Zunthlum vangin i keah natna nasa tak leh rilru hahna i nei bawk em? He (Diabetic Amyotrophy) chungchang hi i zir chiang ang u!

Zunthlum i nei em? A chang chuan i hip leh i kekawrteah tuar theih loh khawpa natna i nei a, rang takin i ke a hrual ang maiin i inhria em? Hei hi zunthlum harsatna dang mai niin i ngai mai thei. Dik tak chuan hei hi zunthlum nena inzawm natna a ni a, mahse a tlem deuh mai thei. Vawiin hian hetiang thil hi kan sawi dawn a ni.

He zunthlum kaihhnawih (Diabetic Amyotrophy)'' hi eng nge ni?

A awlsam zawngin, (Diabetic Amyotrophy) hi nerve leh muscle natna a ni a, i hips, buttocks, leh thighs te a nghawng a, natna nasa tak leh muscle chak lohna a thlen thin Hei hi thil awm lo tak a ni. A tam zawkah chuan heng symptoms te hi a lo intan hnu hian hun kal zelah a na zual zel a, chumi hnuah zawi zawiin, a chang chuan thla emaw kum tam tak emaw chhung chu a dam leh thin.

He natna hian kum 50 chunglam type 2 diabetes vei te a tuar tam ber a ni . A tlangpuiin zunthlum a lo chhuah atanga kum li vel a lo lang thin. Doctor leh zirchiangtute chuan he natna khirh tak hi eng nge a thlen tih chiang takin an la hre chhuak reng a, chuvangin a chhan dik tak chu a la chiang lo .

Doctor-te chuan he natna hi hming dang tam tak an hmang a, Diabetic Amyotrophy'' tih hi a ni. Chu hmingte chu a buaithlak deuhin a lang thei a, mahse an vai hian dinhmun inang lo tak tak an ni. Entirna tlemte chu hetiang hi a ni:

• (Diabetes kaihhnawih lumbosacral radiculoplexus neuropathy - DLRPN)
• (Bruns-Garland natna)
• (Diabetes kaihhnawih neuropathy hnaih ber)
• (Zuthlum natna (Diabetic polyradiculopathy)) a ni
• (Zunthlum natna avanga femoral-sciatic neuropathy)

Heng hming zawng zawng hi i hriat reng a ngai lo. A pawimawh ber chu hei hi natna bik, zunthlum nena lo awm leh ke tichhe thei a ni tih hriatthiam hi a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Sawi tawh ang khan (Diabetic Amyotrophy) hi a awm lo hle a ni . Zunthlum vei zawng zawngah a lo awm lo. Zunthlum vei zinga 1% velin a nghawng niin an sawi. Amaherawhchu, (Type 2 diabetes) vei te zingah tlem a tam zawk.

(Diabetic Amyotrophy) natna lan chhuah dan chu engte nge ni?

Hetiang natna lan chhuah dan hian i hips, buttocks, leh/or thighs te a nghawng ber a ni . Heng symptoms te hi i nei em tih en rawh:

• Neuropathic pain na tak : Hei hi a lan chhuah hmasak ber a ni tlangpui. Kang, hliam, emaw, tingling pain ang maiin a awm thei.
• Muscle chak lohna : I ke a hrual ang maia hriat. Chair atanga tho leh stairs chhoh harsa.
• Muscle atrophy : Hei hi ke ruh (muscle mass) hloh tihna a ni. A hma aiin a kekawrte chu a hring zawkin a lang thei.
• Reflexes hloh (areflexia) .: Doctor in i khup chu hammer te tak te hmanga a tap chuan i ke a rawn inher ang a, chutiang chuan reflexes a tlahniam thin.

Heng symptoms te hi taksa sir khatah a intan nghal tlangpui . Chu chu ke dinglam chu ke dinglam a ni a, ke veilam chu ke veilam a ni tihna a ni. Mahse hun kal zelah a lehlamah a darh thei a ni. A tir lama natna nasa tak hi kar tam tak atanga thla tam tak chhung a ni thei. A natna a reh hnuah chuan taksa ruh chak lohna chu a pung tan thin. Hetiang dinhmun hi thla 18 vel chhungin zawi zawiin a zual thei a ni. A nasat bernaah chuan ṭanpuina tel lo pawhin i kal thei lo mai thei .

Chumi hnuah chauh chuan symptoms chu a stabilise a, damlo chu zawi zawiin a dam tan ta a ni. He damna hian thla tam tak a daih thei a ni.

Tin, Diabetic Amyotrophy vei thenkhat chuan chhan awm lovin an taksa rihna an tlahniam thei bawk – a tlangpuiin pound 10 aia tam (kilogram 4.5 vel) a ni. Midangte pawhin trunk (abdomen, chest) leh arm-ah na leh muscle chak lohna an nei thei bawk.

(Diabetic Amyotrophy) hi engte nge ni?

Kan sawi tawh ang khan zirchiangtute chuan hei hi a chhan chiang tak an la hmu lo a , mahse an zirchiang chhunzawm zel a ni.

Tuna finfiahna atanga a lan dan chuan hei hi microvasculitis an tih, taksa chhunga thisen kalna kawng te te inflammation avanga lo awm a ni. A awlsam zawngin, kan taksa natna laka humhimtu immune system , chu eng emaw chhan vangin a thawk nasa lutuk a, hip leh kea nerve-a thisen pe chhuaktu thisen kalna kawng te tak te chu a tichhia a ni. Hei hian nerve a tichhia a ni.

Zirna hrang hrangah chuan Diabetic Amyotrophy natnaah hian a hnuaia hmun hrang hrangte hi a chhe ber a ni:

• Nerve roots : Hengte hi kan ruhro (spinal cord) atanga nerve lo chhuak hmasa ber a ni.
• Peripheral nerves : Chu nerve zung atanga branch chhuak nerve dang.
• Lumbosacral plexus : Hei hi kan ke, kawr hnuai lam, sensation (feeling) leh muscle function (a che thei) petu nerve network a ni.

Tute nge (Diabetic Amyotrophy) vei theihna chance sang zawk?

He natna hian zunthlum vei te a tuar tam ber a, mahse a chhan dik tak erawh hriat a la ni lo. A tlem hle a, zunthlum vei lo pawhin heng symptoms hi an nei tih an sawi bawk.

Diabetic Amyotrophy vei theihna tur risk factors zingah hian a hnuaia mite hi hmuhchhuah a ni:

• Type 2 diabetes nei a ni.
• Thisen sugar level rang taka control. Entirnan, i (A1C) value (hei hian thla 2-3 kalta chhunga i thisen sugar level average a kawk) chu thla khat chhungin 11% atanga 7% vel ah a tlahniam nghal a nih chuan.
• Thisen sugar level khauh taka control. A tlangpuiin A1C'' value 7% hnuai lam vawn reng.

Hei bakah hian thil dang thenkhat chu he dinhmun lo awm chhan nia ngaih a ni:

• Zunthlum enkawlna tan.
• Accident emaw hliam (trauma) emaw a awm.
• Infection awm dan.
• Immunizations te pawh a awm bawk.

Mahse heng zawng zawng hi research stage-ah a la awm vek a ni.

(Diabetic Amyotrophy) hi engtin nge kan hriat theih ang?

Hei hi a pawimawh ber a ni. (Diabetic Amyotrophy) natna hi finfiah nan definitive test pakhat mah a awm lo . Doctor-te chuan he diagnosis hi an thleng thei a, a chhan awm thei dangte chu pakhat hnu pakhatin an paih chhuak (process of elimination). Chu chu, (Diabetic Amyotrophy) a nih thu an rel hmain i symptoms thlentu tur condition dang an paih chhuak tihna a ni. Entirnan, hetiang dinhmun hi paih chhuah an tum thin:

• Nerve root tihchhiat a ni.
• Pelvic tumor a awm thin.
• A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a.
• Sarcoidosis natna (sarcoidosis) a ni.
• Hri kai te chu (HIV), (Epstein-Barr virus), (cytomegalovirus) leh (syphilis) te hi a ni.

A hmasa berin i doctor chuan i symptoms leh medical history te a zawt ang che. Tichuan, taksa enfiahna leh thluak lam enfiahna an nei ang.

Chu bakah, a hnuaia test te hi tih a tha thei bawk:

• Thisen test : Entirnan, thisen count kimchang, A1C test, liver function test, leh calcium blood test.
• Lumbosacral spine MRI scan hmanga enfiah a ni.
• Pelvic area CT scan hmanga tih a ni.
• Neurophysiological tests : Hengte hian i nervous system, a bik takin a electrical activity a test thin.

(Diabetic Amyotrophy) enkawl dan tur chu engte nge ni?

Thu lawmawm tak chu Diabetic Amyotrophy vei tam zawk hi damdawi in enkawl loh chuan eng emaw chen chu an dam leh ang. Mahse, enkawl loh chuan damna chu a slow hle thei a, a famkim lo thei bawk .

Researcher te chuan Diabetic Amyotrophy enkawlna tha tak tak an la zirchiang mek a ni. Damdawi thar test mek clinical trial-ah pawh tel theihna hun i nei thei bawk. Chumi chungchang chu doctor zawt rawh.

Chutiang a nih loh chuan doctor-te chuan symptoms control-na atana puitu treatment an rawt ber a ni. Chûng zîngah chuan:

• Natna enkawl dan tur: Natna tihreh nan NSAIDs (non-steroidal anti-inflammatory drugs) ang chi natna tidamtu damdawi pek theih a ni. Zanah damdawi Amitriptyline ei hian natna bakah mut theih lohna a tidam thei bawk. Natna a nasat chuan i doctor chuan natna tihdamna damdawi chak zawk a pe thei che a, damdawi inah dah a ngai mai thei bawk.
• Physical therapy : Physical therapist chuan i duh angin exercise leh movement hrang hrang a siam ang. Chûngte chuan i taksa peng a nghawngte chu i hmang thei ang a, natna chu a thunun ang a, taksa ruh chakna a siam ṭha leh ang.
• Occupational therapy : I diabetic amyotrophy hian nitin hnathawh a tiharsa che a nih chuan occupational therapist chuan awlsam zawka tih theih dan tur zawng turin a pui thei che a ni. Walker emaw wheelchair emaw ang chi puitu hmanrua hman an rawt thei bawk.

Tin, zunthlum avanga harsatna dang lo thleng thei tur ven nan i thisen sugar level kha uluk taka control a pawimawh hle bawk .

Diabetic Amyotrophy hi eng prognosis nge ni?

Diabetic Amyotrophy hi mahni inrintawkna nei, hun kal zelah a mah chauhin a reh tlangpui . Chumi awmzia chu a tawpah chuan i symptoms-ah hmasawnna engemaw zat i hmu dawn tihna a ni. Mahse, dam lehna chu rei tak leh sawi lawk theih loh a ni thei .

Mi 10% velin an natna lan chhuah tirh atanga kum hnih chhungin wheelchair an hman a ngai dawn niin an chhut. Mi tam tak chuan eng emaw chen chu permanent disability an nei thei bawk.

Hei hi self -limiting condition ni mahse, Diabetic Amyotrophy tan doctor thurawn lak a pawimawh hle. A bik takin physical therapy hian i dam leh hun tur a tikhawtlai thei a ni.

Diabetic Amyotrophy hi eng chen nge a awm theih?

Hetiang natna lan chhuah dan hi thla engemaw zat atanga kum hnih vel thleng a ni thei. Chumi hnuah chuan dam lehna tur chuan thla tam tak atanga kum tam tak a daih thei a ni. Mi tam tak chuan symptom thenkhat (chak lohna ang chi) an nei chhunzawm thei (natna a nasat lai aiin a tlem zawk hle nachungin).

Diabetic Amyotrophy hi ka veng thei ang em?

Researcher-te chuan a chhan dik tak an la hriat loh avangin, he natna hi venna tur hian engmah tih theih a awm lo tak zet a ni .

(Diabetic Amyotrophy) ka neih chuan engtin nge ka in enkawl ang?

Damdawi lam enkawlna zawng bakah hian i in enkawl dan tur dang a awm a:

• I hmangaih tak takte hnen atangin tanpuina dil rawh : Diabetic Amyotrophy vangin i hna i thawh thin angin i tan a harsa thei. I dam hma chuan chhungte leh thiante hnen atangin tanpuina dil hreh suh.
• Rilru hriselna lama tanpuina zawng rawh.: Hetiang dinhmun hian i rilru hriselna a nghawng thei bawk. Depression emaw, lungkhamna emaw ang chi thil a thleng thei. Hetiang dinhmun hian i rilru a hah hle emaw, khawtlang nunah i inhlat hle a nih chuan professional counselor emaw psychologist emaw ang chi hnenah tanpuina zawng rawh.

Engtikah nge ka doctor ka hmuh ang?

Diabetic Amyotrophy i neih chuan i doctor pan fo a ngai ang a, i dinhmun enfiah a ngai ang a, i enkawlna ruahmanna chu a thawk tha em tih i enfiah a ngai bawk ang. I natna lan chhuah dan a zual emaw a danglam emaw chuan doctor hnenah hrilh ngei ang che .

Zunthlum natna (complication) hmachhawn chu, a bik takin i thisen sugar control tha a nih chuan thil harsa leh lungchhiatthlak tak a ni thei. Mahse hre reng ang che, Diabetic Amyotrophy'' symptoms hi hun kal zelah a lo tha leh ngei ang. Chumi hma chuan i natna lan chhuah dan enkawl nan leh i taksa ruh tichak turin damdawi lam pan rawh. He damna zinkawngah hian i doctor chu a awmpui ang che.

Thuhmahruai angin hre reng ang che (Take-Home Message) .

Diabetic Amyotrophy hi natna awm lo tak a ni a, hip leh thigh-ah natna nasa tak leh chak lohna a thlen thin. Kum 50 chunglam type 2 diabetes vei te a nghawng tam ber.

• Symptoms : A tir lamah chuan natna nasa tak a nei a, chutah chuan taksa ruh chak lohna leh hmanralna a awm. Kea kal pawh a harsa thei bawk.
• A chhan : Hriat chian a ni lo a, mahse immune system lama harsatna a awm avangin nerve-a thisen petu thisen kalna kawngte tihchhiat nia ngaih a ni.
• Diagnosis : Diagnosis hi natna dang paih chhuah a ni. MRI, CT scan, leh neurological test te hi a \angkai hle.
• Enkawl dan : Natna tihziaawm, physical therapy, occupational therapy te hi a pawimawh hle. Thisen thlum control hi a pawimawh hle bawk.
• Recovery : Hun a duh a, mahse symptoms a reh fo thin.

Heng symptoms te hi i neih chuan doctor pan hreh suh la, thurawn la rawh. A hmaa hriatchhuah leh enkawl hi a pawimawh hle.