Koj puas muaj mob hnyav thiab loog ntawm koj ob txhais ceg vim yog ntshav qab zib? Cia peb kawm txog qhov '(Diabetic Amyotrophy)' no!

Koj puas muaj mob ntshav qab zib? Koj puas muaj tej lub sij hawm koj hnov ​​mob tsis taus hauv koj lub duav thiab koj ob txhais ceg, thiab xav tias koj ob txhais ceg loog? Tej zaum koj yuav xav tias qhov no tsuas yog lwm yam teeb meem ntawm tus mob ntshav qab zib xwb. Muaj tseeb tiag, qhov no yog ib yam mob uas cuam tshuam nrog tus mob ntshav qab zib, tab sis tej zaum nws yuav tsis tshua muaj. Hnub no peb yuav tham txog ib yam dab tsi zoo li no.

Qhov "(Diabetic Amyotrophy)" uas cuam tshuam nrog ntshav qab zib no yog dab tsi?

Hais yooj yim xwb, '(Diabetic Amyotrophy)' yog ib yam kab mob ntawm cov hlab ntsha thiab cov leeg uas cuam tshuam rau koj lub duav, pob tw, thiab ob txhais ceg, ua rau mob hnyav thiab cov leeg tsis muaj zog . Qhov no yog ib yam mob tsis tshua muaj. Feem ntau, tom qab cov tsos mob no pib, lawv yuav hnyav zuj zus, thiab tom qab ntawd maj mam, qee zaum ntau lub hlis lossis ntau xyoo, lawv yuav zoo dua.

Feem ntau tus mob no cuam tshuam rau cov neeg hnub nyoog tshaj 50 xyoo uas muaj tus kab mob ntshav qab zib hom 2. Feem ntau nws tshwm sim li plaub xyoos tom qab pib muaj tus kab mob ntshav qab zib. Cov kws kho mob thiab cov kws tshawb fawb tseem tab tom sim nrhiav seb yog dab tsi ua rau muaj tus mob nyuaj no, yog li qhov ua rau tseeb tseem tsis tau meej .

Cov kws kho mob siv ntau lub npe rau tus mob no, "Diabetic Amyotrophy." Cov npe no yuav zoo li nyuaj me ntsis, tab sis lawv txhua tus yog cov yam sib txawv ntawm tib yam mob. Nov yog ob peb yam piv txwv:

• (Ntshav qab zib-cuam tshuam nrog lumbosacral radiculoplexus neuropathy - DLRPN)`
• `(Bruns-Garland syndrome)`
• `(Tshuaj neuropathy uas cuam tshuam nrog ntshav qab zib)`
• `(Kab mob ntshav qab zib ntau yam)`
• `(Femoral-sciatic neuropathy ntawm ntshav qab zib)`

Koj tsis tas yuav nco ntsoov tag nrho cov npe no. Qhov tseem ceeb yog kom nkag siab tias qhov no yog ib qho mob tshwj xeeb uas los nrog ntshav qab zib thiab cuam tshuam rau ko taw.

Tus mob no feem ntau tshwm sim li cas?

Raws li tau hais ua ntej lawm, '(Diabetic Amyotrophy)' yog ib yam mob tsis tshua muaj . Nws tsis tshwm sim rau txhua tus neeg uas muaj ntshav qab zib. Lawv hais tias nws cuam tshuam rau kwv yees li 1% ntawm cov neeg uas muaj ntshav qab zib. Txawm li cas los xij, nws pom ntau dua me ntsis rau cov neeg uas muaj '(Hom 2 ntshav qab zib)'.

Cov tsos mob ntawm '(Diabetic Amyotrophy)' yog dab tsi?

Cov tsos mob ntawm tus mob no feem ntau cuam tshuam rau koj lub duav, pob tw, thiab/lossis ob txhais ceg . Saib seb koj puas muaj ib qho ntawm cov tsos mob no:

• Mob neuropathic hnyav : Qhov no feem ntau yog thawj cov tsos mob tshwm sim. Nws tuaj yeem zoo li kub hnyiab, mob chig, lossis mob tingling.
• Cov leeg nqaij tsis muaj zog : Zoo li koj ob txhais ceg tsis muaj zog. Nyuaj siab sawv ntawm lub rooj zaum lossis nce ntaiv.
• Cov leeg nqaij qaug zog : Qhov no yog qhov poob ntawm cov leeg nqaij hauv ob txhais ceg. Cov ceg yuav zoo li nyias dua li ua ntej.
• Kev poob ntawm cov reflexes (areflexia)Thaum tus kws kho mob siv rab rauj me me los ntaus koj lub hauv caug, koj txhais ceg yuav co, yog li ntawd cov reflexes thiaj li txo qis.

Cov tsos mob no feem ntau pib sai sai rau ib sab ntawm lub cev . Ntawd yog, ceg xis yog ceg xis, ceg sab laug yog ceg sab laug. Tab sis dhau sijhawm, nws tuaj yeem kis mus rau sab tod. Qhov mob hnyav thawj zaug tuaj yeem kav ntev li ntawm ob peb lub lis piam mus rau ntau lub hlis. Tom qab qhov mob ploj mus, cov leeg nqaij tsis muaj zog pib nce ntxiv. Qhov mob no tuaj yeem maj mam zuj zus mus txog li 18 lub hlis. Hauv cov xwm txheej hnyav tshaj plaws, koj yuav tsis tuaj yeem taug kev yam tsis muaj kev pab .

Tsuas yog tom qab ntawd cov tsos mob mam li ruaj khov thiab tus neeg mob maj mam pib zoo. Cov txheej txheem kho mob no yuav siv sijhawm ntau lub hlis.

Ntxiv mus, qee tus neeg uas muaj tus kab mob Diabetic Amyotrophy yuav poob phaus yam tsis paub meej - feem ntau ntau dua 10 phaus (kwv yees li 4.5 kilograms). Lwm tus kuj tseem yuav mob thiab cov leeg nqaij tsis muaj zog hauv lub cev (plab, hauv siab) thiab caj npab.

Dab tsi yog cov ua rau muaj '(Diabetic Amyotrophy)'?

Raws li peb tau hais ua ntej lawm, cov kws tshawb nrhiav tseem tsis tau pom qhov ua rau qhov no tseem, tab sis lawv tseem txuas ntxiv kawm txog nws.

Cov pov thawj tam sim no qhia tau hais tias qhov no yog ib qho mob hu ua microvasculitis, uas yog tshwm sim los ntawm kev o ntawm cov hlab ntsha me me hauv lub cev. Hais yooj yim xwb, lub cev tiv thaiv kab mob , uas tiv thaiv peb lub cev ntawm kab mob, ua haujlwm ntau dhau rau qee qhov laj thawj thiab ua rau cov hlab ntsha me me uas muab ntshav rau cov hlab ntsha hauv lub duav thiab ceg puas tsuaj. Qhov no ua rau cov hlab ntsha puas tsuaj.

Cov kev tshawb fawb tau qhia tias nyob rau hauv tus mob "Diabetic Amyotrophy", cov khoom hauv qab no feem ntau raug puas tsuaj:

• Cov hauv paus hlab ntsha : Cov no yog cov feem pib ntawm cov hlab ntsha uas tawm los ntawm cov hlab ntsha hauv peb tus txha nqaj qaum.
• Cov hlab ntsha Peripheral : Lwm cov hlab ntsha uas ceg tawm ntawm cov hauv paus hlab ntsha ntawd.
• Lumbosacral plexus : Qhov no yog lub network ntawm cov hlab ntsha uas muab kev xav (kev xav) thiab cov leeg ua haujlwm (peev xwm txav mus los) rau peb ob txhais ceg, hauv qab lub duav.

Leej twg muaj feem yuav mob "(Diabetic Amyotrophy)" ntau dua?

Feem ntau cov neeg uas muaj tus kab mob ntshav qab zib no raug tus kab mob no, tiam sis tseem tsis tau paub meej tias yog vim li cas. Tsis tshua muaj neeg uas tsis muaj tus kab mob ntshav qab zib tau tshaj tawm tias lawv muaj cov tsos mob no.

Cov hauv qab no tau raug txheeb xyuas tias yog cov yam ua rau muaj mob ntshav qab zib Amyotrophy:

• Muaj tus kab mob ntshav qab zib hom 2.
• Tswj cov ntshav qab zib sai sai. Piv txwv li, yog tias koj tus nqi "(A1C)" (qhov no yog hais txog koj cov ntshav qab zib nruab nrab dhau 2-3 lub hlis dhau los) poob qis los ntawm 11% mus rau kwv yees li 7% hauv ib hlis.
• Tswj cov ntshav qab zib kom nruj. Feem ntau, tswj kom tus nqi "A1C" qis dua 7%.

Ntxiv rau qhov no, qee yam ntxiv uas xav tias yog cov ua rau muaj tus mob no tshwm sim:

• Pib kho mob ntshav qab zib.
• Muaj xwm txheej lossis raug mob (trauma).
• Kev tshwm sim ntawm kev kis kab mob.
• Kev txhaj tshuaj tiv thaiv kab mob.

Tab sis tag nrho cov no tseem nyob rau theem tshawb fawb.

Yuav kuaj mob '(Diabetic Amyotrophy)' li cas?

Qhov no yog qhov tseem ceeb tshaj plaws. Tsis muaj ib qho kev kuaj mob tseeb los lees paub qhov mob '(Diabetic Amyotrophy)'. Cov kws kho mob tuaj txog qhov kev kuaj mob no los ntawm kev tshem tawm lwm yam ua rau muaj teeb meem ib qho zuj zus (txheej txheem ntawm kev tshem tawm). Ntawd yog, lawv tshem tawm lwm yam mob uas yuav ua rau koj cov tsos mob ua ntej txiav txim siab tias nws yog '(Diabetic Amyotrophy)'. Piv txwv li, lawv sim tshem tawm cov mob xws li:

• Kev nias ntawm cov hauv paus paj hlwb.
• Cov qog nqaij hlav hauv lub duav.
• Mob polyneuropathy uas ua rau mob o thiab mob ntev (CIDP).
• Sarcoidosis.
• Cov kab mob xws li (HIV), (Epstein-Barr virus), (cytomegalovirus) thiab (syphilis).

Ua ntej, koj tus kws kho mob yuav nug koj txog koj cov tsos mob thiab keeb kwm mob nkeeg. Tom qab ntawd, lawv yuav kuaj lub cev thiab kuaj lub paj hlwb.

Ntxiv rau, cov kev ntsuam xyuas hauv qab no yuav raug pom zoo:

• Kev kuaj ntshav : Piv txwv li, kev suav cov ntshav tag nrho, kev kuaj A1C, kev kuaj lub siab ua haujlwm, thiab kev kuaj ntshav calcium.
• Ib qho MRI scan ntawm tus txha nqaj qaum lumbosacral.
• Ib daim duab CT ntawm thaj chaw pelvic.
• Kev ntsuam xyuas neurophysiological : Cov no sim koj lub paj hlwb, tshwj xeeb tshaj yog nws cov haujlwm hluav taws xob.

Cov kev kho mob rau '(Diabetic Amyotrophy)' yog dab tsi?

Qhov xov xwm zoo yog tias feem ntau cov neeg uas muaj tus kab mob Diabetic Amyotrophy yuav zoo rov qab los rau qee yam yam tsis tas yuav kho mob. Txawm li cas los xij, yog tias tsis kho, kev zoo rov qab yuav qeeb heev lossis tej zaum yuav tsis tiav .

Cov kws tshawb nrhiav tseem tab tom kawm txog kev kho mob zoo rau Diabetic Amyotrophy. Tej zaum koj kuj tseem yuav muaj lub sijhawm los koom nrog kev sim tshuaj uas tab tom sim tshuaj tshiab. Nug koj tus kws kho mob txog nws.

Txwv tsis pub, cov kws kho mob feem ntau pom zoo kom muaj kev kho mob uas pab tswj cov tsos mob. Cov no yuav suav nrog:

• Kev tswj qhov mobCov tshuaj tua mob xws li NSAIDs (cov tshuaj uas tsis yog steroidal anti-inflammatory drugs) yuav raug sau kom tswj tau qhov mob. Kev noj tshuaj hu ua Amitriptyline thaum hmo ntuj tuaj yeem pab txo qhov mob thiab ua rau pw tsis tsaug zog. Yog tias qhov mob hnyav heev, koj tus kws kho mob yuav sau cov tshuaj tua mob hnyav dua lossis koj yuav tsum tau mus pw hauv tsev kho mob.
• Kev Kho Mob Lub Cev : Tus kws kho mob lub cev yuav tsim ntau yam kev tawm dag zog thiab kev txav mus los uas tsim los rau koj. Cov no yuav pab koj siv koj cov qhov chaw hauv lub cev uas raug mob, tswj qhov mob, thiab rov qab kho cov leeg nqaij kom muaj zog.
• Kev Kho Mob Ua Haujlwm : Yog tias koj tus kab mob ntshav qab zib amyotrophy ua rau koj ua koj cov dej num txhua hnub nyuaj, tus kws kho mob ua haujlwm tuaj yeem pab koj nrhiav txoj hauv kev los ua lawv yooj yim dua. Lawv kuj tseem yuav pom zoo kom siv cov khoom siv pab xws li lub cuab yeej taug kev lossis lub rooj zaum muaj log.

Tsis tas li ntawd xwb, nws tseem ceeb heev uas yuav tsum tswj koj cov ntshav qab zib kom zoo kom tiv thaiv lwm yam teeb meem uas tuaj yeem tshwm sim los ntawm ntshav qab zib .

Yuav ua li cas thiaj paub tias tus mob "(Diabetic Amyotrophy)" yuav zoo li cas?

Kab mob ntshav qab zib Amyotrophy yog ib yam mob uas nws tus kheej kho tau thiab feem ntau yuav zoo li qub. Qhov no txhais tau tias thaum kawg koj yuav pom qee qhov kev txhim kho hauv koj cov tsos mob. Txawm li cas los xij, kev rov zoo tuaj yeem siv sijhawm ntev thiab tsis paub tseeb .

Kwv yees li ntawm 10% ntawm cov neeg yuav tsum tau siv lub rooj zaum muaj log hauv ob xyoos tom qab pib muaj cov tsos mob. Ntau tus kuj tseem yuav muaj qee qib kev tsis taus mus tas li.

Txawm hais tias qhov no yog ib qho mob uas nws tus kheej txwv tsis pub ua, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab tswv yim los ntawm kws kho mob rau tus kab mob Diabetic Amyotrophy. Kev kho lub cev, tshwj xeeb, tuaj yeem pab kom koj rov zoo sai dua.

Mob Diabetic Amyotrophy yuav kav ntev npaum li cas?

Cov tsos mob ntawm tus mob no yuav kav ntev li ob peb lub hlis mus txog ob xyoos. Tom qab ntawd, kev rov zoo yuav siv sijhawm ntau lub hlis mus txog ntau xyoo. Ntau tus neeg yuav tseem muaj qee cov tsos mob (xws li qaug zog) (txawm tias tsawg dua li thaum tus mob hnyav tshaj plaws).

Kuv puas tuaj yeem tiv thaiv kab mob Diabetic Amyotrophy?

Vim tias cov kws tshawb nrhiav tseem tsis tau paub qhov ua rau muaj qhov teeb meem no, yeej tsis muaj dab tsi uas koj ua tau los tiv thaiv qhov teeb meem no .

Kuv yuav saib xyuas kuv tus kheej li cas yog tias kuv muaj '(Diabetic Amyotrophy)'?

Ntxiv rau kev nrhiav kev kho mob, muaj lwm txoj hauv kev uas koj tuaj yeem saib xyuas koj tus kheej:

• Thov kev pab los ntawm cov neeg koj hlub : Mob ntshav qab zib Amyotrophy yuav ua rau koj ua tsis tau koj txoj haujlwm li koj tau ua yav dhau los. Tsis txhob yig thov kev pab los ntawm koj tsev neeg thiab cov phooj ywg kom txog thaum koj zoo.
• Nrhiav kev pab txog kev noj qab haus huv ntawm lub hlwb.Hom teeb meem no kuj tseem yuav cuam tshuam rau koj txoj kev noj qab haus huv ntawm lub hlwb. Tej yam xws li kev nyuaj siab lossis kev ntxhov siab tuaj yeem tshwm sim. Yog tias qhov xwm txheej no ua rau koj ntxhov siab heev lossis raug cais tawm ntawm koj tus kheej, nrhiav kev pab los ntawm ib tus neeg xws li tus kws pab tswv yim lossis tus kws kho mob hlwb.

Kuv yuav tsum mus ntsib kuv tus kws kho mob thaum twg?

Yog koj muaj tus kab mob Diabetic Amyotrophy, koj yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua kom saib xyuas koj tus mob thiab xyuas kom koj txoj kev npaj kho mob ua haujlwm tau zoo. Nco ntsoov qhia rau koj tus kws kho mob yog tias koj cov tsos mob hnyav zuj zus lossis hloov pauv .

Kev daws teeb meem ntawm tus kab mob ntshav qab zib, tshwj xeeb tshaj yog thaum koj cov ntshav qab zib raug tswj tau zoo, tuaj yeem nyuaj thiab ua rau koj chim siab. Tab sis nco ntsoov, cov tsos mob ntawm "Diabetic Amyotrophy" yuav zoo dua qub. Txog thaum ntawd, nrhiav kev kho mob kom tswj tau koj cov tsos mob thiab ua kom koj cov leeg muaj zog. Koj tus kws kho mob yuav nrog koj nyob rau hauv txoj kev rov zoo no.

Nco ntsoov ua ib qho kev xaus lus (Cov Lus Qhia Coj Mus Tsev)

Kab mob ntshav qab zib Amyotrophy yog ib yam mob tsis tshua muaj uas ua rau mob hnyav thiab tsis muaj zog ntawm lub duav thiab ob txhais ceg. Feem ntau nws cuam tshuam rau cov neeg hnub nyoog tshaj 50 xyoo uas muaj kab mob ntshav qab zib hom 2.

• Cov tsos mob : Thaum xub thawj mob heev, tom qab ntawd cov leeg nqaij tsis muaj zog thiab qaug zog. Nws kuj tseem yuav nyuaj rau taug kev.
• Ua rau : Tsis paub tseeb, tab sis xav tias yog kev puas tsuaj rau cov hlab ntsha uas muab ntshav rau cov hlab ntsha vim muaj teeb meem ntawm lub cev tiv thaiv kab mob.
• Kev kuaj mob : Kev kuaj mob yog ua los ntawm kev tshem tawm lwm yam kab mob. MRI, CT scans, thiab kev kuaj mob hlwb yog qhov pab tau.
• Kev Kho Mob : Txo qhov mob, kev kho lub cev, thiab kev kho mob ua haujlwm yog qhov tseem ceeb. Kev tswj cov ntshav qab zib kuj tseem ceeb heev.
• Kev Rov Zoo : Nws yuav siv sijhawm, tab sis cov tsos mob feem ntau zoo dua.

Yog koj muaj ib qho ntawm cov tsos mob no, tsis txhob yig mus ntsib kws kho mob kom tau txais kev qhia. Kev kuaj mob thaum ntxov thiab kev kho mob yog qhov tseem ceeb heev.

` Mob ntshav qab zib, amyotrophy, mob hlab ntsha, cov leeg tsis muaj zog, mob ceg, teeb meem ntawm ntshav qab zib, kev kho lub cev