Koj puas muaj tej lub sij hawm koj xav tias koj txhais tes lossis ko taw kub hnyiab, xav tias koj lub cev loog, lossis mob qhov ncauj? Koj puas xav tias koj mob tsis taus txawm tias daim ntaub pua chaw pw ntaus koj ceg? Txawm tias koj xav tias tej yam no tsuas yog tej yam tsis paub ua ntej xwb los, tej zaum yuav muaj ib qho laj thawj kho mob tom qab qhov no. Hnub no peb yuav tham txog ib qho mob hu ua Small Fiber Neuropathy (SFN), uas ua rau muaj cov tsos mob no. Txawm hais tias qhov no yog lub npe ntev me ntsis, cia peb nkag siab yooj yim.
Kab mob me me hu ua Small Fiber Neuropathy (SFN) yog dab tsi?
Hais yooj yim xwb, Small Fiber Neuropathy (SFN) yog ib qho mob ntawm lub paj hlwb peripheral. Okay, qhov ntawd suab nyuaj me ntsis, puas yog? Cia peb piav qhia nws.
Xav txog tias peb lub cev muaj cov hlab ntsha uas npog nrog ib lub network, zoo li ib lub xov hluav taws xob. Nws muaj cov hlab ntsha me me, tsis tuab dua ib txoj plaub hau. Cov no yog cov uas nqa cov kev xav xws li kub, txias, thiab mob uas peb daim tawv nqaij hnov mus rau lub hlwb. SFN yog thaum cov hlab ntsha me me ntawd raug puas tsuaj rau qee qhov laj thawj.
Thaum cov hlab ntsha no raug puas tsuaj lawm, lawv tsis ua haujlwm zoo. Lawv pib xa cov cim tsis raug mus rau lub hlwb. Yog vim li ntawd koj thiaj hnov mob kub hnyiab, mob qog, lossis mob tingling hauv koj txhais tes thiab ob txhais ceg yam tsis muaj laj thawj.
Qhov mob no tsis yog tsuas cuam tshuam rau cov hlab ntsha hauv daim tawv nqaij xwb, tab sis kuj tseem cuam tshuam rau lwm cov hlab ntsha uas tswj cov haujlwm tseem ceeb hauv peb lub cev (piv txwv li, ntshav siab, lub plawv dhia). SFN tsis yog qhov txaus ntshai rau lub neej, tab sis qee zaum nws tuaj yeem yog ib qho tsos mob ntawm lwm yam mob hnyav.
Cov tsos mob tseem ceeb ntawm qhov no yog dab tsi?
Cov tsos mob ntawm SFN yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Tab sis qhov tsos mob feem ntau, tshwj xeeb tshaj yog thaum pib, yog mob tes thiab taw. Qhov mob no qee zaum tuaj thiab ploj mus, qee zaum nws tas li. Nws kuj tseem tuaj yeem hnyav zuj zus tuaj raws sijhawm.
Cia peb saib seb cov tsos mob tseem ceeb yog dab tsi.
| Cov tsos mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Mob khaus los yog mob kub hnyiab | Muaj qhov kub hnyiab, khaus khaus rau ntawm tes thiab taw. Qhov no yog cov tsos mob uas feem ntau tshwm sim. |
| Kiv taub hau los yog tsaus muag | Thaum sawv ntsug, kiv taub hau lossis qaug zog, tej zaum yuav tsaus muag. Qhov no tuaj yeem tshwm sim tshwj xeeb tshaj yog thaum sawv ntawm qhov chaw zaum. |
| Kev mob plawv dhia | Hnov koj lub plawv dhia nrawm dua, lossis zoo li koj lub plawv dhia nrawm dua. |
| Kev tsis muaj zog | Kev tsis hnov lus thiab tsis muaj kev xav hauv qee qhov chaw. |
| Kev poob ntawm qhov mob thiab qhov kub thiab txias | Tsis hnov qhov kub, txias, lossis mob hauv qee qhov me me ntawm lub cev. Piv txwv li, koj yuav tsis hnov dab tsi txawm tias koj kov ib yam dab tsi kub. |
| Mob plab | Mob plab los yog mob plab tsis muaj laj thawj. |
| Kev hloov pauv ntawm kev tawm hws | Tawm hws ntau dua li qub lossis tej zaum tsis tawm hws kiag li. |
Vim li cas thiaj muaj Small Fiber Neuropathy (SFN)?
Qhov no yog ib lo lus nug tseem ceeb heev. Kwv yees li ib nrab ntawm cov neeg uas muaj SFN, tsis muaj laj thawj dab tsi nrhiav tau . Cov kws kho mob hu qhov mob no tias "Idiopathic Small Fiber Neuropathy." Qhov ntawd txhais tau tias "SFN uas tsis paub ua rau."
Txawm li cas los xij, muaj ntau yam uas yuav ua rau ib nrab seem.
Vim muaj lwm yam mob nkeeg
Feem ntau, SFN yog ib qho kev mob tshwm sim los ntawm lwm yam kab mob.
- Kab mob ntshav qab zib: Qhov ua rau SFN loj tshaj plaws yog kab mob ntshav qab zib. Kev tsis tswj cov ntshav qab zib hauv cov ntshav ntev ntev tuaj yeem ua rau cov hlab ntsha no puas tsuaj.
- Kev tsis haum rau cov piam thaj hauv lub cev: Qhov no yog qhov ua rau muaj ntshav qab zib. Ntawm no thiab, cov hlab ntsha kuj tuaj yeem raug puas tsuaj.
- Kev mob ntawm lub cev tiv thaiv kab mob:Cov kab mob xws li kab mob Celiac, Sjögren's syndrome, thiab Sarcoidosis tuaj yeem ua rau lub cev tiv thaiv kab mob tawm tsam cov hlab ntsha no.
- Cov kab mob: Cov kab mob xws li Hepatitis C lossis HIV kuj tuaj yeem ua rau SFN.
- Tsis txaus Vitamin B: Qhov tsis txaus Vitamin B12 tshwj xeeb tshaj yog tuaj yeem ua rau cov hlab ntsha puas tsuaj.
- Kev siv cawv tsis raug cai
- Kab mob thyroid
- Kab mob metabolic syndrome
Cov kab mob uas tau txais los ntawm noob caj noob ces
Qee zaum qhov mob no kuj tuaj yeem tshwm sim los ntawm cov yam ntxwv caj ces. Qhov no txhais tau tias ib tug neeg hauv koj tsev neeg muaj tus kab mob no thiab koj tuaj yeem kis tau tus kab mob no thiab. 'Kab mob Fabry' thiab 'Familial amyloidosis' yog qee qhov piv txwv zoo li no.
Vim yog qee cov tshuaj thiab cov tshuaj lom
Cov hlab ntsha no kuj tseem tuaj yeem raug puas tsuaj vim yog qee cov tshuaj uas peb noj.
- Qee cov tshuaj chemotherapy rau mob qog noj ntshav
- Qee cov tshuaj tua kab mob (piv txwv li metronidazole, nitrofurantoin)
- Cov tshuaj xws li 'tumor necrosis factor inhibitors'
Qhov no muaj teeb meem dab tsi?
Muaj ob qho teeb meem tseem ceeb uas tshwm sim los ntawm SFN.
1. Tsis hnov mob: Ib qho ntawm cov kev pheej hmoo tseem ceeb ntawm qhov no yog tsis hnov mob. Xav txog koj kov lub lauj kaub kub ntawm lub qhov cub, tab sis yog tias koj tsis hnov qhov kub, koj tuaj yeem kub koj txhais tes. Muaj feem yuav muaj xwm txheej zoo li no tshwm sim ntau. Yog li ntawd, nws yog ib qho tseem ceeb rau ib tus neeg uas muaj SFN kom tsis tu ncua xyuas lawv txhais ceg kom tsis txhob raug mob.
2. Kev Poob: Kev kiv taub hau, kev nyuaj siab taug kev, thiab kev tsis sib npaug ua rau muaj kev pheej hmoo ntawm kev poob.
Tus kws kho mob nrhiav tau qhov no li cas?
Thaum koj piav qhia txog koj cov tsos mob lawm, koj tus kws kho mob yuav kuaj koj thiab nug koj cov lus nug. Tsis muaj ib qho kev kuaj mob twg los lees paub SFN, yog li koj yuav tsum tau kuaj ntau zaus.
- Kev kuaj tawv nqaij: Qhov no yog qhov kev kuaj tseem ceeb tshaj plaws los kuaj mob no. Hauv qhov no, yuav muab ib daim tawv nqaij me me (kwv yees li 3 millimeters) coj mus kuaj hauv qab lub tshuab microscope kom pom tias cov hlab ntsha me me ntawd tuab npaum li cas.
- Kev ntsuam xyuas qhov ntsuas ntawm lub zog sudomotor axon reflex (QSART): Qhov no ntsuas seb cov hlab ntsha uas cuam tshuam nrog kev tawm hws ua haujlwm li cas.
- Kev kuaj hluav taws xob ntawm lub hlwb (EMG) thiab kev tshawb nrhiav txog kev coj ntawm cov hlab ntsha: Cov kev kuaj no feem ntau saib xyuas kev ua haujlwm ntawm cov hlab ntsha loj. Cov kev kuaj no feem ntau yog ib txwm muaj hauv SFN. Txawm li cas los xij, lawv pab tau rau kev txiav txim siab lwm yam mob ntawm lub paj hlwb.
- Kev kuaj ntshav: Kev kuaj ntshav yog ua los nrhiav cov laj thawj tseem ceeb, xws li ntshav qab zib, kev tsis txaus vitamin, thiab teeb meem thyroid.
- Kev kuaj mob caj ces: Qhov kev kuaj no tuaj yeem ua tau yog tias muaj kev xav tias muaj teeb meem los ntawm caj ces.
Cov kev kho mob yog dab tsi?
Cov kws kho mob tsom mus rau ob lub hom phiaj tseem ceeb thaum lub sijhawm kho mob.
1. Kho qhov ua rau mob: Qhov no yog qhov tseem ceeb tshaj plaws. Yog tias nws yog vim ntshav qab zib, ces ntshav qab zib raug tswj tau zoo. Yog tias nws yog qhov tsis txaus vitamin, ces cov vitamins tsim nyog raug muab. Thaum qhov ua rau mob raug kho kom zoo, qhov kev puas tsuaj rau cov hlab ntsha tuaj yeem raug nres lossis txo qis.
2. Tswj qhov mob thiab lwm yam tsos mob: Muaj cov tshuaj tshwj xeeb los tswj qhov mob ntawm cov hlab ntsha.
Tseem Ceeb: Cov tshuaj tua kab mob uas siv ntau (xws li Paracetamol thiab Ibuprofen) tsis zoo rau hom mob hlab ntsha no. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum siv cov tshuaj uas koj tus kws kho mob tau sau tseg xwb.
Qee hom tshuaj tseem ceeb uas siv tau teev tseg hauv qab no.
| Pawg Tshuaj | Piv txwv thiab cov lus sau tseg |
|---|---|
| Cov tshuaj tiv thaiv kev qaug dab peg | Txawm hais tias cov tshuaj no yog siv rau kev qaug dab peg, lawv kuj zoo heev rau kev tswj qhov mob ntawm cov hlab ntsha. Piv txwv li: 'Gabapentin', 'Pregabalin' |
| Cov tshuaj tiv thaiv kev nyuaj siab | Txawm hais tias cov tshuaj no yog cov tshuaj uas muab rau kev nyuaj siab, lawv kuj siv tau zoo heev los tswj qhov mob uas tshwm sim los ntawm kev puas tsuaj ntawm cov hlab ntsha. Piv txwv li: `Amitriptyline`, `Nortriptyline`, `Desipramine` |
| Cov tshuaj loog rau sab nraud | Cov tshuaj pleev, cov gels, lossis cov plasters uas siv rau ntawm daim tawv nqaij. Cov no ua rau thaj chaw mob loog thiab txo qhov mob. Piv txwv li: `Lidocaine`, `Capsaicin` |
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj muaj ib qho tsos mob uas tau hais hauv tsab xov xwm no, tshwj xeeb tshaj yog kub hnyiab, loog, lossis tingling hauv koj txhais ceg, tsis txhob tsuas yog tsis quav ntsej lawv raws li ib yam dab tsi uas nyuam qhuav tshwm sim, tab sis mus ntsib kws kho mob. Vim tias nws tuaj yeem yog ib qho cim ntawm tus mob hnyav, kho tau zoo li ntshav qab zib.
Yog tias koj twb tau kuaj pom tias muaj SFN los ntawm kws kho mob lawm, mus ntsib koj tus kws kho mob dua yog tias koj pom cov kev hloov pauv hauv qab no:
- Yog tias qhov mob ntawm kuv txhais taw tam sim no kis mus rau kuv txhais tes?
- Yog tias qhov mob ntau zaus lossis hnyav zuj zus.
- Yog tias muaj cov tsos mob tshiab tshwm sim, xws li kiv taub hau lossis nyuaj rau taug kev.
Thaum koj mus ntsib koj tus kws kho mob, koj tuaj yeem nug cov lus nug nram qab no.
- Vim li cas kuv thiaj muaj cov tsos mob no?
- Cov tsos mob no puas yuav hnyav zuj zus tuaj?
- "Cov kev kho mob zoo tshaj plaws uas kuv muaj tau yog dab tsi?"
- "Kuv puas yuav muaj qhov mob no mus ib txhis?"
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob me me hu ua Small Fiber Neuropathy (SFN) yog ib yam mob uas tshwm sim los ntawm kev puas tsuaj rau cov hlab ntsha me me hauv peb daim tawv nqaij.
- Cov tsos mob tseem ceeb yog kub hnyiab, loog, thiab mob choking rau tes thiab taw.
- Feem ntau qhov ua rau muaj tus mob no yog tus kab mob ntshav qab zib uas tsis tswj tau, yog li ntawd kev tsis quav ntsej cov tsos mob no tuaj yeem ua rau muaj kev phom sij.
- Yog koj muaj cov tsos mob no, mus ntsib koj tus kws kho mob sai li sai tau kom nrhiav tau qhov ua rau thiab tau txais kev kho mob kom zoo.
- Kev kho qhov ua rau mob thiab kev tswj qhov mob yog qhov tseem ceeb heev hauv kev kho mob.
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