Neuropathi Autonomiko

Ka puta te neuropathy o te pūnaha whakahaere aunoa ina pakaru ngā tūpuna e whakahaere ana i ngā mahi tinana aunoa. Ka pā pea ki te toto toto, te whakahaere i te pāmahana, te whakahaere kai, te mahi o te pūngāwerewere, ā, tae atu ki te mahi taane/wahine.

Ka pā te pakaru o ngā tūpuna ki ngā karere i tukuna i waenga i te roro me ētahi atu whekau me ngā wāhi o te pūnaha io aunoa. Kei roto i ēnei wāhi te ngakau, ngā oko toto me ngā whekau werawera.

Ko te huka toto te take tino nui o te neuropathy o te pūnaha whakahaere aunoa. Ka taea hoki te puta mai i ētahi atu āhuatanga hauora, ngā mate huaketo, ngā mate huakita rānei, te rongoā rānei. Ka rerekē ngā tohu me te maimoatanga i runga i te pakaru o ngā tūpuna.

Ko ngā tohu me ngā pūāhua o te neuropathy autonomic e whakamahere ana i runga i tehea ngā pūtau i pakaru. Āe pea ngā mea e whai ake nei:

• Te mōrearea me te ngaro o te ngakau i te tū, i puta mai i te heke tere o te toto.
• Ngā raruraru mimi, pēnei i te uaua ki te tīmata te mimi, te ngaro o te mana o te pūngāwerewere, te uaua ki te mōhio he kī tonu te pūngāwerewere, me te kore e taea te whakapakaru katoa i te pūngāwerewere. Ka taea e te kore e taea te whakapakaru katoa i te pūngāwerewere te arahi ki ngā mate pūngāwerewere.
• Ngā raruraru taangata, tae atu ki ngā raruraru ki te whakatutuki, ki te pupuri rānei i te whakaohooho (te ngoikore o te whakaohooho) me ngā raruraru ejaculation. I ngā wāhine, ko ngā raruraru ko te maroke o te tara, te iti o te hiahia mo te taangata, me te uaua ki te tae ki te orgasm.
• Te uaua ki te kai kai, pēnei i te ahua kī tonu i muri i te torutoru ngā wahi o te kai, te ngaro o te hiahia kai, te ruaki, te kōpuku, te pupuhi o te kopu, te ruaki, te ruaki, te uaua ki te horomia me te ngakau wera. Ko ēnei raruraru katoa e puta mai ana i ngā huringa i te mahi kai.
• Te kore e taea te mohio ki te iti o te huka toto (hypoglycemia), no te mea kaore ngā tohu whakatūpato, pēnei i te wiri, kei reira.
• Ngā raruraru werawera, pēnei i te nui rawa te werawera, te iti rawa rānei. Ka pā ēnei raruraru ki te kaha ki te whakahaere i te pāmahana o te tinana.
• Te whakautu puhoi o te tauira, ka uaua ai te whakarite mai i te mārama ki te pouri, me te kite pai i te wā e taraiwa ana i te pō.
• Te kore e taea te mahi whakakori tinana, ka taea te puta mai mena ka noho tonu te tere o tō ngakau i te mea kaore i te whakarite ki tō taumata mahi.

Rapua te tiaki hauora i te wa poto mena ka tīmata te whakaatu i ētahi o ngā tohu me ngā tohu o te neuropathy autonomic, inā koa mēnā he mate huka koe kāore i te pai te whakahaere.

Mēnā he mate huka momo 2 tōu, ka tūtohu te American Diabetes Association i te whakamātautau a-tau mo te neuropathy autonomic i te tīmatanga o te whiwhi i tō whakatau. Mō te hunga he mate huka momo 1, ka tohutohu te whakahaere i te whakamātautau a-tau i te rima tau i muri i te whakatau.

He maha ngā āhuatanga hauora ka taea te whakaeke i te neuropathy autonomic. Ka taea hoki te puta hei pānga o ngā maimoatanga mō ētahi atu mate, pēnei i te mate pukupuku. Ko ētahi o ngā take whānui o te neuropathy autonomic ko:

• **Te Mate Huka,**inā koa ki te kore e pai te whakahaere, koia te take tino nui o te neuropathy autonomic. Ka taea e te mate huka te whakaeke haere i te kino o ngā pūnaha i roto i te tinana.
• Te hanga pūmua koretake i roto i ngā whekau (amyloidosis), e pā ana ki ngā whekau me te pūnaha io.
• Ngā mate ā-whakahaere-tinana, i roto i ēnei, ka whakaeke tō pūnaha ā-whakahaere-tinana, ka pakaru ngā wāhanga o tō tinana, tae atu ki ō pūnaha io. Ko ētahi tauira ko te mate o Sjogren, te mate lupus pūnaha, te mate rewiti rheumatoid me te mate celiac. Ko te mate o Guillain-Barre he mate ā-whakahaere-tinana e puta tere ana, ā, ka taea te pā ki ngā pūnaha io autonomic.

Ka taea hoki te whakaeke i te neuropathy autonomic e te whakaeke a te pūnaha ā-whakahaere-tinana e whakaohotia ana e ētahi mate pukupuku (paraneoplastic syndrome).

• Ētahi rongoā, tae atu ki ētahi rongoā e whakamahia ana i te maimoatanga mate pukupuku (chemotherapy).
• Ētahi huaketo me ngā pūkohukohu, pēnei i te huaketo mate koretake tangata (HIV) me ngā mea e whakaeke ana i te mate botulism me te mate Lyme.
• Ētahi mate kua oti te whakawhiwhi ka taea hoki te whakaeke i te neuropathy autonomic.

Ngā take ka piki ake pea te tūponotanga o te neuropathy autonomic mōu e whai ake nei:

• Te huka toto. Ka piki ake te tūponotanga o te neuropathy autonomic me ētahi atu kino o ngā pūtau io, mā te huka toto, ā, tērā atu anō te kino o te kore pai te whakahaere. Ko te nui rawa o te tūponotanga kei a koe ki te uaua te whakahaere i tō huka toto.
• Ētahi atu mate. Ka piki ake te tūponotanga o te neuropathy autonomic i ētahi āhuatanga hauora, tae atu ki te amyloidosis, te porphyria me te hypothyroidism. Ka taea hoki e te mate pukupuku, te nuinga na ngā pānga o te maimoatanga.

Kaore he uauatanga

Ko ētahi mate whakaūka e whakapōhe ana koe ki te whanake i te neuropathy autonomic kaore e taea te aukati. Engari ka taea e koe te whakaheke i te tīmatanga, te whanake rānei o ngā tohu mā te tiaki i tō hauora whānui me te whakahaere i ō mate hauora. Hei whakahaere i ngā mate me ngā āhuatanga, whai i ngā tohutohu a tō kaiwhakarato hauora mō te noho hauora. Ā, ko aua tohutohu pea ka uru atu ki ēnei whakaaro:

• Whakahaeretia tō huka toto ki te pēhea koe he mate huka.
• Kaua e inu waipiro, kaua hoki e kai hikareti.
• Whiwhi i te rongoā tika ki te pēhea koe he mate ā-whakaū.
• Whakatūpato, whakahaere rānei i te toto teitei.
• Tutuki me te pupuri i te taumaha hauora.
• Mahi whakakori tinana ā-rangi.

Ko te neuropathy o te pūnaha whakahaere aunoa he āhuatanga pea o ētahi mate. Ko ngā whakamātautau e hiahia ana koe ka whakawhirinaki ki ō tohu me ngā take morearea mō te neuropathy o te pūnaha whakahaere aunoa.

Ki te pēhea koe he mate huka, he atu rānei āhuatanga e whakapiki ana i tō morearea mō te neuropathy o te pūnaha whakahaere aunoa, ā, he tohu o te neuropathy kei a koe, ka mahi tō kaiwhakarato hauora i tetahi whakamātautau tinana, ka ui hoki ki ō tohu.

Ki te mahi koe i te maimoatanga mate pukupuku me te rongoā e mohiotia ana e pā ana ki te kino o ngā uaua, ka tirotirohia e tō kaiwhakarato ngā tohu o te neuropathy.

Ki te pēhea koe he tohu o te neuropathy o te pūnaha whakahaere aunoa, engari kāore he take morearea, ka uaua ake te whakatau. Ka arotake pea tō kaiwhakarato hauora i tō hītori hauora, ka kōrero ki ō tohu, ka mahi hoki i tetahi whakamātautau tinana.

Ka tūtohu pea tō kaiwhakarato i ngā whakamātautau hei aromatawai i ngā mahi o te pūnaha whakahaere aunoa, tae atu ki:

Whakamātautau tepu whakatārewatanga. Ka aroturuki tēnei whakamātautau i te whakautu o te toto toto me te tere o te ngakau ki ngā huringa i te tu me te tūranga. Ka rite ki te mea e puta ana ina tū koe i muri i te takoto. Ka takoto koe i runga i te tepu, ka whakatārewatia kia ara ake te taha o runga o tō tinana. I te nuinga, ka whakaitihia ngā oko toto, ka piki ake te tere o te ngakau hei utu mō te hekenga o te toto toto. Ka whakaheke pea tēnei whakautu ki te pēhea koe he neuropathy o te pūnaha whakahaere aunoa.

He whakamātautau ngāwari ake mō tēnei whakautu ko te tirotiro i tō toto toto ina takoto, noho, me te tū i muri i ngā meneti e toru. Ko tetahi atu whakamātautau ko te tū mō te meneti kotahi, katahi ka noho takoto mō te meneti kotahi, katahi ka tū ano i te wa e aroturukihia ana te toto toto me te tere o te ngakau.

• Ngā whakamātautau mahi o te pūnaha whakahaere aunoa. Ka inehia e ēnei whakamātautau te āhua o te tere o tō ngakau me te toto toto i ngā whakakori penei i te manawa hohonu me te manawa kaha (whakahaere Valsalva).
• Whakamātautau tepu whakatārewatanga. Ka aroturuki tēnei whakamātautau i te whakautu o te toto toto me te tere o te ngakau ki ngā huringa i te tu me te tūranga. Ka rite ki te mea e puta ana ina tū koe i muri i te takoto. Ka takoto koe i runga i te tepu, ka whakatārewatia kia ara ake te taha o runga o tō tinana. I te nuinga, ka whakaitihia ngā oko toto, ka piki ake te tere o te ngakau hei utu mō te hekenga o te toto toto. Ka whakaheke pea tēnei whakautu ki te pēhea koe he neuropathy o te pūnaha whakahaere aunoa.

He whakamātautau ngāwari ake mō tēnei whakautu ko te tirotiro i tō toto toto ina takoto, noho, me te tū i muri i ngā meneti e toru. Ko tetahi atu whakamātautau ko te tū mō te meneti kotahi, katahi ka noho takoto mō te meneti kotahi, katahi ka tū ano i te wa e aroturukihia ana te toto toto me te tere o te ngakau.

• Ngā whakamātautau o te pūnaha kai. Ko ngā whakamātautau whakamakuku-puku te nuinga o ngā whakamātautau hei tirotiro i ngā take kai penei i te whakamakuku-puku puhoi me te whakamakuku-puku whakaroa o te kopu (gastroparesis). Ka mahia ēnei whakamātautau e te taote e tohunga ana ki ngā mate o te pūnaha kai (gastroenterologist).
• Whakamātautau reflex axon sudomotor quantitative. Ka tirotirohia e tēnei whakamātautau te āhua o ngā uaua e whakahaere ana i ō ngutu wera ki te whakaohooho. Ka pā te iti o te hiko hiko i ngā kapu i whakanohoia ki tō ringa, waewae o runga me raro, me tō waewae. Ka tātari te rorohiko i te whakautu o ō uaua me ō ngutu wera. Ka rongo pea koe i te wera, he rongo rānei i te wa o te whakamātautau.
• Whakamātautau wera o te pūnaha whakahaere wera. Ka hipoki koe ki te paura e huri ana te tae ina wera koe. I te wa e takoto ana koe i roto i te ruma me te pāmahana e piki haere ana, ka tuhi ngā whakaahua mamati i ngā hua i te wa e tīmata ana koe ki te wera. Ka āwhina pea tō tauira wera ki te whakau i te whakatau o te neuropathy o te pūnaha whakahaere aunoa, he āhuatanga rānei e whakaatu ana i ētahi atu take mō te hekenga, te pikinga rānei o te wera.
• Ngā whakamātautau mimi me te mahi o te pūnaha mimi (urodynamic). Ki te pēhea koe he tohu me ngā tohu o te pūnaha mimi, ka taea e te raupapa o ngā whakamātautau mimi me te pūnaha mimi te aromatawai i te mahi o te pūnaha mimi.
• Ultrasound. Ki te pēhea koe he tohu me ngā tohu o te pūnaha mimi, ka tūtohu pea tō kaiwhakarato i te ultrasound o tō ara mimi. I roto i tēnei whakamātautau, ka hangaia e ngā ngaru oro teitei tetahi pikitia o te pūnaha mimi me ētahi atu wāhanga o te ara mimi.

Ko te rongoā mo te neuropathy o te pūnaha whakahaere takirua e whai ake nei:

Ka taea e tō kaiwhakarongo hauora te tūtohutia:

Ka taea e tō kaiwhakarongo hauora te whakaaro:

Mō ngā tāne e pangia ana e te ngoikoretanga o te whakaohooho, ka taea e ngā kaiwhakarongo hauora te tūtohutia:

Rongoā hei whakaohooho. Ka taea e ngā rongoā penei i te sildenafil (Viagra), vardenafil, tadalafil (Cialis) me te avanafil (Stendra) te āwhina i a koe ki te whakaohooho me te pupuri i te whakaohooho. Ko ngā pānga pea e whai ake nei: te iti o te toto, te mamae o te upoko, te whero o te kiri, te koretake o te puku me ngā huringa o te tae o te tirohanga.

Ki te pēhea koe he mate ngakau, he arrhythmia, he pēhanga roro, he teitei o te toto, whakamahia enei rongoā mā te tupato. Kaua hoki e kai i enei rongoā ki te kai koe i tetahi momo nitrates organik. Rapua te awhina hauora tonu ki te roa atu i te whā haora tō whakaohooho.

Mō ngā wāhine e pangia ana e ngā tohu moepuku, ka taea e ngā kaiwhakarongo hauora te tūtohutia:

Ka taea e te neuropathy o te pūnaha whakahaere takirua te whakaeke i ngā raruraru o te tere o te ngakau me te toto. Ka taea e tō kaiwhakarongo hauora te whakahau:

Rongoā hei whakanui i tō toto. Ki te ngoikore koe, ki te mōrearea rānei ina tū koe, ka taea e tō kaiwhakarongo hauora te whakaaro ki ngā rongoā. Ka āwhina te fludrocortisone i tō tinana ki te pupuri i te tote, ā, ka āwhina i te whakahaere i tō toto.

Ka taea e te Midodrine (Orvaten) me te droxidopa (Northera) te whakanui i te toto. Engari ka taea e enei rongoā te whakaeke i te toto teitei ina takoto koe. Ka taea e te Octreotide (Sandostatin) te whakanui i te toto ki ngā tāngata e pangia ana e te mate huka e iti ana te toto i muri i te kai, engari ka taea e te whakaeke i ētahi pānga. Ka taea e te Pyridostigmine (Mestinon) te āwhina i te pupuri i te toto pumau ina tū.

Ki te nui rawa te wera o tō tinana, ka taea e tō kaiwhakarongo hauora te whakahau i te rongoā hei whakaiti i te wera. Ka taea e te Glycopyrrolate (Cuvposa, Robinul, ētahi atu) te whakaiti i te wera. Ko ngā pānga pea e whai ake nei: te ruaki, te maroke o te waha, te pupuri mimi, te mōrearea o te tirohanga, ngā huringa o te tere o te ngakau, te mamae o te upoko, te ngaro o te reka me te ngenge. Ka taea hoki e te Glycopyrrolate te whakanui i te tūponotanga o te mate e pā ana ki te wera, penei i te wera nui, mai i te iti o te kaha ki te wera.

• Te rongoā i te mate taketake. Ko te whāinga tuatahi o te rongoā i te neuropathy o te pūnaha whakahaere takirua ko te whakahaere i te mate, te āhuatanga rānei e whakaeke ana i ō ngongo. Ki te mate huka te take o te whakaeke o ō ngongo, me whakahaere tika koe i te huka toto hei ārai i te whakaeke.

• Te whakahaere i ngā tohu motuhake. Ka taea e ētahi rongoā te whakaora i ngā tohu o te neuropathy o te pūnaha whakahaere takirua. Ko te rongoā e hāngai ana ki te wāhanga o tō tinana e pā ana te whakaeke o ngā ngongo.

• Ngā huringa kai. Ka hiahia pea koe ki te nui atu o te muka kai me ngā wai. Ka taea hoki e ngā tāpiri muka, penei i te Metamucil, te Citrucel rānei, te āwhina. Whakanuia haere te nui o te muka e whiwhi ana koe hei ārai i te hau me te pupuhi.

• Rongoā hei āwhina i tō puku ki te whakapau. Ka āwhina te rongoā tākuto e kiia nei ko te metoclopramide (Reglan) i tō puku ki te whakapau tere ake mā te whakanui i te whakawhāiti o te pūnaha kai. Ka taea e tēnei rongoā te whakaeke i te ngenge, ā, kaua e whakamahia mō te roa atu i te 12 wiki.

• Rongoā hei whakaora i te kōpū. Ka taea e ngā rongoā kōpū e hokona ana e kore he whakahau te āwhina i te whakaora i te kōpū. Pātai atu ki tō kaiwhakarongo hauora te maha o ngā wā e tika ana kia whakamahia e koe te rongoā kōpū.

• Rongoā hei whakaora i te ruaki. Ka taea e ngā rongoā mate huaketo te āwhina i te rongoā i te ruaki mā te ārai i te nui rawa o te tipu o ngā huaketo i roto i ngā whekau.

• Te whakangungu anō i tō putea. Ko te whai i te kaupapa o te inu wai me te mimi ka taea te whakanui i te kaha o tō putea me te whakangungu anō i tō putea ki te whakapau katoa i ngā wā tika.

• Rongoā hei whakahaere i ngā tohu putea. Ka taea e tō kaiwhakarongo hauora te whakahau i ngā rongoā e whakaiti ana i te putea nui rawa. Ka taea hoki e ētahi atu rongoā te āwhina i te whakapau i tō putea.

• Te awhina mimi (catheterization). Ka aratakihia he pūtau i roto i tō urethra hei whakapau i tō putea.

• Rongoā hei whakaohooho. Ka taea e ngā rongoā penei i te sildenafil (Viagra), vardenafil, tadalafil (Cialis) me te avanafil (Stendra) te āwhina i a koe ki te whakaohooho me te pupuri i te whakaohooho. Ko ngā pānga pea e whai ake nei: te iti o te toto, te mamae o te upoko, te whero o te kiri, te koretake o te puku me ngā huringa o te tae o te tirohanga.

  Ki te pēhea koe he mate ngakau, he arrhythmia, he pēhanga roro, he teitei o te toto, whakamahia enei rongoā mā te tupato. Kaua hoki e kai i enei rongoā ki te kai koe i tetahi momo nitrates organik. Rapua te awhina hauora tonu ki te roa atu i te whā haora tō whakaohooho.

• Pūmupū wāwae o waho. Ka āwhina tēnei taputapu ki te toia te toto ki te titi mā te pūmupū ringa. Ka āwhina te mowhiti pakaru ki te pupuri i te toto ki te wahi, ā, ka pupuri i te whakaohooho mō te 30 meneti.

• Ngā hinu wāhine hei whakaiti i te maroke me te whakapai ake i te moe wahine.

• Tetahi o ngā rongoā torutoru i whakaaetia mō ngā wāhine premenopausal e iti ana te hiahia moepuku.

• Te kai tote nui, te wai nui. Ki te heke tō toto ina tū koe, ka taea e te kai e nui ana te tote me te wai te āwhina i te pupuri i tō toto. Ka taea e tēnei rongoā te whakaeke i te toto teitei, te pupuhi rānei o ngā waewae, ngā rekereke, ngā waewae rānei. No reira, ka tūtohutia noa mō ngā take kino o ngā raruraru toto. Ā, kaua e whakamahia tēnei rongoā ki ngā tāngata e pangia ana e te kore o te ngakau.

• Ngā kakahu komirimi. Ka taea e te kākahu e mau ana i te hope, te kākahu komirimi teitei rānei te āwhina i te whakapai ake i te rere o te toto.

• Rongoā hei whakanui i tō toto. Ki te ngoikore koe, ki te mōrearea rānei ina tū koe, ka taea e tō kaiwhakarongo hauora te whakaaro ki ngā rongoā. Ka āwhina te fludrocortisone i tō tinana ki te pupuri i te tote, ā, ka āwhina i te whakahaere i tō toto.

  Ka taea e te Midodrine (Orvaten) me te droxidopa (Northera) te whakanui i te toto. Engari ka taea e enei rongoā te whakaeke i te toto teitei ina takoto koe. Ka taea e te Octreotide (Sandostatin) te whakanui i te toto ki ngā tāngata e pangia ana e te mate huka e iti ana te toto i muri i te kai, engari ka taea e te whakaeke i ētahi pānga. Ka taea e te Pyridostigmine (Mestinon) te āwhina i te pupuri i te toto pumau ina tū.

• Rongoā hei whakahaere i tō tere o te ngakau. Ka āwhina tetahi momo rongoā e kiia nei ko ngā beta blockers ki te whakahaere i tō tere o te ngakau ki te nui rawa ina mahi tinana.

Getting Up Safely and Comfortably

Getting up quickly can sometimes cause dizziness or lightheadedness. Here are some simple tips to help you get up and around more easily and safely:

Gentle Transitions:

• Slow and Steady: When you get out of bed, stand up slowly, in stages. This helps your body adjust to the change in position and can prevent dizziness. Think of it like a ramp, not a jump. Give yourself a moment to adjust at each stage.

• Prepare Your Body: Before you stand, sit on the edge of the bed with your legs dangling for a few minutes. This allows your blood to redistribute more evenly. Also, flex your feet and make your hands into fists for a few seconds. This gently squeezes your muscles, helping to increase blood flow to your brain and body.

• Boosting Blood Pressure: Once you're standing, gently tense your leg muscles by crossing one leg over the other a few times. This helps to increase blood pressure, making you feel more stable and less likely to feel dizzy.

Other Helpful Tips:

• Elevated Bed: If you have low blood pressure, raising the head of your bed by about 4 inches (10 centimeters) can make a difference. You can use blocks or risers under the head of the bed to accomplish this. This helps your blood flow better when you first wake up.
• Improved Digestion: If you have digestive issues, eating small, frequent meals throughout the day can help. Drinking plenty of fluids is also important. Choosing foods that are low in fat and high in fiber can often improve digestion.
• Managing Diabetes: Good blood sugar control is crucial for people with diabetes. Keeping your blood sugar levels stable can significantly lessen symptoms and help prevent or delay new health problems. Working closely with your doctor is essential for managing diabetes effectively.