Zunthlum hi tunah hian kan ramah mi tam takin an tawrh mek a ni. Chuvangin diabetic neuropathy chungchang hi i hre tawh mai thei, chu chu zunthlum nen a lo thleng thin. A bik takin ke ruh natna leh hriatna hloh ang chi thilte. Mahse vawiinah hian neuropathy chi khat, a tlangpui lo zawk, mahse a nasat deuh, a hmuh tur awm lo tak kan sawi dawn a ni. Hei hi diabetic amyotrophy an ti a. He natna hian mi tlemte a nghawng a, puitling zinga 1% vel chu zunthlum vei an ni. Tin, diabetic neuropathy dang aiin a thawk a danglam deuh hlek bawk.
Diabetic Amyotrophy hi eng nge ni tak tak?
A awlsam zawngin hei hi zunthlum vanga nerve tihchhiatna a ni bawk. A danglamna chu khawiah nge a nghawng tih hi a ni. A tlangpuiin zunthlum hian ke leh ke hnuai lam nerve a tichhe thin. Mahse hetiang a nih chuan Diabetic Amyotrophy hian i:
- Thighs a ni
- Ke te
- Mawngbawr
- Buttocks a ni
Kan rilru leh pum chhunga nerve te hi a chang chuan a nghawng thei a ni.
Hetiang dinhmun hi hming dang engemaw zatin an hre bawk. I doctor-in heng hming zinga pakhat a sawi chuan a hming pawh hriat a tha.
- Proximal neuropathy a awm a
- Zunthlum vei, lumbosacral radiculoplexus neuropathy a awm a, a natna hi a tha lo hle
- Bruns-Garland natna a ni
Hetiang natna lan chhuah dan hi engte nge ni?
A tlangpuiin neuropathy hian natna leh rilru hahna a huam a. Mahse, diabetic amyotrophy symptoms hi a danglam deuh hlek a ni.
I hip atanga tan a, i kawr hnuai lam pan chuan tuar theih loh natna i tawng nghal mai ang tih han ngaihtuah teh. A châng chuan pum na nasa tak i nei thei bawk. Hun a kal zel a, i thigh muscle te chu a chak lo va, chair atanga tho chu a harsa thin. A tam zawkah chuan heng symptoms te hi taksa sir khatah a awm thin. Mahse, hmun thuma ṭhena hmun khat velah chuan a sir lehlamah a nghawng thei a ni.
Mi thenkhat chuan an kea nerve a chhiat avangin ‘foot drop’ an tih natna an nei thei bawk. Chumi awmzia chu an kal lai hian an ke hmalam chu an thunun thei lo va, leiah a hrual ang mai a ni.
Heng symptoms te hi a hnuaia table atang hian chiang zawkin i hrethiam ang u.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Natna nasa tak a nei | Hip, thigh emaw buttock area-a natna rang tak, na tak leh tuar theih loh. |
| Muscle chak lohna | Hun a kal zel a, kekawrte chu a chak lo va, chair atanga tho emaw, stairs chhoh emaw a harsa hle. |
| Pum natna | Mi thenkhat chuan pum na na tak an nei thei. |
| Ke Drop a ni | Ke hmalam chu kal laiin leiah a hrual a. |
Hei hi engte nge a chhan leh a hlauhawmna?
Hei hi eng thil nge a thlen tih chiang takin a la chiang lo. Thisen sugar level sang hian nerve a tichhe tih kan hria. Mahse mak tak maiin, zunthlum control tha tak nei (type 1 leh type 2 pahnih) te pawhin he natna hi an nei thei a ni .
Hei hian a awmzia chu i sugar level kha control tha tak ni mahse heng symptoms te hi a lo awm a nih chuan ngaihthah mai mai a tha lo tihna a ni.
Risk factors chungchang sawi dawn chuan he natna hi mipa kum upa zawkah a awm tam ber. Mahse, chu chu naupang zawk emaw, hmeichhia emaw pawhin an hmu thei lo tihna erawh a ni lo. Kum eng pawh a nghawng thei.
Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.
Heng symptoms nei doctor i pan chuan Diabetic Amyotrophy a ni tih a rel nghal lovang. A chhan chu heng symptoms ang chi symptoms lantir thei condition dang engemaw zat a awm bawk. Chuvangin doctor chuan natna dang ang chi chu paih chhuah a tum hmasa ang. Entir nan:
- Degenerative spine disease: Hei hian thigh area-ah natna a thlen thei bawk.
- Diabetic muscle infarction: Hei hian taksa peng hrang hranga thisen kal tlem avangin natna leh vun a thlen thei a ni .
- Meralgia paresthetica: Hei hi neurological condition dang a ni a, thigh area-a rilru hahna, natna leh inflammation thlentu a ni.
I doctor chuan hengte hi paih chhuah a, diagnosis dik tak a thlen theih nan hetiang test hi eng emaw zat a ti thei ang.
| Fiahna | Engvangin nge hetiang hian i tih? |
|---|---|
| Thisen test a ni | Zunthlum i vei em, a nih loh leh a control that dan en rawh. |
| Spinal Tap a ni | Spinal fluid chu enfiah la, inflammation a awm em tih enfiah rawh. |
| X-ray, CT scan, MRI scan te a awm bawk | Ruh, ruh leh nerve-a structural problem awm leh awm loh enfiah thin ang che. |
| Electromyography (EMG) leh thluak lam test te a ni | I nerve leh muscle te a hrisel leh tha em em tih teh rawh. |
Hei hi eng enkawlna nge ni?
Thu lawmawm tak chu he dinhmun hi a tam zawk chu hun kal zelah a mah chauhin a tha chho zel dawn a ni. Mahse hun a la ngai dawn a ni. Chutih lai chuan heng enkawlnate hian i natna lan chhuah dan a thunun thei a, hahdamna engemaw chen a pe thei bawk.
1. Zunthlum control tha
Hei hi a pawimawh ber a ni. I thisen sugar level dik tak chhunga awm reng a pawimawh hle. Chumi atan chuan damdawi dik tak ei te, ei leh in te, exercise dik tak ei te hi a pawimawh vek a ni.
2. Natna tidam thei
He nerve natna nasa tak hi control turin damdawi bik a awm a. Hemi atan hian Gabapentin leh pregabalin te hi a tha hle. A châng chuan, lungngaihna atana hman damdawi ṭhenkhat pawh hian he hun rei tak chhunga nerve natna chi hi a thunun thei bawk. Heng zawng zawng hi doctor thurawn ang chauha ei tur a ni.
3. Taksa lam enkawlna
Physical therapy hi i taksa chak lohnate chu i vawng reng thei a, zawi zawiin chakna i neih leh theih nan a pawimawh hle. Physics therapist chuan i tana tha tur exercise set a pe ang che. Nitin nun awlsam zawka hman tur hmanrua, reacher emaw, toilet seat sang tak emaw hman an rawt thei bawk.
Mi tam zawk chuan an chakna hloh tam zawk chu an nei let leh thin. Mahse, zan khat thil thuah a thleng lo. Symptoms a lo tha chho tan nan kum khat vel a ngai thei. Chuvangin enkawlna kawngah dawhtheih a pawimawh. Mi tlemte chauh hi an dam kim ngai lo tih pawh kan hriat reng a ngai bawk.
Take-Home Thuchah a ni
- Diabetic Amyotrophy hi zunthlum natna avanga harsatna awm lo mahse na tak a ni.
- A lan chhuah dan ber chu ke ruh natna aiin hip, thighs, leh buttocks-a natna nasa tak leh muscle chak lohna a ni.
- Zunthlum i vei a, hetiang symptoms i neih chuan ngaihthah suh la, doctor pan nghal rawh.
- Thisen sugar level control tha taka vawn hi enkawlna bulpui ber leh pawimawh ber a ni.
- Physical therapy leh painkiller te hian symptoms a control thei a, nun a ti awlsam thei bawk.
- Dam lehna hian hun a mamawh a, dawhtheihna hi a pawimawh ber a ni. Mi tam zawk chu hun kal zelah an dam leh thin.
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