Iyini i-autonomic neuropathy

-Delile

• Izimbangela ezingaba khona
• Ziyini izimpawu nezimpawu
• Ungakuvimbela kanjani
• Yelashwa kanjani
• 1. I-Orthostatic hypotension kanye ne-tachycardia ekuphumuleni
• 2. Izinkinga zamathumbu
• 3. Izinkinga zomchamo
• 4. Ukungabi namandla ocansini

I-Autonomic neuropathy yenzeka lapho izinzwa ezilawula imisebenzi yomzimba engazibandakanyi zonakala, ezingathinta ukucindezelwa kwegazi, ukulawulwa kwamazinga okushisa, ukugayeka kwesisu kanye nokusebenza kocansi. Lokhu kulimala kwezinzwa kuphazamisa ukuxhumana phakathi kobuchopho nezinye izitho, futhi kungathinta izinhlelo eziningi, ezinjengezinhliziyo, isisu, amathumbu, phakathi kwabanye.

Ezimweni eziningi, isifo sikashukela yisifo esidala ukuzimela kwe-neuropathy futhi akuvamile ukuthi kubangelwe ezinye izinto. Ukwelashwa kuncike embangela yalesi sifo futhi imvamisa kuqukethe ukukhululeka kwezimpawu.

Izimbangela ezingaba khona

Isizathu esivame kakhulu se-autonomic neuropathy yisifo sikashukela, lapho kungekho ukulawulwa okwanele kwe-glucose, okungadala ukulimala kwezinzwa kancane kancane.

Yize kungavamile, i-autonomic neuropathy isengabangelwa:

• I-Amyloidosis, ethinta izitho nohlelo lwezinzwa. Funda ukuthi ungabona kanjani i-amyloidosis;
• Izifo ezizimele, amasosha omzimba ahlasela umzimba uqobo, kufaka phakathi, kulokhu, izinzwa;
• Imithi, ikakhulukazi leyo esetshenziswa ekwelashweni ngamakhemikhali okwelashwa ngamakhemikhali;
• Izifo ezithathelwanayo, njenge-botulism, i-HIV noma isifo se-Lyme;

Ngaphezu kwalokho, i-autonomic neuropathy nayo ingabangelwa ezinye izifo ezizuzwe njengefa.

Ziyini izimpawu nezimpawu

I-Autonomic neuropathy ingabandakanya amasistimu enhliziyo, wokugaya ukudla, e-urogenital, e-sweat kanye ne-pupillary motricity.

Izimpawu nezimpawu ezingenzeka kubantu abane-autonomic neuropathy kuzoncika emithanjeni ethintekile futhi ingafaka isiyezi nokuzizwa uphela amandla, okubangelwa ukwehla kwengcindezi yegazi, ukungabambeki komchamo, ubunzima bokukhipha isinye ngokuphelele, ubunzima bokugcina ukwakheka noma ukufinyelela kwi-orgasm, ukunciphisa isifiso sobulili, izifo zesisu ezifana nesifo sohudo, ukuzizwa ugcwele, isicanucanu nokuhlanza.

Ngaphezu kwalokho, kwezinye izimo, umzimba ungakuthola kunzima ukubona i-hypoglycemia, ukulawula izinga lokushisa, ukuvumelanisa iso nezindawo ezikhanyayo noma ezimnyama nobunzima bokuguqula isilinganiso senhliziyo sivivinye umzimba.

I-Autonomic neuropathy ingalimaza kakhulu ikhwalithi yempilo yesiguli esinesifo sikashukela. Ngokuvamile, lesi sifo sivela kubantu abanesifo sikashukela asebenesikhathi eside benesifo.

Ungakuvimbela kanjani

I-Autonomic neuropathy ingavinjelwa ngokulawulwa okwanele kwamazinga kashukela egazini, ukugwema ukuphuza ngokweqile nokubhema, ukwenza ukwelashwa okufanele kwezifo ezizimele, ukulawula umfutho wegazi ophezulu nokugcina impilo iphilile.

Yelashwa kanjani

Ukwelashwa kubaluleke kakhulu ekuboniseni izimpawu futhi kufanele futhi kugxile embangela yenkinga, okungukuthi, esimweni sikashukela, kuyadingeka nokulawula lesi sifo.

1. I-Orthostatic hypotension kanye ne-tachycardia ekuphumuleni

Izinguquko ezenzeka ngemuva kwesikhashana kufanele zigwenywe, amasokisi acindezelayo noma amabhulukwe kufanele kusetshenziswe futhi ikhanda lombhede kufanele likhuliswe cishe ngamasentimitha angama-30. Ezimweni ezinzima kakhulu, kungadingeka ukuthi usebenzise umuthi wokwengeza umfutho wegazi, i-fludrocortisone , futhi badle ukudla okunothe ngosawoti kanye noketshezi.

Uma umuntu ehlushwa i-tachycardia ephumule, udokotela anganikeza imishanguzo yokulawula inhliziyo, njengama-beta-blockers.

2. Izinkinga zamathumbu

Uma umuntu enezinkinga zokugaya ukudla, isicanucanu nokuhlanza, udokotela anganikeza imishanguzo eqeda izimpawu, njenge-metoclopramide, i-cisapride ne-domperidone.

Uma kwenzeka uhudo, udokotela angahle anikeze i-loperamide futhi uma umuntu ehlushwa ukuqunjelwa, kungadingeka ukuthi asebenzise imishanguzo yokuhambisa isisu. Kwezinye izimo sohudo, udokotela angahle anikeze imishanguzo yokubulala amagciwane ebanzi ukuze inciphise ukwanda kwamagciwane egciwane emathunjini.

3. Izinkinga zomchamo

Ukuze ukhiphe isinye, udokotela angancoma ukuthi kuqedwe isinye ngokucindezelwa kwesisu nokuzihlola okuzimele, okumele kwenziwe uchwepheshe wezokunakekelwa kwempilo, noma imithi esiza ukukhipha isinye.

Uma ukutheleleka komchamo kwenzeka noma ezimeni lapho kuvunyelwe khona ukuvimbela, udokotela anganikeza ama-antibiotic.

4. Ukungabi namandla ocansini

Inketho yokuqala yokwelapha ukungabi namandla ocansini ifaka imithi efana ne-sildenafil, i-vardenafil ne-tadalafil, esiza ukugcina ukwakhiwa. Endabeni yabesifazane abaye banciphisa isifiso sobulili kanye nokoma kwesitho sangasese sowesifazane, kunganconywa ukusetshenziswa kwesithambisi.