Ukuzwa Ukusha Ezinyaweni: Izimbangela, Ukuxilongwa Nokwelashwa

Ngena emhlabeni wezempilo yezinyawo njengoba singena endabeni evame ukudida futhi engakhululekile yokuzwa ukushisa ezinyaweni zakho. Kusukela ezimbangela ezingase zibe khona kuye ezixazululweni ezisebenzayo, le bhulogi ingumhlahlandlela wakho wokuqonda, ukuphatha, kanye nokuthola impumuzo ekuphathekeni kabi okuvuthayo okungaphansi kwezinyawo zakho. Asithathe uhambo lokuveza izizathu zokusha futhi sithole izinyathelo eziya ezinyaweni ezijabule, ezingenabuhlungu.

Ukuvutha kwezinyawo kuwumqondo ovuthayo ezinyaweni. Kubizwa nangokuthi i-burning feet syndrome, noma i-foot burning syndrome. Umuntu angazizwa eshisa onyaweni futhi umuntu angasha izinyawo ebusuku kuphela.

Kungaba ngenxa yezizathu ezihlukahlukene. Ukuzwa ukushisa ezinyaweni kungelashwa futhi kulawulwe ngemithi efanele kanye nendlela yokuphila enempilo. 

Izimbangela Zokusha Izinyawo

Izinyawo ezivuthayo zingaba yisimo esiyindida futhi esingakhululekile esinezimbangela ezihlukahlukene. Ukuqonda lezi zimbangela kubalulekile ekuphatheni ngempumelelo. Nazi ezinye izimbangela ezivamile zokusha kwezinyawo:

• I-Neuropathy:
  • I-Peripheral Neuropathy: Ukulimala kwezinzwa, ngokuvamile ngenxa yesifo sikashukela, kungaholela ekuzizweni kokuvutha.
  • I-Alcohol Neuropathy: Ukuphuza ngokweqile kungase kubangele ukulimala kwezinzwa kanye nezinyawo ezivuthayo.
  • I-Chemotherapy-Indused Neuropathy: Ezinye zokwelapha umdlavuza zingadala i-peripheral neuropathy.
• I-nerve Entrapment:
  • I-Tarsal Tunnel Syndrome: Ukucindezelwa kwe-tibial nerve eqakaleni kungaholela ekuzizweni okuvuthayo.
• Ukushoda Kwevithamini:
  • Ukushoda kwe-B12: Amazinga e-vitamin B12 anganele angabangela i-neuropathy kanye nomuzwa ovuthayo ezinyaweni.
• Amagciwane:
  • Unyawo Lomsubathi: Ukutheleleka kwefungal kungaholela ekulumeni nasekushiseni.
  • I-HIV/AIDS: Kwezinye izimo, izifo ezihambisana ne-HIV zingathinta imizwa futhi zibangele izinyawo ezishisayo.
• Izifo ze-Autoimmune:
  • I-Rheumatoid Arthritis: Izimo ezivuthayo zingaba nomthelela ezimpawu ezihlobene nemizwa.
  • ILupus: Isifo se-autoimmune esingathinta izinhlelo ezihlukahlukene zomzimba, kuhlanganise nesimiso sezinzwa.
• Imithi:
  • Imithi ethile, njengemithi yokwelapha ngamakhemikhali, ingaholela ku-peripheral neuropathy kanye nezinzwa ezivuthayo.
• Izimo Zokuvuvukala:
  • I-Peripheral Arterial Disease (PAD): Ukuncipha kokugeleza kwegazi ezinyaweni kungabangela ukushisa nobuhlungu.
  • I-Gout: I-arthritis evuthayo engathinta amalunga, kuhlanganise nalawo ezinyaweni.
• Izinguquko zeHormonal:
  • Ukunqamuka kokuya esikhathini: Ukushintshashintsha kwama-hormone kungase kubangele izimpawu ezihlobene nezinzwa.
• Izicathulo Nengcindezi:
  • Izicathulo ezingafaneleki noma ukucindezela isikhathi eside ezinyaweni kungabangela ukungakhululeki nokuzwa ukushisa.
• Ubuthi Bensimbi Enzima:
  • Ukuchayeka ezinsimbini ezithile ezisindayo, njengomthofu noma i-mercury, kungaholela ezimpawini zemizwa.

Kubalulekile ukubonisana nochwepheshe bezempilo ukuze uthole imbangela eqondile yokusha kwezinyawo. Ukuhlola okuphelele, okuhlanganisa umlando wezokwelapha, ukuhlolwa komzimba, nokuhlola okuhlobene, kungasiza ekuhlonzeni umsuka wenkinga futhi kuqondise ukwelashwa okufanele.

Ukuxilonga Izinyawo Ezivuthayo

Ukuthola imbangela yokusha kwezinyawo kuhilela indlela ebanzi ehlanganisa:

• Umlando Wezokwelapha: Udokotela wakho uzobuza ngomlando wakho wezempilo, okuhlanganisa noma yiziphi izimo zempilo ezikhona, imithi, izici zokuphila, nomlando womndeni.
• Ukuhlolwa Komzimba: Ukuhlolwa okuphelele kwezinyawo zakho kanye namaphethelo aphansi kuzokwenziwa ukuze kuhlolwe izimpawu zokuvuvukala, ububomvu, noma ukungahambi kahle.
• Ukuhlolwa Kwezinzwa: Ukuhlolwa kokukhalipha kwakho, amandla emisipha, nokuzwela ukuthinta kungasiza ekuboneni izinkinga ezihlobene nemizwa ezingaba khona.
• Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kungase kwenziwe ukuze kuhlolwe izimo ezifana nesifo sikashukela, ukuntuleka kwamavithamini (ikakhulukazi i-B12), kanye nezinkomba zezifo ezizimele.
• Izifundo Zokuqhuba Imizwa (NCS) kanye ne-Electromyography (EMG): Lezi zivivinyo zihlola ukusebenza kukagesi kwemizwa nemisipha, kusize ukukhomba ukulimala noma ukungasebenzi kahle kwezinzwa.
• Izifundo ze-Imaging: Ama-X-ray, ama-MRIs, noma ama-CT scan angase ayalwe ukuba abone ngeso lengqondo amathambo, amalunga, nezicubu ezithambile ezinyaweni, kugwenywe izinkinga zesakhiwo.
• I-Skin Biopsy: Ezimeni zokusolwa kwe-fiber neuropathy encane, i-biopsy yesikhumba ingenziwa ukuze kuhlaziywe ukuminyana kwe-nerve fiber.
• Ukuhlolwa kwe-Allergy: Uma kukhona izinsolo zokungezwani komzimba okubangela ukuzwa ukusha, ukuhlolwa kwe-allergies kungase kwenziwe.
• Ukuhlolwa Okukhethekile: Kuye ngesizathu esisolekayo, ukuhlolwa okukhethekile okwengeziwe kungase ku-odwe, njengokuhlola ubuthi bensimbi esindayo noma ukwenza izivivinyo zokuphazamiseka kwe-autoimmune.
• Ukubonisana Nochwepheshe: Ngokuya ngokutholwe kokuqala, ungathunyelwa kochwepheshe abanjengodokotela bezinzwa, i-rheumatologists, noma i-endocrinologists ukuze baphinde bahlolwe.

Kubalulekile ukuxhumana ngokukhululekile nomhlinzeki wakho wezempilo mayelana nezimpawu zakho, ubude bazo, nanoma yiziphi izici ezibonakala zivusa noma zidambise umuzwa ovuthayo. Inqubo yokuxilonga ingase ihlanganise izinyathelo ezimbalwa, futhi ukusebenzisana nochwepheshe bezokunakekelwa kwempilo kuzosiza ekunqumeni imbangela ethile yenkinga futhi kuqondise uhlelo lokwelapha olufaneleka kakhulu.

Ukwelashwa Kwezinyawo Ezivuthayo

Ukwelashwa kwezinyawo ezivuthayo kuncike kusizathu esiyinhloko. Uma ukuxilongwa sekuqinisekisiwe, ochwepheshe bezokunakekelwa kwezempilo bangancoma ukungenelela okuhlosiwe ukuze kubhekwane nenkinga ethile. Nazi ezinye izindlela ezijwayelekile kanye nokwelashwa kwezinyawo ezivuthayo:

Ukuphatha Izimo Eziyisisekelo:

• Ukulawula isifo sikashukela: Nge-neuropathy yesifo sikashukela, kubalulekile ukugcina amazinga aphezulu kashukela egazini.
• Izithako zamavithamini: Ukubhekana nokushoda, ikakhulukazi i-vitamin B12, ngokusebenzisa izithasiselo.
• Ukwelashwa Kokutheleleka: Imithi ye-Antifungal yezimo ezifana nonyawo lomsubathi.

Imithi:

• Ukuqeda Izinhlungu: Izidambisi zezinhlungu ezitholakala ngaphandle kwekhawunta noma imithi kadokotela ingase ituswe.
• Imithi ye-Neuropathic: Izidakamizwa ezifana ne-gabapentin noma i-pregabalin zingasiza ukuphatha ubuhlungu obuhlobene nezinzwa.

Ukwelashwa Kwangaphakathi:

• Ama-Cream nama-Ointments: Ukufaka amakhilimu aqukethe i-capsaicin noma i-lidocaine ukuze uthole usizo lwasendaweni.
• Ama-Antifungal Creams: Ukushiswa okuhambisana nezifo zefungal.

Ukwelapha ngokomzimba:

• Ukuzivocavoca: Ukuzivocavoca umzimba kungasiza ukuthuthukisa amandla emisipha nokuvumelana nezimo.
• I-Transcutaneous Electrical Nerve Stimulation (TENS): Lokhu kwelashwa kungasiza ekudambiseni ubuhlungu be-neuropathic.

Ukuguqulwa kwendlela yokuphila:

• Ukunakekelwa Kwezinyawo: Ukuhlola njalo nokunakekela izinyawo ukuvikela ukulimala kanye nezifo.
• Izicathulo ezinethezeka: Ukugqoka izicathulo ezifanele, ezisekelayo.

Ukuphatha izinga lokushisa:

• Amasu okupholisa: Ukucwilisa izinyawo emanzini apholile noma ukusebenzisa amajeli okupholisa ukuze ukhululeke.

Ezinye izindlela zokwelapha:

• I-acupuncture: Abanye abantu bathola impumuzo ngamaseshini we-acupuncture.
• I-Massage Therapy: Ukubhucunga kungasiza ukuthuthukisa ukujikeleza nokunciphisa ukungaphatheki kahle.

Imithi Kadokotela:

• Kwezinye izimo, kungase kudingeke imithi kadokotela enamandla ukuze kulawulwe izinhlungu.

Ukuhlinzwa Kokunciphisa Imizwa:

• Ezimweni ezithile zokungena kwezinzwa, izinqubo zokuhlinzwa zingacatshangelwa.

Kubalulekile ukuqaphela ukuthi ukuzihlola nokuzilapheka kungase kungasebenzi futhi kungase kusenze isimo sibe sibi kakhulu. Uma uhlangabezana nemizwa eshisayo engapheli ezinyaweni zakho, thintana nochwepheshe bezempilo ukuze uthole ukuxilonga okufanele kanye nohlelo lokwelapha lomuntu siqu. Ukubhekana nembangela ewumsuka kuyisihluthulelo sokuphatha nokunciphisa ukungakhululeki okuhambisana nokusha kwezinyawo.

Kufanele Ubonane Nini Nodokotela?

Bonana nodokotela mayelana nokusha kwezinyawo esimweni esingezansi:

• Izimpawu Ezingapheli: Uma umuzwa ovuthayo ezinyaweni zakho uphikelela isikhathi eside, naphezu kwamakhambi asekhaya noma izinguquko zokuphila.
• Ubuhlungu Obunzima: Uma ubuhlungu bukhulu, buthinta imisebenzi yakho yansuku zonke kanye nezinga lempilo.
• Ukuba ndikindiki noma Ukuluma: Uma uzwa ukuba ndikindiki, ukuluma, noma ubuthakathaka ngaphezu kokuzwa ukushisa.
• Diabetes: Uma unesifo sikashukela futhi ubona noma yiziphi izinguquko ekuzweni ezinyaweni zakho, ukuhlolwa okusheshayo kubalulekile.
• Izimpawu Zokutheleleka: Uma ubona izimpawu zokutheleleka njengokubomvu, ukuvuvukala, noma ukuphuma ezinyaweni.
• Umlando Wezimo Ezingamahlalakhona: Uma unomlando wezimo ezifana nesifo sikashukela, isifo se-peripheral artery, noma ukuphazamiseka kwe-autoimmune okungase kube nomthelela ku-neuropathy.
• Imiphumela Engathandeki Yomuthi: Uma usola ukuthi imithi oyisebenzisayo ingase ibangele ukuzwa kokuvutha.
• Izimpawu Ezintsha noma Eziya ziba Zimbi: Uma uba nezimpawu ezintsha noma uma izimpawu ezikhona ziba zimbi.
• Ukulimala Kwezinyawo: Uma ukuzwa okuvuthayo kulandela ukulimala konyawo, ukufuna usizo lwezokwelapha kubalulekile.
• Ukuqala Kancane Kancane: Uma umuzwa ovuthayo ukhula kancane kancane ngaphandle kwesizathu esibonakalayo.

Kubalulekile ukuthi ungazizibi izimpawu eziqhubekayo noma ezinzima, njengoba izinyawo ezishisayo zingaba uphawu lwesimo sezempilo esidinga ukunakwa. Uchwepheshe wezokunakekelwa kwempilo angenza ukuhlola okuphelele, okuhlanganisa ukuhlola ngokomzimba kanye nokuhlola okungenzeka ukuthi kuhlonzwe, ukuze athole imbangela yezimpawu futhi atuse uhlelo lokwelapha olufanele. Ukungenelela kusenesikhathi kungabaluleka ekulawuleni nasekuthuthukiseni isimo.

Ingabe Izinyawo Ezivuthayo Zingavinjelwa?

Isiphetho

Sengiphetha, sihlole izimbangela kanye nokwelashwa okuhlukahlukene kokuzwa ukushisa ezinyaweni. Kunezinketho eziningi ezitholakalayo ngokungenelela kwezokwelapha ukuze kuhlinzekwe usizo. Uma izinyawo zakho zikhombisa ukungakhululeki, lalela i-alamu futhi uthintane nochwepheshe bezempilo ngaphandle kokulibala. Thola ukuthi kuxoxiswane ngezimpawu zakho bese uvumela abezempilo ukuthi bahlonze uhlelo olufanele lokwelashwa kwakho. Ngolwazi, ukunakekelwa kanye nokwelashwa okufanele, ungenza isiqiniseko sokuthi isinyathelo sakho esilandelayo esiya phambili sinethezekile.

FAQ sika 

1. Ingabe izinyawo ezishisayo zihlobene nesifo sikashukela?

Yebo, izinyawo ezivuthayo zingahlotshaniswa nesifo sikashukela. I-peripheral neuropathy, umphumela ovamile wesifo sikashukela, ibangela ukulimala kwezinzwa emaphethelweni, okuholela emizweni enjengokushisa, ukuntweza, noma ukuba ndikindiki ezinyaweni.

2. Ingabe izinyawo ezishisayo ziyingozi?

3. Yikuphi ukudla okwenza izinyawo zishise?

4. Ingabe izinyawo ezishisayo zingelapheka?