The diabetic should take care of neuralgia around

The diabetic should take care of neuralgia around
Friend's lower extremities of doctors and patients' face-to-face candy touch a kind of pain numbly
King professor of internal medicine nerve of Beijing God Temple Hospital supports the army
The patient tells
I am 56 years old this year, come from Shaanxi. I suffer from diabetes for 5 years, a pair of upper limbs and lower extremities have ached already for half years.
The disease course is such: I probably appeared weakly, thirstily and becoming thin in 2001, went to the hospital to just discover and suffer from diabetes while seeing the doctor. My blood glucose was controlled all right now, the diet structure has been totally changed too. But about half a year ago, I present the intermission to ache for no reason at all. It is two arms that ache at the beginning, later on two pieces of shank begin to ache too, then pain is from turning disconnectedly into pain of continuation. Many small needles are pitching me in just as the feeling of pain, then develop into the burning pain. I will be often ached and woken up in the evening, can't sleep for several hours each day. I always lose the appetite now, can't eat into the things, sick. Oneself take stop, ache slice and traditional Chinese medicine, result very fine, dosage of medicine wipe out loud too. The hospital prescribes stronger analgesic, not only has not lightened after eating up pain now, nausea and stomachache appear instead.
Actually I could do some house work briefly, helped the spouse to cook, but everything can not be done now. Because does not have a rest well in the evening, the temper of the daytime is great. I and family very worried for this, I wonder, should go where seek medical advice.
The expert comments on
Disease that this patient suffers from as neuralgia around diabetes, or is called neuropathy around aching diabetes, it is the neuropathy reason that pains (neuralgia) Plant. Diabetes can accompany by the blood vessel complication and nervous system complication, the nervous system complication can be shown as neuralgia. The diagnosis and treating more generally in foreign countries of this disease, and domestic attention degree to this disease is far from enough.
As to neuralgia around diabetes, still lack large-scale reliable flowing and adjusting the data at home. Follow up a case by regular visits to controlled study reveal neuropathy turn morbidity into rise to 20% 10 years later from 7% at base-line around the person who ache 10 year not carrying on in 2 type diabetic.
Neuralgia is one of the symptoms appearing in diabetes complication first around diabetes. Early symptom relies mainly on feeling the obstacle. It is unusual to present symmetrical pain and feeling clinically, relatively the upper limbs are seen more in lower extremities symptom. Feel unusually numbness, ant leave, the worm climbs, generate heat, touch kind etc., often from carry toe, upgo, can reach at the knee far, patient have wear socks and wear the glove kind feel. The case that feels with serious obstacle can present lower extremities joint disease and ulcer. Pain presents shouting pain, burns aching, bores and digs aching, seem to have a pain in the deep department of bone marrow, it is heavy on daytime light night that the drama aches and aches and presents like the amputation sometimes. Neuralgia around diabetes not only it is born that pain is difficult, but also often cause insomnia, depressed, anxious etc. and behave. The serious one will influence work and viability, cause the social function to drop even lose.
High morbidity and serious consequence that painful in view of neuropathy reason, world treats the idea and puts emphasis on diagnosing in early days, treating in early days newly at present, reduce and diagnose time, saves time and expenses. In addition, because neuropathy reason pains and displays the diversification, the main suit was indefinite when the patient went to a doctor, so it accords with domestic clinical experience and procedure of making a diagnosis of standardization of the situation to need to make. However, can be seen since data that are painful in reason in neuropathy at present,diagnosis of neuralgia around diabetes often in in later period. In fact, the diagnosis of this disease is easy, already there are ripe diagnostic standards in the world at present. Advise the corresponding patient to go to the department of nerve internal medicine and division of endocrinology to go to a doctor in time, remove the illness as soon as possible.
As to the thing that diabetic neuropathy reason pains, comply with a plurality of respects treatment. Treat and have illness coming on originally at first, namely control diabetes, blood glucose should reach, treat the goal. Secondly, can use the medicine of nerve of nutrition such as a group B of vitamins. Third, choose appropriate to ease pain medicine, in order to relieve the agony that pain brings. The medicine therapeutic effect of easing pain of the tradition is not good enough, a plurality of international guides recommend adopting the medicine treatment of resisting depression, resisting to faint from fear etc., can also use acupuncture and moxibustion or medicine external application,etc. to treat the measure. Research reveals, only 22%~42% of the patients are satisfied with treating. So, need to provide the new treatment means used for treating neuropathy and rational pain for the masses of clinicians and patient.
As to one diabetic big country under we, should strengthen to the intersection of neuropathy and the intersection of reason and painful understanding, discern relevant disease in early days, make the clinical norm.
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