He mate huka tōu? I ētahi wā ka pāngia koe e te mamae nui i ō hope me ō huha, ā, ka ahua ngoikore ō waewae? Tērā pea ka whakaaro koe he raruraru noa iho tēnei o te mate huka. He pono, he mate tēnei e pā ana ki te mate huka, engari he onge pea. I tēnei rā ka kōrero tātou mō tētahi mea pēnei.

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He aha tēnei "(Diabetic Amyotrophy)" e pā ana ki te mate huka?

Ki te kī ngāwari, ko te (Diabetic Amyotrophy) he mate o ngā io me ngā uaua e pā ana ki ō hope, papa, me ō huha, ka puta he mamae nui me te ngoikore o ngā uaua . He mate onge tēnei. I te nuinga o te wā, i muri i te tīmatanga o ēnei tohu, ka kino haere i te roanga o te wā, kātahi ka pai haere mārire, i ētahi wā i roto i ngā marama, i ngā tau rānei.

Ko te nuinga o te wā ka pāngia tēnei mate e te hunga neke atu i te 50 tau te pakeke me te mate huka momo 2. I te nuinga o te wā ka puta mai i muri i te whā tau i te tīmatanga o te mate huka. Kei te ngana tonu ngā tākuta me ngā kairangahau ki te rapu i te take o tēnei mate uaua, nō reira kāore anō kia mārama te take tuturu .

He maha atu ngā ingoa e whakamahia ana e ngā tākuta mō tēnei mate, arā, ko te "Diabetic Amyotrophy". Ahakoa he ahua uaua aua ingoa, he rerekē katoa ngā āhuatanga o te mate kotahi. Anei ētahi tauira:

(Te neuropathy lumbosacral radiculoplexus e pā ana ki te mate huka - DLRPN)
(Te mate Bruns-Garland)
(Te neuropathy e pā ana ki te mate huka tata)
(Te mate huka polyradiculopathy)
(Te neuropathy femoral-sciatic o te mate huka)

Kāore koe e hiahia ki te maumahara ki ēnei ingoa katoa. Ko te mea nui kia mārama koe he mate motuhake tēnei e pā ana ki te mate huka, ā, ka pā ki ngā waewae.

He pēhea te noa o tēnei āhuatanga?

E ai ki te kōrero i mua ake nei, he tino onge te mate (Diabetic Amyotrophy). Kāore e puta i roto i te hunga katoa e mate huka ana. E kiia ana ka pā ki te 1% o te hunga mate huka. Heoi, he maha ake te kitea i roto i te hunga e mate huka ana (Momo 2 mate huka).

He aha ngā tohu o te (Diabetic Amyotrophy)?

Ko ngā tohu o tēnei mate ka pā ki ō hope, ki ō papa, me/ranei ki ō huha . Tirohia mēnā kei a koe ētahi o ēnei tohu:

Mamae neuropathic kino : Koinei te tohu tuatahi ka puta. Ka rite ki te mamae wera, te wero, te ngau rānei.
Ngāwari te ngenge o ngā uaua : Te āhua nei kua ngoikore ō waewae. He uaua ki te whakatika ake i te tūru, ki te piki arawhata rānei.
Te ngoikore o te uaua : Koinei te ngaronga o te papatipu uaua o ngā waewae. Tērā pea ka angiangi ake ngā huha i tōna āhua o mua.
Te ngaronga o ngā urupare (areflexia)Ina pā te tākuta i tō turi ki te hama iti, ka wiriwiri tō waewae, koia te whakaiti i ngā tauhohenga.

Ko te tikanga ka tīmata ohorere ēnei tohu i te taha kotahi o te tinana . Arā, ko te waewae matau te waewae matau, ko te waewae maui te waewae maui. Engari i roto i te wā, ka horapa ki tērā taha. Ka roa pea te mamae nui i te tīmatanga mai i ngā wiki ki ngā marama. I muri i te memeha o te mamae, ka tīmata te ngoikore o te uaua ki te piki haere. Ka taea e tēnei āhuatanga te kino haere i roto i te 18 marama pea. I ngā wā tino kino, kāore pea koe e taea te hikoi me te kore he āwhina .

Kātahi anō ka tau ngā tohu, ā, ka tīmata te tūroro ki te ora haere. E hia marama pea te roa o tēnei tukanga whakaora.

Hei tāpiritanga, ko ētahi tāngata e pāngia ana e te Diabetic Amyotrophy ka pāngia e te whakahekenga taumaha kāore i te mārama – neke atu i te 10 pauna (tata ki te 4.5 kirokaramu). Ko ētahi atu ka pāngia hoki e te mamae me te ngoikore o te uaua i te tinana (puku, uma) me ngā ringa.

He aha ngā take o te (Diabetic Amyotrophy)?

E ai ki tā mātou i kōrero ai i mua, kāore anō kia kitea e ngā kairangahau tētahi tino take mō tēnei, engari kei te haere tonu tā rātou rangahau.

E ai ki ngā taunakitanga o nāianei , he mate tēnei e kiia nei ko te microvasculitis, e puta mai ana i te mumura o ngā oko toto iti o te tinana. He māmā noa iho, ka nui rawa te mahi a te pūnaha ārai mate , e tiaki ana i tō tātou tinana mai i te mate, mō tētahi take, ā, ka pakaru ngā oko toto iti e tuku toto ana ki ngā io i roto i ngā hope me ngā waewae. Ka pakaru ngā io i tēnei.

Kua whakaatuhia e ngā rangahau i roto i te āhua "Diabetic Amyotrophy", ko ngā wāhanga e whai ake nei ka pakaru te nuinga:

Ngā pakiaka io : Koinei ngā wāhanga tuatahi o ngā io e puta mai ana i te taurakira i roto i tō tātou tuaiwi.
Ngā io ā-taha : Ko ētahi atu io e manga mai ana i aua pakiaka io.
Plexus Lumbosacral : Koinei te whatunga o ngā io e whakarato ana i te kare ā-roto me te mahi uaua (te kaha ki te neke) ki ō tātou waewae, i raro i te hope.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te (Diabetic Amyotrophy)?

Ko te nuinga o te wā ka pāngia te hunga mate huka e tēnei mate, engari kāore anō kia mōhiotia te tino take. He tino onge te kitenga i te hunga kāore he mate huka e pāngia ana e ēnei tohu.

Ko ngā mea e whai ake nei kua tautuhia hei take mōrearea mō te Diabetic Amyotrophy:

He mate huka momo 2 tōku.
Te whakahaere tere i ngā taumata huka toto. Hei tauira, mēnā ka heke whakarere tō uara "(A1C)" (e pā ana tēnei ki tō taumata huka toharite i ngā marama 2-3 kua hipa) mai i te 11% ki te 7% i roto i te marama.
Te whakahaere pakari i ngā taumata huka toto. Ko te tikanga, me pupuri te uara "A1C" i raro i te 7%.

Hei tāpiritanga ki tēnei, ko ētahi atu mea e whakaarohia ana hei take mō te puta o tēnei āhuatanga:

Te tīmatanga o te maimoatanga mō te mate huka.
He aituā, he whara rānei (ngā whara).
Te putanga mai o ngā mate urutā.
Ngā ārai mate.

Engari kei roto tonu i te wāhanga rangahau ēnei katoa.

Me pēhea te tautuhi i te (Diabetic Amyotrophy)?

Koinei te mea tino nui. Kāore he whakamātautau kotahi hei whakaū i te mate (Diabetic Amyotrophy). Ka tae atu ngā tākuta ki tēnei tātaritanga mā te tango takitahi i ētahi atu take pea (te tukanga whakakore). Arā, ka whakakorea e rātou ētahi atu āhuatanga e puta ai ō tohu i mua i te whakatau ko te (Diabetic Amyotrophy). Hei tauira, ka ngana rātou ki te whakakore i ngā āhuatanga pēnei i:

Te pēhanga o te pakiaka io.
Ngā pukupuku pelvic.
Te polyneuropathy demyelinating mumura mau tonu (CIDP).
Te pāwera o te sarkoidosis.
Ngā mate urutā pēnei i te (HIV), (Epstein-Barr virus), (cytomegalovirus) me te (syphilis).

Tuatahi, ka pātai atu tō tākuta ki a koe mō ō tohu me tō hītori hauora. Kātahi ka whakahaerehia he whakamātautau tinana me te whakamātautau io.

Hei tāpiri, ka tūtohutia pea ngā whakamātautau e whai ake nei:

Ngā whakamātautau toto : Hei tauira, he tatau toto katoa, he whakamātautau A1C, he whakamātautau mahi ate, me te whakamātautau toto konupūmā.
He matawai MRI o te tuaiwi lumbosacral.
He matawai CT o te rohe pelvic.
Ngā whakamātautau io : Ka whakamātautau ēnei i tō pūnaha io, inā koa ko tana mahi hiko.

He aha ngā maimoatanga mō te (Diabetic Amyotrophy)?

Ko te rongo pai, ko te nuinga o te hunga e pāngia ana e te Diabetic Amyotrophy ka ora ake i tētahi wāhi me te kore he maimoatanga hauora. Heoi, ki te kore e rongoatia, ka tino puhoi te whakaoranga, ka kore rānei e tino oti .

Kei te rangahau tonu ngā kairangahau i ngā maimoatanga whai hua mō te Diabetic Amyotrophy. Tērā pea ka whai wāhi koe ki te whakauru atu ki tētahi whakamātautau haumanu e whakamātautau ana i tētahi maimoatanga hou. Pātai atu ki tō tākuta mō tēnei.

Ki te kore, ko te nuinga o ngā tākuta e taunaki ana i ngā maimoatanga hei āwhina i te whakahaere i ngā tohu. Kei roto pea i ēnei:

Te whakahaere mamaeTērā pea ka tohua he rongoā mamae pēnei i te NSAID (ngā rongoā anti-inflammatory kore-steroidal) hei whakahaere i te mamae. Ka taea e te tango i te rongoā e kiia nei ko te Amitriptyline i te pō te āwhina i te mamae me te kore moe. Mēnā he nui te mamae, ka tohua pea e tō tākuta he rongoā mamae kaha ake, me kawe rānei koe ki te hōhipera.
Whakaora tinana : Ka whakawhanakehia e te kaiwhakaora tinana he raupapa o ngā mahi whakakori tinana me ngā nekehanga e hāngai ana ki a koe. Mā ēnei koe e āwhina ki te whakamahi i ō wāhanga tinana e pāngia ana, ki te whakahaere i te mamae, me te hanga anō i te kaha o te uaua.
Te whakaora mahi : Mena ka uaua te mahi i ngā mahi o ia rā nā te mate huka, ka taea e te kaiwhakaora mahi te āwhina i a koe ki te kimi huarahi hei mahi ngāwari ake. Tērā pea ka tūtohu rātou kia whakamahia ngā taputapu āwhina pēnei i te hikoi, te tūru wīra rānei.

He mea nui anō hoki kia mau tonu te whakahaere i ngā taumata huka toto hei ārai i ētahi atu raruraru ka puta mai i te mate huka .

He aha te āhua o te mate (Diabetic Amyotrophy)?

He mate motuhake te Amyotrophy Diabetic e memeha haere ana i roto i te wā. Ko te tikanga tēnei ka kite koe i ētahi whakapainga o ō tohumate i te mutunga. Heoi, ka roa pea te whakaoranga, ā, kāore e taea te matapae .

E ai ki te whakatau tata ki te 10% o te tangata ka hiahia ki te whakamahi i te tūru wīra i roto i ngā tau e rua i muri i te tīmatanga o ngā tohu. He tokomaha pea he hauātanga tuturu tōna.

Ahakoa he mate tēnei e kore e taea te whakaora i a ia anō , he mea nui kia rapu tohutohu hauora mō te Diabetic Amyotrophy. Mā te whakaora tinana, ina koa, ka taea te tere ake te wā whakaora.

Kia pēhea te roa o te mate huka amyotrophy?

Ka roa pea ngā tohu o tēnei mate mai i ētahi marama ki te rua tau pea. Whai muri i tēnā, ka roa pea te ora mō ngā marama ki ngā tau. He maha ngā tāngata ka mau tonu ētahi tohu (pēnei i te ngoikore) (ahakoa he iti iho i te wā i kino rawa ai te mate).

Ka taea e au te ārai i te mate huka amyotrophy?

I te mea kāore anō ngā kairangahau kia mōhio ki te tino take, kāore rawa he mea ka taea e koe te mahi hei ārai i tēnei mate .

Me pēhea taku tiaki i ahau anō mēnā kei a au te (Diabetic Amyotrophy)?

Haunga te rapu maimoatanga hauora, tera atu anō ētahi huarahi hei tiaki i a koe anō:

Inoi atu ki te hunga e arohaina ana e koe : Tērā pea ka uaua ki a koe te mahi i tāu mahi pērā i mua nā te mate huka Amyotrophy. Kaua e mangere ki te tono āwhina mai i tō whānau me ō hoa kia ora rā anō koe.
Rapua he āwhina hauora hinengaro.Ka pā pea tēnei momo āhuatanga ki tō hauora hinengaro. Ka puta pea ngā āhuatanga pēnei i te pouri, te manukanuka rānei. Mena ka tino pāngia koe e te ahotea, e te noho mokemoke rānei i roto i tēnei āhuatanga, rapua he āwhina mai i tētahi atu pērā i te kaiwhakatakoto whakaaro ngaio, i te tohunga hinengaro rānei.

Āhea ahau me toro atu ki taku tākuta?

Mena kei a koe te Diabetic Amyotrophy, me toro atu koe ki tō tākuta i ia wā, i ia wā, kia aroturukihia ai tō āhua, kia mōhio ai hoki kei te pai te haere o tō mahere maimoatanga. Me whakamōhio atu ki tō tākuta mēnā ka kino haere, ka rerekē rānei ō tohumate .

He uaua, he whakarihariha hoki te whakatau i tētahi raruraru o te mate huka, inā koa kua pai te whakahaere i tō huka toto. Engari kia maumahara, ka tino pai ake ngā tohu o te "Diabetic Amyotrophy" i roto i te wā. Kia tae rā anō ki taua wā, rapua he maimoatanga hauora hei whakahaere i ō tohu me te whakapakari i ō uaua. Ka noho tahi tō tākuta me koe i tēnei haerenga whakaora.

Kia maumahara hei whakarāpopototanga (Karere hei tango ki te kāinga)

He mate onge te mate huka Amyotrophy e puta ai te mamae nui me te ngoikore o ngā hope me ngā huha. Ko te nuinga o te wā ka pā ki te hunga neke atu i te 50 tau te pakeke me te mate huka momo 2.

Ngā Tohu : I te tīmatanga ka mamae nui, kātahi ka ngoikore te uaua me te ngenge. Tērā pea ka uaua te hikoi.
Take : Kāore i te tino mōhiotia, engari e whakaarohia ana he kino ki ngā uaua toto e tuku toto ana ki ngā io nā te raruraru o te pūnaha ārai mate.
Tātaritanga : Ka whakatauhia te tātaritanga mā te whakakore i ētahi atu mate. He āwhina te MRI, te CT scan, me ngā whakamātautau io.
Maimoatanga : He mea nui te whakaiti i te mamae, te whakaora tinana, me te whakaora mahi. He mea nui anō hoki te whakahaere i te huka toto.
Te Whakaora : Ka roa te wā, engari ka pai ake ngā tohu.

Ki te pā mai tētahi o ēnei tohu ki a koe, kaua e mangere ki te toro atu ki te tākuta mō ētahi tohutohu. He mea tino nui te tautuhi wawe me te maimoatanga.