Isifo seswekile kunye nomonakalo wemithambo-luvo

Umonakalo wemithambo owenzeka kubantu abanesifo seswekile ubizwa ngokuba sisifo seswekile. Le meko yingxaki yesifo seswekile.

Kubantu abanesifo seswekile, imithambo-luvo yomzimba inokonakaliswa kukuhla kwegazi kunye nenqanaba leswekile yegazi. Le meko inokwenzeka xa inqanaba leswekile yegazi ingalawulwa kakuhle ngokuhamba kwexesha.

Phantse isiqingatha sabantu abanesifo seswekile baba nomonakalo wemithambo-luvo. Iimpawu zihlala zingaqali de kube yiminyaka emininzi emva kokuba kufunyenwe isifo seswekile. Abanye abantu abanesifo seswekile esikhula kancinci kancinci sele benomonakalo wemithambo-luvo xa befunyaniswe okokuqala.

Abantu abanesifo seswekile basemngciphekweni omkhulu wezinye iingxaki zemithambo-luvo ezingabangelwa sisifo seswekile. Ezi ngxaki zemithambo-luvo aziyi kuba neempawu ezifanayo kwaye ziya kuqhubeka ngendlela eyahlukileyo kunokonakala kwemithambo-luvo okubangelwa sisifo seswekile.

Iimpawu zihlala zikhula kancinci kwiminyaka emininzi. Iindidi zeempawu onazo zixhomekeke kwimithambo echaphazelekayo.

Iimithambo ezinyaweni nasemilenzeni zihlala zichaphazeleka. Iimpawu zihlala ziqala ezinzwaneni nasezinyaweni, kwaye zibandakanya ukurhawuzelela okanye ukutshisa, okanye iintlungu ezinzulu. Ixesha elingaphezulu, ukwenzakala kwemithambo-luvo kusenokwenzeka kwiminwe nasezandleni. Njengoko umonakalo usiba mandundu, uya kuphulukana neemvakalelo kwiinzwane zakho, iinyawo, nasemilenzeni. Ulusu lwakho luya kuba ndindisholo. Ngenxa yoku, unga:

• Ungaqapheli xa unyathela into ebukhali
• Andazi ukuba une blister okanye usike kancinci
• Ungaqapheli xa iinyawo okanye izandla zakho zichukumisa into eshushu kakhulu okanye ebandayo
• Yiba neenyawo ezome kakhulu kwaye eziqhekekileyo

Xa imithambo-luvo elawula ukwetyisa ichaphazelekile, unokuba nengxaki yokwetyisa ukutya (gastroparesis). Oku kunokwenza ukuba isifo seswekile sibe nzima ukulawula. Ukonakala kwimithambo-luvo elawula ukwetyisa phantse kuhlala kwenzeka kubantu abanomonakalo omkhulu we-nerve kwiinyawo zabo nasemilenzeni. Iimpawu zeengxaki zokugaya zibandakanya:

• Ndiziva ndihluthi emva kokutya isixa esincinci kuphela sokutya
• Isitshisa kunye nokuqunjelwa
• Isicaphucaphu, ukuqhina, okanye urhudo
• Ukuginya iingxaki
• Ukuphosa ukutya okungafakwanga kokutya kwiiyure ezimbalwa emva kwesidlo

Xa imithambo-luvo entliziyweni yakho nakwimithambo yegazi yonakele, unga:

• Ziva unentloko elula xa usukuma (orthostatic hypotension)
• Yiba nokubetha kwentliziyo okukhawulezayo
• Ungaqapheli i-angina, iintlungu zesifuba esilumkisa ngesifo sentliziyo kunye nokuhlaselwa yintliziyo

Ezinye iimpawu zomonakalo wemithambo zezi:

• Iingxaki zesini, ezibangela ingxaki ekufumaneni ukwakhiwa emadodeni kunye nokomisa kwilungu lobufazi okanye iingxaki ze-orgasm kwabasetyhini.
• Ukungakwazi ukuxelela xa iswekile yegazi lakho isiba sezantsi kakhulu.
• Iingxaki zesinyi, ezibangela ukuvuza komchamo okanye ukungabinakho ukukhupha isinyi.
• Ukubila kakhulu, kwanaxa amaqondo obushushu epholile, xa uphumle, okanye ngamanye amaxesha angaqhelekanga.
• Iinyawo ezibile kakhulu (umonakalo wokuqala we-nerve).

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Uviwo lunokufumanisa ukuba unale ilandelayo:

• Akukho zingqondweni okanye ubuthathaka obubambekayo emaqatheni
• Ukuphulukana nemvakalelo ezinyaweni (oku kuhlolwe ngesixhobo esifana nebrashi esibizwa ngokuba yi-monofilament)
• Utshintsho kulusu, kubandakanya ulusu olomileyo, ukulahleka kweenwele, kunye nezikhonkwane ezingqindilili okanye ezomileyo
• Ukuphulukana nobuchule bokuqonda ukuhamba kwamalungu akho (ipropathio)
• Ukuphulukana nokubanakho ukuva ukungcangcazela kwimfoloko yokulungisa
• Ukuphulukana nokukwazi ukuva ubushushu okanye ukubanda
  
• Lahla uxinzelelo lwegazi xa uphakama emva kokuhlala okanye ukulala phantsi

Uvavanyo olunoku-odolwa lubandakanya:

• I-Electromyogram (EMG), ukurekhodwa kwemisebenzi yombane kwimisipha
• Uvavanyo lwe-velocity velocity test (NCV), ukurekhodwa kwesantya apho uphawu luhamba khona kwimithambo-luvo
• Isifundo sokukhupha esiswini ukujonga ukuba ukutya kukhawuleza kangakanani kushiya isisu kwaye kungena emathunjini amancinci
• Ukutshekisha isifundo setafile ukujonga ukuba inkqubo ye-neva ilawula ngokufanelekileyo uxinzelelo lwegazi

Landela iingcebiso zomboneleli wakho malunga nendlela yokunciphisa umonakalo wesifo sikashukela.

Lawula inqanaba leswekile yegazi lakho (glucose) ngokuthi:

• Ukutya ukutya okusempilweni
• Ukwenza umthambo rhoqo
• Ukujonga iswekile yegazi lakho rhoqo njengoko kuyalelwe kwaye ugcine irekhodi lamanani akho ukuze wazi iintlobo zokutya kunye nemisebenzi echaphazela inqanaba leswekile yegazi lakho.
• Ukuthatha amayeza omlomo okanye atofelweyo njengoko kuyalelwe ngumboneleli wakho

Ukunyanga iimpawu zomonakalo wemithambo-luvo, umboneleli wakho unokumisela amayeza ukuba anyange:

• Intlungu kwiinyawo zakho, imilenze, okanye iingalo
• Isihlunu, ukugabha, okanye ezinye iingxaki zokwetyisa
• Iingxaki zesinyi
• Iingxaki zokwakhiwa okanye ukoma kwilungu lobufazi

Ukuba ngaba amayeza amiselweyo eempawu zomonakalo wemithambo, yazi oku kulandelayo:

• Amayeza ahlala engasebenzi kangako ukuba iswekile yegazi lakho ihlala iphezulu.
• Emva kokuba uqale iyeza, xelela umboneleli wakho ukuba iintlungu zentliziyo aziphucuki.

Xa unomonakalo wemithambo yeenyawo ezinyaweni zakho, iimvakalelo ezinyaweni zakho zinokuncitshiswa. Unokuba ungaziva kwaphela. Ngenxa yoko, iinyawo zakho azinakuphilisa kakuhle ukuba wenzakele. Ukunyamekela iinyawo zakho kunokuthintela iingxaki ezincinci ukuba zingabi nzulu kangangokuba ugqibe esibhedlele.

Ukunyamekela iinyawo zakho kubandakanya:

• Ukujonga iinyawo zakho yonke imihla
• Ukufumana uvavanyo lweenyawo ngalo lonke ixesha ubona umboneleli wakho
• Ukunxiba uhlobo olufanelekileyo lweekawusi kunye nezihlangu (cela umboneleli wakho malunga noku)

Izixhobo ezininzi zinokukunceda uqonde ngakumbi ngesifo seswekile. Unokufunda kwakhona iindlela zokulawula isifo sakho semithambo yeswekile

Unyango luthomalalisa iintlungu kunye nokulawula ezinye iimpawu.

Ezinye iingxaki ezinokuphuhlisa zibandakanya:

• Isinyi okanye isifo sentso
• Isifo seswekile izilonda unyawo
• Ukonakala kwamathambo okufihla iimpawu zesifuba (angina) esilumkisa ngesifo sentliziyo kunye nokuhlaselwa sisifo sentliziyo
• Ukuphulukana nozwane, unyawo, okanye umlenze ngokunqunyulwa, rhoqo ngenxa yosulelo lwethambo olungapholiyo

Tsalela umnikezeli wakho ukuba uphuhlisa naziphi na iimpawu zesifo seswekile.

I-neuropathy yeswekile; Seswekile - neuropathy; Seswekile - peripheral neuropathy

• Isifo seswekile - izilonda unyawo
• Uhlobo lwe-2 yeswekile- ukubuza ugqirha

• Isifo seswekile kunye nomonakalo wemithambo-luvo
• Inkqubo ye-nervous central kunye ne-peripheral system

Umbutho weSwekile yaseMelika. 11.Iingxaki zeMicrovascular kunye nokhathalelo lweenyawo: imigangatho yokhathalelo lonyango kwisifo seswekile-2020. Unonophelo lweSwekile. 2020; 43 (iSuppl 1): S135-S151. IINKCUKACHA: 31862754 pubmed.ncbi.nlm.nih.gov/31862754/.

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 kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.