ʻO ka neuropathy diabetic: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui
• 1. ʻO ka neuropathy ākea
• 2. Neopopika kūʻokoʻa
• 3. Neopopathy kokoke
• 4. Neuropathy koʻikoʻi
• Pehea e hōʻoia ai i ke kuhi
• Pehea e hana ai i ka lāʻau
• Pehea e pale ai i ka neuropathy

ʻO ka neuropathy diabetic kekahi o nā pilikia nui o ka maʻi kō, i hōʻike ʻia e ka hoʻohaʻahaʻa holomua o nā aʻalolo, kahi e hiki ai ke hōʻemi i ka ʻike a i ʻole ke kumu o ka ʻeha i nā ʻāpana like ʻole o ke kino, ʻoi aku ka maʻamau ma nā ʻāpana e like me nā lima a me nā wāwae.

ʻO ka mea maʻamau, ʻoi aku ka maʻamau o ka neuropathy diabetic i ka poʻe mālama ʻole i ka maʻi diabetes, pinepine me nā kiʻekiʻe o ke kō o ke kō, kahi e hōʻino ai i nā ʻalolo holomua.

Hiki ke lohi i ka hoʻomohala ʻana o ka neuropathy ākea, me ka ʻole o nā ʻōuli i nā wā mua, akā i ka hala ʻana o ka manawa, ʻike ʻia ke ʻeha, ke kaniʻuhū ʻana, a me ka nalo ʻana o ka naʻau i ka ʻāpana i hoʻopilikia ʻia.

ʻAʻohe lāʻau lapaʻau o ka maʻi diabetic, akā hiki ke kāohi ʻia kona evolution me ka hoʻohana ʻana i nā lāʻau e hōʻemi i ke kiʻekiʻe o ke kō a me ka hoʻōla ʻana i ka ʻeha neuropathic. E ʻike hou aʻe e pili ana i ka mālama ʻia ʻana o ka maʻi neuropathic.

Nā hōʻailona nui

Hoʻolālā mālie ka neuropathy diabetic a hiki ke nānā ʻole ʻia a hiki i ka wā e ʻike ʻia ai nā hōʻailona ʻoi loa. Hoʻololi nā ʻōuli e like me ke ʻano o ka neuropathy:

1. ʻO ka neuropathy ākea

Hoʻohālikelike ʻia ke neuropathy ākea e ke komo ʻana o nā ʻalolo ākea, ʻo ia ka ʻano maʻamau o ka neuropathy diabetic. Hoʻomaka ka hoʻomaka ʻana ma nā wāwae a me nā wāwae, a ukali ʻia e nā lima a me nā lima. Maikaʻi pinepine nā ʻōuli i ka pō a hoʻopili pū me:

• Numbness a kani paha i nā manamana lima a me nā manamana wāwae paha;
• Hoemi i ka hiki ke ʻike i ka ʻeha a i ʻole nā ​​loli o ka mahana;
• Manaʻo kuni;
• ʻEha a ʻūʻī paha;
• ʻO ka ʻike nui aku e hoʻopā;
• Lilo o ka hoʻopā;
• Nāwaliwali o ka ʻiʻo;
• Loaʻa ka reflexes, keu hoʻi i ka kuʻekuʻe wāwae o ka Achilles;
• Lilo o ke kaulike;
• Lilo o ka hoʻokele kaʻa;
• Deformity a me ka ami ami.

Hoʻohui ʻia, hiki i ka neuropathy ākea ke kumu i nā pilikia o ka wāwae koʻikoʻi, e like me ka wāwae diabetic, i ʻike ʻia e nā ulcer a i ʻole nā ​​maʻi. Maikaʻi e hoʻomaopopo ai i ka wāwae diabetic a pehea e mālama ai.

2. Neopopika kūʻokoʻa

Hoʻopili ka neuropathy autonomic i ka ʻōnaehana autonomic e kaohi ana i nā mea like ʻole e hana kūʻokoʻa i ka makemake, e like me ka puʻuwai, ʻōpū, ʻōpū, nā ʻōpū, nā mea moekolohe a me nā maka.

Pili nā ʻōuli o ka neuropathy i ka wahi i pā a hoʻopili ʻia:

• Ka loaʻa ʻole o nā ʻōuli o ka hypoglycemia, e like me ka huikau, ka lualua, ka pōloli, ka haʻalulu a i ʻole ka hoʻēmi ʻana i ka hoʻohui kaʻa.
• ʻO ka paʻa ʻana a i ʻole ka pehu paha;
• Nausea, luaʻi, paʻakikī ka ʻai ʻana a i ʻole paʻakikī ka ale ʻana;
• Maloʻo maloʻo;
• ʻO ka hana Erectile;
• Hoʻonui a hoʻēmi paha i ka hana ʻana o ka hou;
• Hoʻoemi i ke kahe o ke koko e hiki ai ke hoʻolilo ke kūpina i ke kū ʻana i luna;
• Manaʻo o ka puʻuwai heihei, ʻoiai ke kū malie nei;
• ʻO nā pilikia o ka puhā e like me ka pono e mimi pinepine a i ʻole he makemake nui e mimi, urinary incontinence a i ʻole pinepine ka maʻi urinary tract.

Eia hou, hiki i ka neuropathy autonomic ke hana i ka paʻakikī i ka hoʻoponopono ʻana i ka mālamalama i kahi wahi pouli.

3. Neopopathy kokoke

ʻO ka neuropathy proximal, i kapa ʻia hoʻi ʻo ka diotric amyotrophy a i ʻole ka radikulopathy, ʻoi aku ka maʻamau o ka poʻe ʻelemākule a hiki ke hoʻopili i nā ʻāʻī i nā ʻūhā, nā pūhaka, nā puʻupuʻu a i ʻole nā ​​wāwae, me ka ʻōpū a me ka umauma.

Hana ʻia nā ʻōuli ma kekahi ʻaoʻao o ke kino, akā hiki iā lākou ke pālahalaha i kekahi ʻaoʻao a hoʻokomo i:

• ʻEha nui ma ka ʻūhā a me ka ʻūhā a i ʻole ka ʻūhā.
• Eha ka' ōpū;
• Nāwaliwali i nāʻiʻo o ka'ūhā;
• ʻO ka paʻakikī e ala aʻe ana mai kahi noho mai;
• ʻŌpū ʻōpū;
• Kaumaha emi.

Hiki i nā kānaka me ka neuropathy proximal ke hāʻule i lalo a i ʻole ka wāwae flabby, me he mea lā hoʻomaha ka wāwae, a he mea paha ia e pilikia ai i ka hele a hina paha.

4. Neuropathy koʻikoʻi

ʻO ka neuropathy kālele, i kapa ʻia ʻo mononeuropathy, ʻike ʻia e ke komo ʻana o kahi nerve kikoʻī i nā lima, nā wāwae, nā wāwae, ke kumu a me ke poʻo.

Pili nā ʻōuli i ke aʻalolo i hoʻopili ʻia a hoʻopili ʻia:

• Ka nalowale ʻana o ka naʻau ma kahi o ke aʻalolo i hoʻopili ʻia;
• ʻO ka ʻūlū ʻana a i ʻole ka helu ʻana i nā lima a me nā manamana lima no ka kaohi ʻana o ke aʻalolo ulnar;
• Nāwaliwali i ka lima i hoʻopili ʻia, i hiki ke paʻakikī i ka hoʻopaʻa ʻana i nā mea;
• ʻEha ma waho o ka wāwae a i ʻole nāwaliwali ma ka manamana nui, ma muli o ke kaomi ʻana o ke aʻalolo peroneal;
• Paralysis ma kekahi ʻaoʻao o ka maka, i kapa ʻia ʻo Bell's palsy;
• Nā pilikia o ka hihiʻo e like me ka paʻakikī e nānā i kahi mea a i ʻole ka ʻike lua;
• ʻEha ma hope o ka maka;

Hoʻohui ʻia, nā ʻōuli ʻē aʻe, e like me ka ʻeha, numbness, tingling a i ʻole ke kuni ʻana i ka manamanalima, ka manamana lima a me ka manamana waena, e hana ʻia ma muli o ke kaomi ʻana o ke aʻalolo waena, e hele ma waena o ka lima a wehe i nā lima, e hōʻike ana i ke alawai o ka pāpalapala maʻi maʻi E aʻo hou aʻe e pili ana iā Carpal Tunnel Syndrome.

Pehea e hōʻoia ai i ke kuhi

ʻO ka hōʻailona o ka diabetic neuropathy e hana ʻia e ka endocrinologist a hoʻokumu ʻia i nā ʻōuli a me nā ʻōuli i hōʻike ʻia a me ka mōʻaukala o ka maʻi. Eia hou, pono ke kauka i kahi hoʻokolohua kino e nānā i ka ikaika a me ka leo o ka mākala, e hoʻāʻo i ka reflex tendon a kālailai i ka ʻike i ka pā a me nā loli o ka mahana, e like me ke anuanu a me ka wela.

Hiki paha i ke kauka ke hana a kauoha paha i nā hoʻokolohua kikoʻī e hōʻoia i ka ʻike, e like me ka hoʻāʻo conduction nerve, e ana i ka wikiwiki o nā ʻalolo i nā lima a me nā wāwae e hana i nā hōʻailona uila, electroneuromyography, kahi e ana ai i nā hoʻokuʻu uila i hana ʻia i nā mākala, a i ʻole autonomic hōʻike, kahi e hiki ai ke hoʻoholo i nā loli i ke kaomi koko i nā kūlana like ʻole.

Pehea e hana ai i ka lāʻau

Pono e alakaʻi ʻia kahi lāʻau no ka neuropathy diabetic e ka endocrinologist a hana pinepine ʻia e hōʻoluʻolu i nā ʻōuli, pale i nā pilikia a hoʻolohi i ka holomua o ka maʻi.

ʻO nā mālama ʻana no ka neuropathy diabetic me nā lāʻau e like me:

• Antidiabetics, e like me ka hoʻopili ʻana o ka insulin a i ʻole ka lawe ʻana i nā antidiabetics waha e kāohi i nā pae kō kō;
• Nā Anticonvulsants, ma ke ʻano he pregabalin a i ʻole gabapentin e hōʻoluʻolu i ka ʻeha;
• Nā Antidepressants, e like me amitriptyline, imipramine, duloxetine a i ʻole venlafaxine e kōkua i ka hoʻomaha ʻana i ka ʻeha me ka ʻeha kaulike;
• Nā analgesics Opioid lawe waha ʻia, e like me tramadol, morphine, oxycodone a methadone paha, a i ʻole patch, e like me transdermal fentanyl a i ʻole transdermal buprenorphine.

I kekahi mau hihia, hiki ke hoʻohana i ka antidepressant i hui pū ʻia me kahi anticonvulsant a i ʻole hiki ke hoʻohana ʻia i kēia mau lāʻau me nā mea ʻeha e kōkua ai i ka ʻeha o ka ʻeha.

Hoʻohui ʻia, no ka mālama ʻana i nā pilikia o ka neuropathy diabetic, pono paha ka mālama ʻana me nā loea ʻokoʻa, e like me ka urologist e mālama i nā pilikia o ka mimi, me nā lāʻau e hoʻoponopono ai i ka hana o ka maʻi bladder a i ʻole nā ​​lāʻau no ka hana erectile, no ka laʻana, a i ʻole ka cardiologist no ka mālama ke kahe koko a me ka hōʻalo i ka diomyic cardiomyopathy. E ʻike he aha ka diomyic cardiomyopathy a pehea e mālama ai.

Pehea e pale ai i ka neuropathy

Hiki ke pale ʻia ka neuropathy diabetic ke kāohi pinepine ʻia nā pae glucose koko. E hana i kēia, kekahi mau ana nā:

• Ka mālama kino ʻana;
• Nānā i nā pae kō glucose ma ka home me nā glucometers, e like me ka ʻōlelo aʻoaʻo a ka lāʻau lapaʻau;
• Lawe i ka lāʻau a i ʻole ka hoʻokomo ʻana i ka insulin, e like me ke kauoha a ke kauka;
• Hoʻomaʻamaʻa i nā hana kino i ka manawa maʻamau e like me ka hele māmā, ʻauʻau a i ʻole aerobics wai, no ka laʻana.

E ʻai pū ʻoe i ka papaʻai kaulike e hoʻopili ana i nā olonā maikaʻi, nā protein a me nā momona, a pale i nā meaʻai me ka nui o ke kō e like me nā kuki, nā mea inu ʻono a me nā pōpō. E nānā pehea e ʻai ai i ka maʻi diabetes.