Yintoni i-autonomic neuropathy

Umxholo

• Izizathu ezinokubangela
• Zithini iimpawu?
• Indlela yokuthintela
• Unyango lwenziwa njani
• 1. I-Orthostatic hypotension kunye ne-tachycardia ekuphumleni
• 2. Iingxaki zesisu
• 3. Iingxaki zomchamo
• 4. Ukungabi namandla ngokwesini

I-Autonomic neuropathy yenzeka xa imithambo-luvo elawula imisebenzi engazibandakanyiyo yomzimba yonakele, enokuchaphazela uxinzelelo lwegazi, ulawulo lobushushu, ukwetyisa kunye nesinyi kunye nomsebenzi wesondo. Umonakalo wemithambo-luvo uphazamisa unxibelelwano phakathi kwengqondo kunye namanye amalungu, kwaye unokuchaphazela iinkqubo ezininzi, ezinje ngentliziyo, isisu, ulusu, phakathi kwabanye.

Kwiimeko ezininzi, isifo seswekile sisifo esibangela ukuba i-autonomic neuropathy kwaye kunqabile ukuba ibangelwe zezinye izinto. Unyango luxhomekeke kwisizathu sesifo kwaye sihlala sinoxinzelelo lweempawu.

Izizathu ezinokubangela

Esona sizathu sixhaphakileyo se-autonomic neuropathy sisifo seswekile, xa kungekho lawulo laneleyo le-glucose, elinokuthi ngokuthe ngcembe libangele ukonakala kwemithambo-luvo.

Nangona kunqabile ngakumbi, i-autonomic neuropathy isenokubangelwa ngu:

• Amyloidosis, echaphazela amalungu kunye nenkqubo luvo. Funda indlela yokuchonga i-amyloidosis;
• Izifo ezizimela ngokuzenzekelayo, amajoni omzimba ahlasela umzimba ngokwawo, kubandakanya, kule meko, imithambo-luvo;
• Amayeza, ngakumbi lawo asetyenziselwa unyango lomhlaza wekhemotherapy;
• Izifo ezosulelayo, ezinjenge-botulism, i-HIV okanye isifo seLyme;

Ukongeza, i-autonomic neuropathy inokubangelwa zizifo ezizuzwe njengelifa.

Zithini iimpawu?

I-Autonomic neuropathy inokubandakanya i-cardiovascular, digestive, urrogenital, sweat kunye ne-pupillary motricity systems.

Iimpawu kunye neempawu ezinokuthi zenzeke kubantu abane-autonomic neuropathy ziya kuxhomekeka kwimithambo echaphazelekayo kwaye inokubandakanya ukuba nesiyezi kunye nokuziva utyhafile, okubangelwa kukuhla koxinzelelo lwegazi, ukungabinamchamo wokuchama, ubunzima bokukhupha isinyi ngokupheleleyo, ubunzima ekugcineni i-bladder.ukwakhiwa okanye ukufikelela kwi-orgasm, ukunciphisa umnqweno wesini, ukuphazamiseka kwamathumbu esisu njengokuhambisa, ukuziva ugcwele, isicaphucaphu kunye nokugabha.

Ukongeza, kwezinye iimeko, umzimba unokufumana kunzima ukuqaphela i-hypoglycemia, ukulawula ubushushu, ukulungelelanisa iliso kwindawo ezikhanyayo okanye ezimnyama kunye nobunzima bokuguqula ukubetha kwentliziyo kwimithambo yomzimba.

I-Autonomic neuropathy inokubeka esichengeni kakhulu umgangatho wobomi besigulo seswekile. Ngokubanzi, esi sifo sibonakala kubantu abaneswekile abanesi sifo ixesha elide.

Indlela yokuthintela

I-Autonomic neuropathy inokuthintelwa ngolawulo olwaneleyo kumanqanaba eswekile yegazi, ukunqanda ukusela kakhulu kunye nokutshaya, ukwenza unyango olufanelekileyo lwezifo ezizimele, ukulawula uxinzelelo lwegazi kunye nokugcina indlela yokuphila esempilweni.

Unyango lwenziwa njani

Unyango lubonakalisa uphawu kwaye kufuneka lujolise kwisizathu sengxaki, oko kukuthi, kwimeko yeswekile, kufuneka ukulawula isifo.

1. I-Orthostatic hypotension kunye ne-tachycardia ekuphumleni

Utshintsho lwasemva kwesithuba kufuneka luphetshwe, iikawusi ezixineneyo okanye iblukhwe kufuneka zisetyenziswe kwaye intloko yebhedi kufuneka iphakanyiswe malunga ne-30 cm. Kwiimeko ezinzima kakhulu, kunokuba yimfuneko ukubhenela ekusebenziseni iyeza ukunyusa uxinzelelo lwegazi, i-fludrocortisone , kwaye wenze ukutya okunotye ityuwa kunye nolwelo.

Ukuba umntu uphethwe yi-tachycardia xa ephumle, ugqirha unokuyalela amayeza okulawula intliziyo, njenge-beta-blockers.

2. Iingxaki zesisu

Ukuba umntu unengxaki yokugaya ukutya, isicaphucaphu kunye nokugabha, ugqirha unokuyalela amayeza aphelisa iimpawu ezinje nge-metoclopramide, cisapride kunye ne-domperidone.

Kwimeko yohudo, ugqirha unokumisela i-loperamide kwaye ukuba umntu unengxaki yokuqhinwa, kunokuba yimfuneko ukubhenela kumayeza e-laxative. Kwezinye iimeko zorhudo, ugqirha unokumisela amayeza abanzi okubulala iintsholongwane ukunciphisa ukwanda kweentsholongwane zentsholongwane emathunjini.

3. Iingxaki zomchamo

Ukukhupha i-bladder, ugqirha unokucebisa ukuba kugqitywe isinyi ngokucinezela esiswini kunye nokuzihlola ngokwakho, ekufuneka kwenziwe yingcali yezempilo, okanye amayeza anceda ukukhupha isinyi.

Ukuba usulelo lwe-urinary lwenzeka okanye kwiimeko apho kuthintelo kufanelekile, ugqirha unokumisela i-antibiotics.

4. Ukungabi namandla ngokwesini

Ukhetho lokuqala lokunyanga ukungabinamandla ngokwesondo kubandakanya amayeza afana nesildenafil, vardenafil kunye ne-tadalafil, enceda ukugcina ulwakhiwo. Kwimeko yabasetyhini abaye banciphisa umnqweno wesini kunye nokomisa kwilungu lobufazi, kunokucetyiswa ukusetyenziswa kwesithambisi.