Iswekile ye-Neuropathy: Ngaba Inokubuyiselwa umva?

Umxholo

• Yintoni isifo seswekile?
• Ukulawula isifo seswekile
• Inyangwa njani isifo seswekile?
• Ukusetyenziswa kweziyobisi ezingekho kwilebula
• Zeziphi iingxaki zesifo seswekile?
• Imicimbi yokugaya
• Ukungasebenzi kakuhle ngokwesondo
• Usulelo kwimilenze nasezinyaweni
• Umonakalo odibeneyo kwimilenze
• Ukujuluka okweqile okanye ukunciphisa
• Iingxaki zomchamo
• Yintoni enye enokubangela i-neuropathy?
• Ithini imbono yam?

Yintoni isifo seswekile?

"I-Neuropathy" ibhekisa kuyo nayiphi na imeko eyonakalisa iiseli zemithambo-luvo. Ezi seli zidlala indima ebalulekileyo ekuchukumiseni, kwimvakalelo nasekuhambeni.

Iswekile ye-neuropathy ngumonakalo wemithambo-luvo obangelwa sisifo seswekile. Izazinzulu zikholelwa ukuba umxholo ophakamileyo weswekile yegazi egazini lomntu onesifo seswekile wonakalisa imithambo ngokuhamba kwexesha.

Kukho iintlobo ezahlukeneyo ze-neuropathies. Ziquka:

• Ukulawula isifo seswekile

  Umonakalo wemithambo yesifo seswekile awunakubuyiselwa umva. Kungenxa yokuba umzimba awunakukwazi ukulungisa izicwili zemithambo-luvo ezonakalisiweyo.

  Nangona kunjalo, abaphandi baphanda iindlela zokunyanga umonakalo we-nerve obangelwa sisifo seswekile.

  Ngelixa ungenakuguqula umonakalo kwi-neuropathy, kukho iindlela zokunceda ukulawula imeko, kubandakanya:

  • ukunciphisa iswekile yegazi lakho
  • Ukunyanga iintlungu zentliziyo
  • ukujonga rhoqo iinyawo zakho ukuqinisekisa ukuba azinakwenzakala, amanxeba, okanye usulelo

  Ukulawula i-glucose yegazi kubalulekile kuba kunokukunceda ukuthintela umonakalo owongezelelweyo kwiimbilini zakho. Unokulawula ngcono i-glucose yegazi ngokusebenzisa ezi ndlela zilandelayo:

  
  
  • Kuphephe ukutya okuneswekile eninzi, kubandakanya iisoda, iziselo ezinencasa kunye neekofu, iijusi yeziqhamo, kunye namaqebengwana amnandi kunye neelekese.
  • Yitya ukutya okuphezulu kwifayibha. Oku kutya kunceda ukugcina iiswekile zegazi zikwimeko ezinzileyo.
  • Yitya ukutya okuqukethe amafutha asempilweni, afana nalawo avela kwi-oyile ye-olive kunye namandongomane, kwaye ukhethe iiproteni ezinqinileyo njengenkukhu kunye ne-turkey.
  • Yitya imifuno kunye neeproteni ezisekwe kwizityalo rhoqo, ezinjengeembotyi kunye ne-tofu.
  • Zilolonge ubuncinci amaxesha amahlanu ngeveki, imizuzu engama-30 ngalo lonke ixesha. Faka umsebenzi we-aerobic kunye noqeqesho lobunzima kwinkqubo yakho yesiqhelo.
  • Jonga eswekile yegazi lakho ngokwesindululo sikagqirha wakho kwaye urekhode amanqanaba akho. Oku kuya kukunceda uchonge iipateni kunye notshintsho olungaqhelekanga kumanqanaba eswekile yegazi lakho.
  • Thatha i-insulin okanye amayeza omlomo, anje nge-metformin (iGlucophage), njengoko kuyalelwe ngugqirha wakho wezonyango okanye ugqirha oyintloko.

  Ukongeza ekulawuleni amanqanaba eswekile yegazi lakho, kubalulekile ukuba unike ingqalelo iinyawo neenyawo zakho. Amathambo emilenzeni nasezinyaweni angonakaliswa, nto leyo enokubangela ukunciphisa imvakalelo. Oku kuthetha ukuba awunakuyiqaphela ukuba uyisika okanye wenzakalise unyawo okanye umlenze wakho.

  
  

  Ukuthintela ukonakala kweenyawo okanye imilenze yakho:

  • hlola iinyawo zakho rhoqo amanxeba okanye izilonda
  • kliphu iinzipho zakho
  • Hlamba iinyawo zakho ngesepha namanzi rhoqo
  • Ndwendwela rhoqo ugqirha weenyawo
  • kuphephe ukuhamba unganxibanga zihlangu

  Inyangwa njani isifo seswekile?

  Ngokwezikhokelo ezivela kwi, amayeza asebenzayo kunyango lwesifo seswekile (PDN) abandakanya:

  • pregabalin (ILyrica)
  • gabapentin (iNeurontin)
  • duloxetine (ICymbalta)
  • venlafaxine (i-Effexor)
  • mzantsiweb

  Olunye ukhetho lonyango olucetyiswayo lunokubandakanya:

  • amayeza ezonyango, njenge capsaicin (Qutenza)

  Ulawulo lweglucose yindlela esebenzayo yokunciphisa iimpawu kunye nokuqhubela phambili kwe-neuropathy. Ukulawula amanqanaba akho eglucose kufuneka kuhlala kuyinxalenye yesicwangciso sakho sonyango.

  Ukusetyenziswa kweziyobisi ezingekho kwilebula

  Ukusetyenziswa kweziyobisi ngaphandle kwelebheli kuthetha ukuba ichiza elivunyiweyo yi-FDA ngenjongo enye lisetyenziselwa injongo eyahlukileyo engavunyelwanga yona. Nangona kunjalo, ugqirha usenokulisebenzisa iyeza ukulungiselela loo njongo.

  
  

  I-FDA ilawula ukuvavanywa kunye nokwamkelwa kweziyobisi, kodwa hayi Njani Oogqirha basebenzisa iziyobisi ukunyanga abaguli babo. Ke ngoko, ugqirha wakho unokukunika ichiza abacinga ukuba lelona lifanelekileyo lokhathalelo lwakho.

  Zeziphi iingxaki zesifo seswekile?

  Imithambo inemisebenzi emininzi ebalulekileyo emzimbeni. Kungenxa yoko le nto isifo seswekile sinokubangela iingxaki ezininzi.

  Imicimbi yokugaya

  Imithambo eyonakaliswe yi-neuropathy inokuchaphazela kakubi amalungu kwinkqubo yakho yokwetyisa. Oku kungakhokelela ku:

  • isicaphucaphu
  • ukugabha
  • indlala eyonakeleyo
  • ukuqhina
  • urhudo

  Ukongeza, inokuchaphazela indlela ukutya kuhamba ngayo esiswini kunye nasemathumbu. Ezi ngxaki zingakhokelela kukungondleki okungafunekiyo kwaye, ekuhambeni kwexesha, amanqanaba eswekile yegazi ekunzima kakhulu ukuwalawula.

  Ukungasebenzi kakuhle ngokwesondo

  Ukuba une-autonomic neuropathy, iimithambo ezichaphazela amalungu esini zinokwenzakala. Oku kungakhokelela ku:

  • ukungasebenzi kakuhle kwamadoda
  • imiba yokuvuselela inkanuko yesini kunye nokuthanjiswa kobufazi kwabasetyhini
  • Ukukhuthazeka okungahambelaniyo kokubini kwabesilisa nabasetyhini

  Usulelo kwimilenze nasezinyaweni

  Imithambo emilenzeni nasezinyaweni ihlala ichaphazeleka kakhulu yimithambo-luvo. Oku kunokubangela ukuba ulahlekelwe yimvakalelo kwiinyawo zakho nasemilenzeni. Izilonda kunye nokusikeka kunokungaqatshelwa kwaye kukhokelele kusulelo.

  Kwezinye iimeko ezigwenxa, usulelo luba namandla kwaye lukhokelele kwizilonda. Ixesha elingaphezulu, oku kunokubangela umonakalo ongenakulungiseka kwizicwili ezithambileyo kwaye kukhokelele ekuphulukaneni neenzwane okanye iinyawo zakho.

  Umonakalo odibeneyo kwimilenze

  Ukonakala kwimithambo-luvo emilenzeni yakho kungakhokelela kwinto ebizwa ngokuba lilungu leCharcot. Oku kubangela ukudumba, ukuba ndindisholo, kunye nokusilela kozinzo ngokudibeneyo.

  Ukujuluka okweqile okanye ukunciphisa

  Imithambo ifuthe ekusebenzeni kwamadlala okubila, ngenxa yoko ukonakala kwimithambo-luvo kunokuchaphazela ukusebenza kwamadlala okubila.

  Oku kungakhokelela kwi-anhydrosis, ekwabizwa ngokuba kukubila okuncitshisiweyo, okanye i-hyperhidrosis, ekwabizwa ngokuba kukubila okungaphezulu. Ngenxa yoko, oku kunokuchaphazela ulawulo lobushushu emzimbeni.

  Iingxaki zomchamo

  Imithambo idlala indima ebalulekileyo ekulawuleni isinyi kunye nenkqubo yokuchama. Ukuba imithambo-luvo echaphazela ezi nkqubo yonakele, oku kungakhokelela kukungakwazi ukubona xa isinyi sigcwele kunye nolawulo olubi lokuchama.

  Yintoni enye enokubangela i-neuropathy?

  I-Neuropathy ihlala ibangelwa sisifo seswekile, kodwa inokubangelwa zezinye iimeko, kubandakanya:

  • ingxaki yokusebenzisa utywala
  • Ukuvezwa kwityhefu
  • amathumba
  • amanqanaba angaqhelekanga evithamini B kunye nevithamini E
  • ukwenzakala okubangela uxinzelelo kwimithambo-luvo
  • izifo ezizimeleyo kunye nosulelo
  • iziphumo ebezingalindelekanga zamayeza athile, ezinje ngekhemotherapy

  Ithini imbono yam?

  Iswekile ye-neuropathy ixhaphakile kwaye ayinakuguqulwa. Nangona kunjalo, unokuyilawula ngeendlela ezahlukeneyo. Oku kubandakanya:

  • Ukulawula amanqanaba eglucose egazini
  • uthatha amayeza amiselweyo ngugqirha kunyango lwe-neuropathy
  • ukuzihlola rhoqo iinyawo neenyawo zakho ukuba azenzakalanga
  • uthetha nogqirha wakho kwaye usebenza nabo ukulawula imeko yakho