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Lā O Ka Hana: 23 Apelila 2021
HōʻAno Hou I Ka Lā: 27 Ianuali 2025
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He aha ka neuropathy diabetic?

"Neuropathy" pili i kekahi ʻano e hōʻino ai i nā hunaola nerve. He kuleana koʻikoʻi kēia mau pūnaewele i ka hoʻopā, ka naʻau, a me ka neʻe.

ʻO ka neuropathy diabetic ka hōʻino o nā aʻa i hoʻokumu ʻia e ka maʻi kō. Manaʻo nā kānaka ʻepekema ʻo ke kiʻekiʻe o ke kō i loko o ke koko o ke kanaka me ka maʻi diabetes e hōʻino ai i nā aʻalolo ma ka manawa.

Nui a hewahewa nā ʻano like ʻole o nā neuropathies. Pākuʻi ʻia lākou:

  • Mālama i ka neuropathy diabetic

    ʻAʻole hiki ke hoʻohuli ʻia ka hōʻino nerve mai ka maʻi kō. ʻO kēia no ka hiki ʻole i ke kino ke hoʻoponopono kūlohelohe i nā aʻa nerve i hōʻino ʻia.

    Eia nō naʻe, ke ʻimi nei nā mea noiʻi i nā ʻano hana e mālama ai i nā ʻino nerve i hoʻokumu ʻia e ka maʻi kō.

    ʻOiai ʻaʻole hiki iā ʻoe ke hoʻohuli i ka pōʻino mai ka neuropathy, aia kekahi mau ala e kōkua ai i ka mālama ʻana i ke ʻano, me:

    • e hoʻohaʻahaʻa nei i kāu kō kō
    • ka mālama ʻana i ka ʻeha nerve
    • ke nānā mau nei i kou mau wāwae e ʻike ʻaʻole manuahi, ʻeha a maʻi paha

    He mea nui ka mālama ʻana i kāu glucose i ke kō no ka mea hiki ke kōkua i ke pale ʻana i nā hōʻino hou aʻe i kou ʻalolo. Hiki iā ʻoe ke mālama pono i kāu glucose koko ma o nā ʻano aʻe:


    • Hōʻalo i nā meaʻai i kiʻekiʻe i nā kō, me nā soda, nā mea inu momona a me nā kope, nā wai momona, a me nā meaʻai māmā a me nā pahu ʻaina.
    • ʻAi i nā meaʻai kiʻekiʻe i ka fiber. Kōkua mau kēia mau meaʻai i ka mālama ʻana i nā kō kō i kahi kūlana paʻa.
    • ʻAi i nā meaʻai i loaʻa nā momona momona, e like me nā mea mai ka aila ʻoliva a me nā nati, a koho i nā protein momona e like me ka moa a me ka turkey.
    • E ʻai mau i nā mea kanu a me nā protein i hoʻokumu ʻia me nā mea kanu, e like me nā pi a me ka tofu.
    • Hoʻomaʻamaʻa ma ka liʻiliʻi he ʻelima mau manawa i ka pule, 30 mau minuke i kēlā me kēia manawa. Hoʻopili pū i ka hana aerobic a me ka hoʻomaʻamaʻa kaumaha i kāu hana maʻamau.
    • E nānā i kāu kō kō e like me ka ʻōlelo a ke kauka a hoʻopaʻa i kāu mau pae. E kōkua kēia iā ʻoe e ʻike i nā lauana a me nā loli maʻamau i kāu pae kō kō.
    • E lawe i ka insulin a i ʻole nā ​​lāʻau lapaʻau waha, e like me metformin (Glucophage), e like me ke kauoha a kāu endocrinologist a i ʻole kauka kauka mua.

    Ma waho o ka mālama ʻana i kāu pae kō glucose, he mea nui e hoʻolohe i kou mau wāwae a me kou mau wāwae. Hiki ke hōʻino ʻia nā ʻūlū a me nā wāwae, i hiki ai ke hōʻemi i ka manaʻo. ʻO ke kumu kēia ʻaʻole ʻoe e ʻike iā ia inā ʻoki a hōʻeha paha i kou wāwae a me kou wāwae.


    I mea e pale aku ai i ka hōʻino ʻana i kou mau wāwae a wāwae paha.

    • nānā pinepine i kou mau wāwae no ka ʻeha hāmama a me nā ʻeha
    • paʻi i kou manamana wāwae
    • holoi i kou wāwae me ke kopa a me ka wai mau
    • e kipa pinepine aku i kahi kauka lāʻau
    • pale i ka hele wāwae ʻole

    Pehea e mālama ʻia ai ka neuropathy diabetic?

    Wahi a nā alakaʻi mai ka, nā lāʻau lapaʻau kūpono loa no ka mālama ʻana i ka neuropathy diabetic ʻeha (PDN) me:

    • Kaumakaiwa Kanakaʻole (Lyrica)
    • gabapentin (Neurontin)
    • duloxetine (Cymbalta)
    • venlafaxine (Effexor)
    • amitriptyline

    ʻO nā koho lapaʻau ʻē aʻe i manaʻo ʻia e komo pū paha:

    • nā lāʻau lapaʻau kumuhana, e like me capsaicin (Qutenza)

    ʻO ka mālama ʻana i ka glucose kahi ala maikaʻi loa e hōʻemi ai i nā hōʻailona a me ka holomua o ka neuropathy. Pono ka mālama ʻana i kāu pae glucose i ʻāpana o kāu hoʻolālā mālama.

    Hoʻohana lāʻau hoʻohana inoa ʻole

    ʻO ka hoʻohana ʻana i ka lāʻau lapaʻau i hōʻailona ʻia ʻo kahi lāʻau i ʻae ʻia e ka FDA no hoʻokahi kumu e hoʻohana ʻia no kahi kumu ʻē aʻe i ʻae ʻole ʻia. Eia nō naʻe, hiki i ke kauka ke hoʻohana i ka lāʻau no ia kumu.


    Hoʻoponopono ka FDA i ka hoʻāʻo a me ka ʻae ʻana o nā lāʻau, akā ʻaʻole pehea hoʻohana nā kauka i nā lāʻau e mālama ai i kā lākou mau maʻi. No laila, hiki i kāu kauka ke kuhikuhi i kahi lāʻau a lākou e manaʻo ai ʻoi aku ka maikaʻi no kāu mālama.

    He aha nā pilikia no ka neuropathy diabetic?

    He nui nā hana nui a ke kino i ke kino. ʻO ia ke kumu e hiki ai i ka neuropathy diabetic ke alakaʻi i nā pilikia he nui.

    Nā pilikia Digestive

    ʻO nā aʻalolo i hōʻino ʻia e ka neuropathy hiki ke hopena maikaʻi ʻole i nā lālā i loko o kāu ʻōnaehana digestive. Hiki i kēia ke alakaʻi i:

    • nausea
    • ka luaʻi
    • pōloli pōʻino
    • kōpaʻa
    • pāhoehoe

    Hoʻopili ia, hiki ke hoʻopili i ka neʻe ʻana o ka meaʻai i loko o kou ʻōpū a me kou ʻōpū. Hiki i kēia mau pilikia ke alakaʻi i ka maikaʻi ʻole o ka meaʻai a, i ka hala ʻana o ka manawa, nā pae kō kō e ʻoi aku ka paʻakikī o ka mālama ʻana.

    Hewa ka wahine

    Inā loaʻa iā ʻoe kahi neuropathy autonomic, e hōʻeha ʻia nā aʻa e hoʻopili i nā kino kolohe. Hiki i kēia ke alakaʻi i:

    • erectile hana i nā kāne
    • nā pilikia me ka hoʻonāukiuki a me ka lubrication vaginal i nā wahine
    • hoʻonāukiuki hōʻino ʻia i nā kāne a me nā wahine

    ʻO ka maʻi i nā wāwae a me nā wāwae

    ʻO nā aʻalolo i nā wāwae a me nā wāwae e hoʻopili pinepine ʻia e ka neuropathy. Hiki iā kēia ke lilo iā ʻoe i mea e nalowale ai i kou naʻau a me kou mau wāwae. Hiki ke ʻike ʻole ʻia nā ʻeha a ʻoki a alakaʻi i nā maʻi.

    I kekahi mau hihia koʻikoʻi, hiki i nā maʻi ke lilo i mea koʻikoʻi a alakaʻi i ka maʻi maʻi. I ka hala ʻana o ka manawa, hiki i kēia ke kumu i ka hōʻino kūpono ʻole i kaʻiʻo palupalu a alakaʻi i ka nalo ʻana o nā manamana wāwae a i ʻole kou wāwae.

    Poino hui pū i nā wāwae

    Hiki ke hōʻino i nā aʻalolo i kou mau wāwae i kahi mea i kapa ʻia ʻo Charcot ami. ʻO kēia ka hopena i ka pehu ʻana, ka helu, a me ka ʻole o ka paʻa paʻa.

    Hoʻonui a hoʻēmi ʻia paha ka hou

    Hoʻopilikia nā aʻalolo i ka hana o nā ʻūlū, no laila ʻo ka hōʻino ʻana i nā aʻalolo hiki ke hoʻololi i ka hana o kāu mau pulu.

    Hiki i kēia ke alakaʻi i ka anhydrosis, i ʻike ʻia ma ke ʻano he sweating hoʻemi ʻia, a i ʻole hyperhidrosis, i ʻike ʻia he sweating ʻoi loa. ʻO ka hopena, hoʻopili paha kēia i ke kaohi o ka mahana o ke kino.

    Nā pilikia mimi

    He kuleana nui ko nā nerve i ka mālama ʻana i ka ʻōpū a me ka ʻōnaehana urinary. Inā hōʻino nā aʻalolo e hoʻopili i kēia mau ʻōnaehana, hiki i kēia ke alakaʻi i ka hiki ʻole ke ʻike ke piha ka puhaka a maikaʻi ʻole ke kaohi ʻana o ka urination.

    He aha hou aʻe ke kumu i neuropathy?

    Hoʻokumu pinepine ʻia ʻo Neuropathy e ka maʻi diabetes, akā e kumu ʻia ia e nā ʻano ʻē aʻe, e like me:

    • hoʻohana maʻi ʻona
    • hōʻike i nā lāʻau make
    • ʻōiwi
    • nā pae kūpono ʻole o ka wikamina B a me ka huaola E
    • hōʻeha e hoʻonāukiuki i nā aʻalolo
    • nā maʻi autoimmune a me nā maʻi
    • nā hopena o kekahi mau lāʻau, e like me chemotherapy

    He aha koʻu kuanaʻike?

    ʻO ka neuropathy diabetic ka mea maʻamau a ʻaʻole hiki ke hoʻohuli ʻia. Eia nō naʻe, hiki iā ʻoe ke hoʻokele iā ia ma o nā ʻano like ʻole. Pākuʻi ʻia kēia mau mea:

    • ke mālama nei i nā pae kō glucose
    • lawe i nā lāʻau i kauoha ʻia e kāu kauka no ka mālama ʻana i ka neuropathy
    • nānā pono iā ʻoe iho i kou mau wāwae a me kou mau wāwae no ka hōʻeha
    • e kamaʻilio pū ana me kāu kauka a hana pū me lākou e mālama i kāu kūlana

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