Neuropathy yog kab mob uas cuam tshuam rau lub paj hlwb peripheral (PNS). PNS tswj lub cev txav mus los, hnov qab, thiab ua haujlwm tsis zoo xws li tawm hws thiab ntshav siab. Yog tias koj lub paj hlwb puas lawm, ntau yam tsos mob tuaj yeem tshwm sim nyob ntawm seb hom paj hlwb puas puas. Neuropathy ntawm ko taw cuam tshuam rau 2.4% ntawm cov pej xeem thiab 8% ntawm cov neeg hnub nyoog tshaj 55 xyoos muaj tus kab mob no. Qhov laj thawj tseem ceeb yog ntshav qab zib, tab sis kev mob ntshav qab zib tuaj yeem yog caj ces lossis tshwm sim los ntawm kev kis mob, raug mob, thiab lwm yam kab mob. Yog li ntawd, ua haujlwm nrog kws kho mob kom ua tiav kev kho mob yog theem tseem ceeb heev.
Kauj ruam
Ntu 1 ntawm 3: Hloov Koj Txoj Kev Ua Neej
Kauj Ruam 1. Mus taug kev tsis tu ncua
Sim tawm sab nraud yam tsawg peb zaug ib lub lim tiam. Lossis, ua ib ce uas yooj yim thiab nyab xeeb rau koj. Tham nrog koj tus kws kho mob txog kev ua kom haum. Kev tawm dag zog tuaj yeem txhim kho cov ntshav ntws thiab kho cov hlab ntsha puas. Kev taug kev tuaj yeem txo qis koj cov ntshav qab zib tag nrho thiab ua kom yooj yim rau koj los tswj ntshav qab zib. Yog tias koj tuaj yeem tswj hwm koj cov ntshav qab zib, koj qhov mob neuropathy yuav raug txo.
Yog tias koj tsis tuaj yeem nrhiav sijhawm los tawm dag zog, koj tuaj yeem ua qhov me me kom nyob twj ywm. Piv txwv li, koj tuaj yeem ua si nrog tsiaj, ntxuav lub tsev, lossis ntxuav lub tsheb. Txhua yam dej num no tuaj yeem ua rau koj cov ntshav ntws zoo
Kauj Ruam 2. So koj txhais taw
Ncuav dej sov rau hauv lub khob me me lossis tub thiab ntxiv 1/4 khob Epsom ntsev rau txhua khob dej. Nco ntsoov tias cov dej kub tsis tshaj 38 C. Muab ob txhais taw tso rau hauv ib lub taub ntim los yog tub kom txog thaum lawv tau npog nrog dej. Cov dej sov tuaj yeem so thiab cuam tshuam koj ntawm qhov mob hauv koj txhais taw. Ib qho ntxiv, Epsom ntsev muaj magnesium uas tuaj yeem so cov leeg.
Ua ntej so koj txhais taw nrog Epsom ntsev, sab laj nrog koj tus kws kho mob yog tias koj muaj kab mob lossis o
Kauj Ruam 3. Txo lossis zam cov dej cawv
Cawv tuaj yeem ua rau lom rau qab haus huv, tshwj xeeb tshaj yog tias lawv twb puas lawm. Txwv koj tus kheej kom txaus siab tsuas yog haus plaub zaug hauv ib lub lis piam. Qee hom neuropathy tshwm sim los ntawm kev quav dej cawv (cawv), yog li zam cawv yog tias koj muaj mob neuropathy. Los ntawm kev txwv tsis pub haus cawv, koj tuaj yeem txo cov tsos mob thiab tiv thaiv kev puas tsuaj ntxiv ntawm paj hlwb.
Yog tias kev quav cawv tau ua rau tsev neeg, koj yuav tsum tsis txhob haus cawv txhua. Sim tsis txhob haus cawv kiag kom noj qab nyob zoo thiab nyab xeeb
Kauj Ruam 4. Siv cov roj primrose yav tsaus ntuj
Cov roj ntuj no los ntawm cov paj ntoo uas tuaj yeem tau txais hauv daim ntawv tshuaj. Tham nrog koj tus kws kho mob txog qhov tsim nyog koob tshuaj ntawm yav tsaus ntuj primrose roj ntxiv rau koj. Kev tshawb fawb qhia tias cov rog uas muaj nyob hauv cov roj no tuaj yeem txo cov tsos mob ntawm tus mob neuropathy. Cov rog rog no tseem tuaj yeem txhim kho cov hlab ntsha ua haujlwm.
Lwm qhov muaj txiaj ntsig zoo ntawm cov kua qaub muaj xws li roj currant dub thiab roj borage
Kauj Ruam 5. Sim siv tshuaj kho kab mob
Acupuncture yog ib hom tshuaj suav suav uas suav nrog kev txhaj koob ntawm qee yam ntsiab lus. Kev txhawb siab muab rau cov ntsiab lus siab lossis acupoints ua rau lub cev tso endorphins, uas tuaj yeem daws qhov mob. Tus kws kho kab mob acupuncturist yuav tso 5 mus rau 10 koob rau hauv qhov acupoint, thiab tso lawv rau ntawd li 30 feeb. Koj yuav xav tau 6 txog 12 zaug kev kho mob hauv peb lub hlis.
Ua ntej ua qhov kev kho mob, ua ntej tshuaj xyuas lub koob npe ntawm tus kws kho mob uas koj xav siv. Xyuas kom tseeb tias cov cuab yeej thiab koob siv yog tsis muaj menyuam kom koj tsis kis kab mob los ntawm cov ntshav
Kauj Ruam 6. Sim lwm txoj kev kho thiab ua kom tiav
Ntxiv rau kev siv tshuaj kho mob, sim ua tib zoo xav thiab siv hluav taws xob hluav taws xob qis (TENS) txhawm rau txo cov tsos mob ntawm kev mob ntshav qab zib. Qhov txheej txheem TENS no siv cov roj teeb me me los them rau qhov kev sojntsuam (cov cuab yeej phais mob nrog cov lus qhia tsis meej) uas tau muab tso rau ib puag ncig ntawm qhov mob. Lub roj teeb thiab sojntsuam tsim lub Circuit Court uas tau them nrog hluav taws xob tam sim no los txhawb thaj chaw. Kev tshawb fawb pom tias TENS txoj hauv kev muaj txiaj ntsig zoo rau kev kho mob ntawm qee yam mob neuropathy, txawm hais tias qhov no tseem xav tau kev tshawb fawb ntxiv.
Los ntawm txoj kev xav, koj tuaj yeem sim zaum xav, taug kev xav, Taici, lossis Qigong. Kev tshawb fawb qhia tias kev xav ib txwm tuaj yeem txo qhov mob
Ntu 2 ntawm 3: Siv Kev Kho Mob
Kauj Ruam 1. Noj cov tshuaj uas koj tus kws kho mob sau tseg
Muaj ntau yam tshuaj uas tuaj yeem siv los kho tus mob neuropathy. Tus kws kho mob yuav tsom mus rau kev kho mob tsis zoo uas ua rau mob ntshav qab zib kom nws yuav txo cov tsos mob thiab txhim kho kev ua haujlwm ntawm cov hlab ntsha hauv taw. Qee cov tshuaj uas koj tus kws kho mob yuav sau ntawv suav nrog:
- Amitriptyline: Cov tshuaj no uas tau xub siv los ua antidepressant tau pom tias muaj txiaj ntsig zoo hauv kev kho mob neuropathic. Koj yuav tsum pib nrog qhov qis tshaj plaws, uas yog 25 mg ib hnub. Maj mam koj tuaj yeem nce qhov koob tshuaj rau 150 mg ib hnub. Ib txwm noj cov tshuaj no ua ntej mus pw. Koj tus kws kho mob yuav tsis sau ntawv tshuaj no yog tias koj puas tau sim tua tus kheej.
- Pregabalin: Feem ntau cov tshuaj sedative no tau siv los kho qhov mob uas cuam tshuam nrog kev puas siab puas ntsws tshwm sim los ntawm ntshav qab zib. Koj yuav tsum pib nrog qhov qis tshaj plaws, thiab tuaj yeem nce ntxiv raws li qhia los ntawm koj tus kws kho mob. Qhov siab tshaj plaws yog 50 txog 100 mg, noj peb zaug ib hnub. Lub sijhawm dhau los, qhov siab tshaj plaws tuaj yeem nce mus rau 600 mg txhua hnub, tab sis kev siv tshuaj ntau tshaj qhov nyiaj no yuav tsis muaj txiaj ntsig.
- Duloxetine: Cov tshuaj no feem ntau yog siv los kho qhov mob txuam nrog mob neuropathic los ntawm ntshav qab zib. Cov koob pib los ntawm 60 mg hauv cov tshuaj ntawm qhov ncauj. Qhov koob tshuaj no tuaj yeem ua ob npaug thiab tus kws kho mob yuav tshuaj xyuas cov tshuaj tom qab ob lub hlis. Txawm hais tias qhov koob tshuaj tuaj yeem ua ob zaug, koob ntau dua 60 mg ib hnub feem ntau tsis muaj txiaj ntsig thiab tuaj yeem ua rau lwm yam teeb meem.
- Kev kho ua ke: Koj tus kws kho mob yuav qhia koj kom siv tshuaj xws li venlafaxine, TCA, lossis tramadol. Qhov no yuav muab cov txiaj ntsig zoo tiv thaiv kev mob ntshav qab zib ntau dua li siv cov tshuaj ib leeg nkaus xwb.
Kauj Ruam 2. Siv tshuaj yeeb raws li qhia
Koj tus kws kho mob tuaj yeem sau tshuaj opiate uas muaj cov txiaj ntsig ntev los kho koj qhov mob neuropathic. Qhov no feem ntau yog txiav txim siab ntawm tus kheej qhov xwm txheej, vim tias nws tuaj yeem ua rau muaj kev phiv xws li kev vam khom (kev quav tshuaj), kev ua siab ntev (dhau sijhawm, cov tshuaj ua haujlwm tsis zoo txawm nyob hauv tib koob tshuaj), thiab mob taub hau.
Koj tus kws kho mob kuj tseem tuaj yeem sau tshuaj tiv thaiv kab mob (tshuaj siv los tiv thaiv lub cev tiv thaiv kab mob hauv lub cev) xws li cyclophosphamide los kho hom mob neuropathy ntev (dysimmune neuropathy) uas tuaj yeem tiv taus lwm yam tshuaj
Kauj Ruam 3. Tham nrog koj tus kws kho mob txog kev phais
Nyob ntawm qhov ua rau koj mob neuropathy, koj tus kws kho mob yuav pom zoo kom tshem tawm kev phais. Txoj haujlwm no yuav tshem tawm qhov siab ntawm cov hlab ntsha uas raug kaw, yog li cov hlab ntsha yuav ua haujlwm ib txwm muaj. Kev phais decompression feem ntau ua los kho mob carpal tunnel syndrome. Txawm li cas los xij, qee hom kab mob neuropathy qub txeeg qub teg uas ua rau muaj teeb meem hauv taw thiab pob taws tuaj yeem tau txais txiaj ntsig los ntawm kev phais decompression.
Amyloidotic peripheral neuropathy tuaj yeem kho tau los ntawm kev hloov pauv lub siab, vim tias hom neuropathy no tshwm sim los ntawm teeb meem hauv lub cev zom zaub mov
Ntu 3 ntawm 3: Txhim Kho Kev Noj Qab Haus Huv
Kauj Ruam 1. Suav cov vitamins ntau hauv koj cov zaub mov
Yog tias koj tsis muaj ntshav qab zib thiab tsis muaj lwm yam kab mob uas tau paub, tom qab ntawd koj lub paj hlwb tuaj yeem tshwm sim los ntawm qhov tsis muaj cov vitamins E, B1, B6, thiab B12. Txawm li cas los xij, sab laj nrog koj tus kws kho mob ua ntej noj cov tshuaj vitamin. Koj tus kws kho mob yuav tsum txheeb xyuas qhov ua rau koj mob ntshav qab zib ua ntej tawm tswv yim txog cov tshuaj lossis tshuaj ntxiv uas koj yuav tsum tau noj.
Yog li koj tuaj yeem tau txais cov vitamins ntau los ntawm kev noj zaub mov zoo, noj zaub ntsuab ntau, daim siab, thiab qe qe
Kauj Ruam 2. Tswj koj cov ntshav qab zib
Neuropathy feem ntau tshwm sim ntau xyoo tom qab koj kuaj mob ntshav qab zib. Kev tswj ntshav qab zib zoo tuaj yeem tiv thaiv lossis nres kev mob ntshav qab zib. Tab sis thaum neuropathy tshwm sim, koj yuav tsis tuaj yeem rov zoo los ntawm nws. Tus kws kho mob yuav tsom mus rau kev tswj ntshav qab zib thiab tswj hwm qhov mob los ntawm kev mob ntshav qab zib.
Kev tswj cov ntshav qab zib yog ib qho tseem ceeb heev. Cov ntshav qabzib nyob rau qib ib txwm yog 70 txog 130 mg/dL thiab tsawg dua 180 mg/dL ob teev tom qab noj tshais. Koj kuj yuav tsum tswj koj cov ntshav ntshav kom tswj tau txhua lub sijhawm
Kauj Ruam 3. Tiv thaiv kev raug mob thiab mob txhab
Koj yuav hnov me ntsis loog ntawm koj ko taw neuropathic. Qhov no tuaj yeem ua rau koj muaj kev phom sij xws li txiav, khawb, lossis txhawm rau. Ib txwm hnav thom khwm lossis khau thaum nyob sab hauv tsev lossis sab nraum zoov. Rov ua dua ntawm cov ko taw tuaj yeem yooj yim ua rau muaj qhov txhab uas nyuaj rau kho. Kuj nug koj tus kws kho mob tshuaj xyuas koj txhais taw thaum koj mus ntsib tas li.
- Hnav cov khau xoob haum xws li khau khiab tsis muaj lub nraub qaum, tab sis zam cov khau lossis flip-flops uas muab kev txhawb nqa me me. Cov khau nruj tuaj yeem cuam tshuam nrog kev muab cov ntshav txaus rau cov ntsiab lus siab hauv ko taw thiab ua rau mob txhab rau hauv cov chaw ntawd.
- Txiav koj cov rau tes kom lawv tsis ntev heev. Qhov no tuaj yeem tiv thaiv cov ntsia hlau los ntawm kev loj hlob sab hauv. Ceev faj thaum txiav nws. Txhawm rau kom tsis txhob txiav qhov tsis xav tau, tsis txhob siv rab riam.
Kauj Ruam 4. Khaws qhov txhab uas tau tsim huv
Ntxuav lub qhov txhab siv dej sov ntsev. Siv cov ntaub qhwv tsis huv thiab nchuav me ntsis ntsev rau ntawm daim ntaub. Siv daim ntaub no los ntxuav cov ntaub so ntswg tuag hla lub qhov txhab. Tom qab ntawd qhuav thaj chaw thiab npog lub qhov txhab nrog hnav khaub ncaws tsis huv. Hloov cov ntaub ib zaug lossis ob zaug ib hnub, lossis ntau zaus yog tias lawv ntub. Yog tias lub qhov txhab muaj ntxhiab tsw, mus ntsib kws kho mob tam sim vim tias tsw ntxhiab qhia tias muaj kab mob uas tuaj yeem ua teeb meem loj.
Qhia koj tus kws kho mob tam sim ntawd 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. Txawm tias cov kab mob no tuaj yeem ua rau ko taw lossis ntiv taw txiav
Kauj Ruam 5. Tswj qhov mob
Qhov mob hnyav ntawm qhov mob neuropathic sib txawv ntau. Yog tias koj muaj mob me me mus rau nruab nrab, noj tshuaj yuav tom khw. Koj tuaj yeem noj 400 mg ibuprofen lossis 300 mg tshuaj aspirin ob rau peb zaug ib hnub.
Tsis txhob hnov qab noj tshuaj anti-peptic vim tias analgesics (xws li ibuprofen thiab lwm yam) tuaj yeem ua rau mob plab. Piv txwv li, koj tuaj yeem noj ranitidine 150 mg ob zaug ib hnub ua ntej noj mov
Kauj Ruam 6. Tau txais kev kho mob los daws qhov laj thawj
Neuropathy tshwm sim los ntawm lub raum, mob siab lossis kab mob endocrine tuaj yeem kho los ntawm kev kho tus kab mob hauv qab. Yog tias koj muaj cov hlab ntshav txhaws lossis teeb meem hauv cheeb tsam, qhov no tuaj yeem kho nrog kev phais lossis kho lub cev.
Ib txwm tham nrog koj tus kws kho mob txog koj tus mob neuropathy, thiab ua ntej koj noj tshuaj ntxiv
Lub tswv yim
- Tus kab mob no tuaj yeem mob hnyav lossis mob ntev. Koj xav tau kev kho mob tam sim yog tias koj muaj mob neuropathy mob hnyav.
- Koj tuaj yeem daws cov tsos mob los ntawm kev haus cov kua ntau lossis hnav thom khwm siab (thom khwm thom khwm).
