Ngaba nawe ukhe uzive iintlungu ezinzima kunye nokungakhululeki emilenzeni yakho ngenxa yesifo seswekile? Masifunde ngale (i-Diabetic Amyotrophy)!

Ngaba unesifo seswekile? Ngaba ngamanye amaxesha uziva iintlungu ezinganyamezelekiyo ezinqeni nasemathangeni akho, uze ngequbuliso uzive ngathi imilenze yakho iyaphela? Usenokucinga ukuba le yenye ingxaki yesifo seswekile. Inyaniso kukuba, esi sisifo esinxulunyaniswa nesifo seswekile, kodwa sisenokuba sinqabile. Namhlanje siza kuthetha ngento efana nale.

Yintoni le `(i-Diabetic Amyotrophy)' enxulumene nesifo seswekile?

Ngamafutshane, `(I-Diabetic Amyotrophy)` sisifo semithambo-luvo kunye nemisipha esichaphazela izinqe zakho, iimpundu, namathanga, nto leyo ebangela iintlungu eziqatha kunye nobuthathaka bemisipha . Le yimeko engaqhelekanga. Uninzi lwexesha, emva kokuba ezi mpawu ziqalile, ziya ziba mandundu ngokuhamba kwexesha, kwaye kancinci kancinci, ngamanye amaxesha iinyanga okanye iminyaka, ziyaphucuka.

Le meko idla ngokuchaphazela abantu abangaphezu kweminyaka engama-50 ubudala abanesifo seswekile sohlobo lwesibini . Idla ngokubonakala emva kweminyaka emine emva kokuqala kwesifo seswekile. Oogqirha nabaphandi basazama ukufumanisa ukuba yintoni kanye kanye ebangela esi sifo sinzima, ngoko ke isizathu esichanekileyo asikacaci .

Oogqirha basebenzisa amanye amagama amaninzi kwesi sifo, ``Diabetic Amyotrophy''. La magama asenokuvakala entsonkothile, kodwa onke ziinkalo ezahlukeneyo zesimo esifanayo. Nazi imizekelo embalwa:

• (I-lumbosacral radiculoplexus neuropathy enxulumene nesifo seswekile - DLRPN)`
• `(Isifo sikaBruns-Garland)`
• `(I-neuropathy enxulumene nesifo seswekile esimalunga ne-proximal)`
• `(Isifo seswekile esibizwa ngokuba yi-diabetes polyradiculopathy)`
• `(I-Femoral-sciatic neuropathy yesifo seswekile)`

Akunyanzelekanga ukuba ukhumbule onke la magama. Eyona nto iphambili kukuqonda ukuba le yimeko ethile ehambisana nesifo seswekile kwaye ichaphazela iinyawo.

Ixhaphake kangakanani le meko?

Njengoko bekutshiwo ngaphambili, `(i-Diabetic Amyotrophy)` yimeko engaqhelekanga kakhulu . Ayiveli kuye wonke umntu onesifo seswekile. Kuthiwa ichaphazela malunga ne-1% yabantu abanesifo seswekile. Nangona kunjalo, ibonakala rhoqo kubantu abanesifo seswekile (uhlobo lwesibini)`.

Zithini iimpawu ze-`(Diabetic Amyotrophy)`?

Iimpawu zale meko zichaphazela kakhulu izinqe zakho, iimpundu, kunye/okanye amathanga . Jonga ukuba unayo na kwezi mpawu:

• Intlungu ebuhlungu ye-neuropathic : Olu luphawu lokuqala oluvelayo. Lunokuvakala ngathi kukutsha, ukuhlaba, okanye ukurhawuzelela.
• Ubuthathaka bemisipha : Ukuziva ngathi imilenze yakho iyaphelelwa ngamandla. Ubunzima bokuphakama esitulweni okanye ukunyuka izinyuko.
• Ukuwohloka kwemisipha : Oku kukulahlekelwa bubunzima bemisipha emilenzeni. Amathanga asenokubonakala emancinci kunangaphambili.
• Ukulahlekelwa yi-reflexes (i-areflexia): Xa ugqirha ekubetha idolo lakho ngesando esincinci, umlenze wakho uya kushukuma, yiyo loo ndlela ii-reflexes ezincipha ngayo.

Ezi mpawu zihlala ziqala ngequbuliso kwelinye icala lomzimba . Oko kukuthi, umlenze wasekunene ngumlenze wasekunene, umlenze wasekhohlo ngumlenze wasekhohlo. Kodwa ngokuhamba kwexesha, inokusasazeka iye kwelinye icala. Intlungu yokuqala enzima inokuhlala iiveki ukuya kwiinyanga. Emva kokuba intlungu iphelile, ubuthathaka bemisipha buqala ukwanda. Le meko inokuba mandundu kancinci kancinci malunga neenyanga ezili-18. Kwiimeko ezinzima kakhulu, usenokungakwazi nokuhamba ngaphandle koncedo .

Kulapho ke kuphela apho iimpawu zizinzileyo kwaye isigulane siqala ukuchacha kancinci kancinci. Le nkqubo yokuphiliswa ingathatha iinyanga.

Ukongeza, abanye abantu abane-Diabetic Amyotrophy banokulahlekelwa bubunzima ngendlela engachazekiyo – ngokuqhelekileyo ngaphezulu kweekhilogram ezili-10 (malunga neekhilogram ezi-4.5). Abanye banokuva iintlungu kunye nobuthathaka bemisipha esiqwini (esiswini, esifubeni) nakwiingalo.

Zithini izizathu ze-`(Diabetic Amyotrophy)`?

Njengoko besitshilo ngaphambili, abaphandi abakafumani sizathu siqinisekileyo soku, kodwa bayaqhubeka nokufunda ngaso.

Ubungqina bangoku bubonisa ukuba le yimeko ebizwa ngokuba yi-microvasculitis, ebangelwa kukudumba kwemithambo yegazi emincinci emzimbeni . Ngamafutshane, inkqubo yomzimba yokuzikhusela, ekhusela imizimba yethu kwizifo, iyasebenza kakhulu ngesizathu esithile kwaye yonakalisa imithambo yegazi emincinci ehambisa igazi kwimithambo yegazi esezinqeni nasemilenzeni. Oku kubangela umonakalo kwimithambo yegazi.

Izifundo zibonise ukuba kwimeko ethi ``Diabetic Amyotrophy``, ezi ndawo zilandelayo zonakele kakhulu:

• Iingcambu zemithambo-luvo : Ezi ziindawo zokuqala zemithambo-luvo eziphuma kwintambo yomqolo kumqolo wethu.
• Iimithambo-luvo ezijikeleze imithambo-luvo : Ezinye iimithambo-luvo eziphuma kwiingcambu zemithambo-luvo.
• I-Lumbosacral plexus : Le yinethiwekhi yemithambo-luvo enika imvakalelo (ukuziva) kunye nokusebenza kwemisipha (ubuchule bokushukuma) emilenzeni yethu, ngaphantsi kwesinqe.

Ngubani osengozini enkulu yokuba `(i-Diabetic Amyotrophy)`?

Le meko idla ngokuchaphazela abantu abanesifo seswekile, kodwa isizathu esichanekileyo asikaziwa. Kunqabile kakhulu ukuba abantu abangenaso isifo seswekile nabo baxelwe ukuba banazo ezi mpawu.

Ezi zilandelayo zichongiwe njengezinto ezibangela umngcipheko we-amyotrophy yesifo seswekile:

• Ukuba nesifo seswekile sohlobo lwesibini.
• Ulawulo olukhawulezileyo lwamanqanaba eswekile egazini. Umzekelo, ukuba ixabiso lakho ``(A1C)`` (oku kubhekisa kwinqanaba lakho eliqhelekileyo leswekile kwiinyanga ezi-2-3 ezidlulileyo) ngequbuliso lehla ukusuka kwi-11% ukuya malunga ne-7% kwisithuba senyanga.
• Ulawulo olungqongqo lwamanqanaba eswekile egazini. Ngokwesiqhelo, ukugcina ixabiso le-"A1C" lingaphantsi kwe-7%.

Ukongeza koku, kukho nezinye izinto ezibangela ukuba esi sifo sivele:

• Ukuqala unyango lwesifo seswekile.
• Ingozi okanye ukwenzakala (ukwenzakala).
• Ukuvela kwezifo.
• Ukugonywa.

Kodwa zonke ezi zinto zisesekwinqanaba lophando.

Ungayixilonga njani i-`(Diabetic Amyotrophy)`?

Le yeyona nto ibalulekileyo. Akukho vavanyo lucacileyo olunye oluqinisekisa imeko `(i-Diabetic Amyotrophy)`. Oogqirha bafikelela kolu xilongo ngokususa ezinye izizathu ezinokubakho nganye nganye (inkqubo yokususa). Oko kukuthi, basusa ezinye iimeko ezinokubangela iimpawu zakho ngaphambi kokuba bagqibe kwelokuba `(i-Diabetic Amyotrophy)`. Umzekelo, bazama ukususa iimeko ezifana nezi:

• Ukucinezelwa kweengcambu zemithambo-luvo.
• Izimila zepelvic.
• I-Chronic inflammatory demyelinating polyneuropathy (CIDP).
• I-Sarcoidosis.
• Iintsholongwane ezifana ne-`(HIV)`, `(Epstein-Barr virus)`, `(cytomegalovirus)` kunye ne-`(syphilis)`.

Okokuqala, ugqirha wakho uza kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Emva koko, uza kwenza uvavanyo lomzimba kunye novavanyo lwemithambo-luvo.

Ukongeza, uvavanyo olulandelayo lunokucetyiswa:

• Uvavanyo lwegazi : Umzekelo, ukubalwa kwegazi okupheleleyo, uvavanyo lwe-A1C, uvavanyo lokusebenza kwesibindi, kunye novavanyo lwegazi le-calcium.
• Iskeni ye-MRI yomqolo we-lumbosacral.
• I-CT scan yendawo ye-pelvic.
• Uvavanyo lwe-Neurophysiological : Olu vavanyo luvavanya inkqubo yakho yemithambo-luvo, ingakumbi umsebenzi wayo wombane.

Ziziphi iindlela zonyango ze-`(Diabetic Amyotrophy)`?

Iindaba ezimnandi zezokuba uninzi lwabantu abane-Diabetic Amyotrophy baya kuphila kancinci ngaphandle konyango. Nangona kunjalo, ukuba ayinyangwa, impilo inokucotha kakhulu okanye ingaphelelanga .

Abaphandi basafunda ngonyango olusebenzayo lwe-Diabetic Amyotrophy. Usenokufumana ithuba lokujoyina uvavanyo lweklinikhi oluvavanya unyango olutsha. Buza ugqirha wakho ngalo mba.

Ngaphandle koko, oogqirha bacebisa kakhulu unyango olunceda ukulawula iimpawu. Ezi zingabandakanya:

• Ulawulo lweentlungu: Iipilisi zokunciphisa iintlungu ezifana neeNSAID (iziyobisi ezichasene nokuvuvukala ezingezizo iisteroid) zinokunikwa ukulawula iintlungu. Ukusela amayeza abizwa ngokuba yiAmitriptyline ebusuku kunokunceda kwiintlungu kunye nokungalali. Ukuba iintlungu zinzima, ugqirha wakho unokukunika amayeza okunciphisa iintlungu anamandla okanye unokufuna ukulaliswa esibhedlele.
• Unyango lomzimba : Ingcali yonyango lomzimba iya kuphuhlisa uthotho lwemithambo kunye neentshukumo ezenzelwe wena. Ezi ziya kukunceda usebenzise amalungu omzimba wakho achaphazelekileyo, ulawule iintlungu, kwaye wakhe kwakhona amandla emisipha.
• Unyango lomsebenzi : Ukuba i-amyotrophy yakho yesifo seswekile ikwenza kube nzima ukwenza imisebenzi yakho yemihla ngemihla, ingcali yonyango lomsebenzi ingakunceda ufumane iindlela zokuyenza ngokulula. Banokucebisa ukuba kusetyenziswe izixhobo zokuncedisa ezifana ne-walker okanye isitulo esinamavili.

Kwakhona, kubaluleke kakhulu ukugcina amanqanaba eswekile egazini lakho elawulwa kakuhle ukuthintela ezinye iingxaki ezinokubakho ngenxa yesifo seswekile .

Ithini ingxelo yokubikezela imeko ethi `(Diabetic Amyotrophy)`?

I-Amyotrophy yesifo seswekile yimeko ehlala iphela ngokwayo ngokuhamba kwexesha. Oku kuthetha ukuba ekugqibeleni uya kubona ukuphucuka kweempawu zakho. Nangona kunjalo, ukuchacha kunokuba ixesha elide kwaye kungaqikelelwa .

Kuqikelelwa ukuba malunga ne-10% yabantu kuya kufuneka basebenzise isitulo esinamavili kwiminyaka emibini emva kokuba iimpawu ziqalile. Abaninzi banokuba nokukhubazeka okusisigxina.

Nangona le yimeko ethintelayo , kubalulekile ukufuna ingcebiso kagqirha nge-Diabetic Amyotrophy. Unyango lomzimba, ngakumbi, lunokukunceda ukhawulezise ixesha lakho lokuchacha.

I-Amyotrophy yesifo seswekile ihlala ixesha elingakanani?

Iimpawu zale meko zinokuhlala ukusuka kwiinyanga ezimbalwa ukuya kwiminyaka emibini. Emva koko, ukuchacha kungathatha iinyanga ukuya kwiminyaka. Abantu abaninzi banokuqhubeka benazo ezinye iimpawu (ezifana nobuthathaka) (nangona zingaphantsi kakhulu kunezo zaxa isifo sasisesibi kakhulu).

Ndingayithintela na i-Amyotrophy yesifo seswekile?

Ekubeni abaphandi bengekayazi imbangela echanekileyo, akukho nto unokuyenza ukuthintela le meko .

Ndingazinyamekela njani ukuba ndine-`(Diabetic Amyotrophy)`?

Ukongeza ekufuneni unyango, kukho ezinye iindlela onokuzikhusela ngazo:

• Cela uncedo kubantu obathandayo : I-Amyotrophy yesifo seswekile ingenza kube nzima kuwe ukwenza umsebenzi wakho njengoko ubusenza ngaphambili. Musa ukuthandabuza ukucela uncedo kusapho lwakho nakubahlobo bakho de uphile.
• Funa uncedo lwezempilo yengqondo.: Olu hlobo lwemeko lunokuchaphazela nempilo yakho yengqondo. Izinto ezinje ngokudakumba okanye ixhala zinokwenzeka. Ukuba le meko ikwenza uzive uxinezelekile kakhulu okanye wedwa, funa uncedo kumntu ofana nomcebisi oqeqeshiweyo okanye ingcali yezengqondo.

Ndifanele ndimbone nini ugqirha wam?

Ukuba une-Diabetic Amyotrophy, kuya kufuneka ubone ugqirha wakho rhoqo ukuze ajonge imeko yakho kwaye aqinisekise ukuba isicwangciso sakho sonyango siyasebenza. Qiniseka ukuba uyamxelela ugqirha wakho ukuba iimpawu zakho ziya zisiba mandundu okanye ziyatshintsha .

Ukujongana nengxaki yesifo seswekile, ingakumbi xa iswekile yakho egazini ilawulwa kakuhle, kunokuba nzima kwaye kuyacaphukisa. Kodwa khumbula, iimpawu ze-"Diabetic Amyotrophy" ngokuqinisekileyo ziya kuphucuka ngokuhamba kwexesha. Kude kube ngoko, funa unyango lokulawula iimpawu zakho nokuqinisa izihlunu zakho. Ugqirha wakho uya kuba nawe kolu hambo lokuchacha.

Khumbula njengesishwankathelo (Umyalezo Wokuya Ekhaya)

I-Amyotrophy yesifo seswekile sisifo esingaqhelekanga esibangela iintlungu eziqatha kunye nobuthathaka emaqakaleni nasemathangeni. Sidla ngokuchaphazela abantu abangaphezu kweminyaka engama-50 ubudala abanesifo seswekile sohlobo lwesibini.

• Iimpawu : Ekuqaleni intlungu inzima, emva koko ubuthathaka bemisipha kunye nokuphelelwa ngamandla. Kusenokuba nzima nokuhamba.
• Isizathu : Ayaziwa ngokuqinisekileyo, kodwa kucingelwa ukuba kukonakala kwemithambo yegazi ehambisa igazi kwimithambo-luvo ngenxa yengxaki yenkqubo yomzimba yokuzikhusela.
• Uxilongo : Uxilongo lwenziwa ngokuthintela ezinye izifo. I-MRI, i-CT scans, kunye novavanyo lwe-neurological ziyanceda.
• Unyango : Ukunciphisa iintlungu, unyango lomzimba, unyango lomsebenzi kubalulekile. Ukulawula iswekile egazini nako kubalulekile.
• Ukuchacha : Kuthatha ixesha, kodwa iimpawu zihlala ziphucuka.

Ukuba unayo nayiphi na kwezi mpawu, ungathandabuzi ukubona ugqirha ukuze akunike iingcebiso. Ukuxilongwa kwangoko kunye nonyango kubaluleke kakhulu.

Isifo seswekile , i-amyotrophy, iintlungu zemithambo-luvo, ubuthathaka bemisipha, iintlungu zemilenze, iingxaki zeswekile, unyango lomzimba