Yu an ɛn yu fut dɛn de fil lɛk se yu nɔ gɛt bɛtɛ trɛnk ɔ yu de bɔn? Dis kin bi Smɔl Fayba Nyuropati!

Yu dɔn ɛva fil lɛk se yu de swɛt na yu an ɛn yu fut, ɔ yu de bɔn lɛk ant we de kray rawnd na yu an ɛn fut? Nɔ jɔs dismis dɛn sik ya as sɔntin we jɔs de apin, nɔto so? Bikɔs sɔntɛnde, sɔm kayn tin kin de biɛn dɛn sik ya we nid sɔm atɛnshɔn. Tide, wi go tɔk bɔt wan sik we dɛn kɔl Smɔl Fayba Nyuropati (SFN) , we kin apin we di smɔl smɔl nɛv fayv dɛn na wi bɔdi dɔn pwɛl.

So, wetin na Smɔl Fayba Nyuropati?

Fɔ tɔk am simpul wan, dis na wan sik we de na di nerv we de insay di kategori we dɛn kɔl peripheral neuropathy . Dis kכndyushכn kin apin we di sכm sכm sכm nεv fayb dεm na wi skin we rili dilik, dεn dכn pwεl fכ sכm rizin. na dεn sכm sכm nεv fayb dεm ya de sεnd signal to di bren bכt wi bכdi in pen εn tεmprachכ. So we dɛn tin ya dɔn pwɛl, lɛk aw wi bin dɔn tɔk, di an ɛn fut kin mek pɔsin nɔ fil fayn ɛn i kin fil pen we i de bɔn.

Bɔt dis nɔ kin jɔs afɛkt di an ɛn fut. I kin afɛkt ɔda smɔl smɔl nɛv fayv dɛn bak we de kɔntrol di impɔtant tin dɛn we wi bɔdi de du, lɛk blɔd prɛshɔn ɛn at rit .

Dɛn SFN simptom ya kin rili bad sɔmtɛm, ɛn kin gɛt big impak pan yu kwaliti fɔ liv . Pan ɔl we dis nɔto siriɔs tin we kin mek pɔsin in layf de pan denja, sɔntɛnde i kin bi sayn fɔ ɔda siriɔs sik. Na dat mek dɔktɔ dɛn kin tray fɔ fɛn wetin mek dis sik, trit am, ɛn gi dɛn mɛrɛsin bak fɔ kɔntrol dɛn pen ya.

Aw dis sik kin kɔmɔn?

Infakt, dis nɔto tin we bɔku pipul dɛn kin gɛt. Wan stɔdi sho se pan ɛvri 100,000 pipul dɛn na di wɔl, na lɛk 53 pipul dɛn gɛt smɔl fayv nyuropathy. Bɔt di wan dɛn we de stɔdi bɔt dis biliv se di nɔmba kin pas dat fa fawe. Dɛn biliv se nɔto ɔlman we gɛt dis sik, dɛn kin no di sik fayn fayn wan. So, sɔntɛm bɔku pipul dɛn gɛt dis prɔblɛm pas aw wi de tink.

Wetin na di sayn dɛm fɔ smɔl fayv nyuropathy (SFN)?

De sayn dɛm fɔ dis sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Bɔt di fɔs fɔs sayn dɛm we kin apin na "pin-ɛn-nidul" pen ɔ bɔn na di an ɛn fut. Dɛn sayn ya kin kam ɛn go sɔmtɛm, sɔmtɛm dɛn kin de ɔltɛm, ɛn bɔrku tɛm dɛn kin wɔs as tɛm de go.

Ɔda sayn dɛm wae yu kin si na:

• Fɔ fil diziz , ɔ lɛk se yu de kam fɔdɔm.
• Fɔ fil lɛk se yu at de bit fast fast (at de bit) .
• Fɔ mek pɔsin nɔ ebul fɔ du natin .
• Wae yu nɔr ebul fɔ fil pen, ɔt, ɔr kol na smɔl say na yu bɔdi.
• Bɛlɛ kramp, we nɔ de it fayn.
• Swet pas aw i fɔ swet.

Imajin aw i go de mɔna yu if yu fil lɛk se dɛn de chuk yu an ɛn fut wit stik, ɔ ivin de bɔn faya, ivin we yu jɔs sidɔm de.

Wetin mek wi kin gɛt smɔl fayv nyuropathy (SFN)? Wetin na di tin dɛn we kin mek i apin?

I sɔprayz fɔ no se lɛk af pan di smɔl smɔl fayv nyuropathy kes dɛm kin apin fɔ no rizin . Dɔktɔ dɛn kɔl dis " idiopathic small fiber neuropathy." Dat min se dɛn nɔ go ebul fɔ fɛn di rayt tin we mek i apin.

Bɔt risach dɔn sho se difrɛn sik dɛn, sɔm tin dɛn we pɔsin kin gɛt frɔm in mama ɛn papa, ɛn we pɔsin kin gɛt sɔm pɔyzin dɛn, dat kin mek i apin bak.

Dis kכndyushכn kin kam bak fכ sכm sik dεm.

Dayabitis na di men ɛn kɔmɔn sik wae kin afɛkt dis. Apat frɔm dat, dɛn sik ya kin mek pɔsin gɛt SFN bak:

• Dizayd fɔ yuz rɔm .
• Sik dɛm wae kin kam wae pɔrsin in bɔdi wik, fɔ ɛgzampul , Celiac disease , Sarcoidosis , ɔ Sjögren’s syndrome .
• Impεri glukכs mεtabolism (Impaired glucose intolerance) .
• Sɔm sik dɛn we pɔsin kin gɛt, fɔ ɛgzampul Epataytis C ɔ HIV (Human Immunodeficiency Virus) .
• Mɛtabolik sindrom .
• Tayrɔyd sik .
• Sepsis na wan bad bad infekshɔn.
• Vitamin B we nɔ de.

I kin bi bak bikɔs ɔf sɔm tin dɛn we pɔsin kin gɛt frɔm in mama ɛn papa.

di jεnεtik mכtεshכn dεm na di jin dεm we de εp wi sεl dεm fכ prodyuz εn sεnd ilektrikal signal dεm tru di nεv sεstem kin mek SFN bak. Sɔm ɔda sik dɛn we pɔsin kin gɛt frɔm in mama ɛn papa na:

• Ehlers-Danlos sindrom we gɛt di sik
• Fabry sik we dɛn kɔl Fabry
• Amyloidosis we de na di famili
• Pompe sik we dɛn kɔl Pompe
• Pɔfyuria we dɛn kɔl Porphyria
• Wilson sik

Sɔm mɛrɛsin ɛn pɔyzin dɛn...

Di risk fɔ gɛt smɔl fayv nyuropathy kin bɔku bak we yu de yuz sɔm mɛrɛsin dɛn. Ɛgzampul dɛn:

• Sɔm antibayɔtiks , fɔ ɛgzampul , Metronidazole , Nitrofurantoin, ɛn Linezolid .
• Kemotɛrapi drɔgs , lɛk Bortezomib , Thalidomide , ɛn Vincristine (Oncovin) .
• di tכmכro nεkrכsis fכktכ inhibito dεm , fכ egzampl , etanercept .

Wetin na de tin wae kin mek de sik wɔs? (Di tin dɛn we de mek pɔsin want fɔ du sɔntin)

Bɔku tɛm, tin dɛn we kin mek pɔsin gɛt dɛn sik ya na kol briz we de nak di skin , ɔ wan klos we de rɔb pan di skin . Imajin, if yu bin de slip na nɛt ɛn di bedshit dɛn bin de rɔb pan yu leg, yu go fil lɛk se yu nɔ ebul fɔ bia ɛn yu go fil pen... Ivin sɔntin we smɔl lɛk dat kin mek dɛn pipul ya fil bad.

Wetin na de prɔblɛm wae kin kam wit dis sik? A fɔ fred?

Smɔl fayv nyuropathy kin ridyus yu ebul fɔ fil pen. Fɔ ɛgzampul, if yu aksidɛntli tɔch sɔntin we wam, i go mɔs bi se yu go bɔn we yu nɔ no. I kin mek yu diziz bak ɛn afɛkt di we aw yu de waka . So, yu kin fɔdɔm mɔ, nɔto so? So yu nid fɔ tek tɛm wit dɛn tin ya bak.

Aw dɔktɔ kin no bɔt dis? (Diagnosis) .

Dɔktɔ go fɔs du yu bɔdi ɛgzam ɛn aks yu bɔt yu mɛdikal istri . Nɔ wan tɛst nɔ de we go ebul fɔ no kɔrɛkt wan se yu gɛt smɔl fayv nyuropati. Bɔt sɔm tɛst dɛn de we dɛn kin du:

• ilektromayografi (EMG) : Dis de tεst di ilektrikal aktiviti fכ di nεv dεm εn mכsul dεm.
• Jɛnɛtik tɛst : Chɛk fɔ di tin dɛn we pɔsin kin gɛt frɔm in mama ɛn papa.
• Imej tɛst : Tin dɛn lɛk CT skan ɔ MRI skan .
• Nεv kכndukshכn stכdi dεm : Luk di spid we di signal dεm de travul tru di nεv dεm.
• Skin biopsy - nerve fiber density tests : dεn tek sכm sכm sεmpl fכ di skin εn egzamin am כnda maykroskכp fכ si כl di nεv fayb dεm de.
• Quantitative Sudomotor Axon Reflex Test (QSART) : Dis de tεst di aktiviti fכ di nεv dεm we de kכntro di swet.

Apat frɔm dat, dɔktɔ dɛn kin tɛst ɔda tin dɛn bak, lɛk dayabitis, we kin mek pɔsin gɛt smɔl fayv nyuropathy.

Wetin na di tritmɛnt dɛm fɔ dis? Yu tink se dɛn kin mɛn am?

We dɛn de trit dis sik, di dɔktɔ dɛn kin pe atɛnshɔn mɔ fɔ ridyus di pen we i kin gɛt.Dɛn kin gɛt mɛrɛsin ɛn ɔda tritmɛnt dɛn. Bɔku tɛm, smɔl fayv nyuropathy na kɔmplikeshɔn fɔ ɔda sik, so i impɔtant fɔ trit di ɔndalayn kɔndishɔn bak .

Di mɛrɛsin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen

Bɔrku kayn mɛrɛsin de wae yu kin yuse fɔ kɔntrol pen:

• Sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik , lɛk Gabapentin , Pregabalin , ɛn Topiramate , kin ɛp fɔ ridyus di pen na di nerve.
• Sɔm mɛrɛsin wae de mek pɔrsin gɛt pwɛl hat , lɛk amitriptyline , nortriptyline , ɛn desipramine , kin fayn bak fɔ mek yu gɛt pen na yu nerve.
• Topical anestetik : Fɔ ɛgzampul , lidocaine krim ɔ capsaicin krim. Dɛn tin ya kin mek pɔsin fil fayn we dɛn put am na di say we i de fil pen.

Mɛmba se i rili impɔtant fɔ yuz mɛrɛsin jɔs lɛk aw dɔktɔ tɛl yu fɔ yuz am.

Wetin yu kin ɛkspɛkt we yu de liv wit dis sik?

Smɔl fayv nyuropathy de divɛlɔp rili sloslo . Sɔmtɛm de sik kin wɔs ɛn afta dat dɛn kin de di sem fɔ lɔng lɔng tɛm. Wan stɔdi dɔn sho se bitwin 13% ɛn 36% pan di pipul dɛn we gɛt smɔl fayv nyuropathy kin dɔn gɛt big fayv nyuropathy, we na wan sik we kin afɛkt big nerve fibers . Dis kin mek yu nɔr de fil fayn, lɛk fɔ fil tɔch ɛn shek shek, lɛk se yu wɛr glɔv.

Yu prɔgnosis afta tritmɛnt dipen pan di kɔz fɔ yu SFN. Fɔ ɛgzampul, if yu gɛt dayabitis, yu go nid fɔ tek dayabitis mɛrɛsin fɔ di res ɔf yu layf. So, tɔk to yu dɔktɔ bɔt yu sik ɛn aw tritmɛnt kin ɛp fɔ kɔntrol yu pen ɛn ɔda sayn dɛm.

Dis kin afɛkt di layf we pɔsin kin liv?

Nɔ, smɔl fayv nyuropathy insɛf nɔ go mek yu layf shɔt . Bɔt if sɔntin de we de mek yu gɛt am, lɛk dayabitis ɔ HIV, i kin afɛkt aw lɔng yu de liv.

Aw a kin kia fɔ misɛf?

Wan pan de impɔtant tin wae yu kin du fɔ kia fɔ yusɛf na fɔ kɔntrol di pen wae de kam wit smɔl fayv nyuropathy. I go mɔs bi se yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu fil pen, bɔt yu kin tink bak bɔt aw fɔ mɛn yu pen . Dɛn tin ya kin bi fɔ advays ɛn tritmɛnt, fɔ du ɛksɛsayz, ɛn fɔ masaj ɔ fɔ trit yu bɔdi.

Ustɛm a fɔ go to dɔktɔ bak?

Smɔl fayv nyuropathy simptom kin chenj ɛn wɔs as tɛm de go. If yu gɛt SFN, tɛl yu dɔktɔ if yu notis sɔm sayn dɛm we bigin na wan pat na yu bɔdi ɛn afta dat apia na ɔda pat. Fɔ ɛgzampul:

• If na di "stik-layk" pen na mi leg dem kin fil naw na mi an tu.
• If di frɛkuɛns fɔ pen atak dɔn bɔku, ɔ if di pen dɔn bi mɔr.
• If nyu sayn dɛn dɔn sho, lɛk fɔ gɛt diziz ɔ fɔ mek i nɔ izi fɔ waka.

I fayn fɔ go to dɔktɔ kwik kwik wan pan tɛm lɛk dis.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

We yu go si dɔktɔ, mɛmba fɔ aks dɛn kwɛstyɔn ya:

• Wetin na di kɔz fɔ mi sik dɛn?
• Yu tink se di sik dɛn we a kin gɛt go wɔs?
• Us tritmɛnt dɛn we dɛn kin advays fɔ mi?
• A go gɛt dis kɔndishɔn sote go?

We yu no di ansa to dɛn kwɛstyɔn dɛn ya, dat go mek yu no klia wan.

So, wetin wi fɔ mɛmba frɔm dis? (Mɛsej we dɛn kin tek go na os)

Smɔl fayv nyuropathy (SFN) na wan sik wae de mek yu nɔr de fil fayn, bɔn, ɛn pen na yu an ɛn fut dɛm wae kin afɛkt yu kwaliti layf. Bɔrku tɛm e kin apia as sayn fɔ ɔda ɔndalayn, kin siriɔs sik.

Dɔktɔ dɛn kin trit SFN bay we dɛn de manej di ɔndalayn kɔndishɔn. Tritmɛnt ɛn program dɛn de bak fɔ ɛp fɔ kɔntrol di pen ɛn ɔda sayn dɛm wae kin kam wit am. If yu de fil lɛk yu an ɛn fut de bɔn ɔ yu de bɔn, nɔ ignore am ɛn go to dɔktɔ. Dɛn sayn ya kin bi fɔs sayn fɔ wan siriɔs sik. Nɔr wɔri, if dɛn no bɔt yu sik ɛn trit yu kwik, yu kin ɔltɛm kɔntrol de sik.

` Smɔl Fayba Nyuropati, SFN, nerve pen, tingling, numbness, dayabitis, nyuropathy