Yu gɛt dayabitis? Sɔntɛnde yu kin fil pen we yu nɔ go ebul fɔ bia na yu hip ɛn shɔl, ɛn wantɛm wantɛm yu kin fil lɛk se yu leg dɛn de go swɛ? Yu go tink se dis na jɔs ɔda prɔblɛm we gɛt fɔ du wit dayabitis. Na tru se dis na sik we gɛt fɔ du wit dayabitis, bɔt i nɔ kin apin smɔl. Tide wi go tok abaut somtin laik dis.
Wetin na dis ``(Diabetic Amyotrophy)'' we gɛt fɔ du wit dayabitis?
Fɔ tɔk am simpul wan, `(Diabetic Amyotrophy)` na sik we de ambɔg yu nerv ɛn mɔsul dɛm we de afɛkt yu hip, bɔt, ɛn shɔl, we kin mek yu fil bad bad wan ɛn yu mɔsul dɛn wik . Dis na tin we nɔ kin apin so ɔltɛm. Bɔrku tɛm, afta dɛn sik ya bigin, dɛn kin wɔs as tɛm de go, dɔn smɔl smɔl, sɔmtɛm fɔ sɔm mɔnt ɔr ia, dɛn kin wɛl.
Dis sik kin afɛkt pipul dɛm wae dɔn pas 50 ia wae gɛt tayp 2 dayabitis . Bɔrku tɛm, i kin kam lɛk 4 ia afta wae pɔrsin gɛt dayabitis. Dɔktɔ ɛn pipul dɛn we de stɔdi bɔt dis stil de tray fɔ no di rayt tin we kin mek pɔsin gɛt dis kɔmpleks sik, so dɛn nɔ stil klia di rayt tin we kin mek i gɛt dis sik .
Dɔktɔ dɛn kin yuz bɔku ɔda nem fɔ dis sik, ``Diabetic Amyotrophy''. Dɛn nem dɛn de kin tan lɛk se dɛn kɔmplikt smɔl, bɔt dɛn ɔl na difrɛn tin dɛn we gɛt fɔ du wit di sem sik. Na sɔm ɛgzampul dɛn ya:
- (Dayabetis-rilayt lumbosakral radikulopleks nyuropati - DLRPN)`
- `(Bruns-Garland sindrom)`
- `(Proksimal dayabitis-rilayt nyuropati)`
- `(Dayabetik poliradikulopati)`
- `(Femoral-sciatic nyuropati fɔ dayabitis)`
Yu nɔ nid fɔ mɛmba ɔl dɛn nem ya. De men tin na fɔ ɔndastand se dis na wan patikyula sik wae kin kam wit dayabitis ɛn kin afɛkt di fut dɛm.
Aw dis sik kin kɔmɔn?
As wi bin dɔn tɔk, `(Diabetic Amyotrophy)` na wan sik we nɔ kin apin so ɔltɛm . I nɔ kin kam pan ɔlman we gɛt dayabitis. Dɛn se i kin afɛkt lɛk 1% pan pipul dɛm wae gɛt shuga. Bɔt dɛn kin si am smɔl mɔ pan pipul dɛn we gɛt `(Type 2 diabetes)`.
Wetin na di sayn dɛm fɔ `(Diabetic Amyotrophy)`?
Di sayn dɛm fɔ dis sik kin afɛkt yu hip, bɔt, ɛn/ɔ yu shɔl mɔ . Si if yu gɛt ɛni wan pan dɛn sayn ya:
- Sivεr nyuropatik pen : Dis na di fכs sayn we de sho. I kin tan lɛk se yu de bɔn, chuk yu, ɔ yu de fil pen.
- Mɔsul wik : Fɔ fil lɛk se yu leg dɛn de go swɛ. I nɔ izi fɔ grap frɔm chia ɔ fɔ klaym stej.
- di mכsul dεm we de atrofi : Dis na we di mכsul dεm we de na di lεg dεm de lכs. Di shɔl kin tan lɛk se dɛn tan lɛk aw dɛn bin de du trade.
- di rεflεks dεm we de lכs (areflexia) .: We dɔktɔ tap yu ni wit smɔl hama, yu leg go twitch, na so di riflɛks dɛn kin go dɔŋ.
Dɛn sayn ya kin bigin wantɛm wantɛm na wan say na di bɔdi . Dat min se di rayt leg na di rayt leg, di lɛft leg na di lɛft leg. Bɔt as tɛm de go, i kin go na di ɔda say. Di fɔs bad bad pen kin las frɔm wik to mɔnt. Afta di pen dɔn stɔp, di mɔsul dɛn we wik kin bigin fɔ bɔku. Dis sik kin wɔs smɔl smɔl fɔ lɛk 18 mɔnt so. We i kin rili bad, yu nɔ kin ivin ebul fɔ waka if yu nɔ ɛp yu .
Na da tɛm de nɔmɔ di sik kin stebul ɛn di pɔsin kin bigin fɔ wɛl smɔl smɔl. Dis we aw pɔsin kin wɛl kin tek sɔm mɔnt.
Apat frɔm dat, sɔm pipul dɛn we gɛt Dayabitik Amyotrofi kin gɛt wet we dɛn nɔ ɛksplen – bɔku tɛm dɛn kin pas 10 paund (lɛk 4.5 kilogram). Ɔda pipul dɛn kin gɛt pen bak ɛn di mɔsul dɛn kin wik na dɛn trɔnk (bɛlɛ, chɛst) ɛn dɛn an.
Wetin na di tin dɛm wae kin mek yu gɛt `(Diabetic Amyotrophy)`?
As wi bin dɔn tɔk bifo tɛm, di wan dɛn we de stɔdi bɔt dis nɔ dɔn fɛn ɛni patikyula kɔz fɔ dis yet, bɔt dɛn de kɔntinyu fɔ stɔdi am.
Pruf we de naw sho se dis na wan sik we dɛn kɔl maykrovaskulaytis, we kin kam bikɔs di smɔl smɔl blɔd vesel dɛn na di bɔdi kin inflam. Fɔ tɔk am simpul wan, di imyun sistɛm , we de protɛkt wi bɔdi frɔm sik, kin wok pasmak fɔ sɔm rizin ɛn i kin pwɛl di smɔl smɔl blɔd vesel dɛn we de gi blɔd to di nɛf dɛn na di hip ɛn leg. Dis kin mek di nerv dɛn pwɛl.
stכdi dεn sho se insay di kכndishכn ``Diabetic Amyotrophy``, dεn pat dεm ya kin mεntal damej:
- di nεv rכt dεm : Dis na di fכs pat dεm na di nεv dεm we de kכmכt frכm di spεnal kכd na wi spayna.
- Pεrifεral nεv dεm : כda nεv dεm we de branch kכmכt frכm dεn nεv rכt dεm.
- Lumbosacral plexus : dis na di nεtwכk fכ di nεv dεm we de gi sεns (filin) εn mכsul fכ wok (abiliti fכ muv) to wi leg dεm, dכn di wεst.
Udat de pan ay risk fɔ gɛt `(Diabetic Amyotrophy)`?
Dis sik kin mɔs afɛkt pipul dɛm wae gɛt shuga, bɔt dɛn nɔr stil no di rayt kɔz. Na smɔl tɛm nɔmɔ, dɛn dɔn ripɔt bak se pipul dɛn we nɔ gɛt dayabitis kin gɛt dɛn kayn sik ya.
Dɛn dɔn no se dɛn tin ya kin mek pɔsin gɛt Dayabitik Amyotrofi:
- Fɔ gɛt tayp 2 dayabitis.
- Fɔ kɔntrol di blɔd shuga lɛvɛl kwik kwik wan. fכ egzampl, if yu ``(A1C)`` valyu (dis de tכk bכt yu avrej shuga lεvεl ova di pas 2-3 mכnt) dכn dכn wan wan frכm 11% to lεk 7% insay wan mכnt.
- Strikt kɔntrol fɔ di blɔd shuga lɛvɛl. Tipikli, fכ mεnten wan ``A1C'' valyu dכn 7%.
Apat frɔm dis, dɛn kin tink se sɔm ɔda tin dɛn kin mek dis sik kam:
- Fɔ bigin fɔ trit pɔsin we gɛt dayabitis.
- Aksidɛnt ɔ injuri (trauma).
- Di we aw infɛkshɔn kin apin.
- Imunayzeshɔn dɛn.
Bɔt ɔl dɛn tin ya stil de na di risach stej.
Aw fɔ no di sik we dɛn kɔl `(Diabetic Amyotrophy)`?
Dis na di tin we impɔtant pas ɔl. Nɔ wan difinitiv tɛst nɔ de fɔ kɔnfɔm di kɔndishɔn `(Diabetic Amyotrophy)`. Dכkta dεm kin rich dis diagnosis bay we dεn de εliminet כda poshubul kכz dεm wan bay wan (process of elimimination). Dat min se, dɛn kin rul ɔda tin dɛn we kin de mek yu gɛt di sik bifo dɛn disayd se na `(Diabetic Amyotrophy)`. Fɔ ɛgzampul, dɛn kin tray fɔ pul tin dɛn lɛk:
- Nεv rut kכmprεshכn.
- Pεlvik tכmכro dεm.
- Kronik inflammatory demyelinating polyneuropathy (CIDP) we gɛt di sik we dɛn kɔl.
- Sarkoidosis we pɔsin kin gɛt.
- Infεkshכn dεm lεk `(HIV)`, `(Epstein-Barr vayrus)`, `(saytomegalovayrus)` εn `(sifilis)`.
Fɔs, yu dɔktɔ go aks yu bɔt yu sik ɛn yu mɛrɛsin istri. Dɔn, dɛn go du ɛgzam fɔ dɛn bɔdi ɛn ɛgzam fɔ di nyurolɔjik.
Apat frɔm dat, dɛn kin advays fɔ du dɛn tɛst ya:
- Blɔd tɛst : Fɔ ɛgzampul, wan kɔmplit blɔd kɔnt, wan A1C tɛst, fɔ tɛst di liva fɔ wok, ɛn fɔ tɛst di blɔd we gɛt kalsiɔm.
- Wan MRI skan fɔ di lumbosacral spayna.
- Wan CT skan fɔ di say we di bɔdi de na di bɔdi.
- Nyurophysiological tests : Dɛn wan ya de tɛst yu nervous system, mɔ di ilɛktrik aktiviti we i de du.
Wetin na di tritmɛnt dɛm fɔ `(Diabetic Amyotrophy)`?
Di gud nyus na dat, bɔrku pipul dɛm wae gɛt Dayabitik Amyotrophy go wɛl to sɔm mak if dɛn nɔr gɛt mɛrɛsin. Bɔt if dɛn nɔ trit am, i kin rili slo ɔ i nɔ kin wɛl .
Risach pipul dɛm stil de stɔdi bɔt di fayn tritmɛnt dɛm fɔ Dayabitik Amyotrophy. Yu kin gɛt di chans bak fɔ jɔyn wan klinik trial we de tɛst nyu tritmɛnt. Aks yu dɔktɔ bɔt am.
If nɔto dat, dɔktɔ dɛn kin tɔk mɔ bɔt tritmɛnt dɛn we go ɛp fɔ kɔntrol di sik dɛn. Dɛn tin ya kin bi:
- Manejmɛnt fɔ di pen: Dɛn kin gi mɛrɛsin fɔ mɛn pen lɛk NSAID (non-steroidal anti-inflammatory drugs) fɔ kɔntrol pen. If yu tek wan mɛrɛsin we dɛn kɔl Amitriptyline na nɛt, i kin ɛp fɔ mek yu fil pen ɛn bak fɔ mek yu nɔ ebul fɔ slip. If di pen rili bad, yu dɔktɔ kin gi yu mɛrɛsin we strɔng fɔ mɛn yu pen ɔ yu go nid fɔ go na ɔspitul.
- Fizik thɛrapi : Fizik thɛrapist go mek sɔm ɛksesaiz ɛn muvmɛnt dɛn we dɛn mek fɔ yu. Dɛn tin ya go ɛp yu fɔ yuz yu bɔdi pat dɛn we dɔn afɛkt, kɔntrol di pen, ɛn mek yu mɔsul dɛn gɛt trɛnk bak.
- Ɔkupeshɔn tɛrapi : If yu dayabitik amyotrofi de mek i nɔr izi fɔ yu fɔ du yu ɛvride aktiviti dɛm, ɔkupeshɔn tɛrapist kin ɛp yu fɔ fɛn we fɔ du dɛm izi wan. Dɛn kin se bak fɔ yuz tin dɛn we go ɛp yu lɛk pɔsin we de waka ɔ wilchia.
Dɔn bak, i rili impɔtant fɔ mek yu kɔntrol di shuga na yu blɔd fayn fayn wan fɔ mek yu nɔ gɛt ɔda prɔblɛm dɛn we kin apin bikɔs ɔf dayabitis .
Wetin na di prɔgnosis fɔ di kɔndishɔn `(Diabetic Amyotrophy)`?
Dayabitik Amyotrophy na wan sik wae de kam wit insɛf wae kin sɔlv insɛf as tɛm de go. Dis min se yu go si sɔm impɔtant tin dɛn pan yu sik. Bɔt i kin tek lɔng tɛm fɔ mek pɔsin wɛl ɛn i nɔ kin no wetin go apin .
Dɛn se lɛk 10% pan pipul dɛn go nid fɔ yuz wilchia insay tu ia frɔm di tɛm we dɛn bigin fɔ gɛt di sik. Bɔrku pan dɛn kin gɛt sɔm kayn disabled bak fɔ ɔltɛm.
Pan ɔl we dis na sik we de mek pɔsin nɔ ebul fɔ du am, i impɔtant fɔ go to dɔktɔ fɔ advays fɔ Dayabitik Amyotrofi. Mɔr pan bɔdi tritmɛnt kin ɛp fɔ mek yu wɛl kwik kwik wan.
Aw lɔŋ Dayabitik Amyotrofi kin las?
Di sayn dɛm fɔ dis sik kin te frɔm sɔm mɔnt to lɛk tu ia. Afta dat, fɔ wɛl kin tek sɔm mɔnt to ia. Bɔrku pipul kin kɔntinyu fɔ gɛt sɔm sayn dɛm (lɛk fɔ wik) (pan ɔl wae i nɔr kin bɔrku pas wae de sik bin de pan de wɔs).
A kin mek yu nɔ gɛt Dayabitik Amyotrofi?
Bikɔs di wan dɛn we de stɔdi bɔt dis stil nɔ no di rayt tin we kin mek yu gɛt dis sik, fɔ tru, natin nɔ de we yu go du fɔ mek yu nɔ gɛt dis sik .
Aw a go tek kia ɔf misɛf if a gɛt `(Diabetic Amyotrophy)`?
Apat frɔm we yu de go to dɔktɔ, ɔda we dɛn de we yu go ebul fɔ kia fɔ yusɛf:
- Aks fɔ ɛp frɔm di wan dɛn we yu lɛk : Dayabitik Amyotrophy kin mek i nɔ izi fɔ yu fɔ du yu wok lɛk aw yu bin de du trade. Nɔ shek fɔ aks fɔ ɛp frɔm yu fambul ɛn padi dɛn te yu wɛl.
- Luk fɔ ɛp yu fɔ gɛt mental wɛlbɔdi.: Dis kayn tin kin afɛkt yu maynd wɛl bɔdi bak. Tin dɛn lɛk pwɛl hat ɔr wɔri kin apin. If dis kayn tin de mek yu fil strɛs ɔr nɔr de wit ɔda pipul dɛm, aks fɔ ɛp frɔm pɔrsin lɛk pɔrsin wae sabi fɔ advays yu ɔr saikɔlɔjis.
Ustɛm a fɔ go to mi dɔktɔ?
If yu gɛt Dayabitik Amyotrofi, yu go nid fɔ go to yu dɔktɔ ɔltɛm fɔ wach yu kɔndishɔn ɛn mek shɔ se yu tritmɛnt plan de wok. Mek shɔ se yu tɛl yu dɔktɔ if yu sik dɛn de wɔs ɔ chenj .
Fɔ dil wit wan prɔblɛm we gɛt fɔ du wit dayabitis, mɔ we yu kɔntrol yu blɔd shuga fayn fayn wan, kin tranga ɛn i kin mek yu at pwɛl. Bɔt mɛmba se di sayn dɛm fɔ ``Dayabetik Amyotrophy'' go mɔs bɛtɛ as tɛm de go. Te da tɛm de, go to dɔktɔ fɔ mek yu ebul fɔ kɔntrol di sik dɛn we yu gɛt ɛn fɔ mek yu mɔsul dɛn strɔng. Yu dɔktɔ go de wit yu pan dis joyn fɔ wɛl.
Mɛmba as sɔmari (Tek-Home Message) .
Dayabitik Amyotrophy na wan sik wae nɔr kin bɔrku wae kin mek pɔrsin fil bad ɛn wik na yu hip ɛn thigh. I kin mɔs afɛkt pipul dɛm wae dɔn pas 50 ia wae gɛt tayp 2 dayabitis.
- Di sayn dɛm : Fɔs, i kin gɛt siriɔs pen, dɔn di mɔsul dɛn kin wik ɛn west. I kin at bak fɔ waka.
- Kɔz : Dɛn nɔ no fɔ tru, bɔt dɛn tink se na damej pan di blɔd vesel dɛm we de gi blɔd to di nɛv dɛm bikɔs ɔf wan prɔblɛm wit di imyun sistɛm.
- Diagnosis : Dɛn kin du diagnosis bay we dɛn nɔ de alaw ɔda sik dɛn. MRI, CT skan, ɛn nyurolɔjik tɛst kin ɛp.
- Tritmɛnt : Ridyus pen, fyzikal tritmɛnt, ɔkupeshɔn tɛrapi impɔtant. I impɔtant bak fɔ kɔntrol di blɔd shuga.
- Fɔ wɛl : I kin tek tɛm, bɔt bɔku tɛm di sayn dɛm kin bɛtɛ.
If yu gɛt ɛni wan pan dɛn sik ya, nɔ shem fɔ go to dɔktɔ fɔ advays. Fɔ no di sik kwik kwik wan ɛn fɔ trit am rili impɔtant.
` Dayabitis, amyotrofi, nerve pen, mɔsul wik, leg pen, dayabitik kɔmplikeshɔn, fizik tɛrapi
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