Yu na pɔsin we gɛt dayabitis? So, yu kin fil lɛk se yu de fil swɛ, yu de swɛt, yu de bɔn, ɔ sɔntɛnde yu kin fil pen na yu an ɛn fut? Dɛn tin ya kin bi sayn dɛn we de sho se yu nerv dɛn de pwɛl smɔl smɔl bikɔs ɔf dayabitis. Nɔr wɔri, dis na sik wae kin afɛkt bɔrku pipul dɛm. Tide, wi go tɔk bɔt dis nerve disease wae kin kam wit dayabitis, wae dɛn kɔl `(Diabetes-Related Neuropathy)`.
Fɔ tɔk am simpul wan, wetin na nyuropathy?
Tink bɔt di nervɔs sistɛm na wi bɔdi lɛk di ilɛktrik waya we de na os. Dɛn nɛv ya kin kɛr mɛsej frɔm di bren to ɔl di kɔna dɛn na di bɔdi, ɛn dɛn nɛv ya kin kɛr mɛsej frɔm ɔda pat dɛn na di bɔdi bak to di bren. Dɛn nɛv ya kin gɛt tin fɔ it ɛn ɔksijɛn frɔm rili fayn fayn smɔl blɔd vesel dɛn.
Naw, we yu gɛt dayabitis, we min se yu blɔd shuga lɛvɛl dɔn ay (Hyperglycemia) fɔ lɔng tɛm, dɛn dilik blɔd vesel ya kin bigin fɔ pwɛl. Jɔs lɛk we wata we gɛt bɔku shuga de pas na paip, na so di paip dɛn kin bigin fɔ rɔsti. We di blɔd vesel dɛn pwɛl dis we, di nɛv dɛn we tan lɛk ilɛktrik waya nɔ kin gɛt di it ɛn ɔksijɛn we dɛn nid. Dɔn dɛn nerv dɛn de kin wik smɔl smɔl, dɛn kin pwɛl, ɛn dɛn kin ivin bigin fɔ day. Na dat wi kin kɔl Dayabitis-Related Nyuropathy .
Dis kin apin to pipul dɛm wae gɛt ɔl tu di ``Type 1'' dayabitis ɛn ``Type 2'' dayabitis. Bɔt, i nɔ kin apin to ɔlman we gɛt dayabitis. Dɔn bak, nyuropathy kin apin fɔ ɔda rizin dɛn. Fɔ ɛgzampul, i kin bi bikɔs i gɛt injury na in nerv, i nɔ gɛt bɛtɛ tin fɔ it, ɔ aksidɛnt. Bɔt if dɔktɔ si se yu gɛt dayabitis ɛn i nɔ ebul fɔ fɛn ɔda tin we de mek yu gɛt dɛn sik ya, dɛn go no se yu gɛt dayabitis.
Wetin na di kayn nerve sik wae de kam wit dayabitis?
Dis nεv dεm we de pwεl kin afekt di nεv dεm na difrεn pat dεm na di bכdi. Dɛn sheb am to sɔm men kayn dɛn dipen pan usay i afɛkt. Lɛ wi tek wan luk pan wetin dɛn bi.
| Tayp fɔ di nyurolɔjik sik | Fɔ tɔk am simpul wan, wetin kin apin wit dis? |
|---|---|
| Pɛriferal Nyuropati | Dis na de kayn wae wae dɛn kin si pan pipul dɛm wae gɛt shuga.. ‘Pεrifεral’ de tכk bכt di nεv dεm we de kכmכt frכm di spεnal kכd to di εkstrim pat dεm na di bכdi. Dis kin afɛkt di leg ɛn fut mɔ. Sɔntɛnde, di tu an dɛn kin afɛkt. |
| Ɔtonomik Nyuropati | ‘Autonomic’ de tכk bכt di nεv dεm we de kכntro di bכdi in invכlכntary prכsεs dεm we wi nכ kin kכntro. Fɔ ɛgzampul, tin dɛn lɛk at rit, blɔd prɛshɔn, swet, bɔdi we de muv, blad fɔ wok, ɛn fɔ du mami ɛn dadi biznɛs. Di damej we dɛn nerv ya kin gɛt kin fɔdɔm insay dis kategori. |
| Prɔksimal Nyuropati | Dis na wan kayn we we nɔ kin apin so ɔltɛm . I kin afɛkt di nerv dɛm na di hip, thigh, ɔ buttocks. Bɔku tɛm, na wan say nɔmɔ na di bɔdi i kin afɛkt. |
Mɛmba se, sɔv sho se lɛk 50% pan di pipul dɛm wae gɛt shuga kin sɔfa wit ``Peripheral Neuropathy``. Dat min se wan pan ɔl tu pipul dɛn de pan denja.
Wetin kin bi di sayn dɛm fɔ dɛn nyurolɔjik sik ya?
De sayn dɛm wae yu kin gɛt kin dipen pan us kayn nyuropathy yu gɛt. Lɛ wi luk di sayn dɛm wae gɛt fɔ du wit ɛni kayn sik wan bay wan.
Di simptom dɛm fɔ Pɛriferal Nyuropathy
Bikɔs dis kin afɛkt di leg dɛn mɔ, yu kin gɛt tin dɛn lɛk:
- Tingling in di limbs , filin se ant de rɔn rawnd, filin se nidul de chuk yu (Paresthesia).
- Shap pen, lɛk we yu de bɔn, we yu chuk am, ɔ we yu gɛt ilɛktrik shɔk.
- Wan abnɔmal rispɔns we pɔsin tɔch. Fɔ ɛgzampul, fɔ fil bad bad pen we bed sheet de rɔb pan yu leg (Dysesthesia).
- Di mɔsul dɛn we wik.
- Wund dɛn na di leg ɔ fut kin tek lɔng tɛm fɔ wɛl .
- Sɔntɛnde, yu kin lɔs ɔl di filin na yu fut. Dɔn, ilɛksɛf chukchuk chuk yu ɔ yu sus wund, yu nɔ go ebul fɔ fil am.
Dis nerve damej kin apin smɔl smɔl fɔ bɔrku ia, so yu nɔr kin notis ɛni big big sayn fɔ di fɔs stej.
Di simptom dɛm fɔ Ɔtonomik Nyuropati
Bikɔs i kin afɛkt sɔm sistɛm dɛn na di bɔdi, di sayn dɛm kin difrɛn bad bad wan.
| Sistɛm we dɛn afɛkt | Sɔm sayn dɛn we kin apin |
|---|---|
| Dijestiv sistɛm | Blɔt, at bɔn, nɔs ɛn vɔmit, gas , dayarɛa ɔ kɔnstipɛshɔn. Sɔntɛnde, afta yu dɔn it, di it we de na di bɛlɛ kin delay fɔ kɔmɔt na di bɛlɛ (Gastroparesis) . |
| Yurinari sistɛm | Urin we yu nɔ want, we yu nɔ ebul fɔ pul yu urine kɔmplit wan, we yu kin gɛt infɛkshɔn na yu urinary tract bɔku tɛm. |
| Di pat dɛn we de na di bɔdi | Sεkswal disfכnkshכn, prכblεm fכ ejakulεshכn, vagina dray, inability fכ rich כrgazm. |
| At ɛn blɔd vesel dɛn | Lɔw blɔd prɛshɔn (espɛshali we yu grap frɔm we yu sidɔm), yu at nɔ de bit ɔltɛm, yu de tɔn diziz, ɛn yu de fɔdɔm. |
| Swet gland dɛn | We yu de swet pasmak ɔ yu nɔ de swet. |
| Yay | difεlεns fכ ajɔst di pupil to chenj dεm na layt (e.g., we yu de go aut frכm dak). |
Wan ɔda denja tin wae kin apun wit dis nyurolɔjik sik na wae yu nɔr kin notis de wɔnin sayn dɛm wae de sho se yu gɛt haypoglycemia, lɛk wae yu de shek shek, yu angri pasmak, ɛn yu de wɔri. Dis kin mek pɔsin denja.
Us tin wae kin mek pɔrsin gɛt dis sik?
If yu gɛt dayabitis, sɔm tin dɛn de we kin mek yu gɛt dis nyuropathy:
- Di tɛm we yu gɛt shuga: Di lɔng we yu gɛt dayabitis, na di mɔ yu nerv go pwɛl.
- Ej: Dis risk kin go ɔp bak wit di ej.
- Nɔ kɔntrol di shuga na yu blɔd fayn: If yu blɔd shuga de bɔku ɔltɛm, na dat na di men tin we kin mek yu gɛt dis sik. If yu gɛt A1C pas 7% fɔ pas tri ia, dat kin mek yu risk bɔku.
- Ay blɔd prɛshɔn (Hypertension): If blɔd prɛshɔn ay, i kin pwɛl di dilik blɔd vesel dɛn bak.
- Ay kɔlɔstrel: We di kɔlɔstrel we de na di blɔd go ɔp, i nɔ kin fayn bak fɔ di blɔd vesel dɛn.
- Ay bɔdi wet (High BMI): Fɔ fat kin gɛt fɔ du wit dis bak.
- Kidni sik: If di kidni dɛn dɔn pwɛl bikɔs ɔf dayabitis, di risk fɔ gɛt nyuropathy bak kin bɔku.
- Smok ɛn drink rɔm: Dɛn tu abit ya kin pwɛl di blɔd vesel ɛn nerv dɛn dairekt wan.
Aw di dɔktɔ kin no bɔt dis?
If yu gɛt dɛn sik ya, di fɔs tin we yu fɔ du na fɔ go to yu dɔktɔ. I go aks yu bɔt yu sayn dɛm ɛn aw yu de mɛn yu dayabitis. Dɔn, dɛn go du wan ɛgzam fɔ dɛn bɔdi. Bɔku tɛst dɛn de we dɛn kin du fɔ no if pɔsin gɛt di sik.
- Dayabitis fut ɛgzam: Na ya, di dɔktɔ go tek tɛm chɛk yu fut fɔ si if yu gɛt wund, kɔt, ɔ ɔlsa. Dɔn, we yu yuz smɔl inschrumɛnt (lɛk monofilament), dɛn go tɔch difrɛn say dɛn na yu fut ɛn si if yu kin fil dɛn. Dis go ɛp fɔ no ɔmɔs sɛns dɔn lɔs na yu fut.
- Nεv Kכndukshכn Stɔdi (NCS): Dis de mכsu di spid we ilektrikal signal dεm de travul along yu nεv dεm. If di nerv dεm dεn dכn pwεl, dis spid go rεdכks.
- Ilɛktromayografi (EMG): Dis tɛst de luk aw yu mɔsul dɛn gɛt wɛlbɔdi ɛn di nerv dɛn we de kɔntrol dɛn.
di tεst dεm fכ no כtonom nyuropathy de difrεn dipכnt pan di sistεm we dεn afekt. Fɔ ɛgzampul, if prɔblɛm de wit di blad, dɛn kin du ɔltra saund skan.
Wetin na di tritmɛnt dɛm fɔ dis?
Di impɔtant ɛn fɔs tin we yu fɔ du fɔ trit yu na fɔ kɔntrol di shuga we yu gɛt na yu blɔd fayn fayn wan . Dis na wetin kin stɔp ɔ ridyus mɔ damej pan di nerv dɛm.
Yu dɔktɔ go ɛp yu fɔ mek yu gɛt wɛlbɔdi shuga na yu blɔd ɛn fɔ trit ɛni sayn we yu gɛt, mɔ di pen.
- Mεdikeshכn dεm we de mek yu fil pen: bכku tεm dεn kin gi mεdikeshכn dεm lεk `Pregabalin` εn `Gabapentin` fכ nerv pen. Sɔntɛnde, dɛn kin yuse `(Capsaicin)` pat pan di say we yu de fil pen ɔ sɔm mɛrɛsin fɔ pwɛl hat `(Antidepressants)` bak fɔ dis pen.
- Fizik Tɛrapi: Dis kin ɛp fɔ mek di mɔsul dɛn strɔng, fɔ mek i nɔ izi fɔ waka, ɛn fɔ mek i balans.
- Occupational Therapy: I de gi advays ɛn ɛp divays fɔ mek i izi fɔ du ɛvride.
- Ɔda tritmɛnt dɛm: Sɔm pipul kin gɛt pwɛl hat tru tin dɛm lɛk akupankcha. I impɔtant bak fɔ go to pɔsin we sabi bɔt it fɔ lan bɔt aw fɔ it fayn.
Yu tink se dɛn kin chenj dis damej we di nerv dɛn dɔn pwɛl?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. If dɛn kɔntrol di blɔd shuga fayn fayn wan, di fɔs sik dɛn lɛk tingling kin go dɔŋ ɔ dɔn insay wan ia ɔ so. Bɔt if di damej pan di nerv dɛn bad bad wan , i nɔ kin izi fɔ mek dɛn chenj am kpatakpata. Na dat mek i impɔtant fɔ no di sayn dɛn kwik kwik wan ɛn bigin fɔ kɔntrol yu shuga.
Wetin wi fɔ du fɔ mek i nɔ apin?
Di bɛst tin fɔ du na fɔ mek dis nɔ apin. Sɔm tin dɛn de we yu kin du fɔ du dat:
- Kip yu A1C dɔŋ 7%. Dis na di tin we impɔtant pas ɔl.
- Mek yu blɔd prɛshɔn dɔŋ 140/90 mmHg ɔ na di target lɛvɛl we yu dɔktɔ se.
- Fɔ fala wan fayn it ɛn ɛksesaiz plan.
- Mek yu gɛt wɛlbɔdi bɔdi wet.
- If yu de smok, stɔp wantɛm wantɛm.
- Limit ɔ stɔp fɔ drink rɔm ɔltogɛda .
- Si yu dɔktɔ wan tɛm insay di ia fɔ mek dɛn chɛk yu ɔl, mɔ fɔ mek yu chɛk yu fut .
- Chek yu fut ɛvride fɔ si if yu gɛt blista, kɔt, sɔri, skin krak, ɛn rɛd. Bikɔs yu nɔ gɛt bɛtɛ sɛns, yu kin wund yusɛf we yu nɔ no.
Mɛsej we dɛn kin kɛr go na os
- Nyuropathy we dayabitis kin kam wit na kɔmɔn prɔblɛm, bɔt dɛn kin avɔyd am.
- Di bɛst mɛrɛsin ɛn protɛkshɔn fɔ dis na fɔ kɔntrol yu blɔd shuga lɛvɛl fayn fayn wan .
- If yu gɛt numbness, tingling, pen, ɔr nɔr de fil fayn na yu an, nɔr ignore am. Tɔk to yu dɔktɔ wantɛm wantɛm.
- Chek yu fut gud gud wan evride. Ivin smɔl wund kin bi big prɔblɛm. If yu si wund, go to tritmɛnt wantɛm wantɛm.
- Apat frɔm we yu de kɔntrol di shuga, i impɔtant bak fɔ kɔntrol yu blɔd prɛshɔn, kɔlɔstrel, ɛn nɔ smok.
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