Kodi mumamvanso kupweteka kwambiri komanso dzanzi m'miyendo yanu chifukwa cha matenda a shuga? Tiyeni tiphunzire za izi (Diabetic Amyotrophy)!

Kodi muli ndi matenda a shuga? Kodi nthawi zina mumamva kupweteka kosapiririka m'chiuno ndi m'ntchafu zanu, kenako mwadzidzidzi mumamva ngati miyendo yanu yayamba kuchita dzanzi? Mungaganize kuti ili ndi vuto lina la matenda a shuga. Zoona, ili ndi vuto lomwe limagwirizanitsidwa ndi matenda a shuga, koma lingakhale losowa kwambiri. Lero tikambirana za chinthu chonga ichi.

Kodi matenda a shuga otchedwa "Diabetic Amyotrophy" ndi chiyani?

Mwachidule, `(Diabetic Amyotrophy)` ndi matenda a mitsempha ndi minofu omwe amakhudza chiuno, matako, ndi ntchafu zanu, zomwe zimayambitsa kupweteka kwambiri ndi kufooka kwa minofu . Imeneyi ndi vuto losowa. Nthawi zambiri, zizindikiro izi zikayamba, zimakula pakapita nthawi, kenako pang'onopang'ono, nthawi zina miyezi kapena zaka, zimachira.

Matendawa nthawi zambiri amakhudza anthu azaka zopitilira 50 omwe ali ndi matenda a shuga amtundu wa 2. Nthawi zambiri amapezeka patatha zaka zinayi kuchokera pamene matendawa adayamba. Madokotala ndi ofufuza akuyesetsabe kupeza chomwe chimayambitsa vutoli, kotero chifukwa chenicheni sichikudziwikabe .

Madokotala amagwiritsa ntchito mayina ena ambiri pa vuto ili, ``Diabetic Amyotrophy''. Mayina amenewo angamveke ngati ovuta pang'ono, koma onse ndi osiyana pa vuto lomwelo. Nazi zitsanzo zingapo:

• (Matenda a shuga okhudzana ndi lumbosacral radiculoplexus neuropathy - DLRPN)`
• `(Matenda a Bruns-Garland)`
• `(Proximal matenda a shuga-related neuropathy)`
• `(Diabetic polyradiculopathy)`
• `(Femoral-sciatic neuropathy ya matenda a shuga)`

Simukuyenera kukumbukira mayina onsewa. Chofunika kwambiri ndikumvetsa kuti iyi ndi matenda enaake omwe amabwera ndi matenda a shuga ndipo amakhudza mapazi.

Kodi vutoli ndi lofala bwanji?

Monga tanenera kale, `(Diabetic Amyotrophy)` ndi vuto losowa kwambiri . Silikula mwa aliyense amene ali ndi matenda a shuga. Akuti limakhudza pafupifupi 1% ya anthu omwe ali ndi matenda a shuga. Komabe, limapezeka kawirikawiri mwa anthu omwe ali ndi matenda a shuga a mtundu wa 2.

Kodi zizindikiro za `(Diabetic Amyotrophy)` ndi ziti?

Zizindikiro za vutoli zimakhudza kwambiri chiuno, matako, ndi/kapena ntchafu zanu. Onani ngati muli ndi zizindikiro izi:

• Ululu waukulu wa mitsempha : Ichi nthawi zambiri chimakhala chizindikiro choyamba kuwonekera. Chimamveka ngati kupweteka koyaka, kubaya, kapena kuluma.
• Kufooka kwa minofu : Kumva ngati miyendo yanu yayamba kuchita dzanzi. Kuvutika kudzuka pampando kapena kukwera masitepe.
• Kufooka kwa minofu : Uku ndi kutayika kwa minofu m'miyendo. Ntchafu zingawoneke zoonda kuposa kale.
• Kutaya kwa reflexes (areflexia)Dokotala akakumenyani bondo ndi nyundo yaying'ono, mwendo wanu umagwedezeka, ndi momwe ma reflexes amachepa.

Zizindikiro zimenezi nthawi zambiri zimayamba mwadzidzidzi mbali imodzi ya thupi . Ndiko kuti, mwendo wakumanja ndi mwendo wakumanja, mwendo wakumanzere ndi mwendo wakumanzere. Koma pakapita nthawi, zimatha kufalikira mbali inayo. Ululu woyamba waukulu ukhoza kukhalapo kwa milungu ingapo mpaka miyezi ingapo. Ululuwo ukatha, kufooka kwa minofu kumayamba kukula. Vutoli likhoza kukulirakulira pang'onopang'ono pakatha miyezi pafupifupi 18. Pa milandu yovuta kwambiri, simungathe kuyenda popanda thandizo .

Pokhapokha zizindikirozo zimakhazikika ndipo wodwalayo amayamba kuchira pang'onopang'ono. Kuchira kumeneku kungatenge miyezi ingapo.

Kuphatikiza apo, anthu ena omwe ali ndi matenda a shuga otchedwa Diabetic Amyotrophy amatha kuchepetsa thupi mosayembekezereka - nthawi zambiri amalemera makilogalamu opitilira 4.5. Ena amathanso kumva kupweteka komanso kufooka kwa minofu m'thupi (m'mimba, pachifuwa) ndi m'manja.

Kodi zimayambitsa `(Amyotrophy ya Matenda a Shuga)` ndi ziti?

Monga tanenera kale, ofufuza sanapeze chifukwa chenicheni cha izi, koma akupitilizabe kuchiphunzira.

Umboni wamakono ukusonyeza kuti uwu ndi matenda otchedwa microvasculitis, omwe amayamba chifukwa cha kutupa kwa mitsempha yaing'ono yamagazi m'thupi. Mwachidule, chitetezo cha mthupi , chomwe chimateteza thupi lathu ku matenda, chimagwira ntchito mopitirira muyeso pazifukwa zina ndipo chimawononga mitsempha yaing'ono yamagazi yomwe imapereka magazi ku mitsempha ya m'chiuno ndi miyendo. Izi zimapangitsa kuti mitsempha iwonongeke.

Kafukufuku wasonyeza kuti mu matenda a ``Diabetic Amyotrophy``, ziwalo zotsatirazi zimawonongeka kwambiri:

• Mizu ya mitsempha : Izi ndi ziwalo zoyamba za mitsempha zomwe zimatuluka mu msana wa msana wathu.
• Mitsempha ya m'mphepete mwa mitsempha : Mitsempha ina yomwe imafalikira kuchokera ku mizu ya mitsempha imeneyo.
• Lumbosacral plexus : Iyi ndi netiweki ya mitsempha yomwe imapereka kumva (kumverera) ndi kugwira ntchito kwa minofu (kutha kuyenda) ku miyendo yathu, pansi pa chiuno.

Ndani ali pachiwopsezo chachikulu chotenga matenda a `(Diabetic Amyotrophy)`?

Matendawa nthawi zambiri amakhudza anthu omwe ali ndi matenda a shuga, koma chomwe chimayambitsa matendawa sichikudziwika. Nthawi zambiri, anthu omwe alibe matenda a shuga amanenedwa kuti ali ndi zizindikiro izi.

Zotsatirazi zadziwika kuti ndi zinthu zomwe zimayambitsa matenda a shuga otchedwa Diabetes Amyotrophy:

• Kukhala ndi matenda a shuga amtundu wa 2.
• Kuwongolera mwachangu kuchuluka kwa shuga m'magazi. Mwachitsanzo, ngati mtengo wanu wa ``(A1C)`` (izi zikutanthauza kuchuluka kwa shuga m'miyezi 2-3 yapitayi) watsika mwadzidzidzi kuchoka pa 11% kufika pafupifupi 7% mkati mwa mwezi umodzi.
• Kuwongolera shuga m'magazi mosamala. Kawirikawiri, kusunga "A1C" pansi pa 7%.

Kuwonjezera pa izi, palinso zinthu zina zomwe zimaganiziridwa kuti zimayambitsa vutoli:

• Kuyamba chithandizo cha matenda a shuga.
• Ngozi kapena kuvulala (kuvulala).
• Kupezeka kwa matenda.
• Katemera.

Koma zonsezi zikadali mu gawo lofufuza.

Kodi mungazindikire bwanji `(Diabetic Amyotrophy)`?

Ichi ndiye chinthu chofunikira kwambiri. Palibe mayeso amodzi otsimikizika otsimikizira vutoli `(Diabetic Amyotrophy)`. Madokotala amapeza matendawa mwa kuchotsa zifukwa zina zomwe zingachitike chimodzi ndi chimodzi (njira yochotsera). Izi zikutanthauza kuti, amachotsa matenda ena omwe angayambitse zizindikiro zanu asanaganize kuti ndi `(Diabetic Amyotrophy)`. Mwachitsanzo, amayesa kuchotsa matenda monga:

• Kupsinjika kwa mizu ya mitsempha.
• Zotupa za m'chiuno.
• Matenda a kutupa omwe amachititsa kuti mitsempha yamagazi isatuluke nthawi yayitali (CIDP).
• Sarcoidosis.
• Matenda monga `(HIV)`, `(Epstein-Barr virus)`, `(cytomegalovirus)` ndi `(syphilis)`.

Choyamba, dokotala wanu adzakufunsani za zizindikiro zanu ndi mbiri yanu ya matenda. Kenako, adzakuyezani thupi lanu ndi kuyeza ubongo.

Kuphatikiza apo, mayeso otsatirawa angalimbikitsidwe:

• Kuyezetsa magazi : Mwachitsanzo, kuwerengera magazi onse, kuyezetsa kwa A1C, kuyezetsa ntchito ya chiwindi, ndi kuyezetsa magazi a calcium.
• Kujambula kwa MRI kwa msana wa lumbosacral.
• Kujambula malo a m'chiuno pogwiritsa ntchito CT scan.
• Mayeso a neurophysiological : Izi zimayesa dongosolo lanu la mitsempha, makamaka momwe limagwirira ntchito zamagetsi.

Kodi mankhwala a `(Diabetic Amyotrophy)` ndi ati?

Nkhani yabwino ndi yakuti anthu ambiri omwe ali ndi matenda a shuga otchedwa Diabetic Amyotrophy amachira pang'ono popanda chithandizo chamankhwala. Komabe, ngati sanalandire chithandizo, kuchira kumatha kuchitika pang'onopang'ono kapena kosatha .

Ofufuza akuphunzirabe za mankhwala othandiza a matenda a shuga otchedwa Amyotrophy. Mungakhalenso ndi mwayi wolowa nawo mu kafukufuku wachipatala womwe ukuyesa mankhwala atsopano. Funsani dokotala wanu za izi.

Kupanda kutero, madokotala amalimbikitsa makamaka mankhwala omwe amathandiza kuchepetsa zizindikiro. Izi zingaphatikizepo:

• Kusamalira ululu: Mankhwala ochepetsa ululu monga NSAIDs (mankhwala oletsa kutupa omwe si a steroidal) angakupatseni mankhwala ochepetsa ululu. Kumwa mankhwala otchedwa Amitriptyline usiku kungathandize kuchepetsa ululu komanso kusowa tulo. Ngati ululu uli waukulu, dokotala wanu angakupatseni mankhwala amphamvu ochepetsa ululu kapena mungafunike kupita kuchipatala.
• Kuchiza ndi thupi : Katswiri wa thupi adzapanga masewera olimbitsa thupi ndi mayendedwe osiyanasiyana omwe amapangidwira inu. Izi zidzakuthandizani kugwiritsa ntchito ziwalo za thupi lanu zomwe zakhudzidwa, kuwongolera ululu, ndikumanganso mphamvu za minofu.
• Chithandizo cha Occupational Therapy : Ngati matenda anu a shuga amyotrophy amakulepheretsani kuchita ntchito zanu za tsiku ndi tsiku, katswiri wa opaleshoni angakuthandizeni kupeza njira zochitira zinthuzo mosavuta. Angakulimbikitseninso kugwiritsa ntchito zipangizo zothandizira monga choyendera kapena chikuku.

Komanso, ndikofunikira kwambiri kuti shuga m'magazi mwanu aziyang'aniridwa bwino kuti mupewe mavuto ena omwe angabwere chifukwa cha matenda a shuga .

Kodi matenda a `(Diabetic Amyotrophy)` amatanthauza chiyani?

Matenda a shuga otchedwa Amyotrophy ndi matenda omwe nthawi zambiri amatha okha pakapita nthawi. Izi zikutanthauza kuti pamapeto pake mudzawona kusintha kwa zizindikiro zanu. Komabe, kuchira kumatha kukhala kwa nthawi yayitali komanso kosayembekezereka .

Akuti pafupifupi 10% ya anthu adzafunika kugwiritsa ntchito njinga ya olumala mkati mwa zaka ziwiri kuchokera pamene zizindikiro zayamba. Ambiri angakhalenso ndi chilema chokhazikika.

Ngakhale kuti vutoli limadziletsa lokha , ndikofunikira kufunafuna upangiri wa dokotala wa matenda a shuga otchedwa Amyotrophy. Chithandizo cha thupi, makamaka, chingathandize kuti nthawi yanu yochira ichepe msanga.

Kodi amyotrophy ya matenda a shuga imatha nthawi yayitali bwanji?

Zizindikiro za matendawa zimatha kukhala miyezi ingapo mpaka zaka ziwiri. Pambuyo pake, kuchira kumatha kutenga miyezi mpaka zaka. Anthu ambiri amatha kupitiriza kukhala ndi zizindikiro zina (monga kufooka) (ngakhale zochepa kwambiri poyerekeza ndi pamene matendawa anali ovuta kwambiri).

Kodi ndingapewe matenda a shuga otchedwa amyotrophy?

Popeza ofufuza sakudziwabe chomwe chimayambitsa vutoli, palibe chomwe mungachite kuti mupewe vutoli .

Kodi ndingadzisamalire bwanji ngati ndili ndi `(Diabetic Amyotrophy)`?

Kuwonjezera pa kufunafuna chithandizo chamankhwala, palinso njira zina zomwe mungadzisamalire nokha:

• Pemphani thandizo kwa okondedwa anu : Matenda a shuga otchedwa Amyotrophy angakulepheretseni kugwira ntchito yanu monga kale. Musazengereze kupempha thandizo kwa abale anu ndi anzanu mpaka mutachira.
• Funani thandizo la thanzi la maganizo.: Mkhalidwe woterewu ungakhudzenso thanzi lanu la maganizo. Zinthu monga kupsinjika maganizo kapena nkhawa zingachitike. Ngati vutoli likupangitsani kumva kupsinjika maganizo kwambiri kapena kusungulumwa, funani thandizo kwa munthu monga katswiri wa zamaganizo kapena katswiri wa zamaganizo.

Ndiyenera kupita kwa dokotala liti?

Ngati muli ndi matenda a shuga otchedwa Diabetic Amyotrophy, muyenera kupita kwa dokotala nthawi zonse kuti muwone momwe matenda anu alili komanso kuti muwonetsetse kuti dongosolo lanu la chithandizo likugwira ntchito. Onetsetsani kuti mwadziwitsa dokotala wanu ngati zizindikiro zanu zikuipiraipira kapena kusintha .

Kuthana ndi vuto la matenda a shuga, makamaka ngati shuga m'magazi mwanu wachepetsedwa bwino, kungakhale kovuta komanso kokhumudwitsa. Koma kumbukirani kuti zizindikiro za "Diabetic Amyotrophy" zidzachepa pakapita nthawi. Mpaka nthawi imeneyo, funani chithandizo chamankhwala kuti muchepetse zizindikiro zanu ndikulimbitsa minofu yanu. Dokotala wanu adzakhala nanu paulendo uwu wochira.

Kumbukirani mwachidule (Uthenga Wopita Nawo Kunyumba)

Matenda a shuga otchedwa Amyotrophy ndi matenda osowa omwe amayambitsa kupweteka kwambiri komanso kufooka m'chiuno ndi ntchafu. Amakhudza kwambiri anthu azaka zopitilira 50 omwe ali ndi matenda a shuga amtundu wachiwiri.

• Zizindikiro : Poyamba ululu waukulu, kenako minofu imafooka komanso imataya mphamvu. Kuyenda kungakhale kovuta.
• Chifukwa : Sizikudziwika bwino, koma akuganiza kuti ndi kuwonongeka kwa mitsempha yamagazi yomwe imapereka magazi ku mitsempha chifukwa cha vuto la chitetezo chamthupi.
• Kuzindikira : Kuzindikira kumachitika pochotsa matenda ena. MRI, CT scan, ndi mayeso a mitsempha zimathandiza.
• Chithandizo : Kuchepetsa ululu, kuchita masewera olimbitsa thupi, ndi kuchita masewera olimbitsa thupi n'kofunika kwambiri. Kuchepetsa shuga m'magazi n'kofunikanso.
• Kuchira : Zimatenga nthawi, koma zizindikiro nthawi zambiri zimachepa.

Ngati muli ndi zizindikiro izi, musazengereze kupita kwa dokotala kuti akakupatseni upangiri. Kuzindikira matendawa msanga ndi kulandira chithandizo ndikofunikira kwambiri.

Matenda a shuga, amyotrophy, kupweteka kwa mitsempha, kufooka kwa minofu, kupweteka kwa miyendo, mavuto a shuga, chithandizo cha thupi