Ukuzimela kwe-neuropathy

I-Autonomic neuropathy liqela leempawu ezenzeka xa kukho umonakalo kwimithambo-luvo elawula yonke imihla ukusebenza komzimba. Le misebenzi ibandakanya uxinzelelo lwegazi, ukubetha kwentliziyo, ukubila, ukuphuma kwamathumbu kunye nesinyi, kunye nokwetyisa.

I-Autonomic neuropathy liqela leempawu. Ayisiyo isifo esithile. Zininzi izizathu.

I-Autonomic neuropathy ibandakanya ukonakala kwimithambo-luvo ethwala ulwazi oluvela kwingqondo nakwintambo yomqolo. Olu lwazi luza kusiwa entliziyweni, kwimithambo yegazi, kwisinye, emathunjini, kwizifo zokubila nakubafundi.

I-Autonomic neuropathy inokubonwa kunye:

• Ukusetyenziswa gwenxa kotywala
• Seswekile (isifo seswekile)
• Ukuphazamiseka okubandakanya ukunqunyulwa kwezicubu ezijikeleze imithambo-luvo
• Isifo sikaGuillain Barré okanye ezinye izifo ezitshisa imithambo-luvo
• Intsholongwane kaGawulayo / uGawulayo
• Ukuphazamiseka kwemithambo-luvo
• Isifo sokugubhuka
• Isifo seParkinson
• Ukulimala kwentambo yomqolo
• Utyando okanye ukwenzakala kubandakanya imithambo-luvo

Iimpawu ziyahluka, kuxhomekeke kwimithambo-luvo echaphazelekayo. Zihlala zikhula kancinci kwisithuba seminyaka.

Iimpawu zesisu kunye namathumbu zingabandakanya:

• Ukuqunjelwa (izitulo ezinzima)
• Urhudo (izitulo ezikhululekileyo)
• Ukuziva ugcwele emva kokubamba nje okumbalwa (ukusuthisa kwangoko)
• Isicaphucaphu emva kokutya
• Iingxaki zokulawula ukuhamba kwamathumbu
• Ukuginya iingxaki
• Isisu esidumbileyo
• Ukuphalaza ukutya okungafakwa emzimbeni

Iimpawu zentliziyo kunye nemiphunga zingabandakanya:

• Isantya esingaqhelekanga senhliziyo okanye isingqisho
• Uxinzelelo lwegazi luyatshintsha kwindawo ebangela isiyezi xa umile
• Igazi elonyukayo
• Ukuphefumla kancinci ngomsebenzi okanye umthambo

Iimpawu zesinyi zingabandakanya:

• Kunzima ukuqala ukuchama
• Ukuziva ngathi isinyi esingaphelelanga asikhupheli nto
• Ukuvuza umchamo

Ezinye iimpawu zingabandakanya:

• Ukubila kakhulu okanye akwanelanga
• Ukunganyamezelani kobushushu obuza nomsebenzi kunye nokuzilolonga
• Iingxaki zesini, kubandakanya iingxaki zokwakhiwa emadodeni kunye nokomisa kwilungu lobufazi kunye nobunzima be-orgasm kwabasetyhini
• Umfundi omncinci kwiliso elinye
• Ukwehla kobunzima ngaphandle kokuzama

Iimpawu zomonakalo wemithambo-luvo azisoloko zibonwa xa ugqirha ekuvavanya. Uxinzelelo lwegazi okanye ukubetha kwentliziyo yakho kungatshintsha xa ulele phantsi, uhleli okanye umi.

Uvavanyo olukhethekileyo lokulinganisa ukubila kunye nokubetha kwentliziyo kunokwenziwa. Oku kubizwa ngokuba luvavanyo oluzimeleyo.

Ezinye iimvavanyo zixhomekeke kuhlobo luni lweempawu onazo.

Unyango lokubuyisa umonakalo we-nerve kaninzi akunakwenzeka. Ngenxa yoko, unyango kunye nokuzinyamekela kugxile ekulawuleni iimpawu zakho kunye nokuthintela ezinye iingxaki.

Umboneleli wakho wezempilo unokucebisa:

• Ityuwa eyongezelelweyo ekutyeni okanye ukuthatha iipilisi zetyuwa ukwandisa umthamo wamanzi kwimithambo yegazi
• I-Fludrocortisone okanye amayeza afanayo ukunceda umzimba wakho ugcine ityuwa kunye nolwelo
• Amayeza okunyanga isingqisho sentliziyo esingaqhelekanga
• Umenzi wePacemaker
• Ukulala intloko iphakanyisiwe
• Ukunxiba isitokhwe esincinci

Oku kulandelayo kunokunceda amathumbu akho kunye nesisu sisebenze ngcono:

• Inkqubo yemihla ngemihla yokunakekelwa kwamathumbu
• Amayeza anceda isisu ukuhambisa ukutya ngokukhawuleza
• Ukulala intloko iphakanyisiwe
• Incinci, ukutya rhoqo

Amayeza kunye neenkqubo zokuzinakekela kunokukunceda ukuba:

• Ukungahambi kakuhle komchamo
• Isinyi seNeurogenic
• Iingxaki zokwakhiwa

Ukwenza kakuhle kwakho kuya kuxhomekeka kwisizathu sengxaki kwaye ukuba inokunyangwa.

Fowunela umboneleli wakho ukuba uneempawu zokuzimela kwe-neuropathy. Iimpawu zokuqala zinokubandakanya:

• Ukudinwa okanye iintloko xa umile
• Utshintsho kwisisu, isinyi, okanye umsebenzi wesondo
• Isicaphucaphu esingachazwanga kunye nokugabha xa kutyiwa

Ukuchongwa kwangoko kunye nonyango kunokulawula iimpawu.

I-Autonomic neuropathy inokufihla imiqondiso elumkisayo yesifo sentliziyo. Endaweni yokuziva iintlungu esifubeni, ukuba une-autonomic neuropathy, ngexesha lokuhlaselwa sisifo sentliziyo unokuba kuphela:

• Ukudinwa ngequbuliso
• Ukubila
• Ukuqhawukelwa ngumphefumlo
• Isicaphucaphu nokugabha

Ukuthintela okanye ukulawula ukuphazamiseka okunxulumene nokunciphisa umngcipheko we-neuropathy. Umzekelo, abantu abanesifo seswekile kufuneka balawule kufutshane amanqanaba eswekile yegazi.

Neuropathy - ukuzimela; Isifo se-Autonomic nerve

• Iimpawu ezizimeleyo
• Inkqubo ye-nervous central kunye ne-peripheral system

Katirji B.Ukuphazamiseka kwemithambo yoluvo. Ku: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, ii-eds. I-Neurology kaBradley kunye neDaroff kwiKlinikhi yokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2022: isahluko 106.

USmith G, uneentloni MNA. Imida ye-neuropathies. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 392.