Ciwon neuropathy: abin da yake, bayyanar cututtuka da magani
Wadatacce
- Babban bayyanar cututtuka
- 1. Neuropathy na gefe
- 2. Neuropathy mai cin gashin kansa
- 3. Neuropathy na kusanci
- 4. Ciwan neuropathy
- Yadda za a tabbatar da ganewar asali
- Yadda ake yin maganin
- Yadda za a hana neuropathy
Neuropathy na ciwon sukari shine ɗayan mawuyacin rikitarwa na ciwon sukari, wanda ke tattare da lalacewar jijiyoyi na ci gaba, wanda ka iya rage jijiyoyin jiki ko haifar da bayyanar ciwo a sassa daban-daban na jiki, kasancewar sunfi kowa yawa a cikin tsauraran matakai kamar hannu ko ƙafa.
Gabaɗaya, cututtukan neuropathy masu ciwon sukari sun fi zama ruwan dare ga mutanen da ba su kula da ciwon suga yadda ya kamata, galibi tare da yawan sukarin jini, wanda ke haifar da cutar jijiya mai ci gaba.
Ci gaban neuropathy na gefe na iya zama mai jinkiri, ba tare da bayyanar cututtuka a matakan farko ba, amma tsawon lokaci zafi, ƙwanƙwasawa, ƙonewa ko hasarar jin daɗi a yankin da abin ya shafa na iya bayyana.
Neuropathy na ciwon sukari ba shi da magani, amma ana iya sarrafa canjin ta tare da amfani da magunguna don rage matakan sukarin jini da kuma sauƙaƙa ciwon neuropathic. Nemi ƙarin game da yadda ake magance cutar neuropathic.
Babban bayyanar cututtuka
Ciwon neuropathy na ci gaba a hankali kuma ba za a iya lura da shi ba har sai bayyanar cututtuka masu tsanani sun bayyana. Kwayar cutar ta bambanta bisa ga nau'in neuropathy:
1. Neuropathy na gefe
Neuropathy na jiki yana haɗuwa da shigar da jijiyoyi na gefe, kasancewa mafi yawan nau'in cututtukan ciwon sukari. Yawanci yana farawa ne daga ƙafa da ƙafafu, sai kuma hannaye da hannaye. Kwayar cutar yawanci kara muni da dare kuma suka haɗa da:
- Jin ƙyama ko ƙwanƙwasa a cikin yatsunsu ko yatsun kafa;
- Rage ikon jin zafi ko canje-canje a yanayin zafi;
- Sensonewa mai zafi;
- Jin zafi ko raɗaɗi;
- Senswarewar mafi girma don taɓawa;
- Rashin tabuwa;
- Raunin jijiyoyi;
- Rashin hasara, musamman a diddigen Achilles;
- Asarar daidaito;
- Asarar daidaito na motoci;
- Lalacewa da ciwon haɗin gwiwa.
Bugu da ƙari, cututtukan cututtukan jijiyoyin jiki na iya haifar da matsalolin ƙafafu masu tsanani, kamar ƙafar mai ciwon sukari, wanda ke fama da ulce ko cututtuka. Kyakkyawan fahimtar menene kafar mai ciwon sukari da yadda ake magance ta.
2. Neuropathy mai cin gashin kansa
Neuropathy mai cin gashin kansa yana shafar tsarin juyayi mai sarrafa kansa wanda ke sarrafa gabobi daban-daban waɗanda suke aiki ba tare da son rai ba, kamar zuciya, mafitsara, ciki, hanji, gabobin jima'i da idanuwa.
Kwayar cutar neuropathy ta dogara da yankin da abin ya shafa kuma sun hada da:
- Rashin bayyanar cututtukan hypoglycemia, kamar ruɗuwa, jiri, yunwa, rawar jiki ko ragin haɗin kai;
- Maƙarƙashiya ko gudawa;
- Jin jiri, amai, wahalar narkewa ko wahalar haɗiye;
- Rashin farji;
- Maganin rashin karfin jiki;
- Sweatara ko rage samar da gumi;
- Rage karfin jini wanda zai iya haifar da jiri yayin tashi tsaye;
- Jin zuciya mai tsere, koda lokacin tsayawa tsaye;
- Matsalolin mafitsara kamar su yawan yin fitsari ko kuma samun saurin yin fitsari, rashin yin fitsari ko kuma yawan kamuwa da fitsari.
Bugu da ƙari, neuropathy mai cin gashin kansa na iya haifar da wahala cikin daidaitawar gani na haske a cikin yanayin duhu.
3. Neuropathy na kusanci
Neuropathy na kusanci, wanda ake kira amyotrophy na ciwon sukari ko radiculopathy, ya fi yawa ga tsofaffi kuma yana iya shafar jijiyoyin cinyoyi, kwatangwalo, gindi ko ƙafa, ban da ciki da kirji.
Kwayar cutar yawanci tana faruwa a gefe ɗaya na jiki, amma suna iya yadawa zuwa ɗaya gefen kuma sun haɗa da:
- Tsanani mai zafi a kwatangwalo da cinya ko gindi;
- Ciwon ciki;
- Rashin ƙarfi a cikin ƙwayoyin cinya;
- Matsalar tashi daga wurin zama;
- Ciwan ciki;
- Rage nauyi.
Hakanan mutanen da ke kusa da neuropathy na iya samun ƙafafun da ya faɗi ko kuma taɓarɓarewa, kamar dai ƙafafun ya sassauta, wanda zai haifar da wahalar tafiya ko faɗuwa.
4. Ciwan neuropathy
Neuropathy na jiki, wanda ake kira mononeuropathy, ana alakanta shi da shigar da takamaiman jijiya a hannu, ƙafa, ƙafa, akwati ko kai.
Kwayar cutar ta dogara da jijiyar da ta shafa kuma sun haɗa da:
- Rashin jin dadi a yankin jijiyar da abin ya shafa;
- Jin jiki ko dushewa a hannu ko yatsu saboda matsawa jijiyar ulnar;
- Rauni a hannun da abin ya shafa, wanda zai iya zama da wuya a riƙe abubuwa;
- Jin zafi a wajen ƙafa ko rauni a cikin babban yatsa, saboda matse jijiyoyin peroneal;
- Shan inna a gefe daya na fuska, wanda ake kira da gurguntar Bell;
- Matsalar hangen nesa kamar wahalar mai da hankali kan abu ko hangen nesa biyu;
- Jin zafi a bayan ido;
Bugu da kari, wasu alamun, kamar su ciwo, tsukewa, ƙwanƙwasawa ko ƙonewa a cikin babban yatsa, ɗan yatsan hannu da yatsan tsakiya, na iya faruwa saboda matse jijiyoyin tsakiya, wanda ya ratsa wuyan hannu da hankulan hannayensa, yana nuna ramin carpal ciwo. Learnara koyo game da cututtukan Rami na Tunani na Carpal.
Yadda za a tabbatar da ganewar asali
Binciken cututtukan cututtukan cututtukan ciwon sukari an yi su ne ta hanyar endocrinologist kuma ya dogara da alamomi da alamomin da aka gabatar da tarihin cutar. Bugu da ƙari, dole ne likita ya yi gwajin jiki don a duba ƙarfi da sautin tsoka, a gwada jijiyar jijiyar wuya da kuma nazarin yanayin saurin taɓawa da canje-canje a yanayin zafi, kamar sanyi da zafi.
Dikita na iya yin ko yin takamaiman gwaje-gwaje don tabbatar da ganewar asali, kamar gwajin gwajin jijiya, wanda ke auna yadda saurin jijiyoyi a hannu da kafafu ke yin siginonin lantarki, lantarki, wanda ke auna fitowar lantarki da aka samar a cikin tsokoki, ko ikon kai tsaye gwaji, wanda za'a iya yi don ƙayyade canje-canje a cikin jini a wurare daban-daban.
Yadda ake yin maganin
Jiyya don cututtukan cututtukan masu ciwon sukari ya kamata ya jagorantar da su ta hanyar endocrinologist kuma yawanci ana yin sa ne don sauƙaƙe alamomin, kauce wa rikitarwa da kuma rage ci gaban cutar.
Magunguna don cututtukan neuropathy masu ciwon sukari sun haɗa da magunguna kamar:
- Ciwon sukari, kamar allurar insulin ko shan ciwon sikari ta baki don sarrafa matakan sukarin jini;
- Anticonkalin, kamar yadda pregabalin ko gabapentin don magance zafi;
- Magungunan Antide, kamar amitriptyline, imipramine, duloxetine ko venlafaxine wanda ke taimakawa sauƙaƙa rauni mai sauƙi zuwa matsakaici;
- Opioid nazarin ilimin lissafi ana shan shi da baki, kamar su tramadol, morphine, oxycodone ko methadone, ko faci, kamar su transdermal fentanyl ko transdermal buprenorphine.
A wasu lokuta, ana iya amfani da antidepressant a haɗe tare da maganin hana ɗaukar ciki ko kuma za a iya amfani da waɗannan magungunan tare da masu ba da magani don taimakawa wajen magance ciwo.
Bugu da ƙari, don magance rikicewar cututtukan cututtukan cututtukan ciwon sukari, kulawa tare da ƙwararru daban-daban na iya zama dole, kamar likitan urologist don magance matsalolin ɓangaren fitsari, tare da magunguna waɗanda ke tsara aikin mafitsara ko magunguna don rashin ƙarfi, misali, ko likitan zuciya don sarrafawa hawan jini da kuma guje wa cutar bugun zuciya. Gano menene cututtukan zuciya na ciwon sukari da yadda za a magance shi.
Yadda za a hana neuropathy
Ciwan neuropathy yawanci ana iya kiyaye shi idan ana sarrafa matakan glucose na jini sosai. Don yin wannan, wasu matakan sun haɗa da:
- Bin likita akai-akai;
- Kula da matakan glucose na jini a gida tare da glucometers, bisa ga shawarar likita;
- Shan magani ko allurar insulin, kamar yadda likita ya tsara;
- Yi ayyukan motsa jiki akai-akai kamar tafiya mai sauƙi, iyo ko ruwa na motsa jiki, misali.
Hakanan ya kamata ku ci daidaitaccen abinci wanda ya haɗa da zaren mai kyau, sunadarai da mai, kuma ku guji abinci mai yawan sukari irin su cookies, abubuwan sha mai laushi ko waina. Duba yadda ake cin abinci don ciwon suga.