Nā neuropathies metabolic

ʻO nā neuropathies metabolic nā maʻi nerve e kū ʻia me nā maʻi e hōʻino i nā hana kemika i ke kino

Hiki ke hōʻeha ʻia ke aʻalolo e nā mea like ʻole. Hoʻokumu ʻia paha ka neuropathy metabolic e:

• ʻO kahi pilikia me ka hiki i ke kino ke hoʻohana i ka ikehu, pinepine ma muli o ka lawa ʻole o ka nui o nā meaola (deficit nutritional deficit)
• Nā mea weliweli (toxins) i kūkulu i loko o ke kino

ʻO ka maʻi diabetes kekahi o nā kumu maʻamau o nā neuropathies metabolic. ʻO ka poʻe iʻoi aku ka nui o ka makaʻu no ka hōʻino ʻia o ke aʻalolo (diabetic neuropathy) mai ka maʻi kō me nā mea i loaʻa:

• Poino i nā puʻupaʻa a i ʻole nā ​​maka
• Kō kō koko maikaʻi ʻole ʻia

ʻO nā kumu maʻamau o nā neuropathies metabolic:

• Ka hoʻohana ʻana i ka wai ʻona (neuropathy ʻona)
• Ke kō koko haʻahaʻa (hypoglycemia)
• Hewa ʻole nā ​​hakuʻala
• Nā kūlana hoʻoilina, e like me porphyria
• ʻO ka maʻi nui ma loko o ke kino (sepsis)
• Maʻi thyroid
• Nā hemahema o ka wikamina (me nā wikamina B12, B6, E, a me B1)

Hoʻohui ʻia kekahi mau maʻi metabolic ma o nā ʻohana (hoʻoilina), ʻo kekahi e hoʻomohala ma muli o nā maʻi like ʻole.

Kū kēia mau ʻōuli no ka mea ʻaʻole hiki i nā aʻalolo ke hoʻouna i nā hōʻailona kūpono i a i kou lolo.

• Ka manaʻo paʻakikī i kēlā me kēia wahi o ke kino
• Ka paʻakikī e hoʻohana ana i nā lima a i ʻole nā ​​lima
• Ka paʻakikī e hoʻohana nei i nā wāwae a me nā wāwae
• Ke hele wāwae paʻakikī
• ʻEha, manaʻo wela, nā kui a me nā nila kuʻikuʻi a i ʻole pana ʻana i nā ʻeha ma nā wahi o ke kino (ʻeha nerve)
• Nāwaliwali i ka maka, nā lima, nā wāwae, a me nā wahi ʻē aʻe o ke kino
• ʻO Dysautonomia, ka hopena o ka ʻōnaehana autonomic (hana ʻole), e hopena ana i nā ʻōuli e like me ka wikiwiki o ka puʻuwai, hana ʻole i ka hoʻomanawanui, hoʻohaʻahaʻa i ke kahe o ke koko ke kū, nā lau o ka hou ʻole, nā pilikia o ka ʻōpū, ka hana pono ʻole o nā haumāna o ka maka, a me ke kūkulu maikaʻi ʻole.

Hoʻomaka pinepine kēia mau ʻōuli i nā manamana wāwae a me nā wāwae a neʻe i luna o nā wāwae, a ma hope e hoʻopili ana i nā lima a me nā lima.

E nānā ana kāu mea mālama ola iā ʻoe a nīnau e pili ana i kāu mau hōʻailona.

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Nā hoʻāʻo koko
• Hōʻike uila o nā mākala (electromyography a i ʻole EMG)
• Hōʻike uila no ka lawe ʻana i ke aʻalolo
• ʻO ka biopsy nerve

No ka hapa nui o nā neuropathies metabolic, ʻo ka lapaʻau maikaʻi loa ka hoʻoponopono ʻana i ka pilikia metabolic.

Mālama ʻia nā hemahema o ka wikamina me ka papaʻai a i ʻole nā ​​huaora e ka waha a i ʻole ka ʻume. Pono ka pae kō kō ʻole e pono ai ka hana thyroid i nā lāʻau e hoʻoponopono i ka pilikia. No ka neuropathy ʻona, ʻo ka lapaʻau ʻoi loa ka hoʻopau ʻana i ka inu ʻana.

I kekahi mau hihia, mālama ʻia ka ʻeha me nā lāʻau e hōʻemi i nā hōʻailona ʻehaʻeha mai nā ʻalolo. I kekahi mau hihia, hiki i nā lotion, nā kalima, a i ʻole nā ​​lāʻau lapaʻau ke hōʻoluʻolu.

Mālama pinepine ʻia ka nāwaliwali me ka hoʻōla kino. Pono paha ʻoe e aʻo pehea e hoʻohana ai i ke kō a me ka mea hele wāwae inā pili kāu kaulike. Pono paha ʻoe i nā pale kuʻekuʻe wāwae kūikawā e kōkua iā ʻoe e hele maikaʻi.

Hiki i kēia mau pūʻulu ke hāʻawi i ka ʻike hou aku e pili ana i ka neuropathy:

• ʻO ka Neuropathy Action Foundation - www.neuropathyaction.org
• ʻO ka Foundation for Peripherial Neuropathy - www.foundationforpn.org

Aia ka nānā i ke kumu o ka maʻi. I kekahi mau hihia, hiki ke mālama maʻalahi i ka pilikia. I nā hihia ʻē aʻe, ʻaʻole hiki ke kaohi ʻia ka pilikia metabolic, a hoʻomau ka ʻino ʻana o nā aʻalolo.

Nā pilikia e hopena paha me:

• Deformity
• Ka hōʻeha i nā wāwae
• Pōpō a nāwaliwali paha
• ʻEha
• Hele pilikia a hina

ʻO ka mālama ʻana i kahi ola olakino hiki ke hōʻemi i ka makaʻu no ka neuropathy.

• Hōʻalo i ka hoʻohana nui ʻana i ka waiʻona.
• ʻAi i ka papaʻai kaulike.
• E haʻalele i ka puhi pua ʻana.
• E kipa pinepine i kāu mea lawelawe e ʻike i nā maʻi metabolic ma mua o ka ulu ʻana o ka neuropathy.

Inā loaʻa iā ʻoe ka neuropathy i kou mau wāwae, hiki i ke kauka wāwae (podiatrist) ke aʻo iā ʻoe pehea e nānā ai i kou mau wāwae no nā hōʻailona o ka ʻeha a me ka maʻi. Hiki i nā kāmaʻa kūpono kūpono ke hoʻemi i ka manawa e haki ai ka ʻili i nā wahi koʻikoʻi o nā wāwae.

Neuropathy - metabolic

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral
• Nā mākala mua ma mua
• Nā mākala mua hohonu

Dhawan PS, Goodman BP. Nā hōʻike Neurologic o nā maʻi nutritional. I: Aminoff MJ, Josephson SA, eds. ʻO Aminoff's Neurology a me General Medicine. 5th lā. Waltham, MA: Elsevier Academic Press; 2014: chap 15.

Patterson MC, Percy AK. ʻO ke neuropathy ākea i ka maʻi metabolic hoʻoilina. I: Darras BT, Jones HR, Ryan MM, De Vivo DC, eds. Nā maʻi Neuromuscular o ke pēpē, ke kamaliʻi, a me ka ʻōpio. ʻElua ed. Waltham, MA: Elsevier Academic Press; 2015: chap 19.

ʻO Ralph JW, Aminoff MJ. Nā pilikia Neuromuscular o nā maʻi lapaʻau maʻamau. I: Aminoff MJ, Josephson SA, eds. ʻO Aminoff's Neurology a me General Medicine. 5th lā. Waltham, MA: Elsevier Academic Press; 2014: chap 59.

Smith G, Shy ME. Nā neuropathy ākea. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 392.