I-Autonomic neuropathy

I-Autonomic neuropathy yiqembu lezimpawu ezenzeka lapho kukhona ukulimala kwezinzwa ezilawula imisebenzi yansuku zonke yomzimba. Le misebenzi ifaka umfutho wegazi, ukushaya kwenhliziyo, ukujuluka, ukukhipha amathumbu nesinye, ukugaya ukudla.

I-Autonomic neuropathy yiqembu lezimpawu. Akusona isifo esithile. Ziningi izimbangela.

I-Autonomic neuropathy ifaka ukulimala kwezinzwa ezithwala imininingwane evela ebuchosheni nasentanyeni yomgogodla. Imininingwane iyiswa enhliziyweni, emithanjeni yegazi, esinyeni, emathunjini, kwizindlala zomjuluko, nakubafundi.

I-Autonomic neuropathy ingabonakala nge:

• Ukuphuza ngokweqile
• Isifo sikashukela (i-neuropathy yesifo sikashukela)
• Ukuphazamiseka okubandakanya ukusikwa kwezicubu ezizungeze izinzwa
• I-Guillain Barré syndrome noma ezinye izifo ezivuthisa izinzwa
• I-HIV / AIDS
• Ukuphazamiseka kwemizwa okuzuzwe njengefa
• I-Multiple sclerosis
• Isifo se-Parkinson
• Ukulimala komgogodla
• Ukuhlinzwa noma ukulimala okubandakanya izinzwa

Izimpawu ziyahlukahluka, kuya ngezinzwa ezithintekile. Imvamisa zikhula kancane ngokuhamba kweminyaka.

Izimpawu zesisu namathumbu zingafaka:

• Ukuqunjelwa (indle enzima)
• Uhudo (indle evulekile)
• Ukuzizwa ugcwele ngemuva kokulunywa okumbalwa (ukusutha kokuqala)
• Isicanucanu ngemuva kokudla
• Izinkinga zokulawula ukuhamba kwamathumbu
• Izinkinga zokugwinya
• Isisu esivuvukile
• Ukuhlanza ukudla okungadliwe

Izimpawu zenhliziyo namaphaphu zingafaka:

• Ukushaya kwenhliziyo okungajwayelekile noma isigqi
• Umfutho wegazi uyashintsha ngesikhundla esidala isiyezi lapho umile
• Umfutho wegazi ophezulu
• Ukuphefumula okuncane ngomsebenzi noma ngokuzivocavoca umzimba

Izimpawu zesinye zingafaka:

• Kunzima ukuqala ukuchama
• Ukuzizwa kuphele isinye
• Umchamo ovuzayo

Ezinye izimpawu zingafaka:

• Ukujuluka kakhulu noma kunganele
• Ukungabekezelelani kokushisa kuletha umsebenzi nokuzivocavoca umzimba
• Izinkinga zocansi, kufaka phakathi izinkinga zokwakhiwa kwabesilisa nokoma kwesitho sangasese sowesifazane kanye nobunzima be-orgasm kwabesifazane
• Umfundi omncane esweni elilodwa
• Ukwehla kwesisindo ngaphandle kokuzama

Izimpawu zokulimala kwemizwa yokuzimela azibonakali njalo lapho udokotela ekuhlola. Umfutho wegazi noma ukushaya kwenhliziyo yakho kungashintsha lapho ulele phansi, uhleli noma umile.

Ukuhlolwa okukhethekile ukukala ukujuluka nokushaya kwenhliziyo kungenziwa. Lokhu kubizwa ngokuthi ukuhlolwa okuzimele.

Ezinye izivivinyo zincike ekutheni unaluphi uhlobo lwezimpawu onazo.

Ukwelashwa ukuguqula ukulimala kwezinzwa akuvamile. Ngenxa yalokhu, ukwelashwa nokunakekelwa kwakho kugxile ekuphatheni izimpawu zakho nasekuvikeleni ezinye izinkinga.

Umhlinzeki wakho wezokunakekelwa kwempilo angancoma:

• Usawoti owengeziwe ekudleni noma ukuthatha amaphilisi kasawoti ukwandisa ivolumu uketshezi emithanjeni yegazi
• I-Fludrocortisone noma imithi efanayo yokusiza umzimba wakho ugcine usawoti noketshezi
• Imithi yokwelapha isigqi senhliziyo esingajwayelekile
• I-Pacemaker
• Ukulala ikhanda liphakanyisiwe
• Ukugqoka amasokisi aminyene

Okulandelayo kungasiza amathumbu akho nesisu ukuthi sisebenze kangcono:

• Uhlelo lokunakekelwa kwamathumbu nsuku zonke
• Imithi esiza isisu ukuhambisa ukudla ngokushesha
• Ukulala ikhanda liphakanyisiwe
• Ukudla okuncane, okuvamile

Imithi nezinhlelo zokuzinakekela kungakusiza uma une:

• Ukungakwazi ukubamba umchamo
• Isinye se-Neurogenic
• Izinkinga zokwakhiwa

Ukuthi wenza kahle kangakanani kuzoya ngombangela wenkinga nokuthi ingalashwa yini.

Shayela umhlinzeki wakho uma unezimpawu ze-autonomic neuropathy. Izimpawu zokuqala zingafaka:

• Ukuphela amandla noma ikhanda elikhanyayo lapho umile
• Izinguquko emathunjini, esinyeni, noma ekusebenzeni ngokocansi
• Isicanucanu esingachazeki nokuhlanza lapho udla

Ukuxilongwa nokwelashwa kusenesikhathi kungalawula izimpawu.

I-Autonomic neuropathy ingafihla izimpawu eziyisixwayiso zokuhlaselwa yisifo senhliziyo. Esikhundleni sokuzwa ubuhlungu besifuba, uma une-autonomic neuropathy, ngesikhathi sokuhlaselwa yinhliziyo ungahle ube:

• Ukukhathala okungazelelwe
• Ukujuluka
• Ukuphelelwa umoya
• Isicanucanu nokuhlanza

Vimbela noma ulawule ukuphazamiseka okuhambisanayo ukunciphisa ubungozi be-neuropathy. Isibonelo, abantu abanesifo sikashukela kufanele balawule eduze amazinga kashukela egazini.

Neuropathy - ukuzimela; Isifo sezinzwa ezizimele

• Imithambo Yokuzimela
• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

I-Katirji B. Ukuphazamiseka kwemizwa yangaphakathi. Ku: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, ama-eds. I-Neurology kaBradley neDaroff ku-Clinical Practice. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2022: isahluko 106.

USmith G, Nginamahloni ME. I-peripheral neuropathies. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 392.