Mob ntshav qab zib neuropathy: nws yog dab tsi, cov tsos mob thiab kev kho mob

Zoo Siab

• Cov tsos mob tseem ceeb
• 1. Mob puas siab ntsws
• 2. Autonomic neuropathy
• 3. Cov leeg neuropathy
• 4. Kev tsom xam neuropathy
• Yuav ua li cas kom paub meej tias kuaj mob
• Yuav kho tus mob li cas
• Yuav tiv thaiv neuropathy li cas

Kev mob ntshav qab zib yog ib qho kev cuam tshuam tseem ceeb ntawm cov ntshav qab zib, ua rau lub ntsej muag tsis muaj zog, uas tuaj yeem txo qhov tsis hnov ​​mob lossis ua rau qhov tsos ntawm qhov mob nyob rau ntau qhov chaw ntawm lub cev, ua ntau dua nyob rau hauv qhov kawg xws li tes lossis taw.

Feem ntau, mob ntshav qab zib neuropathy muaj ntau dua rau cov neeg uas tsis kho cov ntshav qab zib kom ntau, feem ntau muaj cov ntshav qab zib kom ntau, uas ua rau cov leeg puas tsuaj.

Txoj kev txhim kho peripheral neuropathy tuaj yeem qeeb, uas tsis muaj cov tsos mob tshwm sim thaum ntxov, tab sis dhau lub sijhawm mob, maj mam muag, hlawv cov roj lossis tsis hnov ​​zoo nyob rau thaj tsam cuam tshuam yuav tshwm sim.

Mob neuropathy mob ntshav qab zib tsis muaj kev kho tau, tab sis nws cov kev hloov pauv tuaj yeem tswj tau nrog kev siv tshuaj los txo cov ntshav qab zib kom tsawg thiab daws cov mob neuropathic. Xav paub ntxiv txog yuav kho tus mob neuropathic li cas.

Cov tsos mob tseem ceeb

Mob neuropathy mob ntshav qab zib yuav maj mam pib thiab tuaj yeem tsis paub txog thaum muaj cov tsos mob hnyav tshwm sim. Cov tsos mob sib txawv raws li hom neuropathy:

1. Mob puas siab ntsws

Peripheral neuropathy yog tus cwj pwm los ntawm kev koom tes ntawm cov hlab hlwb txhaws, uas yog hom mob ntshav qab zib feem ntau. Feem ntau nws pib ntawm tus taw thiab txhais ceg, tom qab ntawd los ntawm txhais tes thiab caj npab. Cov tsos mob feem ntau mob heev rau yav hmo ntuj thiab muaj xws li:

• Loog lossis tingling hauv cov ntiv tes lossis ntiv taw;
• Txo tsis muaj peev xwm xav tias hnov ​​mob lossis hloov qhov kub;
• Kev hnov ​​hluav taws kub;
• Mob lossis ntswj;
• Ntau siab rhiab heev los kov;
• Poob qhov kov;
• Mob leeg tsis muaj zog;
• Kev ploj zuj zus, tshwj xeeb tshaj yog nyob hauv Achilles 'pob taws;
• Poob qhov tsis sib luag;
• Poob qhov sib haum ntawm lub cev muaj zog;
• Deformity thiab mob pob qij txha.

Tsis tas li ntawd, mob hlab ntsha hlwb feem ntau tuaj yeem ua rau mob ko taw loj, xws li mob ko taw mob ntshav qab zib, muaj qhov txhab lossis mob voos. Zoo dua nkag siab tias dab tsi mob ko taw yog thiab yuav kho nws li cas.

2. Autonomic neuropathy

Autonomic neuropathy cuam tshuam rau autonomic lub paj hlwb uas tswj cov ntau yam kabmob uas ua haujlwm ntawm nws tus kheej ntawm qhov yuav, xws li lub siab, zais zis, plab, plab hnyuv, kev sib deev kabmob thiab qhov muag.

Cov tsos mob ntawm tus mob neuropathy nyob ntawm thaj chaw muaj cuam tshuam thiab suav nrog:

• Qhaj ntawv ntawm cov tsos mob ntawm tus mob hypoglycemia, xws li tsis meej pem, kiv taub hau, tshaib plab, tshee lossis lub cev tsis sib haum;
• Cem quav lossis raws plab;
• Xeev siab, ntuav, tsis yooj yim zom lossis ua nyuaj rau nqos;
• Vaginal dryness;
• Erectile kawg ua haujlwm;
• Nce lossis txo cov hws ntau lawm;
• Kev txo qis ntshav siab uas tuaj yeem ua rau kiv taub hau thaum sawv ntsug;
• Zoo nkaus li ntawm cov sib tw lub siab, txawm tias thaum sawv twj ywm;
• Cov teeb meem zais zis xws li xav tso zis ntau dhau los yog muaj ib qho xav tso zis sai sai, tso zis tsis ua haujlwm lossis tso zis ua ntu zawv.

Tsis tas li ntawd, autonomic neuropathy tuaj yeem ua teeb meem nyuaj rau kev pom kev kho lub teeb hauv qhov chaw tsaus.

3. Cov leeg neuropathy

Tso quav neuropathy, tseem hu ua mob ntshav qab zib amyotrophy lossis radiculopathy, muaj ntau rau cov neeg laus thiab tuaj yeem cuam tshuam cov leeg hauv ob txhais ceg, lub duav, lub duav lossis ob txhais ceg, ntxiv rau lub plab thiab hauv siab.

Cov tsos mob feem ntau tshwm sim rau ntawm ib sab ntawm lub cev, tab sis lawv tuaj yeem kis mus rau lwm sab thiab suav nrog:

• Mob hnyav rau lub ntsag thiab ncej puab lossis pob tw;
• Mob plab;
• Kev tsis muaj zog hauv cov leeg nqaij ncej puab;
• Nyuaj nyuaj sawv los ntawm qhov chaw zaum;
• Lub plab o;
• Lub cev yuag.

Cov neeg muaj qhov tsis haum neuropathy kuj tseem yuav muaj nqis lossis ntog taw, zoo li txhais taw tau so, uas tuaj yeem ua rau taug kev nyuaj los yog ntog.

4. Kev tsom xam neuropathy

Focal neuropathy, kuj hu ua mononeuropathy, yog tus cwj pwm los ntawm kev koom tes ntawm cov hlab ntsha tshwj xeeb hauv tes, taw, ceg, pob tw lossis taub hau.

Cov tsos mob nyob ntawm qhov cuam tshuam hlab ntsha thiab suav nrog:

• Kev ploj qhov tsis hnov ​​ntawm thaj chaw cuam tshuam ntawm cov hlab ntsha cuam tshuam;
• Kev qoj ib ce los sis loog hauv txhais tes los yog ntiv tes vim qhov hnoos qeev ntawm thaj hlab;
• Kev tsis muaj zog ntawm txhais tes, uas tuaj yeem ua rau nws nyuaj rau tuav khoom;
• Ua mob rau sab nraud ntawm txhais ceg lossis tsis muaj zog ntawm tus ntiv taw loj, vim yog xoom ntawm cov hlab ntsha;
• Tuag tes tuag taw ntawm ib sab ntawm lub ntsej muag, hu ua Tswb tuag tes tuag taw;
• Cov teeb meem tsis pom kev xws li nyuaj rau tsom rau ib yam khoom lossis ob lub zeem muag;
• Mob qab qhov muag;

Ib qho ntxiv, lwm cov tsos mob, xws li mob, loog, tingling lossis mob ncus ntawm tus ntiv tes xoo, ntiv tes ntiv tes thiab ntiv tes nruab nrab, tej zaum yuav tshwm sim vim yog nyem ntawm cov hlab ntsha nruab nrab, uas dhau los ntawm caj dab thiab unnerves ob txhais tes, yam ntxwv ntawm lub qhov carpal. mob ntsws. Xav paub ntau ntxiv txog Carpal Qhov Cwj Pwm.

Yuav ua li cas kom paub meej tias kuaj mob

Kev txheeb xyuas tus kab mob ntshav qab zib neuropathy yog tsim los ntawm endocrinologist thiab yog ua raws li cov cim qhia thiab cov tsos mob tau nthuav qhia thiab keeb kwm ntawm tus kab mob. Tsis tas li, tus kws kho mob yuav tsum ua lub cev kev kuaj xyuas lub zog thiab cov leeg nqaij, sim cov leeg caj dab thiab soj ntsuam qhov rhiab siab mus kov thiab hloov hauv qhov kub thiab txias, xws li txias thiab kub.

Tus kws kho mob tseem tuaj yeem ua lossis ua cov kev kuaj mob tshwj xeeb kom paub meej txog kev kuaj mob, xws li kev soj ntsuam lub paj hlwb, uas ntsuas sai npaum li cas cov leeg ntshav ntawm caj npab thiab ceg ua hluav taws xob cov cim, electroneuromyography, uas ntsuas cov hluav taws xob ua hluav taws xob tsim hauv cov leeg, lossis autonomic kuaj, uas tuaj yeem txiav txim siab los hloov cov ntshav siab hauv ntau txoj haujlwm.

Yuav kho tus mob li cas

Kev kho mob rau cov ntshav qab zib neuropathy yuav tsum tau ua los ntawm endocrinologist thiab feem ntau ua rau daws cov tsos mob, zam kev cuam tshuam thiab qeeb qhov tshwm sim ntawm tus kab mob.

Kev kho mob rau cov mob neuropathy uas muaj ntshav qab zib muaj cov tshuaj xws li:

• Tshuaj tiv thaiv kab mob kev nkeeg, xws li cov tshuaj insulin los yog noj tshuaj pab qhov ncauj rau haus kom tswj cov ntshav qab zib kom tsawg;
• Anticonvulsants, raws li pregabalin lossis gabapentin los daws qhov mob;
• Cov tshuaj tiv thaiv kab mob, xws li amitriptyline, imipramine, duloxetine lossis venlafaxine uas pab txo cov mob me mus rau mob ib nrab;
• Opioid ua kom loog noj ntawm qhov ncauj, xws li tramadol, morphine, oxygencodone lossis methadone, lossis thaj, xws li transdermal fentanyl lossis transdermal buprenorphine.

Qee qhov xwm txheej, tshuaj tiv thaiv kab mob tuaj yeem siv ua ke nrog tshuaj anticonvulsant los yog cov tshuaj no tuaj yeem siv nrog cov tshuaj kho mob kom pab tswj qhov mob.

Ib qho ntxiv, rau kev kho mob ntawm cov mob ntshav qab zib neuropathy, kev saib xyuas nrog cov kws kho mob tshwj xeeb yuav tsim nyog, xws li urologist los kho cov teeb meem mob txeeb zig, nrog rau cov tshuaj uas ua rau zais zis ua haujlwm lossis kho cov teeb meem erectile, piv txwv, lossis kws kho plawv kho kom zoo. ntshav siab thiab zam kom tsis txhob mob ntshav qab zib cardiomyopathy. Nrhiav tshuaj kho ntshav qab zib yog mob ntshav qab zib thiab yuav kho nws li cas.

Yuav tiv thaiv neuropathy li cas

Mob neuropathy mob ntshav qab zib tuaj yeem tiv thaiv tau yog tias cov ntshav siab nyob hauv qib siab. Ua qhov no, qee qhov ntsuas suav nrog:

• Taug qab tshuaj mob;
• Saib xyuas ntshav kom ntshav qabzib nyob hauv tsev nrog glucometers, raws li cov lus qhia kho mob;
• Noj tshuaj los yog txhaj tshuaj insulin, raws li kws kho mob tau sau tseg;
• Qoj kev ua si ua ntu zus xws li lub teeb taug kev, ua luam dej lossis dej aerobics, piv txwv.

Koj yuav tsum noj zaub mov kom muaj txiaj ntsig zoo uas suav nrog kev ua kom muaj protein, roj thiab rog, thiab zam tej zaub mov uas muaj piam thaj ntau ntau xws li ncuav qab zib, haus dej haus lossis khoom qab zib. Kuaj seb yuav noj zaub mov zoo li cas ntshav qab zib.