ʻO nā mea āpau e pili ana iā Autonomic Dysreflexia (Autonomic Hyperreflexia)

Anter

• He aha ka autonomic dysreflexia (AD)?
• Pehea e hana ai ka autonomic dysreflexia i ke kino
• Pehea e hana maʻamau ai
• He aha ka hana me AD
• Nā ʻōuli
• Nā Kuki
• Pehea e hōʻoia ʻia ai
• Lapaʻau
• Kāohi
• He aha ka manaʻo lōʻihi?

He aha ka autonomic dysreflexia (AD)?

ʻO kahi autonomic dysreflexia (AD) kahi kūlana kahi e hoʻopiʻi ai kāu ʻōnaehana manawaleʻa i nā mea kūwaho a i ʻole nā ​​kino. ʻIke ʻia ʻo ia ʻo hyperreflexia autonomic. Kuhi kēia hopena:

• he piʻi weliweli i ke kaomi koko
• ʻūlū puʻuwai
• ka hoʻopili ʻana i kāu mau moku koko ākea
• nā hoʻololi ʻē aʻe i nā hana autonomic o kou kino

ʻIke pinepine ʻia ke ʻano i nā poʻe me nā ʻeha o ke kuamoʻo ma luna aʻe o ka ono o ka vertebra thoracic, a i ʻole T6.

Hoʻopili paha ia i ka poʻe i loaʻa ka maʻi sclerosis, Guillain-Barre Syndrome, a me kekahi mau poʻo poʻo a lolo paha. Hiki iā AD ke lilo i hopena o ka lāʻau a lāʻau paha.

ʻO AD kahi kūlana koʻikoʻi i manaʻo ʻia he pilikia olakino. Hiki ke hoʻoweliweli i ke ola a hopena i:

• hahau
• retinal hemorrhage
• hopu naʻau
• edema pulmonary

Pehea e hana ai ka autonomic dysreflexia i ke kino

No ka hoʻomaopopo ʻana iā AD, he mea kōkua ka hoʻomaopopo ʻana i ka ʻōnaehana autonomic (ANS). ʻO ka ANS kahi ʻāpana o ka ʻōnaehana hopohopo nāna e mālama i ka hana pilikino kino ʻole, e like me:

• kaomi koko
• puʻuwai a me nā helu hanu
• wela o ke kino
• ʻohi hoʻoheheʻe
• kinikini
• ke kaulike o ka wai a me nā electrolytes
• iecaianoaaiiie o ke kino ahe
• urination
• hoʻohaunaele
• pane moekolohe

Aia nā lālā ʻelua o ANS:

• ʻōnaehana ʻōnaehana autonomic sympathetic (SANS)
• ʻōnaehana autonomic parasympathetic (PANS)

Pehea e hana maʻamau ai

Hana ka SANS a me ka PANS i nā ʻano ʻaoʻao ʻē aʻe. Mālama kēia i ke kaulike o nā hana manawaleʻa i kou kino. I nā huaʻōlelo ʻē aʻe, inā ʻoi aku ka nui o ka SANS, hiki i ka PANS ke uku no ia.

Eia kahi laʻana. Inā ʻike ʻoe i ka bea, hoʻomaka paha kāu ʻōnaehana makaʻu aloha i kahi hopena hakakā a i ʻole lele. ʻO kēia ka mea e kuʻi wikiwiki ai kou puʻuwai, e piʻi ai kou kaomi koko, a mākaukau kou mau kīʻaha koko e pīpī hou i ke koko.

Akā pehea inā ʻike ʻoe ua kuhihewa ʻoe a ʻaʻole ia he bea? ʻAʻole ʻoe e pono i ka stimulate o kāu SANS, no laila e lele i kāu hana ʻōnaehana parasympathetic i ka hana. E lawe i kāu PANS i kou puʻuwai a me ke kahe o ke koko i ka maʻamau.

He aha ka hana me AD

Hoʻokaʻawale ʻo AD i nā ʻōnaehana ʻelua a me nā ʻōnaehana hopohopo parasympathetic. ʻO kēia ke kumu o ka hoʻopiʻi ʻana o ka SANS o ke kino i nā stimuli, e like me ka bladder piha. He aha hou aʻe, ʻaʻole hiki i ka PANS ke kāpae pono i kēlā hopena. E hoʻonui paha ia i ka maikaʻi.

Ke hana mau nei kou kino lalo i nā hōʻailona nerve ma hope o ka ʻeha o ka iwi kuamoʻo. Kūkā kēia mau hōʻailona i kāu hana o ke kino, e like me ke kūlana o kou ʻōpū, kou ʻōpū, a me ka digestion. ʻAʻole hiki i nā hōʻailona ke hala i ka ʻeha o ke kuamoʻo i kou lolo.

Eia nō naʻe, hele mau nā leka i nā ʻāpana o ka sympathetic a me ka parasympathetic autonomic nervous system e hana ma lalo o ka ʻeha o ke kuamoʻo.

Hiki i nā hōʻailona ke hoʻonāuki i ka SANS a me ka PANS, akā ʻaʻole hiki i ka lolo ke pane kūpono iā lākou no laila ʻaʻole lākou e hana kūpono ma ke ʻano he kime. ʻO ka hopena hiki i ka SANS a me ka PANS ke hele i waho o ka kaohi.

E lohi paha kāu helu puʻuwai ma muli o ka ʻike ʻana o nā puʻuwai puʻupuʻu i loko o nā aʻa carotid a i ʻole aorta (i kapa ʻia he baroreceptors) i ke kaomi koko kiʻekiʻe kiʻekiʻe a hoʻouna i kahi hōʻailona i ka lolo e kiʻekiʻe loa ke koko.

Nā ʻōuli

Pākuʻi ʻia paha nā ʻōuli o AD me:

• hopohopo a me ka hopohopo
• pā palu a i ʻole kuʻi ka puʻuwai
• paheʻe ihu
• ke koko kiʻekiʻe me nā heluhelu systolic pinepine ma luna o 200 mm Hg
• ʻeha poʻo ʻeha
• ʻōpala o ka ʻili
• sweating profuse, keu hoʻi ma ka lae
• ʻālohilohi
• ʻūpā
• huikau
• dilated pupils

Nā Kuki

Hiki i nā mea hoʻonāukiuki o AD i ka poʻe me nā ʻeha o ke kuamoʻo ke lilo i kekahi mea e hana i nā hōʻailona nerve i ka SANS a me ka PANS, e like me:

• he kīloi distadder
• he catheter i pale ʻia
• paʻa mimi
• he maʻi maʻi urinary tract
• pōhaku bladder
• kōpaʻa
• he hookomo ana o ka opu
• hemorrhoids
• nāukiuki o ka ʻili
• ʻeha kaomi
• lole paʻa

Pehea e hōʻoia ʻia ai

Pono ʻo AD i kahi pane olakino koke, no laila e mālama maʻamau kāu kauka i ke ʻano ma kahi. Hoʻokumu ʻia ka mālama ʻana ma nā ʻōuli i ʻike ʻia, a me ka heluhelu ʻana i ka pulse a me ke kaomi koko.

Ke hala koke ka pilikia koke, makemake paha kāu kauka e hana i kahi hoʻokolokolo piha a holo i nā hoʻokolohua diagnostics. Hiki i kēia mau hoʻāʻo ke kōkua i kāu kauka e hoʻoholo i ke kumu kūpono a haʻalele i nā kumu kūpono ʻē aʻe.

Lapaʻau

ʻO ka pahuhopu o ka hoʻoponopono ulia pōpilikia e hoʻohaʻahaʻa i kou kahe koko a hoʻopau i nā stimuli e hoʻomaka ana i ka hopena. Pākuʻi ʻia paha nā ana pilikia:

• ke neʻe nei iā ʻoe i kahi noho e hana i ke kahe o ke koko i kou mau wāwae
• ka wehe ʻana i nā lole paʻa a me nā kākini
• ke nānā nei i kahi catheter i ālai ʻia
• ka hoʻokahe ʻana i kahi kīloi distadder me kahi catheter
• ka hoʻoneʻe ʻana i nā mea hoʻoiho e loaʻa ai, e like me nā kikoʻī o ka lewa e puhi nei ma luna ou a i ʻole nā ​​mea pili i kou ʻili
• ka mālama ʻana iā ʻoe no ka hoʻopili fecal
• ke lawelawe nei i nā vasodilators a i ʻole nā ​​lāʻau ʻē aʻe e lawe i kou kaomi koko ma lalo o ka kaohi

Kāohi

ʻO ka mālama ʻana a me ka pale ʻana i ka wā lōʻihi e pono e hoʻomaopopo a hoʻoponopono i nā pilikia i hoʻokumu ʻia e hoʻomaka iā AD. E komo pū paha kahi hoʻolālā mālama wā lōʻihi:

• nā loli i ka lāʻau a me ka papaʻai e hoʻomaikaʻi ai i ka hoʻopau
• hoʻomaikaʻi i ka hoʻokele o ka urinary catheters
• nā lāʻau no ke koko kiʻekiʻe
• nā lāʻau a i ʻole kahi pacemaker e hoʻokūpaʻa i kou puʻuwai puʻuwai
• ka hoʻoponopono ʻana iā ʻoe iho e hōʻalo i nā mea hoʻouluulu

He aha ka manaʻo lōʻihi?

ʻAʻole maopopo loa ka nānā inā pili kāu kūlana i nā hanana paʻakikī e kaohi a i ʻole nā ​​kumu ʻike ʻole ʻia. ʻO nā ʻāpana i hana pinepine ʻia o nā kui i kāohi ʻole ʻia a i ʻole nā ​​kulu i ke kaomi koko hiki ke hopena i nā hahau a i ʻole ka hopu ʻia ʻana o ka naʻau.

Hana pū me kāu kauka e ʻike i kāu mau mea hoʻomaka a hana i nā kaʻina hana hoʻomalu.

Inā hiki iā ʻoe ke hoʻokele i nā triggers no AD, maikaʻi ka nānā.