Banja la mavuto osamvetsetseka
M'zaka za zana la 19, panali chikhalidwe chofala chachipatala chotchedwa neurasthenia. Anthu akale amatha kukhala ndi thanzi lachidziwitso kuti sangathe kugwira ntchito mwadzidzidzi chifukwa cha zizindikiro zambiri zosadziwika bwino, kuphatikizapo kutopa , zofooka, ululu wosadziwika womwe umabwera ndikuyenda kuchokera kumalo osiyanasiyana kupita kumalo, chizungulire , zizindikiro zosiyanasiyana za m'mimba, ndi syncope (kutuluka) .
Madokotala sakanatha kupeza kalikonse kuti afotokoze zizindikiro izi, kotero iwo amati ndi "dongosolo laumanjenje lofooka," kapena neurasthenia.
Amayi omwe ali ndi neurasthenia (amuna, pokhala amuna, nthawi zambiri sankapatsidwa mankhwalawa) nthawi zambiri ankangokhala pamabedi awo, kumene amatha kuchira kapena kufa (popeza kuti nthawi yayitali, kupuma kwa bedi kumakhala koipa kwambiri chifukwa cha thanzi la munthu). Ndipo ngakhale palibe amene adadziwa chomwe chinachititsa chikhalidwe ichi, aliyense, madokotala ndi anthu omwe anali nawo, ankawutenga kwambiri. Kuwonjezera apo, pamene neurasthenia sichidafotokozedwe mwasayansi, iyo inkatengedwa ngati mkhalidwe wovuta, ndipo ozunzidwawo anali kuchitidwa chifundo ndi ulemu.
Madokotala ambiri amakono omwe amamva za chikhalidwe ichi chodabwitsa amangogwedeza mitu yawo modabwa. Nchiyani, iwo amadzifunsa okha, anayamba kukhala wa neurasthenia iyi? Ndi ochepa chabe omwe akuganiza kuti mwina nthesthenia ikali nafe. Chifukwa chake, iwo sangathe kuzindikira maonekedwe a chikhalidwe ichi kusiyana ndi anzawo omwe analipo kale, ndipo samakhala achifundo kwambiri kwa anthu omwe akuvutika nawo.
Anthu omwe zaka mazana angapo zapitazo amatchedwa neurasthenics lero amapatsidwa kuchuluka kwa matenda. Izi zimaphatikizapo (koma sizingatheke): Matenda odwala matenda opatsirana (CFS), vasovagal kapena neurocardiogenic syncope , mantha a mantha , tachycardia zosayenera (IST) , matenda osokoneza bongo (IBS) , matenda osokoneza bongo ( postural orthostatic tachycardia syndrome) , kapena fibromyalgia .
Mwamwayi, ambiri omwe amazunzidwa pazifukwazi amangolembedwa ngati mtedza.
Iwo si mtedza. (Kapena, ngati izo ziri, mwadzidzidzi.) Odwala onsewa amakhala akulephera, ndipo nthawi zambiri amakhala osasinthasintha, m'thupi lokhazikika. Kusalinganika kumeneku, komwe kumafotokoza zizindikiro zawo zachilendo, amatchedwa dysautonomia.
System Autonomic Nervous Ndi Dysautonomia
Mankhwalawa amachititsa kuti thupi lisamagwire ntchito, monga kuthamanga kwa mtima, chimbudzi, ndi kupuma. Icho chimapangidwa ndi magawo awiri: dongosolo lachifundo ndi dongosolo la parasympathetic.
Mchitidwe wamanjenje wachifundo ukhoza kuganiziridwa mofanana ndi kuyendetsa nkhondo kapena kusintha kwa thupi, kutulutsa mpweya wamtima mwamsanga, kuwonjezereka kwa kupuma, ndi kuwonjezeka kwa magazi ku minofu yomwe ingapewe ngozi kapena kupirira kupanikizika.
Mankhwala a parasympathetic amachititsa kuti thupi likhale "chete," monga momwe zimakhalira m'mimba . Kotero: dongosolo lachifundo limatikonzekeretsa kuchita, pamene dongosolo la parasympathetic likutikonzekeretsa kuti tipumule. Kawirikawiri, zigawo zowonongeka ndi zomvetsa chisoni zazitsulo zamadzimadzi zodzikongoletsa zimakhala zangwiro, kuyambira kamphindi kakang'ono, malingana ndi zosowa za thupi nthawi yomweyo.
Kwa anthu amene akudwala dysautonomia, dongosolo lodzidzimitsa la mantha limatayika bwino, ndipo nthawi zosiyanasiyana machitidwe a parasympathetic kapena achifundo amachititsa kuti anthu asamachite bwino. Zizindikiro zimatha kukhala zovuta koma zovuta koma zosautsa komanso zowawa, zofooka ndi zoopsa, matenda oopsa, tachycardia (kuthamanga mtima kwa mtima), hypotension (kutsika kwa magazi), kulekerera zolimbitsa thupi, zizindikiro za m'mimba, kutuluka thukuta , chizunguliro , masomphenya osasunthika , kuperewera ndi kumenyedwa , kupweteka, komanso (moyenera) nkhawa ndi kupsinjika maganizo.
Odwala a dysautonomia amatha kuona zizindikiro zonsezi kapena zochepa chabe.
Amatha kukhala ndi zizindikiro limodzi panthawi imodzi, ndi zina za zizindikiro nthawi zina. Zizindikiro nthawi zambiri zimakhala zosayembekezereka, koma ndi zina zomwe zimayambitsidwa ndi zochitika kapena zochita zinazake. (Anthu ena ali ndi zizindikiro pochita khama, mwachitsanzo, kapena poyimirira, kapena atadya zakudya zina.) Ndipo popeza anthu omwe ali ndi dysautonomia amakhala osiyana mwa njira iliyonse, pamene dokotala amadziyezetsa thupi kapena samapeza cholinga zovuta.
Chifukwa chakuti mayesero a ma laboratory ndi ma laboratory nthawi zambiri amakhala ovuta, madokotala (pophunzitsidwa ndi sayansi, motero amaphunzitsidwa kuyembekezera umboni weniweni wa matenda) amatha kulemba anthu ndi dysautonomia kukhala osakhazikika maganizo, (kapena, mobwerezabwereza, monga kukhala ndi matenda a nkhawa).
Kodi Chimachititsa Dysautonomia N'chiyani?
Dysautonomia ingayambidwe ndi zinthu zambiri zosiyana; palibe chifukwa chimodzi, chilengedwe chonse. Zikuwoneka kuti anthu ena amatha kukhala ndi vuto loyambitsa matenda a dysautonomia, popeza kusiyana kwa dysautonomia kawirikawiri kumawoneka kuthamanga m'mabanja. Matenda opatsirana angayambitse matenda a dysautonomia. Choncho akhoza kuwonetsa mankhwala. ( Gulf War Syndrome , kwenikweni, dysautonomia: kutsika kwa magazi , tachycardia, kutopa ndi zizindikiro zina zomwe, boma likukana pambali, zikuwoneka kuti zayambitsidwa ndi poizoni.) Dysautonomia ingabwere chifukwa cha mitundu yosiyanasiyana ya zoopsa, makamaka kupsinjika mtima kwa mutu ndi chifuwa - kuphatikizapo kupweteka kwa opaleshoni. (Zakhala zikuchitika, mwachitsanzo, opaleshoni ya m'mawere.) Dysautonomias yomwe imayambitsidwa ndi matenda a tizilombo, poizoni, kapena kupsinjika mtima nthawi zambiri zimakhala zosayembekezereka. Mwachitsanzo, matenda otupa amatha kutengera matenda omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda, tizilombo toyambitsa matenda.
Kodi N'chiyani Chimachititsa Anthu Kukhala ndi Dysautonomia?
Mwamwayi, zizindikiro zikuoneka bwino kuposa momwe zinaliri masiku omwe matendawa amatchedwa neurasthenia. Izi zikutheka chifukwa mpumulo wa bedi sichionanso kuti ndi chithandizo cha kusankha. Anthu ambiri omwe ali ndi dysautonomia potsiriza amapeza kuti zizindikiro zawo zimachoka kapena zimachepetsanso mpaka amatha kukhala ndi moyo wamba. Nthawi zina, zedi, mwayi woti zinthu zidzasintha paokha pawokha zikhoza kukhala chinthu chokha chimene chimapangitsa ena mwa anthuwa kupita.
Mawu Ochokera
Matenda a dysautonomia angakhudze kwambiri miyoyo ya anthu. Ngakhale kuti zizindikirozo zimakula bwino nthawi zambiri, anthu ambiri omwe ali ndi dysautonomia amawona zizindikiro zomwe zimasokoneza miyoyo yawo, ndipo kufunafuna thandizo lachipatala loyenera kumakhala lovuta. Kotero ngati mukuganiza kuti muli ndi dysautonomia, muyenera kuphunzira momwe mungathere ndi mitundu yosiyanasiyana ya matendawa, makamaka za mtundu wa mankhwala omwe agwira ntchito.
> Zotsatira:
> Furlan R, Barbic F, Casella F, ndi al.Neural Autonomic Control mu Orthostatic Intolerance. Respir Physiol Neurobiol. 2009 Oct; 169 Suppl 1: S17-20.
> Green CR, Cowan P, Elk R, et al. Ma Institutes of Health Pathways to Prevention Workshop: Kupitiliza Kafukufuku pa Myalgic Encephalomyelitis / Chronic Fatigue Syndrome. Ann Intern Med 2015; 162: 860.
> Staud R. Autonomic Kusayendera mu Fibromyalgia Syndrome: Postural Orthostatic Tachycardia. Curr Rheumatol Rep. 2008 Dec; 10 (6): 463-6.