Kwa zaka zambiri, ndamva kuchokera kwa odwala ambiri a IBS kuti amachititsanso zizindikiro za mitsempha za m'mitsempha kuphatikizapo zizindikiro za kugaya. Kawirikawiri zizindikirozi zimachitika motsatizana ndi matumbo. Kuphatikizidwa kwa mantha ndi kugaya zakudya m'thupi kumagwirizana ndi matenda omwe amadziwika kuti dysautonomia. Pano pali chidule cha dysautonomia ndi ubale wake ndi IBS.
Dysautonomia N'chiyani?
Dysautonomia imaganiza kuti ilipo pamene dongosolo lodzidzimitsa la mantha lisagwire ntchito moyenera. Ndondomeko yamagulu yokhawokha ndiyo gawo la mitsempha yomwe imayambitsa ntchito zambiri zopanda chidziwitso za ziwalo zosiyanasiyana ndi matupi athu, kuphatikizapo njira monga kupuma, chimbudzi, ndi kuthamanga kwa mtima.
Ndondomeko yamatenda yodzikongoletsa imasokonezeka ndi machitidwe amanjenje achifundo komanso oopsya. Mchitidwe wamanjenje wachifundo ndi gawo lomwe limayambitsa yankho lathu la "nkhondo kapena kuthawa", ndi zizindikiro za kuthamanga mtima kwa mtima, kupuma mofulumira ndi kusintha momwe magazi akuthamangira kudzera mu thupi. Chipangizo cha manjenje cha parasympathetic ndi gawo lomwe limagwira ntchito kukhalabe ndi thupi nthawi zonse. Mu dysautonomia, pangakhale ntchito yowonongeka, ndi kuthekera kwa ntchito yowonongeka, zomwe zimabweretsa zizindikiro zodabwitsa komanso zosokoneza.
Dysautonomia ingaphatikizepo kusemphana kwa malo komwe kulikonse kapena thupi lathunthu.
Dysautonomia ndi nsomba-yonse yomwe imaphatikizapo mavuto ambiri azaumoyo. Mu dysautonomia yoyamba, pali chodziŵika chodziwika kwa dongosolo la zamanjenje lomwe limadalira matenda okhudza ubongo. Dysautonomias yachiwiri ndizo zomwe zimawonongeka ndi ubongo ndi zotsatira za matenda osagwirizana ndi ubongo.
Ma dysautonomias ena amachokera ku zotsatira za mankhwala, pamene zina ndizifukwa zosadziwika. Malinga ndi chifukwa chake, dysautonomia ikhoza kukhala yaifupi kapena yachilendo, ndipo kachiwiri, malingana ndi chifukwa chake, zimakhala bwino kapena zowonjezereka panthawi.
Zina mwazimene zimayambitsa dysautonomia ndizo:
Dysautonomia yakhala ikugwirizananso ndi matenda awa:
- Matenda osatha a CFS
- Fibromyalgia
- Sinus tachycardia yosayenera (IST)
- Matenda owopsa a m'mimba (IBS)
- Matenda a mantha
- Matenda a Post-orthostatic tachycardia (POTS)
- Vasovagal syncope
Dysautonomia imadziwikanso ndi "kuwonongeka kwa autonomic," ndipo pakakhala kuwonongeka koyera kwa mitsempha yodziimira, monga "kuvomereza kwatopa."
Zizindikiro za Dysautonomia
Dysautonomia ikhoza kudziwonetsa yokha m'njira zambiri. Orthostatic hypotension ikuwoneka ngati chizindikiro chachikale. Izi zimafulumira kuthamanga kwa magazi pamene munthu akuyimirira zimabweretsa kumverera kwa chizungulire, kufooka ndi nthawi zina, kutaya. Zizindikiro zina ndizo:
- Nkhawa
- Masomphenya obisika
- Kusokonezeka nthawi yochita masewera olimbitsa thupi
- Chizungulire
- Kutuluka thukuta kwambiri
- Kutaya
- Kutopa
- Zizindikiro za m'mimba
- Kupanda mphamvu
- Kuthamanga kwa magazi
- Numbness
- Kuthamanga msanga msanga
- Zovuta zogonana
- Tachycardia
- Kusinkhasinkha
- Mavuto a m'midzi
Kulimbana ndi IBS
Kafukufuku wokhudzana ndi dysautonomia ndi IBS ndi ochepa. Lipoti lina lofalitsidwa linaphatikizapo kafukufuku wochuluka kwambiri wa maphunziro olamulira omwe anatenga zochitika za chizindikiro cha mitsempha yachisoni yogwira ntchito zosiyanasiyana zolimbana ndi matenda, kuphatikizapo IBS, matenda osokoneza maganizo, fibromyalgia, ndi interstitial cystitis . Kuyeza koteroku kunaphatikizapo kusintha kwa mtima wa kuthamanga ndi kuthamanga kwa magazi, kutukuta, kuyankhidwa kuyesedwa kwa tebulo, ndi mayankho a zizindikiro. Mayankho ogwira mtima kuchokera ku ndemangayi ali ochepa chifukwa cha kusiyana kwakukulu kwa mavuto a umoyo, kuyesa ndondomeko ya zizindikiro ndi zozizwitsa zomwe zimagwiritsidwa ntchito pazofukufuku.
Komabe, n'zochititsa chidwi kuti 65 peresenti ya maphunzirowa adapeza umboni wothandizira dongosolo la mantha la hyper-reactivity. Zimaganizidwa kuti kupanikizika kosalephereka kungayambitse vutoli, komanso kuwonongeka kwa kayendedwe kabwino ka mitsempha.
Chochititsa chidwi, phunziro limodzi laling'ono linapeza "kusokoneza" kwa machitidwe a autonomic system pofuna kutulutsa matumbo akuluakulu mwa ogwira ntchito a IBS omwe anali okhudzana ndi momwe iwo analiri ndi nthawi yaitali. Izi ndi zosiyana ndi malipoti ambiri omwe amafalitsidwa omwe amasonyeza kuwonjezeka kwakumvetsetsa mwachifundo kumalimbikitsa mkati. Sichikudziwika ngati zotsatirazi zikugwirizana ndi zomwe zimagwiritsidwa ntchito kapena ngati pali kusintha kwa nthawi yowonongeka.
Monga momwe mukuonera ndi kusowa kwa kafukufuku m'deralo, palibe chimene chimadziwika chifukwa chake munthu ali ndi IBS ndi dysautonomia.
Zimene Mungachite Ngati Muli Nawo Onse
Ngati mukuganiza kuti muli ndi dysautonomia, onani dokotala wanu ndikukambirana za zizindikiro zanu.
Kuyambira tsopano, pali njira yaying'ono yopangira mankhwala kwa dysautonomia (kapena IBS pa nkhaniyi). Chomwe chimatchulidwa kawirikawiri kuti dysautonomia ndi mankhwala omwe angathandize kusintha kayendedwe ka kayendedwe kake ka mantha. Zambiri mwa izi ndi zothandiza kwa IBS:
Malangizo otsatirawa angakuthandizeni, makamaka ngati mukukumana ndi hypotension:
- Onetsetsani kumwa madzi ambiri.
- Onetsetsani kuti mutenge zakudya zamtundu wambiri.
- Pewani kudya zakudya zambiri zamphongo.
- Pamene mukukwera, onetsetsani kuti mukuyimira pang'onopang'ono, muteteze mutu.
Zotsatira:
"Autonomic Neuropathy" Kliniki ya Mayo
Cheng, P. "Kuyankha kwadzidzidzi ku matenda opatsirana kumayambitsa matenda a m'mimba komanso kugwirizana ndi matenda" Neurogastroenterology & Motility 2013 10: 650-e659.
Martinez-Martinez, L., et.al. "Chisamaliro cha Nervous System Chosavomerezeka mu Fibromyalgia, Kutopa Kwambiri Syndrome, Irritable Bowel Syndrome, ndi Interstitial Cystitis: Kubwereza Zokambirana Zokhudza Mlandu" Journal of Clinical Rheumatology 2014 20: 146-150.
"NINDS Dysautonomia Page Tsamba" National Institute of Neurological Disorders ndi Stroke
Reichgott, M. "Umboni Wachidziwitso wa Dysautonomia" Mu: Walker, H. et.al. Okonza. Njira zachipatala: Zochitika Zakale, Zamoyo, ndi Zamaphunziro. Kope lachitatu. Boston: Butterworths; 1990. Mutu 76.