Neuropathy Yeshuga

Neuropathy yehukaha chirwere chinokanganisa tsinga chinogona kuitika kana uine chirwere cheshuga. Shuga yakawanda yeropa (glucose) inogona kukuvadza tsinga mumuviri wose. Neuropathy yehukaha kazhinji inokuvadza tsinga mumitsipa nemakumbo. Zvichienderana netsinga dzakakuvadzwa, zviratidzo zveNeuropathy yehukaha zvinosanganisira kurwadziwa nekusaona kunzwa mumitsipa, makumbo nemaoko. Inogona zvakare kukonzera matambudziko nesystem yekugaya, nzira yekubuda kwemukomana, ropa midziyo nemwoyo. Vamwe vanhu vane zviratidzo zvishoma. Asi kune vamwe, Neuropathy yehukaha inogona kuva inorwadza kwazvo uye inokanganisa. Neuropathy yehukaha chirwere chakakomba cheshuga chinogona kukanganisa vanhu vakawanda kusvika ku50% vane chirwere cheshuga. Asi kazhinji unogona kudzivirira Neuropathy yehukaha kana kunonoka kufambira mberi kwayo nekutonga kwakasimba kweshuga yeropa uye mararamiro ane hutano.

Kune marudzi mana makuru ehutachiona hwehutachiona. Unogona kuva nerudzi rumwe kana kupfuura rudzi rumwe rwehutachiona. Zviratidzo zvako zvinoenderana nerudzi rwaunaro uye matura anokanganiswa. Kazhinji, zviratidzo zvinoonekwa zvishoma nezvishoma. Ungasaziva kuti pane chakaipa kusvika kukuvara kukuru kwetura kwaitika.

Danawo chiremba wako kana iwe uchinge uine:

• Kucheka kana kuzvimba netsoka yako kuri kuzara utachiona kana kusagadzirisika
• Kupisa, kupenya, kushaya simba kana kurwadziwa mumaoko kana netsoka zvinokanganisa mabasa ezuva nezuva kana hope
• Kushanduka mukuyerera kwemudumbu, kuenda kunzvimbo kana pabonde
• Kuwedzera musoro nekudonha

Sangano reAmerica reDiabetes (ADA) rinokurudzira kuti bvunzo yehutachiona hwehutachiona hwehutachiona hutange nekukasira mushure mekunge munhu aziviswa kuti ane chirwere cheshuga chechirudzi chechipiri kana makore mashanu mushure mekuziva chirwere cheshuga chechirudzi chekutanga. Mushure maizvozvo, bvunzo inokurudzirwa kamwe pagore.

Chikonzero chaicho chemarudzi ese eneuropathy hachizivikanwi. Vatsvakurudzi vanofunga kuti nekufamba kwenguva, shuga yakakwira isina kudzorwa inokuvadza tsinga uye inokanganisa kugona kwadzo kutumira zviratidzo, zvichikonzera diabetic neuropathy. Shuga yakakwira inosvitsawo masvingo emabhodhoro maduku eropa (capillaries) anogadzirisa tsinga neoksijeni nezvinovaka muviri.

Munhu wese ane chirwere cheshuga anogona kurwara neuropathy. Asi zvinhu izvi zvinowedzera mukana wekukuvadzwa kwetatu:

• Kudzorwa kwakaipa kweglucose yeropa. Glucose isingadzorwe yeropa inowedzera mukana wezvinetso zvese zvechirwere cheshuga, kusanganisira kukuvara kwetatu.
• Nhoroondo yeChirwere cheshuga. mukana we diabetic neuropathy unowedzera kana munhu akarwara chirwere cheshuga kwenguva yakareba, kunyanya kana glucose yeropa isingadzorwe zvakanaka.
• Chirwere cheitsvo. Chirwere cheshuga chinokuvadza itsvo. Kukuvadzwa kweitsvo kunotuma chepfu muropa, izvo zvinogona kukonzera kukuvara kwetatu.
• Kuita uremu. Kuve ne body mass index (BMI) ye25 kana kupfuura kunogona kuwedzera mukana we diabetic neuropathy.
• Kusvuta. Kusvuta kunosvibisa uye kunomesa arteries, zvichiita kuti ropa risasvike pamagaro nemakumbo. Izvi zvinoita kuti zvive zvakaoma kuporesa maronda uye zvinokuvadza matatu ekunze.

Neuropathy yehukaha inogona kukonzera matambudziko akawanda akakomba, anosanganisira:

• **Kusaziva hypoglycemia.**mazinga eshuga eropa ari pasi pe70 milligrams pamudeciliter (mg/dL) — 3.9 millimoles paliter (mmol/L) — kazhinji anokonzera kudedera, kupererwa neperspiration nemwoyo unokurumidza kurova. Asi vanhu vane autonomic neuropathy vangasawana zviratidzo izvi zvechinyevero.
• Kurasikirwa nechiuno, tsoka kana gumbo. Kukuvadzwa kwetwo nerve kunogona kukonzera kurasikirwa nemanzwiro anotsoka, saka kunyange zvidimbu zvidiki zvinogona kuchinja kuva maronda kana zvimwe zvironda pasina kucherechedzwa. Muzviitiko zvakakomba, hutachiona hunogona kupararira kubhonzo kana kutungamira pakufa kwetsinga. Kubviswa (kucheka) kwechiuno, tsoka kana kunyange chikamu chegumbo kunogona kudiwa.
• Utachiona hwekutambanudza urinary uye urinary incontinence. Kana matwo nerve anotonga bhara anokuvadzwa, bhara rinogona kusabuda zvizere kana kuchinja. Mabhakitiriya anogona kuunganidzwa mubhara neitsvo, achiita kuti utachiona hwekutambanudza urinary huvepo. Kukuvadzwa kwetwo nerve kunogona kukanganisawo kugona kunzwa kuda kuenda kuchimbuzi kana kudzora tsandanyama dzinoburitsa weti, zvichikonzera kuyerera (incontinence).
• Kudonha kwakanyanya kweropa. Kukuvadzwa kwetwo nerve anotonga kuyerera kweropa kunogona kukanganisa kugona kwemuviri kugadzirisa ropa. Izvi zvinogona kukonzera kudonha kwakanyanya kweropa kana kumira mushure mekugara kana kurara, izvo zvinogona kutungamira pakunzwa musoro uye kupera simba.
• Matambudziko ekugaya. Kana kukuvadzwa kwetwo nerve kuchitika munzira yekugaya, kuvimbiswa kana manyoka, kana ese ari maviri anogoneka. Kukuvadzwa kwetwo nerve kunokonzerwa nehukaha kunogona kutungamira ku gastroparesis, mamiriro ayo mudumbu rinobuda zvishoma kana kuti harubude zvachose. Izvi zvinogona kukonzera kuzvimba uye kusagadzikana kwemudumbu.
• Kusashanda pabonde. Autonomic neuropathy kazhinji inokuvadza matwo nerve anokanganisa nhengo dzepabonde. Varume vanogona kuwana erectile dysfunction. Vakadzi vanogona kunetseka nekuzora uye kusimudzira.
• Kuwedzera kana kudzikira kwekupererwa neperspiration. Kukuvadzwa kwetwo nerve kunogona kukanganisa mashandiro emahwendefa eperspiration uye kuita kuti zvive zvakaoma kumuviri kudzora tembiricha yayo zvakakwana.

Unogona kudzivirira kana kunonoka kukuvara kwema nerve nekuda kweglucose yakawanda mumuviri (diabetic neuropathy) nezvinetso zvaro nekutarisira shuga yako yeropa zvakanaka uye nekutarisira tsoka dzako zvakanaka.

Chiremba wenyu anowanzoona chirwere cheshuga chinokanganisa tsinga nekutarisa muviri wenyu, nekuongorora zviratidzo zvenyu, uye nhoroondo yenyu yekurapa.

Chiremba wenyu anowanzo tarisa izvi:

Pamuviri pekuongorora muviri, chiremba wenyu angaita bvunzo dzakasiyana kuti akubatsire kuona chirwere cheshuga chinokanganisa tsinga, dzakadai se:

• Simba remazamu nekuoma kwemhasuru

• Kuita kwetendon reflexes

• Kunzwa kubata, kurwadziwa, kupisa, uye kudedera

• Kuongorora neFilament. Fiber ye nayironi yakapfava (monofilament) inoshandiswa pamativi emuviri wenyu kuti ione kunzwa kwenyu kubata.

• Kuongorora kunzwa. Bvunzo iyi isina kukuvara inoshandiswa kuona kuti tsinga dzenyu dzinoita sei kana paine kudedera kana kuchinja kwetembiricha.

• Kuongorora kukurumidza kwetsinga. Bvunzo iyi inoyerera kuti tsinga dziri mumaoko nemakumbo zvadzo zvinokurumidza sei kutumira masaini emagetsi.

• Electromyography. Inonziwo bvunzo yemunwe, bvunzo iyi inowanzoitwa pamwe chete nekuongorora kukurumidza kwetsinga. Inoyerera magetsi anobudiswa nemazamu enyu.

• Kuongorora autonomic system. Bvunzo dzakasiyana dzinogona kuitwa kuti dziione kuti kuita kweropa kwenyu kuchinja sei kana muri munzvimbo dzakasiyana, uye kana kuita kwemukaka wenyu kuri mukati memazinga akajairika.

Neuropathy ye shuga haina mushonga unozivikanwa. Zvinangwa zvekurapa ndezvekuti:

Kuchengeta shuga yeropa rako nguva dzose mukati merange yako ndiro kiyi yekudzivirira kana kunonoka kukuvara kwetatu. Kutonga zvakanaka kweshuga yeropa kunogona kunatsiridza zvimwe zviratidzo zvako zvino. Mupi wehutano hwako achaona range yakanakisa kwauri zvichienderana nezvinhu zvakaita sezera rako, kuti wakagara uine shuga kwenguva yakareba sei uye hutano hwako hwese.

mazinga eshuga yeropa anofanira kuve akaenzaniswa. Asi, kazhinji, American Diabetes Association (ADA) inokurudzira mazinga anotevera eshuga yeropa kune vanhu vakawanda vane shuga:

American Diabetes Association (ADA) kazhinji inokurudzira hemoglobin yakasanganiswa (A1C) ye7.0% kana pasi kune vanhu vakawanda vane shuga.

Mayo Clinic inokurudzira mazinga eshuga yeropa akaderera zvishoma kune vanhu vakawanda vechidiki vane shuga, uye mazinga akakwirira zvishoma kune vanhu vakwegura vane zvimwe zvirwere uye vanogona kunge vari panjodzi yakawanda yematambudziko eshuga yakaderera. Mayo Clinic kazhinji inokurudzira mazinga anotevera eshuga yeropa usati wadya:

Nzira dzakakosha dzekuomesa kana kudzivirira neuropathy kuti irege kuipa dzinosanganisira kuchengeta ropa rako riri pasi pekudzora, kuchengeta uremu hwakanaka uye kuita zvemuviri nguva dzose.

Mishonga yakawanda inowanikwa yezvirwere zvemarwadzo enhengo dzematumbu, asi haishande kune munhu wese. Paunofunga nezve chero mushonga, taura nemupi wehutano hwako nezve mabhenefiti uye zvinogona kuitika kuti uwane zvinogona kushanda kwauri.

Kurapa kwekurwadziwa kwemishonga kunogona kusanganisira:

Antidepressants. Vamwe vanoderedza kushushikana vanoderedza marwadzo etatu, kunyangwe usati wakanganiswa. Tricyclic antidepressants inogona kubatsira nemarwadzo etatu akapfava kusvika pakati. Mishonga iri muchikwata ichi inosanganisira amitriptyline, nortriptyline (Pamelor) uye desipramine (Norpramin). Zvinokonzeresa zvinogona kunetsa uye zvinosanganisira muromo wakaoma, kuvimba, hope uye kuoma kuisa pfungwa. Mishonga iyi inogona zvakare kukonzera dizziness paunochinja nzvimbo, senge kubva pakurara kusvika kumira (orthostatic hypotension).

Serotonin uye norepinephrine reuptake inhibitors (SNRIs) imhando imwe yeantidepressant inogona kubatsira nemarwadzo etatu uye ine zvishoma zvinokonzeresa. ADA inokurudzira duloxetine (Cymbalta, Drizalma Sprinkle) sechirwere chekutanga. Imwe inogona kushandiswa ndeye venlafaxine (Effexor XR). Zvinogona kuitika zvinosanganisira kusvotwa, hope, dizziness, kuderedza chido chekudya uye kuvimba.

Dzimwe nguva, antidepressant inogona kusanganiswa nemushonga wekurapa kuzvimba. Mishonga iyi inogona zvakare kushandiswa nemishonga inorwisa marwadzo, senge mishonga inowanikwa pasina mushonga. Semuenzaniso, unogona kuwana zororo kubva ku acetaminophen (Tylenol, vamwe) kana ibuprofen (Advil, Motrin IB, vamwe) kana patch yeganda ine lidocaine (chinhu chinonyaradza).

Kudzora matambudziko, ungada kutarisirwa kubva kune nyanzvi dzakasiyana. Izvi zvinogona kusanganisira nyanzvi inorwisa matambudziko eturakiti yekumisa (urologist) uye nyanzvi yemoyo (cardiologist) inogona kubatsira kudzivirira kana kurapa matambudziko.

Kurapa kwaunoda kunotsamira pane matambudziko ane chekuita ne-neuropathy aunayo:

Kuderera kweropa paunomira (orthostatic hypotension). Kurapa kunotanga nekuchinja kwakapusa kwemararamiro, sekusashandisa doro, kunwa mvura yakawanda, uye kuchinja nzvimbo senge kubva pakugara kusvika kumira zvishoma nezvishoma. Kurara nemusoro webhedhi wakasimudzwa masentimita 4 kusvika ku6 kunobatsira kudzivirira kuderera kweropa usiku.

Mupi wehutano hwako anogona zvakare kukurudzira rutsigiro rwekumanikidza mudumbu rako nemabvi (abdominal binder uye compression shorts kana stockings). Mishonga yakati wandei, imwe chete kana pamwe chete, inogona kushandiswa kurapa orthostatic hypotension.

• Kuenderera mberi kwakanyanya

• Kuderedza marwadzo

• Kudzora matambudziko uye kudzoreredza basa

• Pakati pe80 ne130 mg / dL (4.4 ne7.2 mmol / L) usati wadya

• Zvishoma pane 180 mg / dL (10.0 mmol / L) maawa maviri mushure mekudya

• Pakati pe80 ne120 mg / dL (4.4 ne6.7 mmol / L) kune vanhu vane makore 59 uye vaduku vasina zvimwe zvirwere

• Pakati pe100 ne140 mg / dL (5.6 ne7.8 mmol / L) kune vanhu vane makore 60 uye vakwegura, kana kune avo vane zvimwe zvirwere, kusanganisira mwoyo, mapapu kana chirwere cheitsvo

• Mishonga inorwisa kuzvimba. Mishonga yakawanda inoshandiswa kurapa zvirwere zvekuzvimba (epilepsy) inoshandiswawo kuderedza marwadzo etatu. ADA inokurudzira kutanga ne pregabalin (Lyrica). Gabapentin (Gralise, Neurontin) zvakare sarudzo. Zvinokonzeresa zvinogona kusanganisira hope, dizziness, uye kuzvimba mumaoko nemakumbo.

• Antidepressants. Vamwe vanoderedza kushushikana vanoderedza marwadzo etatu, kunyangwe usati wakanganiswa. Tricyclic antidepressants inogona kubatsira nemarwadzo etatu akapfava kusvika pakati. Mishonga iri muchikwata ichi inosanganisira amitriptyline, nortriptyline (Pamelor) uye desipramine (Norpramin). Zvinokonzeresa zvinogona kunetsa uye zvinosanganisira muromo wakaoma, kuvimba, hope uye kuoma kuisa pfungwa. Mishonga iyi inogona zvakare kukonzera dizziness paunochinja nzvimbo, senge kubva pakurara kusvika kumira (orthostatic hypotension).

  Serotonin uye norepinephrine reuptake inhibitors (SNRIs) imhando imwe yeantidepressant inogona kubatsira nemarwadzo etatu uye ine zvishoma zvinokonzeresa. ADA inokurudzira duloxetine (Cymbalta, Drizalma Sprinkle) sechirwere chekutanga. Imwe inogona kushandiswa ndeye venlafaxine (Effexor XR). Zvinogona kuitika zvinosanganisira kusvotwa, hope, dizziness, kuderedza chido chekudya uye kuvimba.

• Matambudziko eturakiti yekumisa. Mishonga yakawanda inokanganisa basa rebladder, saka mupi wehutano hwako anogona kukurudzira kumisa kana kuchinja mishonga. Chirongwa chekumisa chakasimba kana kumisa maawa mashoma (timed urination) uchishandisa kumanikidza zvinyoro nyoro munzvimbo yebladder (pazasi pemudumbu rako) inogona kubatsira matambudziko ebladder. Nzira dzakasiyana, kusanganisira self-catheterization, inogona kudiwa kubvisa urine kubva kubladder yakakuvara nenhengo.

• Matambudziko ekugaya. Kuderedza zviratidzo zvishoma nezviratidzo zve gastroparesis - indigestion, belching, kusvotwa kana kurutsa - kudya zvidiki, zvokudya zvakawanda kunogona kubatsira. Kuchinja kudya uye mishonga kunogona kubatsira kuderedza gastroparesis, manyoka, kuvimba uye kusvotwa.

• Kuderera kweropa paunomira (orthostatic hypotension). Kurapa kunotanga nekuchinja kwakapusa kwemararamiro, sekusashandisa doro, kunwa mvura yakawanda, uye kuchinja nzvimbo senge kubva pakugara kusvika kumira zvishoma nezvishoma. Kurara nemusoro webhedhi wakasimudzwa masentimita 4 kusvika ku6 kunobatsira kudzivirira kuderera kweropa usiku.

  Mupi wehutano hwako anogona zvakare kukurudzira rutsigiro rwekumanikidza mudumbu rako nemabvi (abdominal binder uye compression shorts kana stockings). Mishonga yakati wandei, imwe chete kana pamwe chete, inogona kushandiswa kurapa orthostatic hypotension.

• Kusashanda pabonde. Mishonga inotorwa nemuromo kana kuiswa inogona kuvandudza basa rebonda muvarume vamwe, asi haina kuchengeteka uye inoshanda kune munhu wese. Midziyo yekumanikidza yekumanikidza inogona kuwedzera ropa kuenda ku penis. Vakadzi vanogona kubatsirwa nevaginal lubricants.

Aya matanho anogona kukubatsira kunzwa zviri nani zvakazara uye kuderedza njodzi yako ye diabetic neuropathy:

Iva ane basa zuva nezuva. Kuita zvemuviri kunobatsira kuderedza shuga yeropa, kunovandudza kuyerera kweropa uye kuchengetedza moyo wako uine hutano. Tarisai maminitsi zana nemakumi mashanu ekuita zvemuviri zvine mwero kana maminitsi makumi manomwe nemashanu ekuita zvemuviri zvakasimba pavhiki, kana kusanganiswa kwekuita zvemuviri zvine mwero uye zvakasimba. Zvakare chirongwa chakanaka kuzorora kubva pakugara chero maminitsi makumi matatu kuti uwane mabhuru ekukurumidza ekuita zvemuviri.

Taunza nachiremba wenyu kana chiremba wekurapa kwemuviri usati watanga kuita zvemuviri. Kana iwe uine kunzwa kwakaderera mumitsipa yako, mamwe marudzi ekuita zvemuviri, senge kufamba, angave akachengeteka kupfuura mamwe. Kana uine kukuvara kwemutsoka kana kurwadziwa, rambai muchiita zvemuviri zvisingadi kuisa uremu pamutsoka wako wakakuvara.

• Chengetedza kuwedzera kweropa kwako kwakadzora. Kana iwe uine kuwedzera kweropa uye chirwere cheshuga, une njodzi yakakura yematambudziko. Edza kuchengetedza kuwedzera kweropa kwako munzvimbo yatinokurudzira chiremba wenyu, uye iva nechokwadi chekuti yatarwa pakuona kwese kwemhofisi.
• Sarudza zvekudya zvine hutano. Idya kudya kwakaringana kunosanganisira zvokudya zvakasiyana-siyana zvine hutano - kunyanya miriwo, michero uye zviyo zvizere. Deredza saizi yezvikamu kuti ubatsire kuzadzisa kana kuchengetedza uremu hwakanaka.
• Iva ane basa zuva nezuva. Kuita zvemuviri kunobatsira kuderedza shuga yeropa, kunovandudza kuyerera kweropa uye kuchengetedza moyo wako uine hutano. Tarisai maminitsi zana nemakumi mashanu ekuita zvemuviri zvine mwero kana maminitsi makumi manomwe nemashanu ekuita zvemuviri zvakasimba pavhiki, kana kusanganiswa kwekuita zvemuviri zvine mwero uye zvakasimba. Zvakare chirongwa chakanaka kuzorora kubva pakugara chero maminitsi makumi matatu kuti uwane mabhuru ekukurumidza ekuita zvemuviri.

Taunza nachiremba wenyu kana chiremba wekurapa kwemuviri usati watanga kuita zvemuviri. Kana iwe uine kunzwa kwakaderera mumitsipa yako, mamwe marudzi ekuita zvemuviri, senge kufamba, angave akachengeteka kupfuura mamwe. Kana uine kukuvara kwemutsoka kana kurwadziwa, rambai muchiita zvemuviri zvisingadi kuisa uremu pamutsoka wako wakakuvara.

• Rega kusvuta. Kushandisa fodya chero ipi zvayo kunokukonzera kuti uve nemukana mukuru wekuwana kuyerera kwakaipa kweropa mumitsipa yako, izvo zvinogona kukonzera matambudziko ekurapa. Kana uchishandisa fodya, taura nachiremba wenyu nezvekuwana nzira dzekurega.