Isifo sikashukela sisifo esiqhelekileyo eMelika nasehlabathini lonke. Ishukela ephezulu yegazi (i-glucose) ephawulekayo yesifo sikashukela iphazamisa imimandla eyahlukeneyo yomzimba, kwaye inokuba neengxaki zokuphila kunye neengcipheko ezingasetyenziswanga.
Iinyawo zibuhlungu kakhulu kwimiphumo yesifo sikashukela. Iingxaki ezinokwenzeka zibandakanya ukulahlekelwa ngumvakalelo, ukuncipha kwegazi, kunye nokusuleleka kakhulu okufuna ukuthathwa.
Ngokwe-2011 National Sheet Fact Sheet, ngaphezu kwe-60% yeengcambu ezingezona zibuhlungu ezithintekayo zenzeke kubantu abanesifo sikashukela.
Iindaba ezilungileyo kukuba ukulawulwa kweeshukela zegazi kunye nokunyamekela rhoqo kunokuthintela kakhulu amathuba okufumana isifo sikashukela . Enyanisweni, kuqikelelwa ukuba ukunakekelwa kwenyawo lokukhusela kunye nemfundo yesigulane kunokunciphisa ithuba lomntu wesifo sesifo sikashukela ngokufika kuma-85%.
Iimpawu ezinokwenzeka zeSifo sikashukela kwiNyawo
Ngokombutho we-American Diabetes Association, malunga nama-60% ukuya kuma-70% abantu abanesifo sikashukela banesifo esithile se- neuropathy okanye umonakalo weentliziyo. Amanqanaba ephakamileyo ephakamileyo egazini yegalelo libangelwa umonakalo oqhubekayo kwiimbuliso ezidla ngokubonakalayo njengentliziyo okanye i-motor neuropathy.
Neurological
- I-neuropathy ebonakalayo ibangela ukuphuka okanye ukuphazamiseka kwiinyawo. Oku kuthetha ukuba isifo sikashukela sinokulimala kwenyawo - njengesilonda ekungeneni into ebukhali - kwaye andinako ukuva. I-neuropathy eyimvakalelo iphakamisa umngcipheko weenyawo zesilonda sesifo sikashukela, esiyinxeba ephilileyo, okanye ukungahambi, kwaye inokusuleleka kwintsholongwane. Ukuba ungaziphuluki, isilonda sesifo sikashukela sinokunyuka kwesikhumba kunye nezicubu eziluhlaza kumathambo angaphantsi. Ezinye iimpawu zentsholongwane ye-neuropathy zibandakanya intlungu yokutshiza kunye nokutshisa okanye ukutshitshiswa kwimizimba, rhoqo ebusuku.
- Abanye abanesifo sikasifo sikashukela bahlakulela i- motor neuropathy , ebonakala njengobuthakathaka bomlenze nomlenze kunye nokunciphisa ubunzima besisu. I-motor neuropathy iyenzeka xa izitya ezilawula izihlunu zonakaliswe. Oku kunokubangela ubunzima ukuhamba nokukhokelela ekutshintsheni kwimilo yeenyawo, zonke ezo ziveze iindawo zeenyawo ukunyuka kwengxabano kunye noxinzelelo. Ukuqhawulwa kwezwane, umzekelo wokutshintsha kwamehlo, kudala uxinzelelo olungaphezulu kwebhola lonyawo kwaye kwandisa ingozi yezilonda.
IVascular
Ixesha elide legazi le-glucose libuye libe nemiphumo emibi kwimithambo yegazi. Oku kungakhokelela kwisifo se-arterial or PAD. Xa iinqunto zeetriyiti ezithwala igazi kwimilenze zonakaliswe, i- atherosclerosis iyenzeka. I-atherosclerosis yiplagi efaka kwi-artery, eyenza ukunciphisa okuya kunciphisa ukuhamba kwegazi kwiinyawo. Ukuhamba kwegazi okuncitshiswayo kunokubangela ukulibazisa ukuphulukiswa kwilonda, intlungu (ingakumbi kwizwane ezincinci) kunye nobungozi obuninzi bokufa kwesisu okanye i- gangrene . Iimpawu ze-PAD ziquka isikhumba esilupholile kumgca kunye nebala elimhlophe, kunye nentlungu yomlenze xa uhamba.
Isikhumba
Ulusu luchaphazeleka ngentshukela ephezulu yegazi ngeendlela ezininzi. Ezinye iingxaki zesikhumba, ezinjengezilonda kunye nokuphulukisa ukuphulukiswa, zibangelwa utshintsho lweentsholongwane kunye neentsholongwane ezingenzeka ngesifo sikashukela. Olunye uhlobo lwe-neuropathy engamaxesha atyhola isifo sikasifo sikasifo sikasifo se-diabetes, sinxulumene neenguqu ezilandelayo zesikhumba:
- Isikhumba esomileyo
- Ukuvuvuka kweenyawo kunye neenyawo
- Isikhumba esivela sishushu kumgca
Ngona tshintsho oluqhelekileyo nolunokuba lunengxaki yesikhumba oluchaphazela i-diabetics yintsimi okanye ingqonge . Ukuba isifo sikashukela sinciphise ukuqonda kwintlungu ngenxa ye-neuropathy, ngoko iindawo ezithile zeenyawo ziya kuba noxinzelelo olunyukayo.
Ezi ndawo, ngokuqhelekileyo iinzwane okanye iingqungquthela, zihlala zihlakulela ingqolowa kunye neefowuni ezinokuthi zibe zizilonda kwiinyawo zesifo sikashukela.
Iinyawo zesifo sikashukela kunye neenqaqa ziyakwazi ukuvelisa i-blisters okanye i-rashes eyenza ukubola. Ngamanye amaxesha isikhumba kunye nezikhonkwane ziyancipha kwaye zithatha i-yellow discoloration. I-Diabetics iyakwazi ukuxhamla imfucu , enye imbangela yokuxhuma.
Ukwazi ukuba iingxaki zesifo sikashukela zinokubangela ukwesabisa, kodwa indlela efanelekileyo yokuzikhusela ngokukhusela. Xa kuziwa ekukhuseleni iinyawo zakho, qiniseka ukuba uquka ukutyelela rhoqo ugqirha wakho kunye nesifo somzimba xa unesifo sikashukela.
Imithombo
Uhlobo, Lawrence A., uDavid G. Armstrong, uSteven A. Vela, uTer L. Quebedeaux, noJohn G. Fleischli. (1998) Imilinganiselo eSebenzayo yokuThengisa izigulane kwiNgcipheko ePhakamileyo yokuSilonda kweNyawo. IiNcwadi zoLondolozo lwangaphakathi. 158: 157-162.
ISebe lezeMpilo lezeMpilo yaseMelika, amaZiko okuLawulwa kweNtsholongwane kunye nokuPhepha, ngo-2011. Ishicilelo sesicatshulwa sikazwelonke: uqikelelo lwesizwe kunye nolwazi jikelele malunga nesifo sikashukela ne-prediabetes e-United States, ngo-2011.
Umbutho weSwekile waseMelika. Isifo sesifo seswekile-Idatha evela kwiNational Ishicilelo yeSizwe ka-2011 (i-Jan. 26, 2011).