Umonakalo wemithambo yesifo seswekile- ukuzikhathalela

Abantu abanesifo seswekile banokuba neengxaki zemithambo-luvo. Le meko ibizwa ngokuba sisifo seswekile.

Iswekile ye-neuropathy inokwenzeka xa usenamazinga aphezulu eswekile egazini ixesha elide. Oku kubangela ukonakala kwimithambo-luvo eya kweyakho:

• Imilenze
• Izixhobo
• Kwindlela yokugaya ukutya
• Intliziyo
• Isinyi

Umonakalo wemithambo-luvo unokubangela iingxaki ezininzi emzimbeni wakho.

Ukuntywiliselwa okanye ukutshisa iinyawo neenyawo kunokuba luphawu lokuqala lomonakalo wemithambo-luvo kuzo. Ezi mvakalelo zihlala ziqala ezinzwaneni nasezinyaweni zakho, kodwa zinokuqala nakwiminwe nasesandleni. Unokuba nentlungu enzulu okanye ubuhlungu okanye uvakalelo olunzima. Abanye abantu banokubila kakhulu okanye iinyawo ezomileyo kakhulu kumonakalo wemithambo-luvo.

Ukonakala kwamathambo kunokubangela ukuba ulahlekelwe yimvakalelo ezinyaweni nasemilenzeni. Ngenxa yoku, unga:

• Ungaqapheli xa unyathela into ebukhali
• Andazi ukuba uneblister okanye inxeba elincinci kwizinzwane zakho
• Ungaqapheli xa uchukumisa into eshushu kakhulu okanye ebanda kakhulu
• Kusenokwenzeka ukuba ungqishe iinzwane okanye iinyawo zakho ngokuchasene nezinto
• Yiba namalungu eenyawo zakho onakeleyo angenza kube nzima ukuhamba
• Amava utshintsho kwiimisipha ezinyaweni zakho ezinokubangela ukwanda koxinzelelo kwizwane zakho nakwiibhola zeenyawo zakho
• Yiba sesichengeni sokosulelwa lulusu ezinyaweni nasezinzwaneni zakho

Abantu abanesifo seswekile banokuba neengxaki ekucoleni ukutya. Ezi ngxaki zinokwenza ukuba isifo seswekile sibe nzima ukulawula. Iimpawu zale ngxaki zezi:

• Ndiziva ndihluthi emva kokutya isixa esincinci kuphela sokutya
• Isitshisa kunye nokuqunjelwa
• Isicaphucaphu, ukuqhina, okanye urhudo
• Ukuginya iingxaki
• Ukuphosa ukutya okungagaywanga kangangeeyure ezininzi emva kwesidlo

Iingxaki ezinxulumene nentliziyo zingabandakanya:

• Ubumhlophe obukhanyayo, okanye nokuba utyhafe, xa uhleli okanye umile
• Inqanaba lentliziyo elikhawulezayo

I-Neuropathy inokuthi "ifihle" i-angina. Esi sisilumkiso esifubeni esifubeni sesifo sentliziyo kunye nokuhlaselwa yintliziyo. Abantu abanesifo seswekile kufuneka bafunde ezinye iimpawu zokuhlaselwa sisifo sentliziyo. Bazi:

• Ukudinwa ngequbuliso
• Ukubila
• Ukuqhawukelwa ngumphefumlo
• Isicaphucaphu nokugabha

Ezinye iimpawu zomonakalo wemithambo zezi:

• Iingxaki zesini. Amadoda anokuba neengxaki zokulungiswa. Abasetyhini banokuba nengxaki ngokoma kwelungu lobufazi okanye i-orgasm.
• Ukungakwazi ukuxelela xa iswekile yegazi lakho isiba sezantsi kakhulu ("ukungazazi i-hypoglycemia").
• Iingxaki zesinyi. Unokuvuza umchamo. Usenokungakwazi ukuxelela xa isinyi sakho sigcwele. Abanye abantu abakwazi ukukhupha isinyi sabo.
• Ukubila kakhulu. Ngokukodwa xa amaqondo obushushu epholile, xa uphumla, okanye ngamanye amaxesha angaqhelekanga.

Ukunyanga isifo seswekile kunokwenza ezinye iimpawu zeengxaki zemithambo-luvo zibengcono. Eyona ndlela yokugcina ingxaki ekubeni mandundu kukulawula kakuhle iswekile yegazi lakho.

Ugqirha wakho angakunika amayeza ukunceda ezinye zeempawu.

• Amayeza anokunceda ukunciphisa iimpawu ezibuhlungu ezinyaweni, emilenzeni nasezingalweni. Ngokwesiqhelo azibuyisi kuphulukana nemvakalelo. Kuya kufuneka uzame amayeza ahlukeneyo ukufumana elinciphisa iintlungu zakho. Amanye amayeza awazukusebenza kakuhle ukuba iswekile yegazi lakho isephezulu kakhulu.
• Umboneleli wakho unokukunika amayeza ukunceda kwiingxaki zokwetyisa ukutya okanye ukuhamba kwamathumbu.
• Amanye amayeza anokunceda kwiingxaki zokwakhiwa.

Funda ngendlela yokunyamekela iinyawo zakho. Buza umboneleli wakho:

• Ukujonga iinyawo zakho. Ezi mviwo zinokufumana ukonzakala okuncinci okanye usulelo. Banokugcina ukwenzakala kweenyawo ukuba kungabi kubi ngakumbi.
• Malunga neendlela zokukhusela iinyawo zakho ukuba ulusu lome kakhulu, njengokusebenzisa isithambisi solusu.
• Ukukufundisa indlela yokujonga iingxaki ezinyaweni ekhaya kunye nento ekufuneka uyenzile xa ubona iingxaki.
• Ukucebisa ngezihlangu kunye neekawusi ezifanelekileyo kuwe.

Isifo seswekile neuropathy-ukuzikhathalela

Umbutho weSwekile yaseMelika kwiwebhusayithi. 10. Iingxaki zeMicrovascular kunye nokhathalelo lweenyawo: imigangatho yokhathalelo lonyango kwisifo seswekile-2020. ukhathalelo.diabetesjournals.org/content/43/Supplement_1/S135. Kufunyenwe ngoJulayi 11, 2020.

UBrownlee M, uAiello LP, uSun JK, et al. Iingxaki zesifo seswekile. Ku: UMelmed S, uAuchus, RJ, uGoldfine AB, uKoenig RJ, uRosen CJ, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.

• Iingxaki zesifo seswekile