Ngohlobo 1 noma isifo sikashukela sohlobo 2, kunehaba le-glucose egazini lesiguli. Izizathu ukuntuleka kwe-insulin noma ukungatheleleki kweseli kuyo. Yi-hormone edingekayo ukusetshenziswa koshukela.
Lapho i-carbohydrate metabolism iphazamiseka emzimbeni, noma yikuphi ukungasebenzi kahle kungenzeka. Enye yemiphumela ejwayelekile yesifo sikashukela yi-neuropathy. Uma izinzwa ezilimele emunweni nasezandleni, ukuzizwa nokukhubazeka kuyazwakala.
Imvamisa iminwe iba nesibindi ngenkambo ende yesifo (iminyaka engaphezu kwama-25). Ngaphezu kwalokho, i-neuropathy yesifo sikashukela ivela ku-60-70% yamacala ezigulini esezikhulile.
Kungani abanesifo sikashukela bethola iminwe ekhubazekile
Bonke abantu abaphazamisekile nge-endocrine kufanele babonwe udokotela oyi-endocrinologist, udokotela ohlinzayo, ophthalmologist, nodokotela oyi-neuropathologist. Ngempela, ngokuxakeka okunjalo kwesifo sikashukela, njengokuqina kwezandla, i-NS ne-peripheral ephazamisekile kuyaphazamiseka, ngakho-ke udokotela othile kufanele abhekane nokwelashwa kwe-pathology enjalo.
Indlela yokusebenza kwe-paresthesia isuselwa ekuwedluleni koshukela, okuholela ekuqaleni emizaneni emincane, futhi kamuva, izilonda ezinkulu zemiphetho yezinzwa nemithambo yegazi. Ngaphezu kwalokho, ngenxa yokwephulwa kwenqubo yokusebenzisa ushukela egazini, kwakhiwa ubuthi (i-lactic acid, ama-ketones, njll.).
Endabeni yenkambo ende yokungalawulwa yesifo sikashukela sohlobo lwesibili noma sokuqala, izinto ezinobuthi zithinta kabi izinqubo ze-metabolic kumaseli ezinzwa, kufaka phakathi iziphetho zazo. Ngaphezu kwalokho, ukuzwela okungahambi kahle kungaba ngumphumela wokwelashwa okungafani noshukela. Ngakho-ke, lapho umthamo we-insulin udluliwe, ukucwilisa koshukela kuyancipha ngokuzumayo.
Njengoba i-glucose ibhekwa njengamandla aphambili amaseli ezinzwa, ukusweleka kwayo kubambezela umsebenzi wabo, okuholela emuva ekubhujisweni kwabo. Endabeni yesikhathi eside sokuwohloka kwe-hypoglycemic, kunethuba eliphezulu lokungasebenzi kahle kwengqondo.
Lapho kubhujiswa izindonga zemithambo, kuvela ukuphazamiseka okuncane. Kepha ngokuhamba kwesikhathi, imikhumbi iba yiziqobelo, i-atherosclerotic plaque ifakwa ezandleni, futhi ukuphuma kwegazi emikhawulweni kuyaphazamiseka. Konke lokhu kuhambisana nezimpawu ezilandelayo:
- iminwe ikindekile, kukhona nomuzwa ovuthayo kanye nama-goosebumps;
- iphethini ye-venous ivela emilenzeni;
- imilenze nezingalo ziyavuvukala.
Ukuqina kweminwe enesifo sikashukela esigabeni sokuqala kwenzeka ngokuzumayo. Imvamisa, izici ezingezinhle zinomthelela kulokhu - i-hypothermia, ukusebenza komzimba, ukushisa ngokweqile, ukucindezela. Kepha njengoba lesi sifo sikhula, izandla ziba lukati kaningi, ngisho nalapho isiguli sesimweni esihle.
Kuyaqapheleka ukuthi i-paresthesia ingenzeka hhayi ngesifo sikashukela kuphela. I-Atherossteosis, isikhundla esingesihle somzimba, isifo sikaCharcot, i-sclerosis eminingi, isifo sikaRaynaud, isigaxa sobuchopho, umfutho wegazi ophakeme kanye ne-tephalitis enamaqhinga.
Ngaphezu kwalokho, ukuzindla kwemikhawulo kwenzeka nge-tun tun syndrome, ukudakwa, i-anemia engapheli, i-brachial plexitis, i-neurosyphilis kanye nesiteleka sobuchopho.
Namanje i-paresthesia yeminwe ivela nesifo i-Lyme, i-vegetovascular dystonia, i-chest aperture syndrome kanye ne-rheumatoid arthritis.
Ukuxilonga
Njengoba kushiwo ngenhla, ukuzindla kweminwe kwenzeka ngenkambo ende yesifo sikashukela ngokumelene nesizinda se-neuropathy ne-angiopathy, lapho izinga le-glucose lingalawulwa kahle phakathi nosuku. Ngaphezu kwalokho, isiguli sikhononda ngezimpawu ezinjengokoma, i-polyuria, ukoma ngaphakathi komlomo, kwenza amajoni omzimba angasebenzi kahle nokungaboni kahle kwamehlo.
Kuhlobo 2 nesifo sikashukela sohlobo 1, ukuxilongwa kusekelwe ekuhlolweni kwe-glucose esigulini ngezikhathi ezahlukahlukene zosuku. Uma inkomba ye-glycemic ihlala idla ngokweqile, khona-ke kwenziwa isifundo sokuba khona kwe-glycosylated hemoglobin, ongasungula ngayo ushukela wegazi ojwayelekile ezinyangeni ezi-3-4. Ukunquma uhlobo lwesifo, ukuhlushwa kwe-insulin uqobo kunqunywa futhi kwenziwa izivivinyo zokuvuselela amandla.
Ngokuphathelene nesifo sikashukela i-angiopathy, esiphazamisa ukuhamba kwegazi ezicutshini ezithambile nezitho zangaphakathi, le nkinga itholwa yi-Doppler ultrasonography yemikhumbi esemqoka yemilenze.
Ngaphezu kwalokho, kwenziwa ucwaningo kwizitho ezihlosiwe ezithinta isifo sikashukela. Lokhu kubandakanya inhliziyo, amehlo nezinso.
Nge-nephropathy, kuhlolwa okwenziwa okucacisa izinga le-urea ne-creatinine. Endabeni ye-retinopathy, ngokusebenzisa i-ophthalmoscopy noma i-diagnostic ye-instrumental, i-fundus iyahlolwa.
Izinkinga zenhliziyo zitholwa yi-electrocardiography, kepha i-echocardiography ne-coronarography kuyizindlela ezinembayo.
Futhi i-neuropathy kunqunywa ngesisekelo somlando nangokusebenzisa izifundo ezithile zensimbi. Ngasikhathi sinye, udokotela uthola ukuthi isiguli sinzima yini kuye ukuthi uphakamisa izinsimbi, aqaphele izinto ngokuthinta noma ukuthi uyasihlonipha yini isigingci, ukusindeka nokushiswa kweminwe. In inqubo yokuhlonza izinsimbi, izinhlobo ezahlukahlukene zokuzwela ukunqunywa:
- vibrational;
- i-tactile;
- izinga lokushisa;
- kubuhlungu.
Ukwelashwa
Isifo sikashukela i-mellitus sidinga ukwelashwa impilo yonke, okufanele futhi kube okuphelele. Ngemuva kwakho konke, okuwukuphela kwendlela yokuthola isinxephezelo ngalesi sifo nokulawula i-glycemia, okubangela ukushuba kweminwe.
Ukukhokhela isifo sikashukela sohlobo 2, isiguli sinqunywe i-hypoglycemic. Kodwa-ke, ukukhethwa kwezidakamizwa ezinjalo kufanele kusondele kakhulu ngokucophelela, ngoba kungenza ukusabela okungathi sína, futhi ngomthamo ongalungile, i-hypoglycemia noma ikoma likashukela kwenzeka kaningi.
Ngaphezu kwezidakamizwa ezisehlisa ushukela, ukwelashwa okubonakalayo kuyadingeka. Ngakho-ke, ngokuqina kwamalunga, izinqubo zomzimba ezivuselela imicu yezinzwa zingasetshenziswa. Lokhu kufaka i-transcutaneous massage kanye ne-balneology.
Ukwenza kusebenze ukujikeleza kwegazi emilenzeni, kubekwa ama-anticonvulsants. Okunye okukhonjisiwe ngamavithamini we-B, ikakhulukazi i-pyridoxine (B6) ne-thiamine (B1).
Noma sinesifo sikashukela, kuyadingeka ukwelapha ukungasebenzi kahle kwesikhumba. Kuze kube manje, kusetshenziswa amanxeba wokupholisa amanxeba kanye nama-antimicrobial agents.
Izidakamizwa ezinjalo zibandakanya i-furatsilin, i-Dimeskid noma i-Miramistin. Kungemva kwalokho kuphela lapho kungenzeka khona ukufeza ama-hydroproc inqubo bese wenza i-massage yokwelapha.
Ukuqhekeka nokomisa isikhumba ezandleni nasezandleni zeminwe nakho kudinga ukunakwa okukhethekile, ngoba uma inkinga ingaxazululwanga, khona-ke kukhona nengozi yokuhlukumezeka okwandayo. Kulokhu, kusetshenziswa izidakamizwa ezithuthukisa i-nerve conduction kanye nokugeleza kwegazi.
Amavithamini e-B akhishwa ngomlomo noma ngomjovo. Umphumela omuhle ukuhlanganiswa kwamavithamini B 12 (uCyanocobalamin), uTiamine nePyrodoxin. Konke lokhu kungasekelwa ngokusetshenziswa kwangaphandle kwe-Vitamin A (Retinol) neNovocaine.
Ngaphezu kwalokho, izinyawo kufanele ziguqulwe nsuku zonke. Kuze kube manje, udinga ukwenza izivivinyo ezilula, ezibandakanya ukusikaza nokubeka iminwe ngokungacacile.
I-Phytotherapy yesifo sikashukela iyasebenza futhi ekwelashweni okuyinkimbinkimbi kokuqina kweminwe. Ngakho-ke, ukwenza kusebenze ukujikeleza kwegazi ezandleni udinga ukuthinta ingxube yamafutha nopelepele.
Ukuyilungiselela, i-50 g yempuphu evuthayo ixubene ne-0.5 l kawoyela yemifino bese isetshenziswa emilenzeni imizuzu engama-30. Kepha inqubo enjalo ingenziwa kuphela lapho kungekho monakalo, amanxeba, imifantu kanye nolunye ukonakala kwesikhumba.
Ungafaka futhi i-pumpkin porridge efudumele ezandleni zakho. Ngemuva kwalokho, izitho kufanele zimbozwe nge-polyethylene noma iphepha lokucindezela bese lisonga konke ngendwangu enoboya.
Ukuze usebenzise ukujikeleza kwegazi futhi uqede ukuvuvukala, sebenzisa i-tincture yotshwala esekelwe kumhlonyane kanye ne-nettle esilinganisweni sengxenye eyodwa yotshwala kuya kumagremu amabili kwesinye sezitshalo. Umuthi ugcizelelwa izinsuku ezingama-20 endaweni lapho kungekho kufinyeleleka khona, lapho kuthi ngemuva kwalokho kudonswe ezandleni.
Ukwandisa ukuzwakala kweminwe, kusetshenziswa amabha okuqhathanisa, lapho izandla ziyehliswa zingena emanzini abandayo nawashisayo. Le nqubo inconywa ukuthi yenziwe ngo-2-3 p. ngosuku.
Futhi, ngokushuba kweminwe, ungenza i-compress nge "speakerer". Zonke izinto zithengiswa ekhemisi:
- I-Lidocaine (ama-ampoules ayi-5);
- usawoti (150 ml);
- IHydrocortisone (ama-ampoules ama-2);
- I-Dimexide (50 ml).
Izindlela zokuvimbela
Ukuvimbela ukuthuthukiswa kwezinkinga zesifo sikashukela, okungukuthi i-angiopathy ne-neuropathy, kumele kuqashelwe imithetho ethile. Okokuqala, kubalulekile ukulawula i-glycemia, ungavumeli izinkomba ze-glucose ukuthi zikhuphuke ngamanani aphezulu.
Ngaphezu kwalokho, kufanele uvakashele ngesikhathi hhayi nje kuphela i-endocrinologist, kodwa futhi nodokotela oyi-neurologist okwazi ukubona inkinga ekuqaleni futhi enze ukwelashwa okuphumelela kakhulu.
Ngaphezu kwalokho, kubalulekile ukwenza ukwelashwa okufika ngesikhathi kokulimala nokunye ukulimala emilenzeni. Kufanele futhi ugqoke izingubo ezintofontofo futhi uvikele i-hypothermia ngokweqile noma ukushisa ngokweqile kwezandla.
Kubalulekile futhi ukuthi ugweme ukucindezelwa yizinzwa nokucindezelwa. Njengoba abantu abanesifo sikashukela bekwenze ukuthi amajoni omzimba abe buthaka, kufanele bathathe amaminerali namavithamini ngezikhathi ezithile, okubandakanya i-magnesium ne-zinc. Lokhu kuzogwema ukusweleka kwamavithamini nokuphazamiseka ekuqhubekeni kwezinzwa.
Phakathi kokunye, kubaluleke kakhulu ukulandela imigomo yokwelashwa kokudla ushukela, okubandakanya:
- ukwenqaba okumnandi, okunesitashi kanye nokunye ukudla okusheshayo okungenamsoco;
- ungadli ukudla okunamafutha aphezulu ku-cholesterol;
- ukulinganisela ekudleni, okufanele kube kugcwele izithelo, inyama yokudla, inhlanzi, imikhiqizo yobisi, izithelo ezinoshukela nezingafakiwe.
Kwividiyo ekulesi sihloko, u-Elena Malysheva uzokhombisa ukuzivocavoca okuningana ngokumelana nokufakelwa kweminwe.
