Polyneuropathy bụ otu ọrịa nke ọrịa ụjọ akwara na-eme n'oge mbibi akwara akwara.
Ihe na-ebute oria a nwere ike di iche, ma ihe ngosiputa ogwu ha di otua. Ihe e ji mara ha bụ na olu na-emebi emebi ụda olu, nri na-ezuru anụ ahụ, mgbanwe mgbanwe na -eme ka aka na ụkwụ.
Ọ bụrụ na anyị atụnyere ndị na-arịa ọrịa shuga na polyneuropathy na-egbu egbu, ihe ọ bụ na otu ha si egosipụta, mgbe ahụ, akara a na-ahụkarị ga-abụ imebi ntinye ọbara na ime mmadụ n'okpuru ihe ndị na-egbu egbu - glucose na ethanol.
Ebumnuche maka mmepe nke polyneuropathy
Polyneuropathies nwere usoro etiologies dị iche iche, wee topụta oke ma ọ bụ ekpughe ọnọdụ na - emebi ihe na akwara akwara. Nke a nwere ike ịbụ n'ihi nsí nsí nke nje na-arịa diphtheria ma ọ bụ nje na nje HIV, mmerụ, na usoro akpụ.
Ogwu, tinyere Cordaron, Furadonin, Metronidazole na Isoniazid nwere ike igbochi mkpali akwara n'oge eji ogologo oge.
Neuropathies na ọrịa tumor nwere ike ime ma oge nke abụọ - ya na mbufụt, myeloma na kansa nku, ma bụrụkwa nsogbu nke kemoterapi nke ọrịa ndị a.
Neuropathies na-adịghị ala ala na-akpalite ụdị ọrịa a:
- Ọrịa autoimmune.
- Ọrịa metabolism - ọrịa shuga, amyloidosis, hypothyroidism, ụkọ vitamin B12.
- Ọrịa ndị e ketara eketa.
- Mmanya
- Odida ntaramahụhụ.
- Cirrhosis nke imeju.
Maka polyneuropathy na-arịa ọrịa shuga na onye ọ ,ụ alcoụ na-aba n'anya, ọganihu nke nwere ahụmịhe ogologo oge nke ọrịa ahụ na mmụba nke ndị na-egosi ụlọ ọgwụ na mbelata ịba uru glucose ma ọ bụ mmanya bụ ihe e ji mara ha.
N'ihi gịnị ka ọrịa shuga na a alcoụrụma ji emetụta ụdọ akwara?
Na ọrịa shuga mellitus, polyneuropathies na-etolite na mbibi zuru ezu nke neurons n'akụkụ akụkụ nke sistem. Ọnwụ ụbụrụ dị otú a anaghị aghaaghakarị n'ihi nrụzi anụ ahụ na ndị ọrịa mamịrị.
Mmụba glucose na ọbara na-ekesa ihe na-eduga n’inu mgbidi nke arịa ọbara, ikike ịgbasi ike, ikebe nke ọbara na oghere ndị dị n’ahụ mgbidi ahụ. Site na nri dị ala dị otú ahụ, mkpụrụ ndụ akwara na-anwụ, site na anụ ahụ na-arụ ọrụ anaghị arụ ọrụ.
Achọpụtala ihe ọ bụla na-arịa neuropathy na ụmụ nwoke toro ogologo. Isi ihe na-ekpebi ịdị njọ nke ọrịa ahụ bụ ogo nke hyperglycemia. Ọnọdụ ndị a na-enye nsogbu karịrị akarị, ị smokingụ sịga na ị alcoholụbiga mmanya ókè.
Ihe nwere ike ibute ọrịa mamịrị polyneuropathy na-abawanye na ihe ndị a:
- Ogologo ndu oria shuga.
- Ọrịa hyperglycemia dị elu, mgbanwe ugboro ugboro na ọkwa shuga.
- N’oge agadi.
Maka neuropathy na ị alcoụ mmanya, ihe na-akpata ya nwere ike ịbụ hypothermia, ọrịa na imebi imeju. Ethanol n'onwe ya na ngwaahịa metabolic ya na-akụda akwara akwara. Site na enweghi nkụzu nke vitamin B1 (thiamine), ngosipụta nke polyneuropathy na-abawanye.
Hypovitaminosis B1 na-erite na nri ezughị ezu na ịmịkọrọ afọ ojuju na eriri afọ. Alcoholụ mmanya na-aba n'anya na-abawanye mkpa mmanụ aamụ mmiri, yabụ na-eme ka ihe ndị ọ na-egosi ka njọ. N'okwu a, akwara anụ ahụ na-amara mmetụta ọ bụla mebiri.
Mmanya na-akpata oke ịba n’onwe ya nke na-emebi ọgbụgba dị n’ime arịa ndị ahụ, n’ihi nke hypoxia na-ewulite akwara akwara ma bibie ha.
Ihe ịrịba ama nke polyneuropathy mamịrị
Ọkpụkpụ nke inye ọbara, mgbanwe na akwara ozi nke akwara anụ ahụ na ọrịa shuga na-etolite ụdị ọnya atọ dị na nsọtụ ala: neuropathic, ischemic, weere.
A na-egosipụta nrịanrịa Neuropathic site n'echiche gbagọrọ agbagọ nke ihe mgbu, nke, na-enwe obere mmetụ, ọnya ahụ, na mgbe ị na-aga ije ụkwụ na-agwụ. Itchkwụchi, mgbu na -eme ka ọ bụrụ ihe nwute n'ụkwụ nwekwara ike ime.
Ọkpụkpụ mmetụta na mmetụta mgbu na-ebute mmerụ ahụ na akpụkpọ ahụ. Nkwonkwo ụkwụ nwere nkwarụ n'ihi nkwarụ akwara aka yana itinye aka n'ụkwụ n'ụkwụ mgbe ị na-eje ije, subluxations na-apụta. Akpọnkpọ ahụ kpọrọ nkụ, nwee nkụ, ọ na - enwe ọnya ọrịa na ọnya ọnya.
Otu ihe pụrụ iche nke akwara ozi bụ ọnụnọ pịrị apị n'ụkwụ, akpụkpọ ahụ dị ọkụ na ịmalite ọnya na ọkpụkpụ metatarsal.
Usoro ischemic nke mmepe nke polyneuropathy mamịrị na-eso:
- Mmeri nke akwara na okpu ulo.
- Mmewa nke cholesterol na calcium na mgbidi vaskụla.
- Zobe nke otiti na otiti obara.
- Mgbidi vaskụla ga-akawanye ike ma sie ike karị.
- Ọkpụkpụ ọbara na-ebelata.
Mmụba ọbara na-abanye n'àkwà na ọnya na -eme ka ọ na-enye aka guzobe edema na ọbara ọbara na anụ ahụ. Akpụkpọ ahụ na-adị gịrịgịrị, na-adị mfe mmerụ ahụ, ọnya na ọnya etolite. Ihe nrịba ama nke ischemia bu akara nke agwo oria, oge onye ori agha aghaghi ikwusi oge ijeghari aru n'ihi ukwu ahu na ukwu.
A na-egosipụta Thedị ahụ agwakọtara site na mbelata akwara na iwelata protein a na-ejikọ ya na glucose na mpaghara articular. Mgbaàmà nke ụdị mmebi a bụ:
- Mke na nkwonkwo.
- Ọrịa ogbu na nkwonkwo, nrụrụ na nkwonkwo.
- Coldkwụ oyi na-emetụ aka.
- Akpukpọ aru na-acha ọbara ọbara na-acha ọbara ọbara,
- Ọkpụkpụ apụta na nkwonkwo ụkwụ ma ọ bụ ikiri ụkwụ.
Ulcers na oke oria bu oria, nke osteomyelitis na usoro septik, nke ahu bu oshimia na eduga n’agha.
Footkwụ na-arịa ọrịa shuga bụ ihe na-akpatakarị igbachi ụkwụ.
Mgbaàmà nke prolineuropathy na egbu egbu
Nkewa n'ime ụdị nke polyneuropathy na-arịa ọrịa shuga na ndị na-arịa ọrịa shuga dị n'ụkpụrụ ọnọdụ, ebe ọ bụ na ọ nweghị mbibi dịpụrụ adịpụ nke sistemụ akwara na ọbara. A na-ahụkarị ụdị ọrịa ndị a gwakọtara agwakọta.
A na-anọchi anya ngosipụta ụlọ ọgwụ nke polyneuropathy na-egbu egbu site na syndromes ndị dị ka: sensọ, moto, mbuaha, atactic.
Ejiri akwara ụbụrụ na-amata mgbu ụkwụ, ọnụọgụ, ọkụ, nkwụ ụkwụ, mgbu akwara. Mmebi nke mmetụ uche, gụnyere mmụba ma ọ bụ belata nke ahụ na ọnọdụ okpomọkụ bụ ihe e ji mara ụdị "sọks na Mbipụta." A na-egosipụta mmeghachi omume anụ ahụ site na marbling nke anụ ahụ, ọsụsọ gafere.
E gosipụtara n'ụdị moto ahụ:
- Mgbanwe nke ụkwụ ma ọ bụ mkpịsị ụkwụ mbelata.
- Mmebi nke ntụgharị ụkwụ.
- Enweghị ike ije ije na mkpịsị ụkwụ.
Ọ bụrụ na emetụtara akwara peroneal, “ụkwụ warara” na-apụta, nke siri ike ịgbatị obo ụkwụ.
Thedị agwakọtara na-eme n'ụdị paresis ma ọ bụ ahụ mkpọnwụ nke ụkwụ, aka, mgbu, ọnya aka ma ọ bụ ụkwụ. Akwara nke aka na aka. Na mpaghara emetụtara enwere ike ịnwe mmụba ma ọ bụ belata.
A na - eme pseudotabes nke Peripheral, ma ọ bụ ụdị polyneuropathy na - egbu egbu, na - akpata ọgba aghara dị ukwuu. N'ime ndị ọrịa, a na-agbagọ mmeghari agagharị na uru, ụkwụ na-apụ, ọnụnọ na-ebelata, n'oge nyocha, Achilles na ikpere na-anọghị.
Na mbu, ndi oria na –eweputa ike ahu na ukwu n’apata aka na ukwu ya, emesia na paresis ma o bu okpukpo ahu buru ibu, ya na mmetuta elu.
N’ọnọdụ ndị siri ike, akwara umeji, akwara umeji na-ebelata ike, nke a na-egosipụta site n’iru mgbagha na mgbada.
Ọgwụgwọ na mgbochi nke neuropathy na ọrịa shuga
Iji na-emeso neuropathy na ndị ọrịa na-arịa ọrịa shuga, a ga-edozi ọkwa shuga ọbara. Na mgbakwunye, ihe ndị na-egosi ụzọ ndụ mamịrị nke ọrịa shuga bụ mbelata ogo ọbara ọgbụgba na-agba ume, ndị na-egosi metabolism nke lipid, gụnyere cholesterol, na ọbara mgbali.
A na-enweta nke a site na ịgbaso usoro nri na ịkọpụta ọgwụgwọ insulin maka ụdị ọrịa shuga mbụ. A nwekwara ike ibugharị ndị ọrịa na-arịa ọrịa shuga na-enweghị insulin na nwa oge insulin, ma ọ bụrụ na ọgwụ iji belata shuga na mbadamba enweghị ike belata ya na ọkwa akwadoro.
Mgbe mmeghari usoro ihe omimi nke carbohydrate na abuba metabolism, mbelata nke ihe ngosiputa nke polyneuropathy mamịrị malitere n’ime onwa abuo.
A na-eji ọgwụgwọ ọgwụ ọjọọ eme ihe site na iji nkwadebe thioctic acid: Berlition, Thiogamma, Espa-lipon. E gosipụtara mgbagwoju nke vitamin B - Milgamma maka ọrịa shuga, Neurobeks Neo, Neurovitan, Neuroorubin.
Maka analgesia, eji ọgwụ mgbochi mkpali mee ihe - Indomethacin, Diclofenac, Nimesulide, yana anticonvulsants - Gabalept, Lyrics. Dabere na njirimara ndị ahụ, enwere ike ịkọwa ọgwụ antidepres - amitriptyline, clofranil, imipramine, venlafaxine.
Oint nwere ebe a na - eji lidocaine mee ihe - Versatis ma ọ bụ ọgwụ mgbochi na - abụghị steroidal anti-inflammatory - Ketoprofen, Dolgit.
A na-eji usoro ọgwụ na-abụghị ọgwụ maka ọgwụgwọ nke ọrịa polyneuropathy na ọrịa shuga: hyperbaric oxygenation, balneotherapy, electrophoresis, mkpali na okwute modul, magnetotherapy, electroneurostimulation elektrik. Enwere ike ịkọ ha na enweghị ọrịa nke nnukwu concomitant.
Na ọgwụgwọ nke ọrịa mgbu na-adịgide adịgide, nke ọgwụ na-ewepụghị, a na-eme ka nkwalite elektrọniki azụ azụ.
Mgbochi nke mmepe nke polyneuropathy bụ ịchịkwa ọkwa shuga na idozi ọgwụ nke ịbelata shuga. Na mgbakwunye, a na-atụ aro ka ndị ọrịa na-arịa ọrịa shuga nyocha ọbara maka ọbara haemoglobin glycated, akụrụ na hepatic, na ọkwa lipoprotein.
O kwere omume igbochi mbibi nke akwara ọbara na akwara akwara n'okpuru ndụmọdụ ndị a:
- Nọgide na-enwe ọbara mgbali na 130/80 ka ị ghara imebi inye ọbara anụ ahụ emetụtara.
- Wezuga shuga na ntụ ọka ọcha site na nri, ma tinye akwụkwọ nri na ngwaahịa protein dị obere.
- A machibidoro ị alcoholụ mmanya na sịga ọ bụla.
- Were ije kwa ụbọchị, na-enwe ahụ ike.
- Hụ ịdị ọcha ma na-enyocha ụkwụ kwa ụbọchị.
Ọgwụ nke polyneuropathy na-egbu egbu
Maka ọgwụgwọ nke polyneuropathy nke ị alcoholụbiga mmanya ókè, ọ dị mkpa ịhapụ ihe ọ alcoụ alcoụ na-aba n'anya na nri na-edozi ahụ, gụnyere ezigbo vitamin na nri na-eri nri, yana protein zuru ezu.
Maka ọgwụgwọ physiotherapeutic, electromyostimulation, galvanization na electrophoresis nke vitamin, a na-eji novocaine.
Mee magnetotherapy, ọgwụgwọ laser, sinusoidally simulated currents, acupuncture. E gosipụtara ndị ọrịa mmega ahụ, ịhịa aka n'ahụ, igwu mmiri na ije.
A na-eji ọgwụ ndị na-esonụ eme ọgwụgwọ ọgwụ neuropathy na-egbu egbu:
- Vitamin B: Milgamma, Neurorubin, Thiamine chloride, Pyridoxine hydrochloride, Cyanocobalamin (intravenously ma ọ bụ intramuscularly).
- Ascorbic acid bu ogwu ogbugba.
- Pentoxifylline, Trental ma ọ bụ Pentilin, Cytoflavin iji mezi microcirculation.
- Actovegin maka ọrịa shuga maka iguzogide hypoxia.
- Neuromidin iji meziwanye usoro neuromuscular.
- Anesthesia: ọgwụ mgbochi mkpali na-abụghị steroid Voltaren, Revmoxicam; anticonvulsants - Gabalept, Finlepsin; antidepressants - Anafranil, Venflaxin.
- Ọgwụ Anticholinesterase maka paresis ma ọ bụ ahụ mkpọnwụ - Neuromidine, Galantamine, Proserin.
Egotara ndi Hepatoprotector (Essentiale, Hepabene, Liv) maka ndi oria di otu a ka ha meziwanye nnabata nke ogwu na ichebe sel. Ọzọkwa, enwetara ezigbo nsonaazụ mgbe ị na-eji ọgwụ ọgwụ thioctic acid - Thiogamma, Espa Lipon, Thioctacid, Berlition.
Gịnị bụ polyneuropathy na-arịa ọrịa mamịrị? Enyere ihe omuma banyere ihe a na vidiyo na edemede a.
