Qee zaum thaum peb sawv ntsug tom qab zaum hauv tib qho chaw ib pliag, peb txhais tes thiab taw xav tias tingling, puas yog? Nws ploj mus tom qab ib pliag. Tab sis koj puas feem ntau hnov qhov mob tingling hauv koj txhais tes thiab taw, lossis mob zoo li pins thiab koob, lossis qee zaum qhov kub hnyiab? Yog li qhov no yuav yog ib yam dab tsi ntau dua li qhov kev xav tingling ib txwm muaj. Hnub no peb tab tom tham txog ib qho mob hu ua 'Peripheral Neuropathy' uas ua rau muaj cov tsos mob no. Txawm hais tias qhov no yog lub npe txaus ntshai me ntsis, yog tias koj paub txog nws, kev tswj hwm nws tsis nyuaj li koj xav.
Hauv lwm lo lus, Peripheral Neuropathy yog dab tsi?
Lub npe no nyuaj me ntsis, yog li cia peb xub nkag siab nws. Lub paj hlwb ntawm peb lub cev muab faib ua ob ntu tseem ceeb. Ib qho yog Central Nervous System . Nws suav nrog peb lub hlwb thiab tus txha caj qaum (lub paj hlwb tseem ceeb uas khiav hla tus txha caj qaum). Qhov no zoo li 'Chaw Haujlwm Loj' ntawm peb lub cev.
Qhov seem ntxiv yog Peripheral Nervous System . Qhov no suav nrog txhua cov hlab ntsha uas txuas los ntawm chaw ua haujlwm loj, uas yog, lub hlwb thiab tus txha caj qaum, thiab kis thoob plaws lub cev. Nws zoo li lub kaw lus ntawm cov xov tooj uas txuas los ntawm chaw ua haujlwm loj mus rau thoob plaws lub tebchaws. Cov hlab ntsha no nqa thiab xa cov kev xav thiab cov lus mus rau peb txhais tes, taw, lub ntsej muag, thiab cov ntiv tes.
Yog li, Peripheral Neuropathy yog ib qho mob lossis kev puas tsuaj rau cov hlab ntsha sab nraum 'chaw ua haujlwm loj', uas yog, cov hlab ntsha ntawm lub paj hlwb peripheral. Vim tias muaj ntau yam ua rau qhov no, cov tsos mob tuaj yeem sib txawv ntawm ib tus neeg mus rau ib tus neeg.
Leej twg yuav muaj tus mob no ntau dua?
Kab mob Peripheral Neuropathy tuaj yeem cuam tshuam rau txhua tus neeg, tsis hais hnub nyoog, poj niam txiv neej, lossis haiv neeg. Txawm li cas los xij, qee tus neeg muaj kev pheej hmoo siab dua. Tshwj xeeb,
- Rau cov neeg mob ntshav qab zib mellitus .
- Qhov kev pheej hmoo ntawm kev mob no nce ntxiv thaum muaj hnub nyoog. Kwv yees li ntawm 5% thiab 7% ntawm cov neeg hnub nyoog tshaj 45 xyoo thoob ntiaj teb muaj qee yam mob peripheral neuropathy.
- Rau cov neeg uas muaj qee yam kab mob uas tau txais los ntawm noob caj noob ces.
Cov hlab ntsha no puas tsuaj li cas?
Yuav kom nkag siab qhov no, peb yuav tsum paub me ntsis txog seb peb cov neurons raug tsim los li cas. Xav txog ib lub neuron zoo li ib txoj hlua hluav taws xob.
- Axon: Qhov no yog ib feem zoo li xov tooj liab ntawm ib txoj hlua hluav taws xob. Qhov no yog qhov chaw uas cov lus xa mus.
- Myelin Sheath: Qhov no yog cov yas rwb thaiv tsev uas nyob ib puag ncig cov xov tooj liab. Nws pab cov lus mus tau sai dua, tsis muaj qhov xau, thiab tiv thaiv cov axon.
Peripheral neuropathy tuaj yeem tshwm sim hauv ob txoj kev tseem ceeb:
1. Kev puas tsuaj ntawm cov hlab ntsha hauv cov hlab ntsha: Qhov no zoo li cov yas rwb thaiv tsev ntawm cov xov hluav taws xob uas yaj. Qhov no ua rau qeeb qeeb uas cov lus xa mus, thiab cov lus sib xyaw ua ke.
2. Kev puas tsuaj ntawm cov leeg ntawm lub cev (axonal degeneration): Qhov no zoo ib yam li kev puas tsuaj rau cov xov hlau tooj liab. Qhov no yog hom uas tshwm sim ntau tshaj plaws. Cov hlab ntsha ntev tshaj plaws hauv peb lub cev khiav ntawm cov hlab ntsha caj qaum mus rau cov ntiv taw. Yog li ntawd, thaum muaj kev puas tsuaj no, ob txhais ceg thiab taw yog thawj qhov uas yuav raug cuam tshuam.
Cov tsos mob ntawm qhov no yog dab tsi?
Yuav muaj ntau yam tsos mob. Nws nyob ntawm seb hom hlab ntsha puas lawm. Qee zaum nws tsuas cuam tshuam rau ib txoj hlab ntsha xwb, lossis nws cuam tshuam rau ntau txoj hlab ntsha ib zaug. Muaj 3 hom tsos mob feem ntau.
| Hom tsos mob | Hais yooj yim xwb... | Nws cuam tshuam li cas? |
|---|---|---|
| Cov tsos mob ntawm lub cev muaj zog | Cov uas muaj feem cuam tshuam nrog kev txav mus los ntawm cov leeg nqaij |
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| Cov tsos mob ntawm kev hnov lus | Cov uas muaj feem cuam tshuam nrog kev xav |
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| Cov tsos mob ntawm tus kheej | Cov uas muaj feem cuam tshuam nrog cov txheej txheem tshwm sim yam tsis tau npaj tseg uas peb tswj tsis tau. |
|
Dab tsi ua rau qhov no?
Muaj ntau yam ua rau mob Peripheral Neuropathy. Qee zaum, tsis muaj laj thawj dab tsi uas yuav nrhiav tau. Peb hu qhov no ua 'Idiopathic Neuropathy'. Cov laj thawj feem ntau yog:
- Kab Mob Ntshav Qab Zib (Hom Kab Mob Ntshav Qab Zib 2): Qhov ua rau mob hlab ntsha hauv Sri Lanka thiab thoob plaws ntiaj teb yog kab mob ntshav qab zib uas tsis tswj tau. Cov ntshav qab zib ntau dhau lub sijhawm ntev ua rau cov hlab ntsha puas tsuaj.
- Tsis txaus cov vitamins: Kev tsis txaus qee cov vitamins, tshwj xeeb tshaj yog cov vitamins B12, B1, B6, B9 (folic acid), thiab vitamin E, tuaj yeem ua rau cov hlab ntsha puas tsuaj. Kev noj ntau dhau ntawm vitamin B6 kuj tseem ua rau cov hlab ntsha puas tsuaj.
- Haus dej cawv ntau dhau: Kev haus dej cawv ntau dhau ntev ntev ua rau cov hlab ntsha puas tsuaj.
- Kev kis kab mob: Qee cov kab mob (piv txwv li HIV, herpes zoster) thiab cov kab mob bacterial tuaj yeem ua rau cov hlab ntsha puas tsuaj.
- Cov Kab Mob Autoimmune: Hauv cov kab mob xws li Guillain-Barré syndrome, lupus, thiab rheumatoid arthritis, peb lub cev tiv thaiv kab mob tawm tsam cov hlab ntsha.
- Qee cov tshuaj thiab cov tshuaj lom: Qee cov tshuaj chemotherapy rau mob qog noj ntshav, qee cov tshuaj tua kab mob, thiab kev raug cov tshuaj lom xws li agrochemicals thiab cov hlau hnyav (lead, mercury).
- Kev raug mob: Kev puas tsuaj ncaj qha rau cov hlab ntsha los ntawm kev sib tsoo lossis kev phais.
- Cov Kab Mob Genetic: Cov kab mob uas tau txais los ntawm noob caj noob ces xws li kab mob Charcot-Marie-Tooth.
- Lwm yam mob: kab mob raum, kab mob siab, mob qog noj ntshav (qog nqaij hlav nias rau ntawm cov hlab ntsha), thiab teeb meem ntawm cov hlab ntsha.
Qhov tseem ceeb tshaj plaws yog tias yog koj muaj cov tsos mob no, koj yuav tsum mus ntsib kws kho mob kom tau lus qhia, es tsis txhob sim nrhiav qhov ua rau koj tus kheej.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib kws kho mob, nws yuav xub nug koj ntau yam lus nug txog koj cov tsos mob, keeb kwm kev kho mob, thiab seb puas muaj leej twg hauv koj tsev neeg tau muaj cov kab mob zoo sib xws. Tom qab ntawd nws yuav kuaj lub cev thiab sim koj lub paj hlwb ua haujlwm (kev hnov, lub zog ntawm cov leeg, kev xav).
Ntxiv rau, kev ntsuam xyuas xws li cov no tuaj yeem siv los txheeb xyuas qhov ua rau:
- Kev kuaj ntshav: Txhawm rau nrhiav tej yam xws li ntshav qab zib, kev tsis txaus cov vitamins, kev ua haujlwm ntawm lub raum, thiab teeb meem ntawm lub cev tiv thaiv kab mob.
- Kev Kawm Txog Kev Siv Hluav Taws Xob ntawm Cov Nerve Conduction Study (NCS) thiab Electromyogram (EMG): Cov no ntsuas qhov ceev uas cov lus xa mus raws cov hlab ntsha thiab kev ua haujlwm hluav taws xob ntawm cov leeg. Qhov no tseem ceeb heev rau kev txiav txim siab seb puas muaj kev puas tsuaj rau cov hlab ntsha thiab nws nyob qhov twg.
- Kev Kuaj Mob Nerve Biopsy: Qee zaum, ib daim tawv nqaij me me raug coj los ntawm cov hlab ntsha mos mos thiab kuaj xyuas hauv qab lub tshuab microscope.
- Ib daim duab MRI.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob nyob ntawm seb qhov ua rau koj tus mob peripheral neuropathy yog dab tsi.
1. Kho qhov ua rau muaj teeb meem:
- Yog koj muaj ntshav qab zib: Qhov tseem ceeb tshaj plaws yog tswj koj cov ntshav qab zib kom zoo.
- Yog tias vim tsis muaj vitamin txaus: Muab cov vitamin uas tsim nyog.
- Yog tias yog vim muaj kab mob ntawm lub cev tiv thaiv kab mob: Muab cov tshuaj uas tau sau tseg.
- Yog tias nws yog vim tshuaj: Koj tus kws kho mob yuav txiav txim siab seb puas yuav hloov lossis tsum tsis txhob noj tshuaj, yog tias ua tau.
2. Tswj cov tsos mob:
- Cov tshuaj tua kab mob: Cov tshuaj tua kab mob ib txwm tsis pab txo qhov mob ntawm cov hlab ntsha. Muaj cov tshuaj tshwj xeeb rau nws. Qee cov tshuaj siv rau kev qaug dab peg thiab kev nyuaj siab tuaj yeem muab rau hauv cov koob tshuaj me me kom tswj tau qhov mob ntawm cov hlab ntsha mus rau qib loj.
- Cov tshuaj pleev thiab cov thaj: Muaj qee cov tshuaj pleev thiab cov thaj uas siv tau rau thaj chaw mob.
- Kev Kho Mob Lub Cev: Kev tawm dag zog thiab lwm yam kev kho mob pab txhawb cov leeg nqaij, txhim kho kev sib npaug, thiab txo qhov mob.
- Khau thiab khoom siv tshwj xeeb: Koj tus kws kho mob yuav pom zoo kom siv khau tshwj xeeb los pab tiv thaiv kev raug mob rau cov neeg uas tsis tshua muaj kev xav hauv lawv txhais taw. Cov neeg uas muaj teeb meem taug kev yuav tsum siv cov khoom siv xws li tus pas nrig.
Thaum twg peb yuav tsum nrhiav kev kho mob tam sim ntawd? (Thaum twg mus rau ETU)
Txawm hais tias peripheral neuropathy feem ntau tsis yog qhov txaus ntshai rau lub neej tam sim ntawd, qee cov tsos mob tuaj yeem yog ib qho cim ntawm tus mob hnyav. Yog tias koj lossis ib tus neeg koj paub muaj cov tsos mob hauv qab no, mus rau chav kho mob ceev hauv tsev kho mob (ETU) ze tshaj plaws tam sim ntawd.
| Cov tsos mob uas yuav tsum tau saib xyuas | Tej zaum yuav muaj mob hnyav heev |
|---|---|
| Mob stroke |
| Guillain-Barré Syndrome (ib qho mob hnyav uas lub cev tiv thaiv kab mob tawm tsam cov hlab ntsha) |
| Cov tsos mob hnyav ntawm tus kheej |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Peripheral neuropathy yog kev puas tsuaj rau cov hlab ntsha sab nraum lub hlwb thiab tus txha caj qaum.
- Kev loog loog, kub hnyiab, mob thiab mob yog cov tsos mob feem ntau.
- Qhov ua rau muaj qhov no hauv Sri Lanka yog tus kab mob ntshav qab zib uas tsis tau tswj hwm. Yog li ntawd, yog tias koj muaj tus kab mob ntshav qab zib, nws yog ib qho tseem ceeb uas yuav tsum tswj koj cov piam thaj kom zoo.
- Yog koj muaj cov tsos mob no, tsis txhob tos thiab mus ntsib kws kho mob tam sim ntawd. Yog koj pib kho mob thaum ntxov, koj tuaj yeem txo qhov kev puas tsuaj ntawm cov hlab ntsha.
- Kev kho mob sib txawv nyob ntawm seb ua rau mob li cas. Tam sim no muaj ntau txoj kev kho mob uas siv tau los tswj qhov mob, ua kom cov leeg nqaij muaj zog, thiab txhim kho lub neej zoo.
- Yog tias koj txhais taw tsis xis nyob, xyuas koj txhais taw tsis tu ncua kom tsis txhob raug mob thiab hnav khau kom haum. Nug koj tus kws kho mob kom paub ntxiv txog qhov no.
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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