Isifo sikashukela yisimo abantu abaningi ezweni lethu ababhekene naso manje. Ngakho-ke kungenzeka ukuthi uke wezwa ngesifo sikashukela, esihambisana nesifo sikashukela. Ikakhulukazi izinto ezifana nokungazweli emilenzeni kanye nokulahlekelwa umuzwa. Kodwa namuhla sikhuluma ngohlobo lwesifo sikashukela olungajwayelekile, kodwa olunzima kancane, olungavamile. Lokhu kubizwa ngokuthi i-diabetic amyotrophy. Lesi simo sithinta inani elincane labantu, cishe i-1% yabantu abadala abanesifo sikashukela. Futhi sisebenza ngendlela ehlukile kancane kunezinye izifo zesifo sikashukela.
Iyini ngempela i-Diabetic Amyotrophy?
Kalula nje, lokhu futhi kuwukulimala kwemizwa okubangelwa isifo sikashukela. Umehluko uwukuthi sithinteka kuphi. Ngokuvamile, isifo sikashukela silimaza imizwa ezinyaweni nasemilenzeni engezansi. Kodwa kulokhu, i-Diabetic Amyotrophy ithinta kakhulu:
- Amathanga
- Imilenze
- Izinqe
- Izinqe
Ngezinye izikhathi imizwa esezindaweni zesifuba nesisu ingathinteka.
Lesi simo saziwa ngamanye amagama amaningana. Uma udokotela wakho ekhuluma ngelinye lala magama, kuwumqondo omuhle ukuwazi nawo.
- I-neuropathy ye-Proximal
- I-diabetic lumbosacral radiculoplexus neuropathy
- Isifo se-Bruns-Garland
Ziyini izimpawu zalesi simo?
Ngokuvamile, i-neuropathy ihilela ubuhlungu kanye nokuba ndikindiki. Kodwa-ke, izimpawu ze-amyotrophy yesifo sikashukela zihlukile kancane.
Cabanga ngokuzumayo uzwa ubuhlungu obungabekezeleleki obuqala esinqeni sakho bese wehla ethangeni lakho. Ngezinye izikhathi ungase uzwe nobuhlungu obukhulu besisu. Ngokuhamba kwesikhathi, imisipha yakho yethangeni iba buthakathaka, okwenza kube nzima ukuvuka esihlalweni. Esikhathini esiningi, lezi zimpawu zenzeka ohlangothini olulodwa lomzimba. Kodwa-ke, cishe kwesithathu sezimo, zombili izinhlangothi zingathinteka.
Abanye abantu bangase babe nesimo esibizwa ngokuthi 'ukuwa kwezinyawo' ngenxa yokulimala kwemizwa emilenzeni yabo. Lokhu kusho ukuthi lapho behamba, balahlekelwa ukulawula ingxenye engaphambili yonyawo lwabo futhi lubonakala luhudula phansi.
Ake siqonde lezi zimpawu ngokucacile kusukela kuthebula elingezansi.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obukhulu | Ubuhlungu obungazelelwe, obubukhali, nobungenakubekezeleleka endaweni yesinqe, ithanga, noma isinqe. |
| Ubuthakathaka bemisipha | Ngokuhamba kwesikhathi, imisipha emathangeni iyabuthaka, okwenza kube nzima ukuvuka esihlalweni noma ukukhuphuka izitebhisi. |
| Ubuhlungu besisu | Abanye abantu bangase babe nobuhlungu obukhulu esiswini. |
| Ukuwa Kwezinyawo | Ingxenye engaphambili yonyawo ihudula phansi uma uhamba. |
Yiziphi izimbangela kanye nezici eziyingozi zalokhu?
Akukacaci kahle ukuthi yini ebangela lokhu. Siyazi ukuthi amazinga aphezulu kashukela egazini alimaza imizwa. Kodwa ngokumangazayo, ngisho nabantu abanesifo sikashukela esilawulwa kahle (bobabili uhlobo 1 nohlobo 2) bangasithola lesi simo .
Lokhu kusho ukuthi noma amazinga kashukela wakho elawulwa kahle, akuwona umqondo omuhle ukungazinaki lezi zimpawu uma zivela.
Uma kukhulunywa ngezinto eziyingozi, lesi simo sivame ukubikwa kwabesilisa asebekhulile. Kodwa lokho akusho ukuthi abantu abasebasha noma abesifazane abakwazi ukusithola. Singathinta noma ubani wanoma yimuphi ubudala.
Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa)
Uma uya kudokotela onalezi zimpawu, ngeke anqume ngokushesha ukuthi yi-Diabetic Amyotrophy. Ngoba kunezinye izimo eziningana ezibonisa izimpawu ezifanayo nalezi zimpawu. Ngakho udokotela uzoqala azame ukuqeda ezinye izifo ezifanayo. Isibonelo:
- Isifo somgogodla esiwohlokayo: Lokhu kungabangela nobuhlungu endaweni yethanga.
- Ukuphazamiseka kwemisipha yesifo sikashukela: Lokhu kungabangela ubuhlungu nokuvuvukala ngenxa yokuncipha kokugeleza kwegazi emisipheni.
- I-Meralgia paresthetica: Lesi esinye isimo sezinzwa esibangela ukungazweli, ubuhlungu, nokuvuvukala endaweni yethanga.
Udokotela wakho angenza izivivinyo eziningana ezifana nalezi ukuze aqinisekise ukuthi azikho futhi athole ukuxilongwa okunembile.
| Ukuhlolwa | Kungani wenza lokhu? |
|---|---|
| Ukuhlolwa kwegazi | Bheka ukuthi unesifo sikashukela, noma ukuthi silawulwa kahle kangakanani. |
| Ukuthepha Komgogodla | Hlola uketshezi lomgogodla ukuze ubone ukuthi kukhona yini ukuvuvukala. |
| I-X-ray, i-CT scan, i-MRI scan | Hlola izinkinga zesakhiwo emathanjeni, emisipheni, kanye nasezinzwa. |
| I-Electromyography (EMG) kanye nokuhlolwa kwezinzwa | Kala ukuthi izinzwa zakho nemisipha yakho zisebenza kahle futhi ziphilile kangakanani. |
Yiziphi izindlela zokwelapha lokhu?
Izindaba ezinhle ukuthi lesi simo sizoba ngcono ngokwaso ngokuhamba kwesikhathi. Kodwa kuzothatha isikhathi. Okwamanje, lokhu kwelashwa kungasiza ekulawuleni izimpawu zakho futhi kukunike impumuzo ethile.
1. Ukulawulwa okuhle kwesifo sikashukela
Lokhu kuyinto ebaluleke kakhulu. Kubalulekile ukugcina amazinga kashukela egazini lakho esezingeni elifanele. Ukuthatha imithi efanele, ukudla okudlayo kanye nokuzivocavoca umzimba konke kubaluleke ngokulinganayo kulokhu.
2. Izibulala-zinhlungu
Kunemithi ekhethekile yokulawula lobu buhlungu obukhulu bemizwa. I-Gabapentin ne -pregabalin zisebenza kahle kakhulu kulokhu. Ngezinye izikhathi, eminye imithi esetshenziselwa ukucindezeleka ingasiza futhi ekulawuleni lolu hlobo lobuhlungu bemizwa besikhathi eside. Konke lokhu kufanele kuthathwe kuphela ngeseluleko sikadokotela wakho.
3. Ukwelashwa Komzimba
Ukwelashwa ngokomzimba kubalulekile ukukusiza ukuthi ugcine futhi ubuyisele amandla kancane kancane emisipheni yakho ebuthaka. Uchwepheshe wezokwelapha ngokomzimba uzokunikeza isethi yokuzivocavoca efanele wena. Bangase batuse nokusebenzisa imishini ukwenza impilo yansuku zonke ibe lula, njenge-reach noma isihlalo sendlu yangasese esiphakanyisiwe.
Iningi labantu lithola amandla amaningi alahlekile. Kodwa akwenzeki ngobusuku obubodwa. Kungathatha isikhathi esingangonyaka ukuthi izimpawu ziqale ukuthuthuka. Ngakho-ke kubalulekile ukuba nesineke ngokwelashwa. Kudingeka futhi sikhumbule ukuthi idlanzana elincane kakhulu labantu alikaze lilulame ngokugcwele.
Umlayezo Wokuya Nawe Ekhaya
- I-Amyotrophy yesifo sikashukela iyinkinga engavamile kodwa engathi sína yesifo sikashukela.
- Izimpawu eziyinhloko ubuhlungu obukhulu kanye nobuthakathaka bemisipha ezinqeni, emathangeni nasezinqeni, kunokuba kube yizinzwane emilenzeni.
- Uma unesifo sikashukela futhi uhlangabezana nezimpawu ezinjengalezi, ungazinaki bese ubona udokotela wakho ngokushesha.
- Ukugcina amazinga kashukela egazini elawulwa kahle kuyingxenye eyisisekelo nebaluleke kakhulu yokwelashwa.
- Ukwelashwa ngokomzimba kanye nemithi yokubulala izinhlungu kungalawula izimpawu futhi kwenze impilo ibe lula.
- Ukululama kuthatha isikhathi futhi ukubekezela kubalulekile. Iningi labantu liyalulama ngokuhamba kwesikhathi.
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