Management of chronic diabetic complications.. التعامل مع المضاعفات المزمنة لمرضى السكر"


1-Peripheral neuropathy
" التهاب الأعصاب الطرفية"
presentation.. توصيفها
تنميل شكشكة في القدمين والم خصوصا بالليل
management..
1-drugs for neuropathic pain
a-
-lyrica 75 mg
or
painica 75 mg
or
lyrolin 75 mg
-Contain"pergabalin" which is the best
-نبدأ بكبسولة صباحا ومساء بعد الأكل
-إذا لم يحدث تحسن بعد شهر هنستخدم التركيز الأعلى
Lyrica 150 mg or painica 150 mg or lyrolin 150 mg

b-
-neurotop 200 mg tab
0r
tegretol 200 mg tab
-contain"carbamazepine"
-قرص مساءا قبل النوم
-مشكلته أنه بيعمل دوخة وعدم تركيز واعراضه الجانبية كتير ولكنه ارخصهم
-ممنوع نستخدمه ف مرضى الكبد

2-vitamin B 12
-betolvex amp
حقنة بالعضل مرة أسبوعيا لمدة شهر ثم مرة واحدة كل 3شهور

3-analgesics... مسكنات
-anticox amp
-contains"meloxicam"
حقنة بالعضل عند اللزوم فقط


symptoms
-Every nerve in your peripheral system has a specific function, so symptoms depend on the type of nerves affected. Nerves are classified into:

1-Sensory nerves that receive sensation, such as temperature, pain, vibration or touch, from the skin
2-Motor nerves that control muscle movement
3-Autonomic nerves that control functions such as blood pressure, heart rate, digestion and bladder



Signs and symptoms of peripheral neuropathy might include:

1-Gradual onset of numbness, prickling or tingling in your feet or hands, which can spread upward into your legs and armsSharp, jabbing, throbbing, freezing or burning painExtreme sensitivity to touchLack of coordination and fallingMuscle weakness or paralysis if motor nerves are affected

2-If autonomic nerves are affected, signs and symptoms might include:

-Heat intolerance and altered sweatingBowel, bladder or digestive problemsChanges in blood pressure, causing dizziness or lightheadedness

-Peripheral neuropathy can affect one nerve (mononeuropathy), two or more nerves in different areas (multiple mononeuropathy) or many nerves (polyneuropathy).
-Carpal tunnel syndrome is an example of mononeuropathy. Most people with peripheral neuropathy have polyneuropathy.

posted from Bloggeroid

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