Intsapho yengxaki yokungaqondi kakuhle
Ngekhulu le-19, kwakukho imeko yonyango ebizwa ngokuba yi-neurasthenia. Abantu abasempilweni bangaphambili bazakufumana ngokukhawuleza abakwazi ukusebenza ngenxa yempawu ezininzi ezingenakucaciswa, eziquka ukukhathala , ubuthathaka, iintlungu ezingaqhelekanga eza kuza kwaye zihambe ukusuka kwindawo eya endaweni, isiyezi , iimpawu ezahlukeneyo zesisu kunye ne- synncope (ukudlula) .
Oogqirha abanakufumana nto yokuchazela le mpawu, ngoko bebanjelwe "kwinkqubo yesifo ebuthakathaka," okanye i-neurasthenia.
Abasetyhini abane-neurasthenia (amadoda, njengamadoda, ayedla ukunikezelwa kwezi zifo) bahlala bevalelwe kwiibhedi zabo, apho babeya kubuya okanye ekugqibeleni bafe (ekubeni ixesha elide, ukuphumla komntu okulala kunzima kakhulu kwimpilo yomntu). Kwaye nangona kungekho mntu wayesazi ukuba yintoni ebangela ukuba le meko, wonke umntu, oogqirha kunye nabalandeli, bawuthathe ngokungathandekiyo. Ngokukodwa, ngelixa i-neurasthenia ayikwazanga kucaciswa ngokwesayensi, yayithathwa njengengxaki enzima, kwaye amaxhoba ayo ayithathwa ngovelwano nozuko.
Oogqirha abaninzi banamhlanje abava malunga nale mfihlelo engaqondakaliyo nje bayagubha iintloko zabo. Yintoni, bazibuza, ngaba waba ngu-neurasthenia? Bambalwa babonakala becinga ukuba i-neurasthenia isenathi. Ngenxa yoko, ababanako ukuqonda ukubonakaliswa kwalo mqathango kunokuba bebenabo bexesha elidala, kwaye bavame ukungabi nabubele kakhulu kubantu abahluphekayo.
Abantu abaneminyaka engama-50 edlulileyo babeya kuthiwa yi-neurasthenics namhlanje banikezelwa ezininzi zezifo. Ezi zibandakanya (kodwa azikhawulelwanga): i-syndrome engapheliyo (i-CFS), i- vasovagal okanye i-neurocardiogenic syncope , ukuhlaselwa kwe-panic , i- sinus tachycardia engalunganga (IST) , i- syndrome ye-bowel syndrome (i-IBS) , i- postural orthostatic tachycardia syndrome (i-POTS) okanye i- fibromyalgia .
Ngelishwa, amaninzi amaxhoba kule miqathango aqoshiwe nje njengamantongomane.
Azinamantongomane. (Okanye, ukuba ngaba kunjalo, kuyinto engafanelekanga.) Abafayo kuzo zonke iimeko bafumana ukungalingani, kwaye ngokugqithiseleyo kubakho ukungazenzeki ngokungaqhelekanga, kwinkqubo ye-nervous autonomic system. Ukungalingani, okuchaza iimpawu zabo ezingaqhelekanga, kuthiwa yi-dysautonomia.
I-Autonomic Nervous System kunye neDysautonomia
Inkqubo ye-neon autonomic ilawulwa yimisebenzi yomzimba engaziwayo, njengezinga lentliziyo, ukugaya kunye nokuphefumula. Iqulethwe ngamacandelo amabini: inkqubo yovelwano kunye nesistim se-parasympathetic.
Inkqubo yesantya evelwano ingacingelwa ukuba ilawulwe ukulwa okanye ukuphenduleka komzimba, ukuvelisa iqondo lentliziyo ngokukhawuleza, ukunyusa ukuphefumla, nokunyuka kwegazi kwiimisipha eziza kusinda ingozi okanye ukujamelana noxinzelelo.
Inkqubo ye-neasympathetic ye-neervous ilawula imisebenzi "yokuzola" yomzimba, njengendlela yokugaya ukutya . Ngoko: isistim sevelwano sisenza silungele ukwenza isenzo, ngelixa isistim se-parasympathetic sisilungele ukuphumla. Ngokuqhelekileyo, izixhobo ezixhasayo kunye nezobubele zenkqubo ye-nerveous autonomic i-balance balance, ukusuka kumzuzwana ukuya kumzuzwana, kuxhomekeke kwiimfuno zomzimba zangaphandle.
Kubantu abajongene ne-dysautonomia, inkqubo ye-nervous autonomic ilahlekelwa ngolo hlobo, kwaye ngamaxesha athile ama-parasympathetic okanye avelwano angabonakali. Iimpawu zingabandakanya iimeko ezinzima ezingaqhelekanga kodwa ziphazamisekile, ukuphelelwa amandla (okanye ukutshatyalaliswa okwenkqayo), ukuhlaselwa okuxhalabisayo, i-tachycardia (ukukhawuleza kwentliziyo), i- hypotension , utywala , umboniso otyhafayo, ukutyhafa kunye nokubetha , intlungu, kunye (ngokucacileyo) ukuxhalabisa nokuxinezeleka.
Abafayo be-dysautonomia banako ukufumana zonke ezi mpawu okanye nje ezimbalwa zazo.
Bafumana elinye iqela leempawu ngexesha elinye, kunye nezinye iimpawu zeempawu ngezinye izihlandlo. Iimpawu zisoloko zikhawuleza kwaye zingenakulinganiswa, kodwa ngakwelinye icala zingabangela izimo okanye izenzo ezithile. (Abanye abantu baneempawu zokuzikhandla, ngokomzekelo, okanye xa bemi, okanye emva kokutya ukutya okuthile.) Kwaye ekubeni abantu abane-dysautonomia baqhelekile ngandlela-thile, xa ugqirha enza uvavanyo lomzimba kaninzi akafumani nto engafanelekanga.
Ngenxa yokuba uvavanyo lomzimba kunye neemvavanyo zelabhoratri zisoloko ziqhelekileyo, oogqirha (abaqeqeshwa kwizayensi, kwaye ngoko ke, baqeqeshwe ukulindela ubungqina obunobungqina besifo) bavame ukubhala abantu nge-dysautonomia ngaphandle kokungaqiniseki ngengqondo, (okanye, ngokuphindaphindiweyo, ukukhathazeka ngengxaki).
Yintoni eyenza iDysautonomia?
I-Dysautonomia ingabangela izinto ezininzi ezahlukeneyo; akukho nanye, imbangela yendalo yonke. Kubonakala kucacile ukuba abanye abantu bazuza ilifa lokukhulisa i-dysautonomia syndromes, ekubeni ukuhluka kwe-dysautonomia kubonakala ngathi kuqhutywa kwiintsapho. Izifo ezibangelwa ziintsholongwane zingabangela isifo se-dysautonomia. Ngako-ke unako ukuvezwa kweekhemikhali. (I- Gulf War Syndrome , eqinisweni, i-dysautonomia: uxinzelelo lwegazi oluphantsi , i-tachycardia, ukukhathala kunye nezinye iimpawu, urhulumente ophika ngaphandle, kubonakala ngathi zibangelwa yizinto ezinobuthi.) I-Dysautonomia inokubangelwa kwiintlobo ezahlukeneyo zentlungu, ngakumbi ingozi intloko nesifuba-kuquka ukuxhatshazwa. (Kubikwe ukuba kwenzeke, ngokomzekelo, emva kokuhlinzwa kwebele.) I-Dysautonomias ebangelwa izifo zintsholongwane, ukutshatyalaliswa kwesoxhefu, okanye ukuxhwalazeka kudla ngokukhawuleza. Isifo esingapheliyo sokunyuka kwesifo, ngokomzekelo, ininzi iqala ngokulandela isifo esifana nesifo sengculaza (isisu somkhuhlane, umkhuhlane, kunye nemisipha yomzimba), kodwa nayiphi na i-dysautonomia syndromes ingaba nokufana okufanayo.
Yintoni Eya Kuba Abantu NgeDysautonomia?
Ngethamsanqa, ukugqithiselwa kubonakala kungcono kunokuba kwakukuloo mihla xa i-disorder ibizwa ngokuba yi-neurasthenia. Oku kwenzeka ukuba ukuphumla kombhede akusayi kuqwalaselwa unyango olukhethiweyo. Uninzi lwabantu abane-dysautonomia ekugqibeleni lifumanisa ukuba iimpawu zabo ziyahamba okanye zinciphise kangangokuba ziyakwazi ukukhokelela ubomi obuqhelekileyo. Ngamanye amaxesha, eqinisweni, amathuba okuba izinto ziza kuphucula ngokwabo ziba yinto kuphela egcina abanye balaba bantu behamba.
ILizwi
I-dysautonomia syndromes ingaba nefuthe elibi kwimpilo yabantu. Nangona iimpawu zigcina ziphucula kwiimeko ezininzi, abantu abaninzi abane-dysautonomia bafumana iimpawu eziphazamisa ubomi babo ngokupheleleyo, kwaye ukukhangela uncedo lwezonyango olufanelekileyo kuninzi kunzima. Ngoko ukuba ucinga ukuba unayo i-dysautonomia, kufuneka ufunde ngokubanzi njengoko unako malunga neendlela ezahlukeneyo zalo mqathango, kwaye ngokukodwa malunga neentlobo zonyango oluye lwaphumelela.
> Imithombo:
> Furlan R, Barbic F, Casella F, et al.Neural Autonomic Control kwi-Intolerance Orthostatic. Respir Physiol Neurobiol. 2009 Oct; 169 Isondlo 1: S17-20.
> Green CR, Cowan P, Elk R, et al. Amaziko eZiko lezeMpilo kwiNdlela yoKhusela: Ukuqhubela phambili uphando malunga ne-Myalgic Encephalomyelitis / Syndrome yoKhathazeka okungapheliyo. Ann Intern Med 2015; 162: 860.
> Staud R. Autonomic Dysfunction kwi-Fibromyalgia Syndrome: I-Postural Orthostatic Tachycardia. I-Curr Rheumatol Umhla ka-2008 Dec; 10 (6): 463-6.