Neuropathy yog kab mob cuam tshuam rau lub paj hlwb peripheral (PNS). Koj PNS tswj lub cev txav mus los, hnov qab, thiab ua haujlwm tsis zoo li ntshav siab thiab tawm hws. Yog tias koj lub paj hlwb puas lawm, ntau yam tsos mob yuav tshwm sim nyob ntawm seb hom paj hlwb puas puas. Neuropathy hauv ko taw cuam tshuam rau 2.4% ntawm cov pej xeem thiab 8% ntawm cov neeg muaj hnub nyoog 55 xyoos muaj tus kab mob. Ntshav qab zib yog ib qho ua rau, tab sis kev mob neuropathy tuaj yeem ua tau los yog tshwm sim los ntawm kev kis mob, lwm yam kab mob, thiab kev raug mob. Vim li no, nws yog ib qho tseem ceeb los ua haujlwm nrog koj tus kws kho mob los tswj kev kho mob.
Cov kauj ruam
Ntu 1 ntawm 3: Hloov Txoj Kev Ua Neej
Kauj Ruam 1. Taug kev tsis tu ncua
Sim taug kev sab nraum tsawg kawg peb zaug hauv ib lub lis piam. Lossis, ua ib ce uas nyab xeeb thiab xis rau koj. Koj tuaj yeem nug koj tus kws kho mob kom pom zoo rau kev ua kom lub cev qoj ib ce zoo. Kev tawm dag zog yuav txhim kho koj cov ntshav ntws thiab txhawb lub paj hlwb puas. Kev taug kev txo koj cov piam thaj hauv ntshav tag nrho thiab ua rau tswj ntshav qab zib yooj yim dua. Yog tias koj ua tiav tswj koj cov ntshav qab zib, koj cov kev mob ntshav qab zib yuav tsawg dua.
Yog tias koj tawm tsam nrog teem sijhawm rau kev tawm dag zog, nco ntsoov tias koj tuaj yeem ua cov kauj ruam me me kom ua haujlwm. Piv txwv li, koj tuaj yeem ntxuav lub tsev, ua si nrog tus dev, lossis ntxuav tes ntxuav koj lub tsheb. Tag nrho cov no yuav ua rau koj cov ntshav ntws
Kauj Ruam 2. So koj txhais taw
Sau lub khob me me lossis lub dab dej nrog dej sov thiab ntxiv 1/4 khob ntawm Epsom ntsev rau txhua khob dej. Nco ntsoov tias dej tsis dhau 100 degrees. Muab koj txhais taw tso rau hauv lub thawv lossis tub kom cov dej npog lawv. Cov dej sov tuaj yeem so koj thiab cuam tshuam los ntawm qhov mob hauv koj txhais taw. Thiab, Epsom ntsev muaj magnesium uas tuaj yeem so koj cov leeg.
Yog tias koj muaj kab mob lossis o, nug koj tus kws kho mob ua ntej so hauv Epsom ntsev
Kauj Ruam 3. Txo lossis zam cawv
Cawv tuaj yeem ua rau lom rau koj lub paj hlwb, tshwj xeeb tshaj yog tias lawv twb puas lawm. Koj yuav tsum txwv koj tus kheej mus rau plaub qhov dej haus nyob ib ncig ntawm ib lub lim tiam. Qee hom kev mob neuropathy tau tshwm sim los ntawm kev quav dej quav cawv, yog li koj yuav tsum tshem tawm cawv yog tias koj muaj mob neuropathy. Kev tsis haus cawv tuaj yeem txo koj cov tsos mob thiab tiv thaiv kev puas tsuaj ntxiv.
Yog tias cawv nyob hauv koj tsev neeg, koj yuav tsis xav haus txhua. Txiav txim siab muab cawv tag nrho kom nyob nyab xeeb thiab noj qab nyob zoo
Kauj Ruam 4. Siv cov roj primrose yav tsaus ntuj
Cov roj ntuj no pom hauv cov paj ntoo muaj nyob hauv daim ntawv tshuaj. Nug koj tus kws kho mob kom pom zoo tshwj xeeb koob tshuaj ntxiv rau yav tsaus ntuj primrose roj. Cov kev tshawb fawb tau pom tias cov roj fatty acids uas nws muaj tuaj yeem txhim kho cov tsos mob ntawm tus mob neuropathy. Cov rog rog no txhim kho koj cov hlab ntsha ua haujlwm.
Lwm qhov chaw ntawm cov txiaj ntsig muaj txiaj ntsig acid (GLA) suav nrog roj borage thiab dub currant roj
Kauj Ruam 5. Sim siv tshuaj kho kab mob
Acupuncture yog ib hom tshuaj suav suav uas siv koob txhaj rau ntawm cov ntsiab lus tshwj xeeb. Ua kom cov ntsiab lus siab no, lossis acupoints, ua rau lub cev tso cov endorphins, uas ua rau mob. Tus kws kho mob acupuncturist yuav tso plaub mus rau kaum koob rau hauv acupoints, thiab tso lawv nyob ntawd li ib nrab teev. Koj yuav xav tau rau rau rau kaum ob ntu nyob rau lub sijhawm peb lub hlis.
Txheeb xyuas lub koob npe ntawm koj tus kws kho mob ua ntej koj teem sijhawm. Xyuas kom tseeb tias lub chaw thiab rab koob tsis huv kom tsis txhob muaj kab mob los ntawm cov ntshav
Kauj Ruam 6. Xav txog kev kho ntxiv thiab lwm txoj kev kho mob
Ntxiv rau kev siv tshuaj kho mob, koj tuaj yeem sim ua kev xav thiab siv lub zog hloov pauv hluav taws xob qis qis qis (TENS) rau kev kho mob ntawm cov tsos mob neuropathy. TENS tus txheej txheem siv lub roj teeb me me los them qhov kev sojntsuam uas tau muab tso rau ib puag ncig thaj chaw uas koj tab tom muaj mob. Cov kev sojntsuam thiab roj teeb tsim lub Circuit Court los ntawm qhov uas qhov hluav taws xob tam sim no dhau los txhawm rau txhawb thaj chaw. Cov kev tshawb fawb tau pom tias TENS muaj txiaj ntsig zoo hauv kev kho qee yam mob neuropathic, txawm hais tias xav tau kev tshawb fawb ntxiv.
Ntawm txoj kev xav, koj tuaj yeem sim taug kev xav, zaum xav, Qigong, lossis Tai Chi. Cov kev tshawb fawb pom qhov mob txo nrog kev xav li niaj zaus
Ntu 2 ntawm 3: Siv Kev Kho Mob
Kauj Ruam 1. Noj tshuaj uas koj tus kws kho mob sau tseg
Muaj ntau yam tshuaj muaj los kho tus mob neuropathy. Koj tus kws kho mob yuav tsom mus rau kev tswj hwm cov teeb meem kev noj qab haus huv uas ua rau koj tus mob neuropathy uas yuav txo cov tsos mob thiab txhim kho cov hlab ntsha ua haujlwm hauv koj txhais taw. Koj tus kws kho mob yuav sau ntawv tuaj:
- Amitriptyline: Cov tshuaj no, thawj zaug siv los ua tshuaj tiv thaiv kev nyuaj siab, ua tau zoo kho qhov mob neuropathic. Koj yuav pib ntawm qhov qis tshaj plaws, 25 mg ib hnub. Koj tuaj yeem maj mam nce qhov koob tshuaj mus rau 150 mg ib hnub. Ib txwm noj tshuaj ua ntej mus pw. Cov tshuaj no yuav tsum tsis txhob muab yog tias koj muaj keeb kwm ntawm kev pheej hmoo tua tus kheej.
- Pregabalin: Cov tshuaj sedative no feem ntau tau sau tseg rau qhov mob cuam tshuam nrog kev mob hlwb ib leeg los ntawm ntshav qab zib. Koj yuav pib nrog qhov qis tshaj qhov ua tau, thiab nce nws raws li koj tus kws kho mob qhia. Qhov ntau npaum li cas yog 50 txog 100 mg, noj peb zaug ib hnub los ntawm qhov ncauj. Kev noj tshuaj ntau tshaj tuaj yeem nce ntxiv nyob rau lub sijhawm rau 600mg/hnub, tab sis kev siv ntau tshaj qhov nyiaj no tsis ua haujlwm.
- Duloxetine: Cov tshuaj no feem ntau tau sau tseg rau qhov mob cuam tshuam nrog mob neuropathic los ntawm ntshav qab zib. Cov tshuaj pib ntawm 60 mg ntawm qhov ncauj. Qhov ntau npaum li cas tuaj yeem ua ob npaug thiab koj tus kws kho mob yuav tshuaj xyuas kev kho mob tom qab ob lub hlis. Thaum koj tuaj yeem siv ob zaug ntxiv, feem ntau siv ntau dua 60 mg rau ib hnub tsis tshua muaj txiaj ntsig zoo dua thiab tej zaum yuav ua rau lwm yam teeb meem.
- Kev sib xyaw ua ke: Koj tus kws kho mob yuav pom zoo muab ob peb yam tshuaj xws li TCA, venlafaxine, lossis tramadol. Cov no tuaj yeem muab cov txiaj ntsig tau zoo rau kev mob ntshav qab zib ntau dua li ib yam tshuaj ib leeg.
Kauj Ruam 2. Siv opiates raws li tau hais tseg
Koj tus kws kho mob tuaj yeem sau ntawv ua yeeb tshuaj ntev los kho qhov mob ntawm koj tus mob neuropathy. Qhov no feem ntau tau txiav txim siab ntawm tus kheej, vim tias cov kev mob tshwm sim suav nrog kev vam khom (kev quav tshuaj), kev ua siab ntev (lawv dhau los ua haujlwm tsis zoo dhau sijhawm), thiab mob taub hau.
Cov tshuaj tiv thaiv kab mob tsis zoo xws li cyclophosphamide kuj tseem tuaj yeem sau tshuaj los kho hom mob neuropathy (dysimmune neuropathy) uas tuaj yeem tiv taus lwm yam kev kho mob
Kauj Ruam 3. Tham nrog koj tus kws kho mob txog kev phais
Nyob ntawm qhov ua rau koj tus mob neuropathy, koj tus kws kho mob yuav pom zoo kom tshem tawm kev phais. Qhov no yuav tso siab los ntawm cov hlab ntsha nkag uas yuav cia lawv ua haujlwm kom raug. Kev phais me me feem ntau ua rau carpal tunnel syndrome. Tab sis, qee yam ntawm cov kab mob keeb kwm keeb kwm uas ua rau muaj teeb meem hauv ko taw thiab pob taws kuj tseem tuaj yeem tau txais txiaj ntsig los ntawm kev phais qis.
Amyloid peripheral neuropathy tuaj yeem kho los ntawm kev hloov lub siab, txij li hom mob neuropathy no tshwm sim los ntawm teeb meem hauv lub cev zom zaub mov
Ntu 3 ntawm 3: Txhim Kho Koj Txoj Kev Noj Qab Haus Huv
Kauj Ruam 1. Ntxiv cov vitamins ntau hauv koj cov zaub mov
Yog tias koj tsis mob ntshav qab zib thiab tsis muaj lwm yam kab mob uas tuaj yeem pom tau tom qab ntawd kev mob ntshav qab zib tuaj yeem tshwm sim los ntawm kev tsis txaus ntawm cov vitamins E, B1, B6, thiab B12. Txawm li cas los xij, nrog koj tus kws kho mob tham ua ntej noj cov tshuaj vitamin ntxiv. Koj tus kws kho mob yuav xav kuaj mob ua rau koj mob neuropathy ua ntej qhia tshuaj ntxiv lossis tshuaj noj.
Txhawm rau kom tau txais cov vitamins ntau los ntawm kev noj zaub mov zoo, noj zaub ntsuab ntsuab ntau, qe qe, thiab daim siab
Kauj Ruam 2. Tswj ntshav qab zib
Neuropathy feem ntau tshwm sim ntau xyoo tom qab kuaj mob ntshav qab zib. Kev tswj ntshav qab zib zoo tuaj yeem tiv thaiv lossis nres neuropathy. Tab sis ib zaug tsim tawm, nws yuav tsis tuaj yeem thim rov qab qhov xwm txheej. Koj tus kws kho mob yuav tsom mus rau tswj ntshav qab zib thiab tswj hwm qhov mob los ntawm kev mob ntshav qab zib.
Nws yog ib qho tseem ceeb kom ua kom koj cov ntshav qabzib nyob rau hauv kev kuaj xyuas. Lub hom phiaj ntshav qab zib yog 70-130 mg/dL ntawm kev yoo mov thiab qis dua 180 mg/dL ob teev tom qab noj tshais. Koj kuj yuav tsum tswj koj cov ntshav ntshav kom tswj tau
Kauj Ruam 3. Tiv thaiv kev raug mob thiab mob txhab
Koj tuaj yeem pom qhov hnov qis thiab hnov zoo li hauv koj txhais taw neuropathic. Qhov no yuav ua rau koj muaj kev raug mob ntau ntxiv xws li raug txiav, khawb lossis khawb. Ib txwm hnav thom khwm lossis khau thaum sab hauv lossis sab nraum zoov. Kev raug mob ntau dua rau koj txhais taw tuaj yeem ua rau mob txhab uas nyuaj kho. Koj tseem yuav tsum nug koj tus kws kho mob tshuaj xyuas koj txhais taw thaum koj mus ntsib kws kho mob tas li.
- Siv cov khau xoob xoob xws li ib khub khau khiab rov qab, tab sis zam kev khau, khau khiab, lossis flip-flops uas muaj kev txhawb nqa me me. Cov khau nruj tuaj yeem cuam tshuam cov ntshav txaus rau cov ntsiab lus siab ntawm koj txhais taw thiab ua rau mob plab hauv cov cheeb tsam ntawd.
- Khaws koj cov rau tes kom zoo. Qhov no yuav tiv thaiv cov toenails. Tsuas yog siv ceev faj thaum clipping. Txhawm rau zam kev raug mob, tsis txhob siv cov hniav.
Kauj Ruam 4. Khaws cov qhov txhab kom huv
Ntxuav lub qhov txhab nrog dej sov ntsev. Nqa ib daim ntaub huv huv thiab nchuav me ntsis ntsev rau nws. Siv qhov no los ntxuav cov ntaub so ntswg tuag hla lub qhov txhab. Tom qab ntawd, thaj tsam qhuav thiab npog lub qhov txhab nrog hnav khaub ncaws tsis huv. Saib xyuas kom hloov khaub ncaws ib zaug lossis ob zaug ib hnub, ntau zaus yog tias nws ntub. Yog tias muaj qhov tsw tsw ntxhiab los ntawm lub qhov txhab, rov qab mus rau koj tus kws kho mob tam sim vim tias tsw ntxhiab qhia tias muaj kab mob uas tuaj yeem ua rau mob hnyav.
Tam sim qhia rau koj tus kws kho mob tias koj muaj mob txhab. Yog tias lawv me me, lawv tuaj yeem kho tau yooj yim nrog kev hnav khaub ncaws thiab tshuaj tua kab mob. Txawm li cas los xij, qhov txhab loj tuaj yeem nyuaj kho. Lawv tuaj yeem ua rau txiav cov ntiv taw lossis taw
Kauj Ruam 5. Tswj qhov mob
Qhov mob hnyav ntawm qhov mob neuropathic sib txawv ntau. Yog tias koj tab tom muaj mob me me mus rau qhov mob hnyav, noj tshuaj tom khw (OTC). tuaj yeem kho nrog cov tshuaj analgesics. Koj tuaj yeem noj 400 mg ntawm ibuprofen lossis 300 mg ntawm tshuaj aspirin ob mus rau peb zaug ib hnub.
Tsis txhob hnov qab noj tshuaj tiv thaiv kab mob peptic vim hais tias cov tshuaj ua kom loog (Ibuprofen, thiab lwm yam) ua rau mob plab. Piv txwv li, koj tuaj yeem noj 150mg ntawm ranitidine ob zaug ib hnub ua ntej noj mov
Kauj Ruam 6. Tau txais kev kho mob rau lwm qhov laj thawj
Neuropathy vim yog mob raum, mob siab lossis endocrine tuaj yeem kho tau los ntawm kev kho tus kab mob hauv qab. Yog tias koj muaj cov hlab ntshav txhaws lossis teeb meem hauv nroog, nws tuaj yeem txhim kho los ntawm kev kho lub cev lossis phais.
Koj yuav tsum tham nrog koj tus kws kho mob txog kev mob ntshav qab zib uas koj tab tom ntsib thiab ua ntej noj cov tshuaj ntxiv
Lub tswv yim
- Tus kab mob no tuaj yeem mob hnyav lossis mob ntev. Yog tias mob neuropathy mob hnyav, yuav tsum kuaj mob tam sim.
- Koj tuaj yeem tuaj yeem daws cov tsos mob los ntawm kev ua kom muaj dej ntau ntxiv lossis hnav cov thom khwm kom nruj.
