Kev tshawb fawb qhia tias ko taw neuropathy qhia qee yam teeb meem lossis ua haujlwm tsis zoo nrog cov hlab ntsha me me ntawm ko taw. Cov tsos mob ntawm tus mob neuropathy suav nrog mob (hlawv, hluav taws xob thiab/lossis tua qhov xwm txheej), tingling, loog thiab/lossis nqaij leeg tsis muaj zog hauv taw. Feem ntau ua rau ko taw mob ntshav qab zib suav nrog tswj ntshav qab zib, haus cawv ntau dhau, kis kab mob, tsis muaj vitamin, kab mob hauv lub raum, mob ko taw, raug mob, siv tshuaj ntau dhau, thiab raug rau qee yam tshuaj lom. Cov kws tshaj lij sau tseg tias thaum paub txog cov cim thiab tsos mob ntawm ko taw mob ntshav qab zib yuav qhia koj lub tswv yim zoo ntawm dab tsi ua rau koj muaj teeb meem ko taw, tsuas yog tus kws tshaj lij kev noj qab haus huv tsim nyog tuaj yeem kuaj koj thiab pib phiaj xwm kho mob.
Cov kauj ruam
Ntu 1 ntawm 3: Paub Txog Cov Mob Thaum Ntxov
Kauj Ruam 1. Ua tib zoo saib xyuas koj txhais taw
Tej zaum koj yuav xav tias qee qhov poob ntawm qhov hnov lossis hnov me ntsis hauv koj txhais taw yog qhov ib txwm muaj thiab xav tias yog ib feem ntawm kev laus, tab sis nws tsis yog. Hloov chaw, nws yog qhov cim qhia ntxov tias lub paj hlwb me me hauv koj txhais taw tsis ua haujlwm zoo. Xws li, tshuaj xyuas koj txhais taw ntau zaus thiab sib piv lub peev xwm kom hnov lub teeb kov nrog rau lwm qhov hauv koj lub cev, xws li koj tus ncej puab lossis txhais tes.
- Siv tus xaum xaum lossis cwj mem kom maj mam rub koj txhais taw (saum thiab hauv qab) kom pom tias koj tuaj yeem hnov nws - zoo dua, kaw koj ob lub qhov muag thiab hais kom tus phooj ywg ua nws.
- Kev poob ntawm kev hnov/kev co feem ntau pib ntawm cov ntiv taw thiab maj mam kis mus ko taw thiab thaum kawg txhais ceg.
- Hauv Asmeskas, feem ntau ua rau ko taw mob ntshav qab zib yog mob ntshav qab zib - 60-70% ntawm cov neeg mob ntshav qab zib yuav txhim kho kev mob ntshav qab zib hauv lawv lub neej.
Kauj Ruam 2. Rov xav txog qhov mob ko taw koj hnov
Qee zaum tsis xis nyob hauv ko taw lossis ntuav tuaj yeem ua tau zoo ib yam, tshwj xeeb yog tom qab taug kev ntev hauv khau tshiab, tab sis qhov kub hnyiab tas li lossis qhov tsis zoo siv hluav taws xob tsis muaj laj thawj yog qhov pib ntawm ko taw mob ntshav qab zib.
- Saib yog tias hloov koj nkawm khau ua qhov txawv nrog koj mob ko taw, lossis sim qee qhov khau tawm ntawm lub txee.
- Neuropathic mob feem ntau mob hnyav thaum hmo ntuj.
- Qee lub sij hawm cov neeg mob tau txais kev nkag siab zoo nrog kev mob ntshav qab zib uas npog koj txhais taw nrog daim pam yog tsis tuaj yeem tiv taus - tus mob hu ua allodynia.
Kauj Ruam 3. Tshaj tawm yog tias koj cov leeg nqaij taw tsis muaj zog
Yog tias taug kev tau dhau los nyuaj lossis koj zoo li tsis meej pem / raug xwm txheej thaum nyob ntawm koj txhais taw, tom qab ntawd tej zaum yuav yog ib qho cim ntawm kev puas tsuaj ntawm lub cev thaum ntxov vim yog mob ntshav qab zib. Taug kev poob thaum taug kev (ua rau muaj kev ntog ntau) thiab poob qhov sib npaug kuj tseem muaj cov tsos mob neuropathic.
- Sim sawv ntawm koj cov ntiv taw taw rau 10 vib nas this thiab pom tias nyuaj npaum li cas - yog tias koj ua tsis tau nws, qhov ntawd tuaj yeem qhia qhov teeb meem.
- Koj kuj tseem tuaj yeem pom qhov ua rau tsis tuaj yeem ntswj thiab poob ntawm cov leeg nqaij hauv koj txhais taw.
- Kev mob hlab ntsha hlwb kuj tseem tuaj yeem ua rau cov leeg tsis muaj zog, tuag tes tuag taw thiab tsis hnov qab ntawm koj txhais taw, tab sis cov tsos mob feem ntau tshwm sim sai sai thiab nrog rau lwm qhov cim thiab tsos mob, thaum uas mob ntshav qab zib feem ntau yog maj mam.
Ntu 2 ntawm 3: Paub Paub Cov tsos mob zoo
Kauj Ruam 1. Nco ntsoov ntawm daim tawv nqaij thiab toenail hloov
Kev puas tsuaj ntau rau cov hlab ntsha tsis muaj zog hauv koj txhais taw yuav ua rau koj hws tsawg dua, yog li yuav muaj dej noo tsawg dua ntawm daim tawv nqaij (uas dhau los ua qhuav, tawv nqaij thiab/lossis flaky) thiab toenails (uas dhau los ua nkig). Tej zaum koj yuav pom koj cov ntiv taw pib tawg thiab zoo ib yam li cov kab mob hu ua fungal.
- Yog tias muaj cov kab mob sib kis los ntawm ntshav qab zib, cov tawv nqaij hauv qab tuaj yeem tig xim av vim tsis muaj ntshav txaus.
- Ntxiv rau kev hloov xim, kev ntxhib los mos ntawm daim tawv nqaij tuaj yeem hloov pauv, feem ntau saib zoo dua thiab ci dua li ua ntej.
Kauj Ruam 2. Saib rau qhov mob txhab
Ulceration ntawm daim tawv nqaij ntawm ko taw yog qhov tshwm sim ntawm kev nkag siab ntawm lub paj hlwb puas. Thaum pib, mob neuropathic tuaj yeem mob heev, tab sis raws li kev puas siab puas ntsws loj zuj zus tuaj, lub peev xwm ntawm cov hlab ntsha xa mus rau qhov mob tau txo qis. Kev raug mob rov qab tuaj yeem ua rau ntau qhov mob txhab uas koj yuav tsis pom.
- Neuropathic ulcers feem ntau tsim nyob rau hauv qab ntawm taw, tshwj xeeb tshaj yog nyob rau hauv cov neeg uas taug kev tas li ib puag ncig liab qab.
- Muaj cov kab mob ua rau muaj kev pheej hmoo kis mob ntxiv thiab mob gangrene (cov nqaij tuag).
Kauj Ruam 3. Ceev faj ntawm qhov ua tsis tiav ntawm qhov hnov
Ua kom poob tag nrho cov kev xav hauv koj txhais taw yog qhov xwm txheej txaus ntshai heev thiab tsis suav tias yog ib txwm muaj. Tsis tuaj yeem hnov qhov hnov ntawm kov, kev co lossis mob ua rau nws nyuaj rau taug kev thiab ua rau koj muaj kev phom sij ntawm ko taw raug mob ua rau kis mob. Hauv qib siab ntawm tus kab mob, cov leeg ntawm txhais taw yuav ua rau tuag tes tuag taw, ua rau kev taug kev yam tsis muaj kev pab yuav luag tsis yooj yim sua.
- Kev poob qhov mob thiab qhov kub thiab txias tuaj yeem ua rau tsis saib xyuas txog qhov kub hnyiab thiab txiav. Tej zaum koj yuav tsis paub tias koj raug mob koj txhais taw.
- Ua tiav qhov tsis muaj kev sib koom tes thiab sib npaug ua rau koj muaj kev pheej hmoo ntawm txhais ceg, lub hauv caug thiab lub plab pob txha puas vim poob.
Ntu 3 ntawm 3: Pom Tus Kws Kho Mob rau Kev Pom Zoo
Kauj Ruam 1. Mus ntsib koj tus kws kho mob hauv tsev neeg
Yog tias koj xav tias koj qhov teeb meem ko taw ntau dua li qhov mob me me lossis mob hnyav thiab tuaj yeem yog tus mob neuropathic, tom qab ntawd mus ntsib koj tus kws kho mob - nws yuav muab tshuaj rau koj lub cev thiab nug cov lus nug txog koj li keeb kwm, kev noj zaub mov thiab kev ua neej nyob. Koj tus kws kho mob kuj tseem yuav coj koj cov ntshav thiab kuaj xyuas cov ntshav qab zib ntau ntau (qhia qhia txog ntshav qab zib), qee yam qib vitamin thiab cov thyroid ua haujlwm.
- Koj tseem tuaj yeem ntsuas koj cov ntshav qab zib nyob hauv tsev nrog lub khw yuav khoom ntsuas, tab sis nco ntsoov koj tau nyeem cov lus qhia kom zoo.
- Qib siab ntawm cov piam thaj hauv cov ntshav yog tshuaj lom thiab ua rau cov hlab ntsha me me thiab cov hlab ntshav, ib yam li ethanol ntau dhau los ntawm kev haus cawv.
- B-vitamin tsis txaus, tshwj xeeb yog B12 thiab folate, yog lwm qhov ua rau muaj mob neuropathy.
- Koj tus kws kho mob kuj tseem yuav coj mus kuaj zis kom pom tias koj lub raum ua haujlwm zoo li cas.
Kauj Ruam 2. Tau txais kev xa mus rau kws kho mob tshwj xeeb
Tej zaum koj yuav tsum tau mus ntsib kws kho mob paj hlwb (kws kho paj hlwb) txhawm rau txhawm rau txhawm rau txheeb xyuas qhov tseeb ntawm kev mob ntshav qab zib. Tus kws kho paj hlwb tuaj yeem xaj txoj kev tshawb fawb txog paj hlwb (NCS) thiab/lossis electromyelography (EMG) txhawm rau ntsuas lub peev xwm ntawm cov hlab ntsha hauv koj txhais taw thiab txhais ceg hauv kev xa xov hluav taws xob. Kev puas tsuaj tuaj yeem tshwm sim hauv kev tiv thaiv npog ntawm cov hlab ntsha (myelin sheath) lossis hauv qab hauv nws lub axon.
- NCS thiab EMG tsis muaj txiaj ntsig zoo rau kev kuaj mob me me ntawm cov hlab ntshav neuropathy, yog li siv daim tawv nqaij los yog ntau qhov sudomotor axon reflex test (QSART) qee zaum siv.
- Kev kuaj daim tawv nqaij tuaj yeem nthuav tawm cov teeb meem nrog cov hlab ntshav xaus thiab nws yooj yim dua thiab muaj kev nyab xeeb dua li kev txiav cov hlab ntshav raws li koj cov tawv nqaij nyob saum npoo.
- Koj tus kws tshaj lij kuj tseem tuaj yeem ntsuas xim Doppler yog li nws tuaj yeem pom qhov xwm txheej ntawm cov hlab ntshav ntawm koj ob txhais ceg - txiav txim lossis txiav tawm qhov tsis txaus ntshav.
Kauj Ruam 3. Mus ntsib kws kho mob
Tus kws kho mob pob ntseg yog tus kws tshaj lij taw uas tuaj yeem muab tswv yim qhia rau koj txog koj cov teeb meem ko taw. Ib tus kws kho mob paj hlwb yuav tshuaj xyuas koj txhais taw rau ib qho kev raug mob uas yuav ua rau muaj kev puas tsuaj rau lub paj hlwb lossis kev loj hlob zoo lossis cov qog uas ua rau khaus / ua rau lub paj hlwb puas. Tus kws kho paj hlwb kuj tseem tuaj yeem sau cov khau tshwj xeeb lossis orthotics (khau tso rau hauv) rau koj txhais taw kom nce kev nplij siab thiab tiv thaiv.
Neuroma yog kev loj hlob ntawm cov leeg nqaij feem ntau pom ntawm tus ntiv taw thib peb thiab plaub
Lub tswv yim
- Qee cov tshuaj siv tshuaj kho mob paub tias ua rau lub paj hlwb puas, yog li nug koj tus kws kho mob qog noj ntshav txog cov kev phiv ntawm kev kho mob.
- Qee cov hlau hnyav xws li txhuas, mercury, kub thiab arsenic tuaj yeem tso rau hauv cov hlab ntsha ib puag ncig thiab ua rau puas tsuaj.
- Kev haus cawv ntau dhau thiab ntev tuaj yeem ua rau tsis muaj cov vitamins B1, B6, B9 thiab B12, uas yog qhov tseem ceeb rau kev ua haujlwm ntawm paj hlwb.
- Ntawm qhov tod tes, ntau dhau ntawm cov vitamin B6 ntxiv qee zaum tuaj yeem ua teeb meem rau koj lub paj hlwb.
- Kab mob Lyme, kab mob qhua pias (varicella-zoster), herpes simplex, Epstein-Barr virus, cytomegalovirus, kab mob siab C, mob ruas, diphtheria thiab HIV yog hom kab mob uas tuaj yeem ua rau mob ntshav qab zib.
