Wani mataki na rashin daidaituwa tare da tsarin kulawa mai kwakwalwa mai yiwuwa yana da yawa ƙwarai, musamman idan muka tsufa. Alal misali, fiye da kashi 25 cikin dari na mutanen da suka kai shekarun 75 suna fama da mummunan tsinkaye , wanda zai iya da wuya ga mutane su tsaya ba tare da jin dadi ba saboda rashin lafiyar tsarin jiki na rashin lafiya don daidaita yanayin jini .
Kusan duk wani matsala na kiwon lafiya-ko ma magani-zai iya tasiri ga tsarin kulawa mai kwakwalwa ko dai a kai tsaye ko a kaikaice. Matsalolin tsarin kulawa masu zaman kansu wanda ake kira dysautonomia . Kafin gyara matsalar, ko da yake, yana da mahimmanci don gwadawa da kyau don tabbatar da fahimtar yanayin dysautonomy.
Ƙarfin ƙwaƙwalwar jini na Orthostatic
Hanyar da ta fi dacewa don gwada tsarin kulawa mai kwakwalwa za a iya yi tare da maganin jini na jini, agogo, da gado. An auna karfin jini kuma an dauki bugun jini lokacin da mai haƙuri ke kwance, zaune, da tsaye, tare da kimanin minti biyu a tsakanin matsayi. A cikin mutane na al'ada, karfin jini ba zai bambanta da fiye da 10 diastolic (lambar jini da lambar jini) ko 20 systolic (lambar farko), ko da yake waɗannan jagororin sun bambanta daga wuri zuwa wurin.
Idan cutar hawan jini ya fāɗi, bazai zama matsala tare da tsarin kulawa mai kwakwalwa ba: akwai yiwuwar kawai ba zubar da isasshen jini don kula da matsin lamba ba.
Dalilin dalili na wannan shi ne rashin jin dadi, wanda shine dalilin da ya sa muke duba bugun jini. Idan hawan jini ya fadi, bugu ya kamata ya karu kamar yadda jiki yayi ƙoƙari ya ƙara yawan karfin jini kuma ya sami jini ga kwakwalwa. Idan ba haka ba, za'a iya samun matsala tare da arc mai tsabta wanda ke dauke da nervous naman, wanda yana da kwakwalwa na kwakwalwa wanda ke kula da zuciya.
Sauran Tests na Bedside
Yin amfani da electrocardiogram (ECG ko EKG) yayin da kake yin wasu sauƙaƙe mai sauƙi na iya ƙarfafa gwajin gwajin don dysautonomia. Alal misali, rabo daga nisa tsakanin raƙuman lantarki biyu a kan ƙananan zuciya 15th da 30th bayan tsayawa daga matsayi na zama (wanda ake kira R-to-R) zai iya nuna matsala tare da nervar naman. Hakanan za'a iya yin hakan a lokacin numfashi mai zurfi. Har zuwa shekaru 40, haɓakawa zuwa wahayi daga kasa da 1.2 yana da mahaukaci. Wannan darajar ana sa ran ya ragu yayin da muka tsufa kuma yana raguwa tare da ko da rashin lafiya neuropathy .
Yanayin Valsalva wani gwaji ne mai sauki, wanda ba za a iya amfani dashi don tantancewa don dysautonomi ba. Mai haƙuri ya jawo shi ta hanyar ƙwace tare da bakinta don rufe iska don kada iska ta tsira. Wannan yakan haifar da zuciyar mutum har sai bayan an sake fitar da numfashi, a yayin da suturar keyi ya kasance yana kan gaba, yana haifar da ɗan gajeren lokaci na bradycardia , lokacin da zuciya ta sauko a kasa. Idan zuciyar zuciya bata karuwa a lokacin Valsalva ba, akwai yiwuwar rashin tausayi. Idan ba ta raguwa ba, yana nuna sashin jiki na parasympathetic.
Sauran wasu ƙididdiga na iya canza canje-canje a cikin karfin jini bayan gwanintar ƙwayar jiki don 'yan mintuna kaɗan, ko kuma bayan ajiye ɓangaren da aka nutse cikin ruwan sanyi.
Advanced Testing Automobile
Lokacin da gwaje-gwaje na gadaje bai isa ba, akwai hanyoyin da aka samo hanyoyin bincike a wasu cibiyoyin. Wadannan zasu iya haɗa da an sanya mai haƙuri a kan tebur mai ɗawainiya , wanda ya ba da damar canza yanayin matsayi da sauri kuma a hanyar da za'a iya aunawa da sauƙi.
Ana iya auna ma'aunin jiki bayan da aka sanya sinadarin don yin kawai wannan sutura don tayi la'akari da bambancin da ke tsakanin sassa daban-daban na jiki.
Wani lokuta lokutan magunguna na hormones kamar norepinephrine za a iya aunawa a cikin mayar da martani ga danniya mai mahimmanci, amma irin wannan gwajin abu ne mai ban mamaki.
Gwaje-gwaje
Wannan tsarin mai juyayi yana da alhakin haifar da ɓarna daga gulma. Ka yi la'akari da shi a matsayin hanyar da za ta tabbatar da cewa jikinmu yana kwanciyar hankali don samun nasarar tsere daga tiger.
Wani lokuta mawuyacin halin da ake ciki zuwa ɓangare na jiki ya ɓace, kuma wannan sashi ba ya daina. Wannan ba koyaushe ba ne, tun lokacin da gumi yana iya tafiya daga wani yanki na jiki don rufe bangare da ba ta cigaba. A gwajin gwagwarmaya, jiki yana rufe da foda wanda canza launin lokacin da yake shawagi, yana sa rashin gurasar yanki a fili. Abinda ke ciki shine cewa wannan gwajin yana da matukar damuwa.
Jarabawa na Kayan Jiki Na Gyara
Saboda tsarin kulawa na jiki ya shafi kusan kowane ɓangare na jiki, yana iya zama wajibi a bincika yadda jijiyoyi masu zaman kansu ke aiki a wani bangare daban maimakon na tsarin kwakwalwa.
Za a iya yin amfani da idanu iri-iri don tantance idanun idanu na idanu. Za a iya yin la'akari da idanu ta hanyar saka sautin takarda mai laushi a kusurwar idanu don ganin yadda yaduwar takarda ke sha. Za a iya nazarin aikin suturar ta hanyar cisternogram, kuma za a iya tantance ka'idodin gastrointestinal ta hanyar nazarin rediyo.
Mun kawai bayyana wasu daga cikin gwaje-gwaje da yawa da aka yi amfani da ita don tantance tsarin kulawa mai kwakwalwa. Gaskiyar ita ce, dysautania ne yawancin waɗanda ba a fahimta ba, kuma yawancin cibiyoyin ba su da wata mahimmancin gwaje-gwaje na gadaje. Wannan na iya kasancewa saboda zama mafi yawancin dysautania ne saboda matsalolin da suka shafi wasu sassa na jiki a hanyoyi masu hanyoyi, wanda hakan zai iyakar da amfani ga ƙarin gwaji. Alal misali, ciwon sukari wata hanyar hanyar dysautonomia ce wadda ta samo asali daga gwaje-gwaje na jini don ciwon sukari, maimakon farawa tare da tsarin kulawa na jiki.
Idan matsala tare da tsarin kulawa mai kwakwalwa yana da tsammanin kuma an tabbatar, tabbas za'a bukaci karin gwaji don sanin dalilin. Maimakon ƙoƙari kawai don magance alamun kwakwalwa ta jiki, magance ainihin magungunan rashin lafiya shine hanya mafi kyau don samun tsarin kulawa mai zaman kansa a cikin ma'auni.
Sources:
Hiitola P, Enlund H, Kettunen R, Sulkava R, Hartikainen SJ Hum Sauran canje-canje a cikin karfin jini da kuma yaduwa na hypotension kothostatic tsakanin tsofaffi mazaunin shekaru 75 da haihuwa. Hypertens. 2009 Janairu 23 (1): 33-9. Doi: 10.1038 / jhh.2008.81. Afrilu 2008 Yuli 24.
Ropper AH, Samuels MA. Ka'idodi na Adams da Victor na Lafiya, 9th ed: The McGraw-Hill Companies, Inc., 2009.
Blumenfeld H, Neuroanatomy ta hanyar Cutar Clinical. Sunderland: Sinauer Associates Publishers 2002.