I-neuropathy yesifo sikashukela ibhekisela eqenjini lezifo ezibangelwa isifo sikashukela. I-neuropathy yesifo sikashukela ingathinta izinzwa emzimbeni wonke, nakuba ngokuvamile zihlasela izinzwa ezinyaweni nasemilenzeni. Abashukela ngesifo sikashukela kufanele baqaphele ngokukhethekile ngezinyawo zabo nasemilenzeni ephansi.
I-neuropathies ingahlakulela kubantu abane-type 1 noma uhlobo lwe-2 lwesifo sikashukela. Ngohlobo lwe-1 lwesifo sikashukela, i-neuropathy ingase ingaqhubeki iminyaka eminingi.
Ngohlobo lwesibili lwesifo sikashukela-ikakhulukazi kubantu abavumela isimo sabo ukuba singaphathwa-singase senzeke ngokushesha.
Yiziphi Izinhlobo Ze-Diabetes Neuropathy?
I-neuropathies ihlukaniswa ngokusekelwe emithanjeni ethintekile:
- I-peripheral neuropathy ithinta izinzwa zomzimba ezithombeni. Kungabangela ukuphazamiseka noma ubuhlungu ezinzwaneni, ezinyaweni, emilenzeni, ezandleni nasezingalweni. Ngenye yezinhlobo ezivame kakhulu zesifo sikashukela soshukela .
- I-autonomic neuropathy ithinta izinzwa ezilawula umsebenzi wokuzimela, njengokugaya, ukushaya kwenhliziyo nokucindezela kwegazi. Le-neuropathy ingabangela izinkinga ngesilonda noma isilawuli sokulawula isisu, ngisho nangokwazi ukubona ukusabela kwe-sugar low. I-autonomic neuropathy nayo ingabangela ukungasebenzi kahle kwe-erectile kumadoda nokungakwazi ukuphefumula kwabesifazane.
- I-neuropathy ye-Focal ingenzeka kunoma yimuphi umzila wesisindo (ongewona ophakathi kwesishukela sezinzwa). Ukwenza ubuthakathaka ngokungazelelwe emlonyeni owodwa noma ngaphezulu futhi kungabangela ubuthakathaka noma ubuhlungu besisu.
- I-neuropathy ehamba phambili (ebizwa nangokuthi i-lumbosacral plexus neuropathy) ithinta izinzwa emathangeni, emaceleni noma emathangeni. Kungabangela ubuhlungu noma ukuphazamiseka kulezo zindawo futhi kungabangela ubuthakathaka emilenzeni. I-neuropathy ehamba phambili ayitholakali kakhulu kune-peripheral noma neonpathiom neuropathies.
Yini Ebangelwa Ukuhlinzeka Neuropathy?
Ucwaningo lubonisa ukuthi ukuphelelwa yisifo sikashukela ngenye yezinkinga ezingabangela izinga lokushukela egazini eliphakeme.
Kodwa-ke, ngoba akuwona wonke umuntu oba neuropathy, abacwaningi bacabanga ukuthi kungase kube nezinye izinto ezihilelekile, kubandakanya:
- Izinto zokuphila, ezifana nokubhema noma ukuphuza utshwala , kokubili okungabangela ukulimala komzimba
- Izici ze-metabolic , ezifana nobude besifo sikashukela namazinga e-cholesterol
- Izici ezenzekelayo ngokuzenzakalelayo ezingase zishaye izinzwa, zidale umonakalo
- Izimbangela zegazi nezimbangela zegazi ezingabangela umonakalo emithanjeni yegazi, okwenza bakwazi ukuphatha oksijini nezinye izakhi ezidinga izidakamizwa
- Izakhi zofuzo ezikhulisa amandla
- Ukulimala kwegazi, njenge-carpal tunnel syndrome
Abantu abane-neuropathy yesifo sikashukela banganciphisa intuthuko yayo ngokugcina amazinga ashukela egazi.
Ziyini Izimpawu Ze-Neuropathy?
Abanye abantu bangase babe ne-neuropathy yesifo sikashukela futhi abazi, ngoba ukulimala kwamantombazane kuthatha iminyaka ukuthi kwenzeke. Izimpawu ngokuvamile zincane kancane futhi zingase zingabonakali. Abanye abantu babhekana nokugaya, "izikhonkwane nezinaliti" ukuzwa noma ubuhlungu ezinyaweni zabo, imilenze noma izingalo. Ngemuva kweminyaka embalwa, i-neuropathy ingabangela ubuthakathaka bemisipha ezindaweni ezithintekayo.
Ezimweni ze-neuropathy eyigugu, ukuqala kobuhlungu noma ukugaya umzimba kungase kube nzima futhi kungazelelwe, kaningi ku-torso, ikhanda noma umlenze. I-neuropathy ye-Focal nayo ingase isenzeke emantanjeni esweni, okwenza ushintsho lwamazwi kungazelelwe.
Ezinye izibonakaliso zesifo sikashukela soshukela zingabandakanya:
- Ukuwohloka kwemisipha ezinyaweni noma ezandleni (ingozi ye-peripheral neuropathy)
- Ukuzwakalisa, ukuhlanza noma ukuhlanza izinyathelo (ukuvimbela ngokweqile kwe-autonomic neuropathy)
- Ukuphahlazeka noma ukuhlunga okubangelwa ukuguquka kwegazi (izinguquko ze-autonomic neuropathy)
- Ubunzima be-urinary noma ubundlu (ukuvimbela ngokweqile kwe-autonomic neuropathy)
- Ukungabi namandla noma ukomama wesifazane (ubuchopho bokwemvelo)
I-Neuropathy ivinjelwe kanjani noma ithathwa kanjani?
Ukugcina amazinga kashukela egazini ngaphakathi kwebanga elibhekiswe kuzo kungasiza ekuvimbeleni i-neuropathy yesifo sikashukela. Abantu asebevele benesifo se-neuropathy kufanele basebenze nabahlinzeki babo bezempilo ukuze balethe amazinga azo ushukela egazini ebangeni elibhekiswe kulo.
Ukunakekelwa kwezinyawo okuhle kubaluleke nakakhulu kubantu abanesifo sikashukela. Njengoba i-neuropathy iqhubeka, inzwa ingase ilahleke ezinyaweni, okwenza kwenzeke ukuba nesilonda noma isilonda ngaphandle kokwazi. Ukunakekelwa kwezinyawo kufanele kube yingxenye yendlela yokuphila yansuku zonke yimuphi umuntu onesifo sikashukela.
- Insipho enhle kufanele isetshenziswe ukugeza izinyawo, kuhlanganise phakathi kwezinzwane. Kufanele kuthiwa abanjwe obomile.
- Iziqongo, amabhodlela naphakathi kwezinzwane zonyawo ngalunye kufanele zihlolwe (ngesiboniso, uma kunesidingo) kunoma yisiphi isibonakaliso sokuma, ukuchoboza noma ukubomvu.
- I-moisturizer kufanele isetshenziswe esikhumbeni esomile noma esiqhekekile, kodwa akufanele isetshenziswe phakathi kwezinzwane.
- Noma yikuphi ukubomvu, amanzi, izilonda, amanxeba noma ukuvuvukala ezinyaweni kufanele kubikwe kumhlinzeki wezempilo.
Izinyosi zezinyosi zidinga ukunqunywa ngokucophelela ngaphandle kokuchofoza noma yisiphi isikhumba. Abantu abanezimbiza, ama-calluses noma ama-toenails angamaqabunga noma ama-ingrown angase adinge ukubona i-podiatrist (udokotela ogxile ekunakekelweni kwezinyawo). Abantu abanesifo sikashukela bangakwazi ukuvikela izinyawo zabo ngokuthi:
- Ukugqoka izicathulo ezihambisana kahle nekamelo ukuze izinzwani zihambe. Izicathulo kufanele zihlolwe ngaphambi kokufakwa ukuze kuqinisekiswe ukuthi akukho lutho olunamathele ngaphakathi.
- Ukugqoka amasokisi athambile aguqulwa nsuku zonke. Amasokisi anesisindo esikhulu kufanele agwenywe.
- Akugqoke izimbadada noma izicathulo ezivulekile.
- Akuhambi ngezinyawo.
Abantu asebevele benesifo sikashukela besifo sikashukela bangadinga ukuthi odokotela babo bahlole njalo izinyawo zabo.
Ngokuya ngohlobo lwe-neuropathy yesifo sikashukela, ezinye izinkinga - ezifana ne-retinopathy ( isifo se-iso ) noma i-nephropathy ( isifo sezinso ) - ingaqala. Abantu abanesifo sikashukela kufanele bahlole abahlinzeki babo bezempilo ukuze babone ukuthi bayancoma yini ukuvakashela isazi sezinso noma ophthalmologist ogxile ekutheni i-retinopathy.
Imithombo:
I-NDIC, "I-Neuropathies Diabetes Neuropathies: I-Nerve Damage of Diabetes." I-National Diabetes Information Clearinghouse. Ngo-May 2002. Isikhungo seNational Digestive and Diabetes and Disney Disorders. 9 Septhemba 2007.
Quan, u-Diana. "I-Neuropathy ye-Diabetes." eMedicine.com 28 Septhemba 2006. I-WebMD. 9 Sep. 2007.
Kolatkar, Nikheel. "I-Neuropathy Ehamba Nezifo." Isifo Sikashukela & i-Endocrine. 21 Sep. 2006. iVillage Health. 8 Septhemba 2007.
"Isifo sikashukela se-X-Plain: Isifinyezo se-Footcare Reference." I-MedlinePlus. 26 Jan. 2005. Umtapo Wezokwelapha Kazwelonke. 9 Sep. 2007.