Diabetic Neuropathy: Tataiso e Ncha ea Kalafo

Tataiso e phatlalalitsoe ka la 27 Tšitoe, 2021, khatisong ea inthaneteng ea Neurology®, koranta ea bongaka ea AAN, mme e netefalitsoe ke Mokhatlo oa Amerika oa Neuromuscular & Electrodiagnostic Medicine. Tataiso ena e nchafatsa tataiso ea 2011 ea AAN mabapi le kalafo ea lefu la tsoekere la lefu la tsoekere le bohloko.

Tataiso e bolela hore ho na le meriana e mengata ea molomo le ea lihlooho tse sebetsang hantle ho fokotsa bohloko ba methapo. Pele e fana ka phekolo, e re ngaka e lokela ho qala ka ho etsa qeto ea hore na motho le eena o na le mathata a maikutlo kapa a boroko kaha phekolo ea maemo ana le eona e bohlokoa.

E le ho fokotsa bohloko ba methapo, tataiso e khothalletsa hore lingaka li ka fana ka phekolo ho tsoa lihlopheng tse latelang tsa lithethefatsi: tricyclic antidepressants (TCAs) tse kang amitriptyline, nortriptyline le imipramine; serotonin-norepinephrine reuptake inhibitors (SNRIs) tse kang duloxetine, venlafaxine kapa desvenlafaxine; gabapentinoids tse kang gabapentin kapa pregabalin; le/kapa li-sodium channel blockers tse kang carbamazepine, oxcarbazepine, lamotrigine, kapa lacosamide. Bopaki bo bontša hore meriana ena kaofela e ka fokotsa bohloko ba methapo.

Ha e fana ka litaelo, tataiso e re lingaka li lokela ho nahana ka litšenyehelo tsa moriana, litla-morao hammoho le mathata a mang a bongaka ao motho a ka bang le ona. Hang ha ba noa lithethefatsi, batho ba lokela ho hlahlojoa ke lingaka tsa bona ho fumana hore na ho na le phomolo e lekaneng ea bohloko kapa litla-morao tse ngata haholo.

Haeba meriana ea pele e lekiloeng e sa fane ka ntlafatso e utloahalang, kapa haeba ho e-na le litla-morao tse kholo, tataiso e bolela hore lingaka li lokela ho fa bakuli teko ea meriana e meng e tsoang sehlopheng se fapaneng.

Tataiso e bolela hore li-opioids ha lia lokela ho nkoa bakeng sa phekolo.

Tataiso e bolela hore lingaka li ka fana ka phekolo ea lihlooho tse kang capsaicin, glyceryl trinitrate spray kapa Citrullus colocynthis ho fokotsa bohloko. E boetse e re ginkgo biloba e ka 'na ea e-ba molemo, hammoho le phekolo e sa sebeliseng lithethefatsi e kang boikoetliso, kelello, phekolo ea kelello ea boitšoaro kapa tai chi.

Ho tsoela pele ho thusa lingaka tsa methapo ea kutlo le lingaka tse ling ka ho phekola lefu la tsoekere le bohloko la lefu la tsoekere, AAN e boetse e phatlalalitse AAN Polyneuropathy Quality Measurement Set e ncha ho tsamaisana le tataiso ena. Sete ea tekanyo ea boleng ke sesebelisoa seo lingaka li ka se sebelisang ho ntlafatsa mekhoa ea tlhokomelo e fanoang ho bakuli.

Ithute haholoanyane ka lefu la tsoekere ho BrainandLife.org, lehae la makasine ea mahala ea mokuli le mohlokomeli oa American Academy of Neurology e tsepamisitseng maikutlo mateanong a mafu a methapo le bophelo bo botle ba boko. Latela Brain & Life® ho Facebook, Twitter le Instagram.

American Academy of Neurology ke mokhatlo o moholo ka ho fetisisa lefatšeng oa litsebi tsa methapo ea kutlo le litsebi tsa mahlale a methapo, o nang le litho tse fetang 36,000. AAN e ikemiselitse ho khothaletsa tlhokomelo ea methapo ea kutlo ea boleng bo holimo ho mokuli. Ngaka ea methapo ea kutlo ke ngaka e nang le koetliso e khethehileng ea ho hlahloba, ho phekola le ho laola mathata a boko le tsamaiso ea methapo e kang lefu la Alzheimer, stroke, migraine, multiple sclerosis, concussion, lefu la Parkinson le lefu la sethoathoa.