Metabolic neuropathies

Metabolic neuropathies o neula faʻaletonu e tutupu ma faʻamaʻi e faʻalavelave ai le gasologa o mea i le tino

O le faʻaleagaina o neula e mafai ona mafua mai i mea eseese. Metabolic neuropathy ono mafua mai i:

• O se faʻafitauli i le tino o le mafai gafatia faʻaaoga le malosi, masani ona o le le lava o lava meaʻai (le lava meaai)
• Mea mataʻutia (oona) e faʻaputuputu i le tino

O le maʻisuka o se tasi o mafuaʻaga masani a metabolic neuropathies. Tagata o loʻo i ai le maualuga lamatiaga mo neura faʻaletonu (suka suka) mai le maʻisuka aofia ai i latou oe ua:

• Faʻaleagaina o fatugaʻo poʻo mata
• Le lelei pulea le suka suka

Isi mafuaʻaga masani o metabolic neuropathies aofia ai:

• Le faʻaogaina o le ava malosi (neuropathy o le ava malosi)
• Maualalo suka suka (hypoglycemia)
• Le manuia fatugaʻo
• Tofi tofi, pei ole porphyria
• Matuia siama i le tino atoa (sepsis)
• Faʻamaʻi thyroid
• Vaivaiga le atoatoa (aofia ai vitamini B12, B6, E, ma le B1)

O isi faʻafitauli o gasegase faʻafuaseʻi e pasi mai i aiga (tofi), ae o isi e tupu ona o maʻi eseese.

O nei faʻailoga e tupu ona e le mafai e neula ona lafo ni faʻailoga saʻo i lou maʻi:

• Faʻafitauli faigata i soʻo se vaega o le tino
• Faigata ile faʻaaogaina o lima poʻo lima
• Faigata ile faʻaaogaina o vae poʻo vae
• Faigata ile savali
• Tiga, mumu lagona, a pine ma nila nila lagona pe fanaina tiga i soʻo se vaega o le tino (neula tiga)
• Vaivaiga i foliga, lima, vae poʻo isi vaega o le tino
• Dysautonomia, e afaina ai le autonomic (le faʻalagolago) neivi, mafua ai faʻailoga e pei o le vave o le tata o le fatu, faʻamalositino le faʻapalepale, maualalo le toto maualuga peʻa tu, le afu o le afu, faʻafitauli manava, le faʻatinoina gaioiga o le tamaititi o le mata, ma le lelei fausiaina

O nei faʻailoga e masani lava ona amata i tamatamaivae ma vae ma faʻasolosolo i luga vae, iʻu ina afaina ai lima ma lima.

O le a suʻesuʻe oe e lau tausi soifua maloloina ma fesili e uiga i ou faʻailoga.

O suʻega e mafai ona okaina e aofia ai:

• Tofotofoga toto
• Suʻega eletise o maso (electromyography poʻo EMG)
• Suʻega eletise o le faʻaaogaina o neula
• Biopsy o neula

Mo tele metabolic neuropathies, o le sili togafitiga e faʻasaʻo le metabolic faafitauli.

O le le atoatoa o vaitamini e togafitia i meaʻai poʻo ni vaitamini i le gutu poʻo le tui. Ole tulaga masani ole suka ole toto ole mea ole thyroid atonu e manaʻomia ni vailaʻau e faʻasaʻo ai le faʻafitauli. Mo le ava malosi neuropathy, o le togafitiga sili o le taofi le inu.

I nisi tulaga, tiga e togafitia ma vailaʻau e faʻaititia ai le le masani ai faʻailoga tiga mai neula. I nisi tulaga, kulimi, kulimi, poʻo fofo faʻafomaʻi mafai ona maua ai le mapusaga.

O vaivaiga e masani ona togafitia ile faʻamalositino. Atonu e manaʻomia lou aʻoaʻo pe faʻafefea se tootoo poʻo se toso peʻa aʻafia lau paleni. Atonu e te manaʻomia ni faʻamau faʻapitoa faʻapitoa e fesoasoani ia te oe e savali lelei ai.

O nei kulupu e mafai ona maua ai nisi faʻamatalaga e uiga i le neuropathy:

• Neuropathy Action Foundation - www.neuropathyaction.org
• Le Faʻavae mo Peripherial Neuropathy - www.foundationforpn.org

O le vaʻaiga e faʻamoemoe lava i le mafuaʻaga o le faʻamaʻi. I nisi tulaga, o le faʻafitauli e faigofie lava ona togafitia. I isi tulaga, e le mafai ona taofiofia le faʻafitauli o le metabolic, ma e ono faʻaauau pea ona faʻaleagaina neura.

Faʻafitauli e ono iʻuga aofia ai:

• Eseese
• Manuʻa i vae
• Leiloa poʻo le vaivai
• Tiga
• Faʻalavelave savali ma pa'ū

Ole tausiga ole soifua maloloina e mafai ona faʻaititia ai le aʻafia ile neuropathy.

• Aloese mai le soʻona inu 'ava malosi.
• Taumafa paleni paleni.
• Tuʻu le ulaula.
• Asiasi i lau tautua i taimi uma e saili ni faʻafitauli o le metabolic ae e leʻi amataina le neuropathy.

A iai le neula i ou vae, ole fomaʻi vae (podiatrist) e mafai ona aʻoaʻo ia te oe pe faʻafefea ona asiasia ou vae mo faʻailoga o manuʻa ma faʻamaʻi. O seevae fetaui lelei e mafai ona faʻaititia ai le avanoa e paʻu le paʻu i vaega maʻa o vae.

Neuropathy - faʻafomaʻi

• Nofoʻaga popolevale ma faiga lautele neula
• Musele pito i luma o maso
• O maso loloto i lalo

Dhawan PS, Goodman BP. Faʻailoaina o neurologic o faʻafitauli tau soifua maloloina. I: Aminoff MJ, Josephson SA, eds. Aminoff's Neurology ma Faʻafomai Aoao. 5th ed. Waltham, MA: Elsevier Academic Press; 2014: mata 15.

Patterson MC, Percy AK. Peripheral neuropathy i le faʻafitauli o le toto ua maua. I le: Darras BT, Jones HR, Ryan MM, De Vivo DC, eds. Neuromuscular Faʻaletonu o Tamaititi, Tamaititi, ma Talavou. 2nd ed. Waltham, MA: Elsevier Academic Press; 2015: mata 19.

Ralph JW, Aminoff MJ. Neuromuscular faʻafitauli o le lautele faʻafitauli faʻafomaʻi. I: Aminoff MJ, Josephson SA, eds. Aminoff's Neurology ma Faʻafomai Aoao. 5th ed. Waltham, MA: Elsevier Academic Press; 2014: chap 59.

Smith G, Maasiasi IA TE AʻU. Nofoaga lautele neuropathies. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: mata 392