Akwara mgbu na ọrịa shuga: akpata

Mgbu na akwara nke ala ikpere nwere ọrịa shuga nwere ike ime ma mmụba ma soro shuga dị n'ọbara.

Akpaghasị usoro mmịnye ọbara, yana mmebi nke sistem akụkụ akụrụngwa, nchịkọta ngwaahịa metabolic na akwara dị na akwara ndị a na-ahụ n'ọrịa shuga n'ihe fọrọ nke nta ka ọ bụrụ ndị ọrịa niile, ọkachasị mmụba na oge ọrịa na afọ.

A na-egosipụta mgbaàmà nke mmerụ ahụ anụ ahụ site na mgbu, adịghị ike akwara, ịma jijiji na ihe nhịahụ.

Kedu ihe kpatara ọrịa shuga ji akpata mgbu?

Ọkpụkpụ nke inye ọbara n'ọbara mellitus bụ ihe metụtara mmebi mgbidi nke arịa ọbara, nke, n'ọtụtụ glucose n'ọbara, merụrụ ahụ, a na-edebe lipoproteins dị ala, mkpụrụ ndụ akwara dị nro na-adọba arịa ahụ n'ihi ịba ụba.

Ọrịa Neuropathy na-agbakarị ọrịa na akwara nke ala nsọ, ebe ọ na - agbagha obere arterioles na capillaries, ebe ọbara na - agafe site na mgbagha nke arteriovenous na - abawanye. Site na mgbanwe ndị dị otú a, mgbanwe nri na gas na anụ ahụ akwara na-ebelata ọbụna karịa, na-akpata, na mgbakwunye na mgbu, mmụba na-enwu ọkụ n'ụkwụ.

Mbibi nke akwara akwara na ọrịa shuga na-esonyere na ndozi sorbitol, nke na-ebute mbelata ọbara ọbara n'ime akwara ma na-eduga agụụ ụkọ oxygen na-adịghị ala ala na arụ ọrụ na usoro nke akwara akwara.

Leadingzọ kachasị arụ ọrụ nke mmebi akwara anụ ahụ na mellitus ọrịa shuga:

1. Mbibi nke akpụkpọ ahụ na protein site na nhazi nke radicals n'efu.
2. Glycosylation nke protein n’ahụ ụmụ irighiri ihe glucose na-erugharị n’ime ọbara.
3. Mbibi nke arịa ndị na-azụ akwara.
4. Nzoputa nke autoantibodies megide neurons.

Mgbanwe Neuropathic na akwara na akwara anụ ahụ na-enwe ọganihu site na uto nke hyperglycemia ma nwee ike ibelata ụgwọ ụgwọ ọrịa shuga. Myalgia nwekwara ike sonyere mbelata nke glucose ọbara.

Na ọgụ dị njọ nke hypoglycemia, enwere ihe mgbaàmà metụtara ọrụ nke catecholamines - adrenaline na norepinephrine, nke na-eduga n'eziokwu ahụ na ogwe aka na ụkwụ na-amalite ịgbaghari, ndị ọrịa na-akọwa ya dị ka nke a: "shuga belatara ma akwara niile na-agbagha"

Mgbu n'ụkwụ ahụ maka ọrịa shuga

Ngosiputa ihe mgbu n’olu n’olu n’enwe oria shuga obbara n’arụ, ebe hyperglycemia na-ebelata ọnụ ụzọ ihe mgbu ma gbochie ihe ndị na-eme nyocha. Ihe mgbaàmà mgbu na-abawanye nwayọ nwayọ, yana mmepe nke ihe ịrịba ama nke ọrịa shuga.

N’oge na-adịghị anya, nnukwu ihe mgbu na-apụta nke ukwu ma na-esokwa mgbakasị ụra, nkụda mmụọ, agụụ na-ebelata ibu ngwa ngwa. Cliniclọ ọgwụ dị otú a na-eme na ọrịa ogologo oge na-arịa ọrịa shuga na-amaghị, yana ọ bụrụ na a na-emeso onye ọrịa ahụ ezighi ezi.

Ihe mgbaàmà nwere ike iputa na mmalite ọgwụgwọ ọrịa shuga, ha na-egosi n’ụzọ a:

• Mgbu ahụ na-apụta, dị oke ọkụ, na-agba ọkụ.
• Ọ na - amalite site n'ụkwụ ya wee ruo n'úkwù, mgbe ụfọdụ site na mbido mbụ, uru ahụ nke ọgịrịga ihu na-emerụ ahụ.
• Ejikọtara mmeghari ya na mgbaàmà ihe mgbu yana adịghị ike.

N'ụdị ndị a, ekwesịrị belata ogo ịkpụ glucose, ma na-enweta nzere nke ọkwa shuga nwayọ.

Akwara mgbu na ihe mgbu na-akawanye ike n'abalị, izu ike, maka ndị ọrịa na-arịa ọrịa shuga, paresthesia bụkwa ihe e ji mara ya - mmetụta nke ịkpa ọchị, ọnya, ụkwụ nwere ike ịpụ ụsọ. Ọtụtụ mgbe, a na-emetụta akwara nwa ehi, ọ na-abụkarị anụ ahụ na akwara ụkwụ na ogwe aka.

N'ọnọdụ siri ike, mgbu na-amalite n'ahụ ahụ dum, hypersthesia, nke na ọbụna imetụ mpempe akwụkwọ na-akpata ihe mgbu na ọkụ. Mgbe ị na-enyocha ndị ọrịa dị otú ahụ, a na-achọpụta mbelata ihe na - emegharị ahụ, mgbe ahụ enwere mbelata n'ụdị uche niile - tactile, vibrational, pain and positional. N'oge a, ụkwụ ọrịa mamịrị na-amalite.

Usoro nke na-ebelata shuga ọbara nwere ike ibute ọrịa dịka hypoglycemia. Ebe ọ bụ na glucose bụ isi ihe oriri maka usoro ụjọ ahụ, mgbe ọ malitere ịda, ngosipụta neuroglycopenic malitere:

1. Ndalata uche, bekee, obara nke obia.
2. Isi ọwụwa na anya isi.
3. Sụgharị, na-eme mkpọtụ, na-ama jijiji.
4. Anụ na-agbagọ akụkụ dị iche iche nke ahụ.
5. Akwara ike.
6. Azụ mgbu na - enweghị nnukwu mmetụ dị iche iche.

Akpata hypoglycemia na-esonyere ike ịba ụba nke uru ahụ, ọnwụ nke mmụọ, ọrịa nkwonkwo. Ọ bụrụ na agwọtaghị ya, onye ọrịa ahụ ga-adaba na mmiri ọgwụ hypoglycemic.

Ọgwụgwọ mgbu akwara mgbu na ndị ọrịa na-arịa ọrịa shuga

Maka ọgwụgwọ nke myalgia, a na-eji usoro atọ: ụgwọ ụgwọ ọrịa shuga, ọgwụgwọ Symptomatic na ndị na-egbu mgbu yana usoro nhazigharị maka akwara ndị emetụtara na akwara ọbara.

A na-akwụ ụgwọ ọrịa shuga n'ụdị mmezi nke nri ma kwalite ọkwa glucose. N'okwu a, ịdị na-enyocha ọkwa glucose kwa ụbọchị, yana ọmụmụ nke glycated haemoglobin, bụ ihe dị mkpa. A na-eme ọgwụgwọ ahụ n'ụzọ iji gbochie ịwa ahụ mberede na ọbara shuga.

Maka nke a, nri nwere obere carbohydrate nwere oke na mkpochapu nke sucrose na ngwaahịa ntụ ọka ọka dị elu. A na-atụ aro ka ịbelata oriri nke ngwaahịa anụ, ọkachasị anụ na -eme ka nri gharazie ị alcoholụ mmanya.

Mwepụ nke ihe mgbu ahụ site na ụzọ ndị na-abụghị ọgwụ, nke gụnyere:

• Galvanization.
• Electrophoresis ọgwụ.
• Ntughari.
• Usoro ọgwụgwọ Laser
• Compwa ahụ irighiri akwara.
• Magnetotherapy.
• Ojiji nke ihe eletriki site na mmeghari nke onodu ugha.

Otu njirimara nke ọgwụgwọ mgbu na-arịa ọrịa shuga bụ enweghị mmetụta nke analgesics dị mfe na ọgwụ mgbochi mkpali. Ya mere, a na-eji ọgwụ anticonvulsants, antidepressants, analiosis opioid na ọgwụ mgbochi mpaghara maka ọgwụgwọ.

Anticonvulsants na-ebelata ihe mgbu n'ihi mgbochi nke ọwa mmiri sodium na-ebelata nnyefe nke ihe mgbu. Ejiri ọgwụ ndị a: Finlepsin, Gabapentin, Pregabalin.

Idezọ kachasị dị irè maka mbenata ihe mgbu bụ amitriptyline. A na-eji ya na obere dos. N'ihi nsonaazụ ndị ọzọ, a ga-eji ịkpachara anya na ndị ọrịa nwere ọbara mgbali elu, obi obi, glaucoma. N'ime ndị ọrịa agadi, ọgwụ tricyclic antidepressants nwere ike ibute enweghị ọgba aghara, ọgba aghara.

A na-eji nyocha ọgwụ opioid mee ihe n'ọnọdụ ndị dị ụkọ na syndromes mgbu na-adịgide adịgide na nke siri ike n'ihi mmepe nke ịdabere na uche na anụ ahụ. A na-ejikarị Tramadol, nke a na-adịghị eri ahụ. Ọtụtụ mgbe, iji ya nwere ike ibute hyperension orthostatic, dizziness.

A na - eme plasta na mmanụ na lidocaine (Versatis), Capsaicin, nke nwere ikike iji belata ndị mgbasa ozi mgbu na nsọtụ akwara ma nwekwa ike ibute mgbu na iwe ọkụ na saịtị nke ngwa ahụ.

Iji weghachi ọrụ nke eriri akwara ndị mebiri emebi, a na-eji otu ọgwụ ọgwụ ndị a:

1. Acid Thioctic: Berlition, Espa-Lipon, Thiogamma, Dialipon.
2. Benfotiamine, Cyanocobalamin.
3. Ihe na - eme ka akwara too uto - Neurophazole.
4. Alfa reductase inhibitor - Avodart.
5. Ndị na-egbochi protein nchebe - - Nexavar, Spraycel, Tasigna.
6. Nhazi vitamin dị mgbagwoju anya - Neurorubin, Milgamma.

A na-eji ọgwụ ndị na-emetụta okporo ụzọ neuromuscular na mweghachi nke akwara akwara, ma ọ dịkarịa ala otu ọnwa, ka usoro ịmụgharị na-aga nwayọ, karịchaa n'ihe banyere ọrịa shuga na carbohydrate na abụba metabolism.

Ọ na-akwadoro maka mgbochi nke ngaghari nke mmebi akwara na usoro ị na-eme kwa ụbọchị iji gụnye usoro mmega ahụ, kwụsị ị smokingụ sịga, nke na-eme ka umeji akwara na -ewepụta ọbara n’arụ anụ ahụ metụtara. Vidio dị n’isiokwu a na-ekwu maka mgbaàmà isi nke ọrịa shuga.