Zunthlum i nei em? Tichuan, a châng chuan i kut leh keah, a bîk takin ke ruhteah, a hrual emaw, a kang emaw, a hliam emaw a na deuh thei a ni. Thenkhat tan chuan hei hi a nasat em avangin zanah an muhil thei lo. Hei hi diabetic peripheral neuropathy kan tih chu a ni a, damdawi lam atanga thlir chuan diabetic neuropathy kan tih chu a ni. Hei hi natna khirh tak, tlanglawn tak leh enkawl harsa tak a ni. Mahse, lungngai suh. He hrehawmna hi i nunpui a ngai lo. Hetiang dinhmun hi control turin thil tam tak kan tih theih a ni. Vawiin hian a chungchang hi i hrechiang zawk ang u.
Pakhatna leh pawimawh ber: thisen sugar control!
He nerve natna hi enkawl dan tur a nih chuan kan hriatthiam tur pawimawh ber chu kan thisen sugar level control hi a ni. I thisen sugar level a sang reng chuan i taksa chhunga nerve nalh tak takte chu a tichhe zauh zauh a ni. He chhiatna hi i rilru hahna, rilru hahna leh natna anga i hriat chu a ni.
I thisen sugar level i control loh chuan khawvela painkiller tha ber ber pawh hi a tangkai lo hle ang tih theihnghilh suh. Sugar control hi he enkawlna bulpui ber a ni.
Chuvangin, i doctor nen inbia la, i zunthlum enkawl dan tur sawiho leh rawh.
- I chaw ei tur chu uluk takin ruahman rawh.
- Exercise neih fo thin ang che.
- Diabetes damdawi doctor-in a pek chu a hun takah leh a pek ang chiah chiah ei la.
Heng zawng zawng hi dik taka i tih a, natna i la neih chuan kan ngaihtuah tur dang chu natna tidamtu damdawi hi a ni.
Natna tihdamna damdawi
He nerve natna hi thunun nan hian damdawi hman tam tak a awm a. Damdawi dik tak hmuh theih nan i doctor nen thawk hovin damdawi engemaw zat i enchhin a ngai mai thei. Chu chu thil pangngai a ni. Heng damdawi te hi eng nge ni tih han thlir ila.
| Ruihhlo chi hrang hrang | Entirnan | Thil pawimawh hriat tur |
|---|---|---|
| Damdawi dawrah doctor-in a pek loh chuan lei theih (Over-the-Counter - OTC) . | ||
| NSAIDs (Nonsteroidal anti-inflammatory drugs) te hi a tha hle a ni. | Ibuprofen, Naproxen, Aspirin te a awm bawk | Chungte chuan natna leh hliam a tiziaawm. Amaherawhchu, hun rei tak hman a nih chuan pum ulcer, thisen chhuah, thinlung natna, kal (kidney) a tichhe thei a ni. Zunthlum vei kal (kidney) hi a hlauhawm tawh avangin, hengte hi doctor rawn hmasa lovin hmang suh. |
| Acetaminophen a ni | Paracetamol hmanga siam a ni | Hei hian swelling a ti tlem lo va, natna a tiziaawm chauh a ni. Pum chhunga inflammation a tihziaawm. Amaherawhchu ei tam lutuk chuan thin (liver) nasa takin a tichhe thei a ni. |
| Capsaicin hmanga siam a ni | A nana hmuna hnawih tur cream | Hengte hian chili pepper-a awm compound a pai a ni. Vun chhunga nerve cells te chungah hna a thawk a, chu chuan thluaka natna signal a phur a ni. Hun rei lote chhungin a tha khawp mai. |
| Lidocaine gel/cream hmanga siam a ni | A na hmunah gel emaw cream emaw hnawih la. | A hnawih na hmunah chuan numbing sensation a siam a, natna a tiziaawm. |
| Damdawi Prescription hmanga pek theih | ||
| Antidepressant damdawi a ni | Tricyclic antidepressant, SNRI te pawh a awm bawk | Hengte hi lungngaihna damdawi ni mah se, nerve natna atan pawh a tangkai hle. Depression i neih emaw nei lo emaw pawh nise natna atan hna an thawk thin. Side effects, mutthilh, taksa rihna sang, leh hmui vawt te a awm thei. |
| Antiseizure damdawi hman tur | Pregabalin, Gabapentin tih te chu a ni | Heng damdawi te hian natna thlentu nerve cell te chu a control a ni. Chuvang chuan natna hriatna chu a tlahniam a ni. Mahse, luak chhuak leh mut a awm thei. |
| Opioid damdawi te | Tramadol a ni | Hengte hi natna khirh tak tak tan chuan natna tidamtu chak tak an ni. Breakthrough pain atan an tha hle. Mahse addiction awm theihna a awm . Tin, constipation ang chi side effects a tam zawk bawk. Chungte chu Doctor enkawlna hnuaiah chauh hman tur a ni. |
| Qutenza patch a ni | Prescription capsaicin patch a awm bawk | Hei hi plaster, capsaicin concentrated sang tak awmna, doctor-in a pek a ni. Thla 3 danah vawi khat vel vunah hnawih tur a ni. |
I doctor nen inbia ang che.
Heng damdawi chungchang i chhiar zawh hian i doctor chuan eng damdawi nge i tana tha ber tur leh eng dose nge i ei tur tih a rel tur a ni. Mi dang thusawi emaw, i rilru put hmang emaw a\angin heng damdawi te hi hman tan ngai suh. Damdawi zawng zawng hian mi zawng zawng tan hna a thawk vek lo.
Damdawi bakah enkawlna dang
A châng chuan damdawi hmang ringawt pawha natna thunun a harsa thei bawk. Chutiang hunah chuan i doctor chuan enkawlna dang a rawt thei bawk.
- Lidocaine injection emaw patch: Vun hnuaia inject emaw, patch hnawih emaw hmangin a natna hmun chu a tichak lo.
- Electrical nerve stimulation: Electric current te tak te hian natna signal thawn chhuah a tikhawlo a. Mahse, a hlawhtlinna chungchangah ngaihdan hrang hrang a awm.
- Surgery: A chang chuan, a natna hi pinched nerve avanga lo awm a nih chuan, surgery hian pinched nerve chu a ti reh thei a ni. Hei hi mi zawng zawng tana tih tur a ni lo.
- Pain management devices: Taksa chhunga hmanraw te tak te dah luh hmanga natna enkawl dan.
Nun ti awlsamtu thilte
He hrehawmna nen hian i nunpui hian i nunphung (quality of life) vawng reng thei tur thil awlsam tlemte a awm a.
- Kut emaw ke emaw braces: Hengte hian taksa chak lohna a pui a, nerve compression tihziaawmna atan a pui bawk.
- Orthopaedic shoes: Zunthlum vei te hian ke hliam an neih theihna a sang zawk. Numbness hian hliam tenau pawh hriat lohvin a awm tir thei a, chuvangin kea kal nuam lo, i ke fit tha tak, leh hliam venna tur pheikhawk bik hman a pawimawh.
Take-Home Thuchah a ni
- Zunthlum vanga nerve natna enkawlna tha ber leh hmasa ber chu thisen sugar level tha taka control hi a ni.
- Damdawi dawr atanga natna tidam thei damdawi i dawng thei a nih pawhin doctor rawn hmasa lovin hmang suh. Zunthlum hian hlauhawmna dang a nei thei bawk.
- He natna hi enkawl dan tam tak a awm a, chuvangin beiseina bansan suh. I doctor nen inbia la, i tana tha ber tur enkawlna zawng rawh.
- I ke kha uluk reng ang che. Nitin a cut, crack, redness a awm leh awm loh enfiah thin ang che.
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