Koj puas yog ib tug neeg uas muaj tus kab mob ntshav qab zib? Yog li, koj puas hnov mob loog, tingling, kub hnyiab, lossis qee zaum mob hauv koj txhais tes thiab taw? Cov no tej zaum yuav yog cov cim qhia tias koj cov hlab ntsha maj mam raug puas tsuaj los ntawm tus kab mob ntshav qab zib. Tsis txhob txhawj, qhov no yog ib qho mob uas cuam tshuam rau ntau tus neeg. Hnub no, peb yuav tham txog tus kab mob hlab ntsha no uas tshwm sim los ntawm tus kab mob ntshav qab zib, hu ua '(Diabetes-Related Neuropathy)'.
Hauv lwm lo lus, neuropathy yog dab tsi?
Xav txog lub paj hlwb hauv peb lub cev zoo li cov xov hluav taws xob hauv tsev. Cov paj hlwb no nqa cov lus los ntawm lub hlwb mus rau txhua lub ces kaum ntawm lub cev, thiab cov paj hlwb no nqa cov lus los ntawm lwm qhov ntawm lub cev rov qab mus rau lub hlwb. Cov paj hlwb no tau txais kev noj haus thiab oxygen los ntawm cov hlab ntsha me me.
Tam sim no, thaum koj muaj ntshav qab zib, uas txhais tau tias koj cov ntshav qab zib siab (Hyperglycemia) ntev, cov hlab ntsha no pib puas tsuaj. Ib yam li thaum dej uas muaj ntau qab zib hla cov kav dej, cov kav dej pib xeb. Thaum cov hlab ntsha raug puas tsuaj li no, cov hlab ntsha, uas zoo li cov xov hluav taws xob, tsis tau txais cov khoom noj khoom haus thiab cov pa oxygen uas lawv xav tau. Tom qab ntawd cov hlab ntsha ntawd maj mam qaug zog, puas tsuaj, thiab txawm tias pib tuag. Qhov ntawd yog qhov peb hu ua Diabetes-Related Neuropathy .
Qhov no tuaj yeem tshwm sim rau cov neeg uas muaj ob qho tib si "Hom 1" ntshav qab zib thiab "Hom 2" ntshav qab zib. Txawm li cas los xij, nws tsis tshwm sim rau txhua tus neeg uas muaj ntshav qab zib. Tsis tas li ntawd, neuropathy tuaj yeem tshwm sim rau lwm yam. Piv txwv li, nws tuaj yeem tshwm sim los ntawm kev raug mob ntawm cov hlab ntsha, kev tsis txaus zaub mov, lossis kev sib tsoo. Txawm li cas los xij, yog tias tus kws kho mob pom tias koj muaj ntshav qab zib thiab tsis tuaj yeem nrhiav lwm yam ua rau cov tsos mob no, lawv yuav kuaj mob tias yog ntshav qab zib.
Cov kab mob ntawm cov hlab ntsha uas ua rau muaj ntshav qab zib yog dab tsi?
Qhov kev puas tsuaj ntawm cov hlab ntsha no tuaj yeem cuam tshuam rau cov hlab ntsha hauv ntau qhov chaw ntawm lub cev. Nws muab faib ua ntau hom tseem ceeb nyob ntawm seb nws raug cuam tshuam qhov twg. Cia peb saib seb lawv yog dab tsi.
| Hom kab mob ntawm lub paj hlwb | Hauv lus yooj yim, yuav ua li cas nrog qhov no? |
|---|---|
| Kev puas tsuaj ntawm cov hlab ntsha peripheral | Qhov no yog hom mob uas pom ntau tshaj plaws ntawm cov neeg uas muaj ntshav qab zib.'Peripheral' txhais tau hais tias cov hlab ntsha uas txuas ntawm tus txha caj qaum mus rau qhov kawg ntawm lub cev. Qhov no feem ntau cuam tshuam rau ob txhais ceg thiab taw. Qee zaum ob txhais caj npab tuaj yeem raug cuam tshuam. |
| Kab mob Autonomic Neuropathy | 'Autonomic' txhais tau hais tias cov hlab ntsha uas tswj lub cev cov txheej txheem uas peb tswj tsis tau. Piv txwv li, tej yam xws li lub plawv dhia, ntshav siab, hws, kev zom zaub mov, kev ua haujlwm ntawm lub zais zis, thiab kev ua haujlwm ntawm kev sib deev. Kev puas tsuaj rau cov hlab ntsha no poob rau hauv pawg no. |
| Kev puas hlwb ntawm qhov ze ntawm lub paj hlwb | Qhov no yog ib hom mob tsis tshua muaj . Nws cuam tshuam rau cov hlab ntsha hauv lub duav, lub duav, lossis lub pob tw. Feem ntau nws tsuas cuam tshuam rau ib sab ntawm lub cev xwb. |
Nco ntsoov, cov kev tshawb fawb qhia tias kwv yees li 50% ntawm cov neeg uas muaj ntshav qab zib raug kev txom nyem los ntawm "Peripheral Neuropathy." Qhov ntawd txhais tau tias ib ntawm ob tus neeg muaj kev pheej hmoo.
Cov tsos mob ntawm cov kab mob neurological no yuav yog dab tsi?
Cov tsos mob uas koj ntsib nyob ntawm seb koj muaj hom mob neuropathy twg. Cia peb saib cov tsos mob uas cuam tshuam nrog txhua hom sib cais.
Cov tsos mob ntawm Peripheral Neuropathy
Vim tias qhov no feem ntau cuam tshuam rau ob txhais ceg, koj yuav ntsib tej yam xws li:
- Mob tingling hauv ob txhais ceg , zoo li muaj ntsaum khiav ib ncig, zoo li raug koob chob (Paresthesia).
- Mob ntse heev, zoo li kub hnyiab, raug chob, lossis raug hluav taws xob poob siab.
- Kev teb tsis zoo li qub thaum kov. Piv txwv li, hnov mob heev thaum daim ntaub pua chaw pw txhuam rau ceg (Dysesthesia).
- Cov leeg tsis muaj zog.
- Cov qhov txhab ntawm ob txhais ceg lossis ko taw yuav siv sijhawm ntev heev los kho .
- Muaj tej lub sij hawm, koj tsis muaj kev xav dab tsi li lawm. Txawm tias koj raug pos los yog khau raug mob los koj yeej tsis hnov li.
Qhov kev puas tsuaj ntawm cov hlab ntsha no tshwm sim maj mam dhau ntau xyoo, yog li koj yuav tsis pom muaj cov tsos mob loj thaum ntxov.
Cov tsos mob ntawm Autonomic Neuropathy
Vim nws cuam tshuam rau ntau lub cev hauv lub cev, cov tsos mob tuaj yeem sib txawv ntau.
| Lub kaw lus cuam tshuam | Cov tsos mob uas yuav tshwm sim |
|---|---|
| Kev zom zaub mov | Mob plab, mob plab, xeev siab thiab ntuav, roj ntau dhau , raws plab lossis cem quav. Qee zaum, tom qab noj mov tas, cov khoom noj hauv plab yuav tawm hauv plab qeeb (Gastroparesis) . |
| Kev tso zis | Tso zis tsis txhob cia li, tso zis tsis tau tag, muaj kab mob hauv txoj hlab zis ntau zaus. |
| Cov noob qes | Kev ua tsis taus haujlwm ntawm kev sib deev, teeb meem ejaculation, qhov chaw mos qhuav, tsis muaj peev xwm ua tiav orgasm. |
| Lub plawv thiab cov hlab ntsha | Ntshav siab qis (tshwj xeeb tshaj yog thaum sawv ntawm qhov chaw zaum), lub plawv dhia tsis xwm yeem, kiv taub hau, thiab tsaus muag. |
| Cov qog hws | Kev tawm hws ntau dhau los yog tsis tawm hws. |
| Qhov muag | Nyuaj rau kev kho qhov muag kom haum rau qhov kev hloov pauv ntawm lub teeb (piv txwv li, thaum tawm hauv qhov tsaus ntuj). |
Lwm yam txaus ntshai uas tuaj yeem tshwm sim nrog tus kab mob hlwb no yog tias koj yuav tsis pom cov cim ceeb toom ntawm hypoglycemia, xws li tshee hnyo, tshaib plab heev, thiab ntxhov siab. Qhov no tuaj yeem txaus ntshai.
Tej yam dab tsi ua rau muaj kev pheej hmoo ntawm tus mob no?
Yog tias koj muaj ntshav qab zib, muaj ntau yam uas ua rau koj muaj feem yuav mob neuropathy no:
- Lub sijhawm mob ntshav qab zib: Koj mob ntshav qab zib ntev npaum li cas, qhov kev pheej hmoo ntawm kev puas tsuaj rau cov hlab ntsha yuav ntau dua.
- Hnub nyoog: Qhov kev pheej hmoo no kuj nce ntxiv nrog hnub nyoog.
- Kev tswj cov ntshav qab zib tsis zoo: Yog tias koj cov ntshav qab zib siab tas li, qhov ntawd yog qhov tseem ceeb tshaj plaws. Yog tias koj muaj A1C siab tshaj 7% rau ntau tshaj peb xyoos, qhov no yuav ua rau koj muaj feem ntau dua.
- Ntshav Siab (Hypertension): Yog tias ntshav siab, nws kuj tuaj yeem ua rau cov hlab ntsha me me puas tsuaj.
- Cov roj cholesterol ntau: Cov roj cholesterol ntau ntxiv hauv cov ntshav kuj tsis zoo rau cov hlab ntsha.
- Qhov hnyav ntawm lub cev ntau (BMI siab): Kev rog dhau kuj muaj feem cuam tshuam nrog qhov no.
- Kab mob raum: Yog tias lub raum puas vim ntshav qab zib, qhov kev pheej hmoo ntawm neuropathy kuj siab dua.
- Haus luam yeeb thiab haus cawv: Ob qho kev coj ua no ua rau cov hlab ntsha thiab cov hlab ntsha puas tsuaj ncaj qha.
Tus kws kho mob kuaj mob li cas?
Yog koj muaj cov tsos mob no, thawj qhov koj yuav tsum ua yog mus ntsib koj tus kws kho mob. Nws yuav nug koj txog koj cov tsos mob thiab koj tswj koj tus kab mob ntshav qab zib li cas. Tom qab ntawd, lawv yuav kuaj koj lub cev. Muaj ntau yam kev kuaj mob uas ua tau los xyuas kom meej tias koj tau kuaj mob.
- Kev kuaj ko taw ntawm tus kab mob ntshav qab zib: Ntawm no, tus kws kho mob yuav ua tib zoo kuaj koj txhais taw seb puas muaj qhov txhab, qhov txiav, lossis qhov mob qog. Tom qab ntawd, siv ib lub cuab yeej me me (xws li monofilament), lawv yuav kov ntau qhov chaw ntawm koj txhais taw thiab saib seb koj puas hnov lawv. Qhov no yuav pab txiav txim siab seb koj txhais taw tau poob ntau npaum li cas.
- Kev Tshawb Fawb Txog Kev Coj Hluav Taws Xob ntawm Cov Nerve Conduction Studies (NCS): Qhov no ntsuas qhov ceev uas cov teeb liab hluav taws xob mus ncig raws koj cov hlab ntsha. Yog tias cov hlab ntsha raug puas tsuaj, qhov ceev no yuav raug txo qis.
- Electromyography (EMG): Qhov kev kuaj no saib xyuas kev noj qab haus huv ntawm koj cov leeg thiab cov hlab ntsha uas tswj lawv.
Cov kev kuaj mob los kuaj mob autonomic neuropathy sib txawv nyob ntawm seb lub cev puas raug cuam tshuam. Piv txwv li, yog tias muaj teeb meem nrog lub zais zis, yuav tsum tau kuaj ultrasound.
Cov kev kho mob rau qhov no yog dab tsi?
Kauj ruam tseem ceeb tshaj plaws thiab thawj kauj ruam hauv kev kho mob yog tswj koj cov ntshav qab zib kom zoo . Qhov no yog qhov uas tuaj yeem tiv thaiv lossis txo qhov kev puas tsuaj ntxiv rau cov hlab ntsha.
Koj tus kws kho mob yuav pab koj tswj cov ntshav qab zib kom noj qab nyob zoo thiab kho txhua yam tsos mob uas koj muaj, tshwj xeeb tshaj yog qhov mob.
- Cov tshuaj uas txo qhov mob: Cov tshuaj xws li 'Pregabalin' thiab 'Gabapentin' feem ntau yog siv rau qhov mob ntawm cov hlab ntsha. Qee zaum, cov ntawv nplaum '(Capsaicin)' uas muab lo rau qhov mob lossis qee cov tshuaj rau kev nyuaj siab '(Antidepressants)' kuj siv rau qhov mob no.
- Kev Kho Mob Lub Cev: Qhov no pab txhawb cov leeg nqaij, tiv thaiv kev nyuaj siab, thiab tswj kev sib npaug.
- Kev Kho Mob Ua Haujlwm: Muab cov lus qhia thiab cov cuab yeej pab txhawb kom ua tiav cov haujlwm txhua hnub yooj yim dua.
- Lwm yam kev kho mob: Tej zaum ib txhia neeg yuav pom tias qhov mob tsis mob los ntawm kev siv koob txhaj tshuaj. Nws tseem ceeb heev uas yuav tsum mus ntsib kws noj haus kom paub txog kev noj zaub mov zoo.
Puas kho tau qhov kev puas tsuaj ntawm cov hlab ntsha no?
Qhov no yog ib lo lus nug uas ntau tus neeg nug. Yog tias cov ntshav qab zib raug tswj tau zoo, cov tsos mob thaum ntxov xws li tingling yuav txo qis lossis ploj mus hauv ib xyoos lossis li ntawd. Txawm li cas los xij, yog tias qhov kev puas tsuaj rau cov hlab ntsha hnyav heev , nws nyuaj rau kho nws tag nrho. Yog vim li cas nws thiaj li tseem ceeb kom paub txog cov tsos mob sai li sai tau thiab pib tswj koj cov piam thaj.
Peb yuav tsum ua li cas thiaj tiv thaiv tau qhov no?
Qhov zoo tshaj plaws uas yuav tsum ua yog tiv thaiv qhov no kom tsis txhob tshwm sim. Muaj ob peb yam uas koj ua tau los ua qhov ntawd:
- Khaws koj cov A1C kom qis dua 7%. Qhov no yog qhov tseem ceeb tshaj plaws.
- Tswj cov ntshav siab kom qis dua 140/90 mmHg lossis ntawm qib uas koj tus kws kho mob pom zoo.
- Ua raws li kev noj zaub mov zoo thiab kev tawm dag zog.
- Tswj koj lub cev kom muaj qhov hnyav zoo.
- Yog koj haus luam yeeb, tsum tam sim ntawd.
- Txwv lossis tsum tsis txhob haus cawv kiag li.
- Mus ntsib koj tus kws kho mob tsawg kawg ib xyoos ib zaug kom tau txais kev kuaj xyuas tag nrho, tshwj xeeb tshaj yog kuaj ko taw .
- Xyuas koj txhais taw txhua hnub seb puas muaj cov hlwv, cov qhov txiav, cov qhov txhab, cov tawv nqaij tawg, thiab cov tawv nqaij liab. Vim tias koj tsis tshua muaj kev hnov mob, koj tuaj yeem raug mob yam tsis paub txog.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob neuropathy uas tshwm sim los ntawm ntshav qab zib yog ib qho teeb meem uas tshwm sim ntau, tab sis nws tuaj yeem tiv thaiv tau.
- Cov tshuaj thiab kev tiv thaiv zoo tshaj plaws rau qhov no yog tswj koj cov ntshav qab zib kom zoo .
- Yog koj muaj mob loog, tingling, mob, lossis tsis hnov mob hauv koj ob txhais ceg, tsis txhob tsis quav ntsej. Tham nrog koj tus kws kho mob tam sim ntawd.
- Xyuas koj txhais taw kom zoo txhua hnub. Txawm tias qhov txhab me me los kuj tuaj yeem ua teeb meem loj. Yog tias koj pom qhov txhab, nrhiav kev kho mob tam sim ntawd.
- Ntxiv rau kev tswj cov piam thaj, nws tseem ceeb heev rau kev tswj cov ntshav siab, txo cov roj cholesterol, thiab tsis txhob haus luam yeeb.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus