Zunthlum vei i ni em? Chuti a nih chuan, i kut leh keah i rilru a buai em, i tingling, i kang a, a châng chuan i na em? Hengte hi zunthlum vangin i nerve a tihchhiat zauh zauh tih chhinchhiahna a ni thei. Lungngai suh, hei hi mi tam tak tuar thei dinhmun a ni. Vawiin hian he nerve natna, zunthlum avanga lo awm, `(Diabetes-Related Neuropathy)` tih hi kan sawi dawn a ni.
A awlsam zawngin, neuropathy chu eng nge ni?
Kan taksaa nervous system hi in chhunga electrical wiring ang maiin han ngaihtuah teh. Heng nerve te hian thluak a\angin taksa kil tinah thuchah an phur a, heng nerve te hian taksa peng dang a\angin thuchah chu thluak lamah an phur kir leh \hin. Heng nerve te hian thisen kalna kawng te tak te, te tak te atang hian chaw leh oxygen an dawng thin.
Tunah chuan zunthlum i vei a, chu chu i thisen sugar level a sang (Hyperglycemia) rei tak a nih chuan heng thisen kalna kawng nalh tak takte hi a chhe tan ta a ni. Tui sugar tamna pipe atanga a kal ang bawkin pipe te chu a rust tan thin. Hetianga thisen kalna kawng a chhiat chuan electric wire ang maia nerve te hian an mamawh ei leh in leh oxygen an hmu lo. Tichuan, chûng nerve-te chu zawi zawiin a chak lo va, a chhe a, a thi ta hial a ni. Chu chu Diabetes-Related Neuropathy kan tih chu a ni.
Hei hi ``Type 1'' diabetes leh ``Type 2'' diabetes ve ve te tan pawh a thleng thei. Mahse, zunthlum vei zawng zawngah a thleng ngai lo. Tin, neuropathy hi chhan dang vang pawh a awm thei bawk. Entirnan, nerve hliam vang te, ei leh in lama harsatna vang te, accident vang te pawh a ni thei. Amaherawhchu, doctor-in zunthlum i vei tih a hriat a, heng natna lan chhuah chhan dang a hmuh theih loh chuan zunthlum a ni tih an hmuchhuak ang.
Zunthlum vanga nerve natna chi hrang hrang awmte chu engte nge ni?
He nerve chhiatna hian taksa peng hrang hranga nerve a nghawng thei a ni. A nghawngna hmun azirin chi hrang hrangah then a ni. Eng nge an nih i han thlir teh ang.
| Neurological natna chi hrang hrang | A awlsam zawngin, hei hi eng nge thleng? |
|---|---|
| Peripheral Neuropathy natna a ni | Hei hi zunthlum vei zingah hmuh tam ber a ni .. ‘Peripheral’ tih hian ruhro atanga taksa tawp thlenga inzar pharh nerve te a kawk a ni. Hei hian ke leh ke a nghawng ber a ni. A chang chuan kut pahnih hi a nghawng thei bawk. |
| Autonomic Neuropathy hmanga enkawl a ni | ‘Autonomic’ tih hian taksain duh loh zawnga thil tih dan kan thunun theih loh thununtu nerve a kawk a ni. Entirnan, heart rate, thisen sang, thawk hah, riltam, bladder function, leh sexual function te ang chi thil te. Heng nerve te chhiatna hi he category ah hian a tel a ni. |
| Proximal Neuropathy natna a ni | Hei hi a rare type a ni . Hip, thigh, emaw buttocks-a nerve te a nghawng a ni. Taksa kil khat chauh a nghawng tlangpui. |
Survey-ah chuan zunthlum vei zinga 50% vel chuan ``Peripheral Neuropathy`` an vei tih hre reng ang che. Chu chu mi pahnih zinga pakhat chu hlauhawmah an awm tihna a ni.
Heng thluak lam natna lanchhuahna hi eng nge ni thei ang?
I symptoms i neih dan chu eng neuropathy chi nge i neih tih ah a innghat. Type tin nena inzawm symptoms te chu a hranin i en ang u.
Peripheral Neuropathy natna lan chhuah dan
Hei hian ke a nghawng tam avangin hetiang hi i tawng thei a ni:
- Tingling in the limbs , rulhut tlan kual vel ang maia hriatna, needle hmanga hliam (Paresthesia) tih hriatna.
- Natna nasa tak, kang, hliam, electric shock ang chi.
- Khawih avanga chhanna pangngai lo. Entirnan, khum puan in ke a hnawih hian natna nasa tak a nei (Dysesthesia).
- Muscle chak lohna.
- Ke emaw ke emaw a hliam hi a dam rei hle .
- A châng chuan, i kea hriatna zawng zawng i hloh vek ṭhin. Tichuan, hlingin a hliam emaw, pheikhawk hliam emaw i tawk a nih pawhin i hre thei lo.
He nerve chhiatna hi kum tam tak chhung chu zawi zawiin a thleng thin a, chuvangin a tir lamah chuan symptom lian tham i hmu lo mai thei.
Autonomic Neuropathy natna lan chhuah dan
Taksa chhunga system engemaw zat a nghawng avangin a natna lan chhuah dan pawh a inang lo thei hle.
| A nghawng system | Symptoms awm thei te |
|---|---|
| Chaw ei dan (digestive system) a ni | Bloating, heartburn, luak chhuak leh luak chhuak, gas , ril\am emaw, chaw ei kham emaw. A châng chuan chaw ei zawhah chuan chaw ei chu pum aṭanga chhuah a tlai ṭhin (Gastroparesis) . |
| Urinary system a ni | Duh loh vanga zun chhuah, zun chhuah vek theih lohna, zun kawng infection awm fo. |
| Mipat hmeichhiatna lam | Sexual dysfunction, ejaculation problem, vaginal dryness, orgasm neih theih lohna. |
| Thinlung leh thisen kalna kawngte | Thisen sang hniam (a bik takin ṭhut aṭanga tho chhuah), thinlung thawk mumal lo, luak chhuak, leh muhil. |
| Sweat glands a awm thin | Thaw tam lutuk emaw, thawk hah loh emaw. |
| Mit | Eng inthlak danglamna (e.g., thim atanga chhuah hunah) pupil insiamrem harsatna. |
He thluak lam natna avanga thil hlauhawm dang awm thei chu hypoglycemia vaukhânna chhinchhiahna, nghing, riltam lutuk, leh lungkhamna te hi i hmu lo mai thei. Hei hi a hlauhawm thei hle.
Eng thil nge he natna hi a thlen theihna tipung?
Diabetes i neih chuan he neuropathy vei theihna tipungtu thil engemaw zat a awm a:
- Zunthlum vei hun chhung: Zunthlum i vei rei poh leh nerve tihchhiat theihna a sang zawk.
- Kum: He risk hi kum upat rualin a pung bawk.
- Thisen sugar control tha lo: I thisen sugar level a sang reng a nih chuan chu chu a hlauhawm ber a ni. Kum thum aia tam A1C 7% aia sang neih hian i risk nasa takin a tipung a ni.
- Thisen sang (Hypertension): Thisen sang a nih chuan thisen kalna kawng nalh tak takte pawh a tichhe thei bawk.
- Cholesterol sang: Thisen a cholesterol level sang hi thisen kalna kawng tan pawh a tha lo.
- Taksa rihna sang (High BMI): Thau lutuk pawh hi hei nen hian a inzawm tlat a ni.
- Kal natna: Zunthlum avanga kal a chhiat chuan neuropathy vei theihna a sang bawk.
- Meizial zu leh zu in: Heng thil pahnih hian thisen kalna kawng leh nerve te chu direct-in a tichhe vek a ni.
Engtin nge doctor hian hei hi a hriat chian?
Heng symptoms te hi i neih chuan i doctor pan hmasak ber tur a ni. I natna lan chhuah dan leh i zunthlum i enkawl dan tur a zawt ang che. Tichuan, taksa enfiahna an nei ang. Diagnosis hriat chian nan test engemawzat tih theih a awm.
- Diabetes foot exam: Hetah hian doctor chuan i ke hliam emaw, hliam emaw, ulcer emaw a awm leh awm loh uluk takin a enfiah ang. Tichuan, hmanraw te tak te (monofilament ang chi) hmangin i ke hmun hrang hrang an khawih ang a, i hriat theih leh theih loh an en ang. Hei hian i keah sensation a hloh zat hriat theih nan a pui ang.
- Nerve Conduction Studies (NCS): Hei hian i nerve-a electrical signal kal chak dan a teh a ni. Nerve a chhiat chuan he speed hi a tlahniam ang.
- Electromyography (EMG): He test hian i taksa ruh hriselna leh a thununtu nerve te a enfiah thin.
Autonomic neuropathy hriat theihna tur test hi system a nghawng dan azirin a inang lo. Entirnan, bladder-ah harsatna a awm chuan ultrasound scan pawh tih theih a ni.
Hei hi eng enkawlna nge ni?
Enkawlna atana pawimawh ber leh hmasa ber chu i thisen sugar level control tha tak hi a ni . Hei hian nerve chhiatna dang a titawp thei emaw, a ti tlem thei emaw a ni.
I doctor chuan thisen sugar level hrisel tak vawng reng turin a pui ang che a, symptom i neih apiang, a bik takin natna i neih chuan a enkawl ang che.
- Natna tidam thei damdawi: Nerve na tan damdawi `Pregabalin` leh `Gabapentin` te hi an pe fo thin. A chang chuan, natna hmuna `(Capsaicin)` patch hnawih emaw, lungngaihna damdawi thenkhat `(Antidepressants)` emaw pawh he natna atan hian an hmang thin.
- Physical Therapy: Hei hian taksa ruh a tichak a, kea kal harsatna a veng a, balance a vawng reng bawk.
- Occupational Therapy: Nitin hnathawh awlsam zawk nan thurawn leh tanpuitu hmanrua a pe thin.
- Enkawlna dang: Mi thenkhat chuan acupuncture ang chi thil hmangin natna tihziaawmna an hmu thei. Tin, ei leh in hrisel chungchang zir tur chuan nutritionist pan a pawimawh bawk.
He nerve chhiatna hi tihdanglam theih a ni em?
Hei hi mi tam takin an zawh thin a ni. Thisen sugar level hi control tha a nih chuan kum khat emaw vel chhungin tingling ang chi symptoms hmasa ber chu a tlahniam emaw, a bo emaw thei. Mahse, nerve chhiatna a nasat chuan , tihdanglam vek a harsa hle. Chuvangin a symptoms te chu a rang thei ang bera hriat a, i sugar control tan a pawimawh hle.
Engtin nge kan tih ang?
A tha ber chu hetiang thil thleng lo tura ven hi a ni. Chutiang ti tur chuan thil engemaw zat i tih theih a awm a:
- I A1C chu 7% hnuaiah dah rawh. Hei hi a pawimawh ber a ni.
- Thisen sang chu 140/90 mmHg hnuai lam emaw, doctor-in a rawt target level-ah emaw vawng reng ang che.
- Ei leh in hrisel leh exercise plan zawm rawh.
- Taksa rihna hrisel tak vawng reng rawh.
- Meizial i zuk chuan chawlhsan nghal rawh.
- Zu in khap emaw, bansan emaw .
- Kum khatah vawi khat tal doctor hmu la, checkup kimchang, a bik takin ke exam .
- Nitin i keah hian blisters, cuts, sores, skin cracks, leh redness te enfiah thin ang che . Sensation i neih tlem avangin hriat lohvin i inhliam thei a ni.
Take-Home Thuchah a ni
- Diabetes vanga Neuropathy lo awm hi a awm fo thin a, mahse ven theih a ni.
- Chumi atana damdawi leh venhimna tha ber chu i thisen sugar level tha taka control hi a ni .
- I taksa peng hrang hrangah natna, tingling, natna, emaw hriatna hloh emaw i neih chuan ngaihthah suh. I doctor nen inbia nghal rawh.
- Nitin i ke uluk takin enfiah thin ang che. Hliam te tak te pawh hi harsatna lian tak a lo ni thei. Hliam i hmuh chuan enkawlna zawng nghal rawh.
- Sugar control bakah hian thisen sang, cholesterol control leh meizuk loh a pawimawh bawk.
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