Metabolic neuropathies

Metabolic neuropathies ke mathata a methapo a hlahang ka mafu a sitisang ts'ebetso ea lik'hemik'hale 'meleng

Tšenyo ea methapo e ka bakoa ke lintho tse ngata tse fapaneng. Metabolic neuropathy e ka bakoa ke:

• Bothata ba bokhoni ba 'mele ba ho sebelisa matla, hangata ka lebaka la khaello ea limatlafatsi tse lekaneng (khaello ea phepo e nepahetseng)
• Lintho tse kotsi tse chehang 'meleng

Lefu la tsoekere ke e 'ngoe ea lisosa tse atileng ka ho fetisisa tsa methapo ea methapo. Batho ba kotsing e kholo ea tšenyo ea methapo (lefu la tsoekere la lefu la tsoekere) ba nang le lefu la tsoekere ba kenyelletsa ba nang le:

• Tšenyo ea liphio kapa mahlo
• Tsoekere e sa laoleheng ea mali

Lisosa tse ling tse tloaelehileng tsa methapo ea methapo e kenyelletsa:

• Joala ba ts'ebeliso ea joala (alcohol alcohol neuropathy)
• Tsoekere e tlase ea mali (hypoglycemia)
• Ho hloleha ha liphio
• Maemo a futsitsoeng, joalo ka porphyria
• Tšoaetso e matla ho pholletsa le 'mele (sepsis)
• Boloetse ba qoqotho
• Ho haella ha vithamine (ho kenyeletsoa livithamini B12, B6, E, le B1)

Mathata a mang a metabolism a fetisoa ke malapa (a futsitsoeng), ha a mang a hlaha ka lebaka la mafu a fapaneng.

Matšoao ana a etsahala hobane methapo e sitoa ho romella matšoao a nepahetseng bokong le ho tsoa bokong ba hau.

• Boikutlo bo thata sebakeng sefe kapa sefe sa 'mele
• Ho thata ho sebelisa matsoho kapa matsoho
• Ho thata ho sebelisa maoto kapa maoto
• Ho thata ho tsamaea
• Bohloko, maikutlo a tukang, lithakhisa le linalete ho utloa kapa bohloko ba ho thunya sebakeng sefe kapa sefe sa 'mele (bohloko ba methapo)
• Bofokoli sefahlehong, matsohong, maotong kapa likarolong tse ling tsa 'mele
• Dysautonomia, e amang tsamaiso ea methapo e ikemetseng, e sa sebetseng, e hlahisang matšoao a kang ho otla ha pelo kapele, ho hloka mamello, khatello e tlase ea mali ha o eme, mofufutso o sa tloaelehang, mathata a mpeng, ts'ebetso e sa tloaelehang ea bana ba leihlo, le ho tsoha hampe

Hangata matšoao ana a qala menoaneng ea maoto le maotong ebe a nyolla maoto, qetellong a ama matsoho le matsoho.

Mofani oa hao oa tlhokomelo ea bophelo o tla u hlahloba ebe o botsa matšoao a hau.

Liteko tse ka laeloang li kenyelletsa:

• Liteko tsa mali
• Teko ea motlakase ea mesifa (electromyography kapa EMG)
• Teko ea motlakase ea tsamaiso ea methapo
• Bokooa ba methapo ea methapo

Bakeng sa methapo e mengata ea methapo ea pelo, kalafo e nepahetseng ke ho lokisa bothata ba ts'oaetso.

Ho haella ha vithamine ho phekoloa ka lijo kapa ka livithamini ka molomo kapa ka ente. Tekanyo e sa tloaelehang ea tsoekere ea mali kapa tšebetso ea qoqotho e ka hloka meriana ho lokisa bothata. Bakeng sa methapo ea kutlo ea joala, kalafo e nepahetseng ke ho emisa ho noa.

Maemong a mang, bohloko bo phekoloa ka meriana e fokotsang matšoao a sa tloaelehang a bohloko a tsoang methapong. Maemong a mang, litlolo, litlolo, kapa lipache tse nang le meriana li ka u thusa.

Bofokoli hangata bo phekoloa ka kalafo ea 'mele. U kanna ua hloka ho ithuta ho sebelisa molamu kapa walker haeba botsitso ba hau bo amehile. U kanna ua hloka litlamo tse khethehileng tsa maqaqailana ho u thusa ho tsamaea hantle.

Lihlopha tsena li ka fana ka tlhaiso-leseling e batsi ka lefu la methapo:

• Motheo oa ts'ebetso ea Neuropathy - www.neuropathyaction.org
• Motheo oa Pheripherial Neuropathy - www.foundationforpn.org

Ponahalo e its'etleha haholo holima sesosa sa lefu lena. Maemong a mang, bothata bo ka phekoloa habonolo. Maemong a mang, bothata ba ts'oaetso bo ke ke ba laoloa, 'me methapo e kanna ea tsoela pele ho senyeha.

Mathata a ka hlahang a kenyelletsa:

• Ho holofala
• Kotsi maotong
• Ho ba lerootho kapa bofokoli
• Bohloko
• Ho tsamaea ka thata le ho oa

Ho boloka bophelo bo botle ho ka fokotsa kotsi ea lefu la methapo.

• Qoba tšebeliso e feteletseng ea joala.
• Ja lijo tse leka-lekaneng.
• Khaotsa ho tsuba.
• Etela mofani oa hau khafetsa ho fumana mathata a ts'ebetsong pele lefu la methapo le hlaha.

Haeba u na le boloetse ba methapo maotong, ngaka ea maoto (podiatrist) e ka u ruta ho lekola maoto a hau bakeng sa matšoao a kotsi le tšoaetso. Lieta tse loketseng hantle li ka fokotsa monyetla oa ho senyeha ha letlalo libakeng tse thata tsa maoto.

Neuropathy - ts'oaetso

• Sisteme ea methapo e bohareng le methapo ea methapo
• Mesifa ea ka ntle e kantle
• Mesifa e tebileng ea ka pele

Dhawan PS, Goodman BP. Ponahatso ea Neurologic ea mathata a phepo e nepahetseng. Ho: Aminoff MJ, Josephson SA, bahlophisi. Neurology ea Aminoff le Bongaka bo Akaretsang. La 5th. Waltham, MA: Khatiso ea Litaba tsa Elsevier; 2014: khaolo ea 15.

Patterson MC, Percy AK. Pheripheral neuropathy ho lefu la ts'oaetso le futsitsoeng. Ka: Darras BT, Jones HR, Ryan MM, De Vivo DC, bahlophisi. Mathata a Neuromuscular ho tloha boseeng, bongoaneng le bocha. Lekhetlo la bobeli. Waltham, MA: Khatiso ea Litaba tsa Elsevier; 2015: khaolo ea 19.

Ralph JW, Aminoff MJ. Mathata a Neuromuscular a mathata a akaretsang a bongaka. Ho: Aminoff MJ, Josephson SA, bahlophisi. Neurology ea Aminoff le Bongaka bo Akaretsang. La 5th. Waltham, MA: Khatiso ea Litaba tsa Elsevier; 2014: khaolo ea 59.

Smith G, ke lihlong ME. Pheripheral neuropathies. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 392.