Ukulimala Kwezinzwa Okuhambisana Nesifo Sishukela: Izimpawu, Izimbangela, Nokwelashwa

Ukulimala kwezinzwa okuhambisana nesifo sishukela kuwukulimalala kwezinzwa okuvela lapho amazinga aphezulu kashukela egazini evela esifweni sishukela elilimaza izinzwa zakho ngokuhamba kwesikhathi. Kungelinye lazinhlungu ezivame kakhulu zesifo sishukela, elimaza abantu abafika kwengxenye yesigamu sabantu abanesifo. Nakuba lokhu kungase kuzwakale kukhathazayo, ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza uthathe izinyathelo zokuphatha kahle futhi ugcine ikhwalithi yokuphila kwakho.

Iyini ukulimala kwezinzwa okuhambisana nesifo sishukela?

Ukulimala kwezinzwa okuhambisana nesifo sishukela kwenzeka lapho amazinga aphezulu kashukela egazini ehlala njalo elilimaza imithambo emincane yegazi enikeza i-oksijini nezondlo ezintsha ezinzweni zakho. Cabanga ngezinzwa zakho njengezingcingo zombane ezithwala imiyalezo kulo lonke umzimba wakho. Uma isifo sishukela silimaza lezi “zingcingo,” azikwazi ukuthumela izibonakaliso ngendlela efanele phakathi kobuchopho bakho nezingxenye ezahlukene zomzimba wakho.

Lokhu kulimala kwezinzwa kuvame ukuthuthuka kancane kancane eminyakeni eminingi, okusho ukuthi ungase ungaziboni izimpawu ngokushesha. Izindaba ezinhle ukuthi ukuphathwa kahle kashukela egazini kunganciphisa kakhulu noma kuvimbele ukulimala kwezinzwa okwengeziwe ukuba kwenzeke.

Umzimba wakho unawo amaqembu ahlukene ezinzwa, futhi ukulimala kwezinzwa okuhambisana nesifo sishukela kungalimaza noma yiliphi lawo. Amanye alawula ukuzwa ezandleni nasezinzwani zakho, amanye alawula isistimu yakho yokugaya ukudla, kanti amanye alawula izinga lokushisa kwenhliziyo yakho kanye nokucindezeleka kwegazi.

Ziyini izinhlobo zokulimala kwezinzwa okuhambisana nesifo sishukela?

Kunezinhlobo ezine eziyinhloko zokulimala kwezinzwa okuhambisana nesifo sishukela, ngayinye ilimaza izingxenye ezahlukene zesimiso sezinzwa. Ukuqonda lezi zinhlobo kungakusiza ubone izimpawu futhi usebenze neqembu lakho lokunakekelwa kwezempilo ngokuphumelelayo.

Ukulimala kwezinzwa ezingaphandle yilona uhlobo oluvamile, olulimaza izinzwa ezinyaweni, emilenzeni, ezandleni, nasezingalweni. Lokhu kuvame ukuqala ezithendeni zakho bese kuqhubeka phezulu, kubangele ukungabi nakuzwa, ukukhahlela, noma ubuhlungu obuvamise ukuba bukhulu ebusuku.

I-Neuropathy yokuzenzela ithonya izinsokothama eziqondisa izitho zakho zangaphakathi. Lokhu kungathinta uhlelo lwakho lokugaya ukudla, ibladder, umsebenzi wezocansi, izinga lokugijima kwenhliziyo, nokuphathwa kokucindezeleka kwegazi. Lezi zinsokothama zisebenza ngokuzenzakalelayo, ngakho-ke ungase ungaqapheli ukuthi kukhona inkinga kuze kube yilapho izimpawu zivele.

I-Neuropathy ekuqaleni ithonya izinsokothama ezinzwaneni zakho, ezinqeni, emathangeni, nasemiileni. Ngokuvamile ithonya ohlangothini olulodwa lomzimba wakho futhi ingabangela ubuhlungu obukhulu nobuthakathaka bemisipha. Lolu hlobo alunamkhawulo kodwa lungaba buhlungu kakhulu uma luvela.

I-Neuropathy eqondile ithonya izinsokothama ezihlukile, ngokuvamile ekhanda, emzimbeni, noma emileni. Ingabangela ubuhlungu obukhulu nobuthakathaka ngokushesha ezindaweni ezithile. Nakuba lolu hlobo lungesaba, ngokuvamile luthuthuka ngokwalo ngokuhamba kwesikhathi ngokwelashwa okufanele.

Ziyini izimpawu ze-neuropathy yeswekile?

Izimpawu ozibona ziyahluka kuye ngohlobo lwe-neuropathy onayo nezintokothama ezithintekile. Abantu abaningi abaqapheli izimpawu ezigabeni zokuqala, kungakho ukuhlola njalo nodokotela wakho kubalulekile kangaka.

Nge-neuropathy yokuqala, ungase uqaphele lezi zinguquko ezandleni nasezinyaweni zakho:

• Ukuthinta noma ukuvutha, ikakhulukazi ebusuku
• Ubuhlungu obukhulu, obukhulu obuza futhi buyaphela
• Ukungabi namqondo noma ukuncipha kokukwazi ukuzwa ubuhlungu noma ubushushu
• Ukukhuluphala kokuthinta (ngisho nama-bedsheets angase azizwe engahambi kahle)
• Ubuthakathaka bemisipha nobunzima bokuxhumanisa
• Izinkinga zezinyawo ezifana nezihlamba, ukutheleleka, noma ukuguquka kwesimo

Lezi zimpawu zivame ukuqala kancane kancane futhi zingase ziqapheleke kakhulu uma ukhululekile noma uzama ukulala.

I-neuropathy yokuzenzela ingabangela iqembu lezimpawu ezahlukene njengoba ithonya izitho zakho zangaphakathi:

• Izinkinga zokugaya ukudla ezifana nokuhlanza, ukugabha, ukukhukhula, noma ukushintsha kwemisindo yomthambo
• Izinkinga zesibofu, kufaka phakathi ukuya njalo ephusheni noma ukuhluleka ukuqeda isifu sesibofu ngokuphelele
• Ukuntengantenga kobulili kubantu besilisa nabesifazane
• Ubunzima bokuqaphela izinga eliphansi leshukela egazini
• Ukuqina kwekhanda uma ukuma ngenxa yokushintsha kwezinga lokucindezela kwegazi
• Ukungahambi kahle kwesilinganiso senhliziyo
• Ukukhishwa okukhulu noma okuncane kokubila

Lezi zimpawu zingathinta impilo yakho yansuku zonke kakhulu, kodwa eziningi zingaphathwa kahle ngendlela efanele yokwelapha.

Izimpawu ze-neuropathy ezikude nezikhulu zicacile kakhulu ezindaweni ezihlaselekile. Ungase uhlangabezane nobuhlungu obukhulu, obukhulu emilenzeni, ezinqeni, noma endaweni yeqakala nge-neuropathy ekude. I-neuropathy ekhulu ingabangela ukubona okubili, ubuhlungu amehlweni, ukuqina kobuso ohlangothini olulodwa, noma ubuhlungu obukhulu besisu, kuye ngokuthi yisiphi i-nerve esithintekile.

Yini ebangela i-diabetic neuropathy?

Amazinga aphezulu eshukela egazini isikhathi eside yimbangela eyinhloko ye-diabetic neuropathy. Uma i-glucose ihlala iphakeme egazini lakho, idala indawo enobuthi elimaza kancane kancane amazinga akho kanye nemithambo emincane yegazi ewanakekela.

Lolu daba luqala ngezindlela eziningi emzimbeni wakho. Amazinga aphezulu e-glucose angalimaza ngokuqondile imicu yezinzwa futhi aphazamise ikhono lawo lokuthumela imiyalezo. Ishukela eliningi liphinde libe nomkhuhlane kuyo yonke i-nervous system yakho, okwenza ukuba kulimaleke kakhulu amazinga.

Ngaphezu kwalokho, ishukela eliphezulu egazini lilimaza imithambo emincane yegazi enikeza i-oksijini nezondlo ezinzwini zakho. Ngaphandle kokugeleza kwegazi okufanele, amazinga akho angeke asebenze kahle futhi ekugcineni angafa. Lo mkhuba uqala kancane kancane ezinyangeni noma eminyakeni eminingi.

Izici eziningi zingandisa ingozi yakho yokuthuthukisa i-diabetic neuropathy ngaphezu nje kweshukeli eliphezulu egazini:

• Ukwehluleka ukulawula isikhathi eside amazinga e-shuga egazini
• Ukuba nesifo sikashukela iminyaka eminingi
• Ukukhuluphala noma ukukhuluphala kakhulu
• Ukuphuma kwengcindezi yegazi
• Amazinga aphezulu e-kolesterol
• Ukubhema, okunciphisa ukugeleza kwegazi ezinzwa
• Izici zezofu ezibangela abanye abantu babe sengozini enkulu

Ukuqonda lezi zici ezingozi kukunika amandla okulawula lezo ongakwazi ukuzishintsha, mhlawumbe uthintele noma uvikele ukulimala kwezinzwa.

Nini kufanele ubona udokotela ngenxa ye-neuropathy yesifo sikashukela?

Kufanele uxhumane nodokotela wakho uma ubona noma yiziphi izimpawu ezingase zibonise ukulimala kwezinzwa. Ukutholakala kwangaphambi kwesikhathi nokuphathwa kungenza umehluko omkhulu ekuvimbeleni ezinye izinkinga nokuphatha izimpawu zakho ngokuphumelelayo.

Shaya udokotela wakho ngokushesha uma uhlushwa ukugqolozha, ukushisa, noma ukungabi namandla ezandleni noma ezinyaweni zakho. Lezi zibonakaliso zokuqala azikufanele zidedelwe, ngisho noma zibonakala zingenamandla. Iqembu lakho lokuphatha impilo lingahlola ukuthi lezi zimpawu zihambelana ne-neuropathy yini futhi liqale ukwelashwa okufanele.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uthola noma yiziphi izimpawu ezinkulu:

• Isiqongo noma isifo esinyaweni lakho esingapholi noma esibonisa izimpawu zokutheleleka
• Ubuhlungu obukhulu, obukhulu ezinyaweni, ezinqeni, noma emilenzeni
• Ukuphefumula okuqhubekayo, ukugabha, noma ukushintsha kokunyakaza kwesisu
• Ubunzima bokuqaphela uma i-shuga yakho egazini iphansi
• Ukukhungatheka noma ukuphelelwa amandla uma umi
• Ukushintsha embonweni wakho, ikakhulukazi ukubona okubili

Lezi zimpawu zingase zibonise i-neuropathy ephambili noma izinkinga ezidinga ukwelashwa ngokushesha ukuvimbela izinkinga ezinkulu.

Ngisho noma ungenawo ama-symptom, kubalulekile ukuhlolwa njalo kwezinyawo nokulingwa kokusebenza kwezinzwa njengengxenye yokunakekelwa kwesifo sikashukela. Udokotela wakho angathola ukulimala kwangaphambi kwesikhathi kwezinzwa ngaphambi kokuthi uqaphele noma yiziphi izinkinga, okuvumela ukungenelela kwangaphambi kwesikhathi.

Ziyini izici ezingozi ze-neuropathy yesifo sikashukela?

Izimbangela eziningi zingandisa amathuba akho okukhula kwe-diabetic neuropathy, nakuba ezinye zilawuleka kanti ezinye azilawuleki. Ukuqonda lezi zimbangela zingasiza ukuthi ugxile ezindaweni lapho ungenza khona izinguquko ezinhle.

Izimbangela ezilawuleka kakhulu zihlanganisa:

• Ukwehluleka kokulawula ushukela egazini, ikakhulukazi amazinga e-A1C aphezulu kwama-7%
• Isikhathi sesifo sikashukela (ingozi iyanda uma usuvele unesifo sikashukela isikhathi eside)
• Ukukhuluphala, okungenza kube kubi ukungasebenzi kahle kwe-insulin
• Ukuphindaphindeka kwegazi okonakalisa imithambo yegazi
• Amazinga aphezulu e-cholesterol anikelela ezinkingeni zemithambo yegazi
• Ukubhema, okunciphisa ukugeleza kwegazi emithanjeni yonke emzimbeni wakho
• Ukusebenzisa utshwala ngokweqile, okungaba yinto enobuthi emithanjeni

Lezi zimbangela zivame ukusebenzisana ndawonye, ngakho-ke ukubhekana neziningi zazo kunganciphisa kakhulu ingozi yokukhula kwe-neuropathy noma ukuthambisa ukuqhubeka kwayo.

Ezinye izimbangela ongenakuzishintsha kodwa kufanele uzazi zihlanganisa ubudala bakho (ingozi iyanda njengoba ukhula), i-genetics (umlando womndeni we-neuropathy), nohlobo lwesifo sikashukela olulokhu. Abantu abanesifo sikashukela sohlobo 1 abavami ukukhula i-neuropathy eminyakeni emi-5 yokuqala ngemuva kokuxilongwa, kanti labo abanesifo sikashukela sohlobo 2 bangase babe sebenokulimaza kwamathanjeni lapho beqala ukuxilongwa.

Izimo ezithile ezingavamile ze-genetic zingandisa nokutholakala kwakho ekubeni nomonakalo wamathanjeni, nakuba lezi ziyisigamu esincane kakhulu sezimangalo ze-diabetic neuropathy. Umhlinzeki wakho wezempilo angakusiza ukuthi uqonde iphrofayili yakho yengozi ngayinye futhi uthuthukise isu lokuvimbela elifanele isimo sakho.

Ziyini izinkinga ezingaba khona ze-diabetic neuropathy?

I-Diabetic neuropathy ingabangela izinkinga eziningi uma ingaphathwa, kodwa ukuqonda lezi zinto ezingaba khona kungakusiza ukuthi uthathe izinyathelo zokuzivimbela. Izindaba ezinhle ukuthi izinhlupheko eziningi zingavimbeka ngokunakekelwa okulungile nokuphathwa.

Izinkinga zezinyawo zihlanganiswe ezinkingeni ezivamile nezinzima ze-neuropathy yokuhlukaniswa. Uma ulahlekelwa ukuzwa ezinyaweni zakho, ungase ungaziboni izinhlungu ezincane, amabhabha, noma ama-pressure sores angatheleleka.

Lezi zinkinga zezinyawo zingathuthuka ezingxakini ezincane ziye ezinkingeni ezinkulu kakhulu:

• Amaqeba aphulukisayo kancane athola ukutheleleka
• Ama-ulcers angena ngokujulile emathinini
• Ukonakala kwamathanga namalunga (unyawo lukaCharcot)
• Ezimweni ezinkulu, ukususa ingxenye yomzimba kungadingeka

Kodwa-ke, ngokunakekelwa kwansuku zonke kwezinyawo kanye nokuhlola okuvamile, iningi lalezi zinkinga lingathintelwa ngokuphelele.

I-neuropathy ye-autonomic ingabangela izinkinga ezihlobene namalungu akho angaphakathi. Isistimu yakho yokugaya ukudla ingase ibe buthakathaka kakhulu, okubangela ukudla ukuhlala esiswini isikhathi eside kakhulu (gastroparesis). Lokhu kungenza ukulawulwa kweswekile legazi kube nzima futhi kube nomdlavuza, ukugabha, nokuguquguquka okungalindelekile kweswekile legazi.

Izinkinga ezihlobene nenhliziyo zingafaka ingozi enkulu yesifo senhliziyo nobunzima bokuqaphela izinkinga zenhliziyo. Abanye abantu abane-neuropathy ye-autonomic abaziboni ubuhlungu obuvamile besifuba ngesikhathi se-heart attacks, okungase kulibambezele ukwelashwa. Izinkinga zokulawula igazi zingase futhi zikhulise ingozi yokuwa nokulimala.

Izinkinga zokungcola zingafaka ukutheleleka okuvamile kwe-urinary tract, ubunzima bokuqeda isiphithiphithi ngokuphelele, nasezimweni ezingavamile, ukonakala kwesibindi. Ukusebenza okungalungile kocansi kungathinta amadoda nabesifazane futhi kungathinta ubuhlobo kanye nekhwalithi yokuphila.

Nakuba lezi zinkinga zizwakala zikhathazayo, kubalulekile ukukhumbula ukuthi zithuthuka kancane kancane futhi zivimbeka kakhulu ngokuphathwa okuhle kwesifo sikashukela kanye nokunakekelwa okuvamile kwezokwelapha.

Ukuvimbela i-neuropathy yesifo sikashukela kungenzeka kanjani?

Indlela ephumelela kakhulu yokuvimbela i-neuropathy ye-diabetic ukugcina amazinga akho e-shuga egazini eduze kokujwayelekile ngangokunokwenzeka. Ukulawulwa okuhle kwe-shuga egazini kungavimbela ukulimala kwama-nerve ekuqaleni futhi kunciphisa intuthuko uma ukulimala sekuseqalile.

Izinga lakho le-A1C elifiswayo kufanele libe ngaphansi kuka-7%, nakuba umhlinzeki wakho wezinsizakalo zezempilo angase akhethe izinga elihlukile ngokususelwa esimweni sakho somuntu siqu. Ukubheka i-shuga yakho egazini njalo nokusebenzisana neqembu lakho lezempilo ukuze ulungise imithi yakho kungakusiza ukufeza nokugcina le migomo.

Ngaphezu kokulawulwa kwe-shuga egazini, izinguquko eziningi zokuphila zinganciphisa kakhulu ingozi yakho:

• Gcina isisindo esinempilo ngokudla okulinganiselayo nokuzivocavoca njalo
• Gcina igazi lakho liphansi kuka-130/80 mmHg
• Lawula amazinga e-cholesterol ngokudla, ukuzivocavoca, kanye nemithi uma kudingeka
• Yekela ukubhema, njengoba konakalisa imithambo yegazi ehlinzeka ama-nerve akho
• Khawukhawulela ukusetshenziswa kotshwala, okungaba yingozi kuma-nerve
• Zivocavoca njalo ukuthuthukisa ukugeleza kwegazi nokuphila kwama-nerve

Lezi zindlela zokuvimbela zisebenza kangcono lapho zihlanganiswe ndawonye kunokugxila kwenye indawo kuphela.

Ukukhathalela izinyawo zakho nsuku zonke kubalulekile ekuvimbeleni izinkinga. Hlola izinyawo zakho nsuku zonke ukuze ubone ukugqwala, ama-blisters, noma izinguquko zombala. Zigeze ngobumnene ngamanzi afudumele, zomisise kahle, bese uzibeke i-moisturizer ukuvimbela ukubhebhetheka. Gqoka izicathulo ezifanele njalo futhi ungahambi uze ungagqoki lutho ezinyaweni.

Ukuhlolwa njalo kwezokwelapha kubalulekile ekutholeni kwasekuqaleni nasekuvimbeleni. Umhlinzeki wakho wezinsizakalo zezempilo kufanele ahlole izinyawo zakho futhi ahlole umsebenzi wama-nerve akho okungenani kanye ngonyaka, noma kaningi uma usuvele unezimpawu. Ukuhlolwa kwamehlo, ukuhlolwa komsebenzi wezinkalankala, kanye nokulinganiswa kwezempilo yentliziyo nazo yingxenye ebalulekile yokunakekelwa okuphelele kwe-diabetes.

I-neuropathy ye-diabetic ihlonishwa kanjani?

Ukuxilongwa kweneuropathi ye-diabetic kuhilela ukuhlolwa nokuhlolwa okuningi okusisiza umhlinzeki wakho wezinsizakalo zezempilo ukuthi aqonde ukuthi yiziphi izinhlungu ezibuthintekile nokuthi zibuhlungu kangakanani. Inqubo ivame ukuqala ngengxoxo eningiliziwe mayelana nezimpawu zakho nomlando wakho wezokwelapha.

Udokotela wakho uzokubuza nganoma iyiphi into yokungxiliza, ukushisa, ukungabi namqondo, noma ubuhlungu obuye uhlangane nalo, ikakhulukazi ezandleni nasezinzwaneni zakho. Bazophinde babuze ngezinkinga zokugaya ukudla, izinkinga zesibofu, ukungasebenzi kahle kwezocansi, noma ezinye izimpawu ezingase zibonise i-neuropathy ye-autonomic.

Ukuhlolwa komzimba kuvame ukufaka ukuhlolwa okulula okuningi okuhlola umsebenzi wezinzwa zakho:

• Ukuhlola izimpendulo zakho usebenzisa ihemmera elincane
• Ukuhlola ikhono lakho lokuzwa ukuthinta okulula ngebhulashi elithambile noma i-cotton
• Ukuhlola ukuzwa kokushisa ngezinto ezishisayo nezipholile
• Ukuhlola ukuzwa kokudlidliza usebenzisa ifoki yokulungisa
• Ukuhlola izinyawo zakho ngezilonda, ukutheleleka, noma izinkinga zokwakheka

Lezi zivivinyo azina buhlungu futhi zinikeza umhlinzeki wakho wezinsizakalo zezempilo ulwazi oluyigugu mayelana nomsebenzi wezinzwa zakho.

Kungenzeka kudingeke ukuhlolwa okukhethekile uma izimpawu zakho zinzima noma uma ukuxilongwa akucaci. Izifundo zokuphathwa kwezinzwa zilinganisa ukuthi amandla kagesi ahambela ngokushesha kangakanani ezinzwini zakho. I-Electromyography (EMG) ihlola ukuthi imisipha yakho iphendula kangcono kangakanani emibhalweni yezinzwa. Lezi zivivinyo zingabonisa ngokuqondile ukuthi yiziphi izinzwa ezonakele nokuthi zibuhlungu kangakanani.

Nge-neuropathy ye-autonomic, udokotela wakho angenza ukuhlolwa okuhlola ukuguquguquka kwesilinganiso senhliziyo yakho, ukuguquka kokucindezela kwegazi uma ukuma, noma ukuthi isistimu yakho yokugaya ukudla isebenza kahle kangakanani. Lezi zivivinyo zisiza ekuqondeni ukuthi izinzwa eziphethe amalungu akho angaphakathi zibuthintekile yini.

Ukuhlolwa kwegazi kubalulekile futhi ukuqeda ezinye izimbangela zokulimala kwezinzwa nokuhlola ukuthi isifo sakho sikashukela silawulwa kahle kangakanani. Umhlinzeki wakho wezinsizakalo zezempilo cishe uzohlola izinga lakho le-A1C, umsebenzi wezinkalankala, amazinga e-vitamin B12, nomsebenzi wesithayirodi.

Ukuphathwa Kwe-neuropathy Yebhulolwesi

Ukuphathwa kwe-neuropathy yebhulolwesi kugxile ekunciphiseni noma ukuyeka ukuqhubeka kokonakala kwama-nerve nokuphatha izimpawu zakho ukuthuthukisa ikhwalithi yokuphila kwakho. Ukuphathwa okubaluleke kakhulu ukufeza nokugcina ukulawulwa okuhle kweglucose yegazi.

Ukulawulwa kweglucose yegazi kuhlala kuyisisekelo sokuphathwa. Umhlinzeki wakho wezinsizakalo zezempilo uzosebenza nawe ukuze uthuthukise imithi yakho yebhulolwesi futhi uthuthukise uhlelo lokuqapha i-glucose yegazi. Lokhu kungase kuhilele ukulungisa imithamo ye-insulin, ukuzama imithi emisha, noma ukusebenzisa ama-monitors e-glucose aqhubekayo ukuqapha amazinga akho eduze.

Ukulawulwa kobuhlungu kuvame ukudingeka kubantu abane-neuropathy ebuhlungu. Izinhlobo eziningi zemithi zingasiza ekuthambiseni ubuhlungu be-nerve:

• Ama-anticonvulsants afana ne-gabapentin noma i-pregabalin athulise ama-nerve asebenza ngokweqile
• Ama-antidepressants afana ne-duloxetine noma i-amitriptyline athinta izibonakaliso zobuhlungu
• Ukuphathwa okusetshenziswayo njenge-capsaicin cream yokuhlungu okunqunyelwe
• Ezimweni ezithile, imithi ebuhlungu enikezwa ngumtholampilo ingase idingeke

Udokotela wakho uzoqala ngezinketho eziphephile, eziphumelelayo futhi alungise ngokusekelwe ekuphenduleni kwakho ekwelapheni.

Nge-neuropathy ye-autonomic, ukwelashwa kugxile ezimpawu ezithile. I-Gastroparesis ingase iwelashwe ngemithi esiza isisu sakho ukuba sigeleze ngokushesha, ukushintsha kokudla, noma ezimweni ezinzima, imiyenge yokudla. Izinkinga zesibofu zingaphathwa ngemithi, i-catheterization, noma amasu okuziphatha.

Imithi yegazi engaphezulu ingasiza uma une-orthostatic hypotension (ukukhungatheka uma umi). Ukuntuleka kokusebenza kocansi kungase kuphathwe ngemithi, amadivayisi, noma ukwelulekwa. Isinyathelo ngasinye sidinga indlela eyenzelwe ngokukhethekile ngokusekelwe esimweni sakho esithile.

Ukwelashwa okungeyona imithi kungasiza kakhulu. Ukwelashwa komzimba kungathuthukisa amandla, ukulinganisela, nokulungelelana uma unebuthakathaka bemisipha. Ukwelashwa kokusebenza kwemisebenzi kungakufundisa amasu okuziqondisa emisebenzini yansuku zonke. Ukuzivocavoca njalo, ikakhulukazi ukubhukuda noma ukuhamba, kungathuthukisa ukugeleza kwegazi ezinzwa zakho futhi kusize ekuphatheni ubuhlungu.

Abanye abantu bathola impumuzo ngezindlela zokwelapha ezihambisanayo njengokuhlinzwa kwamaphuphu, ukumomotheka, noma ukukhuthaza amandla kagesi olukhulu (TENS). Nakuba lezi zindlela zokwelapha zingalulami i-neuropathy, zingasiza ekuthuthukiseni ubuhlungu nokuthuthukisa impilo yakho yonke uma zisetshenziswa kanye nezindlela zokwelapha ezivamile.

Indlela yokuphatha i-neuropathy yeswekile ekhaya?

Ukuphatha i-neuropathy yeswekile ekhaya kuhilela imikhuba yansuku zonke engathuthukisa kakhulu izimpawu zakho futhi ivimbele ukuphazamiseka. Okubalulekile ukwakha umkhuba oqala ukuba yinto yemvelo futhi uhambisane nendlela yakho yokuphila.

Ukulandelela nokuphatha ushukela wegazi kufanele kube yinto yakho ehamba phambili. Hlola ushukela wakho wegazi njengoba kunconywe yisikhungo sakho sezempilo, thatha imithi njengoba kunconywe, bese ulandela uhlelo lwakho lokudla ngokuqhubekayo. Gcina irekhodi lemiphumela yakho futhi uqaphele noma iyiphi imizamo ehlobene nezimpawu zakho.

Ukukhathalela izinyawo zansuku zonke kubalulekile uma une-neuropathy ezingeni.

Hlola izinyawo zakho nsuku zonke, ubuke izikhumba, amabhubhu, ukukhula, noma ukushintsha kombala. Sebenzisa isibuko noma cela umuntu akusize ubone izansi zezinyawo zakho. Geza izinyawo zakho ngamanzi afudumele (angezona amanzi ashisayo) bese uwomisa kahle, ikakhulukazi phakathi kweminwe yakho.

Izicathulo ezifanele zingavimbela ukuphazamiseka okuningi:

• Gqoka izicathulo ezifanele kahle futhi zingadali amaphuzu engcindezi
• Hlola ngaphakathi kwezicathulo zakho ngaphambi kokuzigqoka
• Gqoka isigqoko esicocekile, esomile bese usishintsha nsuku zonke
• Ungahambi uze ungagqoki lutho, ngisho nasekhaya
• Cabanga ngezicathulo zokwelapha uma kunconywe yisikhungo sakho sezempilo

Lezi zinyathelo zilula zingavimbela izinkinga eziningi zezinyawo ngaphambi kokuba ziqale.

Ukuphathwa kobuhlungu ekhaya kungafaka ukufaka ubushushu noma ubuqandayo ezindaweni ezibuhlungu, ukuzivocavoca okuthambile, noma amasu okuphumula njengokuphefumula okujulile noma ukuzindla. Abanye abantu bathola ukuthi ukuphakamisa izinyawo zabo noma ukugqoka amasokisi okucindezela kusiza ebuhlungwini nasekuqabukeni.

Uma une-autonomic neuropathy, kungase kudingeke wenze izinguquko zokudla ukuze uphathe i-gastroparesis. Ukudla ukudla okuncane, okuvamile nokukhetha ukudla okulula ukuqeda kungasiza. Kubalulekile ukuhlala uthambile, ikakhulukazi uma unezinkinga zokugaya.

Ukudala indawo ekhaya ephephile kubalulekile uma unezinkinga zokulinganisela noma ukuncipha komuzwa. Susa izinto ezingakwenza ukhubeke, qiniseka ukuthi kukhona ukukhanya okuhle, futhi cabanga ngokufaka amabhaa wokubamba ekamelweni lokugezela. Gcina izinombolo zokuxhumana eziphuthumayo zitholakala kalula.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho nodokotela kungakusiza ukuba uthole okuningi ngesikhathi sakho ndawonye futhi kuqinisekise ukuthi konke ukukhathazeka kwakho kuqondwe. Ukulungiselela okuhle kuholela ekuxhumaneni kangcono nasekulungiseni kahle kokwelashwa.

Qala ngokugcina idayari yezimpawu amasonto ambalwa ngaphambi kwe-aphoyintimenti yakho. Qaphela ukuthi izimpawu zivela nini, zingakanani, yini ezenza zibe ngcono noma zibe zimbi, nokuthi zikuthinta kanjani imisebenzi yakho yansuku zonke. Lolu lwazi lusiza umhlinzeki wakho wezinsizakalo zezempilo ukuthi akuqonde kangcono isimo sakho.

Letha uhlu oluphelele lazo zonke izidakamizwa ozithathayo, kufaka phakathi izidakamizwa ezinconywayo, izidakamizwa ezingaphezu kokubala, amavithamini, kanye nezinye izithasiselo. Faka imingcele nokuthi uzithatha kangaki ngayinye. Lokhu kusiza ukuvimbela ukusebenzisana kwezidakamizwa okungozi futhi kuqinisekise ukuthi uhlelo lwakho lokwelashwa luphelele.

Lungiselela imibuzo ethile okumele uyibuze umhlinzeki wakho wezinsizakalo zezempilo:

• Ngiluhlobo luni lwe-neuropathy, futhi lukabi kangakanani?
• Ziyini izinketho zokwelapha ezitholakalayo esimweni sami esithile?
• Ngingayilawula kanjani kangcono i-shuga yami yegazi ukuvimbela ukuqhubeka?
• Ziyini izimpawu zexwayiso engizibheka zona ezidinga ukunakekelwa okusheshayo?
• Kufanele ngibe nemihlangano yokulandelela nezivivinyo kangani?
• Ingabe kunemisebenzi engingayigwema noma ngiyishintshe?

Bhala imibuzo yakho ngaphambili ukuze ungayikhohlwa ngesikhathi sokuqokwa.

Letha i-log yeshuga yakho yegazi, kufaka phakathi ukufundwa kwamuva nanoma yiziphi izindlela ozibonile. Uma usebenzisa i-monitor ye-glucose eqhubekayo, letha idatha noma ulungele ukwabelana ngayo nomhlinzeki wakho wezinsizakalo zezempilo. Ulwazi olukhulu lokulungisa uhlelo lwakho lokuphatha isifo sikashukela.

Cabanga ngokuletha umngane othembekile noma ilungu lomndeni ekubeni kwakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa. Ukuba nomuntu omunye lapho kungakusiza futhi ucabange ngemibuzo ongasengazicabangi.

Tshela iqiniso ngezimpawu zakho, ngisho noma zihlupha noma zibonakala zingahlobene nesifo sakho sikashukela. Ukuntuleka kokusebenza kobulili, izinkinga zokugaya ukudla, nokushintsha kwesimo sengqondo konke kungahlobene ne-neuropathy nokuphathwa kwesifo sikashukela. Umhlinzeki wakho wezinsizakalo zezempilo udinga ulwazi oluphelele ukuze akusize ngokuphumelelayo.

Iyini into ebaluleke kakhulu mayelana ne-neuropathy yesifo sikashukela?

Into ebaluleke kakhulu okumele uyiqonde mayelana ne-neuropathy yesifo sikashukela ukuthi iningi layo liyavimbeka futhi lilawuleka ngenxa yokunakekelwa okuhle. Nakuba ukonakala kwama-nerve okuvela esifweni sikashukela kungaba nzima, unokuqondisa okukhulu mayelana nokuthi kuvela noma cha nokuthi kuqhubeka kanjani.

Ukulawulwa okuhle kweshuga yegazi yisixhobo sakho esinamandla kakhulu sokuvimbela nokulawula i-neuropathy yesifo sikashukela. Ukugcina i-A1C yakho ingaphansi kuka-7% nokugcina amazinga eshuga yegazi aqinile usuku lonke kungavimbela ukonakala kwama-nerve ukuqala nokunciphisa ukuqhubeka uma sekuseqalile.

Ukubona isifo ngokushesha nokuphathwa kwalo kwenza umehluko omkhulu emiphumeleni. Ukuhlola njalo kudokotela wakho, ukuhlola izinyawo nsuku zonke, nokunaka izimpawu zomzimba wakho kungasiza ekutholeni izinkinga ngaphambi kokuba zibe yizinkinga ezinkulu.

Khumbula ukuthi i-neuropathy ye-diabetic iyinkinga evamile, kodwa ayikho ukuba ilawule impilo yakho. Ngokuphathwa okuhle, abantu abaningi abane-neuropathy baqhubeka bephila impilo esebenzayo, enezithelo. Ikhona ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo nokuthembela ohlelweni lwakho lokuphatha isifo sikashukela.

Ungavumeli ukwesaba noma ukuhlazeka kukuvimbele ekuphishekeleni usizo. Abahlinzeki bakho bezempilo bakhona ukukusekela kuzo zonke izici zokuphathwa kwesifo sikashukela, kufaka phakathi izinselele ezingalethwa yi-neuropathy. Ngokuthinta okulungile, ungaphatha le simo ngempumelelo futhi ugcine ikhwalithi yempilo yakho.

Imibuzo evame ukubuzwa mayelana ne-neuropathy ye-diabetic

Ingabuyekezeka yini i-neuropathy ye-diabetic?

Nakuba ukonakala kwezinzwa okuvela ku-neuropathy ye-diabetic kuvame ukuba luhlala njalo, ukulawulwa okuhle kweswekile yegazi kungayeka ukuqhubeka kwalo futhi ngezinye izikhathi kuholele ekulungiseni okuncane kwezimpawu. Abanye abantu babona ubuhlungu obuthambile nokusebenza kangcono kwezinzwa lapho befaka futhi begcina amazinga eswekile yegazi. Ikhona ukuqala ukwelashwa ngokushesha okukhulu nokugcina ukuphathwa okuqhubekayo kwesifo sikashukela.

Kuthatha isikhathi esingakanani ukuthuthukisa i-neuropathy ye-diabetic?

I-neuropathy ye-diabetic ivame ukuthuthuka kancane kancane eminyakeni eminingi yeswekile yegazi engalawulwa kahle. Abantu abanesifo sikashukela sohlobo 1 abavami ukuthuthukisa i-neuropathy eminyakeni emihlanu yokuqala ngemuva kokuxilongwa. Noma kunjalo, labo abanesifo sikashukela sohlobo 2 bangase babe nokonakala kwezinzwa lapho beqala ukuxilongwa ngoba isimo singahambi sibonakale iminyaka eminingi ngaphambi kokuba izimpawu zivele.

Ingabe i-neuropathy ye-diabetic ibuhlungu kubo bonke?

Akuwona wonke umuntu onenkinga ye-diabetic neuropathy ozwa ubuhlungu. Abanye abantu baba nokuqina noma ukulahleka kokuzwa ngaphandle kokuhlungu, kanti abanye baba nobuhlungu obuvuthayo, obukhulu, noma obuthintayo. Uhlobo nobunzima bezimpawu kuncike emithanjeni ethonyeke kanye nobuningi bomonakalo obekhona. Amazinga obuhlungu angashintsha nsuku zonke.

Ingabe ukuzivocavoca kungasiza nge-diabetic neuropathy?

Yebo, ukuzivocavoca njalo kungaba usizo kakhulu nge-diabetic neuropathy. Ukuzivocavoca kuthuthukisa ukugeleza kwegazi emithanjeni, kusiza ukulawula amazinga e-shuga egazini, futhi kunganciphisa ubuhlungu kwabanye abantu. Ukuzivocavoca okungathinti kakhulu njengokuhamba, ukuqubha, noma ukujika ibhayisikili kuvame ukuba kuhle kakhulu. Hlala uqale ukhulume nodokotela wakho ngaphambi kokuthi uqale uhlelo olusha lokuzivocavoca, ikakhulu uma unezinkinga zokulinganisela noma izinkinga zezinyawo.

Ingabe ngizodinga ukuthatha imithi yokuhlunguza phakade?

Akuyona into eqinisekile. Izidingo zemithi yokuhlunguza zihluka kakhulu kumuntu nomuntu futhi zingashintsha ngokuhamba kwesikhathi. Abanye abantu bathola ukuthi ubuhlungu babo buyancipha njengoba ukulawulwa kwe-shuga egazini kwabo kuthuthuka, kubavumela ukuba banciphise noma bayeke imithi yokuhlunguza. Abanye bangadinga ukwelashwa isikhathi eside. Udokotela wakho uzosebenza nawe ukuze ulungise uhlelo lwakho lokulawula ubuhlungu ngokuya ngezimpawu zakho nendlela ophethwe ngayo.