Ukuhlupheka Kwe-Autonomic Neuropathy? Izimpawu, Izimbangela, Nokwelashwa

I-Autonomic neuropathy kwenzeka lapho ama-nerve aphethe imisebenzi yomzimba wakho ngokuzenzakalelayo elimazeke. La ma-nerve aphatha izinto ezifana nesivinini senhliziyo yakho, ukucindezeleka kwegazi, ukugaya ukudla, nokulawula ukushisa komzimba ngaphandle kokuthi ucabange ngazo.

Cabanga ngala ma-nerve njengabaqeqeshi bomzimba wakho abasemuva. Bagcina imisebenzi ebalulekile isebenza kahle ngenkathi uqhubeka nosuku lwakho. Uma belimaziwe, ungase uqaphele izinkinga zokukhishwa kwezinyembezi, ukugaya ukudla, noma ukuzizwa ukhulu uma ukuma.

Ziyini izimpawu ze-autonomic neuropathy?

Izimpawu zingase zihluke kakhulu ngoba ama-nerve e-autonomic alawula izinhlelo eziningi zomzimba. Ungase uhlangabezane nezinkinga kwenye indawo noma ezindaweni eziningi ngesikhathi esisodwa.

Nazi izimpawu ezivame kakhulu ongaziqaphela:

• Izinkinga zokugaya ukudla: Ukuphefumula, ukugabha, ukuzizwa ugcwele ngokushesha, ukukhulu, noma ukunyakaza okungavamile kwamathumbu
• Ukushintsha kwegazi: Ukuzizwa ukhulu noma ukhulu uma ukuma (okubizwa ngokuthi yi-orthostatic hypotension)
• Izinkinga zesivinini senhliziyo: Isivini senhliziyo yakho singase sihlale sifana ngisho nasekuzivocavoca noma ekuhluphekeni
• Ukushintsha kokukhishwa kwezinyembezi: Ukukhishwa kwezinyembezi kakhulu, kancane, noma konke
• Izinkinga zesibofu: Ubunzima bokuqeda isibovu sakho ngokuphelele noma ukutheleleka okuvamile kwe-urinary tract
• Ukuntuleka kokusebenza komzimba: Ukuntuleka kokusebenza komzimba kwabesilisa noma ukunciphisa ukugcoba kwabesifazane
• Izinkinga zamehlo: Abafundi abalungisi kahle ekushintsheni kokukhanya

Abanye abantu nabo bahlangabezana nezimpawu ezingavamile ezifana nobunzima bokulawula ukushisa komzimba noma izinkinga zokukhiqiza izinyembezi nama-saliva. Into ebalulekile okumele uyikhumbule ukuthi lezi zimpawu zingase zithuthuke kancane kancane, ngakho ungase ungaziqapheli ngokushesha.

Yini ebangela i-autonomic neuropathy?

I-Diabetes ngumthombo ovame kakhulu we-autonomic neuropathy. Amazinga aphezulu eshukela egazini isikhathi eside angalimaza imithambo emincane yegazi eondla ama-nerve akho.

Kodwa-ke, ezinye izimo zingase ziholele kule ndlela yokulimaza ama-nerve:

• Izifo ze-Autoimmune: Izimo ezifana ne-rheumatoid arthritis, i-lupus, noma i-Sjögren's syndrome
• Ukutheleleka: I-HIV, i-Lyme disease, noma i-botulism
• Izifo eziwusifa: Izimo ezithile ze-genetic ezidluliselwa emindenini
• Imithi: Eminye imithi ye-chemotherapy noma imithi yokucindezeleka kwegazi
• Ukudalulwa kwezinto eziyingozi: Izinsimbi ezilukhuni noma ukusetshenziswa okukhulu kotshwala
• Ezinye izifo: Isifo sokugaya ukudla, isifo se-liver, noma ezinye izifo zomdlavuza

Ngezinye izikhathi, odokotela abakwazi ukubona imbangela ethile, okuthiwa yi-idiopathic autonomic neuropathy. Lokhu akusho ukuthi isimo asilaphi, nje ukuthi isithuthukisi esingaphansi akucaci.

Ziyini izinhlobo ze-autonomic neuropathy?

I-Autonomic neuropathy ingahlelwa ngokusekelwe ezinhlelweni zomzimba ezithinteka kakhulu. Ukuqonda lezi zinhlobo kusiza odokotela ukuthi baqondise ukwelashwa ngokuphumelelayo.

I-Diabetic autonomic neuropathy uhlobo oluvamile kakhulu. Ngokuvamile ithonya izinhlelo eziningi futhi ithuthuka kancane kancane kubantu abane-diabetes engalawulwa kahle iminyaka eminingi.

I-Acute autonomic neuropathy ithuthuka ngokushesha futhi ingaba nzima kakhulu. Lolu hlobo ngokuvamile luvela emisebenzini ye-autoimmune noma ekutholakaleni kwezifo futhi lungase luthuthuke ngokwelashwa okufanele.

I-Chronic idiopathic autonomic neuropathy ithuthuka kancane kancane isikhathi eside ngaphandle kwesizathu esicacile. Lolu hlobo luthambekele ekuqhubekeni kodwa ngokuvamile luphendula kahle ekuphathweni kwezimpawu.

Kufanele ubona nini udokotela nge-autonomic neuropathy?

Kufanele uxhumane nodokotela wakho uma uhlangabezana nokuzizwa ukhulu okuqhubekayo uma ukuma, ikakhulu uma kuhambisana nezinye izimpawu. Lo mhlangano ungase ubonise izinkinga zama-nerve e-autonomic ezidinga ukunakekelwa.

Funani ukunakekelwa kwezokwelapha ngokushesha uma una:

• Izinkinga ezinzima zokugaya ukudla eziphazamisa ukudla noma ebangela ukulahleka okukhulu kwesisindo
• Ukuhlupheka okuvamile noma izigameko ezisondelene nokuhlupheka
• Ukungaqondi ukuthi isibovu sakho sigcwele
• Ukulahleka okuphelele kokukhishwa kwezinyembezi
• Ukushintsha okukhulu kwegazi

Uma una-diabetes, kubalulekile ukukhuluma ngalezi zimpawu nodokotela wakho. Ukutholakala kwangaphambi kwesikhathi nokuphathwa kungasiza ukuvimbela isimo ekuwohlokeni.

Ziyini izici ezingasongela i-autonomic neuropathy?

Izici eziningi zingandisa amathuba akho okukhula kwe-autonomic neuropathy. Ukuqonda lezi zici ezingasongela kungakusiza ukuthi uthathe izinyathelo zokuvikela lapho kungenzeka.

Izici ezingasongela ezibaluleke kakhulu zihlanganisa:

• I-Diabetes: Ikakhulu uma ushukela egazini ubelawulwa kabi iminyaka eminingi
• Iminyaka: Ingcucu iyakhula ngeminyaka, ikakhulukazi ngemuva kweminyaka engama-50
• Umlando womndeni: Ezinye izinhlobo zinamahluzo e-genetic
• Izimo ze-Autoimmune: Ukuba nesifo esisodwa se-autoimmune kukhuphula ingozi yezinye
• Ukusetshenziswa kotshwala okuqhubekayo: Kungalimaza ama-nerve isikhathi eside
• Eminye imithi: Eminye imithi yomdlavuza noma ezinye izimo

Ukuba nalezi zici ezingasongela akusho ukuthi uzokhula ngokuqinisekile i-autonomic neuropathy. Abantu abaningi abanezici ezingasongela abakhulumi lesi simo, kanti abanye abangenazo izici ezingabonakali bayakwenza.

Ziyini izinhlanganisela ezingase zenzeke ze-autonomic neuropathy?

Izinhlanganisela ze-autonomic neuropathy zingathinta ikhwalithi yokuphila kwakho futhi ngezinye izikhathi zibangele ingozi enkulu empilweni. Ukuqonda lokhu kusiza ukuthi uqaphele ukuthi nini kufanele ufunane ukunakekelwa kwezokwelapha ngokushesha.

Izinhlanganisela ezivamile ongazihlangabezana nazo zihlanganisa:

• I-Gastroparesis: Ukugaya ukudla okubambezelelekile okungabangela ukuphefumula okunzima nokulawula okungalindelekile kweswekela egazini
• Ukutheleleka kwe-urinary tract: Ukungapheleli kokugaya isibovu kukhuphula ingozi yokutheleleka
• Ukuwa: Ukuzizwa ukhulu nokwehla kwegazi kungabangela ukuwela okungozi
• I-Heat stroke: Ukungakwazi ukukhishwa kwezinyembezi kungabangela ukushisa okungozi
• Ukungaqondi i-hypoglycemia: Ukungazizwa izimpawu zezexwayiso zeswekela ephansi egazini

Izinhlanganisela ezingavamile kodwa ezinzima zihlanganisa izindlela ezingavamile zenhliziyo, ukuphelelwa amanzi okunzima, nobuhlungu obuqhubekayo. Izindaba ezinhle ukuthi ngokuphathwa okufanele, izinhlanganisela eziningi zingavikeleka noma zilawulwe kahle.

I-Autonomic neuropathy ingavikeleka kanjani?

Nakuba ungakwazi ukuvimbela zonke izinhlobo ze-autonomic neuropathy, unganciphisa kakhulu ingozi yakho ngokuphatha izimo ezingaphansi kahle. Lokhu kuyiqiniso ikakhulukazi nge-autonomic neuropathy ehlobene ne-diabetes.

Amasu okuvikela ayisisekelo ahlanganisa:

• Ukulawula ushukela egazini: Gcina amazinga akho e-A1C asekubhekeni uma una-diabetes
• Ukuhlola okuvamile: Hlola izimpawu zokuqala zokulimala kwama-nerve
• Isitayela sempilo esinempilo: Ukuzivocavoca okuvamile, ukudla okulinganiselayo, nokulala okwanele
• Limita utshwala: Ukusetshenziswa okukhulu kotshwala kungalimaza ama-nerve isikhathi eside
• Phatha ezinye izimo: Gcina ukucindezeleka kwegazi ne-cholesterol emazingeni anempilo

Uma unamazinga okusongela, ukusebenza eduze neqembu lakho lezempilo kungasiza ukubamba izinkinga ngokushesha lapho zilawuleka kakhulu.

I-Autonomic neuropathy ihlonishwa kanjani?

Ukuhlonishwa kwe-autonomic neuropathy kuhilela ukuhlolwa okuningi ukuhlola ukuthi uhlelo lwakho lwe-nervous system oluzenzakalelayo lusebenza kahle kangakanani. Udokotela wakho uzoqala ngengxoxo eningiliziwe yezimpawu zakho nomlando wakho wezokwelapha.

Izivivinyo ezivamile zokuhlola zihlanganisa:

• I-Tilt table test: Linganisa ukushintsha kwegazi nesivinini senhliziyo uma usuka ekuqaleni ukuya ekudimeni
• I-Heart rate variability test: Hlola ukuthi isivini senhliziyo yakho sishintsha ngokufanele ngokuphefumula
• I-Gastric emptying study: Sebenzisa izinto ezisebenzayo ukuhlola ukuthi ukudla kuphuma ngokushesha kangakanani esiswini sakho
• I-Sweat test: Linganisa ikhono lomzimba wakho lokukhiqiza izinyembezi
• Izivivinyo zokusebenza kwesibofu: Hlola ukuthi isibovu sakho siqeda kahle kangakanani

Udokotela wakho angase futhi a-ode izivivinyo zegazi ukuhlola i-diabetes, ukushoda kwe-vitamin, noma izimo ze-autoimmune. Inqubo yokuhlola ikusiza ukuthi ubone ukuthi izinhlelo zomzimba ziphi ezithintekile futhi iholele ezisinqumeni zokwelashwa.

Kuyini ukwelashwa kwe-autonomic neuropathy?

Ukwelashwa kugxila ekulawuleni izimpawu nasekuphatheni izimbangela ezingaphansi lapho kungenzeka. Indlela ihluka kuye ngezinhlelo zomzimba ezithintekile nokuthi izimpawu zakho zinzima kangakanani.

Ngezingqinamba zokucindezeleka kwegazi nokuzizwa ukhulu, udokotela wakho angase akukhuthaze:

• Imithi: I-Fludrocortisone noma i-midodrine ukusiza ukugcina ukucindezeleka kwegazi
• Izokisi zokucindezela: Siza ukuvimbela igazi ekuqoqeni ezinyaweni zakho
• Ukudla okuningi kosawoti: Kungasiza ukugcina umthamo wegazi (kuphela uma kunconywe udokotela wakho)

Izimpawu zokugaya ukudla ngokuvamile ziphendula kahle ekushintsheni kokudla nasemithini esiza ukudla ukuhamba ngokusebenza kahle esiswini sakho. Udokotela wakho angase akukhuthaze ukudla ukudla okuncane, okuvamile futhi ugweme ukudla okunzima ukugaya.

Ngezinye izimpawu, ukwelashwa kungase kuhlanganise imithi yezinkinga zesibofu, izinyembezi ezibonakalayo zamehlo omile, noma ukwelashwa kwe-hormone ngenxa yokuntuleka kokusebenza komzimba. Ikhona ukusebenza neqembu lakho lezempilo ukuthola ukuxuba okufanele kokwelashwa kwezimpawu zakho ezithile.

Indlela yokuphatha i-autonomic neuropathy ekhaya

Ukuphathwa ekhaya kudlala indima ebalulekile ekulawuleni izimpawu nasekuvimbeleni izinhlanganisela. Ukulungiswa okulula kwesitayela sempilo kungenza umehluko omkhulu endleleni ozizwa ngayo usuku nosuku.

Ngokuphatha ukuzizwa ukhulu nezingqinamba zokucindezeleka kwegazi:

• Yima kancane usuka ekuhlaleni noma ekuqaleni
• Phakamisa ikhanda lembhede yakho ngamasentimitha angu-15-25
• Hlala unamanzi usuku lonke
• Gwema amashawa ashushu noma amabhati angenza ukuzizwa ukhulu kube kubi kakhulu

Ngezimpawu zokugaya ukudla, zama ukudla ukudla okuncane ngokuvamile futhi ugweme ukudla okunemafutha amaningi noma ukhulu. Ukulala uqonde okungenani amahora amabili ngemuva kokudla kungasiza ukudla ukuhamba ngokusebenza kahle esiswini sakho.

Ukulawula ukushisa kuba yinto ebalulekile uma ukukhishwa kwezinyembezi kuthonyeka. Gqoka izigqoko, sebenzisa abalandeli noma i-air conditioning, futhi ugweme ukushisa okukhulu lapho kungenzeka.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nelenqubo yokwelashwa ephumelelayo. Qala ngokugcina idayari yezimpawu okungenani isonto elilodwa ngaphambi kokuya kwakho.

Letha ulwazi olulandelayo e-aphoyintimenti yakho:

• Uhlu oluphelele lwemithi yamanje nezinhlanganisela
• Idayari yezimpawu eningiliziwe ebonisa ukuthi izimpawu zenzeka nini nokuthi zinzima kangakanani
• Umlando wezokwelapha womndeni, ikakhulukazi ehlobene ne-diabetes noma izimo ze-autoimmune
• Uhlu zemibuzo mayelana nezimpawu zakho nezinketho zokwelashwa

Lungela ukuxoxa ngezimpawu zakho ngokuningiliziwe, kufaka phakathi ukuthi zaqala nini, yini eyenza zibe ngcono noma zibe zimbi, nokuthi zithinta kanjani impilo yakho yansuku zonke. Lolu lwazi lusiza udokotela wakho ukuthi aqonde isithombe esiphelele sesimo sakho.

Yini into ebalulekile mayelana ne-autonomic neuropathy?

I-Autonomic neuropathy yisimo esilawuleka, ngisho noma singathinta kakhulu impilo yakho yansuku zonke. Ikhona ekulawuleni okuphumelelayo ukutholakala kwangaphambi kwesikhathi, ukwelashwa okufanele kwezimbangela ezingaphansi, nokusebenza eduze neqembu lakho lezempilo.

Abantu abaningi abane-autonomic neuropathy bangagcina ikhwalithi enhle yokuphila ngokwelashwa okufanele nokwenza izinguquko zesitayela sempilo. Nakuba ezinye izimpawu zingase zihlale zikhona, eziningi zingathuthukiswa ngendlela efanele.

Khumbula ukuthi ukuphatha lesi simo ngokuvamile kuyinqubo eyenzeka kancane kancane. Kungase kudingeke isikhathi ukuthola ukuxuba okufanele kokwelashwa okusebenza kahle kuwe, kodwa ngesineke nokuqina, abantu abaningi babona ukuthuthuka okukhulu ezimpawu zabo.

Imibuzo evamile ebuzwa mayelana ne-autonomic neuropathy

Ingaphiliswa yini i-autonomic neuropathy?

Okwamanje, ayikho impilo ye-autonomic neuropathy, kodwa isimo singaphathwa kahle. Ukwelashwa kugxila ekulawuleni izimpawu nasekuvimbeleni izinhlanganisela. Kwezinye izimo, ikakhulukazi uma kutholakala ngokushesha, ukusebenza kwama-nerve kungase kuthuthuke ngokwelashwa okufanele kwezimo ezingaphansi ezifana ne-diabetes.

I-Autonomic neuropathy iqhubeka ngokushesha kangakanani?

Ukuqhubeka kuhluka kakhulu kuye ngesizathu esingaphansi. I-Diabetic autonomic neuropathy ngokuvamile ithuthuka kancane kancane iminyaka eminingi, kanti izinhlobo ezibukhali zingase zithuthuke ngokushesha emasontweni noma ezinyangeni. Ngokuphathwa okufanele, ukuqhubeka kuvame ukunciphisa noma ukuyeka.

Ingaba yingozi yempilo yini i-autonomic neuropathy?

Nakuba i-autonomic neuropathy ingabangela izinhlanganisela ezinzima, ayivamile ukuba yingozi yempilo uma ilawulwa kahle. Izinhlanganisela ezinkulu kakhulu zihilela izinkinga zesivinini senhliziyo noma ukwehla okukhulu kwegazi, kodwa lezi ngokuvamile zingalawulwa ngokwelashwa okufanele.

Ingasiza yini ukudla ngezimpawu ze-autonomic neuropathy?

Yebo, ukushintsha kokudla kungasiza kakhulu ekulawuleni izimpawu, ikakhulukazi izinkinga zokugaya ukudla. Ukudla ukudla okuncane, okuvamile nokugwema ukudla okunzima ukugaya kungathuthukisa izimpawu ze-gastroparesis. Udokotela wakho noma umtadisha wokudla angasiza ukwenza uhlelo lokudla olusebenza ezimpawu zakho ezithile.

Ingabe ngizodingeka ngithathe imithi phakade?

Lokhu kuya kusimo sakho esithile nokuthi uphendula kahle kangakanani ekwelashweni. Abanye abantu badinga imithi yesikhathi eside ukulawula izimpawu, kanti abanye bangase bakwazi ukunciphisa noma ukuyeka imithi uma isimo sabo esingaphansi sithuthuka. Udokotela wakho uzothola indlela yokwelashwa ephumelelayo.