Chii chinonzi autonomic neuropathy

Zvemukati

• Zvinogona kukonzerwa
• Ndezvipi zviratidzo nezviratidzo
• Nzira yekudzivirira
• Kurapwa kunoitwa sei
• 1. Orthostatic hypotension uye tachycardia pazororo
• 2. Matambudziko emudumbu
• 3. Matambudziko eurinani
• 4. Kushaya bonde

Autonomic neuropathy inoitika kana tsinga dzinodzora mashandiro emabasa emuviri dzikakanganisika, dzinogona kukanganisa BP, mutemo wekupisa, kugaya uye dundira uye basa repabonde. Uku kukuvara kwetsinga kunovhiringidza kutaurirana pakati pehuropi nedzimwe nhengo, uye kunogona kukanganisa masisitimu akawanda, akadai semoyo, mudumbu, genitourinary, pakati pevamwe.

Muzviitiko zvakawanda, chirwere cheshuga ndicho chirwere chinokonzeresa kuzvitonga kweuropathy uye hachiwanzo kukonzerwa nezvimwe zvinhu. Kurapa kunoenderana nechikonzero chechirwere uye kazhinji chine zororo zororo.

Zvinogona kukonzerwa

Chikonzero chakajairika che autonomic neuropathy chirwere cheshuga, kana pasina yakakwana glucose kudzora, iyo inogona zvishoma nezvishoma kukuvadza tsinga.

Kunyangwe zvichinyanya kushomeka, kuzvionera kweuropathy kunogona kuchikonzerwa ne:

• Amyloidosis, iyo inokanganisa nhengo uye nehurongwa hwetsinga. Dzidza maitiro ekuziva amyloidosis;
• Zvirwere zvemuviri, zvine immune system inorwisa muviri pachawo, kusanganisira, mune iyi kesi, tsinga;
• Mishonga, kunyanya iya inoshandiswa mukenza chemotherapy kurapwa;
• Zvirwere zvinotapukira, senge botulism, HIV kana chirwere cheLyme;

Uye zvakare, kuzvionera kweuropathy kunogona kukonzerwa nezvimwe zvirwere zvakagarwa nhaka.

Ndezvipi zviratidzo nezviratidzo

Autonomic neuropathy inogona kusanganisira yemoyo, kugaya, urogenital, ziya uye pupillary motricity masystem.

Zviratidzo nezviratidzo zvinogona kuitika muvanhu vane autonomic neuropathy zvinoenderana netsinga dzakabatwa uye dzinogona kusanganisira dzungu uye kunzwa kupera simba, kunokonzerwa nekudonha kweropa, kusagadzikana kweweti, kunetseka kuburitsa dundira zvachose, kunetseka mukuchengetedza bladder kumiswa kana kusvika panhengo, kuderedzwa chishuwo chebonde, kusagadzikana kwepamuviri senge manyoka, kunzwa kuzara, kusvotwa uye kurutsa.

Uye zvakare, mune dzimwe nguva, muviri unogona kuwana zvakaoma kuziva hypoglycemia, kudzora tembiricha, kuchinjanisa ziso nechiedza kana nzvimbo dzine rima uye kunetseka kuchinjisa kurova kwemoyo kuita kurovedza muviri.

Autonomic neuropathy inogona kukanganisa hunhu hwehupenyu hwemurwere weshuga. Kazhinji, chirwere ichi chinoonekwa mune vane chirwere cheshuga avo vane chirwere ichi kwenguva yakareba.

Nzira yekudzivirira

Autonomic neuropathy inogona kudzivirirwa nekudzora kwakakwana kwemazinga eshuga eropa, kudzivirira zvakanyanya kunwa doro uye kusvuta, kurapa kwakakodzera kurapwa kwezvirwere zvemuviri, kudzora neBP uye kuchengetedza hupenyu hune hutano.

Kurapwa kunoitwa sei

Mushonga uyu unoratidza chiratidzo uye unofanirwawo kutarisa pane chakakonzera dambudziko, ndiko kuti, kana chirwere cheshuga chichifanira kudzora chirwere ichi.

1. Orthostatic hypotension uye tachycardia pazororo

Kuchinja kwechimbichimbi mumashure kunofanirwa kudzivirirwa, kumanikidza masokisi kana bhurugwa rinofanira kushandiswa uye musoro wemubhedha unofanira kusimudzwa anenge masendimita makumi matatu.Muzvakaipisisa, zvingave zvakakodzera kuti ushandise kushandisa mushonga kuwedzera kuwedzera kweropa, fludrocortisone , uye kuita chikafu chakazara munyu uye zvinwiwa.

Kana munhu wacho achitambura ne tachycardia pazororo, chiremba anogona kupa mishonga yekudzora moyo, senge beta-blockers.

2. Matambudziko emudumbu

Kana munhu achinetseka nematambudziko kugaya, kusvotwa uye kurutsa, chiremba anogona kupa mishonga inobvisa zviratidzo, senge metoclopramide, cisapride uye domperidone.

Panyaya yemanyoka, chiremba anogona kunyorera loperamide uye kana munhu achinetseka nekuzvimbirwa, zvinogona kuve zvakakodzera kushandisa mishonga yekurasisa. Mune zvimwe zviitiko zvemanyoka, chiremba anogona kupa mishonga yeantibhakitiriya yakawanda yekudzora kuwanda kwehutachiona hwehutachiona mumatumbo.

3. Matambudziko eurinani

Kuti udurure dundira, chiremba anogona kukurudzira bladder yakakwana kubvisa nemudumbu kudzvinyirira uye kuzviongorora pachako, izvo zvinofanirwa kuitwa nenyanzvi yezvehutano, kana mishonga inobatsira kuburitsa dundira.

Kana hutachiona hweweti zvikaitika kana mumamiriro ezvinhu umo kudzivirira kunofanirwa, chiremba anogona kupa mishonga inorwisa mabhakitiriya

4. Kushaya bonde

Sarudzo yekutanga yekurapa kushaya bonde inosanganisira mishonga sildenafil, vardenafil uye tadalafil, iyo inobatsira kuchengetedza erection. Muchiitiko chevakadzi vakadzora chishuwo chepabonde uye kuoma kwechikadzi, kushandiswa kwemafuta kunogona kukurudzirwa.