Ðe nèsea veve vevie eye wò afɔwo hã vuvu le suklidɔ ta? Mina míasrɔ̃ nu tso (Diabetic Amyotrophy) sia ŋu!

Ðe suklidɔ le ŋuwòa? Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe akɔta kple akɔta le veve sem si womate ŋu ado dzi atsɔ o, eye kasia wòsena le ɖokuiwò me be yeƒe afɔwo le ƒoƒom? Ðewohĩ àsusu be suklidɔ ƒe kuxi bubu aɖe koe esia nye. Nyateƒee, nɔnɔme sia nye esi do ƒome kple suklidɔ, gake ate ŋu anye be mebɔ vie o. Egbea míele nu ƒom tso nane si le abe esia ene ŋu.

Nukae nye ``(Diabetic Amyotrophy)'' sia si do ƒome kple suklidɔ?

Kpuie ko la, `(Diabetic Amyotrophy)` nye lãmekawo kple lãmekawo ƒe dɔléle si gblẽa nu le wò akɔta, akɔta, kple ata ŋu, si nana nèsea veve vevie eye lãmekawo gbɔdzɔna . Esia nye nɔnɔme si mebɔ o. Zi geɖe la, ne dzesi siawo dze egɔme vɔ la, wova gblẽna ɖe edzi le ɣeyiɣi aɖe megbe, eye emegbe vivivi, ɣeaɖewoɣi ɣleti alo ƒe geɖe la, woƒe lãme sẽna.

Zi geɖe la , nɔnɔme sia dzea amesiwo xɔ wu ƒe 50 siwo ŋu suklidɔ ƒomevi evelia le dzi . Zi geɖe la, edzena le suklidɔ ƒe gɔmedzedze megbe abe ƒe ene ene. Ðɔktawo kple numekulawo gale agbagba dzem be yewoanya nusi tututu hea nɔnɔme sesẽ sia vɛ, eyata nusi tututu gbɔ wòtso la me mekɔ haɖe o .

Ðɔktawo zãa ŋkɔ bubu geɖewo na nɔnɔme sia, ``Diabetic Amyotrophy''. Ŋkɔ mawo aɖi nya sesẽ vie, gake wo katã wonye nɔnɔme ɖeka ma ke ƒe akpa vovovowo. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• (Suklidɔ si do ƒome kple lumbosacral radiculoplexus ahɔhɔ̃mekawo ƒe dɔléle - DLRPN)`
• `(Bruns-Garland ƒe dɔléle)`
• `(Ahɔhɔ̃mekawo ƒe dɔléle si do ƒome kple suklidɔ si te ɖe eŋu)`
• `(Suklidɔ ƒe polyradiculopathy)`
• `(Femoral-sciatic ahɔhɔ̃mekawo ƒe dɔléle si nye suklidɔ)`

Mehiã be nàɖo ŋku ŋkɔ siawo katã dzi o. Nu vevitɔe nye be nàse egɔme be esia nye nɔnɔme aɖe koŋ si va kpena ɖe suklidɔ ŋu eye wògblẽa nu le afɔwo ŋu.

Aleke gbegbee nɔnɔme sia bɔe?

Abe alesi míegblɔe va yi ene la, `(Suklidɔ ƒe Amyotrophy)` nye nɔnɔme si mebɔ kura o . Medzɔna le amesiame si ŋu suklidɔ le me o. Wogblɔ be edzea amesiwo ŋu suklidɔ le ƒe 1% lɔƒo dzi. Ke hã, wokpɔnɛ zi geɖe vie le amesiwo ŋu `(Type 2 diabetes)` le me.

Nukae nye `(Diabetic Amyotrophy)` ƒe dzesiwo?

Nɔnɔme sia ƒe dzesiwo gblẽa nu le wò akɔta, akɔta, kple/alo ata ŋu koŋ . Kpɔe ɖa be dzesi siawo dometɔ aɖe le ŋuwò hã:

• Vevesese sesẽ si tso ahɔhɔ̃mekawo me : Zi geɖe la, esiae nyea dzesi gbãtɔ si dzena. Ate ŋu ase le eɖokui me abe dzobibi, akplɔdada, alo vevesese si le ʋuʋum ene.
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ : Sese le ɖokuiwò me be yeƒe afɔwo le ʋuʋum. Esesẽna be woafɔ tso zikpui dzi alo atra atrakpuiwo lialia.
• Muscle atrophy : Esia nye lãmeka siwo le afɔwo me ƒe bu. Akɔta ate ŋu adze abe ɖe wole tsɛ wu tsã ene.
• Reflexes ƒe bu (areflexia) .: Ne ɖɔkta tsɔ akplɔ sue aɖe ƒo wò klo la, wò afɔ aʋuʋu, aleae reflexes dzi ɖena kpɔtɔnae.

Zi geɖe la , dzesi siawo dzea egɔme kpata le ŋutilãa ƒe akpa ɖeka . Eyae nye be, ɖusifɔ nye ɖusifɔ, miamefɔ nye miamefɔ. Gake le ɣeyiɣi aɖe megbe la, ate ŋu akaka ɖe akpa kemɛ. Vevesese sesẽ le gɔmedzedzea me ate ŋu anɔ anyi tso kwasiɖa geɖe va ɖo ɣleti geɖe. Ne vevesesea nu fa vɔ la, lãmekawo ƒe gbɔdzɔgbɔdzɔ tea dzidziɖedzi. Nɔnɔme sia ate ŋu agblẽ ɖe edzi vivivi le abe ɣleti 18 ene me. Le nɔnɔme sesẽtɔ kekeake me la, ɖewohĩ màte ŋu azɔ afɔ gɔ̃ hã kpekpeɖeŋu manɔmee o .

Ema ko hafi dzesiawo li ke eye vivivi la, dɔnɔa dzea hayahaya gɔme. hayahaya ƒe ɖoɖo sia ate ŋu axɔ ɣleti geɖe.

Gakpe ɖe eŋu la, ame aɖewo siwo ŋu Suklidɔ ƒe Amyotrophy le ate ŋu akpɔ woƒe lolome dzi ɖeɖe kpɔtɔ si womenya o – zi geɖe la, woƒe kpekpeme wua pounde 10 (anɔ abe kilogram 4.5 ene). Ame bubuwo hã ate ŋu ase veve eye lãmekawo nagbɔdzɔ le akɔta (ƒodo, akɔta) kple abɔwo me.

Nukae nye nusiwo gbɔ `(Diabetic Amyotrophy)` tsona?

Abe alesi míegblɔe va yi ene la, numekulawo mekpɔ nusi tututu gbɔ esia tso haɖe o, gake woyi edzi le nu srɔ̃m tso eŋu.

Kpeɖodzi siwo li fifia ɖee fia be esia nye dɔléle aɖe si woyɔna be microvasculitis, si tsoa ʋuka sue siwo le ŋutilãa me ƒe dɔdzẽ gbɔ. Kpuie ko la, dɔlélenutsiŋutete , si kpɔa míaƒe ŋutilã ta tso dɔléle me la va wɔa dɔ akpa le susu aɖewo ta eye wògblẽa ʋuka sue siwo naa ʋu yia lãmeka siwo le akɔta kple afɔwo me la dome. Esia gblẽa nu le lãmekawo ŋu.

Numekukuwo ɖee fia be le nɔnɔme si nye ``Diabetic Amyotrophy`` me la, akpa siwo gbɔna koŋue gblẽna:

• Lãmetsiŋusẽ ƒe kewo : Esiawoe nye lãmeka siwo dona tso aklã me le míaƒe aklã me ƒe akpa gbãtɔwo.
• Peripheral nerves : Lãmetsi bubu siwo dona tso lãmeka mawo ƒe kewo me.
• Lumbosacral plexus : Esia nye lãmekawo ƒe kadodo si naa seselelãme (seselelãme) kple lãmekawo ƒe dɔwɔwɔ (ŋutete be míaʋuʋu) míaƒe afɔwo, le akɔta te.

Amekae le afɔku gã me be wòaxɔ `(Diabetic Amyotrophy)`?

Nɔnɔme sia dzea amesiwo ŋu suklidɔ le dzi wu, gake womenya nusi tututu gbɔ wòtsona haɖe o. Ƒã ŋutɔ hafi wogblɔ be dzesi siawo le amesiwo ŋu suklidɔ mele o hã ŋu.

Wode dzesi nusiwo gbɔna be wonye nusiwo ate ŋu ana Suklidɔ ƒe Amyotrophy nadze ame dzi:

• Suklidɔ ƒomevi eve ƒe amesinɔnɔ.
• Sukli ƒe agbɔsɔsɔ le ʋu me dzi ɖuɖu kabakaba. Le kpɔɖeŋu me, ne wò ``(A1C)`` ƒe asixɔxɔ (esia fia wò sukli ƒe agbɔsɔsɔ le mama dedie nu le ɣleti 2-3 siwo va yi me) ɖiɖi zi ɖeka tso 11% va ɖo abe 7% ene le ɣleti ɖeka me.
• Sukli ƒe agbɔsɔsɔ le ʋu me dzi kpɔkpɔ vevie. Zi geɖe la, ``A1C'' ƒe asixɔxɔ léle ɖe asi le 7% te.

Tsɔ kpe ɖe esia ŋu la, wosusu be nu bubu aɖewoe nye nusiwo hea nɔnɔme sia vɛ:

• Suklidɔ ƒe atikewɔwɔ gɔmedzedze.
• Afɔku alo abixɔxɔ (trauma).
• Dɔlékuiwo ƒe dzɔdzɔ.
• Dɔlékuiwutikewo zazã.

Gake nusiawo katã gakpɔtɔ le numekuku ƒe afɔɖeɖea me.

Aleke woawɔ anya `(Suklidɔ Amyotrophy)`?

Esiae nye nu vevitɔ kekeake. Dodokpɔ ɖeka aɖeke meli si ŋu kakaɖedzi le si aɖo kpe nɔnɔme si nye `(Diabetic Amyotrophy)` dzi o . Ðɔktawo va ɖoa dɔléle sia gbɔ to nu bubu siwo ate ŋu ahe dɔlélea vɛ ɖeɖeɖa ɖekaɖeka (eɖeɖeɖa ƒe ɖoɖo). Eyae nye be, woɖea nɔnɔme bubu siwo ate ŋu ahe wò dzesiwo vɛ hafi atso nya me be enye `(Diabetic Amyotrophy)`. Le kpɔɖeŋu me, wodzea agbagba be yewoaɖe nɔnɔmewo abe:

• Lãmetsiŋusẽ ƒe ke ƒe nutete.
• Akɔta ƒe dɔdzẽwo.
• Dɔdzẽ si nɔa anyi didi si naa ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie (CIDP).
• Sarcoidosis ƒe dɔléle.
• Dɔlékuiwo abe `(HIV)`, `(Epstein-Barr dɔlékui)`, `(cytomegalovirus)` kple `(syphilis)`.

Gbã la, wò ɖɔkta abia nya wò tso wò dzesiwo kple atikewɔwɔ ŋutinya ŋu. Emegbe, woawɔ ŋutilãmedɔ kple ahɔhɔ̃mekawo dodokpɔ.

Tsɔ kpe ɖe eŋu la, woate ŋu akafu dodokpɔ siwo gbɔna:

• Ʋudodokpɔ : Le kpɔɖeŋu me, ʋudodokpɔ blibo, A1C dodokpɔ, aklã ƒe dɔwɔwɔ dodokpɔ, kple calcium ʋudodokpɔ.
• MRI-dɔdamɔnu si woɖena le akɔta ƒe akɔta.
• CT-dɔdamɔnu si woɖe tso akɔta ƒe akpa si le akɔta.
• Ahɔhɔ̃mekawo ƒe dɔwɔwɔ ŋuti dodokpɔwo : Esiawo doa wò lãmekawo kpɔna, vevietɔ eƒe elektrikŋusẽ ƒe dɔwɔwɔ.

Nukae nye atikewɔwɔ na `(Suklidɔ Amyotrophy)`?

Nya nyuiae nye be amesiwo ŋu Suklidɔ ƒe Amyotrophy le akpa gãtɔ ahaya vaseɖe afi aɖe ne womewɔ atike na wo o. Gake ne womewɔ atike nɛ o la, eƒe hayahaya ate ŋu anɔ blewu ŋutɔ alo mate ŋu ade blibo o .

Numekulawo gale nu srɔ̃m tso Suklidɔ ƒe Amyotrophy ƒe atikewɔwɔ nyuiwo ŋu. Mɔnukpɔkpɔ ate ŋu asu asiwò hã be nàwɔ ɖeka kple dɔdamɔnu dodokpɔ aɖe si le atike yeye aɖe dom kpɔ. Bia wò ɖɔkta tso eŋu.

Ne menye nenema o la, atikewɔmɔnu siwo kpena ɖe ame ŋu be woaɖu dzesiawo dzi koŋue ɖɔktawo kafua. Esiawo ate ŋu anye:

• Vevesese dzi ɖuɖu: Woate ŋu aŋlɔ vevesesenutsitikewo abe NSAID (atike siwo me steroid mele o siwo tsia vevesese nu) na ame be woatsɔ axe mɔ ɖe vevesese nu. Atike si woyɔna be Amitriptyline nono le zã me ate ŋu akpe ɖe ame ŋu le vevesese kpakple alɔ̃madɔmadɔ hã me. Ne vevesesea nu sẽ la, wò ɖɔkta ate ŋu aŋlɔ vevesesenutsitike sesẽwo na wò alo ahiã be nàxɔ wò ɖe kɔdzi.
• Lãmesẽfefewɔla : Lãmesẽdɔwɔla awɔ kamedede kple ʋuʋu vovovo siwo sɔ na wò. Esiawo akpe ɖe ŋuwò nàzã wò ŋutilã ƒe akpa siwo ŋu wògblẽ nu le, aɖu vevesese dzi, eye nàgatu lãmekawo ƒe ŋusẽ ɖo.
• Dɔdamɔnu : Ne wò suklidɔ ƒe amyotrophy na wòsesẽna na wò be nàwɔ wò gbesiagbedɔwo la, dɔdamɔnufiala ate ŋu akpe ɖe ŋuwò nàdi mɔ siwo dzi nàto awɔ wo bɔbɔe wu. Woate ŋu aɖo aɖaŋu hã be woazã kpekpeɖeŋunu siwo le abe afɔzɔla alo bunɔkeke ene.

Azɔ hã, ele vevie ŋutɔ be nàkpɔ wò ʋumesukli ƒe agbɔsɔsɔ dzi nyuie be nàxe mɔ ɖe kuxi bubu siwo ate ŋu ado mo ɖa le suklidɔ ta nu .

Nukae nye nɔnɔme si nye `(Diabetic Amyotrophy)` ƒe ŋgɔdonya?

Suklidɔ ƒe Amyotrophy nye dɔléle si le eɖokui si eye zi geɖe la, eya ŋutɔ nu tsona le ɣeyiɣi aɖe megbe. Esia fia be àkpɔ ŋgɔyiyi aɖe le wò dzesiwo ŋu mlɔeba. Gake hayahaya ate ŋu axɔ ɣeyiɣi didi eye womate ŋu agblɔe ɖi o .

Wobu akɔnta be ahiã be ame siwo ade 10% nazã bunɔkeke le ƒe eve me tso esime dzesiawo dze egɔme. Ame geɖe ate ŋu anye nuwɔametɔ tegbee vaseɖe afi aɖe hã.

Togbɔ be esia nye nɔnɔme si seɖoƒe li na eɖokui hã la, ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo le Suklidɔ ƒe Amyotrophy ŋu. Vevietɔ kamedede ate ŋu akpe ɖe ŋuwò nàhaya kabakaba.

Ɣeyiɣi didi kae Suklidɔ ƒe Amyotrophy ate ŋu anɔ anyi?

Nɔnɔme sia ƒe dzesiwo ate ŋu anɔ anyi tso ɣleti ʋɛ aɖewo va ɖo abe ƒe eve ene. Le ema megbe la, hayahaya ate ŋu axɔ ɣleti geɖe va ɖo ƒe geɖe. Ame geɖe ate ŋu ayi edzi anɔ dzesi aɖewo (abe gbɔdzɔgbɔdzɔ ene) (togbɔ be mesɔ gbɔ kura o wu esime dɔlélea nɔ sesẽm ɖe edzi hã).

Ðe mate ŋu axe mɔ ɖe Suklidɔ ƒe Amyotrophy nua?

Esi wònye be numekulawo menya nusi tututu gbɔ wòtso haɖe o ta la, le nyateƒe me la, naneke meli nàte ŋu awɔ atsɔ axe mɔ ɖe nɔnɔme sia nu o .

Aleke mawɔ akpɔ ɖokuinye dzi ne `(Diabetic Amyotrophy)` le ŋunye?

Tsɔ kpe ɖe atikewɔwɔ didi ŋu la, mɔ bubu aɖewo li siwo dzi nàto akpɔ ɖokuiwò dzi:

• Bia kpekpeɖeŋu tso wò lɔlɔ̃tɔwo gbɔ : Suklidɔ ƒe Amyotrophy ate ŋu ana wòasesẽ na wò be nàwɔ wò dɔ abe tsã ene. Mègahe ɖe megbe le kpekpeɖeŋu biabia tso wò ƒometɔwo kple xɔlɔ̃wo gbɔ vaseɖe esime nàhaya o.
• Di kpekpeɖeŋu le susu me lãmesẽnyawo gome.: Nɔnɔme sia ƒomevi ate ŋu akpɔ ŋusẽ ɖe wò susu ƒe lãmesẽ hã dzi. Nuwo abe blanuiléle alo dzimaɖitsitsi ene ate ŋu adzɔ. Ne nɔnɔme sia na nèse le ɖokuiwò me be nu te ɖe ye dzi ŋutɔ alo yeɖe ye ɖokui ɖe aga le hadome la, di kpekpeɖeŋu tso ame aɖe abe aɖaŋuɖola bibi alo susuŋutinunyala ene gbɔ.

Ɣekaɣie wòle be makpɔ nye ɖɔkta?

Ne Suklidɔ ƒe Amyotrophy le ŋuwò la, ahiã be nàyi ɖɔkta gbɔ edziedzi be nàlé ŋku ɖe wò nɔnɔmea ŋu ahakpɔ egbɔ be wò atikewɔwɔ ƒe ɖoɖoa le dɔ wɔm. Kpɔ egbɔ be yegblɔe na wò ɖɔkta ne wò dzesiwo gagblẽ ɖe edzi alo trɔ .

Suklidɔ ƒe kuxi aɖe gbɔ kpɔkpɔ, vevietɔ ne èɖu wò ʋumesukli dzi nyuie, ate ŋu asesẽ eye wòate ɖe ame dzi. Gake ɖo ŋku edzi be ``Suklidɔ ƒe Amyotrophy'' ƒe dzesiwo anyo ɖe edzi godoo le ɣeyiɣi aɖe megbe. Hafi ɣemaɣi naɖo la, di atikewɔmɔnu be wòakpɔ wò dzesiwo gbɔ ahado ŋusẽ wò lãmekawo. Wò ɖɔkta anɔ kpli wò le hayahaya ƒe mɔzɔzɔ sia me.

Ðo ŋku edzi abe kpukpui ene (Take-Home Message) .

Suklidɔ ƒe Amyotrophy nye dɔléle si mebɔ o si nana ame ƒe akɔta kple ata sea veve vevie eye wògbɔdzɔna. Edzea amesiwo xɔ wu ƒe 50 siwo ŋu suklidɔ ƒomevi evelia le dzi wu.

• Dzesiwo : Le gɔmedzedzea me la, vevesese sesẽ, emegbe lãmekawo ƒe gbɔdzɔgbɔdzɔ kple gbegblẽ. Azɔ hã ate ŋu asesẽ.
• Nusi gbɔ wòtso : Womenyae kple kakaɖedzi o, gake wosusu be enye nusiwo gblẽ le ʋuka siwo naa ʋu lãmekawo ŋu le dɔlélenutsiŋutete ƒe kuxi aɖe ta.
• Dɔléle ƒe dzesi : Woɖea dɔléle bubuwo ɖa to dɔléle bubuwo didi me. MRI, CT scan, kple ahɔhɔ̃mekawo ƒe dodokpɔwo kpena ɖe ame ŋu.
• Atikewɔwɔ : Ðe vevesese dzi kpɔtɔ, kamedede, dɔwɔwɔ ƒe atikewɔwɔ le vevie. Suklidɔ dzi ɖuɖu le ʋu me hã le vevie.
• Haya : Exɔa ɣeyiɣi, gake zi geɖe la, dzesiawo nyona ɖe edzi.

Ne dzesi siawo dometɔ aɖe le ŋuwò la, mègahe ɖe megbe le ɖɔkta gbɔ yiyi hena aɖaŋuɖoɖo xɔxɔ o. Dɔlélea didi kaba kple edada le vevie ŋutɔ.

` Suklidɔ, amyotrophy, lãmekawo ƒe vevesese, lãmekawo ƒe gbɔdzɔgbɔdzɔ, afɔveve, suklidɔ ƒe kuxiwo, kamedede