Ese ni iki? Uburwayi bwa Autonomic Neuropathy, Ibimenyetso, Impamvu n'Uko Buvuzwa

Uburwayi bwa Autonomic neuropathy buva mu gukomereka kw'imikaya igenzura imikorere y'umubiri wawe idakenera gutekerezaho. Iyi mikaya igenzura ibintu nko gutera kw'umutima, umuvuduko w'amaraso, igogorwa ry'ibiribwa, no kugenzura ubushyuhe bw'umubiri, utabitekerezaho.

Tekereza kuri iyi mikaya nk'itsinda ry'abakozi bakora inyuma y'ibikorwa byose. Bakora kugira ngo imikorere y'ingenzi ikorwe neza mu gihe ugenda ukora ibyawe. Iyo ikomerekeye, ushobora kubona ibibazo mu kwishima, igogorwa ry'ibiribwa, cyangwa kumva ugiye kugwa iyo uhagurutse.

Ibimenyetso by'uburwayi bwa Autonomic Neuropathy ni ibihe?

Ibimenyetso bishobora gutandukana cyane kuko imikaya ya autonomic igenzura imikorere myinshi y'umubiri. Ushobora kugira ibibazo mu gice kimwe cyangwa mu bice byinshi icyarimwe.

Dore ibimenyetso bisanzwe ushobora kubona:

• Ibibazo by'igogorwa ry'ibiribwa: Kubabara mu nda, kuruka, kumva wuzuye vuba, kubyimbagira, cyangwa guhindagurika kw'imikorere y'amara
• Guhindagurika kw'umuvuduko w'amaraso: Kumva ugiye kugwa cyangwa gucika intege iyo uhagurutse (bita orthostatic hypotension)
• Ibibazo by'umutima: Umutima wawe ushobora gukomeza gutera kimwe nubwo urimo gukora imyitozo cyangwa uri mu gihe cy'umunaniro
• Guhindagurika kw'ikoreshwa ry'umusemburo: Kwishima cyane, gukonja cyane, cyangwa kutashima na gato
• Ibibazo by'umwimerere: Kugorana gusuka umwimerere neza cyangwa indwara zikunze kubaho mu mikaya y'umwimerere
• Ibibazo by'imyororokere: Kudakora neza kw'igitsina gabo cyangwa kugabanuka kw'amazi ashishikaza mu bagore
• Ibibazo by'amaso: Amaso adahindura neza uko atabwaho umucyo

Bamwe mu bantu bagira ibimenyetso bitazwi cyane nko kugorana kugenzura ubushyuhe bw'umubiri cyangwa ibibazo byo kubura amarira n'umusemburo w'amenyo. Ikintu cy'ingenzi ni uko ibi bimenyetso bishobora kuza buhoro buhoro, bityo ushobora kutamenya ko biriho ako kanya.

Ese ni iki gitera uburwayi bwa autonomic neuropathy?

Diabete ni yo mpamvu isanzwe itera uburwayi bwa autonomic neuropathy. Iyo isukari y'amaraso iri hejuru igihe kirekire ishobora kwangiza imiyoboro y'amaraso mito iha imikaya ingufu.

Ariko kandi, izindi ndwara nyinshi zishobora gutera ubwo bwoko bw'ubwangirike bw'imikaya:

• Indwara ziterwa n'ubudahangarwa bw'umubiri: Indwara nka rhumatoïde arthritis, lupus, cyangwa Sjögren's syndrome
• Amazi: VIH, indwara ya Lyme, cyangwa botulism
• Indwara zirakomoka: Zimwe mu ndwara zirakomoka zirakomoka mu muryango
• Imiti: Imiti imwe ikoreshwa mu kuvura kanseri cyangwa imiti igabanya umuvuduko w'amaraso
• Ibyangiza umubiri: Imiti y'ibiremere cyangwa kunywa inzoga nyinshi
• Izindi ndwara: Indwara z'impyiko, indwara z'umwijima, cyangwa kanseri zimwe na zimwe

Rimwe na rimwe, abaganga ntibashobora kumenya icyateye indwara, ibi bita idiopathic autonomic neuropathy. Ibi ntibisobanura ko indwara idakira, ahubwo bisobanura ko icyayiteye kitazwi.

Ubwoko bw'uburwayi bwa autonomic neuropathy ni ubuhe?

Uburwayi bwa autonomic neuropathy bushobora kugaragazwa hashingiwe ku mikorere y'umubiri ikomereka cyane. Gusobanukirwa ubwo bwoko bufasha abaganga kuvura neza.

Diabetic autonomic neuropathy ni bwo bwoko busanzwe. Busanzwe bugira ingaruka ku mikorere myinshi kandi buza buhoro buhoro mu bantu bafite diabete idakurikiranwa neza mu myaka myinshi.

Acute autonomic neuropathy iza vuba kandi ishobora kuba ikomeye cyane. Ubwo bwoko busanzwe buterwa n'ubudahangarwa bw'umubiri cyangwa amazi kandi bushobora gukira neza hakoreshejwe ubuvuzi bukwiye.

Chronic idiopathic autonomic neuropathy iza buhoro buhoro mu gihe kirekire idafite impamvu isobanutse. Ubwo bwoko busanzwe burakomera ariko busanzwe bugira igisubizo cyiza mu guhangana n'ibimenyetso.

Ni ryari ukwiye kujya kwa muganga kubera uburwayi bwa autonomic neuropathy?

Ukwiye kuvugana na muganga wawe niba ufite gucika intege iyo uhagurutse, cyane cyane iyo biherekejwe n'ibindi bimenyetso. Ibi bishobora kugaragaza ibibazo by'imikaya ya autonomic bikeneye kwitabwaho.

Shaka ubuvuzi vuba niba ufite:

• Ibibazo bikomeye by'igogorwa ry'ibiribwa bigira ingaruka ku kurya cyangwa bigatuma ubaho gato
• Gutakaza ubwenge cyangwa hafi yo gutakaza ubwenge kenshi
• Kudashaka kumva ko umwimerere wuzuye
• Gutakaza burundu ubushobozi bwo kwishima
• Guhindagurika cyane kw'umuvuduko w'amaraso

Niba ufite diabete, ni ingenzi cyane kuvuga ibi bimenyetso ku muganga wawe. Kumenya hakiri kare no kuvura birashobora gufasha gukumira ko indwara ikomeza kuba mbi.

Ibyago byo kurwara autonomic neuropathy ni ibihe?

Ibintu byinshi bishobora kongera amahirwe yo kurwara autonomic neuropathy. Gusobanukirwa ibyo byago birashobora kugufasha gufata ingamba zo kwirinda aho bishoboka.

Ibyago by'ingenzi birimo:

• Diabete: Cyane cyane niba isukari y'amaraso idakurikiranwa neza mu myaka myinshi
• Imyaka: Ibyago byiyongera uko umuntu akura, cyane cyane nyuma y'imyaka 50
• Amateka y'indwara mu muryango: Zimwe mu ndwara zirakomoka zigira ibintu by'umurage
• Indwara ziterwa n'ubudahangarwa bw'umubiri: Kugira indwara imwe iterwa n'ubudahangarwa bw'umubiri byongera ibyago byo kurwara izindi
• Kunywesha inzoga igihe kirekire: Bishobora kwangiza imikaya mu gihe kirekire
• Imiti imwe: Imiti imwe ikoreshwa mu kuvura kanseri cyangwa izindi ndwara

Kugira ibyo byago ntibisobanura ko uzahita urwara autonomic neuropathy. Abantu benshi bafite ibyo byago ntibarwara iyo ndwara, mu gihe abandi badafite ibyo byago bayirwara.

Ingaruka zishoboka z'uburwayi bwa autonomic neuropathy ni izihe?

Ingaruka z'uburwayi bwa autonomic neuropathy zishobora kugira ingaruka ku mibereho yawe kandi rimwe na rimwe zigatuma ugira ibibazo bikomeye by'ubuzima. Gusobanukirwa ibyo bigufasha kumenya igihe ukwiye gushaka ubuvuzi bwihuse.

Ingaruka zisanzwe ushobora kugiramo harimo:

• Gastroparesis: Gutinda kw'igogorwa ry'ibiribwa mu gifu bishobora gutera kubabara mu nda cyane no guhindagurika kw'isukari y'amaraso
• Indwara zikunze kubaho mu mikaya y'umwimerere: Kudakora neza kw'umwimerere byongera ibyago by'indwara
• Kugwa: Gucika intege no kugabanuka kw'umuvuduko w'amaraso bishobora gutera kugwa
• Isuka ry'ubushyuhe: Kudashaka kwishima bishobora gutera ubushyuhe bukabije
• Kudamenya ko isukari y'amaraso iri hasi: Kudamenya ibimenyetso by'isukari y'amaraso iri hasi

Ingaruka zidafite akamaro ariko zikomeye harimo guhindagurika kw'umutima, kukama cyane, n'ububabare buhoraho. Inkuru nziza ni uko, hakoreshejwe ubuvuzi bukwiye, ingaruka nyinshi zishobora gukumirwa cyangwa kugenzurwa neza.

Uburwayi bwa autonomic neuropathy bushobora gukumirwa gute?

Nubwo utazi gukumira ubwoko bwose bw'uburwayi bwa autonomic neuropathy, ushobora kugabanya cyane ibyago binyuze mu gucunga neza indwara ziriho. Ibi ni byo cyane cyane kuri autonomic neuropathy iterwa na diabete.

Ingamba z'ingenzi zo kwirinda harimo:

• Kugira isukari y'amaraso mu rugero rukwiye: Komereza kugenzura urwego rwa A1C niba ufite diabete
• Kujya kwa muganga buri gihe: Kumenya ibimenyetso bya mbere byo kwangirika kw'imikaya
• Ubuzima bwiza: Gukora imyitozo ngororamubiri, kurya indyo yuzuye, no gusinzira bihagije
• Kugabanya inzoga: Kunywa inzoga nyinshi bishobora kwangiza imikaya mu gihe kirekire
• Kugira izindi ndwara mu rugero rukwiye: Komereza kugenzura umuvuduko w'amaraso na cholesterol

Niba ufite ibyago, gukorana n'itsinda ry'abaganga bawe birashobora gufasha kumenya ibibazo hakiri kare igihe bikira vuba.

Uburwayi bwa autonomic neuropathy bupimwa gute?

Kumenya uburwayi bwa autonomic neuropathy bikubiyemo ibizamini byinshi byo kureba neza uko imikorere y'imikaya yawe ikora. Muganga wawe azatangira aganira nawe ku bimenyetso byawe n'amateka yawe y'ubuzima.

Ibizamini bisanzwe byo gupima harimo:

• Ibizamini byo kureba uko umuvuduko w'amaraso n'umutima bihinduka iyo uhagurutse: Bipima impinduka z'umuvuduko w'amaraso n'umutima iyo uva mu kuririra ukajya mu guhagarara
• Ibizamini byo kureba uko umutima utera ukurikije uko uhumeka: Bireba niba umutima wawe uhinduka ukurikije uko uhumeka
• Ibizamini byo kureba uko ibiryo bisohoka mu gifu: Hakoreshwa ibintu bya radioactive kugira ngo harebwe uburyo ibiryo bisohoka mu gifu
• Ibizamini byo kureba uko umubiri ushima: Bipima ubushobozi bw'umubiri bwo kwishima
• Ibizamini byo kureba uko umwimerere ukora: Bireba uko umwimerere usuka

Muganga wawe ashobora kandi kugukorera ibizamini by'amaraso kugira ngo arebe diabete, kubura vitamine, cyangwa indwara ziterwa n'ubudahangarwa bw'umubiri. Uburyo bwo gupima bufasha kumenya imikorere y'umubiri ikomereka kandi bugatuma hafashwe ibyemezo byo kuvura.

Uburyo bwo kuvura uburwayi bwa autonomic neuropathy ni ubuhe?

Ubuvuzi bugamije guhangana n'ibimenyetso no kuvura impamvu ziri inyuma yabyo igihe bishoboka. Uburyo bwo kuvura butandukana bitewe n'imikorere y'umubiri ikomereka n'uburemere bw'ibimenyetso.

Kubibazo by'umuvuduko w'amaraso no gucika intege, muganga wawe ashobora kugutegurira:

• Imiti: Fludrocortisone cyangwa midodrine kugira ngo ifashe gucunga umuvuduko w'amaraso
• Imyenda ihambira amaguru: Bifasha gukumira amaraso kuva mu maguru
• Kongera umunyu mu byo kurya: Bishobora gufasha gucunga amaraso (gusa iyo byemejwe na muganga wawe)

Ibimenyetso by'igogorwa ry'ibiribwa bikunze kugira igisubizo cyiza mu guhindura imirire no mu miti ifasha ibiryo guca mu mubiri neza. Muganga wawe ashobora kugutegurira kurya ibiryo bike, byinshi, no kwirinda ibiryo bigoye kugogora.

Kubindi bimenyetso, ubuvuzi bushobora kuba harimo imiti yo kuvura ibibazo by'umwimerere, amarira y'imiti yo kuvura amaso yumye, cyangwa imiti y'imisemburo yo kuvura ibibazo by'imyororokere. Ikintu cy'ingenzi ni ugukorana n'itsinda ry'abaganga bawe kugira ngo ubone uburyo bukwiye bwo kuvura ibimenyetso byawe.

Uko wakwitwara mu rugo ufite uburwayi bwa autonomic neuropathy

Kwitwara mu rugo bigira uruhare rukomeye mu gucunga ibimenyetso no gukumira ingaruka. Guhindura ubuzima buto bishobora kugira akamaro mu buryo bumva buri munsi.

Kugira ngo uhangane no gucika intege no kugabanuka kw'umuvuduko w'amaraso:

• Haguruka buhoro uvuye mu kwicara cyangwa kuryamira
• Shyira umutwe w'igitanda hejuru ho santimetero 15-25
• Komereza kunywa amazi menshi umunsi wose
• Kwima kwirinda amazi ashyushye cyangwa kubanza mu mazi ashyushye bishobora kongera gucika intege

Kubimenyetso by'igogorwa ry'ibiribwa, gerageza kurya ibiryo bike byinshi kandi wirinda ibiryo birimo amavuta menshi cyangwa ibinure. Kuguma witeguye mu gihe cy'amasaha abiri nyuma yo kurya bishobora kandi gufasha ibiryo guca mu mubiri neza.

Kugengura ubushyuhe biba ingenzi niba kwishima kwawe bikomereka. Wambare imyenda myinshi, koresha abafana cyangwa air conditioning, kandi wirinde ubushyuhe bukabije aho bishoboka.

Uko wakwitegura kujya kwa muganga

Kwitunganya kujya kwa muganga bifasha guhamya ko ubona ubuvuzi bukwiye. Tangira ukomeze kwandika ibimenyetso byawe mu byumweru byibuze kimwe mbere yo kujya kwa muganga.

Zana ibi bikurikira mu gihe ugiye kwa muganga:

• Urutonde rwuzuye rw'imiti n'ibindi ukoresha
• Igitabo cyanditsemo ibimenyetso byawe, igihe byabaye, n'uburemere bwabyo
• Amateka y'ubuzima bw'umuryango wawe, cyane cyane yerekeye diabete cyangwa indwara ziterwa n'ubudahangarwa bw'umubiri
• Urutonde rw'ibibazo ufite ku bimenyetso byawe n'uburyo bwo kuvura

Tegura gusobanura ibimenyetso byawe neza, harimo igihe byatangiye, icyabibyiza cyangwa kibibisha, n'uko bigira ingaruka ku buzima bwawe bwa buri munsi. Ibi bintu bifasha muganga wawe gusobanukirwa neza uko uhagaze.

Icyo ukwiye kumenya cyane kuri autonomic neuropathy

Autonomic neuropathy ni indwara ishobora gucungwa, nubwo ishobora kugira ingaruka ku buzima bwawe bwa buri munsi. Ikintu cy'ingenzi mu gucunga neza ni ukumenya hakiri kare, kuvura neza impamvu ziri inyuma yabyo, no gukorana n'itsinda ry'abaganga bawe.

Abantu benshi barwaye autonomic neuropathy bashobora kugira ubuzima bwiza hakoreshejwe ubuvuzi bukwiye no guhindura ubuzima. Nubwo ibimenyetso bimwe bishobora kubaho iteka, byinshi bishobora kuvurwa neza hakoreshejwe uburyo bukwiye.

Wibuke ko gucunga iyi ndwara akenshi ari inzira ihoraho. Bishobora gutwara igihe kugira ngo ubone uburyo bukwiye bwo kuvura bugukorera, ariko ufite kwihangana no gukomeza, abantu benshi bagaragaza iterambere rikomeye mu bimenyetso byabo.

Ibibazo bikunze kubaho kuri autonomic neuropathy

Ese uburwayi bwa autonomic neuropathy burakirwa?

Kuri ubu, nta muti w'uburwayi bwa autonomic neuropathy, ariko indwara ishobora gucungwa neza. Ubuvuzi bugamije gucunga ibimenyetso no gukumira ingaruka. Mu bimwe mu bihe, cyane cyane iyo bimenyekanye hakiri kare, imikorere y'imikaya ishobora kuzamuka hakoreshejwe ubuvuzi bukwiye bw'indwara ziri inyuma yabyo nka diabete.

Uburwayi bwa autonomic neuropathy burakura vuba gute?

Uburyo bwo gukura gutandukana cyane bitewe n'impamvu iri inyuma yabyo. Diabetic autonomic neuropathy isanzwe iza buhoro buhoro mu myaka myinshi, mu gihe ubwoko bwa acute bushobora kuza vuba mu byumweru cyangwa amezi. Hakoreshejwe ubuvuzi bukwiye, gukura bishobora guhagarikwa cyangwa kugabanywa.

Ese uburwayi bwa autonomic neuropathy buhitana?

Nubwo uburwayi bwa autonomic neuropathy bushobora gutera ingaruka zikomeye, ntabwo buhitana iyo bucungwa neza. Ingaruka zikomeye zirimo ibibazo by'umutima cyangwa kugabanuka cyane kw'umuvuduko w'amaraso, ariko ibyo bishobora gucungwa hakoreshejwe ubuvuzi bukwiye.

Ese imirire ifasha mu guhangana n'ibimenyetso by'uburwayi bwa autonomic neuropathy?

Yego, guhindura imirire bishobora gufasha cyane guhangana n'ibimenyetso, cyane cyane ibibazo by'igogorwa ry'ibiribwa. Kurya ibiryo bike, byinshi, no kwirinda ibiryo bigoye kugogora bishobora kunoza ibimenyetso bya gastroparesis. Muganga wawe cyangwa umuhanga mu mirire ashobora kugufasha gutegura indyo ikubereye ibimenyetso byawe.

Ese nzakenera imiti iteka ryose?

Ibi biterwa n'uburwayi bwawe n'uko ugaragara mu buvuzi. Bamwe mu bantu bakenera imiti igihe kirekire kugira ngo bacunge ibimenyetso, mu gihe abandi bashobora kugabanya cyangwa guhagarika imiti niba indwara yabo ikomeza kuba myiza. Muganga wawe azakorana nawe kugira ngo ubone uburyo bukwiye bwo kuvura.