I-Diabetic Neuropathy: Ingaguqulwa?

-Delile

• Iyini i-neuropathy yesifo sikashukela?
• Ukuphatha i-neuropathy yesifo sikashukela
• Yelashwa kanjani i-neuropathy yesifo sikashukela?
• Ukusetshenziswa kwezidakamizwa ezingekho kwelebula
• Yiziphi izinkinga ze-neuropathy yesifo sikashukela?
• Izinkinga zokugaya ukudla
• Ukungasebenzi ngokocansi
• Ukutheleleka emilenzeni nasezinyaweni
• Ukulimala okuhlangene emilenzeni
• Ukujuluka okweqile noma okwehlisiwe
• Izinkinga zomchamo
• Yini enye engadala i-neuropathy?
• Uyini umbono wami?

Iyini i-neuropathy yesifo sikashukela?

"I-Neuropathy" isho noma yisiphi isimo esilimaza amangqamuzana ezinzwa. Lawa maseli adlala indima ebaluleke kakhulu ekuthinteni, ekuzweni nasekunyakazeni.

I-neuropathy yesifo sikashukela ingumonakalo wezinzwa ezibangelwa yisifo sikashukela. Ososayensi bakholelwa ukuthi okuqukethwe ushukela wegazi osegazini lomuntu onesifo sikashukela kulimaza izinzwa ngokuhamba kwesikhathi.

Kunezinhlobo ezahlukahlukene zama-neuropathies. Kubandakanya:

• Ukuphatha i-neuropathy yesifo sikashukela

  Ukulimala kwemithambo yesifo sikashukela akunakubuyiselwa emuva. Lokhu kungenxa yokuthi umzimba awukwazi ukulungisa ngokwemvelo izicubu zezinzwa ezilimele.

  Kodwa-ke, abacwaningi baphenya izindlela zokwelapha ukulimala kwezinzwa okubangelwa yisifo sikashukela.

  Ngenkathi ungeke ukwazi ukuguqula umonakalo kusuka ku-neuropathy, kunezindlela zokusiza ukuphatha isimo, kufaka phakathi:

  • ukwehlisa ushukela wegazi
  • ukwelapha ubuhlungu bezinzwa
  • ukuhlola njalo izinyawo zakho ukuqinisekisa ukuthi azinakho ukulimala, amanxeba, noma ukutheleleka

  Ukuphatha i-glucose yakho yegazi kubalulekile ngoba kungasiza ekuvimbeleni ukulimala okwengeziwe emithanjeni yakho. Ungaphatha kangcono i-glucose yegazi lakho ngalezi zindlela ezilandelayo:

  
  
  • Gwema ukudla okunoshukela omningi ngokweqile, kufaka phakathi ama-sodas, iziphuzo ezinoshukela kanye namakhofi, amajusi wezithelo, kanye nokudla okucutshungulwayo namabhisikidi
  • Yidla ukudla okune-fiber eningi. Lokhu kudla ngokujwayelekile kusiza ukugcina ushukela wegazi usesimweni esizinzile.
  • Yidla ukudla okuqukethe amafutha aphilile, njengalawo avela kumafutha omnqumo namantongomane, bese ukhetha amaprotheni anciphile njengenkukhu ne-turkey.
  • Yidla imifino namaprotheni asezitshalweni njalo, njengobhontshisi ne-tofu.
  • Ukuzivocavoca okungenani kahlanu ngesonto, imizuzu engama-30 njalo. Faka umsebenzi we-aerobic nokuqeqeshwa kwesisindo enkambisweni yakho.
  • Gada ushukela wegazi lakho ngokusho kwesincomo sikadokotela wakho bese uqopha amazinga akho. Lokhu kuzokusiza ukuthi ubone amaphethini nezinguquko ezingavamile emazingeni kashukela egazini lakho.
  • Thatha i-insulin noma imishanguzo yomlomo, efana ne-metformin (Glucophage), njengoba uyalelwe udokotela wakho we-endocrinologist noma udokotela oyinhloko.

  Ngaphezu kokuphatha amazinga eglucose egazini lakho, kubalulekile ukuthi unake izinyawo nemilenze yakho. Izinzwa emilenzeni nasezinyaweni zingalimala, okungaholela ekunciphiseni kwemizwa. Lokhu kusho ukuthi kungenzeka ungakuqapheli uma usika noma ulimaza unyawo noma umlenze wakho.

  
  

  Ukuvimbela ukulimala ezinyaweni noma emilenzeni yakho:

  • hlola izinyawo zakho njalo ukuthola amanxeba noma izilonda
  • clip izinzwane zakho
  • geza izinyawo zakho ngensipho namanzi njalo
  • vakashela njalo udokotela wezinyawo
  • gwema ukuhamba ungafake zicathulo

  Yelashwa kanjani i-neuropathy yesifo sikashukela?

  Ngokwemihlahlandlela evela, imithi ephumelela kunazo zonke yokwelapha isifo sikashukela esizwa ubuhlungu be-neuropathy (PDN) ifaka:

  • pregabalin (eLyrica)
  • i-gabapentin (Neurontin)
  • i-duloxetine (iCymbalta)
  • venlafaxine (Effexor)
  • amithole

  Ezinye izinketho zokwelashwa eziphakanyisiwe zingafaka:

  • imithi yokwelapha, njenge-capsaicin (Qutenza)

  Ukuphathwa kwe-glucose kuyindlela ephumelela kakhulu yokunciphisa izimpawu kanye nokuqhubekela phambili kwe-neuropathy. Ukuphatha amazinga akho e-glucose kufanele njalo kube yingxenye yohlelo lwakho lokwelashwa.

  Ukusetshenziswa kwezidakamizwa ezingekho kwelebula

  Ukusetshenziswa kwezidakamizwa ezingekho kwelebula kusho ukuthi umuthi ovunyelwe yi-FDA ngenhloso eyodwa usetshenziselwa inhloso eyehlukile engavunyelwanga yona. Kodwa-ke, udokotela usengasisebenzisa lesi sidakamizwa ngaleyo njongo.

  
  

  I-FDA ilawula ukuhlolwa nokuvunywa kwezidakamizwa, kodwa hhayi Kanjani odokotela basebenzisa izidakamizwa ukwelapha iziguli zabo. Ngakho-ke, udokotela wakho angakunikeza umuthi abacabanga ukuthi ungcono kakhulu ukunakekelwa kwakho.

  Yiziphi izinkinga ze-neuropathy yesifo sikashukela?

  Imizwa inemisebenzi eminingi ebalulekile emzimbeni. Yingakho i-neuropathy yesifo sikashukela ingaholela ezinkingeni eziningi.

  Izinkinga zokugaya ukudla

  Imizwa elinyazwe yi-neuropathy ingathinta kabi izitho ohlelweni lwakho lokugaya ukudla. Lokhu kungaholela ku:

  • isicanucanu
  • ukuhlanza
  • indlala engakhubazekile
  • ukuqunjelwa
  • isifo sohudo

  Ngokwengeziwe, kungathinta ukuthi ukudla kuhamba kanjani esiswini nasemathunjini akho. Lezi zinkinga zingaholela ekudleni okunomsoco futhi, ngokuhamba kwesikhathi, amazinga kashukela egazini okunzima kakhulu ukuwalawula.

  Ukungasebenzi ngokocansi

  Uma une-autonomic neuropathy, izinzwa ezithinta izitho zocansi zingalimala. Lokhu kungaholela ku:

  • ukungasebenzi kahle kwe-erectile kwabesilisa
  • izingqinamba zokuvusa ucansi nokuthanjiswa kwesitho sangasese sowesifazane kwabesifazane
  • Ukukhuthazeka okungakhubazekile kwabesilisa nabesifazane

  Ukutheleleka emilenzeni nasezinyaweni

  Izinzwa emilenzeni nasezinyaweni zivame ukuthinteka kakhulu yi-neuropathy. Lokhu kungadala ukuthi ulahlekelwe umuzwa ezinyaweni nasemilenzeni. Izilonda nokusikeka kunganakwa futhi kuholele ezifweni.

  Kwezinye izimo ezimbi kakhulu, izifo zingaba nzima futhi ziholele ezilondeni. Ngokuhamba kwesikhathi, lokhu kungadala umonakalo ongalungiseki ezicutshini ezithambile futhi kuholele ekulahlekelweni kwezinzwane noma ngonyawo lwakho.

  Ukulimala okuhlangene emilenzeni

  Ukulimala kwemizwa emilenzeni yakho kungaholela entweni ebizwa ngokuhlangana kweCharcot. Lokhu kubangela ukuvuvukala, ukuba ndikindiki, nokuntuleka kokuzinza ngokuhlanganyela.

  Ukujuluka okweqile noma okwehlisiwe

  Izinzwa zithinta ukusebenza kwezindlala zomjuluko, ngakho ukulimala kwezinzwa kungathinta ukusebenza kwezindlala zakho zomjuluko.

  Lokhu kungaholela ku-anhydrosis, eyaziwa nangokuthi ukujuluka okuncishisiwe, noma i-hyperhidrosis, eyaziwa nangokuthi ukujuluka okweqile. Ngenxa yalokhu, lokhu kungathinta umthethonqubo wokushisa komzimba.

  Izinkinga zomchamo

  Izinzwa zidlala indima ebalulekile ekuphatheni isinye nohlelo lokuchama. Uma izinzwa ezithinta lezi zinhlelo zonakele, lokhu kungaholela ekuhlulekeni ukubona lapho isinye sigcwele futhi silawula kabi ukuchama.

  Yini enye engadala i-neuropathy?

  I-Neuropathy ivame ukubangelwa yisifo sikashukela, kepha ingabangelwa ezinye izimo, kufaka phakathi:

  • ukuphazamiseka kokusebenzisa utshwala
  • ukuvezwa ubuthi
  • izimila
  • amazinga angajwayelekile kavithamini B novithamini E
  • ukuhlukumezeka okubangela ingcindezi ezinzwa
  • izifo ezizimele nezifo
  • imiphumela emibi yemithi ethile, njenge-chemotherapy

  Uyini umbono wami?

  I-diabetes neuropathy ijwayelekile futhi ayikwazi ukuhlehliswa. Noma kunjalo, ungayilawula ngezindlela ezahlukahlukene. Lokhu kufaka phakathi:

  • ukuphatha amazinga kashukela egazini
  • uthatha imishanguzo oyinikezwe ngudokotela wakho ekwelapheni i-neuropathy
  • ukuzihlola njalo izinyawo nemilenze yakho ukulimala
  • ukukhuluma nodokotela wakho nokusebenza nabo ukuphatha isimo sakho