Kab mob ntshav qab zib yog ib yam mob uas ntau tus neeg hauv peb lub tebchaws tam sim no tab tom ntsib. Yog li koj yuav tau hnov txog kab mob ntshav qab zib neuropathy, uas los nrog kab mob ntshav qab zib. Tshwj xeeb tshaj yog tej yam xws li loog ntawm ob txhais ceg thiab poob ntawm kev xav. Tab sis hnub no peb tab tom tham txog ib hom kab mob neuropathy uas tsis tshua muaj, tab sis qee zaum hnyav, tsis tshua muaj. Qhov no hu ua diabetic amyotrophy. Cov mob no cuam tshuam rau ib pawg neeg me me, kwv yees li 1% ntawm cov neeg laus uas muaj kab mob ntshav qab zib. Thiab nws ua haujlwm txawv me ntsis dua li lwm yam kab mob ntshav qab zib neuropathy.
Diabetic Amyotrophy yog dab tsi tiag?
Hais yooj yim xwb, qhov no kuj yog kev puas tsuaj rau cov hlab ntsha uas tshwm sim los ntawm tus kab mob ntshav qab zib. Qhov txawv yog qhov uas nws raug cuam tshuam. Feem ntau, tus kab mob ntshav qab zib ua rau cov hlab ntsha hauv ko taw thiab ceg qis puas tsuaj. Tab sis hauv qhov no, Diabetic Amyotrophy feem ntau cuam tshuam rau koj:
- Lub duav
- Ceg
- Lub duav
- Pob tw
Cov hlab ntsha hauv thaj chaw ntawm lub hauv siab thiab lub plab qee zaum tuaj yeem raug cuam tshuam.
Tus mob no muaj ntau lub npe hu ua lwm yam mob. Yog koj tus kws kho mob hais txog ib lub npe no, nws yog ib lub tswv yim zoo kom paub txog lawv thiab.
- Kev mob neuropathy proximal
- Mob ntshav qab zib lumbosacral radiculoplexus neuropathy
- Bruns-Garland syndrome
Cov tsos mob ntawm tus mob no yog dab tsi?
Feem ntau, cov kab mob neuropathy muaj xws li mob thiab loog. Txawm li cas los xij, cov tsos mob ntawm cov kab mob ntshav qab zib amyotrophy txawv me ntsis.
Xav txog seb koj puas muaj mob uas tsis tuaj yeem kho tau pib ntawm koj lub duav thiab txav mus rau hauv koj lub duav. Qee zaum koj kuj tseem yuav mob plab heev. Raws li lub sijhawm dhau mus, koj cov leeg nqaij ntawm koj lub duav yuav qaug zog, ua rau nws nyuaj rau sawv ntawm lub rooj zaum. Feem ntau, cov tsos mob no tshwm sim rau ib sab ntawm lub cev. Txawm li cas los xij, kwv yees li ib feem peb ntawm cov rooj plaub, ob sab tuaj yeem raug cuam tshuam.
Tej zaum yuav muaj ib tug mob hu ua 'foot drop' vim yog cov hlab ntsha hauv lawv ob txhais ceg raug mob. Qhov no txhais tau tias thaum lawv taug kev, lawv tsis tswj tau lawv ko taw pem hauv ntej thiab nws zoo li rub rau hauv av.
Cia peb nkag siab cov tsos mob no kom meej dua los ntawm lub rooj hauv qab no.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob hnyav heev | Mob tam sim ntawd, ntse, thiab tsis tuaj yeem ua tau rau ntawm lub duav, ncej puab, lossis pob tw. |
| Cov leeg tsis muaj zog | Raws li lub sijhawm dhau mus, cov leeg nqaij ntawm ob txhais ceg yuav qaug zog, ua rau nws nyuaj rau sawv ntawm lub rooj zaum lossis nce ntaiv. |
| Mob plab | Ib txhia neeg yuav mob plab heev. |
| Ko Taw Poob | Thaum taug kev, sab pem hauv ntej ntawm ko taw rub mus rau hauv av. |
Dab tsi yog cov ua rau thiab cov yam ua rau muaj qhov no?
Tseem tsis tau meej meej tias yog vim li cas qhov no thiaj ua rau muaj qhov teeb meem no. Peb paub tias cov ntshav qab zib ntau ua rau cov hlab ntsha puas tsuaj. Tab sis qhov xav tsis thoob yog tias txawm tias cov neeg uas muaj tus kab mob ntshav qab zib uas tswj tau zoo (ob hom 1 thiab hom 2) kuj tuaj yeem muaj tus mob no .
Qhov no txhais tau tias txawm tias koj cov piam thaj raug tswj tau zoo los xij, nws tsis yog lub tswv yim zoo uas yuav tsis quav ntsej cov tsos mob no yog tias lawv tshwm sim.
Thaum nws los txog rau cov yam uas ua rau muaj kev pheej hmoo, qhov mob no feem ntau pom muaj rau cov txiv neej laus. Tab sis qhov ntawd tsis tau txhais hais tias cov neeg hluas lossis cov poj niam yuav tsis muaj mob. Nws tuaj yeem cuam tshuam rau txhua tus neeg txawm tias muaj hnub nyoog li cas los xij.
Tus kws kho mob kuaj qhov no li cas? (Kev kuaj mob)
Thaum koj mus ntsib kws kho mob uas muaj cov tsos mob no, nws yuav tsis txiav txim siab tam sim ntawd tias nws yog Diabetic Amyotrophy. Vim tias muaj ntau lwm yam mob uas qhia cov tsos mob zoo sib xws rau cov tsos mob no. Yog li ntawd, kws kho mob yuav sim txiav txim siab seb puas muaj lwm yam kab mob zoo sib xws. Piv txwv li:
- Kab mob txha caj qaum puas tsuaj: Qhov no kuj tseem tuaj yeem ua rau mob hauv thaj tsam ncej puab.
- Mob leeg ntshav qab zib infarction: Qhov no tuaj yeem ua rau mob thiab o vim yog txo cov ntshav ntws mus rau cov leeg.
- Meralgia paresthetica: Qhov no yog lwm yam mob neurological uas ua rau loog, mob, thiab o ntawm thaj tsam ncej puab.
Koj tus kws kho mob yuav ua ntau yam kev kuaj mob zoo li no kom paub tseeb tias tsis muaj dab tsi thiab kuaj tau qhov tseeb.
| Kev Ntsuas | Ua cas koj thiaj ua li no? |
|---|---|
| Kev kuaj ntshav | Saib seb koj puas muaj ntshav qab zib, lossis nws tswj tau zoo npaum li cas. |
| Kev Ntsuas Pob Txha | Tshawb xyuas cov kua dej ntawm tus txha nqaj qaum seb puas muaj kev o. |
| Kev thaij duab X-ray, CT scan, MRI scan | Tshawb xyuas seb puas muaj teeb meem ntawm cov pob txha, cov leeg, thiab cov hlab ntsha. |
| Kev kuaj mob electromyography (EMG) thiab kev kuaj mob neurological | Ntsuas seb koj cov hlab ntsha thiab cov leeg nqaij noj qab nyob zoo thiab ua haujlwm tau zoo npaum li cas. |
Cov kev kho mob rau qhov no yog dab tsi?
Qhov xov xwm zoo yog tias qhov mob no feem ntau yuav zoo dua nws tus kheej dhau sijhawm. Tab sis nws yuav siv sijhawm. Lub sijhawm no, cov kev kho mob no tuaj yeem pab tswj koj cov tsos mob thiab muab qee qhov kev nplij siab rau koj.
1. Tswj tau tus kab mob ntshav qab zib zoo
Qhov no yog qhov tseem ceeb tshaj plaws. Nws yog ib qho tseem ceeb kom koj cov ntshav qab zib nyob rau hauv qhov ntau thiab tsawg. Kev noj tshuaj, kev noj zaub mov zoo, thiab kev tawm dag zog yog qhov tseem ceeb rau qhov no.
2. Tshuaj tua kab mob
Muaj cov tshuaj tshwj xeeb los tswj qhov mob hlab ntsha hnyav no. Gabapentin thiab pregabalin zoo heev rau qhov no. Qee zaum, qee cov tshuaj siv rau kev nyuaj siab kuj tuaj yeem pab tswj hom mob hlab ntsha ntev no. Tag nrho cov no yuav tsum tau noj raws li koj tus kws kho mob qhia xwb.
3. Kev Kho Mob Lub Cev
Kev kho lub cev yog qhov tseem ceeb los pab koj tswj thiab maj mam rov qab muaj zog hauv koj cov leeg nqaij uas tsis muaj zog. Tus kws kho lub cev yuav muab cov kev tawm dag zog rau koj uas yog rau koj. Lawv kuj tseem yuav pom zoo kom siv cov khoom siv los ua kom lub neej txhua hnub yooj yim dua, xws li lub cuab yeej ncav tes lossis lub rooj zaum hauv chav dej uas tsa siab.
Feem ntau cov neeg rov qab tau feem ntau ntawm lawv lub zog uas ploj mus. Tab sis nws tsis tshwm sim ib hmos. Nws yuav siv sijhawm txog ib xyoos rau cov tsos mob kom pib zoo dua. Yog li nws yog ib qho tseem ceeb uas yuav tsum ua siab ntev nrog kev kho mob. Peb kuj yuav tsum nco ntsoov tias muaj tsawg tus neeg tsis zoo tag nrho.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mob ntshav qab zib Amyotrophy yog ib qho teeb meem tsis tshua muaj tab sis loj heev ntawm ntshav qab zib.
- Cov tsos mob tseem ceeb yog mob hnyav thiab cov leeg nqaij tsis muaj zog ntawm lub duav, lub duav thiab lub pob tw, es tsis yog loog hauv ob txhais ceg.
- Yog koj muaj mob ntshav qab zib thiab muaj cov tsos mob zoo li no, tsis txhob tsis quav ntsej lawv thiab mus ntsib koj tus kws kho mob tam sim ntawd.
- Kev tswj cov ntshav qab zib kom zoo yog qhov yooj yim thiab tseem ceeb tshaj plaws ntawm kev kho mob.
- Kev kho lub cev thiab tshuaj tua kab mob tuaj yeem tswj cov tsos mob thiab ua rau lub neej yooj yim dua.
- Kev kho kom rov zoo yuav siv sijhawm thiab kev ua siab ntev yog qhov tseem ceeb. Feem ntau cov neeg yuav rov zoo raws sijhawm.
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