Ingabe nawe uzwa ubuhlungu obukhulu kanye nokungazweli emilenzeni yakho ngenxa yesifo sikashukela? Ake sifunde ngalokhu (i-Diabetic Amyotrophy) !

Ingabe unesifo sikashukela? Ingabe ngezinye izikhathi uzizwa ubuhlungu obungabekezeleleki ezinqeni nasemathangeni akho, bese uzizwa sengathi imilenze yakho iyafa? Ungase ucabange ukuthi lokhu kungenye inkinga yesifo sikashukela. Yiqiniso, lesi yisimo esihlotshaniswa nesifo sikashukela, kodwa singase sibe singavamile. Namuhla sizokhuluma ngento efana nale.

Iyini le (i-Diabetic Amyotrophy)'' ehlobene nesifo sikashukela?

Kalula nje, (I-Diabetic Amyotrophy) yisifo sezinzwa nemisipha esithinta izinqe zakho, izinqe, namathanga, okubangela ubuhlungu obukhulu kanye nobuthakathaka bemisipha . Lesi yisimo esingavamile. Esikhathini esiningi, ngemva kokuqala kwalezi zimpawu, ziba zimbi kakhulu ngokuhamba kwesikhathi, bese kancane kancane, ngezinye izikhathi izinyanga noma iminyaka, ziba ngcono.

Lesi simo sivame ukuhlasela abantu abangaphezu kweminyaka engu-50 abanesifo sikashukela sohlobo 2. Sivame ukuvela eminyakeni emine ngemva kokuqala kwesifo sikashukela. Odokotela nabacwaningi basazama ukuthola ukuthi yini ngempela ebangela lesi simo esiyinkimbinkimbi, ngakho imbangela eqondile ayikacaci .

Odokotela basebenzisa amanye amagama amaningi kulesi simo, "i-Diabetic Amyotrophy". Lawo magama angase azwakale eyinkimbinkimbi kancane, kodwa wonke ayizici ezahlukene zesimo esifanayo. Nazi izibonelo ezimbalwa:

• (I-lumbosacral radiculoplexus neuropathy ehlobene nesifo sikashukela - DLRPN)
• (Isifo sikaBruns-Garland)
• (I-neuropathy ehlobene nesifo sikashukela esiseduze)
• (I-Diabetic polyradiculopathy)
• (I-Femoral-sciatic neuropathy yesifo sikashukela)

Akudingeki ukhumbule wonke la magama. Into eyinhloko ukuqonda ukuthi lesi yisimo esithile esihambisana nesifo sikashukela futhi esithinta izinyawo.

Sivame kangakanani lesi simo?

Njengoba kushiwo ngaphambili, i-(Diabetic Amyotrophy) iyisimo esingavamile kakhulu . Asiveli kubo bonke abanesifo sikashukela. Kuthiwa sithinta cishe u-1% wabantu abanesifo sikashukela. Kodwa-ke, sibonakala kaningi kubantu abanesifo sikashukela sohlobo 2.

Ziyini izimpawu ze-(Diabetic Amyotrophy)?

Izimpawu zalesi simo zithinta kakhulu izinqe zakho, izinqe, kanye/noma amathanga . Bheka ukuthi unazo yini lezi zimpawu:

• Ubuhlungu obukhulu be-neuropathic : Lokhu kuvame ukuba uphawu lokuqala oluvelayo. Kungazwakala njengobuhlungu obuvuthayo, obuhlabayo, noma obuhlabayo.
• Ubuthakathaka bemisipha : Ukuzizwa sengathi imilenze yakho iyaphela amandla. Ubunzima bokusukuma esihlalweni noma ukukhwela izitebhisi.
• Ukuwohloka kwemisipha : Lokhu kuwukulahlekelwa kwemisipha emilenzeni. Amathanga angase abonakale emancane kunangaphambili.
• Ukulahlekelwa yi-reflexes (i-areflexia): Uma udokotela ekushaya ngesando esincane edolweni lakho, umlenze wakho uzonyakaza, yileyo ndlela ukusabela komzimba kwehla ngayo.

Lezi zimpawu zivame ukuqala ngokuzumayo ohlangothini olulodwa lomzimba . Okusho ukuthi, umlenze wesokudla umlenze wesokudla, umlenze wesobunxele umlenze wesobunxele. Kodwa ngokuhamba kwesikhathi, ungasakazekela kolunye uhlangothi. Ubuhlungu obukhulu bokuqala bungahlala kusukela emavikini kuya ezinyangeni. Ngemva kokuba ubuhlungu buphelile, ubuthakathaka bemisipha buqala ukwanda. Lesi simo singaba sibi kancane kancane ezinyangeni ezingaba ngu-18. Ezimweni ezimbi kakhulu, ungase ungakwazi ngisho nokuhamba ngaphandle kosizo .

Kulapho-ke kuphela lapho izimpawu ziqina khona futhi isiguli siqala ukululama kancane kancane. Le nqubo yokuphulukisa ingathatha izinyanga.

Ngaphezu kwalokho, abanye abantu abane-Diabetic Amyotrophy bangase balahlekelwe isisindo ngendlela engachazeki - ngokuvamile okungaphezu kwamakhilogremu angu-4.5 (cishe amakhilogremu angu-4.5). Abanye bangase babe nobuhlungu kanye nobuthakathaka bemisipha esiqwini (esiswini, esifubeni) nasezingalweni.

Yiziphi izimbangela ze-(i-Diabetic Amyotrophy)?

Njengoba sesishilo ngaphambili, abacwaningi abakayitholi imbangela eqondile yalokhu okwamanje, kodwa bayaqhubeka nokufunda ngayo.

Ubufakazi bamanje busikisela ukuthi lesi yisimo esibizwa ngokuthi i-microvasculitis, esibangelwa ukuvuvukala kwemithambo yegazi emincane emzimbeni . Kalula nje, isimiso somzimba sokuzivikela, esivikela umzimba wethu ezifweni, siba matasa ngokweqile ngesizathu esithile futhi silimaze imithambo yegazi emincane ehlinzeka ngegazi ezinzwaneni ezisezinqeni nasemilenzeni. Lokhu kubangela umonakalo emithanjeni.

Ucwaningo lubonise ukuthi esimweni esithi "Diabetic Amyotrophy", izingxenye ezilandelayo zonakele kakhulu:

• Izimpande zemizwa : Lezi yizingxenye zokuqala zemizwa eziphuma emgogodleni emgogodleni wethu.
• Izinzwa ezingaphandle : Ezinye izinzwa ezikhula kulezo zimpande zezinzwa.
• I-Lumbosacral plexus : Lena inethiwekhi yezinzwa enikeza umuzwa (umuzwa) kanye nokusebenza kwemisipha (ikhono lokunyakaza) emilenzeni yethu, ngaphansi kwesinqe.

Ubani osengozini enkulu yokuthola i-(Diabetic Amyotrophy)?

Lesi simo sivame ukuthinta abantu abanesifo sikashukela, kodwa imbangela eqondile ayaziwa. Akuvamile kakhulu ukuthi abantu abangenaso isifo sikashukela nabo babikwe ukuthi banalezi zimpawu.

Lokhu okulandelayo kuye kwabonakala njengezinto ezibangela i-amyotrophy yesifo sikashukela:

• Ukuba nesifo sikashukela sohlobo 2.
• Ukulawulwa okusheshayo kwamazinga kashukela egazini. Isibonelo, uma inani lakho elithi "(A1C) (lokhu kubhekisela ezingeni lakho elijwayelekile likashukela ezinyangeni ezi-2-3 ezedlule) lehla ngokuzumayo lisuka ku-11% laya cishe ku-7% phakathi nenyanga.
• Ukulawulwa okuqinile kwamazinga kashukela egazini. Ngokuvamile, ukugcina inani le-"A1C" lingaphansi kuka-7%.

Ngaphezu kwalokhu, kucatshangwa ukuthi kunezinye izinto ezibangela lesi simo:

• Ukuqala ukwelashwa kwesifo sikashukela.
• Ingozi noma ukulimala (ukuhlukumezeka).
• Ukuvela kwezifo.
• Ukugoma.

Kodwa konke lokhu kusesesigabeni sokucwaninga.

Ungayithola kanjani i-(Diabetic Amyotrophy)?

Lokhu kuyinto ebaluleke kakhulu. Akukho ukuhlolwa okukodwa okuqinisekile okuqinisekisa isimo (i-Diabetic Amyotrophy). Odokotela bafinyelela kulokhu kutholakala ngokuqeda ezinye izimbangela ezingaba khona ngasinye ngasinye (inqubo yokuqeda). Okusho ukuthi, bakhipha ezinye izimo ezingaba imbangela yezimpawu zakho ngaphambi kokunquma ukuthi (i-Diabetic Amyotrophy). Isibonelo, bazama ukususa izimo ezifana nalezi:

• Ukucindezelwa kwezimpande zemizwa.
• Izimila ze-pelvic.
• I-Chronic inflammatory demyelinating polyneuropathy (CIDP).
• I-Sarcoidosis.
• Izifo ezifana (HIV), (Epstein-Barr virus), (cytomegalovirus) kanye (syphilis).

Okokuqala, udokotela wakho uzokubuza ngezimpawu zakho kanye nomlando wezokwelapha. Ngemuva kwalokho, uzokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwezinzwa.

Ngaphezu kwalokho, izivivinyo ezilandelayo zinganconywa:

• Ukuhlolwa kwegazi : Isibonelo, ukubalwa kwegazi okuphelele, ukuhlolwa kwe-A1C, ukuhlolwa kokusebenza kwesibindi, kanye nokuhlolwa kwegazi le-calcium.
• I-MRI scan yomgogodla we-lumbosacral.
• Ukuhlolwa kwe-CT kwendawo ye-pelvic.
• Ukuhlolwa kwe-neurophysiological : Lokhu kuhlola uhlelo lwakho lwezinzwa, ikakhulukazi umsebenzi walo kagesi.

Yiziphi izindlela zokwelapha (i-Diabetic Amyotrophy)?

Izindaba ezinhle ukuthi iningi labantu abane-Diabetic Amyotrophy lizolulama ngezinga elithile ngaphandle kokwelashwa. Kodwa-ke, uma lingelashwa, ukululama kungaba kancane kakhulu noma kungase kungapheleli .

Abacwaningi basafunda izindlela zokwelapha ezisebenzayo ze-Diabetic Amyotrophy. Ungase futhi uthole ithuba lokujoyina isivivinyo somtholampilo esihlola ukwelashwa okusha. Buza udokotela wakho ngakho.

Ngaphandle kwalokho, odokotela batusa kakhulu ukwelashwa okusiza ukulawula izimpawu. Lokhu kungafaka:

• Ukuphathwa kobuhlungu: Ama-painkiller afana nama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) anganikezwa ukulawula ubuhlungu. Ukuthatha umuthi obizwa ngokuthi i-Amitriptyline ebusuku kungasiza ngobuhlungu kanye nokungalali. Uma ubuhlungu bukhulu, udokotela wakho angakunikeza ama-painkiller anamandla noma kungadingeka ukuthi ulaliswe esibhedlela.
• Ukwelashwa ngokomzimba : Udokotela wezokwelapha ngokomzimba uzokwakha uchungechunge lwezivivinyo kanye nokunyakaza okuklanyelwe wena. Lokhu kuzokusiza ukusebenzisa izingxenye zomzimba wakho ezithintekile, ukulawula ubuhlungu, nokuvuselela amandla emisipha.
• Ukwelashwa Komsebenzi : Uma i-amyotrophy yakho yesifo sikashukela ikwenza kube nzima ukwenza imisebenzi yakho yansuku zonke, udokotela wezokwelapha angakusiza ukuthola izindlela zokuyenza kalula. Bangase batuse nokusebenzisa amadivayisi okusiza njengesihlalo sokuhamba noma isihlalo sabakhubazekile.

Futhi, kubaluleke kakhulu ukugcina amazinga kashukela egazini lakho elawulwa kahle ukuze uvimbele ezinye izinkinga ezingase zivele ngenxa yesifo sikashukela .

Iyini i-prognosis ye-Diabetic Amyotrophy?

I-Amyotrophy yesifo sikashukela yisimo esizimele esivame ukuxazululeka sodwa ngokuhamba kwesikhathi. Lokhu kusho ukuthi ekugcineni uzobona ukuthuthuka kwezimpawu zakho. Kodwa-ke, ukululama kungaba isikhathi eside futhi kungalindeleki .

Kulinganiselwa ukuthi cishe abantu abayi-10% kuzodingeka basebenzise isihlalo sabakhubazekile zingakapheli iminyaka emibili kusukela izimpawu ziqale. Abaningi bangase babe nokukhubazeka okungapheli.

Nakuba lesi kuyisimo esizikhawulelayo , kubalulekile ukufuna iseluleko sezokwelapha nge-Diabetic Amyotrophy. Ukwelashwa ngokomzimba, ikakhulukazi, kungasiza ekusheshiseni isikhathi sakho sokululama.

I-Amyotrophy yesifo sikashukela ingahlala isikhathi esingakanani?

Izimpawu zalesi simo zingahlala kusukela ezinyangeni ezimbalwa kuya eminyakeni emibili. Ngemva kwalokho, ukululama kungathatha izinyanga kuya eminyakeni. Abantu abaningi bangase baqhubeke nokuba nezimpawu ezithile (njengobuthakathaka) (nakuba zincane kakhulu kunangesikhathi isifo sasibi kakhulu).

Ngingakwazi yini ukuvimbela i-Amyotrophy yesifo sikashukela?

Njengoba abacwaningi bengakayazi imbangela eqondile, akukho lutho ongakwenza ukuvimbela lesi simo .

Ngingazinakekela kanjani uma ngine-(Diabetic Amyotrophy)?

Ngaphezu kokufuna ukwelashwa, kunezinye izindlela ongazinakekela ngazo:

• Cela usizo kwabathandekayo bakho : I-Amyotrophy yesifo sikashukela ingenza kube nzima ngawe ukwenza umsebenzi wakho njengoba wawuwenza. Unganqikazi ukucela usizo emndenini wakho nakubangane bakho uze ululame.
• Funa usizo lwezempilo yengqondo.: Lolu hlobo lwesimo lungathinta nempilo yakho yengqondo. Izinto ezifana nokucindezeleka noma ukukhathazeka zingase zenzeke. Uma lesi simo sikwenza uzizwe ucindezeleke kakhulu noma uhlukaniswe nabantu, funa usizo kothile onjengomeluleki ochwepheshe noma isazi sokusebenza kwengqondo.

Kufanele ngimbone nini udokotela wami?

Uma une-Diabetic Amyotrophy, kuzodingeka ubone udokotela wakho njalo ukuze aqaphe isimo sakho futhi aqinisekise ukuthi uhlelo lwakho lokwelashwa luyasebenza. Qiniseka ukuthi utshela udokotela wakho uma izimpawu zakho ziba zimbi kakhulu noma zishintsha .

Ukubhekana nenkinga yesifo sikashukela, ikakhulukazi uma ushukela wakho wegazi ulawulwa kahle, kungaba nzima futhi kukhungathekise. Kodwa khumbula, izimpawu ze-"Diabetic Amyotrophy" zizothuthuka ngokuhamba kwesikhathi. Kuze kube yileso sikhathi, funa ukwelashwa ukuze uphathe izimpawu zakho futhi uqinise imisipha yakho. Udokotela wakho uzoba nawe kulolu hambo lokululama.

Khumbula njengesifinyezo (Umyalezo Wokuya Ekhaya)

I-Amyotrophy yesifo sikashukela yisimo esingavamile esibangela ubuhlungu obukhulu kanye nobuthakathaka ezinqeni nasemathangeni. Sivame ukuhlasela abantu abangaphezu kweminyaka engu-50 abanesifo sikashukela sohlobo lwesibili.

• Izimpawu : Ekuqaleni ubuhlungu obukhulu, bese kuba ubuthakathaka bemisipha kanye nokuphelelwa amandla. Kungase kube nzima nokuhamba.
• Imbangela : Akwaziwa ngokuqinisekile, kodwa kucatshangwa ukuthi kuwumonakalo emithanjeni yegazi ehambisa igazi ezinzwa ngenxa yenkinga yesimiso somzimba sokuzivikela.
• Ukuxilongwa : Ukuxilongwa kwenziwa ngokukhipha ezinye izifo. I-MRI, i-CT scan, kanye nokuhlolwa kwezinzwa kuyasiza.
• Ukwelashwa : Ukunciphisa ubuhlungu, ukwelashwa ngokomzimba, ukwelashwa ngokomsebenzi kubalulekile. Ukulawula ushukela egazini nakho kubalulekile.
• Ukululama : Kuthatha isikhathi, kodwa izimpawu zivame ukuba ngcono.

Uma unezinye zalezi zimpawu, ungangabazi ukubona udokotela ukuze akunike iseluleko. Ukuxilongwa kusenesikhathi kanye nokwelashwa kubaluleke kakhulu.

Isifo sikashukela, i-amyotrophy, ubuhlungu bemizwa, ubuthakathaka bemisipha, ubuhlungu bemilenze, izinkinga zesifo sikashukela, ukwelashwa ngokomzimba