Unonzwawo kurwadziwa kwakanyanya uye kusanzwa simba mumakumbo ako nekuda kwechirwere cheshuga here? Ngatidzidzei nezve (Diabetic Amyotrophy)!

Une chirwere cheshuga here? Dzimwe nguva unonzwa kurwadziwa kusingatsungiririki muhudyu mako nemuzvidya, wobva wangonzwa sekunge makumbo ako ava kupera simba? Ungafunga kuti ichi chinongova chimwezve chinetso chechirwere cheshuga. Ichokwadi, ichi chirwere chinobatanidzwa nechirwere cheshuga, asi chingangove chisingawanzoitiki. Nhasi tichataura nezvechimwe chinhu chakadai.

Chii chinonzi chirwere ichi chinonzi "(Diabetic Amyotrophy)" chine chekuita nechirwere cheshuga?

Zvichitaurwa zviri nyore, `(Diabetic Amyotrophy)` chirwere chetsinga netsandanyama chinokanganisa chiuno chako, magaro, nezvidya, zvichikonzera kurwadziwa kwakanyanya uye kushaya simba kwetsandanyama . Ichi chirwere chisingawanzoitiki. Kazhinji, mushure mekunge zviratidzo izvi zvatanga, zvinowedzera kuipa nekufamba kwenguva, uye zvishoma nezvishoma, dzimwe nguva mwedzi kana makore, zvinova nani.

Chirwere ichi chinowanzo bata vanhu vane chirwere cheshuga cherudzi rwechipiri vane makore anopfuura makumi mashanu . Chinowanzoonekwa makore mana mushure mekunge chirwere ichi chatanga. Vanachiremba nevaongorori vachiri kuedza kutsvaga kuti chii chinokonzera chirwere ichi chakaoma, saka chikonzero chaicho hachisati chajeka .

Vanachiremba vanoshandisa mamwe mazita akawanda echirwere ichi, "Diabetic Amyotrophy". Mazita iwayo anganzwika seakaoma, asi ese akasiyana echirwere chimwe chete. Heano mimwe mienzaniso:

• (Chirwere cheLumbosacral radiculoplexus neuropathy chinokonzerwa nechirwere cheshuga - DLRPN)`
• `(Dambudziko reBruns-Garland)`
• `(Proximal diabetes-related neuropathy)` (Neuropathy ine chekuita nechirwere cheshuga)
• `(Diabetic polyradiculopathy)`
• `(Femoral-sciatic neuropathy yeshuga)`

Hamufanirwe kurangarira mazita ese aya. Chinhu chikuru ndechekunzwisisa kuti ichi chirwere chaicho chinouya nechirwere cheshuga uye chinokanganisa tsoka.

Dambudziko iri rakajairika zvakadii?

Sezvambotaurwa, `(Diabetic Amyotrophy)` chirwere chisingawanzoitiki . Hachiwanikwe kune munhu wese ane chirwere cheshuga. Zvinonzi chinokanganisa vanhu vanosvika 1% vane chirwere cheshuga. Zvisinei, chinowanzoonekwa kakawanda kune vanhu vane `(Type 2 diabetes)`.

Ndezvipi zviratidzo zve `(Diabetic Amyotrophy)`?

Zviratidzo zvechirwere ichi zvinonyanya kukanganisa mahudyu ako, magaro, uye/kana mahudyu . Tarisa kana uine chimwe chezviratidzo izvi:

• Kurwadziwa kwakanyanya kwetsinga dzeropa : Ichi ndicho chiratidzo chekutanga chinoonekwa. Chinogona kunzwa sekutsva, kubaya, kana kukwenya.
• Kushaya simba kwetsandanyama : Kunzwa sekunge makumbo ako ava kupera simba. Kuomerwa nekusimuka pachigaro kana kukwira masitepisi.
• Kupera simba kwetsandanyama : Uku ndiko kurasikirwa kwetsandanyama mumakumbo. Zvidya zvinogona kuita sezvitete kupfuura kare.
• Kurasikirwa kwe reflexes (areflexia): Kana chiremba akakurova ibvi nenyundo diki, gumbo rako rinogwinha, ndizvo zvinoita kuti ma reflexes adzikire.

Zviratidzo izvi zvinowanzotanga kamwe kamwe kune rumwe rutivi rwemuviri . Kureva kuti, gumbo rekurudyi igumbo rekurudyi, gumbo rekuruboshwe igumbo rekuruboshwe. Asi nekufamba kwenguva, zvinogona kupararira kune rumwe rutivi. Marwadzo ekutanga akanyanya anogona kugara kubva pamavhiki kusvika kumwedzi. Mushure mekunge marwadzo apera, kushaya simba kwetsandanyama kunotanga kuwedzera. Dambudziko iri rinogona kuwedzera zvishoma nezvishoma kwemwedzi ingangoita gumi nemisere. Muzviitiko zvakanyanya, ungasatombokwanisa kufamba usina rubatsiro .

Ndipo chete panobva zviratidzo zvinogadzikana uye murwere anotanga kupora zvishoma nezvishoma. Kuporeswa uku kunogona kutora mwedzi yakati wandei.

Pamusoro pezvo, vamwe vanhu vane Diabetic Amyotrophy vanogona kurasikirwa nehuremu zvisina tsarukano - kazhinji vanorema kupfuura mapaundi gumi (anenge makirogiramu mana nehafu). Vamwe vanogonawo kurwadziwa uye kushaya simba kwetsandanyama muhudyu (dumbu, chipfuva) nemaoko.

Ndezvipi zvinokonzera `(Diabetic Amyotrophy)`?

Sezvatakambotaura, vaongorori havasati vawana chikonzero chaicho cheizvi, asi vari kuramba vachidzidza nezvazvo.

Humbowo huripo hunoratidza kuti chirwere ichi chinonzi microvasculitis, chinokonzerwa nekuzvimba kwetsinga diki dzeropa mumuviri . Zvichitaurwa zviri nyore, masoja emuviri, anodzivirira muviri wedu kubva kuzvirwere, anova nesimba rakawandisa nekuda kwechimwe chikonzero uye anokuvadza tsinga diki dzeropa dzinopa ropa kutsinga dziri muhudyu nemakumbo. Izvi zvinokonzera kukuvara kwetsinga.

Ongororo dzakaratidza kuti kana munhu aine chirwere che "Diabetic Amyotrophy", zvikamu zvinotevera zvinonyanya kukuvara:

• Midzi yetsinga : Idzi ndidzo nhengo dzekutanga dzetsinga dzinobuda mumuzongoza uri mumuzongoza wedu.
• Tsinga dzemumativi : Dzimwe tsinga dzinobva pamidzi yetsinga idzodzo.
• Lumbosacral plexus : Iyi ndiyo network yetsinga dzinopa kunzwa (kunzwa) uye mashandiro emhasuru (kukwanisa kufamba) kumakumbo edu, pasi pechiuno.

Ndiani ari panjodzi huru yekubatwa nechirwere cheDiabetic Amyotrophy?

Dambudziko iri rinowanzobata vanhu vane chirwere cheshuga, asi chikonzero chaicho hachisati chazivikanwa. Kashoma, vanhu vasina chirwere cheshuga vanonzi vane zviratidzo izvi.

Zvinotevera zvakaonekwa sezvikonzero zvinokonzera chirwere cheshuga chinonzi amyotrophy:

• Kuva nechirwere cheshuga cherudzi rwechipiri.
• Kudzora nekukurumidza huwandu hweshuga muropa. Semuenzaniso, kana kukosha kwako kwe ``(A1C)`` (izvi zvinoreva huwandu hweshuga yako yepakati mumwedzi 2-3 yapfuura) kukangoerekana kwaderera kubva pa11% kusvika pa7% mukati memwedzi.
• Kudzora zvakanyanya huwandu hweshuga muropa. Kazhinji, kuchengetedza kukosha kwe "A1C" kuri pasi pe7%.

Pamusoro peizvi, zvimwe zvinhu zvinofungidzirwa kuti ndizvo zvinokonzera chirwere ichi:

• Kutanga kurapwa kwechirwere cheshuga.
• Tsaona kana kukuvara (kukuvadzwa).
• Kuwanikwa kwezvirwere.
• Majekiseni ekudzivirira chirwere.

Asi zvese izvi zvichiri muchikamu chekutsvagisa.

Nzira yekuongorora `(Diabetic Amyotrophy)`?

Ichi ndicho chinhu chakakosha. Hapana bvunzo imwe chete yekusimbisa chirwere che `(Diabetic Amyotrophy)`. Vanachiremba vanosvika pakuongorora uku nekubvisa zvimwe zvinokonzera chimwe nechimwe (maitiro ekubvisa). Kureva kuti, vanobvisa zvimwe zvirwere zvinogona kukonzera zviratidzo zvako vasati vasarudza kuti i`(Diabetic Amyotrophy)`. Semuenzaniso, vanoedza kubvisa zvirwere zvakaita se:

• Kudzvinyirirwa kwemidzi yetsinga.
• Mabundu emuchiuno.
• Kuzvimba kwenguva refu kunoderedza myelin neuropathy (CIDP).
• Sarcoidosis.
• Utachiona hwakadai se `(HIV)`, `(Epstein-Barr virus)`, `(cytomegalovirus)` uye `(syphilis)`.

Kutanga, chiremba wako achakubvunza nezvezviratidzo zvako uye nhoroondo yezveutano hwako. Zvadaro, vachakubvunzurudza muviri wako uye vachakuongororwa netsinga.

Pamusoro pezvo, bvunzo dzinotevera dzinogona kukurudzirwa:

• Kuongororwa kweropa : Semuenzaniso, kuongororwa kweropa rose, kuongororwa kweA1C, kuongororwa kwebasa rechiropa, uye kuongororwa kweropa recalcium.
• MRI scan yemusana we lumbosacral.
• Kuongororwa kweCT kwenzvimbo yehudyu.
• Kuongororwa kwetsinga dzemuviri : Izvi zvinoedza mashandiro etsinga dzako, kunyanya mashandiro adzo emagetsi.

Ndeapi marapirwo e `(Diabetic Amyotrophy)`?

Mashoko akanaka ndeekuti vanhu vazhinji vane Diabetic Amyotrophy vanopora kusvika pamwero wakati vasina kurapwa. Zvisinei, kana vakasarapwa, kupora kunogona kunonoka kana kusapera .

Vatsvagurudzi vachiri kudzidza nezvekurapa kunoshanda kwechirwere cheshuga chinonzi Amyotrophy. Unogonawo kuwana mukana wekupinda muchirongwa chekiriniki chiri kuyedza mushonga mutsva. Bvunza chiremba wako nezvazvo.

Zvikasadaro, vanachiremba vanokurudzira kurapwa kunobatsira kudzora zviratidzo. Izvi zvinogona kusanganisira:

• Kugadzirisa marwadzo: Mishonga inouraya marwadzo yakaita seNSAIDs (mishonga isingarwisi kuzvimba) inogona kunyorerwa kudzora marwadzo. Kutora mushonga unonzi Amitriptyline husiku kunogona kubatsira nekurwadziwa pamwe nekushaya hope. Kana kurwadziwa kwacho kwakanyanya, chiremba wako anogona kukupa mishonga ine simba yekurwadziwa kana kuti ungangoda kuenda kuchipatara.
• Kurapa Kwemuviri : Nyanzvi yekurovedza muviri ichagadzira maekisesaizi akasiyana-siyana uye mafambiro akagadzirirwa iwe. Izvi zvichakubatsira kushandisa nhengo dzemuviri wako dzakakanganiswa, kudzora marwadzo, uye kuvakazve simba remhasuru.
• Kurapa Nemabasa : Kana chirwere chako chediabetic amyotrophy chichikuomera kuita mabasa ako ezuva nezuva, chiremba wezvemabasa anogona kukubatsira kuwana nzira dzekuaita zviri nyore. Vanogonawo kukurudzira kushandisa zvishandiso zvinobatsira zvakaita semuchina wekufamba kana wewiricheya.

Zvakare, zvakakosha kuti huwandu hweshuga muropa rako hurambe hwakanyatso gadziriswa kudzivirira mamwe matambudziko anogona kuitika nekuda kwechirwere cheshuga .

Chii chinonzi fungidziro yechirwere che `(Diabetic Amyotrophy)`?

Amyotrophy yechirwere cheshuga chirwere chinozviraramisa chega nekufamba kwenguva. Izvi zvinoreva kuti pakupedzisira uchaona kuvandudzika kwezviratidzo zvako. Zvisinei, kupora kunogona kutora nguva refu uye kusingatarisirwi .

Zvinofungidzirwa kuti vanhu vanosvika gumi muzana (10%) vachafanira kushandisa wiricheya mukati memakore maviri kubva pakutanga kwezviratidzo. Vazhinji vanogona kunge vaine hurema hwechigarire.

Kunyangwe ichi chiri chirwere chinozviganhurira chega , zvakakosha kutsvaga rubatsiro rwechiremba nezvechirwere cheshuga chinonzi Amyotrophy. Kurapa kwemuviri, kunyanya, kunogona kukubatsira kuti nguva yako yekupora ikurumidze.

Amyotrophy yechirwere cheshuga inogona kugara kwenguva yakareba sei?

Zviratidzo zvechirwere ichi zvinogona kugara kubva pamwedzi mishoma kusvika kumakore maviri. Mushure meizvozvo, kupora kunogona kutora mwedzi kusvika kumakore. Vanhu vazhinji vanogona kuramba vaine zvimwe zviratidzo (zvakaita sekushaya simba) (kunyangwe zvishoma pane panguva iyo chirwere chakanga chakanyanya kuipa).

Ndinogona here kudzivirira amyotrophy yechirwere cheshuga?

Sezvo vaongorori vasati vaziva chikonzero chaicho, hapana chaunogona kuita kudzivirira chirwere ichi .

Ndingazvitarisira sei kana ndine `(Diabetic Amyotrophy)`?

Kuwedzera pakutsvaga kurapwa, kune dzimwe nzira dzaunogona kuzvitarisira nadzo:

• Kumbira rubatsiro kubva kune vadikanwi vako : Kurwara nechirwere cheshuga kunogona kukuomera kuita basa rako sezvawaiita kare. Usazeza kukumbira rubatsiro kubva kumhuri yako neshamwari kusvika wapora.
• Tsvaga rubatsiro rwehutano hwepfungwa.: Rudzi urwu rwemamiriro ezvinhu runogonawo kukanganisa hutano hwepfungwa dzako. Zvinhu zvakaita sekuora mwoyo kana kuzvidya mwoyo zvinogona kuitika. Kana mamiriro ezvinhu aya akaita kuti unzwe kushushikana zvakanyanya kana kuti kusurukirwa nevamwe, tsvaga rubatsiro kubva kune mumwe munhu akaita semupi wezano kana chiremba wepfungwa.

Ndinofanira kuona chiremba wangu rini?

Kana uine chirwere cheshuga chinonzi Diabetic Amyotrophy, unofanira kuona chiremba wako nguva nenguva kuti utarise mamiriro ako uye uve nechokwadi chekuti hurongwa hwako hwekurapa huri kushanda. Iva nechokwadi chekuudza chiremba wako kana zviratidzo zvako zvikawedzera kana kuchinja .

Kugadzirisa dambudziko rechirwere cheshuga, kunyanya kana shuga yako yeropa yakadzorwa zvakanaka, kunogona kuva kwakaoma uye kunonetsa. Asi yeuka, zviratidzo zve "Diabetic Amyotrophy" zvichavandudzika nekufamba kwenguva. Kusvika panguva iyoyo, tsvaga rubatsiro rwekurapa zviratidzo zvako uye kusimbisa tsandanyama dzako. Chiremba wako achava newe parwendo urwu rwekupora.

Rangarira sechidimbu (Mharidzo Yekuenda Kumba)

Chirwere cheshuga chinonzi Amyotrophy chirwere chisingawanzoitiki chinokonzera kurwadziwa kwakanyanya uye kushaya simba muhudyu nemumahudyu. Chinowanzo bata vanhu vane makore anopfuura makumi mashanu vane chirwere cheshuga cherudzi rwechipiri.

• Zviratidzo : Pakutanga kurwadziwa kwakanyanya, kwozotevera kushaya simba kwetsandanyama uye kupera simba. Zvingave zvakaomawo kufamba.
• Chikonzero : Hazvizivikanwe zvechokwadi, asi zvinofungidzirwa kuti kukuvara kwetsinga dzeropa dzinopa ropa kutsinga nekuda kwedambudziko rekudzivirira muviri.
• Kuongorora : Kuongorora kunoitwa nekubvisa zvimwe zvirwere. MRI, CT scans, uye bvunzo dzetsinga zvinobatsira.
• Kurapa : Kuderedza marwadzo, kurovedza muviri, uye kurapwa nebasa zvakakosha. Kudzora shuga muropa kwakakoshawo.
• Kupora : Zvinotora nguva, asi zviratidzo zvinowanzovandudzika.

Kana uine chimwe chezviratidzo izvi, usazeza kuona chiremba kuti akupe mazano. Kuongororwa nekukurumidza uye kurapwa kwakakosha zvikuru.

Chirwere cheshuga , amyotrophy, kurwadziwa kwetsinga, kushaya simba kwetsandanyama, kurwadziwa kwemakumbo, matambudziko eshuga, kurapwa kwemuviri