Ke ʻike nei hoʻi ʻoe i ka ʻeha nui a me ka mae ʻole o kou mau wāwae ma muli o ka maʻi diabetes? E aʻo kākou e pili ana i kēia (Diabetic Amyotrophy)!

Loaʻa iā ʻoe ka maʻi diabetes? Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha hiki ʻole ke hoʻomanawanui ma kou mau pūhaka a me kou mau ʻūhā, a manaʻo koke ʻoe e like me ka mae ʻana o kou mau wāwae? Manaʻo paha ʻoe he pilikia ʻē aʻe kēia o ka maʻi diabetes. ʻOiaʻiʻo, he ʻano kēia e pili ana i ka maʻi diabetes, akā he mea kakaikahi paha. I kēia lā e kamaʻilio mākou e pili ana i kahi mea e like me kēia.

He aha kēia "(Diabetic Amyotrophy)" e pili ana i ka maʻi diabetes?

I ka ʻōlelo maʻalahi, ʻo `(Diabetic Amyotrophy)` he maʻi ia o nā aʻalolo a me nā ʻiʻo e hoʻopilikia ai i kou mau pūhaka, puʻupuʻu, a me nā ʻūhā, e hōʻeha nui ana i ka ʻeha a me ka nāwaliwali o nā ʻiʻo . He ʻano kakaikahi kēia. ʻO ka hapa nui o ka manawa, ma hope o ka hoʻomaka ʻana o kēia mau hōʻailona, ​​​​e ʻoi aku ka ʻino o ka hala ʻana o ka manawa, a laila mālie, i kekahi manawa he mau mahina a i ʻole mau makahiki, e hoʻomaikaʻi lākou.

Hoʻopilikia pinepine kēia maʻi i ka poʻe ma luna o 50 mau makahiki me ka maʻi diabetes type 2. ʻIke pinepine ʻia ma kahi o ʻehā mau makahiki ma hope o ka hoʻomaka ʻana o ka maʻi diabetes. Ke hoʻāʻo nei nā kauka a me nā mea noiʻi e ʻike pono i ke kumu o kēia maʻi paʻakikī, no laila ʻaʻole maopopo ke kumu pololei .

Hoʻohana nā kauka i nā inoa ʻē aʻe he nui no kēia maʻi, ʻo ia hoʻi ʻo "Diabetic Amyotrophy". He mea paʻakikī paha kēlā mau inoa, akā he ʻano like ʻole lākou a pau o ke ʻano like. Eia kekahi mau laʻana:

• (ʻO ka neuropathy radiculoplexus lumbosacral e pili ana i ka maʻi diabetes - DLRPN)
• ʻO ka maʻi Bruns-Garland
• `(Neuropathy pili i ka maʻi diabetes proximal)`
• `(Polyradiculopathy maʻi diabetes)`
• `(ʻO ka neuropathy femoral-sciatic o ka maʻi diabetes)`

ʻAʻole pono ʻoe e hoʻomanaʻo i kēia mau inoa āpau. ʻO ka mea nui e hoʻomaopopo he ʻano kūikawā kēia e hele mai me ka maʻi diabetes a hoʻopilikia i nā wāwae.

Pehea ka maʻamau o kēia ʻano?

E like me ka mea i ʻōlelo ʻia ma mua, he maʻi laha ʻole ka `(Diabetic Amyotrophy)`. ʻAʻole ia e ulu i nā kānaka a pau me ka maʻi diabetes. Ua ʻōlelo ʻia e pili ana i kahi 1% o ka poʻe me ka maʻi diabetes. Eia nō naʻe, ʻike pinepine ʻia ia i nā poʻe me ka `(Type 2 diabetes)`.

He aha nā hōʻailona o ka `(Diabetic Amyotrophy)`?

ʻO nā hōʻailona o kēia maʻi e pili nui ana i kou mau pūhaka, puʻupuʻu, a/a i ʻole nā ​​ʻūhā . E nānā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• ʻEha neuropathic koʻikoʻi : ʻO kēia ka hōʻailona mua e ʻike ʻia. Hiki ke like me ke kuni ʻana, ke hou ʻana, a i ʻole ka ʻeha ʻūlū.
• Nāwaliwali o nā ʻiʻo : Manaʻo e like me ka mae ʻana o kou mau wāwae. Paʻakikī ke ala aʻe mai kahi noho a i ʻole ke piʻi ʻana i nā alapiʻi.
• ʻO ka atrophy o nā ʻiʻo : ʻO kēia ka nalowale ʻana o ka nui o nā ʻiʻo ma nā wāwae. Hiki ke ʻike ʻia nā ʻūhā he lahilahi ma mua o ka wā ma mua.
• Ka nalowale ʻana o nā reflexes (areflexia)Ke kuʻi ke kauka i kou kuli me ka hāmare liʻiliʻi, e ʻoniʻoni kou wāwae, pēlā e emi ai nā reflexes.

Hoʻomaka koke kēia mau hōʻailona ma kekahi ʻaoʻao o ke kino . ʻO ia hoʻi, ʻo ka wāwae ʻākau ka wāwae ʻākau, ʻo ka wāwae hema ka wāwae hema. Akā i ka hala ʻana o ka manawa, hiki ke pālahalaha i kēlā ʻaoʻao. Hiki i ka ʻeha nui mua ke mau mai nā pule a i nā mahina. Ma hope o ka emi ʻana o ka ʻeha, hoʻomaka ka nāwaliwali o nā ʻiʻo e hoʻonui. Hiki i kēia kūlana ke ʻoi aku ka ʻino ma kahi o 18 mau mahina. I nā hihia koʻikoʻi loa, ʻaʻole paha ʻoe e hiki ke hele me ke kōkua ʻole .

A laila wale nō e paʻa ai nā hōʻailona a hoʻomaka mālie ka mea maʻi e hoʻōla. Hiki i kēia kaʻina hana ho'ōla ke hala i nā mahina.

Eia kekahi, hiki i kekahi poʻe me ka Diabetic Amyotrophy ke loaʻa i ka pohō kaumaha i wehewehe ʻole ʻia - ʻoi aku ma mua o 10 paona (ma kahi o 4.5 kilokani). Hiki i kekahi ke loaʻa i ka ʻeha a me ka nāwaliwali o nā ʻiʻo ma ke kino (ʻōpū, umauma) a me nā lima.

He aha nā kumu o ka `(Diabetic Amyotrophy)`?

E like me kā mākou i ʻōlelo ai ma mua, ʻaʻole i loaʻa i nā kānaka noiʻi kahi kumu kūpono no kēia, akā ke hoʻomau nei lākou i ke aʻo ʻana.

Hōʻike nā hōʻike o kēia manawa he ʻano kēia i kapa ʻia ʻo microvasculitis, i hana ʻia e ka mumū o nā kīʻaha koko liʻiliʻi i loko o ke kino. I ka ʻōlelo maʻalahi, lilo ka ʻōnaehana pale , ka mea e pale ai i ko mākou kino mai ka maʻi, i mea hana nui no kekahi kumu a hōʻino i nā kīʻaha koko liʻiliʻi e hoʻolako i ke koko i nā aʻalolo ma nā pūhaka a me nā wāwae. Hoʻopilikia kēia i nā aʻalolo.

Ua hōʻike ʻia nā haʻawina i ke kūlana "Diabetic Amyotrophy", ua hōʻino nui ʻia nā ʻāpana aʻe:

• Nā aʻa aʻalolo : ʻO kēia nā ʻāpana mua o nā aʻalolo e puka mai ana mai ke kaula kuamoʻo i loko o ko kākou iwi kuamoʻo.
• Nā aʻalolo peripheral : Nā aʻalolo ʻē aʻe e lālā ana mai kēlā mau aʻa aʻalolo.
• ʻO ka plexus Lumbosacral : ʻO kēia ka pūnaewele o nā aʻalolo e hāʻawi ana i ka manaʻo (manaʻo) a me ka hana ʻiʻo (hiki ke neʻe) i ko mākou mau wāwae, ma lalo o ka pūhaka.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o ka `(Diabetic Amyotrophy)`?

ʻO ka hapa nui o kēia maʻi e pili ana i ka poʻe me ka maʻi diabetes, akā ʻaʻole maopopo ke kumu pololei. He mea kākaʻikahi loa, ua hōʻike ʻia hoʻi ka poʻe me ka ʻole o ka maʻi diabetes e loaʻa i kēia mau hōʻailona.

Ua ʻike ʻia kēia mau mea he mau mea pilikia no ka Diabetic Amyotrophy:

• Loaʻa i ka maʻi diabetes type 2.
• Ka kaohi wikiwiki ʻana i nā pae kō koko. No ka laʻana, inā hāʻule koke kou waiwai "(A1C)" (e pili ana kēia i kou pae kō awelika i nā mahina 2-3 i hala) mai 11% a i kahi 7% i loko o hoʻokahi mahina.
• Kaohi pono ʻana i nā pae kō koko. ʻO ka maʻamau, ka mālama ʻana i kahi waiwai "A1C" ma lalo o 7%.

Ma waho aʻe o kēia, aia kekahi mau mea ʻē aʻe e manaʻo ʻia he mau mea hoʻoulu no kēia ʻano maʻi:

• Ke hoʻomaka nei i ka mālama ʻana no ka maʻi diabetes.
• He ulia a ʻeha paha (trauma).
• Ka loaʻa ʻana o nā maʻi.
• Nā pale ʻana.

Akā, aia kēia mau mea a pau i loko o ke kahua noiʻi.

Pehea e ʻike ai i ka `(Diabetic Amyotrophy)`?

ʻO kēia ka mea nui loa. ʻAʻohe hoʻāʻo paʻa hoʻokahi e hōʻoia i ke kūlana `(Diabetic Amyotrophy)`. Hiki i nā kauka ke hoʻoholo i kēia maʻi ma ka hoʻopau ʻana i nā kumu ʻē aʻe pākahi (kaʻina hana o ka hoʻopau ʻana). ʻO ia hoʻi, kāpae lākou i nā kūlana ʻē aʻe e hiki ke hoʻoulu i kāu mau hōʻailona ma mua o ka hoʻoholo ʻana he `(Diabetic Amyotrophy)` ia. No ka laʻana, hoʻāʻo lākou e kāpae i nā kūlana e like me:

• Ke kaomi ʻana i ke aʻa o ke aʻalolo.
• Nā puʻupuʻu pelvic.
• ʻO ka polyneuropathy demyelinating mumū mau loa (CIDP).
• ʻO ka maʻi sarcoidosis.
• Nā maʻi e like me ka `(HIV)`, `(Epstein-Barr virus)`, `(cytomegalovirus)` a me `(syphilis)`.

ʻO ka mea mua, e nīnau kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. A laila, e hana lākou i kahi hoʻokolohua kino a me kahi hoʻokolohua neurological.

Eia kekahi, hiki ke ʻōlelo ʻia nā hoʻokolohua aʻe:

• Nā hoʻāʻo koko : No ka laʻana, kahi helu koko piha, kahi hoʻāʻo A1C, nā hoʻāʻo hana ate, a me kahi hoʻāʻo koko calcium.
• ʻO ke kiʻi MRI o ka ʻiʻo lumbosacral.
• ʻO kahi scan CT o ka ʻāpana pelvic.
• Nā hoʻokolohua Neurophysiological : Hoʻāʻo kēia i kāu ʻōnaehana nerve, ʻoiai kāna hana uila.

He aha nā lāʻau lapaʻau no ka `(Diabetic Amyotrophy)`?

ʻO ka nūhou maikaʻi, ʻo ka hapa nui o ka poʻe me ka Diabetic Amyotrophy e hoʻōla i kekahi ʻano me ka ʻole o ka mālama ʻia ʻana. Eia nō naʻe, inā waiho ʻole ʻia, hiki ke lohi loa ka hoʻōla ʻana a ʻaʻole paha e piha .

Ke aʻo nei nā kānaka noiʻi i nā lāʻau lapaʻau kūpono no ka Diabetic Amyotrophy. Loaʻa paha iā ʻoe ka manawa kūpono e komo i kahi hoʻokolohua lapaʻau e hoʻāʻo nei i kahi lāʻau lapaʻau hou. E nīnau i kāu kauka e pili ana i ia mea.

A i ʻole, ʻōlelo nui nā kauka i nā lāʻau lapaʻau e kōkua i ka kaohi ʻana i nā hōʻailona. Hiki i kēia mau mea ke komo pū me:

• Ka hoʻokele ʻehaHiki ke kuhikuhi ʻia nā lāʻau ʻeha e like me NSAID (nā lāʻau anti-inflammatory non-steroidal) e kāohi i ka ʻeha. ʻO ka lawe ʻana i ka lāʻau i kapa ʻia ʻo Amitriptyline i ka pō e hiki ke kōkua i ka ʻeha a me ka insomnia. Inā koʻikoʻi ka ʻeha, hiki i kāu kauka ke kuhikuhi i nā lāʻau ʻeha ikaika a i ʻole pono ʻoe e lawe ʻia i ka haukapila.
• Hoʻōla kino : E hoʻomohala kekahi mea hoʻōla kino i kahi moʻo o nā hoʻomaʻamaʻa a me nā neʻe i hana kūikawā ʻia nou. E kōkua kēia iā ʻoe e hoʻohana i kou mau ʻāpana kino i hoʻopilikia ʻia, e kāohi i ka ʻeha, a kūkulu hou i ka ikaika o nā ʻiʻo.
• Hoʻōla hana : Inā paʻakikī kāu amyotrophy diabetic iā ʻoe e hana i kāu mau hana o kēlā me kēia lā, hiki i kahi mea hoʻōla hana ke kōkua iā ʻoe e ʻimi i nā ala e hana maʻalahi ai. Hiki iā lākou ke paipai i ka hoʻohana ʻana i nā mea kōkua e like me ka mea hele wāwae a i ʻole ka noho huila.

Eia kekahi, he mea nui loa ia e mālama pono i kou pae kō koko e pale aku i nā pilikia ʻē aʻe e hiki mai ana ma muli o ka maʻi diabetes .

He aha ka wānana no ke kūlana `(Diabetic Amyotrophy)`?

He kūlana kūʻokoʻa ka Amyotrophy Diabetic e hoʻopau pinepine ʻia ma kona iho i ka hala ʻana o ka manawa. ʻO ke ʻano kēia e ʻike ʻoe i kahi hoʻomaikaʻi ʻana i kāu mau hōʻailona. Eia nō naʻe, hiki ke lōʻihi a hiki ʻole ke wānana ʻia ka hoʻōla ʻana.

Ua manaʻo ʻia ma kahi o 10% o ka poʻe e pono e hoʻohana i ka noho huila i loko o ʻelua mau makahiki o ka hoʻomaka ʻana o nā hōʻailona. He nui paha ka poʻe i loaʻa i kekahi ʻano o ke kīnā mau loa.

ʻOiai he kūlana kēia e hiki ke hoʻōla ponoʻī ʻia , he mea nui e ʻimi i ke aʻo lapaʻau no ka Diabetic Amyotrophy. ʻO ka hoʻōla kino, ma ke ʻano kūikawā, hiki ke kōkua i ka wikiwiki o kou manawa hoʻōla.

Pehea ka lōʻihi e hiki ai i ka Amyotrophy Diabetic ke mau?

Hiki i nā hōʻailona o kēia ʻano ke mau mai kekahi mau mahina a i ʻelua mau makahiki. Ma hope o kēlā, hiki i ka ho'ōla ʻana ke hala i nā mahina a i nā makahiki. Hiki i nā kānaka he nui ke hoʻomau i kekahi mau hōʻailona (e like me ka nāwaliwali) (ʻoiai ʻoi aku ka liʻiliʻi ma mua o ka wā i ʻino loa ai ka maʻi).

Hiki iaʻu ke pale aku i ka Amyotrophy Diabetic?

ʻOiai ʻaʻole ʻike nā kānaka noiʻi i ke kumu kikoʻī, ʻaʻohe mea hiki iā ʻoe ke hana e pale aku ai i kēia maʻi .

Pehea wau e mālama ai iaʻu iho inā loaʻa iaʻu ka `(Diabetic Amyotrophy)`?

Ma waho aʻe o ka ʻimi ʻana i ka lāʻau lapaʻau, aia kekahi mau ala ʻē aʻe e hiki ai iā ʻoe ke mālama iā ʻoe iho:

• E noi i ke kōkua mai kāu poʻe aloha : ʻO ka Diabetic Amyotrophy paha e paʻakikī iā ʻoe ke hana i kāu hana e like me kāu ma mua. Mai kānalua e noi i ke kōkua mai kou ʻohana a me nā hoaaloha a hiki i kou hoʻōla ʻana.
• E ʻimi i ke kōkua olakino noʻonoʻo.Hiki i kēia ʻano kūlana ke hoʻopilikia i kou olakino noʻonoʻo. Hiki ke loaʻa nā mea e like me ke kaumaha a i ʻole ka hopohopo. Inā hoʻolilo kēia kūlana iā ʻoe i ke kaumaha nui a i ʻole kaʻawale i ka nohona, e ʻimi i ke kōkua mai kekahi e like me ke kākāʻōlelo loea a i ʻole ka psychologist.

Āhea wau e ʻike ai i kaʻu kauka?

Inā loaʻa iā ʻoe ka Diabetic Amyotrophy, pono ʻoe e ʻike pinepine i kāu kauka e nānā i kou kūlana a e hōʻoia i ka hana ʻana o kāu hoʻolālā lapaʻau. E hōʻoia e haʻi i kāu kauka inā e ʻoi aku ka ʻino a loli paha kāu mau hōʻailona .

ʻO ka hoʻoponopono ʻana i kahi pilikia o ka maʻi diabetes, ʻoiai ke kāohi maikaʻi ʻia kou kō koko, hiki ke paʻakikī a hoʻonāukiuki. Akā e hoʻomanaʻo, e hoʻomaikaʻi maoli nā hōʻailona o ka "Diabetic Amyotrophy" i ka hala ʻana o ka manawa. A hiki i kēlā manawa, e ʻimi i ka lāʻau lapaʻau e hoʻokele i kāu mau hōʻailona a hoʻoikaika i kou mau ʻiʻo. E noho pū ana kāu kauka me ʻoe ma kēia huakaʻi o ka hoʻōla ʻana.

E hoʻomanaʻo ma ke ʻano he hōʻuluʻulu manaʻo (Leka Lawe-Home)

He maʻi laha ʻole ka Amyotrophy Diabetic e hoʻoulu ai i ka ʻeha nui a me ka nāwaliwali ma nā pūhaka a me nā ʻūhā. ʻO ka hapa nui o ia mea e pili ana i ka poʻe ma luna o 50 mau makahiki me ka maʻi diabetes type 2.

• Nā Hōʻailona : I ka wā mua, ʻeha nui, a laila nāwaliwali nā ʻiʻo a me ka nawaliwali. He mea paʻakikī paha ke hele wāwae.
• Kumu : ʻAʻole maopopo loa, akā ua manaʻo ʻia he hōʻino ʻia i nā kīʻaha koko e hoʻolako koko i nā aʻalolo ma muli o kahi pilikia o ka ʻōnaehana pale.
• ʻIke : Hana ʻia ka ʻike ma ka kāpae ʻana i nā maʻi ʻē aʻe. He kōkua nā MRI, CT scans, a me nā hoʻokolohua neurological.
• Lapaʻau : Hoʻēmi i ka ʻeha, he mea nui ka hoʻōla kino, ka hoʻōla hana. He mea nui nō hoʻi ke kaohi ʻana i ke kō koko.
• Hoʻōla : He manawa ka lōʻihi, akā hoʻomaikaʻi pinepine nā hōʻailona.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​mai kānalua e ʻike i ke kauka no ka ʻōlelo aʻo. He mea nui loa ka ʻike mua a me ka mālama ʻana.

ʻO ka maʻi diabetes, amyotrophy, ʻeha aʻalolo, nāwaliwali o nā ʻiʻo, ʻeha wāwae, nā pilikia maʻi diabetes, ka hoʻōla kino