzeka ngenxa yokulimala kwemicu emincane yemizwa esikhumbeni nasezithweni zomzimba.
Ngingalungiselela kanjani lolu vivinyo?
Ngaphambi kokuhlolwa kwe-QSART, udokotela wakho uzokhuluma nawe futhi akuchazele konke. Uzokunikeza nemiyalelo ekhethekile okufanele uyilandele ukuqinisekisa imiphumela yokuhlolwa enembile. Kubaluleke kakhulu ukuthi ulandele le miyalelo ngqo.
Ake sibheke ithebula elingezansi ukuze sibone ukuthi kufanele sizilungiselele kanjani ngokuvamile.
| Imiyalelo | Incazelo kanye Nesizathu |
|---|---|
| Eminye imithi | Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile usuku olulodwa noma ezimbili ezingathinta imiphumela yokuhlolwa. Udokotela wakho uzokutshela ngqo ukuthi iyini. Ungalokothi uyeke ukuthatha noma yimuphi umuthi ngaphandle kokubuza udokotela wakho kuqala. |
| Imikhiqizo kagwayi | Gwema ukubhema nokusebenzisa eminye imikhiqizo kagwayi okungenani amahora amane ngaphambi kokuhlolwa. Lokhu kungathinta isimiso sezinzwa. |
| Izingubo | Gqoka izingubo ezikhululekile nezikhululekile ngosuku lokuhlolwa. Ungagqoki amasokisi aqinile (amasokisi okucindezela) ngosuku lokuhlolwa. |
| Ama-lotion nama-cream | Ekuseni kokuhlolwa, ungafaki noma yimaphi ama-lotion, ama-cream, noma amafutha ezandleni nasezinyaweni zakho. Lokhu kungaphazamisa ukuthi imishini yokuhlola ingathintani nesikhumba. |
| Ukudla neziphuzo | Kunemiyalelo ethile ekhethekile yalokhu, esizoxoxa ngayo ngokwehlukana ngezansi. |
Izinto okudingeka uzazi ngokudla nokuphuza ngaphambi kokuhlolwa
| Okufanele ngikwenze | Ubude besikhathi |
|---|---|
| Ungaphuzi lutho oluqukethe utshwala. | Kusukela emahoreni ayi-12 ngaphambi kokuhlolwa. |
| Ungadli lutho oluqukethe i-caffeine (itiye, ikhofi, ushokoledi, iziphuzo ezibandayo). | Kusukela emahoreni angu-8 ngaphambi kokuhlolwa. |
| Yidla ukudla okulula (isib. ilayisi, ucezu lwesinkwa) | Amahora ama-3 ngaphambi kokuhlolwa. |
| Gwema ukuphuza noma yini (ngisho namanzi). | Kusukela emahoreni ama-3 ngaphambi kokuhlolwa. |
| Phuza amanzi amaningi futhi uhlale unamanzi emzimbeni. | Usuku olungaphambi kokuhlolwa. |
Yimiphi imithi okungadingeka iyekwe ngaphambi kokuhlolwa?
Okubaluleke kakhulu: Ungayeki ukuthatha noma yimuphi umuthi kuze kube yilapho udokotela wakho ekuyala ukuba uyeke. Eminye imithi ingabangela ezinye izinkinga uma uyeka ukuyithatha. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Uzokutshela uma kudingeka uyeke ukuthatha noma yimuphi umuthi nokuthi kufanele uyeke nini.
Ngezansi kuneminye imithi evame ukuthinta imiphumela ye-QSART. Udokotela wakho angase akucele ukuthi uyeke ukuthatha eminye yayo amahora angu-48 ngaphambi kokuhlolwa.
- Imithi yokunciphisa ubuhlungu
- Imithi yokucindezeleka
- Ama-antihistamine (imithi yokwelapha ukungezwani komzimba)
- Ama-anti-inflammatory agents
- I-aspirini
- Imithi yokucindezeleka kwegazi
- Imithi yokuhlanza
- Imithi yomkhuhlane noma yokukhwehlela etholakala ngaphandle kwekhawunta
Kulungile, manje ake sibone ukuthi kwenzekani uma senza isivivinyo.
Ukwazi kusengaphambili ukuthi ukuhlolwa kuzokwenziwa kanjani kungasiza ekunciphiseni ukukhathazeka. Kuyinqubo elula kakhulu.
1. Ukulungiselela: Okokuqala, uzocelwa ukuthi ukhumule izicathulo zakho namasokisi. Ngemuva kwalokho, uzocelwa ukuthi uhlale etafuleni lokuhlolwa noma ulale phansi.
2. Ukuhlanza isikhumba: Umhloli uzohlanza futhi omise isikhumba esizungeze imilenze, izinyawo, kanye nezihlakala zakho kahle.
3. Ukuhlanganisa ama-electrode: Okulandelayo, ama-patches amane amancane epulasitiki abizwa ngokuthi ama-electrode anamathiselwa esikhumbeni sakho. Ngokuvamile, amathathu anamathiselwa emilenzeni yakho kanye nelilodwa ezihlakaleni zakho.
4. Ukusebenzisa ikhambi elikhethekile: Okulandelayo, ikhambi elibizwa ngokuthi `acetylcholine` lifakwa esikhumbeni lapho kukhona khona ama-electrode. `acetylcholine` iyikhemikhali (i-neurotransmitter) ekhona ngokwemvelo emzimbeni wethu futhi ethwala imiyalezo phakathi kwemizwa. Lapha, isetshenziselwa ukuvuselela izindlala zakho zokujuluka.
5. Ukuqala ukuhlolwa: Manje umshini we-QSART uvuliwe. Bese kuthunyelwa ugesi omncane kakhulu esikhumbeni sakho ngama-electrode. Lona akuwona ugesi omkhulu, ngakho-ke akukho okufanele ukwesabe.
6. Ukulinganisa ukujuluka: Lo mbane kagesi kanye nesisombululo se-'acetylcholine' kubangela ukuthi izindlala zakho zokujuluka ziqale ukukhiqiza ukujuluka. Umshini ulinganisa inani lokujuluka okukhiqizwayo.
7. Phinda: Isikhulu singasusa ama-electrode bese siwanamathisela kwezinye izingxenye zomzimba, siphinda inqubo.
Kuthatha isikhathi esingakanani lokhu kuhlolwa? Ingabe kubuhlungu?
Isivivinyo sonke sivame ukuthatha imizuzu engama-45 kuya ehoreni .
Lokhu akulona ukuhlolwa okubuhlungu. Kodwa-ke, abanye abantu bangase bazizwe bengakhululekile. Lapho ugesi omncane udlula esikhumbeni, kungase kuzwakale njengokukhafula, ukucasuka okuncane, noma umuzwa wokushisa okuncane, njengokuhlatshwa kwenaliti encane . Lokhu kuyahlukahluka kumuntu nomuntu. Kodwa-ke, akulona ubuhlungu obungabekezeleleki. Uma uzwa ubuhlungu obukhulu, tshela umuntu owenza ukuhlolwa ngokushesha.
Kwenzekani ngemva kokuhlolwa? Imiphumela izotholakala nini?
Ngemva kokuphela kokuhlolwa, iphoyisa lizosusa ama-electrode esikhumbeni sakho. Ngemva kwalokho, ungagqoka amasokisi nezicathulo zakho futhi uphile ngendlela evamile.
Ungase uqaphele ukubomvu okuncane noma ukushintsha kombala wesikhumba lapho ama-electrode abekwe khona. Lokhu kuvamile futhi kuzonyamalala ngokuphelele phakathi namahora ambalwa.
Imininingwane etholwe ekuhlolweni izothunyelwa kudokotela okuthumele kulolu vivinyo. Uzokuthinta ezinsukwini ezimbalwa uma imiphumela isitholakala.
Ungayiqonda kanjani imiphumela ye-QSART?
Udokotela wakho uzohlaziya imiphumela bese ekuchazela ukuthi isho ukuthini. Uma ubheka le miphumela, kunezinto ezintathu ezibalulekile okufanele uzibheke:
- Ukubambezeleka kokuqala: Kuthathe isikhathi esingakanani ukuthi ukujuluka kwenzeke ngemva kokuvuselelwa?
- Ukukhiqizwa kwezithukuthuku okuphezulu: Kukhiqizwa nini inani elikhulu kakhulu lezithukuthuku?
- Umthamo ophelele wokujuluka: Kukhiqizwe umjuluko ongakanani phakathi nesikhathi sonke sokuhlolwa?
Le miphumela ingaba 'ejwayelekile' noma 'engavamile'.
Uyini umphumela ojwayelekile?
Uma umphumela 'ujwayelekile' (ngezinye izikhathi ubizwa ngokuthi 'umphumela ongemuhle'), kusho ukuthi inani kanye nobude bokukhiqizwa kwezithukuthuku zakho kungaphakathi kwebanga elilindelwe ngokweminyaka yakho nobulili bakho. Lokhu kusho ukuthi ukuhlolwa akubonisi inkinga enkulu ngokusebenza kwezinzwa ezilawula ukujuluka.
Uyini umphumela Ongajwayelekile/Omuhle?
Uma umphumela 'ulungile' noma ungajwayelekile, kusho ukuthi amanani okuhlolwa ahlukile kulokho okulindelekile. Isibonelo, kungathatha isikhathi eside ukuqala ukujuluka, noma inani lomjuluko okhiqizwayo lingase libe lincane kakhulu noma libe liningi kakhulu.
Lokhu kusikisela ukuthi kukhona okungase kuphazamise ukusebenza kwesimiso sakho sezinzwa esizimele.
Into ebalulekile okufanele uyiqonde lapha ukuthi umphumela wokuhlolwa kwe-QSART 'obonisa ukuqina' awusho ukuthi unesifo. Kusho ukuthi kukhona okungasebenzi kahle ohlelweni lwakho lwezinzwa oluzimele nokuthi kudingeka uphenyo olwengeziwe. Kuyinkomba ebalulekile udokotela azoyithola ukuze ahlole isimo sakho. Angabe esenquma ukuthi enze ezinye izivivinyo noma aqale ukwelashwa okulungele wena.
Umlayezo Wokuya Nawe Ekhaya
- I-QSART iyisivivinyo esiphephile nesingenabuhlungu esilinganisa ukusebenza kwezinzwa ezilawula ukujuluka kwakho.
- Ukuze uthole imiphumela enembile, kubalulekile ukulandela ngokuqinile ukudla, imithi, kanye neminye imiyalelo enikezwe udokotela ngaphambi kokuhlolwa.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo. Gwema ukuyeka noma yimiphi imithi ngaphandle kweseluleko sikadokotela wakho.
- Ukungakhululeki okuzwakalayo ngesikhathi sokuhlolwa kuvame ukuba umuzwa wokucasuka noma ukusha okuncane. Akusibuhlungu obungabekezeleleki.
- Umphumela wokuhlolwa 'obonisa ukuthi unesifo' (ongajwayelekile) awusona isifo esitholakalayo. Kumane nje kuwulwazi olubalulekile olusiza udokotela wakho ukuthi ahlole isimo sakho kabanzi.
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