Ese nawe ujya ugira ububabare bukomeye no kugira ibisebe mu maguru yawe bitewe na diyabete? Reka twige kuri ibi (Amyotrophy ya Diyabete)!

Ese urwaye diyabete? Hari igihe wumva ububabare bukabije mu kibuno no mu matako, ukumva amaguru yawe arimo gucika intege? Ushobora gutekereza ko iki ari ikindi kibazo cya diyabete. Nibyo, iyi ni indwara ifitanye isano na diyabete, ariko ishobora kuba idasanzwe. Uyu munsi tugiye kuvuga ku kintu nk'iki.

Iyi ndwara ya diyabete yitwa "(Amyotrophy ya diyabete)" iterwa n'iki?

Mu magambo make, `(Amyotrophy ya diyabete)` ni indwara y'imitsi n'imitsi ifata ikibuno cyawe, amatako n'amatako, bigatera ububabare bukomeye n'intege nke z'imitsi . Iyi ni indwara idakunze kugaragara. Akenshi, nyuma y'uko ibi bimenyetso bitangiye, birarushaho kwiyongera uko igihe kigenda gihita, hanyuma buhoro buhoro, rimwe na rimwe amezi cyangwa imyaka, bikagenda bikira.

Iyi ndwara ikunze kwibasira abantu barengeje imyaka 50 bafite diyabete yo mu bwoko bwa 2. Akenshi igaragara nyuma y'imyaka ine diyabete itangiye. Abaganga n'abashakashatsi baracyagerageza kumenya neza icyateye iyi ndwara ikomeye, bityo impamvu nyayo ntiramenyekana neza .

Abaganga bakoresha andi mazina menshi kuri iyi ndwara, "Diabete Amyotrophy". Ayo mazina ashobora kumvikana nk'aho agoye, ariko yose ni ibintu bitandukanye by'iyo ndwara. Dore ingero nke:

• (Indwara ya lumbosacral radiculoplexus neuropathy iterwa na diyabete - DLRPN)`
• `(Indwara ya Bruns-Garland)`
• `(Indwara y'imitsi iterwa na diyabete)`
• `(Diabete polyradiculopathy)`
• `(Indwara y'imitsi yo mu bwonko iterwa na diyabete)`

Ntabwo ari ngombwa kwibuka aya mazina yose. Igikuru ni ukumenya ko iyi ari indwara yihariye izanwa na diyabete kandi ikagira ingaruka ku birenge.

Iyi ndwara ikunze kugaragara gute?

Nkuko byavuzwe mbere, `(Amyotrophy ya diyabete)` ni indwara idakunze kugaragara . Ntabwo ifata abantu bose barwaye diyabete. Bivugwa ko yibasira abantu bagera kuri 1% barwaye diyabete. Ariko, igaragara cyane ku bantu barwaye `(Diyabete yo mu bwoko bwa 2)`.

Ni ibihe bimenyetso bya `(Amyotrophy ya Diyabete)`?

Ibimenyetso by'iyi ndwara bigira ingaruka cyane cyane ku matako yawe, ku matako, no ku bibero byawe . Reba niba ufite kimwe muri ibi bimenyetso:

• Ububabare bukomeye bw'imitsi : Iki ni cyo kimenyetso cya mbere kigaragara. Bishobora kumvikana nk'ububabare butwika, buteye icyuma, cyangwa butera cyane.
• Intege nke z'imitsi : Kumva amaguru yawe arimo gucika intege. Kugorwa no guhaguruka ku ntebe cyangwa kuzamuka ingazi.
• Kugabanuka kw'imitsi : Uku ni ukubura kw'imitsi mu maguru. Ibibero bishobora kugaragara nk'aho bito kurusha mbere.
• Kubura uburyo bwo kuruhuka (areflexia): Iyo umuganga akukubise ivi n'inyundo nto, ukuguru kwawe kurahinda, uko niko reflexes zigabanuka.

Ibi bimenyetso akenshi bitangira mu buryo butunguranye ku ruhande rumwe rw'umubiri . Ni ukuvuga ko ukuguru kw'iburyo ari ukuguru kw'iburyo, ukuguru kw'ibumoso ari ukuguru kw'ibumoso. Ariko uko igihe kigenda gihita, bishobora gukwirakwira no ku rundi ruhande. Ububabare bukabije bwa mbere bushobora kumara ibyumweru kugeza ku mezi. Nyuma y'uko ububabare bugabanutse, intege nke z'imitsi zitangira kwiyongera. Iyi ndwara ishobora kwiyongera buhoro buhoro mu mezi agera kuri 18. Mu bihe bikomeye cyane, ushobora no kudashobora kugenda nta bufasha .

Icyo gihe ni bwo ibimenyetso bihagarara neza maze umurwayi agatangira gukira buhoro buhoro. Ubu buryo bwo gukira bushobora gufata amezi menshi.

Byongeye kandi, bamwe mu bantu barwaye diyabete Amyotrophy bashobora kugabanya ibiro mu buryo butari bwo - akenshi barenza ibiro 10 (hafi ibiro 4.5). Abandi bashobora no kugira ububabare n'intege nke z'imitsi mu gituza (inda, igituza) no mu maboko.

Ni izihe mpamvu za `(Amyotrophy ya Diyabete)`?

Nkuko twabivuze mbere, abashakashatsi ntibarabona impamvu nyayo ibitera, ariko bakomeje kuyisesengura.

Ibimenyetso bihari bigaragaza ko iyi ari indwara yitwa microvasculitis, iterwa no kubyimba kw'imitsi mito y'amaraso mu mubiri. Muri make, ubudahangarwa bw'umubiri , burinda umubiri wacu indwara, bukora cyane ku mpamvu runaka kandi bukangiza imitsi mito y'amaraso itanga amaraso mu mitsi yo mu kibuno no mu maguru. Ibi bitera kwangirika kw'imitsi.

Ubushakashatsi bwagaragaje ko mu ndwara ya ``Diabete Amyotrophy``, ibice bikurikira byangiritse cyane cyane:

• Imizi y'imitsi : Ibi ni ibice by'ibanze by'imitsi iva mu ruti rw'umugongo mu ruti rw'umugongo rwacu.
• Imitsi yo mu mpande : Indi mitsi iva muri iyo mizi y'imitsi.
• Plexus ya Lumbosacral : Uru ni urusobe rw'imitsi itanga ibyiyumvo (ibyiyumvo) n'imikorere y'imitsi (ubushobozi bwo kwimuka) ku maguru yacu, munsi y'ikibuno.

Ni nde ufite ibyago byinshi byo kurwara `(Diabete Amyotrophy)`?

Iyi ndwara ikunze kwibasira abantu barwaye diyabete, ariko impamvu nyayo ntabwo izwi. Ni gake cyane abantu badafite diyabete nabo bagaragayeho ibyo bimenyetso.

Ibi bikurikira byagaragaye nk'ibintu bishobora gutera Amyotrophy ya Diyabete:

• Kuba ufite diyabete yo mu bwoko bwa 2.
• Kugenzura vuba urugero rw'isukari mu maraso. Urugero, niba agaciro kawe ka "(A1C)`` (ibi bivuga urugero rw'isukari mu maraso yawe mu mezi 2-3 ashize) kagabanutse mu buryo butunguranye kuva kuri 11% kakagera kuri 7% mu kwezi kumwe.
• Kugenzura neza urugero rw'isukari mu maraso. Ubusanzwe, kugira agaciro ka "A1C" kari munsi ya 7%.

Uretse ibi, hari n'ibindi bintu bivugwa ko ari byo bituma iyi ndwara ivuka:

• Gutangira kuvura diyabete.
• Impanuka cyangwa imvune (ihungabana).
• Kugaragara kwandura indwara.
• Gukingira.

Ariko ibi byose biracyari mu cyiciro cy'ubushakashatsi.

Ni gute wasuzuma `(Amyotrophy ya Diyabete)`?

Iki ni cyo kintu cy'ingenzi cyane. Nta kizamini na kimwe gifatika gihari cyo kwemeza indwara `(Amyotrophy ya Diyabete)`. Abaganga bagera kuri iki gipimo bakuraho izindi mpamvu zishobora gutera imwe imwe (inzira yo gukuraho). Ni ukuvuga ko bakuraho izindi ndwara zishobora gutera ibimenyetso byawe mbere yo gufata icyemezo cy'uko ari `(Amyotrophy ya Diyabete)`. Urugero, bagerageza gukuraho indwara nka:

• Gukanda imizi y'imitsi.
• Ibibyimba byo mu gituza.
• Ubwinshi bw'indwara z'imitsi idakira (CIDP).
• Sarcoidosis.
• Indwara nka `(VIH)`, `(Epstein-Barr virus)`, `(cytomegalovirus)` na `(syphilis)`.

Ubwa mbere, umuganga wawe azakubaza ibimenyetso byawe n'amateka y'ubuzima bwawe. Hanyuma, azagukorera isuzuma ry'umubiri n'isuzuma ry'imitsi.

Byongeye kandi, ibizamini bikurikira bishobora gusabwa:

• Ibipimo by'amaraso : Urugero, kubara amaraso yose, ikizamini cya A1C, ibizamini by'imikorere y'umwijima, n'ikizamini cy'amaraso ya kalisiyumu.
• Isuzuma rya MRI ry'umugongo wa lumbosacral.
• Gupima agace k'ikibuno hakoreshejwe CT scan.
• Ibipimo by'imitsi : Ibi bipima uturemangingo tw'imitsi yawe, cyane cyane imikorere y'amashanyarazi.

Ni ubuhe buryo bwo kuvura `(Amyotrophy ya Diyabete)`?

Inkuru nziza ni uko abantu benshi barwaye Amyotrophy ya Diyabete bazakira ku rugero runaka batavuwe. Ariko, iyo batavuwe, gukira bishobora gutinda cyane cyangwa ntibibe byose .

Abashakashatsi baracyari kwiga uburyo bwiza bwo kuvura Amyotrophy ya Diyabete. Ushobora kandi kugira amahirwe yo kwinjira mu igerageza ry’ubuvuzi ririmo kugerageza uburyo bushya bwo kuvura. Baza muganga wawe ibyabyo.

Bitabaye ibyo, abaganga batanga inama ku buryo bufasha mu kugabanya ibimenyetso. Muri byo hashobora kuba harimo:

• Kurwanya ububabare: Imiti igabanya ububabare nka NSAIDs (imiti igabanya ububabare idakoresha steroide) ishobora gutangwa kugira ngo igabanye ububabare. Gufata umuti witwa Amitriptyline nijoro bishobora gufasha kubabara ndetse no kubura ibitotsi. Iyo ububabare bukabije, muganga wawe ashobora kukwandikira imiti ikomeye igabanya ububabare cyangwa ukaba ukeneye kujya mu bitaro.
• Ubuvuzi bw'umubiri : Umuvuzi w'umubiri azagukorera imyitozo n'ingendo bigukwiriye. Ibi bizagufasha gukoresha ibice by'umubiri wawe byangiritse, kugenzura ububabare, no kongera gukomera kw'imitsi.
• Ubuvuzi bw'akazi : Niba indwara ya diyabete igutera kugorwa no gukora imirimo yawe ya buri munsi, umuvuzi w'akazi ashobora kugufasha kubona uburyo bwo kubikora byoroshye. Bashobora kandi kukugira inama yo gukoresha ibikoresho bigufasha nko kugenda cyangwa intebe y'abamugaye.

Nanone, ni ingenzi cyane kugenzura neza urugero rw'isukari mu maraso yawe kugira ngo wirinde izindi ngorane zishobora guterwa na diyabete .

Ni iki giteganyijwe ku ndwara ya `(Diabete Amyotrophy)`?

Amyotrophy ya diyabete ni indwara yigenga ikunze kwiyahura uko igihe kigenda gihita. Ibi bivuze ko amaherezo uzabona ko ibimenyetso byawe bizagenda neza. Ariko, gukira bishobora kumara igihe kirekire kandi ntibitegerezwe .

Bivugwa ko abantu bagera ku 10% bazakenera gukoresha intebe y'abamugaye mu myaka ibiri nyuma yo kugaragaza ibimenyetso. Benshi bashobora kandi kugira ubumuga buhoraho.

Nubwo iyi ari indwara yigenga , ni ngombwa gushaka inama kwa muganga ku ndwara ya diyabete Amyotrophy. By’umwihariko, ubuvuzi bw’umubiri bushobora kugufasha kwihutisha igihe cyo gukira.

Amyotrophy ya Diyabete ishobora kumara igihe kingana iki?

Ibimenyetso by'iyi ndwara bishobora kumara amezi make kugeza ku myaka ibiri. Nyuma y'ibyo, gukira bishobora gufata amezi cyangwa imyaka. Abantu benshi bashobora gukomeza kugira ibimenyetso bimwe na bimwe (nk'intege nke) (nubwo bitari byinshi ugereranyije n'igihe indwara yari igeze ku rwego rwo hejuru).

Ese nshobora kwirinda Amyotrophy ya Diyabete?

Kubera ko abashakashatsi bataramenya impamvu nyayo, nta kintu na kimwe wakora kugira ngo wirinde iki kibazo .

Nitwara nte niba mfite `(Amyotrophy ya Diyabete)`?

Uretse gushaka ubuvuzi, hari ubundi buryo ushobora kwiyitaho:

• Saba ubufasha ku bakunzi bawe : Kurwara indwara ya diyabete bishobora gutuma bigorana gukora akazi kawe nkuko wabikoraga mbere. Ntugatinye gusaba ubufasha ku muryango wawe n'inshuti kugeza igihe uzakira.
• Shaka ubufasha ku buzima bwo mu mutwe.: Ubu bwoko bw'ibintu bushobora no kugira ingaruka ku buzima bwawe bwo mu mutwe. Ibintu nk'ihungabana cyangwa guhangayika bishobora kubaho. Niba iki kibazo kigutera guhangayika cyane cyangwa kwigunga mu bandi, shaka ubufasha ku muntu nk'umujyanama w'inzobere cyangwa inzobere mu by'imitekerereze.

Ni ryari ngomba kubonana na muganga wanjye?

Niba urwaye Amyotrophy ya Diyabete, uzakenera kujya kwa muganga wawe buri gihe kugira ngo akurikirane uko umerewe kandi arebe neza ko gahunda yawe yo kuvura ikora. Menya neza ko wabwiye muganga wawe niba ibimenyetso byawe birushijeho kwiyongera cyangwa bihindutse .

Guhangana n'ikibazo cya diyabete, cyane cyane iyo isukari yawe mu maraso igenzuwe neza, bishobora kugorana kandi bikakubabaza. Ariko ibuka ko ibimenyetso bya "Diabete Amyotrophy" bizagenda neza uko igihe kigenda gihita. Kugeza icyo gihe, shaka ubuvuzi kugira ngo ucunge ibimenyetso byawe kandi ukomeze imitsi yawe. Muganga wawe azaba ari kumwe nawe muri uru rugendo rwo gukira.

Ibuka nk'incamake (Ubutumwa bwo kujyana mu rugo)

Amyotrophy iterwa na diyabete ni indwara idakunze kugaragara itera ububabare bukomeye n'intege nke mu kibuno no mu matako. Ikunze kwibasira abantu barengeje imyaka 50 bafite diyabete yo mu bwoko bwa 2.

• Ibimenyetso : Mu ntangiriro ububabare bukabije, hanyuma imitsi igacika intege ndetse no gutakaza imbaraga. Bishobora kandi kugorana kugenda.
• Impamvu : Ntabwo izwi neza, ariko bikekwa ko ari ukwangirika kw'imitsi itanga amaraso mu mitsi bitewe n'ikibazo cy'ubudahangarwa bw'umubiri.
• Gusuzuma : Gusuzuma bikorwa hashingiwe ku zindi ndwara. MRI, CT scan, n'ibizamini by'imitsi birafasha.
• Ubuvuzi : Kugabanya ububabare, ubuvuzi bw'umubiri, ubuvuzi bw'akazi ni ingenzi. Kugenzura isukari mu maraso nabyo ni ingenzi.
• Gukira : Bifata igihe, ariko ibimenyetso akenshi biragabanuka.

Niba ufite kimwe muri ibi bimenyetso, ntutindiganye kujya kwa muganga kugira ngo akugire inama. Gusuzuma indwara hakiri kare no kuyivura ni ingenzi cyane.

Diyabete , amyotrophy, ububabare bw'imitsi, intege nke z'imitsi, ububabare bw'amaguru, ingorane za diyabete, ubuvuzi bw'umubiri