Diabetic Neuropathy Chii? Zviratidzo, Zvinokonzera, & Kurapwa

Diabetic neuropathy kukuvadzwa kwetwoma kunowanikwa kana shuga yakawanda yeropa kubva kuchirwere cheshuga ichikuvadza matwoma ako nekufamba kwenguva. Iri rimwe remagomba anowanzoitika echirwere cheshuga, anokanganisa kusvika hafu yevanhu vose vane chirwere ichi. Kunyange zvazvo izvi zvinganzwa zvichitya, kunzwisisa zviri kuitika mumuviri wako kunogona kukubatsira kutora matanho ekudzora zvinobudirira uye kuchengetedza hupenyu hwako hwakanaka.

Diabetic neuropathy chii?

Diabetic neuropathy inoitika kana mazinga eshuga yeropa akakwirira nguva dzose akakuvadza midziyo midiki yeropa inopa oksijeni nezvokudya kumatwoma ako. Funga nezvematwoma ako sewaya dzemagetsi dzinounza mashoko mumuviri wako wose. Kana chirwere cheshuga chikakanganisa “waya” idzi, hadzikwanisi kutumira zviratidzo zvakakodzera pakati peuropi rako nechikamu chakasiyana-siyana chomumuviri wako.

Kukuvadzwa uku kwetwoma kunowanzoitika zvishoma nezvishoma kwemakore, zvinoreva kuti ungasazviona zviratidzo pakarepo. Mashoko akanaka ndeawo kuti kudzora kwakanaka kweshuga yeropa kunogona kudzikisira zvakanyanya kana kutomira kukuvadzwa kwetwoma kunowedzera kuitika.

Muviri wako une marudzi akasiyana-siyana etwoma, uye diabetic neuropathy inogona kukanganisa chero ipi zvayo. Zvimwe zvinodzora kunzwa mumaoko nemakumbo ako, zvimwe zvinodzora sisitimu yako yokugaya, uye zvimwe zvinodzora kuzunguza kwemoyo wako nekuwedzera kweropa.

Marudzi api eDiabetic Neuropathy?

Kune marudzi mana makuru eDiabetic Neuropathy, rimwe nerimwe richikanganisa zvikamu zvakasiyana-siyana zesimba rematwoma. Kunzwisisa marudzi aya kunogona kukubatsira kuziva zviratidzo uye kushanda nesangano rako rezvekurapa zvakanyanya.

Peripheral neuropathy rudzi runowanzoitika, runokanganisa matwoma ari mumakumbo ako, makumbo, maoko, uye maoko. Izvi zvinowanzo tanga pazvigunwe zvako wozoenda kumusoro, zvichikonzera kusanzwa, kuchema, kana kurwadziwa kunowanzoipisisa usiku.

Neuropathy ye autonomic inokanganisa tsinga dzinoita basa rekuita kuti nhengo dzemukati dzako dzigare dzichiita basa. Izvi zvinogona kukanganisa sisitimu yako yekugaya, bhara, basa rebonda, kurova kwemoyo, uye kudzora kweropa. Tsinga idzi dzinobata basa dzoga, saka ungasaziva kuti pane dambudziko kusvika pazviratidzo zvaonekwa.

Neuropathy yeProximal inokanganisa tsinga dziri mumabvi ako, chiuno, matako, uye makumbo. Kazhinji inokanganisa divi rimwe chete remunhu uye inogona kukonzera kurwadziwa kwakanyanya nekushaya simba kwemhasuru. Rudzi urwu haruwanzowanikwa asi runogona kunetsa zvikuru kana rwakaitika.

Neuropathy yeFocal inokanganisa tsinga imwe chete, kazhinji iri mumusoro, muviri, kana gumbo. Inogona kukonzera kurwadziwa kwakanyanya nekukurumidza uye kushaya simba munzvimbo dzakatarwa. Kunyange rudzi urwu runogona kutya, kazhinji runovandudzika rwoga nekufamba kwenguva nerurapwo rwakanaka.

Zviratidzo zve diabetic neuropathy ndeapi?

Zviratidzo zvaunonzwa zvinoenderana nerudzi rwe neuropathy yaunayo uye tsinga dzakakanganiswa. Vanhu vazhinji havaoni zviratidzo pakutanga, ndosaka kuongororwa nguva dzose nachiremba kwakakosha kwazvo.

Kune peripheral neuropathy, ungacherechedza kuchinja uku mumaoko ako nemakumbo:

• Kunzwa kwekukwakuka kana kupisa, kunyanya usiku
• Kurwadziwa kwakapinza, kunouya nekunoenda
• Kusanzwa kana kuderedzwa kwekunzwa kurwadziwa kana kupisa
• Kuwedzera kunzwa kubata (kunyange mashiti ebhedhi anganzwa asingafadzi)
• Kushaya simba kwemhasuru uye kuoma nekubatana
• Matambudziko emumutsoka senge maronda, hutachiona, kana kuchinja kweumboo

Zviratidzo izvi kazhinji zvinotanga zvishoma nezvishoma uye zvinogona kuonekwa zvakanyanya kana uri kuzorora kana uri kuedza kurara.

Autonomic neuropathy inogona kukonzera zviratidzo zvakasiyana nekuti inokanganisa nhengo dzako dzemukati:

• Zvirwere zvekutadza kumesa zvakaita senzara, kurutsa, kuzvimba mudumbu, kana kuchinja kwekuita kwematumbu
• Matambudziko emukati, anosanganisira kuenda kazhinji kuchimbuzi kana kuoma kubudisa mvura yose iri mubladder
• Kusakwanisa pabonde kune varume nevakadzi
• Kuomerwa kuziva nguva dzeshuga yakaderera mumuviri
• Kufenda kana wakamira nekuda kwekuchinja kweropa
• Kusagadzikana kwemoyo
• Kuwedzera kana kuderedza kwekuparadza kwemuviri

Zviratidzo izvi zvinogona kukanganisa hupenyu hwako hwezuva nezuva zvakanyanya, asi zvizhinji zvinogona kutarisirwa zvakanaka ne nzira yekurapa yakakodzera.

Zviratidzo zveProximal ne focal neuropathy zvakanyanya kunangana nenzvimbo dzakabatwa. Unogona kuwana kurwadziwa kwenguva pfupi, kwakasimba muhudyu, gumbo, kana nzvimbo yemabvi neproximal neuropathy. Focal neuropathy inogona kukonzera kuona kaviri, kurwadziwa kwemaziso, kuora kwemutsipa kune rumwe rutivi, kana kurwadziwa kwakasimba mudumbu, zvichienderana ne nerve yakabatwa.

Chii chinokonzera diabetic neuropathy?

mazinga eshuga yakakwira kwenguva yakareba ndiwo chikonzero chikuru chediabetic neuropathy. Kana glucose ikagara yakakwira muropa rako, inogadzira mamiriro anokuvadza anokuvadza zvishoma nezvishoma mitsipa yako nemidziyo midiki yeropa inovadyisa.

Kukuvadzwa uku kunoitika kuburikidza nemaitiro akawanda mumuviri wako.mazinga epamusoro e glucose anogona kukuvadza zvakananga matanda emitsipa uye kukanganisa kugona kwavo kutumira zviratidzo. Shuga yakawandisa inokonzerawo kuzvimba mukati mehurongwa hwako hwemitsipa, zvichiwedzera kukuvadza kwemitsipa.

Uyezve, shuga yakakwira inokuvadza midziyo midiki yeropa inopa oksijeni nezvinovaka muviri kumitsipa yako. Pasina kuyerera kwakakwana kweropa, mitsipa yako haigone kushanda zvakanaka uye inogona kufa pakupedzisira. Maitiro aya anowanzoitika zvishoma nezvishoma kwemwedzi kana makore.

Zvinhu zvakati wandei zvinogona kuwedzera njodzi yako yekuwana diabetic neuropathy kunze kwehuga yakakwira chete:

• Kusawirwa kweshuga yeropa kwenguva refu
• Kuva nedenda reshuga kwemakore mazhinji
• Kuzama kana kuzara
• Kuderera kweropa
• Kuwanda kwecholesterol
• Kusvuta, kunoderedza kuyerera kweropa kunerve
• Zvinhu zvemagariro zvinoita kuti vamwe vanhu vave panjodzi yakakura

Kunzwisisa zvinhu izvi zvinokonzera njodzi kunokupa simba rekuita zvaunogona kuchinja, zvichida kudzikisira kana kudzivirira kukuvara kwenerve.

Rini unofanira kuona chiremba nezve diabetic neuropathy?

Unofanira kubata nehutano hwako kana ukaona chero zviratidzo zvinogona kuratidza kukuvara kwenerve. Kuonekwa nekurapwa pakutanga kunogona kuita musiyano mukuru mukudzivirira matambudziko akawanda uye kutarisira zviratidzo zvako zvinobudirira.

Fonera chiremba wako nekukurumidza kana ukaona kupfava, kupisa, kana kusanzwa mumaoko kana tsoka dzako. Izvi zviratidzo zvekutanga hazvifanirwe kuregererwa, kunyangwe zvichinzwa zvishoma. Timu yako yehutano inogona kuongorora kana zviratidzo izvi zvine chekuita ne neuropathy uye kutanga kurapwa kwakakodzera.

Tsvaga rubatsiro rwekurapa nekukurumidza kana ukawana chero chimwe chezviratidzo zvakakomba izvi:

• Kuchekwa kana kuvira patsoka yako kunorasikirwa nekurapa kana kuratidza zviratidzo zvehutachiona
• Kurwadziwa kwenguva pfupi, kwakasimba mumitsipa, chiuno, kana matako
• Kusvotwa kwenguva refu, kurutsa, kana kuchinja kwekuita kwematumbo
• Kuomerwa kuziva kana shuga yako yeropa iri pasi
• Kuzorora kana kupera simba kana wakamira
• Kuchinja mukuona kwako, kunyanya kuona kaviri

Zviratidzo izvi zvinogona kuratidza neuropathy yakakomba kana matambudziko anoda kurapwa nekukurumidza kudzivirira matambudziko akakomba.

Kunyangwe usina zviratidzo, zvakakosha kuita bvunzo dzetsoka dzenguva dzose uye bvunzo dzekushanda kwenerve sechikamu chekurapa kwako kwedenda reshuga. Mupi wako wehutano anogona kuona kukuvara kwenerve pakutanga usati waziva chero matambudziko, achibvumira kupindira pakutanga.

Ndezvipi zvinhu zvinokonzera njodzi ye diabetic neuropathy?

Zvinhu zvakati wandei zvinogona kuwedzera mikana yako yekuwana diabetic neuropathy, kunyange zvimwe zviri mukudzora kwako nepo zvimwe zvisiri. Kunzwisisa aya njodzi kunogona kukubatsira kufunga paminda yaunogona kuita shanduko dzakanaka.

Zvinhu zvinokosha zvinodzorwa zvinosanganisira:

• Kudzorwa kwakaipa kweglucose yeropa, kunyanya maA1C mazinga anogara ari pamusoro pe7%
• Nguva yehutachiona hweshuga (njodzi inowedzera kana uchinge wava nehutachiona hweshuga kwenguva yakareba)
• Kuita uremu, izvo zvinogona kuipa insulin resistance
• Kuvharwa kwepamusoro kweropa kunokuvadza ropa
• MaCholesterol epamusoro anowedzera matambudziko eropa
• Kusvuta, izvo zvinoderedza kuyerera kweropa kunerves muviri wako wese
• Kunwa doro zvakanyanya, izvo zvinogona kuva chepfu kune nerves

Aya maitiro kazhinji anoshanda pamwe chete, saka kugadzirisa akawanda kunogona kuderedza njodzi yako yekuwana neuropathy kana kunonoka kufambira mberi kwayo.

Zvimwe zvinhu zvenjodzi zvausingakwanisi kuchinja asi unofanira kuziva zvinosanganisira zera rako (njodzi inowedzera sezvaunokura), genetics (nhoroondo yemhuri ye neuropathy), uye rudzi rweshuga yaunayo. Vanhu vane chirwere cheshuga chechirudzi 1 havambosviki neuropathy mumakore mashanu ekutanga mushure mekuongororwa, nepo avo vane chirwere cheshuga chechirudzi 2 vangave vatova nekuvadzwa kwematumbu pavanenge vachiongororwa kekutanga.

Zvimwe zvirwere zvisingawanzoitiki zve genetic zvinogona zvakare kuwedzera kukwanisa kwako kukuvara kwematumbu, kunyange aya anoreva chikamu chidiki che diabetic neuropathy kesi. Chiremba wako anogona kukubatsira kunzwisisa profile yako yemunhu uye kugadzira hurongwa hwekudzivirira hunoshanda ne mamiriro ako.

Ndezvipi zvinogona kuitika zvinetso zve diabetic neuropathy?

Diabetic neuropathy inogona kutungamira kune zvinetso zvakati wandei kana ikasabatwa, asi kunzwisisa aya mikana kunogona kukubatsira kutora matanho ekudzivirira. Mashoko akanaka ndeayo kuti zvinetso zvakawanda zvinogona kudzivirirwa nekutarisirwa kwakakodzera nekugadzirisa.

Matambudziko ezvibhakera ari pakati pezvinetso zvakajairika uye zvakakomba zve peripheral neuropathy. Kana wakarasikirwa nekunzwa mumabvi ako, ungasazive nezvemakatsi madiki, mablister, kana maronda anogona kuita hutachiona.

Aya matambudziko ezvibhakera anogona kufambira mberi kubva kumatambudziko maduku kuenda kumatambudziko makuru:

• Maronda anononoka kupora anova nehutachiona
• Maronda anopinda zvakadzika munyama
• Kukuvadzwa kwemapfupa nemapfundo (Charcot foot)
• Muitiro wakakomba, kucheka kungave kuri kudikanwa

Zvisinei, nekutarisirwa kwezvibhakera zuva nezuva uye kuongororwa kazhinji, zvizhinji zvematambudziko aya zvinogona kudzivirirwa zvachose.

Autonomic neuropathy inogona kukonzera matambudziko ane chekuita nemidziyo yako yemukati. Sisitimu yako yekugaya inogona kunonoka zvakanyanya, zvichiita kuti chikafu chirambe chichiri mudumbu kwenguva yakareba (gastroparesis). Izvi zvinogona kuita kuti kudzora shuga yeropa kuve kwakaoma uye kukonzera kurutsa, kurutsa, uye shanduko dzisingatarisirwi dzeshuga yeropa.

Matambudziko ane chekuita nemwoyo anogona kusanganisira njodzi yakawedzera yechirwere chemwoyo uye kuoma kuziva matambudziko emwoyo. Vamwe vanhu vane autonomic neuropathy havaoni marwadzo akajairika pachipfuva panguva yekurwisa kwemwoyo, izvo zvinogona kukanganisa kurapwa. Matambudziko ekudzora kweropa anogona zvakare kuwedzera njodzi yekuwa nekukuvara.

Matambudziko ekubuda kwemukati anogona kusanganisira hutachiona hwakawanda hwetsvo, kuoma kubudisa bhara zvizere, uye mumamiriro ezvinhu asingawanzoitika, kukuvara kwetsvo. Kusakwanisa pabonde kunogona kukanganisa varume nevakadzi uye kunogona kukanganisa hukama uye hupenyu hwakanaka.

Kunyangwe aya matambudziko achinzwa achinetsa, zvakakosha kuyeuka kuti anokura zvishoma nezvishoma uye anogona kudzivirirwa zvakanyanya nekutonga kwakanaka kwechirwere cheshuga nekurapwa kwakajairwa kwechiremba.

Ungadzivirira sei diabetic neuropathy?

Nzira inonyanya kushanda yekudzivirira neuropathy yehutachiona ndeyekuchengeta huwandu hweshuga yeropa padhuze neyakajairika sezvinobvira. Kudzora kwakanaka kweshuga yeropa kunogona kudzivirira kukuvara kwetsimba kubva pakutanga uye kunononoka kuenderera mberi kana kukuvara kwakatanga kare.

Nhanho yako yeA1C inofanira kunge iri pasi pe7%, kunyange chiremba wako angakurudzira chinangwa chakasiyana zvichienderana nemamiriro ako. Kuongorora shuga yako yeropa nguva dzose uye kushanda nechikwata chako chehutano kuti uchinje mishonga yako kunogona kukubatsira kusvika uye kuchengetedza zvinangwa izvi.

Kunze kwekudzora shuga yeropa, shanduko dzakawanda dzehupenyu dzinogona kuderedza njodzi yako zvakanyanya:

• Chengetera uremu hwakanaka kuburikidza nekudya kwakaringana uye kurovedza muviri nguva dzose
• Chengetera kuyerwa kweropa rako pasi pe130/80 mmHg
• Tarisa mazinga echolesterol nedhayeti, kurovedza muviri, uye mishonga kana zvichidiwa
• Rega kusvuta, sezvo kunokuvadza ropa rinogovera matsimba ako
• Deredza kushandiswa kwe doro, izvo zvinogona kuva chepfu kumatsimba
• Ita kurovedza muviri nguva dzose kuti uwedzere kuyerera kweropa uye hutano hwematsimba

Aya matsamba ekudzivirira anoshanda zvakanaka kana akabatana pamwe chete pane kuisa pfungwa pane imwe nzvimbo chete.

Kutarisa tsoka dzako zuva nezuva kunokosha pakudzivirira matambudziko. Ongorora tsoka dzako zuva nezuva kuti uone kana paine makatsi, mablister, kana kuchinja kwemavara. Geza zvinyoro nyoro nemvura inodziya, woomesa zvakakwana, uye nyoro kuti udzivise kupwanya. Nguva dzose pfeka shangu dzakakodzera uye usambofa wakafamba uchitsvina.

Kuongororwa kwehutano nguva dzose kunokosha pakutsvaga nekudzivirira pakutanga. Chiremba wako anofanira kuongorora tsoka dzako uye kuyedza basa rematsimba ako kanenge kamwe pagore, kana kazhinji kana iwe uine zviratidzo kare. Kuongororwa kwemaziso, bvunzo dzebasa reitsvo, uye kuongororwa kwehutano hwemoyo zvinokoshawo muzvikamu zvakakwana zvekuchengetedza chirwere cheshuga.

Neuropathy yehutachiona inozwiwa sei?

Kuongorora chirwere cheshuga chinokanganisa tsinga kunosanganisira bvunzo dzakawanda nekuongororwa kunobatsira chiremba wenyu kunzwisisa kuti ndedzipi tsinga dzakakuvadzwa uye kuti zvakakomba sei. Maitiro acho anowanzo tanga nehurukuro yakadzama pamusoro pezviratidzo zvako uye nhoroondo yekurapa.

Chiremba wenyu achakubvunza nezve chero kupisa, kupisa, kusava nemanzwiro, kana kurwadziwa kwawakamboita, kunyanya mumaoko nemaoko ako. Vachazopindawo nezve matambudziko ekugaya, matambudziko ebladder, kusashanda pabonde, kana zvimwe zviratidzo zvinogona kuratidza autonomic neuropathy.

Kuongororwa kwemuviri kunowanzo sanganisira bvunzo dzakapusa dzinoongorora basa retsika dzako:

• Kuongorora reflexes dzako uchishandisa hummer duku
• Kuongorora kugona kwako kunzwa kubata kwakapfava nebhurushi rakapfava kana cotton
• Kuongorora kunzwa kwekushisa nezvinhu zvinopisa uye zvinotonhora
• Kuongorora kunzwa kwekuzunguza uchishandisa tuning fork
• Kuongorora tsoka dzako kuti uone kana paine maronda, hutachiona, kana matambudziko emuviri

Bvunzo idzi hadzina marwadzo uye dzinopa chiremba wenyu ruzivo rwakakosha pamusoro pebasa retsika dzako.

Bvunzo dzakasarudzika zvakanyanya dzinogona kudikanwa kana zviratidzo zvako zvakakomba kana kana chirwere chisina kujeka. Kudzidza kwekuita kwetsinga kunoyera kuti magetsi emagetsi anofamba nekukurumidza sei kuburikidza netsinga dzako. Electromyography (EMG) inoyera kuti tsandanyama dzako dzinoita sei kune zviratidzo zvetsika. Bvunzo idzi dzinogona kuratidza chaizvo kuti ndedzipi tsinga dzakakuvadzwa uye kuti zvakakomba sei.

Kune autonomic neuropathy, chiremba wenyu anogona kuita bvunzo dzinongorora kusiyana kwemoyo wako, kuchinja kweropa kana wamira, kana kuti sisitimu yako yekugaya iri kushanda zvakanaka sei. Bvunzo idzi dzinobatsira kuona kana tsinga dzinoongorora nhengo dzako dzemukati dzakakuvadzwa.

Bvunzo dzeropa zvakakoshawo kubvisa zvimwe zvinokonzera kukuvara kwetsinga uye kuongorora kuti chirwere cheshuga chako chinotungamirwa zvakanaka sei. Chiremba wenyu achaongorora A1C yako, basa reitsvo, mazinga e vitamin B12, uye basa re thyroid.

Kurapa kweNeuropathy yeShuga ndechii?

Kurapa kweNeuropathy yeShuga kunonyanya kukoshesa kudzora kana kumisa kukura kwekuvadza kwetsimba uye kutarisira zviratidzo zvako kuti uwedzere hupenyu hwako. Kurapa kwakakosha ndekukwanisa uye kuchengetedza kudzora kwakanaka kweshuga yeropa.

Kudzorwa kweshuga yeropa kunoramba kuri chinhu chikuru chekurapa. Chiremba wako acashanda newe kuti aite zvirinani mishonga yako yeshuga uye agadzire chirongwa chekutarisa shuga yeropa. Izvi zvinogona kusanganisira kugadzirisa huwandu hwe insulin, kuedza mishonga mitsva, kana kushandisa ma continuous glucose monitors kuti uteedzere zviri nani mazinga ako.

Kudzorwa kurwadziwa kazhinji kunodiwa kune vanhu vane neuropathy inorwadza. Marudzi akawanda emishonga anogona kubatsira kuderedza kurwadziwa kwetsimba:

• Mishonga inodzora kuchema senge gabapentin kana pregabalin inodzikamisa matsimba anoshanda zvakanyanya
• Mishonga inodzora kuora mwoyo senge duloxetine kana amitriptyline inokanganisa zviratidzo zvekukuvadzwa
• Kurapa kunoshandiswa panzvimbo yakakuvadzwa senge capsaicin cream yekurwadziwa kwakatarwa
• Muimwe nguva, mishonga inorwisa kurwadziwa inogona kudiwa

Chiremba wako anotanga nemishonga yakachengeteka uye inoshanda zvakanyanya, ozochinja zvichienderana nekuti unopindura sei kurapwa.

Kune autonomic neuropathy, kurapa kunonyanya kukoshesa zviratidzo zvakatarwa. Gastroparesis inogona kurapwa nemishonga inobatsira mudumbu rako kuti rirase chikafu nekukurumidza, kuchinja kudya, kana mumamiriro ezvinhu akaoma, matumbo ekudyisa. Matambudziko emukati anogona kutarisirwa nemishonga, catheterization, kana nzira dzekuita.

Mishonga yekudzivirira kuderera kweropa inogona kubatsira kana uine orthostatic hypotension (kuzvinzwa uchizorora kana wakamira). Kusakwanisa pabonde kunogona kurapwa nemishonga, zvishandiso, kana mazano. Chimwe nechimwe chezviratidzo chinoda nzira yakagadzirirwa zvichienderana nemamiriro ako chaiwo.

Kurapa kusina mishonga kunogonawo kubatsira zvikuru. Physiotherapy inogona kuvandudza simba, kuenzana, uye kugadzikana kana uine kushaya simba kwemhasuru. Occupational therapy inogona kukudzidzisa nzira dzekugadzirisa mabasa ezuva nezuva. Kuita zvemitambo nguva dzose, kunyanya kushambira kana kufamba, kunogona kuvandudza kuyerera kweropa kunerve dzako uye kubatsira pakurapa marwadzo.

Vamwe vanowana zororo nemakurapa anowedzera senge acupuncture, massage, kana transcutaneous electrical nerve stimulation (TENS). Kunyange aya kurapa asingarapisi neuropathy, anogona kubatsira kuderedza marwadzo uye kuvandudza hutano hwako hwose kana akashandiswa pamwe chete nemakurapa akajairika.

Maitiro ekutarisira diabetic neuropathy pamba?

Kutarisira diabetic neuropathy pamba kunosanganisira tsika dzezuva nezuva dzinogona kuvandudza zviratidzo zvako zvikuru uye kudzivirira matambudziko. Chinhu chikuru ndechekusimudzira tsika inova tsika yechipiri uye inokwana muhupenyu hwako.

Kutarisa shuga yeropa uye kutarisirwa kwacho kunofanira kuva chinhu chako chikuru. Tarisa shuga yako yeropa sezvakarayirwa nachiremba wako, tora mishonga sezvakarayirwa, uye utevere chirongwa chako chekudya zvakasimba. Chengeta rekodhi yekuverenga kwako uye cherechedza chero maitiro ane chekuita nezviratidzo zvako.

Kutarisira tsoka zuva nezuva kunokosha kana uine peripheral neuropathy. Tarisa tsoka dzako zuva nezuva, uchitsvaka kukatwa, mablister, kuzvimba, kana kuchinja kwemavara. Shandisa giraidhi kana kukumbira mumwe munhu kuti akupe rubatsiro kuona pasi petsoka dzako. Geza tsoka dzako nemvura inodziya (isiri inopisa) uye dzomesa zvakakwana, kunyanya pakati pezvigunwe zvako.

Shangu dzakakodzera dzinogona kudzivirira matambudziko mazhinji:

• Pfeka shangu dzinoenderana zvakanaka uye hadzina kuita pressure points
• Tarisa mukati meshangu dzako usati wazvipfeka
• Pfeka masokisi akachena, akapfava uye uchinje zuva nezuva
• Usambofamba uchinge usina shangu, kunyange mukati meimba
• Funga nezveshangu dzekurapa kana zvakakurudzirwa nachiremba wako

Aya matanho ari nyore anogona kudzivirira matambudziko mazhinji etsoka usati atanga.

Kudzora marwadzo pamba kunogona kusanganisira kuisa kupisa kana chando munzvimbo dzine marwadzo, kurovedza muviri kwakapfava, kana nzira dzekudzikamisa dzakadai sekufemera kwakadzama kana kufungisisa. Vamwe vanhu vanoona kuti kukwidza tsoka dzavo kana kupfeka masokisi ekutambanudza kunobatsira nemarwadzo nekukura.

Kana uine autonomic neuropathy, ungada kuita shanduko dzekudya kuti utonge gastroparesis. Kudya zvidiki, zvokudya zvakawanda uye kusarudza zvokudya zviri nyore kugaya kunogona kubatsira. Kugara wakanyorova kunokosha, kunyanya kana uine matambudziko ekugaya.

Kuita nharaunda yepamba yakachengeteka kunokosha kana uine matambudziko ekururamisira kana kunzwa kwakaderera. Bvisa zvinokonzera kukurumidza, ita shuwa kuti kune chiedza chakanaka, uye funga nezvekuisa mabara ekubata mukamuri yekugezera. Chengetedza nhamba dzekukurumidzira dziri nyore kuwana.

Ungagadzirira sei kuenda kuna chiremba?

Kuagadzirira kuenda kuna chiremba kunogona kukubatsira kuti utore mukana wenguva yenyu pamwe chete uye uve nechokwadi chekuti zvinetso zvako zvose zvinogadziriswa. Kugadzirira zvakanaka kunotungamirira pakukurukurirana kwakanaka uye kuronga kurapwa kwakanyanya kushanda.

Tanga nekugara uchinyora zviratidzo zvevhiki kana mbiri usati waenda kuna chiremba. Nyora kuti zviratidzo zvinoitika riini, zvakakura sei, chii chinozviita zvakanaka kana zvakaipa, uye zvinoita sei pane zviitiko zvako zvezuva nezuva. Ruzivo urwu runobatsira mushandi wako wehutano kunzwisisa mamiriro ako zvakanaka.

Uya nehunyanzvi hwemishonga yose yaunotora, kusanganisira mishonga inorayirwa, mishonga inowanikwa pasina kuraira, mavhitamini, uye zvinowedzerwa. Nyora zviyero uye kuti unotora imwe neimwe kakawanda sei. Izvi zvinobatsira kudzivirira kusanganiswa kwemishonga kunotyisa uye kuve nechokwadi chekuti chirongwa chako chekurapa chakakwana.

Gadzirira mibvunzo chaiyo yekubvunza mushandi wako wehutano:

• Ndeipi mhando ye neuropathy yandinayo, uye yakakomba sei?
• Ndeapi maitiro ekurapa aripo ezvinhu zvangu?
• Ndingadzorera sei shuga yangu yeropa kuti ndidzivise kukura kwechirwere ichi?
• Ndeapi mazviratidzo ekunyevera andinofanira kutarisa kuti anoda kutarisirwa nekukurumidza?
• Kazhinji mangani ndinofanira kuita misangano yekutevera uye bvunzo?
• Kune mabasa api andinofanira kudzivisa kana kuchinja?

Nyora mibvunzo yako usati wasvika kuitira kuti urege kuikanganwa panguva yekuonana nachiremba.

Uya nebhuku rako reshuga yeropa, kusanganisira kuverenga kwazvino uye chero maitiro awakacherechedza. Kana uchishandisa continuous glucose monitor, uya nedata kana kugadzirira kugovera nachiremba wako. Ruzivo urwu runokosha pakugadzirisa chirongwa chako chekudzora chirwere cheshuga.

Funga kuuya neshamwari yakavimbika kana nhengo yemhuri pakuonana kwako. Vanogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro. Kuva nemunhu mumwe chete ipapo kunogona kukubatsirawo kufunga nezve mibvunzo yausingafunge.

Taura chokwadi nezve zviratidzo zvako, kunyangwe zvichinhuvadza kana zvichiita sekusina hukama nechirwere cheshuga chako. Matambudziko ehukoshi, matambudziko ekugaya, uye kuchinja kwemanzwiro zvose zvinogona kuwirirana ne neuropathy uye kudzora chirwere cheshuga. Chiremba wako anoda ruzivo rwakakwana kuti akubatsire zvinobudirira.

Chii chinonyanya kukosha nezve diabetic neuropathy?

Chinhu chinonyanya kukosha kunzwisisa nezve diabetic neuropathy ndechekuti inonyanya kudzivirirwa uye inogona kudzorwa nekutarisirwa kwakakodzera. Kunyangwe kukuvara kwemitsipa kubva kuchirwere cheshuga kungave kwakakomba, une simba rakakura pakuti kuchabudirira here uye kuti kuchaenderera mberi sei.

Kudzorwa kwakanaka kweshugar yeropa ndicho chombo chako chakakosha chekudzivirira uye kudzora diabetic neuropathy. Kuchengeta A1C yako iri pasi pe7% uye kuchengetedza nhanho dzakagadzikana dzeshuga yeropa zuva rese kunogona kudzivirira kukuvara kwemitsipa kubva pakutanga uye kunonoka kukura kana kwatove kwakatanga.

Kuwanikwa kwakurumidza nekurapwa kunoita musiyano mukuru mumigumisiro. Kuongororwa nguva dzose neanokutarisira utano hwako, kuongorora tsoka zuva nezuva, uye kucherechedza zviratidzo zvemuviri wako zvinogona kubatsira kubata matambudziko usati asvika pakukanganisa kukuru.

Yeuka kuti diabetic neuropathy chirwere chinowanzoitika, asi hachifanirwe kutonga hupenyu hwako. Nekutarisirwa kwakakodzera, vanhu vakawanda vane neuropathy vanoramba vachirarama hupenyu hunoshanda, hunogutsa. Chinhu chikuru ndechokushanda pedyo nechikwata chako cheutano uye kuramba wakazvipira kuronga kwako kwehutano hwechirwere cheshuga.

Usarega kutya kana kunyara kukuvhara kutsvaga rubatsiro. Vanokutarisira utano hwako varipo kuti vakutsigire pane zvese zvekutarisira chirwere cheshuga, kusanganisira matambudziko anogona kuunzwa ne neuropathy. Nerimwe nzira yakakodzera, unogona kubudirira kutarisira chirwere ichi uye kuchengetedza mhando yehupenyu hwako.

Mibvunzo inowanzo bvunzwa nezve diabetic neuropathy

Diabetic neuropathy inogona kudzoserwa here?

Kunyangwe kukuvara kwetatu kubva ku diabetic neuropathy kazhinji kuri kusingaperi, kutonga kwakanaka kweshuga yeropa kunogona kumisa kufambira mberi uye dzimwe nguva kunotungamira pakuvandudzika kwakaderera mune zviratidzo. Vamwe vanhu vanonzwa kurwadziwa kwakaderera uye kushanda kwakanaka kwetatu kana vakasvika uye vakachengeta mazinga eshuga yeropa. Chinhu chikuru kutanga kurapwa nekukurumidza sezvinobvira uye kuchengetedza kutarisirwa kwenguva dzose kwechirwere cheshuga.

Inotora nguva yakareba sei kuti diabetic neuropathy ibude?

Diabetic neuropathy kazhinji inouya zvishoma nezvishoma kwemakore akawanda eshuga yeropa isina kutongwa zvakanaka. Vanhu vane chirwere cheshuga chemarudzi 1 havanyanyi kuwana neuropathy mumakore mashanu ekutanga mushure mekuongororwa. Zvisinei, avo vane chirwere cheshuga chemarudzi 2 vangangove vakatova nekuvadzwa kwetatu panguva yekuongororwa kwekutanga nekuti chirwere ichi chinogona kusazivikanwa kwemakore mazhinji usati wazviratidza.

Diabetic neuropathy inorwadza kune munhu wese here?

Hapana munhu wese ane diabetic neuropathy anonzwa marwadzo. Vamwe vanhu vane kushaya kunzwa kana kurasikirwa nekunzwa pasina marwadzo, nepo vamwe vachinzwa kupisa, kuruma, kana kupfava. Rudzi uye kuomarara kwezviratidzo zvinoenderana nemitsipa yakabatwa uye huwandu hwekukuvara kwakaitika. Matanho emarwadzo anogonawo kuchinja zuva nezuva.

Kuita zvemuviri kunogona kubatsira here ne diabetic neuropathy?

Hungu, kuita zvemuviri nguva dzose kunogona kubatsira zvikuru pane diabetic neuropathy. Kuita zvemuviri kunovandudza kuyerera kweropa kumitsipa, kunobatsira kudzora matanho eshuga yeropa, uye kunogona kuderedza marwadzo kune vamwe vanhu. Kuita zvemuviri kwakasununguka senge kufamba, kushambira, kana kukwira bhasikoro kazhinji ndizvo zvakanakira. Gara uchibvunza chiremba wako usati watanga chirongwa chitsva chekuita zvemuviri, kunyanya kana uine matambudziko ekururamisira kana matambudziko emutsoka.

Ndichazoda here kutora mishonga yekurwadziwa nekusingaperi?

Kwete zvakakosha. Zvinodiwa zve mishonga yekurwadziwa zvinosiyana zvikuru kubva kune munhu kuenda kune mumwe munhu uye zvinogona kuchinja nekufamba kwenguva. Vamwe vanhu vanoona kuti marwadzo avo anodzikira sezvo kudzora kwavo shuga yeropa kuchivandudza, zvichivabvumira kuderedza kana kurega mishonga yekurwadziwa. Vamwe vangada kurapwa kwenguva refu. Chiremba wako achaita basa newe kugadzirisa chirongwa chako chekudzora marwadzo zvichienderana nezviratidzo zvako uye mhinduro yekurapa.