Wakambomira nekukurumidza ukanzwa nyika ichitenderera kwechinguva here? Kana kuti wakaona moyo wako uchirova mushure mekudya kukuru here?
Nguva diki idzi dzinoratidza chimwe chinhu chikuru chiri kuitika mumuviri wako. Sisitimu yako yetsinga inoshanda chinyararire sekondi yega yega yezuva, ichichengetedza kurova kwemoyo wako kwakadzikama, kugaya kwako kuchifamba, uye BP yako ichidzikamiswa.
Asi kana zvikarega kushanda zvakanaka, mhedzisiro yacho inogona kukanganisa, kuvhiringidza, uye dzimwe nguva inonetesa.
Matambudziko ekuzvigadzirisa akajairika kupfuura zvinofungwa nevanhu vazhinji, uye kunzwisisa zvinhu zvepakutanga kunogona kubatsira zvikuru pakuwana rubatsiro rwakakodzera.
Kunzwisisa Autonomic Nervous System
Usati watanga kutaura nezvezviri kuitika, zvinobatsira kunzwisisa zvinoitwa nehurongwa hwetsinga hwemuviri. Hunhu hwetsinga hwemuviri hwemunhu hunodzora mashandiro emuviri wako aunoda kuti urarame.
Aya maitiro ausingafungi nezvawo uye anoitwa neuropi hwako paunenge wakamuka kana kuti wakarara.
Funga nezvazvo sesoftware yemuviri wako iri kushanda nguva dzose, pasina kana bhatani rimwe chete raunoda kudzvanya.
Matavi Makuru Maviri
Sisitimu yetsinga inozvimiririra ine zvikamu zviviri zvikuru: sisitimu yetsitsi, inova sisitimu ye "kurwa kana kutiza", uye sisitimu yeparasympathetic, inova sisitimu ye "kuzorora nekugaya".
Sisitimu yetsitsi inounganidza simba rekuita chimwe chinhu nekuwedzera kurova kwemoyo uye kuwedzera vana, nepo sisitimu yeparasympathetic ichichengetedza simba nekuderedza kurova kwemoyo uye kukurudzira kugaya chikafu.
Matavi maviri aya anoshanda sevanhu vanobatsirana, achichinjana zvichienderana nezvinodiwa nemuviri wako chero nguva.
Iyo Enteric Nervous System
Kunewo chikamu chechitatu chakakodzera kuziva nezvacho. Sisitimu yetsinga inozvimiririra ine zvikamu zvitatu zvakasiyana zvemuviri: sympathetic, parasympathetic, uye enteric.
Sisitimu yeparasympathetic inobatsira maitiro e "kuzorora nekugaya", ichisimudzira mashandiro ehomeostatic akadai sekugadzirisa kurova kwemoyo uye kudzoreredza gastrointestinal peristalsis uye kugaya.
Sisitimu yedumbu dzimwe nguva inonzi "uropi hwechipiri" nekuti inodzora ura hwega, ichibatanidza kugaya kubva pakutanga kusvika pakupera.
Chii Chinoitika Kana Autonomic System Yakundikana
Kana system yetsinga isingashande nemazvo, muviri unorasikirwa nekukwanisa kwawo kuchengetedza kuenzana pakati pesystem dzawo dzemukati. Kuparara uku ndiko kunotungamira kune akasiyana siyana ezvirwere zve autonomic, uye inyaya huru mumunda weNeurology Autonomic Disorders.
Dambudziko nderekuti zvirwere izvi zvinogona kutaridzika sezvimwe zvirwere zvakawanda. Vanhu vanowanzomirira kwemakore vasati vawana chirwere chaicho.
Zviratidzo Zvakajairika Zvaungaona
Vanhu vane chirwere che autonomic disorder vane dambudziko rekugadzirisa imwe kana kupfuura system, izvo zvinogona kukonzera kupera simba, kupererwa nemusoro, BP inochinja-chinja, nezvimwe zviratidzo.
Matambudziko etsinga dzemuviri anogona kuitika ega kana nekuda kwechimwe chirwere, chakadai sechirwere cheParkinson, kenza, zvirwere zvemuviri, kushandisa doro zvisina kunaka, kana chirwere cheshuga.
Zvimwe zviratidzo zvinowanzotaurwa zvinosanganisira:
- Kurova kwemoyo nekukurumidza kana kusina kurongeka panguva yekuzorora kana pakuchinja nzvimbo
- Matambudziko ekugaya chikafu anosanganisira kuda kurutsa, kuzvimba, uye gastroparesis
- Kudikitira kwakanyanya kana kuderedzwa
- Dundira kusagadzikana
- Kuneta uye kusashivirira kurovedza muviri
- Kuoma kufunga zvakajeka, dzimwe nguva kunonzi brain fog
Kukanganiswa Kunoita Mwoyo Nekumanikidzwa Kweropa
Sisitimu yetsinga inotonga moyo wako nekukurumidza uye kuomarara kwayo pamwe nehupamhi hwetsinga dzeropa. Unyanzvi ihwohwo ndihwo hunobatsira kudzora kurova kwemoyo uye BP.
Kana mutemo uyu ukakundikana, ropa rinogona kuungana mudumbu rezasi, kumanikidzwa kunogona kudonha zvisingatarisirwi, kana kuti mwoyo unogona kumhanya pasina chinhu chakajeka chinoita kuti ropa ribude.
Mhando Dzakajairika dzeMatambudziko Ekuzvimirira
Kune marudzi anosvika gumi nemashanu anozivikanwa ezvirwere zve autonomic, ayo pamwe chete anonzi dysautonomia. Mamwe acho ari nyore uye anogona kudzoreka, nepo mamwe achikanganisa zvakanyanya hupenyu hwezuva nezuva.
Matambudziko ekuzvitonga anowanzoonekwa mukiriniki ipostural orthostatic tachycardia syndrome (POTS), neurocardiogenic syncope, uye orthostatic hypotension, izvo zvingave zvisingaonekwe kana kazhinji zvichinzi zvirwere zvepfungwa.
POTA: Kana Kumira Kwakaoma
Chimwe chezvirwere zvinowanzoonekwa zvakanyanya zve autonomic nervous system, kunyanya kuvakadzi vechidiki, i postural orthostatic tachycardia syndrome. Kusiyana nemamiriro ezvinhu anotsanangurwa ne low blood pressure, POTS inotsanangurwa nekuwedzera kwakanyanya kwekurova kwemoyo kana wamira.
Zviratidzo zvePOTS zvinosanganisira kusviba musoro, dzimwe nguva nekushaya simba, kunetseka kufunga uye kuisa pfungwa pachinhu chimwe chete, zvinonzi brain fog, kuneta, kusada kurovedza muviri, musoro, kuona zvisina kujeka, uye kurova kwemoyo.
Orthostatic Hypotension
Kuderera kweropa mumuviri (orthostatic hypotension) kunokonzerwa nekuderera kweropa kamwe kamwe kunoitika kana munhu akamira, zvichikonzera kuderera kweropa panzvimbo yakatwasuka. Izvi zvinokonzeresa kudzikira kweropa rinoenda kuuropi. Dambudziko iri rinowanzoita kuti munhu anzwe dzungu kana kuti anzwe musoro wakareruka.
Izvi zvinoitika nekuti tsinga dzeropa hadzimanikidze nekukurumidza zvekuti dzinosundidzira ropa kuuropi kana wasimuka.
Kusawirirana kweNeurocardiogenic
Kusawirirana kwemwoyo nepfungwa (neurocardiogenic syncope) ndiyo dysautonomia inonyanya kuitika, ichibata vanhu vanosvika mamiriyoni pasi rose. Chiratidzo chikuru ndechekufenda. Sisitimu yetsinga ine hutano inogadzirisa kurova kwemoyo nekusimba kwetsandanyama kudzivirira ropa kuti risaungane mumakumbo netsoka, asi kusawirirana kwemoyo nepfungwa kunosanganisira kutadza kushanda zvakanaka kwenzira idzodzo, uye kurasikirwa kwenguva pfupi kweropa muuropi kunokonzera kufenda.
Kubatana Kwekugaya
Vanhu vazhinji vane matambudziko ekuzvitonga vanoshamisika pavanodzidza kuti mashandiro edumbu akabatana zvakadii nehurongwa hwetsinga. Hurongwa hwekugaya haushande wega. Hunonyanya kuvimba nezviratidzo zvekuzvitonga kuti uzive nguva yekufambisa chikafu, nguva yekubudisa ma enzymes, uye maitiro ekugadzirisa kufamba kweropa.
Matambudziko Anoita Utumbo
Panguva yekugaya, ropa rakawanda rinoendeswa kudumbu nemudumbu diki, zvichiita kuti mwoyo urove nekukurumidza ukuwo tsinga dzeropa dziri kure nedumbu dzichitetepa.
Izvi zvinochengetedza BP uye kufamba kweropa mumuviri wese. Zvisinei, kune vanhu vane hypotension mushure mekudya, maitiro aya anokanganiswa.
Kupatsanurwa kweparasympathetic kunokurudzira nzira yekugaya chikafu kuti igadzire chikafu uye ibvise marara. Simba rinobva muchikafu chakagadzirwa rinoshandiswa kugadzirisa nekuvaka matishu.
Kana chiratidzo ichocho cheparasympathetic chisina simba kana kuti chisina kunaka, kugaya chikafu kunononoka, chikafu chinogara mudumbu kwenguva yakareba, uye zviratidzo zvakaita sekuzvimba, kuda kurutsa, uye maitiro asina kurongeka emudumbu zvinova dambudziko rezuva nezuva.
Chii Chinokonzera Matambudziko Ekuzvitonga?
Zvirwere zve autonomic hazviwanzova nechikonzero chimwe chete chakajeka. Zvinogona kuzvikonzera zvega kana kuzviratidza semhedzisiro yechipiri yechimwe chirwere.
Zvikonzero Zvikuru
Zvimwe zvirwere zve autonomic zvinogara nhaka kana kuti zvinokura pasina chikonzero chinozivikanwa. Izvi zvinozivikanwa se primary dysautonomias. Zvirwere zvakaita se familial dysautonomia uye multiple system atrophy zvinowira muchikamu ichi.
Mamiriro Ezvinhu Anogona Kukonzera Kurwara
Kune zvirwere zvinogona kukonzera kana kukonzera dysautonomia, zvinosanganisira chirwere cheshuga, zvirwere zve autoimmune zvakaita seGuillain-Barré syndrome, COVID-19 infection, kunyanya COVID refu, Parkinson's disease, Ehlers-Danlos syndrome, multiple sclerosis, uye mimwe mishonga kana nzira dzekurapa.
| chikamu | mienzaniso |
| Metabolic mamiriro | Chirwere cheshuga, kutadza kushanda zvakanaka kwe thyroid |
| Zvirwere zvinodzivirira | Lupus, chirwere cheSjogren |
| Mamiriro ezvinhu etsinga | Chirwere cheParkinson, kupererwa kwehurongwa hwakawanda |
| zvirwere | COVID kwenguva refu, chirwere cheLyme |
| Matambudziko eGenetic | Familial dysautonomia, Ehlers-Danlos |
| Mishonga | Mamwe mishonga yechemotherapy |
Kuongororwa uye Kurapwa
Kuziva chirwere che autonomic disorder kunoda mwoyo murefu uye nyanzvi chaiyo. Zviratidzo izvi zvinoenderana nezvimwe zvirwere zvakawanda zvekuti kuongororwa zvisizvo kwakajairika. Masangano akaita seLiv Hospital anosangana nechikwata chevanhu vane hunyanzvi hwakasiyana-siyana, vachiziva kuti kusashanda zvakanaka kwe autonomic disorder kunokanganisa mwoyo, ura, itsvo, nehuropi panguva imwe chete.
Miedzo yekuongorora
Panguva yekuongororwa kwemuviri, vanachiremba vanoongorora zviratidzo zvezvirwere zvemuviri zvakaita se orthostatic hypotension. Vanoyera BP uye kurova kwemoyo wemunhu paanenge akarara pasi kana akagara uye mushure mekunge munhu amira.
Kana munhu akamira, BP inoderera. Kuti atsive, mwoyo unopomba zvakanyanya uye kurova kwemoyo kunowedzera. Muvanhu vane hutano hwakanaka, shanduko dzinova shoma uye pfupi. Kana dzakakura kana kuti dzakareba, munhu wacho anogona kunge aine orthostatic hypotension.
Mimwe miedzo inoshandiswa pakuongorora chirwere inosanganisira:
- Kuongororwa kwetafura yekutsvedza kuti utarise kurova kwemoyo uye kuchinja kweBP zvichienderana nenzvimbo
- Chidzitiro che autonomic reflex chekuongorora mashandiro egland rinodikitira uye kupindura kweropa
- Kuyedzwa kwedikita rekugadzirisa thermoregulatory
- Kuongororwa kwekufamba kwemudumbu kana paine zvinofungidzirwa kuti zvine chekuita nekugaya chikafu
- Kuongororwa kweropa neweti kuti uone kana paine zvirwere zviri pasi payo
Treatment Options
Kurapa zvirwere zvinowanzo sangana nemuviri kunosanganisira kuwedzera munyu nemvura, mapurogiramu ekurovedza muviri akarara uye akarara, uye mishonga inorwisa mabhakitiriya ine beta blockers, vasoconstrictors, aldosterone analogs, nezvimwe zvinhu zvinotarisa mashandiro ezvirwere zvemuviri.
Kugadzirisa mararamiro kunoitawo basa guru. Sekureva kweCleveland Clinic , kugadzirisa zvirwere zvemuviri zvinowanzoda musanganiswa wemishonga, kurovedza muviri, kuchinja zvekudya, uye kufamba-famba kwemuviri kwakagadzirirwa murwere mumwe nemumwe.
Final Thoughts
Zvirwere zve autonomic zviri pakati pezvirwere zvemwoyo, gastroenterology, uye neurology, izvo zviri chimwe chezvikonzero nei kazhinji zvisinganzwisiswi. Kana tsinga dzako dzikarega kutaurirana zvakanaka nemoyo wako, mitsipa yeropa, uye ura, mhedzisiro yacho inobata anenge kona yega yega yehupenyu hwezuva nezuva.
Kana iwe kana mumwe munhu waunoziva ari kunzwa dzungu risingatsananguriki, kurova kwemoyo kusingawanzoitiki, matambudziko ekugaya chikafu, kana kuti achifenda, kutsvaga kuongororwa nachiremba anonzwisisa hurongwa hwetsinga hwemuviri inhanho inotevera inoshanda uye inokosha.
