I-diabetes neuropathy ibhekisela kwiqela leentsholongwane zesifo se-diabetes. I-diabetes neuropathy inokuphazamisa amaninzi kuwo wonke umzimba, nangona ixhaphaza kakhulu iimbandezelo ezinyaweni nasemilenzeni. I-Diabetes kufuneka ingqalelo ngokucokisekileyo malunga neenyawo kunye nemilenze ephantsi.
I-neuropathies inokuphuhliswa kubantu abane-type 1 okanye uhlobo lwe-2 lweswekile. Kuhlobo lwe-1 lweswekile, i-neuropathy ayinakukhula iminyaka emininzi.
Kuhlobo lwe-2 lweswekile-ngokukodwa kubantu abavumela imeko yabo ukuba ingaphathwa kakubi-ingenzeka ngokukhawuleza.
Ziziphi iintlobo ze-Diabetes Neuropathy?
I-neuropathies ihlelwa ngokusekelwe kwiimiti ezichaphazelekayo:
- I- peripheral neuropathy inokuchaphazela iimbilini zomhlaba kwizitho. Ingabangela ukuphazamiseka okanye intlungu kwizwane, ezinyaweni, emilenzeni, kwezandla nangengalo. Ngenye yeendlela eziqhelekileyo zesifo sikashukela sesifo sikashukela .
- I-autonomic neuropathy ichaphazela iintsholongwane ezilawula umsebenzi wokuzimela, ezifana nokugaya, inqanaba lentliziyo kunye noxinzelelo lwegazi. Le ngxaki ye-neuropathy inokudala iingxaki ngesilonda okanye ukulawulwa kwesibindi, kwaye kwanokukwazi ukubona ukunyuka kwe-sugar reaction. I-autonomic neuropathy ingakhokelela ekusebenziseni i-erectile ukungasebenzi kumadoda kunye nokungakwazi ukufikelela kwinqanaba kwabasetyhini.
- I-neuropathy ejolise kwi-neuropathy ingenzeka kunoma iyiphi nayiphi indlela (ingeyo-central central nerve system). Yenza ubuthathaka ngokukhawuleza kwimbilini enye okanye ngaphezulu kwaye ingabangela ubuhlungu okanye ubunzima bomzimba.
- I-neuropathy ehamba phambili (ebizwa ngokuba yi-lumbosacral plexus neuropathy) ichaphazela amaninzi emathangeni, emacaleni okanye emathangeni. Ingabangela intlungu okanye ukuphazamiseka kwezo ndawo kwaye kunokukhokelela ekubuthathaka kwimilenze. I-proxyimal neuropathy ayiqhelekanga kuneyona ndlela yembambano okanye i-autonomic neuropathies.
Yintoni Ebangela Ukuba Neuropathy?
Uphando lubonisa ukuba i-neuropathy yesifo sikashukela yenye yeengxaki ezinokubangelwa kukunyuka kwamazinga okushukela egazini.
Nangona kunjalo, kuba kungekhona wonke umntu ovelisa ukungazinzi, abaphandi bacinga ukuba kukho ezinye izinto ezibandakanyekayo, kuquka:
- Izinto zokuphila, ezifana nokutshaya okanye ukusetyenziswa kotywala , zombini ezo zinto zingabangela umonakalo wento
- Imiba yeemetabolic , ezifana nobude besifo sikashukela kunye namazinga e-cholesterol
- Izinto ezizenzekelayo ngokuzenzekelayo ezinokubangela izibilini, zenze umonakalo
- Iimpawu zegazi kunye negazi ezingabangela umonakalo kwimithambo yegazi, okwenza ukuba bakwazi ukuqhuba i-oksijeni kunye nezinye izondlo ezifunayo
- Iimpawu ze-Genetic ezandisa ukhuselo
- Ukulimala kwamagulane, njenge-carpal tunnel syndrome
Abantu abane-neuropathy yesifo sikashukela banganciphisa ukuphuhliswa kwayo ngokugcina igalelo elijongene neshukela legazi.
Ziziphi Iimpawu Zomdlavuza We-Neuropathy?
Abanye abantu banokuba ne-neuropathy yesifo sikashukela kwaye bengayazi, kuba umonakalo wamantombazana udla ixesha elide ukuba lenzeke. Iimpawu zisoloko zincinci ekuqaleni kwaye zingabonakali. Abanye abantu banamava, "izikhonkwane kunye neenaliti" ukuvakalelwa okanye intlungu ezinyaweni, imilenze okanye iingalo. Emva kweminyaka emininzi, i-neuropathy ingakhokelela ekubuthathaka kwamasipha kwiindawo ezichaphazelekayo.
Kwiimeko ze-neuropathy eyigxininiso, ukuqala kweentlungu okanye ukugqithisa kunokuba nzima kwaye ngokukhawuleza, ngokuqhelekileyo kwisihlunu, intloko okanye umlenze. I-neuropathy ejolise kwi-neuropathy ingenzeka nakwiimbilini ezisehlweni, ebangela ukuba utshintsho lombono oluzelelwe.
Ezinye iimpawu zesifo sesifo sikashukela singabandakanya:
- Ukunciphisa izihlunu ezinyaweni okanye ezandleni (umqobo we-neuropathy)
- Ukuzikhupha, ukuhlanza okanye isisulu sokuncwina (ukuxhomekeka kwe-autonomic neuropathy)
- Ukutshatyalaliswa okanye ukutshatyalaliswa kweengxaki ezibangelwa ukutshintsha kwegazi (i-autonomic neuropathy)
- Ubunzima be-Urinary okanye ubundlobongela (i-autonomic neuropathy)
- Ukungabi namandla okanye ukomama wesisu (i-autonomic neuropathy)
I-Neuropathy ikhuselwe okanye ithathwa njani?
Ukugcina amanqanaba eshukela egazini kwinqanaba elijoliswe kuyo kunokunceda ukunqanda ukuphelelwa kwesifo se-diabetes. Abantu abasenayo i-neuropathy kufuneka basebenze kunye nababoneleli babo bezempilo ukuze bazise izinga labo leshukela egazini kwicala elijoliswe kuyo.
Ukunyamekelwa kweenyawo ezintle kubaluleke kakhulu kubantu abaneesifo seswekile. Njengoko i-neuropathy iqhubela phambili, ivakalelo lingalahleka ezinyaweni, okwenza ukuba kunokwenzeka ukuba inxeba okanye isilonda singakwazi. Ukunyamekelwa kweenyawo kufuneka kube yinxalenye yenkqubo yemihla ngemihla yomntu onesifo sikashukela.
- Isepha enomsoco kufuneka isetyenziswe ukuhlamba iinyawo, kubandakanywa phakathi kwezinzwane. Bamele ke babanjwe bome.
- Iiphakamiso, iintloko kunye phakathi kweenzwane zenyawo nganye kufuneka zihlolwe (ngekhredithi, ukuba kuyimfuneko) nayiphi na uphawu lokumisa, ukuchithwa okanye ubomvu.
- I-moisturizer ifanele isetyenziswe kwisikhumba esomileyo okanye esiqhekekileyo, kodwa akufanele isetyenziswe phakathi kwezinzwane.
- Naluphina ubomvu, umjelo, isilonda, amanxeba okanye ukuvuvukala kwiinyawo kufuneka kuxelwe kumboneleli wezempilo.
Izikhonkwane kufuneka zihlanjwe ngokucophelela ngaphandle kokucoca naluphi na ulusu. Abantu abaneengqolowa, ii-calluses okanye ezininzi okanye ezinobunzima bengazifunayo zingadinga ukubona umculi wezilwanyana (ugqirha ogxininisa ukunyamekela unyawo). Abantu abanesifo sikashukela bangakhusela iinyawo zabo:
- Ukugqoka izicathulo ezihambelana kakuhle negumbi lezinzwane zokuhamba. Izikhwele kufuneka zihlolwe ngaphambi kokuba zifakwe ukuqinisekisa ukuba akukho nto inamathele ngaphakathi.
- Ukugqoka iisokisi ezithambileyo eziguqulwa nsuku zonke. Iisokisi ezinamafutha amaninzi kufuneka ziphephe.
- Akunxibe izicathulo okanye izicathulo ezivulekileyo.
- Ayihambi ngengubo.
Abantu abanesifo sesifo sikasifo sesifo sikashukela bangadinga ukuba oogqirha bahlole iiinyawo zabo rhoqo.
Ngokuxhomekeke kuhlobo lwesifo sesifo sikashukela, ezinye iingxaki - ezifana ne-retinopathy ( isifo seso ) okanye i-nephropathy ( isifo seengtso ) -inokukhula. Abantu abanesifo sikashukela kufuneka bahlole abanonophelo babo bezempilo ukuze babone ukuba bacebisa ukuba batyelele ingcali yezintso okanye i-ophthalmologist ejolise ekutheni i-retinopathy.
Imithombo:
I-NDIC, "I-Diabetes Neuropathies: I-Nerve Damage of Diabetes." I-National Clearinghouse yoLwazi lweSizwe. NgoMeyi 2002. I-National Institute of Digestive and Diabetes and Disney Disorders. 9 Septemba 2007.
Quan, Diana. "I-Diabetes Neuropathy." eMedicine.com 28 Septemba 2006. I-WebMD. 9 Septemba 2007.
Kolatkar, Nikheel. "I-Neuropathy ehamba phambili." I-Diabetes & Endocrine. 21 Septemba 2006. iVillage Health. 8 Septemba 2007.
"I-X-Plain Diabetes: I-Footcare Reference Summary." I-MedlinePlus. 26 uJuni 2005. iThala leNgcaciso yeMicrotheli. 9 Septemba 2007.