Ngaba i-Neuropathy enxulumene nesifo seswekile? Masifumanise ngayo.

Ngaba ungumntu onesifo seswekile? Ngoko ke, ngaba uziva ungenazimvakalelo, urhawuzelelwa, utshile, okanye ngamanye amaxesha uneentlungu ezandleni nasezinyaweni zakho? Ezi zisenokuba ziimpawu zokuba imithambo-luvo yakho yonakaliswa kancinci kancinci sisifo seswekile. Ungakhathazeki, esi sisifo esichaphazela abantu abaninzi. Namhlanje, siza kuthetha ngesi sifo semithambo-luvo esibangelwa sisifo seswekile, esibizwa ngokuba yi-`(Diabetes-Related Neuropathy)`.

Ngamafutshane, yintoni i-neuropathy?

Cinga ngenkqubo yemithambo-luvo emzimbeni wethu njengentambo yombane endlwini. Le mithambo-luvo ithwala imiyalezo esuka engqondweni iye kuzo zonke iikona zomzimba, kwaye le mithambo-luvo ithwala imiyalezo evela kwezinye iindawo zomzimba ibuyela engqondweni. Le mithambo-luvo ifumana ukondliwa kunye neoksijini evela kwimithambo yegazi emincinci necolekileyo.

Ngoku, xa unesifo seswekile, oko kuthetha ukuba inqanaba leswekile egazini lakho liphezulu (i-Hyperglycemia) ixesha elide, le mithambo yegazi ibuthathaka iqala ukonakala. Njengaxa amanzi aneswekile eninzi edlula kwimibhobho, imibhobho iqala ukugqwala. Xa imithambo yegazi yonakala ngale ndlela, imithambo yegazi, efana neengcingo zombane, ayifumani isondlo kunye neoksijini eziyidingayo. Emva koko loo mithambo-luvo iyaba buthathaka kancinci kancinci, yonakale, ize iqale nokufa. Yiloo nto siyibiza ngokuba yi-Diabetes-Related Neuropathy .

Oku kunokwenzeka kubantu abanesifo seswekile "sohlobo 1" kunye nesifo seswekile "sohlobo 2". Nangona kunjalo, akwenzeki kubo bonke abanesifo seswekile. Kwakhona, i-neuropathy ingenzeka ngezinye izizathu. Umzekelo, inokubangelwa kukwenzakala kwemithambo-luvo, ukungondleki kakuhle, okanye ingozi. Nangona kunjalo, ukuba ugqirha ufumanisa ukuba unesifo seswekile kwaye akanakufumana esinye isizathu sezi mpawu, uya kusifumanisa njengesifo seswekile.

Ziziphi iintlobo zezifo zemithambo-luvo ezibangelwa sisifo seswekile?

Lo monakalo wemithambo-luvo unokuchaphazela imithambo-luvo kwiindawo ezahlukeneyo zomzimba. Yahlulwe yaba ziintlobo ezininzi eziphambili ngokuxhomekeke ekubeni ichatshazelwe phi. Makhe sijonge ukuba zeziphi.

Zingaba yintoni iimpawu zezi zifo zemithambo-luvo?

Iimpawu ozifumanayo zixhomekeke kuhlobo lwe-neuropathy onalo. Makhe sijonge iimpawu ezinxulumene nohlobo ngalunye ngokwahlukeneyo.

Iimpawu zePeripheral Neuropathy

Ngenxa yokuba oku kuchaphazela kakhulu imilenze, unokufumana izinto ezifana nezi:

• Ukurhawuzelela kwamalungu omzimba , ukuziva ngathi iimbovane zibaleka zijikeleza, ukuziva ngathi zihlatywa ngeenaliti (iParesthesia).
• Intlungu ebukhali, njengokutsha, ukugwazwa, okanye ukubetheka ngombane.
• Impendulo engaqhelekanga xa uchukunyiswa. Umzekelo, ukuziva intlungu eqatha xa ilaphu lebhedi likhuhla umlenze (iDysesthesia).
• Ubuthathaka bemisipha.
• Amanxeba asemilenzeni okanye ezinyaweni athatha ixesha elide ukuphola .
• Ngamanye amaxesha, ulahlekelwa yimvakalelo ezinyaweni zakho. Emva koko, nokuba uhlatywe liva okanye wenzakale sisihlangu, awukwazi ukuliva.

Lo monakalo wemithambo-luvo uqhubeka kancinci kancinci kwiminyaka emininzi, ngoko ke usenokungaziboni iimpawu ezinkulu kwizigaba zokuqala.

Iimpawu ze-Autonomic Neuropathy

Ngenxa yokuba ichaphazela iinkqubo ezininzi emzimbeni, iimpawu zingahluka kakhulu.

Enye into eyingozi enokwenzeka ngesi sifo semithambo-luvo kukuba usenokungaziboni iimpawu ezilumkisayo ze-hypoglycemia, ezinje ngokungcangcazela, indlala egqithisileyo, kunye nexhala. Oku kunokuba yingozi.

Ziziphi izinto ezonyusa umngcipheko wale meko?

Ukuba unesifo seswekile, kukho izinto ezininzi ezibangela umngcipheko wokuba ne-neuropathy:

• Ubude bexesha lesifo seswekile: Okukhona unesifo seswekile ixesha elide, kokukhona umngcipheko wokonakala kwemithambo-luvo uyanda.
• Ubudala: Le ngozi iyanda nangokukhula.
• Ukulawula iswekile egazini kakubi: Ukuba amanqanaba eswekile egazini lakho ahlala ephezulu, yiloo nto iphambili ebangela umngcipheko. Ukuba ne-A1C engaphezulu kwe-7% kangangeminyaka engaphezu kwemithathu kuyandisa kakhulu umngcipheko wakho.
• Uxinzelelo lwegazi oluphezulu (iHypertension): Ukuba uxinzelelo lwegazi luphezulu, lungonakalisa nemithambo yegazi ebuthathaka.
• I-cholesterol ephezulu: Amanqanaba aphezulu e-cholesterol egazini nawo awalungelanga imithambo yegazi.
• Ubunzima bomzimba obuphezulu (i-BMI ephezulu): Ukutyeba kakhulu kukwanxulumene noku.
• Isifo sezintso: Ukuba izintso zonakele ngenxa yesifo seswekile, umngcipheko we-neuropathy nawo uphezulu.
• Ukutshaya nokusela utywala: Zombini ezi ndlela zonakalise ngokuthe ngqo imithambo yegazi kunye nemithambo-luvo.

Ugqirha uyifumanisa njani le nto?

Ukuba unale mpawu, into yokuqala omawuyenze kukubona ugqirha wakho. Uza kukubuza ngeempawu zakho kunye nendlela olawula ngayo isifo sakho seswekile. Emva koko, baza kwenza uvavanyo lomzimba. Kukho iimvavanyo ezininzi ezinokwenziwa ukuqinisekisa ukuba unesifo.

• Uvavanyo lweenyawo zesifo seswekile: Apha, ugqirha uza kuhlola iinyawo zakho ngononophelo ukuze afumane amanxeba, imikrwelo, okanye izilonda. Emva koko, esebenzisa isixhobo esincinci (njenge-monofilament), baya kuchukumisa iindawo ezahlukeneyo zeenyawo zakho baze babone ukuba uziva na. Oku kuya kunceda ekuqinisekiseni ukuba zingakanani na iimvakalelo ezilahlekileyo ezinyaweni zakho.
• Izifundo zoQhubo lweMithambo (i-NCS): Oku kulinganisa isantya esihamba ngaso imiqondiso yombane kwiimithambo-luvo zakho. Ukuba imithambo-luvo yonakele, esi santya siya kuncitshiswa.
• I-Electromyography (EMG): Olu vavanyo lujonga impilo yezihlunu zakho kunye nemithambo-luvo ezilawulayo.

Uvavanyo lokufumanisa i-autonomic neuropathy luyahluka ngokuxhomekeke kwinkqubo echaphazelekayo. Umzekelo, ukuba kukho ingxaki ngesinyi, kunokwenziwa i-ultrasound scan.

Zithini iindlela zonyango zoku?

Ugqirha wakho uza kukunceda ugcine amanqanaba eswekile egazini esempilweni kwaye anyange naziphi na iimpawu onokuba nazo, ingakumbi iintlungu.

• Amayeza okunciphisa iintlungu: Amayeza anjenge-`Pregabalin` kunye ne-`Gabapentin` adla ngokumiselwa kwiintlungu zemithambo-luvo. Ngamanye amaxesha, amaqhekeza e-`(Capsaicin)` asetyenziswa kwindawo ebuhlungu okanye amayeza athile oxinzelelo `(Antidepressants)` nawo ayasetyenziswa kule ntlungu.
• Unyango Lomzimba: Oku kunceda ukuqinisa izihlunu, ukuthintela ubunzima bokuhamba, kunye nokugcina ibhalansi.
• Unyango Lomsebenzi: Lubonelela ngeengcebiso kunye nezixhobo zokuncedisa ukwenza imisebenzi yemihla ngemihla ibe lula.
• Ezinye iindlela zonyango: Abanye abantu banokufumana isiqabu kwiintlungu ngezinto ezifana ne-acupuncture. Kubalulekile nokubona ingcali yesondlo ukuze ufunde ngokutya okunempilo.

Ngaba lo monakalo wemithambo-luvo ungabuyiselwa?

Lo ngumbuzo abantu abaninzi abawubuzayo. Ukuba amanqanaba eswekile egazini alawulwa kakuhle, iimpawu zokuqala ezifana nokurhawuzelela zinokuncipha okanye zinyamalale kungekapheli nonyaka okanye ngaphezulu. Nangona kunjalo, ukuba umonakalo kwimithambo-luvo unzima kakhulu , kunzima ukuwuguqula ngokupheleleyo. Yiyo loo nto kubalulekile ukuqaphela iimpawu ngokukhawuleza kwaye uqale ukulawula iswekile yakho.

Sifanele senze ntoni ukuze sikuthintele oku?

Eyona nto ingcono onokuyenza kukuthintela oku ukuba kungenzeki. Kukho izinto ezimbalwa onokuzenza ukuze wenze oko:

• Gcina i-A1C yakho ingaphantsi kwe-7%. Le yeyona nto ibalulekileyo.
• Gcina uxinzelelo lwegazi lungaphantsi kwe-140/90 mmHg okanye kwinqanaba elicetyisiweyo ngugqirha wakho.
• Landela ukutya okunempilo kunye nesicwangciso sokuzilolonga.
• Gcina ubunzima bomzimba busempilweni.
• Ukuba uyatshaya, yeka ngoko nangoko.
• Nciphisa okanye uyeke ngokupheleleyo ukusela utywala .
• Bona ugqirha wakho ubuncinane kanye ngonyaka ukuze ahlolwe ngokupheleleyo, ingakumbi uhlolo lweenyawo .
• Jonga iinyawo zakho imihla ngemihla ukuze ubone ukuba azinazo na ii-blisters, amanxeba, izilonda, imikrwelo yesikhumba, kunye nokubomvu. Ngenxa yokuba unemvakalelo encinci, unokuzilimaza ngaphandle kokuqaphela.