Ua paʻi ʻia ke alakaʻi i ka lā 27 Dekemaba, 2021, ka pukana pūnaewele o Neurology®, ka nūpepa olakino o ka AAN, a ua ʻae ʻia e ka American Association of Neuromuscular & Electrodiagnostic Medicine. Hoʻoponopono kēia alakaʻi i ke alakaʻi 2011 AAN e pili ana i ka mālama ʻana i ka neuropathy diabetic ʻeha.
Hōʻike ke alakaʻi he nui nā lāʻau lapaʻau waha a me nā lāʻau lapaʻau i kūpono i ka hōʻemi ʻana i ka ʻeha nerve. Ma mua o ke kau ʻana i kahi lāʻau lapaʻau, ʻōlelo ʻia e hoʻoholo mua ke kauka inā loaʻa i ke kanaka nā pilikia o ka naʻau a i ʻole ka hiamoe ʻoiai he mea nui ka mālama ʻana i kēia mau maʻi.
No ka hōʻemi ʻana i ka ʻeha nerve, ʻōlelo ke alakaʻi e hiki i nā kauka ke hāʻawi i nā lāʻau lapaʻau mai nā papa lāʻau lapaʻau: tricyclic antidepressants (TCAs) e like me amitriptyline, nortriptyline a me imipramine; serotonin-norepinephrine reuptake inhibitors (SNRIs) e like me ka duloxetine, venlafaxine a i ʻole desvenlafaxine; nā gabapentinids e like me gabapentin a i ʻole pregabalin; a me / a i ʻole nā mea hoʻokae kaila sodium e like me ka carbamazepine, oxcarbazepine, lamotrigine, a i ʻole lacosamide. Hōʻike nā hōʻike i kēia mau lāʻau lapaʻau e hōʻemi i ka ʻeha aʻalolo.
Ke kuhikuhi ʻana, ʻōlelo ke alakaʻi i nā kauka e noʻonoʻo i ke kumukūʻai o kahi lāʻau lapaʻau, nā hopena ʻaoʻao a me nā pilikia olakino ʻē aʻe i loaʻa i ke kanaka. I ka wā e lawe ai i ka lāʻau lapaʻau, pono e nānā ʻia nā kānaka e kā lākou mau kauka e hoʻoholo inā lawa ka hōʻoluʻolu ʻeha a i ʻole ka nui o nā hopena ʻaoʻao.
Inā ʻaʻole i hoʻomaikaʻi maikaʻi ka lāʻau lapaʻau mua, a i ʻole he hopena koʻikoʻi, ʻōlelo ke alakaʻi e hāʻawi nā kauka i nā mea maʻi i ka hoʻāʻo ʻana i kekahi lāʻau lapaʻau mai kahi papa ʻē aʻe.
Ua ʻōlelo ke alakaʻi ʻaʻole pono e noʻonoʻo ʻia nā opioids no ka mālama ʻana.
Wahi a ke alakaʻi, hiki i nā kauka ke hāʻawi i nā lāʻau lapaʻau e like me ka capsaicin, glyceryl trinitrate spray a i ʻole Citrullus colocynthis e hōʻemi i ka ʻeha. He mea kōkua paha ka ginkgo biloba, a me nā lāʻau lapaʻau ʻole e like me ka hoʻoikaika kino, ka noʻonoʻo, ka cognitive behavioral therapy a me ka tai chi.
No ke kōkua hou aku i nā neurologist a me nā kauka ʻē aʻe me ka mālama ʻana i ka neuropathy diabetic ʻeha, ua paʻi pū ka AAN i kahi AAN Polyneuropathy Quality Measurement Set hou e hele pū me kēia alakaʻi. ʻO kahi hoʻonohonoho ana maikaʻi kahi mea hana i hiki i nā kauka ke hoʻohana e hoʻomaikaʻi i nā ala e hāʻawi ʻia ai ka mālama ʻana i nā maʻi.
E aʻo hou aʻe e pili ana i ka neuropathy diabetic ma BrainandLife.org, home o ka American Academy of Neurology's free patient and caregiver magazine i kālele ʻia i ka hui ʻana o ka maʻi neurologic a me ke olakino lolo. E hahai iā Brain & Life® ma Facebook, Twitter a me Instagram.
ʻO ka American Academy of Neurology ka hui nui loa o ka honua o nā neurologists a me nā loea neuroscience, me nā lālā he 36,000. Hoʻolaʻa ʻia ka AAN i ka hoʻolaha ʻana i ka mālama neurologic kiʻekiʻe loa. ʻO ka neurologist he kauka me ka hoʻomaʻamaʻa kūikawā i ka ʻike, mālama ʻana a me ka mālama ʻana i nā maʻi o ka lolo a me ka ʻōnaehana nerve e like me ka maʻi Alzheimer, stroke, migraine, multiple sclerosis, concussion, Parkinson's disease and epilepsy.
He aha e lawe ʻia mai kēia ʻatikala:
- A neurologist is a doctor with specialized training in diagnosing, treating and managing disorders of the brain and nervous system such as Alzheimer’s disease, stroke, migraine, multiple sclerosis, concussion, Parkinson’s disease and epilepsy.
- Inā ʻaʻole i hoʻomaikaʻi maikaʻi ka lāʻau lapaʻau mua, a i ʻole he hopena koʻikoʻi, ʻōlelo ke alakaʻi e hāʻawi nā kauka i nā mea maʻi i ka hoʻāʻo ʻana i kekahi lāʻau lapaʻau mai kahi papa ʻē aʻe.
- The guideline is published in the December 27, 2021, online issue of Neurology®, the medical journal of the AAN, and is endorsed by the American Association of Neuromuscular &.
