Isifo sikashukela nokulimala kwemizwa

Ukulimala kwemithambo okwenzeka kubantu abanesifo sikashukela kubizwa ngokuthi yi-diabetic neuropathy. Lesi simo siyinkinga yesifo sikashukela.

Kubantu abanesifo sikashukela, izinzwa zomzimba zingalimala ngokwehla kokugeleza kwegazi nezinga eliphezulu likashukela egazini. Lesi simo sinamathuba amaningi lapho izinga likashukela egazini lingalawulwa kahle ngokuhamba kwesikhathi.

Cishe isigamu sabantu abanesifo sikashukela baba nomonakalo wezinzwa. Izimpawu kaningi aziqali kuze kube yiminyaka eminingi ngemuva kokutholakala kwesifo sikashukela. Abanye abantu abanesifo sikashukela esikhula kancane bavele banomonakalo wezinzwa lapho betholakala okokuqala.

Abantu abanesifo sikashukela nabo basengozini enkulu yezinye izinkinga zemizwa ezingabangelwa yisifo sikashukela. Lezi ezinye izinkinga zemizwa ngeke zibe nezimpawu ezifanayo futhi zizoqhubeka ngendlela ehlukile kunokulimala kwezinzwa okubangelwa yisifo sikashukela.

Izimpawu zivame ukukhula kancane eminyakeni eminingi. Izinhlobo zezimpawu onazo zincike emithanjeni ethintekile.

Imithambo ezinyaweni nasemilenzeni ivame ukuthinteka. Izimpawu zivame ukuqala ezinzwaneni nasezinyaweni, futhi zifaka phakathi ukuhayiza noma ukushisa, noma ubuhlungu obukhulu. Ngokuhamba kwesikhathi, ukulimala kwezinzwa nakho kungenzeka eminweni nasezandleni. Njengoba umonakalo uba mubi kakhulu, cishe uzolahlekelwa umuzwa ezinzwaneni zakho, ezinyaweni nasemilenzeni. Isikhumba sakho naso sizokuba ndikindiki. Ngenxa yalokhu, unga:

• Ungaboni lapho unyathela into ebukhali
• Angazi ukuthi une-blister noma ukusika okuncane
• Ungaboni lapho izinyawo noma izandla zakho zithinta into eshisa kakhulu noma ebandayo
• Iba nezinyawo ezome kakhulu futhi eziqhekekile

Lapho kuthinteka izinzwa ezilawula ukugaya, ungaba nenkinga yokugaya ukudla (gastroparesis). Lokhu kungenza isifo sikashukela sakho kube nzima ukusilawula. Ukulimala kwezinzwa ezilawula ukugayeka kokudla cishe kwenzeka njalo kubantu abanokulimala okukhulu kwezinzwa ezinyaweni nasemilenzeni. Izimpawu zezinkinga zokugaya zifaka:

• Ukuzizwa usuthi ngemuva kokudla inani elincane lokudla
• Isilungulela nokuqunjelwa
• Isicanucanu, ukuqunjelwa, noma isifo sohudo
• Izinkinga zokugwinya
• Ukuphonsa ukudla okungadliwe amahora ambalwa ngemuva kokudla

Lapho izinzwa enhliziyweni yakho nasemithanjeni yegazi zilimele, unga:

• Zizwe unekhanda elincane lapho usukuma (i-orthostatic hypotension)
• Yiba nokushaya kwenhliziyo okusheshayo
• Ungaboni i-angina, ubuhlungu besifuba obuxwayisa ngesifo senhliziyo nokuhlaselwa yinhliziyo

Ezinye izimpawu zokulimala kwemizwa yilezi:

• Izinkinga zocansi, ezidala inkinga yokuthola ukwakheka emadodeni kanye nokoma kwesitho sangasese sowesifazane noma izinkinga ze-orgasm kwabesifazane.
• Ukungakwazi ukusho lapho ushukela wegazi lakho wehla kakhulu.
• Izinkinga zesinye, ezibangela ukuvuza komchamo noma ukungakwazi ukukhipha isinye.
• Ukujuluka kakhulu, noma ngabe izinga lokushisa lipholile, lapho uphumule, noma ngezinye izikhathi ezingajwayelekile.
• Izinyawo ezijuluka kakhulu (ukulimala kokuqala kwezinzwa).

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Ukuhlolwa kungathola ukuthi unakho okulandelayo:

• Azikho izingqondo nezimo ezibuthakathaka ezinqeni
• Ukulahlekelwa umuzwa ezinyaweni (lokhu kuhlolwe ngensimbi efana nebhulashi ebizwa nge-monofilament)
• Izinguquko esikhunjeni, kufaka phakathi isikhumba esomile, ukulahleka kwezinwele, nezipikili eziwugqinsi noma ezinombala
• Ukulahleka kwekhono lokuzwa ukunyakaza kwamalungu akho (ubunikazi)
• Ukulahlekelwa yikhono lokuzwa ukudlidliza kwimfoloko yokulungisa
• Ukulahlekelwa amandla okuzwa ukushisa noma amakhaza
  
• Yehlisa umfutho wegazi lapho usukuma ngemuva kokuhlala noma ukulala phansi

Izivivinyo ezinga-odwa zifaka:

• I-Electromyogram (EMG), ukuqoshwa komsebenzi kagesi emisipheni
• Ukuhlolwa kwe-velocity velocity test (NCV), ukuqoshwa kwejubane lapho kukhombisa khona ukuhamba ngezinzwa
• Isifundo sokukhipha isisu sokubheka ukuthi ukudla kushesha kanjani kushiya isisu futhi singene emathunjini amancane
• Nyakazisa itafula lokuhlola ukuthi ingabe uhlelo lwezinzwa lulawula kahle umfutho wegazi

Landela iseluleko somhlinzeki wakho sokuthi unganciphisa kanjani ukulimala kwezinzwa zesifo sikashukela.

Lawula izinga lakho likashukela egazini (ushukela) ngo:

• Ukudla ukudla okunempilo
• Ukuvivinya umzimba njalo
• Ukuhlola ushukela wakho wegazi kaningi njengokuyalelwa nokugcina amarekhodi ezinombolo zakho ukuze wazi izinhlobo zokudla nemisebenzi ethinta izinga likashukela egazini lakho
• Ukuthatha imithi yomlomo noma ejojowe njengoba kuyalelwe ngumhlinzeki wakho

Ukwelapha izimpawu zokulimala kwezinzwa, umhlinzeki wakho angakunikeza imithi yokwelapha:

• Ubuhlungu ezinyaweni zakho, emilenzeni, noma ezingalweni
• I-nausea, ukuhlanza, noma ezinye izinkinga zokugaya
• Izinkinga zesinye
• Izinkinga zokwakhiwa noma ukoma kwesitho sangasese sowesifazane

Uma unikezwe imithi yezimpawu zokulimala kwemizwa, qaphela okulandelayo:

• Imithi kaningi ayisebenzi kangako uma ushukela wegazi lakho uvame ukuba phezulu.
• Ngemuva kokuthi uqale lesi sidakamizwa, tshela umhlinzeki wakho uma ubuhlungu bezinzwa abuthuthuki.

Uma ulinyazwe imizwa ezinyaweni, umuzwa ezinyaweni zakho ungancipha. Awukwazi ngisho nokuzwa nhlobo. Ngenxa yalokhu, izinyawo zakho kungenzeka zingapholi kahle uma zilimele. Ukunakekela izinyawo zakho kungavimbela izinkinga ezincane ukuba zibe zimbi kakhulu uze ugcine usesibhedlela.

Ukunakekela izinyawo zakho kuhlanganisa:

• Ukuhlola izinyawo zakho nsuku zonke
• Ukuhlolwa unyawo njalo uma ubona umhlinzeki wakho
• Ukugqoka uhlobo olulungile lwamasokisi nezicathulo (buza umhlinzeki wakho ngalokhu)

Izinsizakusebenza eziningi zingakusiza uqonde kabanzi ngesifo sikashukela. Ungafunda futhi izindlela zokuphatha isifo sakho semizwa sikashukela

Ukwelashwa kudambisa izinhlungu futhi kulawula ezinye izimpawu.

Ezinye izinkinga ezingakhula zibandakanya:

• Ukutheleleka kwesinye noma kwesinso
• Izilonda ezinyaweni zikashukela
• Ukulimala kwemizwa okufihla izimpawu zobuhlungu besifuba (angina) obuxwayisa ngesifo senhliziyo nokuhlaselwa yisifo senhliziyo
• Ukulahlekelwa wuzwane, unyawo, noma umlenze ngokunqunywa, imvamisa kungenxa yokutheleleka kwethambo okungapholi

Shayela umhlinzeki wakho uma uthuthukisa noma yiziphi izimpawu zesifo sikashukela sokungazwani kahle komzimba.

I-neuropathy yesifo sikashukela; Isifo sikashukela - i-neuropathy; Isifo sikashukela - i-peripheral neuropathy

• Isifo sikashukela - izilonda ezinyaweni
• Thayipha i-2 yesifo sikashukela - okufanele ubuze udokotela wakho

• Isifo sikashukela nokulimala kwemizwa
• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

I-American Diabetes Association. 11.Izinkinga ze-Microvascular nokunakekelwa kwezinyawo: amazinga wokunakekelwa kwezokwelapha kusifo sikashukela - 2020. Ukunakekelwa yisifo sikashukela. 2020; 43 (Suppl 1): S135-S151. I-PMID: 31862754 pubmed.ncbi.nlm.nih.gov/31862754/.

UBrownlee M, Aiello LP, uSun JK, et al. Izinkinga zesifo sikashukela. Ku: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.