Mukufuna dokotala yemwe amamvetsa vutoli
Dysautonomas ndi banja la mikhalidwe yomwe imadziwika ndi kusamvana mu dongosolo lokhazikika la mantha. Zizindikiro kawirikawiri zimasinthasintha kwambiri kuchokera kwa munthu ndi munthu, ndipo pakapita nthawi mumakhala munthu yemweyo, ndipo zimakhala ndi zowawa zosiyanasiyana, kutopa , zofooka, zizindikiro za m'mimba, chizungulire ndi syncope (kutuluka kunja). Ngakhale kuti dysautonomia ikhoza kukhala yolepheretsa, zizindikiro nthawi zambiri zimakhala zosiyana kwambiri ndi zovuta zopezeka ndi ma laboratory.
Izi zingachititse kuti dysautonomia izivuta kwambiri.
- Werengani za zifukwa ndi zizindikiro za dysautonomias.
Kuzindikira Dysautonomia
Mu zamankhwala zamakono zamakono, pamene odwala ali ndi khama kuti adandaule za zizindikiro popanda kupereka zolinga zachipatala zolinga kuti aziwatsitsimutsa, nthawi zambiri zimalembedwa ngati zonyansa.
Ngati mukuganiza kuti muli ndi dysautonomia, mwa njira zonse mumapereka mwayi woti dokotala wanu athe. Mukhoza kungoona babu akutha, ndipo mupeze kuti dokotala wanu akungoyamba kuchita khama kwambiri. Dokotala akangoganizira za kuthekera kwake, kuchita mbiri yachipatala mosamala ndi kuyesa bwino thupi kumapangitsa kuti adziwe bwinobwino. Ngati dokotala sakufuna kutenga dysautonomia mozama, ganizirani kuwona dokotala wina.
Odwala ali ndi mwayi wokhala wovuta kwambiri ndi madokotala awo ammudzi akhoza kupita kwa katswiri.
Kawirikawiri mtundu wa katswiri umadalira chizindikiro chachikulu chomwe akukumana nacho, kapena chizindikiro chomwe chimakondweretsa dokotala wa banja. Ndipo matenda enieni omwe amaperekedwa amachokera ku zizindikiro zawo zazikulu ndi zomwe akatswiri amatha kuona.
Mwachitsanzo: Anthu omwe akudandaula kwambiri ndi ovuta kutengeka mosavuta amapezeka kuti ali ndi matenda aakulu.
Anthu omwe amapita kunja amatchedwa vasovagal syncope . Anthu omwe mapulumulo awo amadziwika kuti ali ndi mphulupulu yamtundu wotchedwa tachycardia . Ngati chizungulire payimirira ndi vuto lalikulu, postural orthostatic tachycardia syndrome (POTS) ndi matenda. Kutsekula m'mimba kapena kupweteka kwa m'mimba kumakugwiritsani matenda opweteka a m'mimba . Ululu kwinakwake umatha kukhala fibromyalgia . Ngakhale zili choncho, matenda osokoneza bongo amachititsa kuti zizindikiro zikhale zovuta kwambiri.
Mwa njira zonse, kumbukirani kuti ma syndromes a dysautonomia ndi enieni, oona mtima-ubwino physiologic (mosiyana ndi maganizo a maganizo). Ngakhale kuti amatha kupangitsa aliyense kukhala wamisala, sagwidwa ndi ubongo.
Kuchiza Dysautonomia
Mwinamwake chinthu chofunika kwambiri pakuchiza dysautonomia ndiko kupeza dokotala yemwe amamvetsa kuti vutoli ndi lotani, amachimvera chisoni (mwachitsanzo, sakuwona kuti ndiwe munthu wopenga chabe), ndi ndani amene akufuna kutenga nthawi yayitali-ndi- Njira yolakwika yomwe nthawi zambiri imafunika pofuna kuchepetsa zizindikiro zolekerera.
Popeza kuti chifukwa chachikulu cha dysautonomia sichimvetsetsedwa bwino, chithandizo chachikulu makamaka chimayesetsa kuthetsa zizindikiro, osati "kuchiritsa" vutoli.
Mankhwala Osagwiritsa Ntchito Mankhwala
Zochita zathu: Kukhala ndi nthawi yoyenera yogwiritsirana ntchito ndizofunikira kwambiri anthu omwe ali ndi dysautonomia. Kuchita masewera olimbitsa thupi nthawi zonse kumawathandiza kukhazikitsa dongosolo lokhazikika la mantha, ndipo m'kupita kwa nthaŵi limapangitsa "kubwereza" kwa zizindikiro zosawerengeka komanso zafupikitsa. Kuchita masewera olimbitsa thupi kungafulumizitse tsiku limene zizindikiro zimachoka paokha. Mankhwala othandizira komanso njira zina zofanana ndi za yoga, tai-chi, mankhwala othandizira misala, komanso mankhwala othandizira athandizidwa.
Zakudya zowonjezera zakudya: Nthawi iliyonse imene madokotala amawachiritsa, madokotala amachiza bwino zakudya zowonjezera zakudya.
Odwala samangomva kuti sangakhale ndi njira ina yabwino, koma adokotala amachititsa manyazi chifukwa cholephera kuchitira bwino, alibe chifukwa chodandaulira. Chifukwa chake, zikwi zikwi zosatsutsika zakhala zikupangidwa zokhudzana ndi mavitamini osiyanasiyana, coenzymes ndi mavitanidwe kuti athetse mitundu yosiyanasiyana ya dysautonomia. Palibe umboni uliwonse kuti chilichonse cha zinthuzi chikugwira ntchito. Komabe, monga membala wa chipatala chochititsa manyazi, ndimangonena kuti, ndi ndalama zanu; yesetsani kuti musagwiritse ntchito pa chilichonse chimene chingakupwetekeni. Musanayese njira ina yothandizila, muyenera kuwerenga zonse zolinga zomwe mungapeze .
Mankhwala Osokoneza Bongo
Mankhwala ambiri opanga mankhwala akhala akuyesedwa kwa odwala okhala ndi dysautonomia. Zomwe zimapezeka kuti zothandiza ndizo:
- Matenda opatsirana pogwiritsa ntchito tricyclic monga Elavil, Norpramin, ndi Pamelor agwiritsidwa ntchito, poyeza mlingo wochepa, kuti athetse matenda ambiri a dysautonomia.
- Kusankha serotonin reuptake inhibitors (SSRIs) monga Prozac, Zoloft, ndi Paxil nayenso agwiritsidwa ntchito pochiza syndromes awa. Pamene zogwira mtima, ma tricyclics ndi SSRI zikuwoneka kuti amachita zambiri osati kungoletsa kuthetsa vuto lomwe lingakhale limodzi ndi dysautonomias. Palinso umboni wina woti angathandize kuti "asinthe" kayendedwe ka mantha kwa odwala ena.
- Mankhwala osokoneza bongo monga Xanax ndi Ativan amathandiza kuchepetsa zizindikiro za nkhawa, makamaka odwala omwe ali ndi vuto loopsya.
- Mankhwala ochepetsa mphamvu ya magazi monga Florinef amathandiza kupewa zizindikiro zomwe zimayambitsa pamene kuthamanga kwa magazi kumadutsa pamene wodwalayo ali wolunjika (chikhalidwe chotchedwa orthostatic hypotension), chizindikiro chowoneka mu vasovagal syncope ndi POTS.
- Mankhwala osakanikirana ndi othandizira ena monga Advil ndi Aleve angathandize kuchepetsa ululu womwe umapezeka ndi dysautonomias, makamaka fibromyalgia.
Tiyeneranso kutchulira kuti kuyesera ndikuyandikira, kufunikira chipiriro cha dokotala ndi wodwalayo, nthawi zonse ndi kofunikira pochiza dysautonomia. Padakali pano, anthu omwe ali ndi dysautonomia akhoza kuyesa kudzilimbikitsanso mwa kukumbukira mfundo ziwiri. Choyamba, dysautonomia nthawi zambiri imakhala bwino pamene nthawi ikupita. Chachiwiri, madokotala azachipatala (ndi makampani opanga mankhwala) tsopano adavomereza kuti syyromes a dysautonomia ndi enieni, matupi a zaumoyo. Chifukwa chake, kafukufuku wambiri akufotokozera zomwe zimayambitsa ndi njira zowonongeka, komanso kupanga njira zomwe zimagwira ntchito mochuluka komanso mochuluka kuposa momwe mankhwala ambiri akugwiritsidwira lero.
Zotsatira:
Furlan R, Barbic F, Casella F, et al.Neural kudzilamulira okhazikika mu kusagwirizana pakati pamtima.Respir Physiol Neurobiol. 2009 Oct; 169 Suppl 1: S17-20.
Matenda a Staud R. Autonomic mu matenda a fibromyalgia: postural orthostatic tachcarcardia. Curr Rheumatol Rep. 2008 Dec; 10 (6): 463-6.