Neuropathy Ye Autonomic

Neuropathy ye autonomic inoitika kana paine kukuvara kwema nerve anotonga mabasa emuviri otomatiki. Inogona kukanganisa kumanikidza kweropa, kutonga kwenyika, kugaya, basa rebladder uye kunyange basa revatano.

Kukuvara kwema nerve kunokanganisa meseji dzinoendeswa pakati peuropi nemamwe matunhu emuviri uye nzvimbo dzesystem ye autonomic nervous. Nzvimbo idzi dzinosanganisira mwoyo, midziyo yeropa uye maglands ekuita sweati.

Chirwere cheshuga ndicho chikonzero chakajairika cheautonomic neuropathy. Inogona zvakare kukonzerwa nemamwe mamiriro ezveutano, hutachiona hwehutachiona kana mabhakitiriya, kana mishonga yakati. Zviratidzo nekurapwa zvinosiyana zvichienderana nema nerve akakuvara.

'Zviratidzo nezvimwe zvirwere zveautonomic neuropathy zvinoenderana nemaronda emashura. Zvinogona kusanganisira:\n\n* Kufenda nekurasika pfungwa kana wakamira, zvichikonzerwa nekudonhedzwa kwakapfupi kweropa.\n* Matambudziko ekubuda kwemukomana, akadai sekunetsa kutanga kubuda kwemukomana, kurasikirwa nekuzvidzora kwemukomana, kuoma kunzwa kuti mukanya wakazara uye kusakwanisa kubvisa mukanya zvizere. Kusakwanisa kubvisa mukanya zvizere kunogona kukonzera hutachiona hwemukomana.\n* Matambudziko ehukoshi, anosanganisira matambudziko ekusvika kana kuchengetedza erection (erectile dysfunction) kana matambudziko ekubuda kwembeu. Muvakadzi, matambudziko anosanganisira kuoma kwemukomana, libido yakaderera uye kuoma kusvika pakusvika.\n* Kunetseka kudya chikafu, sekunzwa wakazara mushure mekudya zvishoma zvechikafu, kurasikirwa nechido, manyoka, kuvimbiswa, kuzvimba kwemudumbu, kurutsa, kunetseka kumira uye kurwadziwa kwemoyo. Matambudziko aya ese anokonzerwa nekushanduka kwemabasa ekudya.\n* Kusakwanisa kuziva shuga yakaderera yeropa (hypoglycemia), nekuti zviratidzo zvechinyevero, senge kudedera, hazvisipo.\n* Matambudziko ekubuda kwemukomana, akadai sekubuda kwemukomana kwakanyanya kana kushoma. Matambudziko aya anokanganisa kugona kudzora tembiricha yemuviri.\n* Kuita kwemwana kwakaderera, zvichiita kuti zviome kugadzirisa kubva muchiedza kusvikira murima uye kuona zvakanaka kana uchityaira usiku.\n* Kusashivirira zvemuviri, izvo zvinogona kuitika kana mwero wemoyo wako uchiramba wakafanana panzvimbo pekugadzirisa kune nhanho yako yebasa.'

Tsvaka kurapwa nekukurumidza kana iwe uchitanga kuve nechimwe chezviratidzo zveautonomic neuropathy, kunyanya kana uine chirwere cheshuga chisingadzoreki zvakanaka. Kana uine chirwere cheshuga chemarudzi maviri, American Diabetes Association inokurudzira kuongororwa kwe autonomic neuropathy gore rega rega kubva pawakatanga kuziva kuti une chirwere ichi. Kune vanhu vane chirwere cheshuga chemarudzi imwe, sangano rinokurudzira kuongororwa gore rega rega mushure memakore mashanu kubva pawakatanga kuziva kuti une chirwere ichi.

Zvirwere zvizhinji zvehutano zvinogona kukonzera autonomic neuropathy. Inogona zvakare kuva side effect yekurapa zvirwere zvimwe, sekanser. Zvimwe zvikonzero zvakajairika zve autonomic neuropathy zvinosanganisira:

• Chirwere cheshuga, kunyanya kana chisingadzorwi zvakanaka, ndicho chikonzero chakajairika che autonomic neuropathy. Chirwere cheshuga chinogona zvishoma nezvishoma kukonzera kukuvara kwetatu muviri wose.

• Kuunganidzwa kwemaproteni asingawanzoitika mumuviri (amyloidosis), iyo inokanganisa nhengo dzemuviri uye system yematumbu.

• Zvirwere zve autoimmune, umo system yako yekudzivirira muviri inorwisa uye inokuvadza zvikamu zvemuviri wako, kusanganisira matumbo ako. Zvienzaniso zvinosanganisira Sjogren syndrome, systemic lupus erythematosus, rheumatoid arthritis uye chirwere che celiac. Guillain-Barre syndrome chirwere che autoimmune chinoitika nekukurumidza uye chinogona kukanganisa matumbo e autonomic.

  Autonomic neuropathy inogona zvakare kukonzerwa nekurwiswa kwe immune system kunokonzerwa nemakanser (paraneoplastic syndrome).

• Mishonga yakati wandei, kusanganisira mimwe mishonga inoshandiswa mukurapa kanser (chemotherapy).

• Zvimwe zvirwere zvehutachiona uye mabhakitiriya, sekusanganisira human immunodeficiency virus (HIV) uye izvo zvinokonzera botulism uye Lyme chirwere.

• Zvimwe zvirwere zvinowanikwa kubva kuvabereki zvinogona zvakare kukonzera autonomic neuropathy.

Zvinhu zvingawedzera njodzi yako ye autonomic neuropathy zvinosanganisira:

• Chirwere cheshuga. Chirwere cheshuga, kunyanya kana chisingadzorwi zvakanaka, chinowedzera njodzi yako ye autonomic neuropathy nekumwe kukuvara kwetatu. Uri panjodzi yakakura kana uine dambudziko rekudzora shuga yeropa rako.
• Zvimwe zvirwere. Zvimwe zvirwere zvinosanganisira amyloidosis, porphyria uye hypothyroidism zvinogona kuwedzera njodzi ye autonomic neuropathy. Kenza inogonawo, kazhinji nekuda kwezvikonzero kubva kurapwa.

Zvimwe zvirwere zvinowanikwa kubva kuna madzitateguru zvinokukonzera njodzi yekuwana autonomic neuropathy hazvigone kudzivirirwa. Asi unogona kuderera kutanga kana kufambira mberi kwezviratidzo nekutarisira utano hwako zvakanyanya uye kutonga mamiriro ako ezvechiremba. Kuti utonge zvirwere nezvinetso, tevera mazano anopa anopa utano ehupenyu hunotengeswa. Mazano iwayo angasanganisira aya mazano: * Tarisa shuga yako yeropa kana uine chirwere cheshuga. * Dzivisa doro nekusvuta. * Tora kurapwa kwakakodzera kana uine chirwere che autoimmune. * Tora matanho ekudzivirira kana kudzora kuwedzera kweropa. * Svika uye chengeta uremu hwakakodzera. * Ita zvemitambo nguva dzose.

Neuropathy ye autonomic inogona kuva chirwere chinogona kuitika pamusana pezvimwe zvirwere. Kuongororwa kuchaitwa kunotsamira pazviratidzo zvako nezvinhu zvinokonzera neuropathy ye autonomic.Kana uine chirwere cheshuga kana chimwe chirwere chinowedzera njodzi yako ye autonomic neuropathy uye uine zviratidzo zve neuropathy, chiremba wako achaita bvunzo yemuviri uye kukubvunza nezvezviratidzo zvako.Kana uri kurapwa kenza nechinhu chinozivikanwa nekukuvadza mitsipa, chiremba wako acharayira bvunzo dzekuongorora kana paine zviratidzo zve neuropathy.Kana uine zviratidzo zve autonomic neuropathy asi usina zvinhu zvinokonzera, kuongororwa kunogona kuoma. Chiremba wako zvichida achaongorora nhoroondo yako yekurapa, kukurukura zviratidzo zvako uye kuita bvunzo yemuviri.Mupi wako wehutano anogona kukurudzira bvunzo dzekuongorora mabasa e autonomic, kusanganisira:bvunzo ye tilt-table. Bvunzo iyi inotarisa mhinduro yeropa uye kuomesa kwemoyo pakuchinja kwemaitiro emuviri. Inofananidza zvinoitika kana wakamira mushure mekurara. Unorara pasi patafura, iyo inobva yasimudzwa kuti ikwidze chikamu chepamusoro chemuviri wako. Kazhinji, ropa rinomanikidzwa uye kuomesa kwemoyo kunowedzera kuita kuti kudonha kweropa kudzore. Mhinduro iyi inogona kunonoka kana uine autonomic neuropathy.Bvunzo iri nyore yemhinduro iyi inosanganisira kuongorora ropa rako kana uri kurara, kugara uye kumira mushure memaminitsi matatu. Bvunzo imwe inosanganisira kumira kwechinguva, wobva wagara kwechinguva wobva wamira zvakare nepo ropa nekuomesa kwemoyo zvichiongororwa.bvunzo dzebasa re autonomic. Bvunzo idzi dzinoyera kuti kuomesa kwemoyo neropa rako zvinopindura sei pakuita maekisesaizi akadai sekufemera kwakadzika uye kubuda kwemhepo nesimba (Valsalva maneuver).bvunzo ye tilt-table. Bvunzo iyi inotarisa mhinduro yeropa uye kuomesa kwemoyo pakuchinja kwemaitiro emuviri. Inofananidza zvinoitika kana wakamira mushure mekurara. Unorara pasi patafura, iyo inobva yasimudzwa kuti ikwidze chikamu chepamusoro chemuviri wako. Kazhinji, ropa rinomanikidzwa uye kuomesa kwemoyo kunowedzera kuita kuti kudonha kweropa kudzore. Mhinduro iyi inogona kunonoka kana uine autonomic neuropathy.Bvunzo iri nyore yemhinduro iyi inosanganisira kuongorora ropa rako kana uri kurara, kugara uye kumira mushure memaminitsi matatu. Bvunzo imwe inosanganisira kumira kwechinguva, wobva wagara kwechinguva wobva wamira zvakare nepo ropa nekuomesa kwemoyo zvichiongororwa.bvunzo dze gastrointestinal. Bvunzo dzekugadzirisa dumbu ndidzo bvunzo dzakajairika dzekuongorora matambudziko ekugaya akadai sekugaya kwakaderera uye kupera kwenguva refu kwemudumbu (gastroparesis). Bvunzo idzi kazhinji dzinotorwa nachiremba anoziva nezvematambudziko ekugaya (gastroenterologist).bvunzo yekuwanda kwesudomotor axon reflex. Bvunzo iyi inotarisa kuti mitsipa inodzora mazamu ako inopindura sei pakukurudzira. Chiduku chemagetsi chinopfuura nemakapusiri akaiswa paruoko rwako, gumbo repamusoro nechepasi, netsoka. Kombiyuta inotsanangura mhinduro yemitsipa yako nemazamu. Unogona kunzwa kupisa kana kunzwa kunzwa panguva yebvunzo.bvunzo yekushisa kwemuviri. Unopfukwa neupfu hunochinja ruvara kana wakanyorova. Paunenge uri mukamuri ine tembiricha iri kukwira zvishoma nezvishoma, mifananidzo yedhijitari inonyora mhinduro sezvaunotanga kunyorova. Muenzaniso wako wekusveta unogona kubatsira kusimbisa kuongororwa kwe autonomic neuropathy kana kuratidza zvimwe zvinokonzera kusveta kwakaderera kana kukwira.bvunzo dze urinalysis uye basa rebladder (urodynamic). Kana uine zviratidzo zvebhadha kana urinary, akatevedzana e urine ne bladder bvunzo dzinogona kuongorora basa rebladder.Ultrasound. Kana uine zviratidzo zvebhadha, mupi wako wehutano anogona kukurudzira ultrasound yemukati me urinary tract. Mubvunzo iyi, mafungu esound ane simba rakakwirira anoita mufananidzo webladder nezvimwe zvikamu zve urinary tract.

Kurapa kwe autonomic neuropathy kunosanganisira:

Chiremba wenyu angakurudzira:

Chiremba wenyu angakurudzira:

Kune varume vane erectile dysfunction, vanachiremba vangakurudzira:

Mishonga inobatsira kusimudzira simba rebonde. Mishonga yakaita se sildenafil (Viagra), vardenafil, tadalafil (Cialis) uye avanafil (Stendra) inogona kukubatsira kuti uwane uye uchengetedze simba rebonde. Zvinogona kuitika zvinokanganisa zvinosanganisira kuderera kweropa, musoro mudiki, kuzvimba, kurwadziwa mudumbu uye kuchinja kwemavara ekutarisa.

Kana uine nhoroondo yemwoyo, arrhythmia, stroke kana ropa rakakwirira, shandisa mishonga iyi nekuchenjerera. Usatorewo mishonga iyi kana uri kutora chero rudzi rwe organic nitrates. Tsvaga rubatsiro rwekurapa nekukurumidza kana uine simba rebonde rinopfuura maawa mana.

Kune vakadzi vane zviratidzo zvepabonde, vanachiremba vangakurudzira:

Autonomic neuropathy inogona kukonzera matambudziko emwoyo nemhasuru yeropa. Chiremba wenyu anganyora:

Mishonga yekukwidza ropa rako. Kana uchifunga kuti uri kuda kupera simba kana kuzvinzwa uchizorora kana wakamira, chiremba wenyu angakurudzira mishonga. Fludrocortisone inobatsira muviri wako kuchengetedza munyu, izvo zvinobatsira kudzora ropa rako.

Midodrine (Orvaten) uye droxidopa (Northera) inogona kubatsira kukwidza ropa. Asi mishonga iyi inogona kukonzera ropa rakakwirira kana uri kurara. Octreotide (Sandostatin) inogona kubatsira kukwidza ropa muvanhu vane chirwere cheshuga vane ropa rakaderera mushure mekudya, asi inogona kukonzera mimwe mhedzisiro. Pyridostigmine (Mestinon) inogona kubatsira kuchengetedza ropa rakaenzana kana wakamira.

Kana uchibuda zvakanyanya, chiremba wenyu anganyora mushonga unoderedza kubuda kwemukaka. Glycopyrrolate (Cuvposa, Robinul, nezvimwe) inogona kuderedza kubuda kwemukaka. Zvinokanganisa zvinogona kusanganisira manyoka, muromo wakaoma, urinary retention, kuona kusapfava, kuchinja kwemwoyo, musoro, kurasikirwa nekuravira uye hope. Glycopyrrolate inogona zvakare kuwedzera njodzi yekurwara kunokonzerwa nekushisa, sekunge kupisa, kubva pakukwanisa kuderedzwa kubuda kwemukaka.

• Kurapa chirwere chinokonzera. Chinangwa chekutanga chekurapa autonomic neuropathy ndechekudzora chirwere kana mamiriro ezvinhu anokuvadza matumbo ako. Kana chirwere cheshuga chiri kukonzera kukuvara kwematumbo ako, iwe uchafanirwa kudzora shuga yeropa zvakasimba kudzivirira kukuvara kubva pakufambira mberi. Anenge hafu yenguva, hapana chikonzero chinokonzera autonomic neuropathy chinowanikwa.

• Kudzorera zviratidzo zvakanangana. Mimwe mishonga inogona kubvisa zviratidzo zve autonomic neuropathy. Kurapa kunobva pane chikamu chemuviri wako chinokanganiswa zvakanyanya nekuvadza kwetumbo.

• Kuchinja kudya. Ungada fiber yakawanda uye mvura. Fiber supplements, yakaita se Metamucil kana Citrucel, inogona zvakare kubatsira. Wedzera zvishoma nezvishoma huwandu hwe fiber iwe unowana kudzivirira gasi uye kuzvimba.

• Mishonga yekubatsira mudumbu rako kubuda. Mushonga unonyorwa unonzi metoclopramide (Reglan) unobatsira mudumbu rako kubuda nekukurumidza nekukwidza kuita kwematumbo. Mushonga uyu unogona kukonzera hope uye haufanire kushandiswa kwenguva yakareba kupfuura mavhiki gumi nemaviri.

• Mishonga yekudzikamisa kuvimba. Laxatives aunogona kutenga pasina mushonga inogona kubatsira kudzikamisa kuvimba. Bvunza chiremba wako kuti ungashandisa laxative kakawanda sei.

• Mishonga yekudzikamisa manyoka. Antibiotics inogona kubatsira kurapa manyoka nekudzivirira kukura kwakanyanya kwemabhakitiriya mumatumbo. Anti-diarrheal mishonga inowanikwa pasina mushonga inogona kubatsira.

• Kudzidzisa patsva bhara rako. Kutevera purogiramu yekuti unganwa mvura rinhi uye kuti ungabuda rinhi kunogona kubatsira kuwedzera simba rebhara rako uye kudzidzisa patsva bhara rako kuti ribude zvizere panguva yakakodzera.

• Mishonga yekudzora zviratidzo zvebharara. Chiremba wenyu anganyora mishonga inoderedza bhara rakakwirira. Mimwe mishonga inogona kubatsira kubudisa bhara rako.

• Rubatsiro rwebhara (catheterization). Tube inotungamirwa kuburikidza ne urethra yako kubudisa bhara rako.

• Mishonga inobatsira kusimudzira simba rebonde. Mishonga yakaita se sildenafil (Viagra), vardenafil, tadalafil (Cialis) uye avanafil (Stendra) inogona kukubatsira kuti uwane uye uchengetedze simba rebonde. Zvinogona kuitika zvinokanganisa zvinosanganisira kuderera kweropa, musoro mudiki, kuzvimba, kurwadziwa mudumbu uye kuchinja kwemavara ekutarisa.

Kana uine nhoroondo yemwoyo, arrhythmia, stroke kana ropa rakakwirira, shandisa mishonga iyi nekuchenjerera. Usatorewo mishonga iyi kana uri kutora chero rudzi rwe organic nitrates. Tsvaga rubatsiro rwekurapa nekukurumidza kana uine simba rebonde rinopfuura maawa mana.

• External vacuum pump. Chishandiso ichi chinobatsira kukwevera ropa mu penis uchishandisa pombi yekuita nemaoko. Tension ring inobatsira kuchengetedza ropa munzvimbo, kuchengetedza simba rebonde kweanenge maminitsi makumi matatu.

• Vaginal lubricants kuderedza kuoma uye kuita kuti pabonde rive nyore uye rinonakidza.

• Imwe yemishonga yakawanda yakabvumidzwa kune vakadzi vasati vasvika menopause vane chido chidiki chepabonde.

• Kudya kwakakwirira munyu, mvura yakawanda. Kana ropa rako richiderera kana wakamira, kudya kwakakwirira munyu nemvura kunogona kubatsira kuchengetedza ropa rako. Kurapa uku kunogona kukonzera ropa rakakwirira kana kuzvimba kwemakumbo, makumbo kana makumbo. Saka kazhinji zvinokurudzirwa chete kune zviitiko zvakakomba zvematambudziko eropa. Uye kurapa uku haufanire kushandiswa muvanhu vane kukundikana kwemwoyo.

• Compression garments. Binder yakapfekerwa kumativi echidya kana compression stockings inogona kubatsira kuvandudza ropa.

• Mishonga yekukwidza ropa rako. Kana uchifunga kuti uri kuda kupera simba kana kuzvinzwa uchizorora kana wakamira, chiremba wenyu angakurudzira mishonga. Fludrocortisone inobatsira muviri wako kuchengetedza munyu, izvo zvinobatsira kudzora ropa rako.

Midodrine (Orvaten) uye droxidopa (Northera) inogona kubatsira kukwidza ropa. Asi mishonga iyi inogona kukonzera ropa rakakwirira kana uri kurara. Octreotide (Sandostatin) inogona kubatsira kukwidza ropa muvanhu vane chirwere cheshuga vane ropa rakaderera mushure mekudya, asi inogona kukonzera mimwe mhedzisiro. Pyridostigmine (Mestinon) inogona kubatsira kuchengetedza ropa rakaenzana kana wakamira.

• Mishonga yekudzora mwoyo wako. Kirasi yemishonga inonzi beta blockers inobatsira kudzora mwoyo wako kana ikakwira zvakanyanya panguva yekurovedza muviri.

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.