Mamwe mashoma ekusavhiringidza nehutongi hwehutongi hunove hwakawanda kwazvo, kunyanya apo tinokura. Semuenzaniso, vanopfuura 25 muzana yevanhu vanopfuura makore makumi manomwe nematatu vanotambura nehutano hwakanaka hwehutano , umo zvingava zvakaoma kuti vanhu vamire vasina kunzwa vachizununguka pamusana pechirongwa chekutya kwehutachiona hwekusagona kukwanisa kugadzirisa kukanganiswa kweropa .
Chinenge chinetso chekurapa chero chipi zvacho-kana kuti kunyange kurapwa-kunogona kukanganisa urongwa hwehutachiona huri pachena kana husina kunaka. Chinetso nehurongwa hwemagetsi ehurumende inonzi dysautonomia . Usati wagadzirisa dambudziko racho, zvakadaro, zvinokosha kuti uedze zvakanaka kuti uone kuti chimiro che dysautonomia chinonyatsonzwisiswa.
Orthostatic Blood Pressure Chiyero
Nzira inonyanya kuenzanisa yekuongororwa kwehutachiona hwehutachiona hunogona kuitika neropa rekuputira, hovha, uye mubhedha. Ropa rekuyeresa rinotaridzirwa uye kupisa kunotorwa apo murwere akarara pasi, akagara, uye akasimuka, ane maminetsi maviri pakati pezvipo. Muvanhu vakanaka, ropa rinomanikidzira harifaniri kuenzana neanenge 10 diastolic (iri pasi pasi inodzvinyirirwa nhamba) kana kuti systolic 20 (iyo nhamba yepamusoro), kunyange zvazvo mazano aya akasiyana kubva panzvimbo kuenda kune imwe nzvimbo.
Kana kuwedzerwa kweropa kuchidonha, zvingasava dambudziko nehurumende yekuzvidzivirira yehutachiona: pane zvingangove zvisina kukwana ropa kuitira kuchengetedza kwakakwana.
Chikonzero chinowanzo chikonzero ichi ndechekushaya mvura, ndicho chikonzero tinotarisawo kutora. Kana kuwedzerwa kweropa kuchiwa, kupisa kunofanira kuwedzera sezvo muviri uchiedza kuwedzerwa ropa uye kuwana ropa kuuropi. Kana zvisingaiti, pangave nechinetso neArc reflex inosanganisira vagus nerve, iyo ine magonti emagetsi anodzivirira mwoyo.
Mamwe Mutsva Pamuedzo
Kushandisa electrocardiogram (ECG kana EKG) paunenge uchiita zvimwe zvishoma zvinogona kuwedzera kunzwisiswa kwekuedzwa kweDysautonomia. Semuenzaniso, chiyero chemakiromita maviri emagetsi emagetsi pamapapiro gumi nemapfumbamwe nemapfumbamwe mushure mekumira kubva panzvimbo yakagara (iyo inonzi R-to-R chikwata) inogona kuratidza chinetso neve vagus nerve. Izvi zvinogonawo kuitwa panguva yekufema zvakadzika. Kusvikira pazera remakore makumi mana, kubuda kwemafiro kusvika kune kufema kwepasi peka 1.2 hakusi. Ichi chiyero chinotarisirwa kuderera apo patinenge takura uye tinodererawo kunyange neine unyoro hwehutachiona hwehutachiona hwehutano .
Chikamu cheValsalva ndechimwe chidimbu chisinganzwisisiki chemberi chinotaridzika chinogona kushandiswa kuongorora dysautonomia. Murwere anoremekedza kuburikidza nekudzora nemuromo wake akavharwa kuitira kuti hapana mweya inopukunyuka. Izvi zvinowanzokonzera kuwedzera kwemwoyo kuwedzera kusvikira mushure mokunge mweya uchisunungurwa, panguva iyo iyo parasympathetics inowedzera kukwira, ichikonzera nguva pfupi yebrascarcardia , apo chiyero chemwoyo chinodonha pasi pasi. Kana tsananguro yemwoyo isingawedzere panguva yeValsalva, pane inogona kunge inonzwira tsitsi kusagadzikana. Kana ikakundikana kunonoka shure, inoratidza kuti parasympathetic inoshaya.
Imwe nzira inoshandura kuchinja kweropa rega mushure mekudzivirira kwemisasa kwemaminitsi mashomanana, kana mushure mekuchengeta chimiro chakadzikiswa mumvura inotonhora.
Advanced Autonomic Testing
Apo mavhesi emubhedha asingakwani, kune zvakawanda zvinosanganisa kuongororwa zvinowanikwa mune dzimwe masangano. Izvi zvinogona kusanganisira murwere kuti aiswe patafura yakatsvaira , iyo inobvumira nzvimbo yemurwere kuchinjwa nokukurumidza uye nenzira inogona nyore kuyerwa.
Kutevedza kweganda kunogona kuyerwa mushure memakemikari inogadziriswa kuita chigamba ichocho chine jira kuitira kuti uongorore kusiyana kwakashata pakati penharaunda dzakasiyana dzomuviri.
Dzimwe nguva serum mahomoni emahomoni akadai se norepinephrine anogona kuyerwa mukupindura kushushikana kwemagetsi, asi kuedza kwakadaro kusingawanzoitiki.
Kuedzwa kweMhiko
Tsitsi dzinotyisa dzinokonzera kukonzera kusuruvara kubva kune jira rinosuruvara. Funga nezvazvo senzira yekuita kuti muviri wedu ugare wakanakira zvakakwana kuti ubude kubva kune anorwadza tiger.
Dzimwe nguva kunzwira tsitsi kune chikamu chemuviri kunorasikirwa, uye chikamu ichi hachina kuzotuka. Izvi hazvirevi pachena nguva dzose, sezvo kufema kunogona kubva kune imwe nzvimbo yomuviri kuzovhara chikamu chisingachaperi. Mukuedzwa kwekutuka, muviri unofukidzwa neupfu unoshandura ruvara kana uchizununguka, zvichiita kuti nzvimbo dzisina nzvimbo dzemuviri dzive pachena. Icho chinonyadzisa ndechokuti iyi muedzo inonyanyisa.
Kuedzwa kweMuviri Wakasiyana
Nemhaka yekuti chirongwa chemhepo chinotarisana chinosanganisira anenge chikamu chimwe nechimwe chemuviri, zvingave zvakakosha kutarisa kuti mishonga inogadziriswa inoshanda sei mune imwe chikamu chimwe chete pane kungova nemwoyo yemagetsi.
Mhando dzakasiyana-siyana dzeziso dzinogona kushandiswa kuongororwa nekuzvidzivirira kwekutarisa kwemaziso. Kuchema kwemaziso kunogona kuongororwa nekuisa chidimbu chiduku chemapepa akanyorova pakona yeziso kuti uone kuti yakawanda sei mapepa anobata. Chirwere chinoshanda chinogona kuongororwa nechitsime chemvura, uye motility yezviratidzo zvezvirwere zvingave zvichiongororwa nezvidzidzo zvemasayenzi.
Isu takangorondedzera zvimwe zvekuedzwa kwakawanda kunoshandiswa kuongororodza hurongwa hwehutongi hwehutongi. Ichokwadi ndechekuti dysautonomias inowanzozivikanwa, uye masangano akawanda haavi anopfuura maitiro ezvokutanga pamubhedha. Izvi zvingangove zviripo nokuti vazhinji dysautonomiya vanobva pamatambudziko anokonzerawo dzimwe nhengo dzomuviri nenzira dzakajeka, izvo zvino zvinopedza kubatsira kwekuwedzera kuedzwa. Somuenzaniso, chirwere cheshuga ndechimwe chikonzero chinowanzokonzera dysautonomia chinowanikwa nehutachiona hwekuongororwa ropa kwechirwere cheshuga, panzvimbo pokutanga nehutongi hwehurumende.
Kana chinetso nehurongwa hwehutachiona hwehutongi hwakafungidzirwa uye hwakasimbiswa, zvinenge zvichida kuti kuongororwa kwakawanda kuchadiwa kuti uone chikonzero. Pane kuedza kungobata zvirwere zveDysautonomic, kutarisa chinonyanya kukonzera chirwere ndiyo nzira yakanakisisa yekuita kuti urongwa hwehutachiona hwehutongi hudzoke zvakare.
Sources:
Hiitola P, Enlund H, Kettunen R, Sulkava R, Hartikainen SJ Hum Postural kuchinja kwehutano hweropa uye kupararira kwehutano hwehutano pakati pekugara kwemusha wemakore makumi manomwe kana kupfuura. Hypertens. 2009 Jan; 23 (1): 33-9. doi: 10.1038 / jhh.2008.81. Epub 2008 Jul 24.
Ropper AH, Samuels MA. Adams naVictor's Principles of Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009.
Blumenfeld H, Neuroanatomy kuburikidza neCliniki Cases. Sunderland: Sinauer Associates Publishers 2002.